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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. I <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 /> 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 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 exist'ing 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..'m ust-be-paid prior to <br /> receiving a "certificate of occupancy" or final release. . If the projectdoes not involve a certificate of.occupancy or <br /> final power release, the fees must be paid prior to permit issuance. Furthermore, <br /> ermore, 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$2,5.00'00 or more, I <br /> certify that 1, the applicant, have been provided with a.copy of the "Florida,Construction Lien Law—Homebwnet's <br /> Protection Guide" prepared by the Florida Department o'f 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"prior4o commencement. <br /> CONTRACTOR.'S/OWNERIS: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, Water/Wastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress press Bayheads, Welland 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"Wunless-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. I <br /> If the fill material is to be-used in Flood Zone "K 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 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;4nd 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 tol 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 TOOWNER: YOUR FAILURE TO RECORD.A-NOTICE OF'COMMENCEMENT.MAY RESULT-IN YOUR <br /> PAYINGTWICE FOR'.IMPROV.EMENTSTO YOURIPROPERTY. IFYWINTENDTO OBTAIN:FINANCING,CONSULT <br /> WITWYOUR LENDER-OR AN ATTORNEY BEFORE`RECORDING: OUR,NbTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S-.117.03) <br /> OWNER OR AGENT_19VV))er A74dl%d CONTRACTOR <br /> Subscribed and sworn to'(or affi ad)be ore me t is Subscribed,and sw or affirmed befor me this <br /> 41,q,4��4 A:5, ktg (4 b 1',, 4 <br /> by , 5 e-2 A 42 ga a go 4c,- <br /> Who is/are pe(sonally 21TT throe hasthave prsfcruced Who Igg/are pers a y known to in6br hai/ha7ve'pt.61A&-d- <br /> _z 92§Zas identification. identil ti <br /> Notary Public Notary Public <br /> Commissi Comm 0 <br /> -A I <br /> Name Name of Notary SoGgs <br /> Commission#GG 276467 <br /> 01to), 76W J� <br /> mini <br /> 2022 <br /> Expires December12, <br /> BWWThrvTroyFaLqt=rance8OO.385.70i <br /> Q.ro.:V_Expires December 12,2022 <br /> "Z*1t1V W, SonMTtnTtayFemirtsuranca8oWD.,4l*W6-7Oi9 <br />