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� '4 <br /> NOTtCE Q�DEEQ RESTRICTIONS: The underslgned undet�tands th�t this.pprmtt:rriay be subject to°deed°restrictions" <br /> which may be more restricttve than County regulaklons. The undersigned assumes responsibility for compllance with any <br /> appliaable deed restrictions. � <br /> UNLlCEN�ED Ct�NTRACTORS AND CCINTRACTOR RESPONSIBIL1TtE5: Ef the awner has hired a cantractor or <br /> contractors to undertake work, they may be:required..ta be.Ilcensed in accordance.with state.and�lacal.regulations. If the <br /> cont�actor Is not Itcensed as required by law, both the ovuner and cont�actar may be clted far a misdemeanor violation <br /> under state law. If the awner or intended contractor are uncertain as to what Iicensing.requirements may apply.��for #he <br /> intended work,they are advised to contact the Pasco County Building Inspec#lon Dtvlslon—Licensing$eation at 727-847- <br /> 8009. Fur#ttermore, if #he owner has hired a contracfor or contractors, he is advised ta have the contractor(s) sign <br /> portions of the "cohtrackar Black° of this applicatian for vuhich they will be responsible. If yau, as.the owner sign as the <br /> co�tractor, tha# may be an indication #hat he is not p�operly licensed and Is not entitied to pertnttting privlleges in Pasca <br /> County, <br /> TRANSPORTATION IMPACT/UTtLITlES lMPACT AN�-RESt?URCE RECOVERY�EEES: The undersigned understands <br /> that Transpartatian Impact Fees and,Recourse Recove.ry Fees may appiy�to.the construction of new buildings, change of <br />� use in existing buiidings, or-expan§ion of�existirig buildings, as specifled in Pasco County Ordinance number 89-07 and <br /> 90-�7, as amended. The undersig�ed alsa undersEan+ds, that.such fees,-aszmay�be�due,.will.be identified at the time af <br /> permitting. It is further understood that Transpor#ation Impac# Fees and Resource Recov.ery�Fees must be pald prior to <br /> receiving a "aertificate of occupancy" or fina!pawer release. :!f the,projecE does not invoive a cettiftcate of occupancy. or <br /> final power release, the fees must be paid prtor to permit issuance. Furthermare;ff Pasco County WaterlSewer impact <br /> fees are due, they.must be pald prior to permit issuance-tn accordance with appllaable�Pascv County ordinances. <br /> CONSTRUCTiON Z.1EN LAW(ChSptBT 713� FIOtIda StAtUtBS�as amended}: If vatuetian af work is$2,500.00 or mare, 1 <br /> certify that I, the appli�ant, have been provided with a copy-of the "Florida Construction Lien.Law—Homeowner's <br /> Protectlon Guide° prepared by ihe Ftoclda Department af Agtiaulture and Consumer Affai�s. if the appitcant[s someone <br /> other than�he"ow�e�", I certify that I have obtained a capy of the above.described document and pcomise tn.gaad faith to <br /> deliver it to the"owner"pt�or ta-commencement. ' <br /> CONTRACTOR'S/OWNER'S AFFtDAViT: i ce�#ify that a1C the informatibn in this applicatton is accurate and that ali work <br /> will�be done in compliance with all applicable laws regulating construction, zoning and land develapment. Applicat(on is <br /> hereby made to obtain .a permit to do wark ancf Installation as indtc�fed. 1 ce�tify #hat no wark or instatlatton has <br /> commenced prior #o Issuance of a permit and that all work will be performed to meet standards of all laws regulating� <br /> construction, County and City codes, �oning regufatianst and land development regulaUons-in the jurisdfction. i also <br /> certify that I understand thaf the regulations of other government agencies may apply�to the intended wark, and that it is <br /> my responsiaility#o identify what.actio�s 1 must take to be,in..compliance: Such agencies include bwt are not limited ta: <br /> - Departmenf of Environmental Protection-Cypress.Bayheads, 1Netland Ateas and Er�vironmentally 