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NOTICE OF.DEED RESTRICTIONS: The undersigned understands that this permit maybe 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.W be licensed in accordance,-With•stptq,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 c1pply-for.the <br /> intended work, they are advised to contact the Pasco County,Building Inspection Divisiorf-="Licensing Section at 727-847- <br /> 8009. - Furthermore, if-the owner has-hired:a, contractor or contractors, he is advise-d4o have the contractor(s) sign <br /> portions of the "contractor Block" of-this application-for which-they willt'a,responsible.- <br /> -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 /> TRANSPORTATIONi,IMPACT,/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: ,The undersigned understands <br /> that Transportation Impact-Fee"s and Recourse Recovery Fees may apply4o,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,.Ur.id6rsigned-,also:unde-rstandsi.-that such fees, as-may be due, will be identifi6d.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. 'FUrthetmore, if-Pasco County Water/Sewer 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,iarnendeft 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-applicantzissomeone <br /> other than the"owner", I certify that-[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:r I certify that-all:the information inthis app!icatiom�is:accurate and that all work <br /> will be done in compliance with all applicable,laws regulating construction, zoning-and-land-development. Application Appli atibn 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 i to�issuances 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- 1,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 Pr6tection-Cypress Bayheads, Welland Areas and Environmentally Sensitive <br /> Lands,Water/WastewaterjTtealm'oft <br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> Army Corps of Engineers-Seaw-all's,, Docks,'.,Navib6bl6"Waierwayp. <br /> Department of Health & R4habilliative SbiVid&E_h`v_itdhment9,I Health. Unit-Wells, Wastewater iTreatment, <br /> Septic Tanks. <br /> US-En'M66'hm brital'Protection.Agency-Asbestos abatement: <br /> Federal Aviation Authoriiy-ROnways. <br /> I under-stand-4hattheJollowing restrictions.apply,to,the use of-fill: <br /> Use,of fill isnot allowed in Flood.Zone"V. n unlet§`express'ly perm'ifted.,, <br /> .If f the -fill material is to be used in Flood Zone "A", it is understood that a drainage- plan addressing a <br /> 1 <br /> com0ensating,-volume' wili 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 /> -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. -lf,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 thyp.attached permit application, for lots less than one (1) <br /> 'acre which are ole.v.6tdd,,•iby,fili,,'-bn:6ngih.6ered otaitiagq;plan,is required. <br /> If I am,�ttye-*AGENT:'FO'R:--.T.-HE.,OWkER, I.p'�r'O"M*'i"s"e"in-good-faith:to:i inform file-o "er 6 f-the ' <br /> h permitting-conditions-set f6rth,'in <br /> thisi.affiday.it:.prior,.to,.comme.ncing construction. I understand that a Separate permit may be required for electrical work, <br /> plum,bft,, signs;:'wdl;l'*'s',--pools; 'air conditioning;-gas,-or: other insiaiiation s-,'.not specifically included in the-applicatio' ri. A <br /> permit.issued-shall.,b,e.Qons.trued.to.be a license to proceede-witKithe work and not as authority to violate, cancel, alter, or <br /> set aside any pr6viii0ins-6f th6`46chhidal codibs,,-nori shall issuance-of a permit prevent the Building Official from.thereafter <br /> requiring a correction of ekrors intplans, 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�&.period not to exceed ninety(90) days and will demonstrate., <br /> justifiable..cause for the.-extension. If work ceases-f6r 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 l:-00.:IMPROVEMENTSTO�YOUR,P.ROPERT-Y-. IFYOU-INTENt)TO`-O'ST-AlN'FINANCING,:,CONSULT <br /> WITH.-YOUR-LEND ORE!RECORDING'YS?LM:NP91;914,��CEMENT. <br /> FLORIDA JURAT(F.S. <br /> OWNER,OR AGENT F �� CONTRACTOR::���� <br /> Supsydbdd and sworn to(or affirmed)be re,me,this Sub 'bed d 1b7ff"lb-r6—r.-afflr_rneq),be re-me-this <br /> Tc,? a an, —s%h fo <br /> /oJ,FJ 1 0% by i el -by- - 0";d 0-0/1 1 rJC3 <br /> Who Is/are personally knowrr-to_me or hasthave produced Whb id/ has/have produced <br /> as identification. as identification. <br /> �Notary Public NotaryPublic <br /> Commission No. Commission No. <br /> Name of Notary t f-N typed,printed or stamped Name o <br /> DAVID K CK <br /> DAVID KARTLI aSlate of Florida�Z)Tta�, Public <br /> CK y Public <br /> \V State of Florida-Notary Publi *2 Commissional GG 131634 <br /> if S <br /> 7 <br /> Commission#-GG 1316�34 <br /> My Commission Expires <br /> My Commission Expires August 06,2021 <br /> August 06,2021 _A ____J1 <br />