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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 /> UNLICENSED 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 apply 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 hired 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 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees 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-t77,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 to permit Issuance In accordance 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 1 have obtained a copy of the above described document and promise in good faith to <br /> deliver it to the"owner"prior to commencement <br /> CONTRACTOITSIOWNER'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 taws 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,Water/Wastewater 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 Health 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 W"unless expressly permitted, <br /> - If the fill material is to be used in Flood Zane "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 wail <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 affect 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,welts, 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,not 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 lime 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 Jt}RAT(F.3.1 ) <br /> OWNER O T / --- CONTRACTO <br /> Su gibed and -ed)befor e this Subscri d and a before me th' <br /> CJ\ <br /> who Is! a per nay own t ma or ha ave prod d Who I personait n a or haslha produced <br /> as Identification. as idenlitication. <br /> Notary Public Notary Public <br /> Commlaslon No l� CamWasion No. <br /> YPy , SON <br /> Name of Notary typed,printed or stamped Name of ry, 'Mn ed t��r6tt� <br /> :n MY C thSION#FF963675 <br /> EXPIRES February 23.2020 <br /> AMANDA ACKERSOjV �C�>898-Q133 rloridallotaySurviry.ton <br /> 1 °• MY COMMISSION#FF963675 <br /> EXPIRES February 23,2020 <br /> ___ -M398-0153_. __Elotldallo::cySi;wrcacan� <br />