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I <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 /> 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 IMPACT/UTILITIES 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 mustbe paid prior to permit issuance in accordance With applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes-,astamended): 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—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 /> CONTRACTOR'S/OWNER'S AFFIDAvrr: Ccertify 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 odes, 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,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"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 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 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 requestedi 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 /> WITRYOUR LENDER-OR AN ATTOR EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F. . 1 . 3 <br /> OWNER OR AGENT CONTRACTOR <br /> s Seri d acid s� rTed befo e 0 sBnE� 'b d w oratfinned ie a this <br /> z3'Y ¢, <br /> Who is/ rsonaily kno to me or hasllrave produced Who isle r ersonally known t me or has/have produced <br /> --As identification. as identification. <br /> ' V�4�Zt Notary Public , Notary Public <br /> irgLNsriomNoMCc mission o. <br /> SYLVIAA.CAMPBELL SYLVIA A.CAMPBELL <br /> . <br /> v P.. <br /> of�ry ptr]fy Nama of No yr — <br /> •_ Commission q GG 112939 = • Commission#GG 112939 <br /> MY CO <br /> •• <br /> u� r My Comm.Expires Jul 19,2021 <br /> liondedlhioughNationalNotaryAssn. EofF� <br /> Banded lhiough National Notary Assn. <br />