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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 property licensed and is not entitled to permitting privileges In Pasco <br /> County, <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY 12E613: The undersigned understands <br /> that Tramnortatinn IMORGI Fees and Recourse Recover-Fe6a may aoDly to the constructlon of new buildings.Manua 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 Waterleewer 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$2,600.00 or more,1 <br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's <br /> Protection Dulde"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 /> CONTRACTORIS/OWNEWS 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/Wastswater 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/Enviro,•nmental 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", R 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 elecMcal work, <br /> plumbing,signs,wells, pools, air conditioning, gas, or other Installations not specifically Included in the application. A <br /> permit issued shall be eonstmad to be a license to proceed with the work and not as authority to violate,cancel,after.or <br /> act aside any pwiristorm of the technical codes,nor snali 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,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 /> WITH UR.LD F C2MMEMC T <br /> FI.ORIDA,Iu ri s.tt7.oa) <br /> OWNER OR Aa ! CONTRACTo <br /> .51 JI ubs b and o- a need)bef tame INS sal ed and filmred)b oia me thle <br /> who re monauy renown o me or nasmave produced of taro arson ally kno to me or haemave produced <br /> as identification. as identification. <br /> otary Public /�++n�f Notsry Puhrtc <br /> Comtniaslon PicSTa Commission No'Xw GL9 tJ1 <br /> '= MY COMMISSi0�18#FF863675 Name t -,p <br /> n <br /> =i; s: NAY COMMISSION#FF963675 <br /> •.',�o; d;:' EXPIRES February 23.2020 2020 <br /> d ` ExcPIRES February 23. <br /> (4CT)398-0t53 Floridallo:a•y8,:rv,cc.;;on• �'!,dirE�5ti�� <br /> (4C71,375•t2,4,�,:l, FIo1�dallo:aR3vrwce.cvn• <br />