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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 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 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 contractor(s) sign <br /> .130lfions 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 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 fe,es, 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 permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION.LIEN LAW-(Chapter 713, Florida Statutes, as amended): 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, 1.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 Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands WaterMastewater Treatment. <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 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"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 /> "compensating volume".will 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. 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 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 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,;INYOUR <br /> PAYINGTWICE-FOR-IMPROVEMENTS-TO.YOUR'PROPERTY. IF:YOU INTEND TO OBTAIN-FINANCING,CONSULT <br /> WITH YOUR LENDER.ORAN ATTORNEY BEFORE;RECORDING.YOUR N_O=OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S. 117.03) <br /> OWNEROR AGENT CONTRACTOR <br /> Subscribed and sworn to(or affirmed)befo-reme-this Subscribed.and sworn to-kx of before me this <br /> Who is/are personally known to me or has/have produced WOQis/ar, personally known tome or has/have produced <br /> as identification, =1 As identification. <br /> -Notary Public n., Notary Public <br /> Commission No. Com, is , n <br /> . ........ JACOUELINE80(;pq <br /> Name of Notary typed,prirlted or stamped Name of Not jP4nW0i3SMTfflW276457 <br /> Ex0r8s December 12,2022 <br /> Borxkd T4N TMy Fain I"Summ 804M-70f 9 <br />