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)TICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" 4 <br /> ich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> Acable deed restrictions. <br /> LICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> itractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the <br /> itractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation <br /> ler state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the <br /> nded work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- <br /> 19. Furthermore,. if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign <br /> '.ions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the <br /> tractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> inty. <br /> %NSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of <br /> in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and <br /> )7, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of <br /> nitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to <br /> )iving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or <br /> power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact <br /> are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> ISTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of work is $2,600.00 or more, I <br /> fy that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's <br /> ection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <br /> r than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to <br /> er it to the"owner"prior to commencement. <br /> ITRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work <br /> )e done in compliance with all applicable laws regulating construction, zoning and land development. Application is <br /> by made to obtain a permit to do work and installation as indicated. I certify that no work or installation has <br /> -nenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating <br /> truction, County and City codes,' zoning regulations, and land development regulations in the jurisdiction. I also <br /> 'y that I-understand that the regulations of other government agencies may apply to the intended work, and that it is <br /> .sponsibility 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,WaterMastewater 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 /> ?rstand 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 c*onnection 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 /> i the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in <br /> fidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, <br /> ing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A <br /> issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or <br /> ide any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter <br /> ng a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid <br /> the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by <br /> rmit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension <br /> e requested, in writing-, from the Building Official for a period not to exceed ninety (90) days and will demonstrate <br /> ble cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. <br /> IING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> 6 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> A.JURAT-(F.S. 117.03) <br /> OR AGENT CONTRACTOR <br /> ad and sworn to(or affirmed)before me this Subscribed and savor (or affirmed e tfi. <br /> Y-I bv )before l G yl L <br /> re personally known to me or has/have produced Who, (are'person@lly kn to me or has/have produced <br /> ytrlw -as identification. 1 t<L t1T&Je_ as identification. <br /> Notary Public Wa Notary Public <br /> ;ion No. Comm! in No <br /> Notary typed,printed or stamped Name of Notary typ Le %r RM10614rit:IMES <br /> 4ft December 12,2o22 <br />