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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: -Af-the--owner-'has hired--a contractor or <br /> contractors to undertake work, they may•be­required 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'nf4cf60-'m6y 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 Insilpektion'-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, at-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 exparisijon 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 issuanice-."Further6iore, if Pasco County Water/Sewer Impact <br /> fees-are due,..they.must.,be-pald 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-f,'-4he--applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeo-'wner's <br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <br /> other.than ttie`owndr"', 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 /> CONTRACTOW..SIOWNPRIS AFFIDAVIT:_I certify.that all the information in this'application is accurate and that all work <br /> will be done in compliance with-all ipikitile laws regul6 ting construction, zoning and,larid development'i 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... <br /> 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 Bayh6ads, Welland 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, 0oicks,.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 /> 1,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", 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 Ao be used. in Flood Zone-"A?.in.connection with a permitted building using stem wail <br /> construction;-, ,, icertif thaffill 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 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 to4nform 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, &.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 toviolate, cancel, alter, 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, 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 LENDEWOR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENt. <br /> "FLORIDA JURAT(F.S_.11 7.113)OWNER OR AGENT -CONTRACTOR 'A 0 4 -c— <br /> Subscribed and swam to(or affirmed)before me this Subscribed and swam <br /> (0(.,9ffim)l5d)before me this <br /> by ;?4—1 q by Is, y- I--st I JSj !:Je-)0 1;tf— <br /> Who is/are personally known to me or has/have produced Wh are personally own to me or has/have produced <br /> as identification. as identification. <br /> Notary Public LNotary Public <br /> Commission No. Commis IZINo. <br /> .......... <br /> Name of Notary typed,printed or stamped Name of Not 5 in&QHltrs <br /> ­C <br /> ommissiOn if GG 276M <br /> ..,N. SOMWtz- ExPires December 12,2022 <br /> Thro Troy Fain Insurance gpp,38�74t9 <br /> ...... <br />