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NOTICE OF DEED RESTRICTIONS: The undersigned under.�tands#hat this.p�cmit may be,subJect to"deed" restrictions"
<br /> wrhich may be:more[estrictive than County regulaQlons. The eandersigned assumes responsibiltty for compliance with any
<br /> applicable deed reshictlons. �
<br /> UNLICENS�D CONTRACTORS AND CON`PRA�'POR RESPON�I�ILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be:lfcensed In accordance.with state.and•local regulations. If the
<br /> contractor is not licensed as requlced by law, both the owrner and cont�actor may be clted for a misdemeanor violatfon
<br /> under state law. If the oavner or intended contractor are uncertaln as to what Iicensing.requlrements may apply•for the
<br /> inQended work, they are advised to contact the Pa�co County �ullding Inspectlon Dlvislon—Llcensing S�ction at 727-847-
<br /> 8009. Furthermore, If the owner has hired a contractor or contractors, he i� advfsed to have the contractor(s) sign
<br /> portions of the "contractor Block" of this �ppllcation for which they will be responsible. If you, as.fhe owner 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 /> YRANSPORTATfON IMPACTIUTILITIES IMPACT-AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Trensportation Impact Fees and.Recourse Recove.ry.Fees may appiy to.the construction of new buildings, change of
<br /> use in existing buildings, or expansion=of ezistirig°buildings, as specffied.in Pascv County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understa�ds, that such fees, as may be due, �wfll be tdentlfied at the time of
<br /> p�rmitting. It is further understood that Transportatlon Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or flnal powAr release. .If the project does not Invvlve a certificat� of occupancy or
<br />- final power release,-the fees must-be paid-prior to permlt-Issuance.—Ft�rthermore�if-i�asco Co�anty Wate�/5ewer Impact^ --
<br /> fees are due, they�must be-paid prlor to permit-Issuance-In accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713� Florlala Statut�a,as amended): If valuation of work is$2,500.00 or more, I
<br /> certifjr that I, the applicant, h�ve.been providecl uvith a copy of the "Florida Constructlon Lien Law—Homeowne�'s
<br /> Protectfon Guide" prepared by the Florida Departmenf of Agric.ulture and ConsumerAffairs. If the applicant is someone
<br /> other than the"owner", I certify that I have.obtaine� a copy.of the above.described document°and.promise in,good faith to
<br /> deliver it to the"owner"prior to.commencement.
<br /> CANTR�4CTOtt'SIOVIINER'S AFFIDAVIT: I cenify that all the,lnf.ormation in this appllcation is accurate and that all work
<br /> will'be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain .a permit to do work.and installation as IndlCated. I certffy that no v�rork or Installatlon has
<br /> commenced prior to Issuance of a permit and that.all work wrill be performed to meet standards of ali laws regulating-
<br /> construction, County and City codes, zoning regulations, and tand development regulat(ons-in the jurisdiction. I also
<br /> certify that I underst�nd that the regulations of other government agencies may apply�to the intended work, and that it is
<br /> my respon�ibility to identf6y what.actions I must tak�to be,in:.compliance. Such agencles include but�are not limited to:
<br /> - Department of Environmentai Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwest Florida Wa.ter Management Disfrict-Wells, Cypress. Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawralls, Docks, Navigable Waterways.
<br /> - Department of Health� & RehabiUtative Servlces/Environmental Fleafth Unit-Wells, Wastewater Treatment,
<br /> Septtc Tanks. _
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runway�.
<br /> I understand that the following.restrictions appiy to the use of flll:�
<br /> - Use of fill is not�Ilowed in Flood Zone�V"unless expressly permitted.
<br /> - If the fill materfal Is to be used in Flood Zone. "A", it. is understood that a drainage plan addressing a
<br /> °compensating volume" will be submitted at time of pecmitt(ng which is prepared by a professional �ngineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be us.ed in Flood Zone °A" in�connection w►ith.a permitted building using stem wall
<br /> construction, I certify that fill�.wlll:b.e used only.to.flll the area within the stem�wail.
<br /> - If flll material is to be used in any e�rea, I certify that .use. of such flll will not adversely affect adjacent
<br /> properties. If use of flll is found to addersely:�ff�ct adJacent�properties, the owner may be cited for violating
<br /> the condiiions of the building.permit issued under the.attacfied permit applicatfon, for lots less than one (1)
<br /> acre which are elevated�by fill, an englneered drainage plan is required.
<br /> If I am the�iGENT FOR THE OWNER, I,�promise in good faith to inform the�owner of the perrnitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be requtred for electrical work,
<br /> plumbing, signs, wells, pools; afr conditioning, .ga�, or othec installations not specifically inclu�led in.the application. .A
<br /> permit issued shall be construed to be a Iicense to proceed with the work and not as authoNty to,violate,cancel, alter, or
<br /> set aside any provis(ons of the techn(cal codes; nor shall issuance�of a permit.prevent th��ullding Oiflclal from thereafter
<br /> requiring a correction.af errors in.plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit:ls-commenced wtthln s�x months of permit issuance, or if work authorized by
<br /> the permit is suspended or.abandon�d.for a period of six(6)montf�s.after the time the work is commenced. An extension
<br /> may be requested, in writing, f�om the Building,Official for a period.not to exceed ninety(90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases.for ninety(90)consecutive:days,..the Job is considered abandoned.
<br /> WARNING TO OWNER: YOUR.FAILURE�YO.,REC.ORD A.NOTiGE OF�COMIVIENCEMEMT MAY RESULT IN YOUR
<br /> PAYING TWICE.FOR IMPROVEMEN�'�TO YOUR::PR�OPER7Y.�.IF YO.0 INTEND:TO ABTAIN•FINANCIPIG;�CONSULT
<br /> WIT Y L!R E DE O AN ATTOR EY FORE��RECOR�t) fs:�YOUR' O �CE`°OF ' � E CE ENT
<br /> FLORIDA JU�tAT(F.S.117.0 ),
<br /> OWNER OR AOEPJT• CONTRACTO �r ,� "VL'
<br /> Subscribed and swom to( a(flrmed)before me s SUbs�tbed and's to( r aflirmed)'bat�re me' Is
<br /> (-9_!.�` by • u �.r /a-y-� .by^� ����rc-. ✓vl, r-��-5
<br /> Who are,.personally knowm to.me or ha aye produced W o ts/� pe�s�onal knowm to me.or has/h ve•produced
<br /> � �3'�LC�Lr�cec�S� as Identlflcatlon. � �/LiW%rSLrc�•r�&� as identlflcation.
<br /> ,/ � -
<br /> � t,+.�l,� �— idote Public � �22 y.� Notary Publlc
<br /> Co mi slan N . .�•:�:Y':i%''•., JACQUELINE BOGES Comr�hlsgion.No. .•°R�"�
<br /> ;,,; ';,;: ommissi = . ES '
<br /> ;�. :;' Expires December 12,2018 =': �'s:_ Commission
<br /> ;; - #FF 15042
<br /> Name o/Notary ei�;��d�P" ` '" Name of Notary " ,;�,;,dd ga�a m er 12,2018
<br /> roY Fain Insurance 800J&5-)OI9 ��
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