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r � <br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject-to°deed" restrictions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. , � _-- � � , , � <br /> UNLICENSEQ CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor_or <br /> contractors to undertake work, they may be required to be licensed in accordance.with state and.local regulations.�� If the <br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor,violation., <br /> under state law. If the owner or intended contractor are uncertain as to what.licensing requirements may appljr for the �, <br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing.Section.at 727-847- <br /> 8009. Furthermore, if the owner has fiired a contractor or contractors, he is advised to have�tlie contractor(s) sign <br /> portions of the "contractor Block" of this applicatiorr for which they will be responsible. If you, as the owner sign as the � <br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting=privileges�in Pasco- <br /> County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands „ <br /> that Transportation Impact Eees and Recourse Recovery Fees may apply to the construction of new buildings, change of ; <br /> use in existing buildings, or expansion of existing buildings;,as specified in Pasco County Ordinance number:89-07:and. � <br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due; will be identified at the time of :, <br /> permitting. It is further understood that Transportation Impact Fees and-Resource Recovery Fees must be,paid:prior to ' <br /> receiving a "certificate of occupancy° or final power release. If the.project does not involve a certificate of occupancy or , <br /> final power release, the fees must be,paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact <br /> fees are due, they_must be paid prior#o permit issuance iaaccocdance with_applicable-Pasco.County-ordinances. -- --� <br /> —� CONSTRUCTION LIEN LAW(Chapter 713, Florida-Statutes, as amended): If valuation of work is$2,500.00 or more, I <br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction -Lien Law—Homeowner's <br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to <br /> deliver it to the"owne�'prior to commencemeht. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work <br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is - <br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has <br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating <br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ;I also <br /> certify that I understand that the regulations of other government agencies may apply�to the intended work, and that it is - <br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: ' <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas"and Environmentally Sensitive <br /> Lands,WaterNl/astewater Treatment. �� <br /> - Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering � <br /> Watercourses. • <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of 'Health & Rehabilitative Services/Environmental Heafth Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Runways. <br /> I understand that the following restrictions apply to the use of fill: <br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. ` <br /> - If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a <br /> "compensating volume° will be submitted at time of permitting which is prepared by a professional engineer <br /> licensed by the State of Florida. <br /> - If the fill material is to. be used in Flood Zone "A" in connection with a permitted building using stem wall <br /> construction, I certify that fill will be used only to fill the area within the stem wall. <br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely aff.ect adjacent <br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating <br /> the conditions of the building permit issued under the attached permit application, for lots less 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 affidavit prior to commencing construction. I understand that a separate permit may be required for electrical;work, . <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A � <br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or � <br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter - <br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid <br /> unless the work authorized by such-permit is commenced within six months of permit issuance, or if work authorized by <br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is�commenced. An extension <br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate <br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned: <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ._IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S.117.03) <br /> OWNER OR AGENT �o T'Z � CONTRACTOR ��_./'�� ' 1 <br /> Subscrib nd swom to(or affirmed be re me thls Subs ribed and swom t or affi ed�1�efor e this <br /> ����v_�t�ci-1�-�'L i ti>t rsc� • �l(e.i�'�`. t�, ap�F�2.p <br /> W o' /are e ona�lly known to me or has/have produced Wh i re personally known to me or has/have produced ' <br /> _��1,� U�./l�as identification. �(/� / 0 �as identification. , <br /> � <br /> , , , <br /> , <br /> Notary Public Notary Public <br /> Commissi n No. l� QSLS�(� Commission No. �(..� �(1 cG=� <br /> ��h ��� �,v ( �ed,-r E��e. �2v F-P�� <br /> Name of Notary typed,printed or stamped Name of Not a <br /> �_�� .z.%':;�„�L�;a DEBRAE I�� UFFELL <br /> <"' G��?;'••AELAINERUFFELL ��;`•��,�'i'4Commission#GG045343 • • <br /> VP <br /> '� �' p' S X:�iCF."•November7,2020 <br /> �x :P; :,;Ccm;•::,s:or.f�GG 045 - <br /> ' ��o�:EX If �.+� �3 .... :al.+':'��Y�a?alnsuranceBOD�385�7D18 <br /> :;�, ,p,: P es ;,:.,;;,ber 7,2020 c �i�,. <br /> �{ •,�;g,t„�•.BondedThrulro}i::;��ssurance80a3d5�7Dt9 <br /> ,.. • <br />