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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"'deed" restrictions" �
<br /> which may be more restrict4ve than County regulatEOns. The undersigned assumes �esponsibility for compEiance v�rith any
<br /> applicable deed restrictions. � -
<br /> UNLICENSED Ct}NTRACT�RS AND CONT!?�4CTC1E� RESPONSlBILtTIES: !f'#he owner has hired a cantractor or
<br /> contractors to underfake work, they may be required to be licensed in accordance with�state and iocal regulatians. If fhe
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanar violation
<br /> undeT state taw. If fhe owner or intencfad contracfor are uncertain as ta v,rhat l�cens9ng requirements may appty for the
<br /> intended work, they are advised to contact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
<br /> 8009. Fu�thermore, if the awner has hired a contractar or contractars, he �s advised to have the cantractor(s) sign
<br /> portions of #he "canfractar Black" of#his applica#ion far which they will be responsible. If you, as the awner sign as the
<br /> contractor, #hat may be an indication that he is nok properly licensed and is nat entitled,to permitting privileges in Pasco
<br /> Counfy.
<br /> TRANSPORTATION IMPACT/IJTIL.171ES IIVIPACT AND R�SOURCE R�COVERY F�ES: The undersigned understands i
<br /> that Transporta#ion fmpact Fees and Recaurse Recavery Fees may apply ta the construction of new buildings, change of !
<br /> use in existing buildings, or expansian of �existing buildings, as specified in Pasco County Ordinance number 89-07 and ,
<br /> 90-Q7, as amended.. The undersigned aiso understands, #hat such fees, as may be due, will be identified a# the time of �
<br /> permitting. It is further unders#ood that Transportafion Impact Fees and Resource Recovery Fees must be paid prior to i
<br /> receiving a "certi�cate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> finai power retease, the fees must be paid prior ta permit issuance. Furthermare, if Pasca County WaterlSewer Impact
<br /> fees are due, they must be paid.prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> i CQi�STRUCTIQN �IEN LAW(Chapter 713, F1or�da Statutes, as a�nended}: lf valuation of work is $2,50QA0 ar more, E
<br /> i certify that I, the applicant, have been provided with a copy of fhe "Florida Construction Lien Law—Hameowner's
<br /> Protection Guide" prepared by the Flarida Department of Agriculture and Consumer Affairs. !f the agplicant is someone
<br /> ' ofher than the"owner", i certify thaf ( 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 /> CONTR,4G'FOR'S1�1�1NER'S,A�FID�►VIT: 1 certify fhat all fhe information in this applicafion is accurate and that all work
<br /> will be done in campliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to cfo uvark and instaiiation as Indicated. 1 certify that na wark or instailatiort has
<br /> commenced priar to issuance of a permit and that all work will be pertormed to meet standards of alt laws regulafing
<br /> canstruckion, County and City-codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> cerfify thaf 1 understand that the regulations of ofher governmenf agencies may apply to the in#ended worfc, 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 ta:
<br /> - Degartment af Environmenfal Protect9on-Cypress Bayheads, Wetfand Areas and �nvironmentally Sertsitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Sauthwest Fiacida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Deparfinent of Health & F2ehabilitafive 5ervices/Env`tronmental Nealfh Unit-Wells, Wastetrvater Treatment,
<br /> Septic Tanks.
<br /> - L9S Envir�nmenta�Pr�tection Agency.�sbest�s-�tbatement. - - _ _
<br /> - Federal Aviation Authori#y-Runways.
<br /> 1 understand that the foflowing restrict9ons apply to the use of fi!!:
<br /> - Use of fi(I is nof ailowed in Flood Zone°V"unless expressly permitted.
<br /> - !f the fill rnaterial is to be used in Fload Zone "A", it is understood that a drainage plan addressing a
<br /> "campensating volume" wilE be subrriitted at time of permitfing which Es prepared by a professionaE engineer
<br /> licensed by the State of Florida.
<br /> ' - If fhe fill material is to be used in Ffiaod Zone "A" in connection with a pecmitted building using stem wail
<br /> construction, I certify that fill will be used anly to fill the area within the stem wall.
<br /> - tf frll material is to b'e used in any area, I certify that use of such fil! will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect ac#jacent properties, the owner may be cited for violating
<br /> the conditions of #he building permit issued under the attached permit application, far lots less than one (1)
<br /> acre'u+rhich�are elevated by fill, an engineered drainage plan is required. „ , u
<br /> If I am the AGEIV'T FOR TH� OWNER, I promise in gaod faith to inform the owner of the permitting conditions set forth in
<br /> this af#idavit prior to commencing constructian. ! understand that a separate permit may be required for electrica! wark,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or other installations not specifically inciuded in the applicatian. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority ta vfolate, cancel, al#er, ar
<br /> set aside any pravisions of the technical codes, nor shall issuance of a permif prevent the Building Official from thereaffer
<br /> requiring a correction of errors in plans, canstruction or violations af any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, ar 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 reguesterJ;in writing; rf om the Bqilding�O�cial-for-a=period-not to exeeed-ninety-{90)-days-and wrill_demons#rake_. __ . _
<br /> justifiabie cause far fhe exfension. if work ceases for ninefy(90)consecutive days, the job is considered abandoned.
<br /> 1�//�►FtNING TQ U1AIN�R: YCtUR F`AlLURg TCf EtECOF2D A NOTICE OF �OM��NC�1I�ENT 1U1AY R�SUL'T tN YQ1lFt
<br /> P�►YING TVUICE FOR IIVIPROVEAAENTS 1"O YOl1R P'F20P�RTY. IF YOU INTEIVD TO OBTHIN FIIV�►fNCINC, COIV�ULI'
<br /> V111�'N YOUR L�NDER OR AN p►T7'ORNEY��F{3�E l2ECOPt�INC YOUl2 l�IC?TICE OF CO�VIMENIGE[��NT.
<br /> Fl.OF21DA JURAT(F.S. 117.Q3) � �
<br /> OWNER QR AGENT � �li�-�� CONTRACTOR G'����'��L'U"" �'�JC✓
<br /> Subscrlbed and swom to(or affirmed before me this Subscribed and swarn to(or afffrmed}befare me this
<br /> by bY
<br /> Wt�o islare personal#y known to me ar haslhave prodaced Who Islare personally known to me or haslhave prodtsced
<br /> as identification. as idenfification.
<br /> � -
<br /> � � Nota Public
<br /> _N�t�ry�uYlic �Y
<br /> CommissJJ(�n Na. Commiss' n No.
<br /> I 1� ptM�ly��,'
<br /> •�1�*T -. JOEl.E.8AC „��",
<br /> Name�Jf N � e�#�p ��1#isair81�7073 Name of Na '. ;�r 6rB�d
<br /> �: Expires June 29,2018 ••= ommission#FF 937073
<br /> �'�;a,';;�0.� BanCad Tixsi Trcy Faim Nrsurance806385-7Q}g -,�p„;��`'' e�A�ires June 29,2018
<br /> ihru Tray Fein Ineurance 804385-7019 �
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