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.., iNOTICE 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 requited 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 Diviston—Licensing Section at 727-847- <br /> 8009, Furthermore, if the owner has hired a contractor or contractors, he is advised tv 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 IMPACTNTiLiTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the cons ollon of now bUlldilp,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 to further understood that Transportation Impact Fees and Resource Recovery Feas 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 is paid prior to permit Issuance. Furthermore,if Pasco County WatedSewer 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,I <br /> certtry that I, the applicant, have been provided with a copy of the -Florida Construction Lien Law—Homeowners <br /> Protection Gulde"prepared by the Florida Department of Agriculture and Consumer Affaira. If the applicant is someone <br /> other than the"owner",1 certify that t•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 most 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,WaterMrastewaterTreafinent. <br /> Southwest Florida Water Management District-Walls. Cypress Bayheads, Wetland Areas, Alt ring <br /> Watercourses. <br /> Army Corps of Engineero-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 /> I understand 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 connection with a permitted building using stem wag <br /> construction,I certify that All vvgi 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 /> ace which are elevated by fig,an engineered drainage plan is required. <br /> if I am time 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 /> pemit Issued shall be construed to be a license to proceed with the work and not as authority to vlotste.cancel.alter_or <br /> Ow aouto any Proviotono of the techrft-1 wdes,nvr shalt issuance or a permit pravent the euiiding Official from tt malter <br /> requiring a correction of errors In plans,constriction or violations of any codes. Every permit issued shag 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(a)months after the time the work is commenced. An extenwon <br /> may be requested,In writing,from the Building Official for a period not to exceed ninety(go)days and vA demonstrate <br /> justifiable cause for the extension, If work ceases for ninety(9D)consecuuve 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 /> VMYOUR ENDER EFO CO D Nt3 Y U OF C C ENT <br /> FLORIDAJU (F .117.03) <br /> 1 <br /> OWNER OR AO CONIRACTO <br /> r y s ry�ibed andB rrnm)he ere me ds Sub bad^d —,a�mtart fora moWo <br /> � I }bPC+ r�o laAP <br /> me � ��as Identmmuon. or hasrtreve produwd <br /> 69 identification. <br /> NJ Notary Public Notary Public <br /> commrsslon No. Commis on No.-f—,PG4(, ; �� <br /> �a Ol7ytT I fg8j8WP0F963675 Ne 0CfnLD <br /> diary <br /> p�= M mn, 23.2020p�gNpq iACKERSON <br /> EXPIRES February ►"'A" <br /> r4C71398•Ct59 Flundallo;d y9cr�ca •c MY COMMISSION 1i FF963675 <br /> i •-�°y�;.d�- EXPIRES February 23.2020 <br /> 1,4C7139b•Ct5 nuridallota'y8erv+co.wo• <br />