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F <br /> TICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" <br /> ch may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with.any <br /> licable deed restrictions. <br /> LICENSED' CONTRACTORS AND=CONTRACTOR RESPONSIBILITIES:`"`If the owner"has hired a contractor or <br /> tractors to undertake work, they maybe required to be licensed in--accordance With:state..and.local regulations: If the <br /> tractor is not licensed as required by law, both the owner and contractor'may-be cited for a misdemeanor violation <br /> er state law. If the owner or intended contractor are uncertain.as to..what licensing requirements may apply for the <br /> nded work, they are advised to contact the Pasco CountyBuilding Inspection Divisioh—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.mayapply 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-.su`ch 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 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. Furthermoreff Pasco County Water/Sewer Impact <br /> "fees are due,theymust be.paid prior to.permit issuance in accordance with applicable-Pasco.County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 113;:florida Statutes; <br /> 1 as amended): If�valuation 6f"Work is$2,5.00.00 or more, I <br /> certify that , the applicant, have been-provided with a-copy of the ''Plorida-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";:I.certify that`I=:haV6'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''a;`: dicated. 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'C fy'codes evelopment zoning-regulations, and-, d regulations <br /> .0 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/WastewaterTreatment. <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"V"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 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, (.certify that fill'will`be used only to fik-til e.area within thestem.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.oWher-may be cited for violating <br /> the conditions of the building permit issued underthe 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),co isecutive days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO,PECORD.A NOTICE:OF-COMMENCEMENT.MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO'YOUR PROPERTY, .i0.Y0( .INTEND TO OBTAIN'FINANCING,CONSULT <br /> —WITH=YOUfk,,LENDER-OR AN-ATTORNEY BEFORE-RI=CORDING-YOUR:NOTICE.OF COMMENCEMENT-- <br /> FLORIDA JURAT(F.S.1117.03) <br /> OWNER 9w. 4e�,�e'� CONTRACTOR S f c Ye N 1 /�/ <br /> Subscribed and sworn to(or affirmed)¢efore fine t is Subscribed,and sworn to(or affirmed_ e me Is <br /> EreZbY Foy ti (/c e c/�e�tby � - / <br /> W^ is/ person ill F(y known to me or has/have produced Whay�s/are ersQnil known to me or has/have produced <br /> �L '� tLAW-- as identification. i T�'Z5(l7'2 nS-�2 as identification. <br /> Notary Public Notary Public <br /> Commis ion o. Commis n No. <br /> JACQUELINE BOGES <br /> Name of :IpdpWds*jd�INfi457 Name of Notary typ or rltp - <br /> o`'Expires December 12,2022 Al' GEs I <br /> ~'IV., 0"� B,,W nw Troy FWn lnu=ce 800.385.7019 ;: a CO lion t GG 216457 <br /> 'fE;o ,l' Expires December 12,2022 <br /> Bordad TlwlrayFaGllnturanq 800385•7010 ''' <br />