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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 bylaw, 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 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 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, 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 /> 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 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, .1 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. -1-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,s 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, th job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYINGTWICE 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 JURAT(F:S 11.7.03) <br /> OWNER`ORAGENT''"--"-- 1, ��",�—r�U .--.--,---'CONTRACT " <br /> d sw t ed beror�m this Su cri a and savor t r irm b fore m this <br /> S crib d o Q ( o-rJ�OL WOE e by <br /> by r`tn� .I l�'t Q � A Wtt� <br /> W o is/a a personally k wn to me o has/have produced o is/ re personally kn o me or h s/have produced <br /> as identification. as identification. <br /> • Notary Public No Public <br /> Cominissio No. Commission N <br /> 4 <br /> e " of pe print tamped Na of ota typ prin ed or st ed <br /> �a:PUB,, SAY.CRUZ �o1PaY PUe�% LISAY.C 7. <br /> o * a7 . , <br /> Commission#GG 297813 Commission#GG a.,.r. . <br /> b; c� Expires February$,2023 Expires February 3,20iJ <br /> BondeditwBudflelNoterysarvkes �TF OFFI� BondedTtuuBudgetNotaryServfces <br />