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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe 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 /> 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 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 Recoveryfees 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$2,5.00.00 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", 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. prior to commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in.this application is accurate and that allwork <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/Ehvironmental Health 'Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-ftriways. <br /> I Understand-that the following restrictions apply4o the-use of fill: <br /> Use of fill is not allowed lh-flood2bne"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" wilk he::su'bm itted 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 wiI[be-Use&onIy­,tb fill the area within the stem Wall. <br /> If fill material is to be,used,.in.any.,,-area .1 certify-that use of such fill will not adversely affect adjacent <br /> properties. If use,of fill is.found,".to:�6d.V,6rs,6,ly',.,ziff6cf adjacent properties, the owner may be cited for violating <br /> the conditions of the buiIdft.perin1tissUed-','1 issued -the-affached permit application, for lots-less than one (1) <br /> acre which are elevated by fill, an,en gi- <br /> neeri§d..dr6i.hagd.pian'is,,required. <br /> If I-am.the AGENT FOR THE OWNER,'I or.omise:in,-godd_'f.aith�td iriformAhe 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.j.nor shall-issuance of.a permit prevent the-Building Offidial from-thereafter <br /> requiring a correction of errors in plans, construction or violations.of any codes. Every permit issued-shall become Invalid i <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-IN YOUR <br /> PAYiNG,TWICE FOR-.IMPROVEMENTS TOYO-UR'PROPERTY' IF YOU'INTEND.TO,OBTAIN FINANCING,CONSULT <br /> WITKYOUR LENDEk,'OR AN AT-TORNEY--BEFORE*�RECORDING.-YOUR NOTICE.OF�COMMENCEMENT. <br /> FLORIDA JURAT(F S 117.03) <br /> OWVERPRAGENIVY & �Q0k,0000( CONTRACTOR- dmadc_ W J <br /> Subb crib bd and swofp to(orlaffinpied)before this cri d and swo t � ffirm befote me-thls <br /> � f I rM q_ WOO V I a V � 11 7 b <br /> A.117L.-L-py 1­10�1,UL NQ�W(30 <br /> W66_is/6re Wpersonally k0own to me or has/have produced Who is are personally knoWn.to me or hhs/have produced <br /> as identification, as identification. <br /> Notary Public Notary Public <br /> Co ion No. �i s s�i_o 1; o. <br /> Name of 14gedprinted or stamped Na lmq of Notary typedpMted or stamped <br /> N Sy P?0 KELLI B. RYMAN KELLI=B,. RYMAN <br /> P Iry c_ ta f f <br /> Nota,y Public-state of Florida Notary Public-State of Florida <br /> i _ r <br /> Commission#GG 348302 Commission#GG 348302 C 's <br /> My Commission Expires My Commission Expires <br /> J ly 30 0 <br /> July <br /> Jul 30, 2023 -30, 2023 <br />