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NOTICE QF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" <br /> . which may be more restslctive than Coun#y regutations. The undersigned assumes responsibility far campltance with any <br /> ` applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> contractors to undertake work,#hey may'be required to be licensed in accordance with s#ate and local regu3a#ions. if the <br /> contractar is not licensed as required by law, both the owner and contractor may be ciEed for a misdemeanar vioiation <br /> under state law. If the awner ar intended contractor are uncertain as to what licensing requirements may apply for the <br /> intendecf work,they are advised#o contact the Pasco Caun#y Building Enspection Division—Licensing Section at 727-8�7- <br /> 8009.. Furthermore, ff the owner has iiired a contractor or contractors, he is advised to have the contractor(s) sign <br /> portions of the"contractor Block"of this application for which they will be responsible. If you, as the awner sign as the <br /> contractor,that rnay be an indication that he is nat propedy licensed and is not entifled to permitfing privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACT/U7ILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recaurse Ftecavery Fees may appty to#he construction of new bts3ldings,change af <br /> use in existing buildings,or expansion of exisGng buildings, as speci�ed in Pasco County Ordinance number 89-07 and <br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,wiil be ident�ed at the time of <br /> permitting. Et is further understood that`franspottation impact Fees and Resource Recovery Fees must be pald prior to � <br /> receiving a"certificate of occupancy"or final power release. If fhe project does not involve a certificate of occupancy or <br /> flnal power release,the fees must be paid prior to permft issuance. Furthermore, if Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances. <br /> GONSTRUCTtON L1EN LAW(Ghapter 713,Florida SfatuEes,as amended}: tf vatuation of wark is$2,500.00 or more,1 <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 Floricla Department of Agricuiture and Consumer Affairs. !f the appticant is someone <br /> o#her than the°awner",t certify that t have obtained a copy of the above described docurnent and promise in good faith to <br /> deliver it to the"owner"prior to commencement. <br /> CQNTRACTOR'S/OWNER'S AFFIDAVI7: i certify that all the information in this apptication is accurate and that atE work <br /> wili be done in camptiance with a!1 applicable laws regulafing canstruction,zoning and land development. Appiicafion is <br /> hereby made ta obtain a permit to do work and installation as indicated. I certify that nq work or installation has <br /> commenced prIor to issuance of a permit and that al!work wi41 be perfarmed to meet sfandards of aH laws regulafing <br /> c;onstrucfion, County and City codes, zoning regutations, and land development regutations in the jurisdiction. I aiso <br />' certify that I understand that the regulatians of other government agencies may apply to the intended work,and that it is <br /> my responsibility to iderttify u+rhat actions I must take to be in compliance. Such agenciss include but are not limited to: <br /> - Department of Environmentat Pratection-Cypress Sayheads,Wetland Areas and Environmentally Sensitive <br /> Lands,WaterNVastewater Treatment. <br /> - Southwest Ftorida Water Management Distric#-Wetls, Cypress Bayheads, Wetland Areas, Aitering <br /> Watercourses. • <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Departmen# of Nealth & Rehabilitatiue Services/Environmentai Heaith Unit-WeUs, Wastewater Treaiment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Runways. <br /> 1 undersfand that the following restricfions apply to#he use of fill: <br /> - Use af 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 pian addressing a <br /> "compensafing volume"wiEt be submitted at fime af permitting which is prepared 6y a professionat engineer <br /> licensed by the State of Florida. <br /> - If the fill materia! is to be used in Flood Zone"A" in connecYion with a permitted building using stem wai! <br /> construc6on,!certffy fhat fitl witl be used anly ta fitl fhe 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 affect adjacent <br /> properties. lf use of fill is found to adversely affect adjacent properties,the owner may be cited for violating <br /> the conditions af the building permit issued sander the attached permif apptication,far 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,1 promise in good faith to inform the owner of the permitting condi#ions set forth in <br /> fhis a€#idavit prior#o commencing constnaction. I understand that a separate permit may be required for electrical wark, <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,oe <br /> set aside any provisians af fhe#echnical cades,nor shalt issuance of a permit prevent the Building Ufficial€rom fhereafter <br /> requiring a correction of errors in plans,aonstruction or vialations 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 ahandoned tor a period of six(6)monfhs 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 nineky(90f 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 NQTICE OF COMMENCEMENT MAY RESULT IN YOUF2 <br /> PAYING TWICE FOR IflAPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LEIdDER OR AN ATTQRNEY BEFORE RECORLi1NG YOUR NOT[CE OF CO NG NT. <br /> F40RIDA JURAT(F.S.117.03) �� <br /> �„� <br /> OWNER QR AGENT CQNTRAGTO � <br /> Subscritied and swom fo{or affirmed}before me fhis $u scrib and s r affirmed}before ma this � <br /> bY �2 -1 by .v <br /> Who is/are personally known to me or has/have produced s/ars.�e� nally knpwn to me or has/ha roduced <br /> as idenflftcatlon. � �,-.t J,�l�a4.rs5 tt�4.taSSi�._-as identification. <br /> : � <br /> Notaty Publlc �' -./�' Notary Pubtic <br /> s <br /> Commission No. Co missl n No. a������n <br /> �� G <br /> =� �*= ommission#FF 1 0422 <br /> rtam�or cvo�an�ea,prinfed or stamped Name of Notary ' tgst�S DEG@(11bB(12,2018 <br /> '.,p�����`��` 8onded Thru Troy Fain Insurance gpp3g5.7019 <br />