5ensitive <br /> Lands, WatedWastewa#er Treatment. <br /> - Southwest Florida Water Management .District Welis, Cypress. Bay.heads; We#land Areas, Altering <br /> Watercourses. <br /> , - Army Corps af Enginee�s-Seawa!!s, Docks, Navigable Waterways. <br /> - Department of Health & Rehabititative ServiceslEnvironmental Ftealth Unit Wells, Wastewater Treatment, <br /> Septic Tanks. . <br /> �� - US Environmentai Protection Agency-Asbestas abatement, <br /> I - Federal Avi�tion Authority-Runways. <br /> ' f understand that the following restrictions apply to the use of flll:� <br /> - Use of fill is nat a0owed in Fload Zone°V"unless expressly permitted. <br /> - If the fill material is to be used in Flood Zone "A", it is understaod that a drainage plan addressing a <br /> "compensat#�g volume° wi}t be submitted at t�me af pecmltEing which is prepared by a professtana! engineer <br /> Iicensed by#he State-of Florida. <br /> '�, - !f the fill mater#ai ts-to be used in Ftood Zone "A" in,connec�ion�with.a �er-mitted buitd�ng us(ng ster» wali <br /> ', � construction, l certify that fill�.will.be used only.to fill the area within the stem wall. <br /> '�, - If fill materlal is to be used in any area, I certify t�at .use of such fill wiU not adversely affect adjacent <br /> properties. If use of tilt is fonnd ta adversely.affect ad�acent�praperties, the owner may be cited for v�olaEing <br /> the canditions of the building:permit Issued under the attached permit application, for lots less than one (1) I <br /> acre vuhich a�e elevated by f�lt;an englneered drainage pEan is required.. . , <br /> ' ff i am the AGENT FOR THE OWNER, I,�promise in gaod faith to inform the owner of the permitting conditions set forth in <br /> this aftidavit prior to commencing constn�ction. I understand that a:separate pe�mlt may be required for electrical work, <br /> plumbing, signs, wetls, poals, a�r conditioning, .gas, or°othec installations not•speci#icatly included�in.the apptication. �A <br /> permit Issued shaQ be constcued to be a license to praceed with the work and not as.authority to.violate,.cancel, al#er, or , <br /> set aslde any pravisfons of the technEcal codes; nor shali lssuance�of a permit prevertt fhe Bultding O�c3ai from the�eafter <br /> requiring a conection nf erro�s In�plans,-canstruction or vlolatlons of any codes. Every permit issued shall became invalid <br /> unless the work authotized.by such permit��fs-cornmenced�within sGt months of.permft issuance, or if wark authorized by <br /> the permif is suspended or.abandoned#or a period of siyc{8}months after the time fhe�work is commenced. M extension <br /> may be requested, in writing,_from the Building,Officfal for a period�not#a exceed nlnety_(9Q) day_s_an��will demonstrate_ _.._ -_� <br /> ��ustifla6ie c`ause foi-the e�ens3on�If work ceases,far nl�tefy{90)consecuttve days,..the job�is consldered abandoned. <br /> WARNING TO OWNER: YCIUR.EAIl.URE TO•RECCIRD A.NOTIGE C►F COMMENCEMEMT IVlAY RESULT !N Yt7UR <br /> PAYING TWICE�"OR IMPRC�VEMENTS TO YDUi�PROPERTY. IF YOU INTEND'TO OBTAIN�FiNtANCiNG��CONSULT <br /> WITH YOUR LENDER�IR AN A7TORNEY�BEFORE-RECORDING°YOUR NOTICE'OF�COMMENCEMENT <br /> ��oRraa auRa�{� ��7.os} -� _ <br /> OWNER OR pG1ENT c .�+/y%�`2F�yc-t'/L CONTRACTOR <br /> ��"G-?..�-/ (ar a�irmed}bet re me thls Subscribed and bwom to{or afllrmed)betote ttie ttii� <br /> Who Is/are p rs nall knovm to.me or haslhave produced Who Is/are personally knoum�ta me or has/have produced <br /> as identiflcatlon. as ldenHfic�tion. <br /> °""'` � ;r �1'.���ti"idota Pubitc Notary Public � <br /> ry <br /> � ' LINE BOGES <br /> Go � ft¢tt. Commisslan No. � <br /> missian <br /> ; P,; xp�res December 12,2018 � <br /> ~`%�;p�e;Q" 9onded Thm Troy Feht Insurance 8�1.85•70 <br /> '� Narae a o , IVame of Notary typed,printed ar stamped <br /> il I <br /> � '�_ <br />