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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" <br /> which may 4e 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 wl€l 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 09-07 and <br /> 9D-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 to permit Issuance In accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuationjof 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"owner"prior to commencement. <br /> CONTRACTOITSIOWNER'S AFFIDAVIT: I certify that all the information In this applicannl n is accurate and that all work <br /> will be done in compliance with all applicable laws regulating construction,zoning and land development. Application Is j <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,Welland Areas and Environmentally Sensitive i <br /> Lands,Water/Wastewater Treatment, <br /> - Southwest Florida Water Management District-Wells, Cypress Bayhe I'ds, Welland Areas, Altering <br /> Watercourses. j. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, j <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 Zone "A", it is understood that I 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 wait. <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. i <br /> If I am the AGENT FOR THE OWNER,1 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 YOUE NOTICE OF C MME CEMENT. <br /> FCORi JURAT(F.S. .03l <br /> OWNEQ aGE �' CONTRAI0 R� s� -^.Subs ' ad and )before me this scri d and s or eftfrrned)before me f 's <br /> t Y Y� —tVVf �] b Who is rs ail a or hasltt a produced o leare personally tom haamo produced <br /> as identification, as identification. <br /> Notary Public ---� Notary Public <br /> Commission No. iQ 1.\ Commission No.J�" - dQ�\_ <br /> tear twed,yaAnted or stem ad Name of Notary typed,printed or stamped <br /> : e"2, AMANDA ACKERSOhi .4lViA141OA ACKERSOhl <br /> 0 4; I <br /> 9 4fl`= MY COMMISSION#FF�J63G75 MY COMMISSION#FF963675 <br /> aFp1a,.� EXPIRES February 23.2020 7 �; I <br /> oF,,o'- EXPIRES February 23.2020 <br /> I/�C%1398•CiJ3 FloftddhJ O:d'V:+ClVICL'.GUfI' IAC%!'i98-0153 r,'IGfiddP19:�1'V:scrVCC.GGII' <br /> i <br />