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? c <br /> NOTICE OF DEED RESTRIGTIONS: The u�dersigned undet�tands°�that this.p�cmit:may.be,subject to"deed"restrictions" <br /> which may be:more-tesUictive�th�n County regulatlons. 'The undersigned assumes-responsiblifty for compNance with any <br /> applicable deed rest�ictions. � - <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI�ILITIES: If the owner has hired a contractor or <br /> coniractors to undertake work, they may be requt�ed.to_be;licensed in accordance.wlth state.and�local regulations. If the <br /> contractor is not Iicensed.as requlced-by law, both the owner and contractor may be cited for a misdemeanor violatton <br /> under state Iaw. If the owner or intended>contractor are uncertaln as to what Ilcensing.requirements may apply�for the � <br /> intended work, they are advised to contact the.Pasco County Building Inspection Division—Licensing Sectlon at 727-847- <br /> 8009. Furthermore, If the owner has hired a contractor or contractors, he is advlsed to have the contractor(s) sign � <br /> portions of the "contractor BlockW of this epplication for which they will be responslble. If you, as.the ouvner sign as the <br /> contractor, that may be an indication that he is not.properly licensed and is not entfNed to permitting prlvileges in Pasco � <br /> County. � <br /> TRANSPORTA710N IMPACTlUTILI'TIES IMPACY ANb RESOURCE RECOVERY�FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse RecoVe.ry-Fees,may�apply�to-the construction of new buildings, change of <br /> use in existing buitdings, or:expans(on�.of�existing`buildings, as speclfied in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended. The.undersigned also understands, that such fees� as��may_be du�„wfll be Identlfled at the time of <br /> permitting. It Is fu�ther understood that Transportatfon Impact Fees and Resource Recov.ery Fees must be paid pefor to <br /> receFVing a "certificate of occupancy° or flnal.power release. :If Ehe.project�does not Involve a certfficate of occupancy or <br /> final power release; the fees must be paid prtor to permit issuance. Fu�thermore, if Pasco County WateNSewer-.Impact <br /> fees are due, they must be paid prior�o permit issyance-In accordance with appllcable P�sco�County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 773� FlorJtl�Statutes�aa amended): If valuatlon of work is$2,500.00 or more, I <br /> certify that I, the applicant, have.been provided with a copy of the "Flortda Constructfon� Lien Lawr—Homeowner's <br /> Protection Guide° prepared by the Florida Department of Agric.ulture and CorosumerAffairs. If the applicant Is someone <br /> other than the"owner", I certify that I have�obtained a copy,of.the abave.descrlbed docurrient�and promise in_good faith to <br /> deliver it to the"owne�"prior�to�commencement: <br /> CONT�tACTOR'SIOWNER'S AFFIDAVIT: I certify tk�at all.the lnformation In this application is accurate and that ail work ' <br /> will'be done in compltance with all applicable laws regulating construction, zoning and land development. Application is <br /> hereby made to obtaln .a permit to do work.:and installatlon as indicafed.. 'I certify that no work or Installatton has I <br /> commenced prlor to issuance of a permit and that.all work wlll be perform�d to meet standards of all laws regulaking-, I <br /> construction, County and City codes, zoning regulatiQns, and land development cegulations-tn 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 responsibllity to identify�what.acttons I must take to be,in..c:orrlpllance: S.uch agencles include but are.not Itmited to: � <br /> - Department of Environmental Protection-�ypress.Beyheads, Wetland Areas and Environmentally Sensitive � <br /> Lands,WaterMlastewater Treatment. <br /> - Southwest Florida Water Management :t�istrict-Wells, Cypress. Bay.heads; Wetland Areas, AlteNng <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Docks� Navigable Waterways. <br /> - Department of Health � ReMabilitative Serdtces/Environmenfal Health Un�t Well.s� Waste�rater Treatment, <br /> Septtc TanKs. . <br /> - US Environmental ProtecUon Agency-Asbestos abatement. <br /> - Federal.Aviatton Auihoriiy Runways. ° � <br /> I understand that the following:restrictions�pply to the use of flil:• <br /> - Use of fill is not allowed in Flood Zone°V"unless expressly permitted. <br /> - If the filt material: is to b.e used in Flood.Zone "A", it Is understood that a drainage plan addressing a � <br /> °compensating volume" will be submitted at time of per:rrltting wl�ich is prepared by a professional englneer <br /> Iicensed by the State of Florida: ' � � <br /> - If the fill material is to be used in Ftood Zone "A" In�connec�fon with.a �{�ermitted building using stem wall <br /> � construction, I certify that fill�:vidll:be used only.to.fill the area withln.the stefn wall. <br /> - If fill material is-to be�used in any area, I certify that .use of such flll will not adversely affect adjacent � <br /> properties. If use of flll is found to advers�ly.,affect adJaEent properties,.the owner may be cited for viofating <br /> the condltions of the building°.permit iss�ed-.under the attached permit application, for lots less than one (1) <br /> acre which are elevated�by ilil, an engineered drainage.plan Is required. . . <br /> If I am the AGENT FOR THE O.WNER, I�promise�in good falth to Inform the owrner of�the permitting conditlons set forth tn <br /> this affidavtt priorto commencing constructlon. 1 understand that a s�parate permit may be requtred for elecMcal work, <br /> plurrabing, signs, wells, pools; air cqndltloning,.gas, or other fns#all�tions not.spec�ftcally included in.the application. �A <br /> permit issued shall be constcued to be a Iicense to proceed with the work a�d not as:authority to.violate,cancel, alter, or , <br /> set aside any provis(ons of the techn(cal codes; nor shall tssuance�of a permit.prevent th�Buildirig Official from thereafter <br /> requiring a correction Qf.errors In.plans,-constructfon or vlolatlons of any code5. Every permit tssued shall become invalid , <br /> unless the work authorized.by such permlt�s.commenced�within six months of permit issuance, or if work authorized by <br /> the permit is suspended or.abando�ed•for a period-of-six-(8)montf�s.after the time the�virork�is commen�ed. An extension , ' <br /> may be requested, tn writing; from the Building,Official for a perlod.not to ex�eed•ninety(90) days a�d will�demonstrate , <br /> justifiable cause for.the extension. If work ceases,for nineky(90)consecutive:days�..the Job�is conside�ed aba�doned, <br /> WARNING TO OWNER: YOUR F141LURE�TO.It�CORQ A.NOTIGE.OF��COMMENCEMEI�7'�MAY RESULT IN YOUIt <br /> PAYING TWICE:FOR I PROVEMENTS TO YOUR�:F!RflPERTY. 1�YOU�INTEND�`TQ�OBTAIN�FIN�ANCING,�CON3UL7 <br /> WIT Y R L . D N ATTOR �B OR � CO �' OU Q �C ' � E � T� <br /> FLORIDA JURA�(F.S.1.17 } � � � .� <br /> OWNER OR AGENT � �� CONTRACT , <br /> Subscribe�nd swo r a(flrmed) for ma thls Su s bed�nd' (or a�rmed�� �e �s �� <br /> — � Or ,C5 <br /> Who is/are p onally k o to.me or has/have produced Who.is/a pe�sona knovm:to_me or�h�s/have produced, <br /> es IdentlBcatlon. as identlficadon. <br /> � . <br /> ��- _�Notery Public _ '� Notary Publlc <br /> , ��„�,,, � <br /> om Iss n ,•••►��r' JAC�UEL BOGES r�lss n- o. ,,,,�,. <br /> =.: :.: Commission#FF 150422 :�'1 ;:- Commission#FF 150422 <br /> �'+ ?,�; Ex ires December 12 2018 - ° p��p 18 <br /> NameofNota "„ �t@rJa����oaeoaaes-7ms NameofNo � .",�;'��ndedTlwTroyFainlnsuran�eBpa3g5.7p1g � <br /> � I <br />