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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 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 permittingprivileges 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 exist'Ing 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 I*mpact Fees and Resource Recovery Fees must be paid-prior to <br /> receiving a "certificate of.occupancy" or final power release. If theproject 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 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,WaterMastewater Treatment. -1 <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 "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 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, 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, after, 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)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 IMPROVEMENTSTO YOUR,-PROPERTY. IF YOU1NTEND TO OBTAIN FINANCING,CONSULT <br /> WITH-YOUR LENDER OR AN ATTORNEY BEFORE-_R1bCORIJ)lNG_YOUR NOTICEJOF1COMMENCEMENT, <br /> FLORIDA JURAT(F.S.117.03) <br /> OWNER OR AGENT CONTRACTOR... <br /> Subscribed and sworn to(or affirmed)before me this Subscribed ands to or affirmed)before me this <br /> by _____Jby <br /> Who is/are personally known to me or has/have produced Who s are personally known to me or has/have produced <br /> as Identification. A-o (de, as Identification. <br /> Notary Public 0-Y1k3 Notary Public <br /> Commission No. Commission No. <br /> Name of Notary typed,printed or stamped Name of Notary typ r a _*stamved <br /> L R <br /> ZLDONADO <br /> . - C ission#GG 346275 <br /> Z", xpires June 18,2023 <br /> ? <br /> Bonded Thru Troy Fain insurance$00,185.10ig <br />