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i <br /> , <br /> ' I � NOTiCE OF DEED RESTi2iCTiONS: The undersigned understands fhat#his permif may be subject ta"deed"restrictions" <br /> ' which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> � applicable deed restrictions. <br /> UNLICENSED COTITRACTORS AND GO�ITRACTdR RESPONSIBIliT1E8: If the owner has hired a co�tractor or <br /> , contractors to undertake work,they may be required to be licensed in accardance with state and local regulations. If the <br /> contractor is not licensed as required by law, both the owner and contraclor may be cited for a misdemeanor violation <br /> r under state Iaw. lf the owner ar intended confractar are uncertain as ta what(icensing requirements may apply far the <br /> ' intended work,they are advised ta contact the Pasco County Building Inspection Division—Licensing Section at 727-847- <br /> � 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign <br /> iparfions of the"contractor Block"of fhis application for which they will be respansible. If you, as the owner sign as fi�e <br /> i contractor,that may be an indication that he is nat properly licensed and is not entitled ta permitting privileges in Pasco <br /> Caunty <br /> 3 TRANSPORT,4TION IMPACTIiJTILITIES IMFACT AND RESOURCE RECOVE3ZY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construc#ian of new buildings,change of <br /> use in existing buildings, or expansion of existing 6uildings, as specified in Pasco County Ordinance number 89-07 and <br /> sa-a7,as amended. The undersigned also understands,that such fees,es may be due,wilE be identif�ed at the fime ot <br /> permitting lt is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to <br /> receiving a"certificate of accupancy"or final power release. If the project does not involve a certificate of occupancy or <br /> finai power reEease,the fees must be paid prior to permit issuance. Furthermore,if Pasco Gounty WatertSewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with app(icab(e Pasco Coun#y ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 773,Florida Statutes,as amended): If valuation af work is$2,500.00 or more,I <br /> certity that i, the appficant, have been provided with a copy of the "Florida Construotion Lien Law—liomeowner's <br /> Protection Guide"prepared by fhe Florida Department of Agriculture and Consumer Affairs. If the appiicent is sameone <br /> other than the"owner",I certify that I have abtained a copy of the above described document and promise in good faith to <br /> deliver it to the"owner"prior to commencement. <br /> CONTRACTOR'SJOWtdER'S AFFiDAV1T� (certify that all the information in this appiication is accurate and that ai(work <br /> will be done in compliance with all appiicable laws regulating construction,zoning and land development. Application is <br /> hereby made to obtain a peanit to do work and ins2a!lation as indicated. i certify that no work or installation has <br /> commenced prior ta issuanee of a permi#and that ai(work wil( be perfarmed to meet standards of ail laws regulating <br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso <br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is <br /> my responsibilify to identify what actions I musf take#o be in compJiance. Such agencies include but are not limited to: <br /> - Department af Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,WateNWastewater Treatment. <br /> - Southwest F(orida Wate� Management District Wells, Cypress Bayheads, Wet(and Areas, Ritering <br /> Watercourses. <br /> - Army Corps af Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Fiealth 8� Rehabilitative ServicesiEnv�ronmenta( Health Uni#-WeIIs, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Runways. <br /> I understand that#he following restrictions apply to the use of fiil: <br /> - Use of fill is not allowed in Fload Zone"V"unless expressly permitted. <br /> - If ths fiil material is #o be used in Flood Zone "A°, if is understaad that a drainage plan addressing a <br /> "compensating volume"will be submitted af time of permitting which is prepared by a professiona�engineer <br /> licensed by the State of Florida. <br /> - If the fi(f material is to be used in Ffood Zone "A"in connection with a permitted buiiding using stem wa[I <br /> canstruction,I certify thaf fill will be used on(y ta fill the area within fhe stem wall. <br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent <br /> properties. !f use of fiii is fou�d to adversety affect adjacent properties,the owner may be cited far violating <br /> the candifians of the building permit issued under the attached permit appiication,for(ots Iess than one{1} <br /> acre which are elevated by fill,an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in <br /> this afEidavit prior fo commencing canstructian. I understand thaf a separate permit may 6e required for electrical wark, <br /> plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically included in the applicatian. A <br /> permit issued shaU be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or <br /> set aside any pravisions of the technica(codes,nor sha8 issuance af a permit prevenf tfie Building 4fficiai fram thereafter � <br /> requiring a correction of errors in plans,construction or violations of any cades. Every permit issued shall become invalid <br /> unless the work authorized by such permit is commenced within six months of pertnit issuance,ar if work authorized by <br /> the permit is suspended or abandoned far a period of six(6}months after the time the work is commenced. An e3ctens9on <br /> may be requested, in writing,from the Building pfficial for a periad not to exceed ninety(90)days and will demonstrate <br /> justifiable cause far the extension. If work ceases far ninety(90)consecutive days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUFt FAILURE TO RECORD A IdOTICE OF COMMIEPICEMENT MAY RESULT IN YOUR <br /> PAYING TINICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOlJR LENDER d12 AN ATfORNEY BEF41aE RECt?RD1NG YOUR NQTIC�OF COM14ttENCEMEFlT. <br /> FLORtDA JURAT(F.S.T 17.0 " <br /> 4WNER OR AGENT CpNTRACTOR <br /> ,_,...�Subscribe ��}yom to�(o�r a , e +me t " Subscribed and swom to(or affirmed}before me this <br /> �- i.� y , y <br /> N�tv fs/are parsonally known to me or has/have produced Who fs/are personally known to me or haslltave produced <br /> � h-�L (�, as identification. as identification. <br /> .��,�,Q���>lJ.� Notary Public NOCary Putrlic <br /> � <br /> Commission No.1r �j�':�-7� Cpmmission No. <br /> � � �� <br /> Name of Notary typed,printed or s ampe N��f� e , r stamped <br /> Nat�ry Puaac•SG�t�01 Florld, <br /> ' '= Commt:atan+IE FF�Q034 <br /> ,,�����"����.� My Comm.Explr�Y Apr 7.2020 <br /> 8ondad throuph IWtlonal Notary 1�sze, <br /> � <br />