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NoTice OF DEED RESTRICTIONS: The undersigned understands that this permit maybe su jectto'cleed"restrictions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibil by 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 a d local regulations. If the <br /> contractor Is not licensed as required by law, both the owner and contractor may be cited fo 'a misdemeanor violation <br /> under state law. If the owner or Intended contractor are uncertain as to what licensing requi emants may apply for the <br /> Intended work,they are advised.to contact the Pasco County Building Inspection Division—Lic using Section at 727-847- <br /> 8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to h ve 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 pe Iffing privileges In Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: Th undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction t new buildings,change of <br /> use In existing buildings,or expansion of existing buildings,as specified in Pasco County Or finance number 89-07 and <br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will a Identified at the time of <br /> permitting. It Is further understood that Transportation Impact Fees and Resource Recovery F:es must be,paid prior to <br /> receiving a'certificate of occupancy"or final power release. If the project does not Involve Tfificate of occupancy or <br /> final power release,the fees must be paid prior to permit Issuance. Furthermore,If Pasco C unty Water/Sewer Impact <br /> fees are due,they must be paid prior to permit Issuance In accordance with applicable Pasco C unly ordinances. <br /> If valuation <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): tion of ark 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—Humeowner's <br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs, I the applicant Is someone <br /> other than the'owner,I certify that I have obtained a copy of the above described document a d promise In good faith to <br /> deliver It to the'owner"prior to commencement. <br /> CONTRACTORISIOWNEWS AFFIDAVIT: I certify that all the Information In this application 11 accurate and that all work <br /> willbe 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 nb 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 drIderstand that the regulations of other government agencies may apply to the I tended work,and that It Is <br /> my responsibility to Identify what actions I must take to be In compliance. Such agencies Inclui but are not limited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Weiland Areas and Environmentally Sensitive <br /> Lands,WaterMastewater Treatment. <br /> - Southwest Florida Water Management District!-Wells, Cypress Bayheads, Weiland Areas, Altering <br /> Watercourses. <br /> Army Corps of Engineers-Seawalls,Docks,Navigable Waterways:, <br /> Department of Health & Rehabilitative Services/Environmentalealth 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 permitted. <br /> - If the fill material Is to be used In Flood Zone 'A7, It Is understood that a d Inge plan addressing a <br /> 'compensating volume"will be submitted at time of permitting which Is prepared y a professional engineer <br /> licensed by the State of Florida. <br /> - If the fill material Is to be used In Flood Zone W In connection with a permitte 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 no adversely affect adjacent <br /> properties. If use of fill Is found to adversely affect adjacent properties,the owns may be'cited for violating <br /> the conditions of the building permit Issued under the attached permit applIcatio ,for lots less than one(1) <br /> acre which are elevated by fill,bn 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 perm(ting conditions set forth In <br /> this affidavit prior to commencing construction. I understand that a separate permit may be I qtjlr6d for electrical work, <br /> plumbing,signs,wells, pools,air conditioning,gas, or other Installations not specifically Inclyclto,violate,cancel,alter,or <br /> in the application. A <br /> permit Issued shall be construed to be a license to proceed with the work and not as authorl� <br /> set aside any provisions of the technical codes,nor shall Issuance of a permit prevent the Bulldldg 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 Issuanje,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 ommenced. 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 cease*s for ninety(90)corisecutive days,the X job Is c insidered 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 /> WITH YOUR LENDER OR AN ORNEY BEFORE RECORDING YOUR N TICE OF COMMENCEMENT. <br /> FLORIDA JURNT(r-.S 11703) <br /> OWNER ORAGENT CONTRACTOR <br /> n1swo or affirmO)belgre me,this 5S1%bjid1 id swum to(a rPrmed)b rem thin <br /> by by 21,e _J - - <br /> Man <br /> - Ee -Vip-el— <br /> QbEQ�reall�knoo lorhesfhave produced Iris/re petso�n 119Wrawn tom or haslhavi produced <br /> as Identification. as Id E ntificallon. <br /> Notary PublicNotary; Public <br /> Comm ss on Na. n LA <br /> 75A_\ <br /> Noma ofNotary typed,'printed or stamped Name lbirNotarytiffi d�printed or stamped <br /> ,t <br /> AZELL06 <br /> "Oky P% <br /> JOCELYNAZELLERS 0 V <br /> Comm on 9 GG 196124 <br /> CommissloniliGG196124 <br /> 0. Expires March 14,2022 March 14,2022 <br /> Ser� <br /> &x&4 ih-4&x1get wtary serAws <br /> F OF F <br />