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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 Divislon—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 property licensed and Is not entitled to permitting privileges in Pasco <br /> County, <br /> TRANDPORTATION IMPA0TiUTILITIEI3 IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Trantioortatlon Impact Fees and Recourse Recovery Fees may aaaly to fhe construGion of new bulidinoti.chance 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 Statute*,ae amended): If valuation of work Is$2,600.00 or more,I <br /> oertify 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 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 jurisdletion. 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-Walls, 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 flit 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 wail <br /> construction,I certify that fill will be used only to fill the area within the stem wail. <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 engineerel 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 shell be eonatnied to be a license to proceed with the work and not as authority to violate,cancel,alter.or <br /> act aside any provisions of the technical=06,nor snaii Issuance of a permit prevent the Building Official from thereafter <br /> requiring a correction of errors in plans,construction or vloiatiens 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 /> FlORIDAJu T(F9.117.03) <br /> A C T <br /> OWN IrA <br /> ER OR A® CONTRACTO <br /> S s bed en rmed)be B me f uhs ed and rmed eforo m this <br /> y <br /> p Bone (mown to a or t ve pro uce I a o an spy kn to a or hasmave produced <br /> as Identification, rso as Identification. <br /> prC p„b�o <br /> Con on No. Commission No <br /> AMANDA ACKERSON <br /> lgtery r e Nsme of N ,I- <br /> •' MY COMMISSION#FF963675 - F4rC�MRItISSION#FF963675 <br /> EXPIRES February 23.2020 "?%'v,A' EXPIRES February 23,2020 <br /> • w�4,,, nur'idalloea,y5wry con• 14C7139E•0153 F1orldallota•y9vrv,ce.con• <br /> 14C71396-0153 <br />