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<br /> NOTICE fJF DEED RES7RICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" ��
<br /> which may be more restrictive than eaunty regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLlCENSED CON7RAGTURS AND CONTfftACTG?R RESPt�NSlBlLlTlES: If the awner has hired a cantractor ar
<br /> contractors to unde�take work, they may be required to be licensed in accordance with state and loca! 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 /> under state law. (f the owner ar intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasca County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired � contractar or contractors, he is advised to have the contractor�s} sign
<br /> portions of the "contractor Block" of this application far which they wi!! be respansible. If yau, as the awner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled ta permitting privileges in Pasco
<br /> Caunty.
<br /> TRANSPt?R7ATtON IMPACTtUTILITlES [MPA�CT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation lmpact Fees and Recaurse Recovery Fees may appiy to the constructian af new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County C?rdinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. (t is further understood that Transpartation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> ---- receiving-a-"cer-kifieate.-of=occupancy"or-finalrvpawer-release:--1f the project does~not-invalve�a�certificate of occupari�cy or�- -
<br /> final power release, the fees must be paid prior to pecmit issuance. Furthermore; if Pasco County WaterlSewer Irrtpact
<br /> fees are due,theJi must be paid prior ta permit issuance in accordance with applicabfe Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.OQ or more, !
<br /> certify that I, the applicant, have been provided wi#h a copy of the "Florida Constructian Lien Law—Hameowner's
<br /> Pratection Guide" prepared by the Fforida Departmerit af Agriculture and Consumer Affairs. If the app(icant is someone
<br /> other than the"owner", I certify that 1 have abtained a copy of the abave described document and promise in goad faith to
<br /> deliver it to the"owner"priar to commencement.
<br /> CONTRACTOR'S/�WNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that al!wark
<br /> will be done in comptiance with aIl applicabie laws regulating construction, zaning and land development, Application is
<br /> hereby made to obtain a permit to do work and insta(latian as indicated. I cerfify that no work ar installation has
<br /> commenced prior to issuance of a permit and that all wark will be perfarmed to meef standards of all (aws regu{ating
<br /> construction, County and City codes, zoning regulatians, and land develapment regulatians in the jurisdiction. t aisa
<br /> certify that I understand that #he regulations of other government agencies may apply to tne intended v�iork, and that it is
<br /> my responsibility to identify what actions I must take fo be in campliance. �uch agencies include bu#are not limited to:
<br /> - Department of Environmentai Protection-Cypress 8ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterMlastewater Treatment.
<br /> - Southwest Florida Water Management Distriet-We!!s, Cypress 8ayheacts, Wetland Areas, Altering
<br /> �Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterv✓ays.
<br /> - Department of Nealth & Rehabi(itative Services/Enviranmenta( Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> _ __._: _._.
<br /> _ ---__ __-_-_=�—,._ - . - -__..__:_._-_..___ _ --_ _ _ ___r.u_. _ - - -- _
<br /> - US-Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fili is not allowed in Fload Zone"V"unCess expressly permitted.
<br /> - !€ the fill rnaterial is to be used in Fload Zone "A", it is understood that a drainage plan addressmg a
<br /> "compensating valume" will be submitted at time of permitting which is prepared by a professiona! engineer
<br /> licensed by the State of Florida.
<br /> � - If the fi(1 material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construcfion, I certify that fi(I will be used only to fill the area within the stem wa(i. ,�� , ,
<br /> - lf fil! materia! is to be used in any area, 1 certif}r that use af such fill wil3 not adversely��affect adjacent
<br /> properties. !f use of fill is found to adversely affect adjacent properties, the owner may be cited far viofating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one {9}
<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 goad faifh to infarm the owner of the permitting conditians set forth in
<br /> this affdavit prior to commericing construction. E understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, we!!s, poo(s, air canditioning, gas, or other installatians nok specitically included in the application. R
<br /> perrnit issued shall be construed to be a license to proceed with the work and nat as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a carrectian of errors in plans, construction or violatians of any codes. Every permit issued shali become invalid
<br /> unless the wark autharized.by such permit is commenced within six months of permit issuance, or if wark authorized by
<br /> #he permit is suspended or abandoned for a period of six{6)months after the time the wark is cammenced. An extension
<br /> may be reguested, in writing, from the Building Clfficia! for a period not to exceed ninety (9Q) days and wi!! demonstrate
<br /> justifiable cause for the ex#ension. If work ceases for ninety(9Q)consecutive days,the jab is considered abandoned.
<br /> WARNING 70 OWNER: YOUR FAilLURE TO RECORD A NOTtCE tJF Ct3MMEMCEMEN7 MAY RESULT IN YOUR
<br /> PAYING TWlCE FOR 1lVIPROVENIENTS 70 YOUR PROPERTY. 1F YOU INTEND TO t}B7A[N FINANCtNG, CONSEILT
<br /> WITH YOUR LENDER OR AN A7TORNEY BEFCJRE RECQRDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLOF2IDA JURAT.(F.S.117 03) �-- -
<br /> OWNER QR AGENT ��� CON7RACTQR
<br /> Subs ribed and s�v o�rn t or affir �d)before me this Subscribed and sworn to(or affirmed)before me this
<br /> 'tU��1�by V 1� ��{�� �Y
<br /> Who is/are personally known#o me or haslhave praduced Who isCare personally known ta me or haslhave produced
<br /> as identifica#ion. as identification.
<br /> ���`!t�x,�. ..��,�� Notary Public Notary Pub(ic
<br /> Commission No. �2� Commission No.
<br /> Name af Notary typed,printed or stamped Name of Nptary typed,printed or stamped
<br /> �'S�1�'�r�'S��+b"
<br /> �"v Notary Pub�ic State ot Florida
<br /> '� ;Q��; Sabrina Westenbarger
<br /> �� �o� My Comm(ssion EE 857073
<br /> aF�,�"' Explres81130t2017
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