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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. I <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE& 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 co'nffikf6r--ma'y be cited for a misdemeanor violation <br /> understate 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 Divisidn—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 lwhich'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 per-miffing 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 unde'rstodd'that Transportation impact Fees and Resource Recovery Fees must be paid prior to <br /> receiving a "certificate of occupancy" or final power rele ase. If the-project does not involve a certificate of occupancy.or <br /> final,power release,the­ fees must be paid prior to perr lit issuance.--Further�nore, if Pasco County Water/Sewer Impact <br /> fees-are due,theymust.be.paid prior to permit issuance an accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION:LIEN LAW(Chapter 713, Florida Stitutes,as amended): 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—Hom' eowner's <br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <br /> other tharithe`6wribi", I certify that.1 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/QWNER1S AFFIDAVIT: I certify thatiall the information in this`application is accurate and that all work <br /> will be-done in compliance with.-ai'l"a-p"'p"lic'a"ble'16'ws regulating constructl6n,'zonidg and­larid 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 o6dbs7-,inning regulation,s,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 b6 in compliance. Such agencies include but-are not limited to:. <br /> Department of Environmental Protection-Cypress Bayh6ads, Weiland Areas and Environmentally SensitiveA <br /> Lands,Water/Wastewater Treatment. i <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/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> US Environmental Protection Agency-Asbestos abatement. <br /> Federal Aviation Authority-Runways. I <br /> 1,understand that the following..rqstrictions,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 I Zone -"A", it ls7 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 /> construttioni I cert!fy.theif fill will be Used o4 to fill the*area. within the stem wall. <br /> - If fill material is to be used in any area, 11 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 buildifig 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 maybe'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 <br /> I 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 YOUR LENDER-OR AN ATTORNEY:BEFORE RECORDING YOUR-NOTICE OP:COMMENCEMENT. <br /> FLORIDA JURAT(F.S.117.03) <br /> OWNER OR AGENT CONTRACTOR— k S V1 2 �(A <br /> Subscribed and sworn to(or affirmed)before me this I S bscribecLand swoin-to rVed)before me this <br /> by by N 1134 <br /> Who is/are personally known to me or has/have produced Who produced <br /> g?re Krsonally'kn i tb(me or liesthave <br /> as identification. A-->4V N gl-r 9"CIV50— as identification. <br /> Notary Public <br /> I A.� b g�= Notary Public <br /> Y <br /> Commission No. Commi I <br /> JACQUE E EIM <br /> Name of Notary typed,printed or stamped i Name of No <br /> ISS December 12,2022 <br /> rm Tmy Un Ifi"aW==Ma sms,,.7012 <br /> 1 <br />