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1 <br /> 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 maybe 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.entitied 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'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. 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 I, the applicant, have been provided- with ca 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",, I certify that 1 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.cerUfVthat 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' insstallation 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,V1laterMastewater 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 S Rehabilitative. Serdices/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"1/°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;l 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 wliich-,are elevated Eby fill,an engineered drainage plan is required. <br /> HE:aWNER, I promise in good faith to inform the owner of the permitting conditions set forth in <br /> If I am.the:AGENT`FOR T <br /> this affidavit.",,prior to commencing.construction. I understand that a separate permit may be required for electrical work, <br /> plumbing signs; tNells;`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 pro,`ceed with;the'inrork.and not as authority to violate, cancel, alter,for <br /> set aside'any.provisions,;ofithe:technical-codes,.nor shall issuance of.a permit prevent the Building Official from thereafter <br /> requiring•a ebtrectiorrof'errors in-plans,construction or violations of any codes. Every permit issued shall become invalid <br /> unless the-work;authoriked 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 afterthe time'the work is commenced. An extension <br /> may be requested, in.writing,from-the.Building Official for a'periodnot 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 IN YOUR <br /> PAYING TWICE:FOR'IMPROVEMENTS TO YOURPROPERTY.- IF YOU INTEND TO"OBTAIN FINANCING,CONSULT <br /> WITH YOURLENDER OR AN ATTORNEY BEFORE'RECORDING'YOUR�NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S.1 03) <br /> OWNER;OR AGENT CONTt <br /> TO <br /> Su c`ri e and sworn to r affirmed be ore this S`u� a swo (o a nned)before me this <br /> b TAMES MA NS IVIES BOWIE CLARK <br /> o s/are personalty known.or,or hpoavf produced o is/are L ersonall known to haslhave produced <br /> A as identification- NIA as Identification. <br /> Notary Public Notary Public <br /> t <br /> Commission No. GG 308696 Commission No. GG 308696 <br /> Daphne Clark Daphne Clark <br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped <br /> 2°,0y PU& DAPHNEA.CLARK t v cue DAPHNEA.CLARK <br /> Commission#GG 308696 2° "''���0 <br /> * * * * Commission#GG 308696 <br /> Expires June 27,2023 N,, cr Expires June 27,2023 <br /> N��lFOFFL�P`o� Bmded Tin Budget NateryServices � OFF`�Q\ MedTiwBudgelNotaryServices <br />