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Nov, 4. 2019 9:25AM No, 0567 P. 2 <br /> 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 restrictioris. <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 contractors)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 properly licensed and is not entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACTAUTILiTIES 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 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/Sswer Impact <br /> fees are due,they must be paid•prior to permit issuance in accordance vAth applicable Pasco County ordinances. <br /> CONSTRUCTION LiEN LAW(Chapter 718,Florida Statutes,as amended): If valuation of work is$2,600.00 or more,I <br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien taw—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 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 /> 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 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 Sayheads,Wetland Areas and Environmentally Sensitive <br /> Lands,Water/WastewaterTreatment. <br /> Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> Department of Health & Rehabilitative Servioes/Environmentai Health Unit-Wells, Wastewater Trent, <br /> Septic Tanks. <br /> US.Environmental Protection Agency-Asbestos abatement. <br /> Federal Aviation Authority-Runways. <br /> I understand that the following'resttictions: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 /> "ccmpehsaUng volume'will be submitted at time of permitting which is prepared by a profpssignal 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 wail. <br /> - If frli material is to be used in any area, i certify that use of such fill will not adversely affect adjacent <br /> properties. lI 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 /> 0 I am the AGSM'FOR THE OWNER,I promise in goad 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•rot 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(00)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 /> wrm YOUR LENDER OR AN ATTORNEY BEFORE RRCORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(.S.117.03) <br /> OWNER OR AGENT -�`� 6/`�-• CONTRACTOR <br /> Subscribed sod sworn pS airamod)boloreff Wft Subscribed and awom to✓Gri need before me this <br /> r 9 by ./ m�re.�.rs �4e-111 by � / �C!' <br /> who Ware� ee tieslltave produced who istre me or two me produced <br /> as <br /> identification. as fdm+H(ic�tlon. <br /> Notary P01io .~ Notary Puifc <br /> commission No .Awl 01 Commisslon No. �rR <br /> �r,"'r+c �135+�$ 14019 •��:`vur,,b �1551t�'+�FP�'s5353 <br /> Nameof Noteryctntli1Nprir V_afth�,WiWllName of Notary typed.printed or Star <br /> w,p9s,Su�',asrorrtrr<Wt <br /> 8 :M' ' u d <br /> �o« <br />