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DocuSign Envelope ID:2403ECD6-EB3A-4875-B4C1-51 D76BOAA750
<br /> chills Permit Application Fax-B13-780.0021
<br /> • Bulld.ng Department
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit may be subject to'deed'restdctions'which may be more restrictive
<br /> than County regulations.The undeWgned assumes responsibility for compliance with any applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired a contractor or contractors to undertake work,they
<br /> may be required to be licensed In accordance with state and local regulations.If the contractor is not licensed as required by law,both the owner and
<br /> contractor may be tiled for a misdemeanor violation under state law.If the owner or Intended contractor are uncertain as to what licensing requirements
<br /> may apply for the Intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-8009.
<br /> Furthermore,if the owner has hired a contractor or contractors,he is advised to have the contractor(s)sign portions of the"contractor Block'of this
<br /> application for which they will be responsible.If you,as the owner sign as the contractor,that may be an indication that he is not properly licensed and is
<br /> not entitled to permitting privileges in Pasco 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 use in existing buildings,or
<br /> expansion of existing buildings,as specified In Pasco County Ordinance number BM7 and 90-07,as amended.The undersigned also understands,lhal
<br /> such fees,as may be due,will be identified at the time of permitting.It is further understood that Transportation Impact Fees and Resource Recovery
<br /> Fees must be paid prior to receiving a'certificate of occupancy'or final power release.If the project does not involve a certificate of occupancy or final
<br /> power release,the fees must be paid prior to permit Issuance.Furthermore,if Pasco County Water/Sewer Impact fees are due,they must be paid prior
<br /> to permit issuance In accordance with applicable Pasco County ordnances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended):If valuation of work Is S2,500.00 or more,I certify that I,the applicant,
<br /> have been prov.ded with a copy of the'Florida Construction Lien Law—Homeowner's Protection Guide-prepared by the Florida Department of
<br /> Agriculture and Consumer Affairs.If the applicant is someone other than the-owner'.I certify that I have obtained a copy of the above described
<br /> document and promise In good faith to 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 will be done in compliance with
<br /> all applicable laws regulating construction,zoning and land development,Application is hereby made to obtain a permit to do work and installation as
<br /> Indicated.I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all
<br /> laws regulating construction,County and City codes,zoning regulations,and land development regulations in the jurisdiction.I also certify that I
<br /> understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I
<br /> 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 Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> Department of Health & Rehabilitative Services/Environmental Health Wit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the f0owing 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 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 rill 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 this affidavt prior to
<br /> commencing construction.I understand that a separate permit may be required for electrical work,plumbing.signs,wells,pools•air conditioning,gas,or
<br /> other installations not specifically Included in the application.A permit Issued shell be construed to be a license to proceed with the work and not as
<br /> authority to violate,cancel,alter,or set aside any provisions of the technical codas,nor shalt Issuance of a permit prevent the Building Official from
<br /> thereafter requiring a correction of errors in plans,construction orviolations of any codes.Every permit issued shall become invalid unless the work
<br /> authorized by such permit is commenced within six months of permit issuance,or If work authorized by the permit is suspended or abandoned for a
<br /> period of six(6)months after the time the work Is commenced.An extension may be requested,In writing,from the Building Official for a period not to
<br /> exceed ninety(9D)days and will demonstrate justifiable cause for the extension.If work ceases for ninety(90)consecutive days,the job Is considered
<br /> 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,
<br /> FLORIDAJURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR WHITING-TURNER CONTRACTING CO.
<br /> Subscribed and swom to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by 'FEB 3 2021 by BRENT A.VOYLES
<br /> Who is/are personally known to me'or has/have produced Who islare personally known to me or has/have produced
<br /> as identification. as identification
<br /> Notary Public Notary Public
<br /> Commission No. Commission No. G 6
<br /> Name of Notary typed,printed or stamped Na
<br /> =JONESNES:t•:. Notae DI FloridaCo 178983My Coay 18,2022Bonde 'NDIaryAssn
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