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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 responsibilityfor: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 maybe 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—Licerising 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 bean indication that he is not properly licensed and is not entitled to,perm itting 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. understartds;'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.pertn it.issuance in accordance with applicable'Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida.Statutes,.as amendbd): 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—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 certifythat 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 informatiomin 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,Oeisdict'ion. ' 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 rWaterways. <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 unl'ess 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 1professional 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 maybe 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'engineereddrainage.plan is required. <br /> If:l am.the AGENT FORTME 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 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 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_FINCING, CONSULT <br /> WITH:.YOUR-LENDER OR.AN.:ATTORNEY BEFORE'RECORDING Y.OUR.NOT,ICE OF�:COMME N CEMENT. . <br /> FLORIDA JURAT(F.S. 117.03) <br /> OWNER OR AGENT CONTRACTOR rA <br /> Subscribed'and sworn to(or affirmed)before me this SubSCribed and.swo t (or affirmed)before e.this <br /> by liy �T t`�,� <br /> Who is/are personally known4o me or has/have produced W /are personally knp n'to me or.ha`s/have produced' <br /> as identification. U�'.V SLR as identification. <br /> i <br /> Notary Public Notary Public <br /> Commission No. Commis io o. <br /> Name of Notary typed,printed or stamped Nam ';yt Wmwd <br /> a• P� Expires December 12,2022 <br /> Bottled Thru 7toy Fain kwa=8004W?019 <br />