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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this,p�cmit.may be subJect to"deed"restrictions"
<br /> which may be:more restrictive than County regulatlons. �The undersigned assumes responsibiUty for comptlance with any
<br /> applicable deed restrict(ons.
<br /> 11NLICEtdSED CONTRACTOFtS AN� CONTRQICTOR ItESRON3IBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required:.to be.:ltcensed in accordance.with state.and•local regulations. If the
<br /> cont�actor is not Ilcensed as requlred 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 Itcensing.requirements may apply for the
<br /> intended work, they are advlsed to contact the P�sco County Bulldtng Inspectlon Dlvision—Llcensfng Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor vr contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block° of this applicatton for which they will be responsible. If you, as.the owner stgn as the
<br /> co�tractor, that may be an indication that he Is not.properly licensed and is not entitled to permftting privileges in Pasco
<br />� County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT'AN�RESOURCE RECOVERY FEES: The undersigned understands
<br />---- that Transgsort�lEon-Impact F��§-and.F2acourse 63�co�sry.Fee�-rmay�apply to-@he con��rucQion-of new+-bulldings, change-of
<br /> use in existing buildings, or expansion of ezistirig�buildings, as spec(fied.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees,.as�may�be due,:wrill be tden4(fied at the time of
<br /> permitting. IQ is further understood that Transpoitation Impact f�ees and Reso�rce Recov.ery Fees must be paid prlor to
<br /> receiving � "certificate of occupancy" or flnal power release. :If the project does not involve.a.certificate of occupancy, or
<br /> final poweer release, the fees must be pa(d prtor to permit Issuance. FurtherPnore;if Pasco County 1NaterlSewer Impact
<br /> fees a�e due, they�must be-paid prior to permit-Issuance-In accordance wtth applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florlda Statutes, �s amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have-been provided with a copy of the "Florida Construction Lien Law—hlomeowner's
<br /> Protection Guide" prepared by the Florida Deparkment of Agric.ulture and ConsumerAffairs. If the appllcant is someone
<br /> other than the"owner", I certify that I have.obtained a copy of the"above descrlbed docurr�ent�and.promise in,good faith to
<br /> deliver it to the°owner"�p�ior to�commencement.
<br /> CONTRACTOR'SIOWNER'3 AFFIDAVIT: I certiry.that all the Information in�thi�appllcatlon is accurate and that all vvork
<br /> will�be done in campliance with all appl(cable lauvs regulating construction, zoning and land devetopment. Appllcation is
<br /> hereby made to obtatn .a permit to do work arud Onstall�tion as indlcafed: I certify that no work or (nstailation has
<br /> commenced pr(or to fssuance of a permit and that ali work will be pertorm�d to meet standards of all laws regulating
<br />� construction, County and City codes, zoning regulations, and land development regulatlons�in the jurlsdiction. I also
<br /> Icertify that I understand that the regulations of other government agencies may apply�to the intended work, and that it is
<br /> my respons6bility to identify.what.actions I must taFce to be,in.cort�pliance: Such agencles include bwt are.not limited to:
<br /> - Department of Environmental Pratection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewrater"Treatment.
<br /> - Southwest Florida Wafer Management .District-VUells, Cypress. Bayheads, Wetland Areas, Altering
<br />� iNatercourses.
<br />� - Arrny Corps of Engineers-Seawalls, Docks, N�vigable WaQerways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewrater Treatment,
<br /> Septtc Tanks.
<br /> - US Environmental Protection Agency-�4sbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand Qhat the following restrictions apply to the use of flll:�
<br />, - lDse of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone. "A", (t is understood that a drainage plan addressing a
<br /> °com ensatin volume" il e
<br /> p g w I b submitted at time of permitt(ng which is prepared by a professional engineer
<br /> Eicensed by�he State of Florlda.
<br /> - if ihe fill material is to be used in Flood Zone "A" ih�connec�ion with.a permitted building using stem wall
<br /> construction, I certify that fill�.wlil:be used only.to#111 the area wlthin the stem 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 adversely affect adJacent properties,.the owner may be clted for viofating
<br /> the conditions of the buildtng,permit issued under the.attached�permit application, for lots less than one (1)
<br /> acre which are elevated by 411t, an engtneered drainage plan Is requtred. .
<br /> If I am the AGENT FOR THE OWNER, l,�promise In good faith to Inform the owner of the perrr�itting condit(ons set forth fn
<br /> this affidavit prior to commencing construction. I understand th�t � separate perm(t may be requtred for electrical work,
<br /> plumbfng, signs, wells, pools, afr condltioning,.ga�, or other installatlons not speciflcally incVuded�in.the application. .A
<br /> permit issued shall be construed to be a Iicense to proceed with the work and not as authority to,violate,cancei, alter, or
<br /> set aside any provis(ons of the technical codes; nor shall Issuance�of a.permit.prevent the Bulldirig O#flcial from thereafter
<br /> requiring a correction.af errors In plans, constructioe�or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit�Is-comruienced•withfn six months of permit Issuance, or if work authorized by
<br /> the permit is suspended or.abandoned for a period of six�8)months.after the time the�work ts commenced. An extension
<br /> may be requested, In writing, from the Building,Official for a perlod.nof to exceed ninety(90) days and will demonstrate
<br /> justifiable cause for.the extension. If work ceases_for ninety(90)cons.ecutive.days,..th�)ob is.considered abandoned.
<br /> WARNING T� OWNER: YOUR FAILtJRE.TO,R�C.ORD A NATI�E OF�COMMENCEMEMT MAY RESULT IN YOUIt
<br /> PAYIIVG TWICE,FOFt IMPROVEMEPITS TO,.YOUR�;PR:OPERTY. I��YO.U��IN��END�TO�OBTAIN��FIPIANCIPIG;�CONSULT
<br /> WITH YOUR E:DE O . AN ATTORNEY B FOI�E� ECORD G� OUR� O �C 'OF � � E CE NT
<br /> FLORIDA JURA'�(F.S.1 7 - '
<br /> OWNER OR 11C3ENT � CONTRACTO •
<br /> Sub crlbed and s (or rmed)before me this ub§crlbe and' wom to r flirmed)�before me'tFiis
<br /> (���-!� by �L, ���PC�Lo�'�c.- �5�l,� .by����f��"�
<br /> V' o is/are personally knovm to.me or has/have pmduced Who Is/are person ly known M me or hasihave produced •
<br /> as IdentlBcatlon. as Iden8Bca0on.
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<br /> ��'-' ��� Notary Public l �/ ��'�- �� Notary Publlc
<br /> "", } 't�+�'�m•• JACQUEL
<br /> Co ssl . t���y°%�-. JACQUELI E BOGES Corr�r slon o. :°�4'' �:�: BOGES
<br /> :,.; ':.: mission _. •: ' .'
<br /> _;� ;a: Expires December 12,2018 �' .QO: Expires December 12,2018
<br /> Name of �d f° �'�•70t9 Name of Notary ty nsurence8pp3g5.7p�g
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