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NOTICE OP DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"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 contra-ctor 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.a0ply for the <br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 7271-847- <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 i0entlfOd 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 64A,,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 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, 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-W 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"K in connection With a permitted building using stem wall <br /> construction,)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,(,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 /> requiting a correction,of errors in plans,construction or violations of any codes. Every permit isiued.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 Woik'is'Comrnenceid. 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 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER AN-ATTORREYAW-FORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S. 7 <br /> OWNER OR AGE WF CTO <br /> "21116-0fibedand sw i or ill d efore savor r;aA*ed be t7 <br /> by <br /> at 29! all kn byo kt <br /> wh4 are personalty <br /> ;Who Is7 A to me or hasth*e produced <br /> nalk kn 4s Ideftfication. lavIdentificaflon. <br /> ,�-��/��/� <br /> Shtary Public Notary Public <br /> Commission Na. <br /> Commission No. &6 <br /> 0 ry <br /> 8 typ"gint d- Nam <br /> - VIAltairt rwn" <br /> Tommie M Rogers Notary Public State of FbrWa <br /> MY Commission GG 913245 4 etlht <br /> ep Expires 09/1 unn Tommie M Rogers <br /> MY commission GG 913245 <br /> 0, <br /> �fv Expires 09/15/2023 <br />