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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 /> 90-07,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 valuation of work is$2,500.00 or more,I <br /> certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners <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 /> 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,Welland Areas and Environmentally Sensitive <br /> Lands,WaterMastewater Treatment. <br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland 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 Zone "K, 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 stern 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,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 ce or if work authorized by <br /> ,issue <br /> the permit is suspended or abandoned for a period of six(6)months afigir-the the work, commenced. An extension <br /> (2 may be requested,in wdbng,.from the Building Official for a periqonib-t to exceed I <br /> ,ninety T jot days and Will demonstrate <br /> justifiable cause for the extension. If work ceases for ninety(99)-consecutive days, considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORQ/A NOTICE OF CO MEN E,14NT MAY RESULT INYOUR <br /> COMM <br /> e6 0 Z a T <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PRC)PERTY. IF YOU INTEND 0 1 AQ(FINANCING,,CdNSULT <br /> "0 <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI OMMENCEMENT. <br /> FLORIDA JURAT(F.S.11.03) % �'Z^" <br /> k I , <br /> OWNER OR AGENTCON TO <br /> ON sworn (or <br /> rb7 S.�bscdbedl.OR.— efore me 65— <br /> ge1gcl to(or affirm <br /> by_ <br /> Nry I <br /> W si persona- known neorhas/liavelEfoduced Who is/a �m tfAe or has/have produced <br /> jas identification. as identification. <br /> Lotary Public r!—A Notary Public <br /> Cc issl Co on No. <br /> LINE BOLES 2 ACQUE <br /> Na 2,2018 <br /> Name of Rota <br /> . 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