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• NOTICE OF DEED RESTRICTIONS: The undersigned understands that I his 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 required by law, both the owner and contre ctor 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 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 properly licensed and is not entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RE OVERY 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 n 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 esource Recovery Fees must be paid prior to <br /> receiving a"certificate of occupancy"or final power release. If the projec t does not involve a certificate of occupancy or <br /> final power release,the fees must be paid prior to permit issuance. Fu ermore,if Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance Will applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amend d): if valuation of work is$2,500.00 or more,I <br /> certify that I, the applicant, have been provided with a copy of the " lodda Construction Lien Law—Homeowner's <br /> Protection Guide"prepared by the Florida Department of Agriculture and nummer Affairs. If the applicant is someone <br /> other than the"owner",I certify that I have obtained a copy of the above d scribed 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 informatior 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 dew lopment regulations in the jurisdiction. 1 also <br /> certify that 1 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. uch agencies include but are not limited to: <br /> Department of Environmental Protection-Cypress Bayheads, 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 Waterw ys. <br /> - Department of Health & Rehabilitative Services/Environme al 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"V"unless expressly pe itted. <br /> - If the fill material is to be used in Flood Zone "A", it is uriderstood that a drainage plan addressing a <br /> "compensating volume"will be submitted at time of permitn I 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. 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 attach d 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 to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing construction. I understand that a sepa to 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 pe mit prevent the Building Official from thereafter <br /> requiring a correction of errors in plans,construction or violations of any o ides. Every permit issued shall become invalid <br /> unless the work authorized by such permit is commenced within six monl hs of permit issuance,or if work authorized by <br /> the permit is suspended or abandoned for a period of six(6)months after he 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)consecuti je days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE O COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR Lill OR AN AMORNEY BEFORE COD G MMENCEMENT, <br /> FLORIDA JURAT(F.S.117.03 <br /> OWNER OR AGENT On CONIMC <br /> Subscribed and sworn to(or affirmed be me this Sub bed an i <br /> 1 lq-2 b by by <br /> Who isfare personally known to me has/have uced Who islare personalty own to <br /> or haslhave p uced <br /> Id -catlon. as a 'ption. <br /> Public ry Public <br /> Commission No. Commission No. <br /> Na p NameofN p =05/16/2022 <br /> ,pV Notary Public State of Florida <br /> Alicia Herweh-Cannon of Florida <br /> " r My Commission GG 218378 nnon <br /> %CI Expires 05/16/2022 L�11 <br /> Commission <br /> GG GG 218378 <br />