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NflTICE OF dEED RESTRICTIONS: The undersigned undersfands#hat this permit may be subject to°deed°restric6ons' <br /> � which may be mare restrictive than County regulations, The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UNt..IGE�ISED CONTRACTORS AND CONTRACT{}R RESPONSIBII.tT1E5 If fhe owner has hired a contrac#or 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 /> �nder state law lf the owr�er ar iotended contractor are uncertain as to what licensing requiremenfs may apply for the <br /> irrtended work,they are advised to contact the Pasw Caunty Building Inspection Division—Licensing Section at 727-847- <br /> 8009 Furthermore, if the owner has hired a contractar or contractors, he is advised to have the contractar(s) sign <br /> portions of the"contractor BlocE�'of this application fo�whicfl they will be responsible. lf you, as the awner sign as the <br /> contractor,that may be an indication that he is not properly licensed and is not entitied to permitting privileges in Pasco <br /> County. � <br /> 7RAIVSPt?RTATION IMPAGTNTILITlES IMPAGT AND RESOURGE REGOVERY FEES: The undersigned understands <br /> that Trattsportation(mpact Fees and Recourse Recavery 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 unders#ands,that such fees, as may be due,wiD be identifted at the fime af <br /> permitting. It is further understood that Transportationl lmpact Fees and Resource Recavery Fees mus#be paid prior to <br /> receiving a°certificate of occupancy"or final pawer release. If the project does not involve a certificate of occupancy or <br /> final power refease,the fees must be paid prior to per�nit issuance. Furthermore, if Pasco County WatertSewer impact <br /> fees are due,they must be paid prior to permit issuance in accordance with app(icable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter?13,Florida Statubes,as amended): If valuation of work is$2,500.00 ar more, I <br /> certity that !, the applicant, have been provided wit� a copy of the °Florida Construction �ien Lavv—Hameowner's <br /> Protectiar�Guide"grepared by fhe Florida Departmentiaf AgriculEure and Consumer Affeirs. (f the applicant is someone <br /> other than the"owne�', I certify that I have obtained a copy of the above described document and promise in good faith ta <br /> deliver it to the"owner°prior to commenaement � <br /> CONTRACTOR'StOWtVER'S AFFtDAVlT (cettify that a1i the informa6an in this application is accurate and that ail work <br /> will be dane in compliance with all applicable laws regulating constructinn,zoning and land development. Application is <br /> hereby made ta obtain a permit to do work and installation as indicated. I certify that no work or installation has <br /> cammenced priar Eo issuance of a permit and that a(1 worK wil( be petfarme�!to meet standards of all laws regulating <br /> construction, Caunty and City codes, zaning regulations, and Iand 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 responsibili#y fa identify what actions 1 must take to be in compliance. Such agencies include but are not limited ta � <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,WatedWastewater Treatment. � <br /> - Soathwest Florida Water Ntanageme�rt� District We[Is, Cypress Bayheads, Wetiand Areas, Aifering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of HeaEth & Rehabilitative ServicesiEnviranmental F{ealth tlnit Welis, WasEewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection,�qency-Asbestos abatement <br /> - Federat Aviation Authari#y-Runways. <br /> I undersfand tha#the foflowing restrictions apply to the use of fili: <br /> - Use of fill is not allowed in Flood Zone"V°unless expressly permitted. <br /> - if the fili materiaE is to be used in Flood Zone °A°, it is understoad that a drainage plan addtessing a <br /> °cvmpensating volume°will be submitted at time of permitting which is prepared by a professional engineer <br /> licensed by the State of Florida. I <br /> - !f the fii! mataria! is to be used in Fiood Zone°A° in connection with a permifted building using stem wal2 <br /> construction,I certify that fiil will be used only to fili the area within the stem wall. <br /> - If fiil material is to be used in any area� I certify that use of such fill will not adversely affect adjacent <br /> properties. !f uss of fill is found to adversely affect adjacent properties,the owner may be cited for violating <br /> the canditions of the buiEding permit issued under the aftached permit app(ication, for(ots (ess 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 i�form the owner of ihe permitting condiftons set forfh in <br /> this a�davit prior to commencing corrstruction. I und�rsfand that a separate permit may be required for e(ectricai work, <br /> plumbing, signs, wells, pools, air conditioning, gas, o�other installations not specifically included in the application. A <br /> permit issued shall be construed to be a license to pro�ceed with the work and not as authority to violate, cancei,alter,or <br /> set aside any pravisions of the technicaE codes,nor shaJl Essuance of a permit prevent the Building Official from thereafter <br /> requiring a correction of enors in plans,construction o�vialations 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 autharized by <br /> the permit is suspended or abandaned for a period of s�,ix{6}monfhs after the time the work is commenced. An esctension <br /> may be requested, in writing, fram the Building Official for a period not ta exceed ninety(90)days and will demonstrate <br /> justifiable cause far the e7ctension. If work eeases for ninety(90)consecutive days,the job is considered abandoned. <br /> WARNIIVG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT NiAY RESULT IN YOUR <br /> pAYING TWICE FOR IMPROVEMENTS TO YOUR PRdPERTY. IF YOU INTEND TO OBTAIN FINANGING,CONSULT <br /> WITH YOUR LE�IDE�t OR AN ATTORNEY BE�ORE RECORDIN�YOUR NOTICE O C4iUt�RERiGENfENT. <br /> FLORIDA JURAT(F.S.117.03) <br /> OWNER 4R AOENT CQN7RAC7QR <br /> Subsaibad an b�wom to{ar affrrtned}beEore r�this S�bs 'be�Sdswvm t (or a ' d��forel mVe fhis �� I <br /> P �/ <br /> VNto is/are personaly known to me or has/have produced Who" re p rson kn �o me or hss/t�ave produced 4 <br /> as ideMiflcation. 'denYsficaiion. <br /> J�♦ <br /> Notary Pubiic / f.LCX���� Noiary Pu6tic <br /> Cammission No. Cammiss' n o. <br /> :4�0'::l;a'��� <br /> ,i <br /> Name of Notary typed,printed or stamped Name of Notary typ ;�rj� orq��� �res Decembec 12,2018 <br /> �'���),or'�Q��` Bonded Thru Troy Fain Insura�a 8003&5-7019 <br /> ma <br />