NOTICE OF DE�D RE�TRICTIOPIS: The undersigned understands that this permit may be subject to"deed"restrickions"
<br /> which may be mare restrictive than County regulafions. The u�dersignec! assurnes responsibili#y for compliance with any
<br /> applicable deed restrictions. '
<br /> Utdl,ICENSED CONTRACTCtlt� 1�N� C1JNT'#��TC?�t ��:5P01VS1�1�!'�tE�: tf the owner has hired a contcactar or
<br /> contractors to undertake work, they may be required to be (icensed in accordance with state and locai regulations, if fhe,
<br /> contractor is not licensed as requlred by law, boih the owner and contractor may be cited for a misdemeanor vialation
<br /> under state law. if fhe awner ar in#ended contractor are uncertain as to what iicensing requirements may appiy far the
<br /> intended wark, they are advised to contack the Pasco County Building Inspection Division—Licensing Section at 72?-847-
<br /> 8009. Fur#hermore, if the awner has hired a contractar or contractors, he is advised to have the cantractor(s) sign
<br /> portions of#he "contractor Block" of this applica#ion far which they will be responsible. If you, as the awner sign as the
<br /> cantractor, that may be an indication that he is not properly licer�sed�nd is not entltled to permitting privlleges in Pasco
<br /> Coun#y. '
<br /> TRA,NSPOFtTATION IiVIP�►Cl'll1TILIYIES IIIAPaCY AND R�SOIJRCE R�COV�RY fFEfES: The undersigned underskands
<br /> that Transpartation Impact F�es and Ftecourse,Recoverlr F�es may apply to the construction af new builclings, change of
<br /> use in exisking buildings, or expansion of existing buildings, as specified in-Pasco County O�dinance number 89-U7 and
<br /> 90-07, as amended. The undersigned aiso understands, that such fees, as may be due, wilt be identified at the time of
<br /> permitting. It is further understood thaf Transportafion Impact Fees and R�source Recovery Fees must be paid prior ta
<br /> receiving a "certificate of occupancy" or final power release. 1`f tt5e pr�ject does not involve a certificate �f occupancy o�
<br /> frnal power reiease, the fees must be paid prior to permit issuance. Fur#hermare, if Pasco County WaterlSewer (mpact
<br /> fees are due, they musk be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CQhtSTRUCTIGIN LIEN l.�lV{i(Chapt�P 713, iFl�rida�tatut��, as �rriencl��): !f valuation of work is$2,50Q.00 or more, t
<br /> certify that I, the applicant, have been provided wikh a copy of the "Florida Canstruction Lien Law—Homeawrner's
<br /> Protection Guide" prepared by the Fforida Department of Agricultut-e and Gonsumer Affairs. !f the applicant is sameone
<br /> othe�than #he"owner", I certify#haf I have obtained a copy af the above described document and promise in good faith ta
<br /> deliver it to the"ow�er"prior to commencement.
<br /> COIVTRAC'TO�'SJ0I�INER'S��FID�V4T: 1 certify that all the informatfon in this applicatiort is accurate and that a14 work
<br /> will be done in comptiance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made ta obtain a permit ta do work and installation as indicated. t cer�ify that no work or instaltation has
<br /> commenced priar to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construckian, County and City cades, zoning regula#ions, and land development regulakions in the jurisdiction. I also
<br /> certify that I understand that #he regulations af other governrnent agencies may apply ta the intended work, and that it is
<br /> my responsibility to iden#ify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Depa�tmenf af Enviranmental Pratecfio�-Cypress Bayheads, �letland Areas and Environmentally Sensifive
<br /> Lands, V1laker/Wastewater Treatment.
<br /> - Southuvest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, A3tering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department af Health & Rehabi]itative Services/Ernironmental Health Unit-Welis, Was#ewater Treatment,
<br /> Septic Tanks.
<br /> - US Envicanmental Protectian Agency-AsbesEas abatement,
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that the fo0owing restrictions appty to the use of fill:�
<br /> - Use of fill is not allowed in Fload Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating uaiume" rrvill be submitted at fime of permitting uvhich is prepared by a professiona! engineer
<br /> licensed by the Sfate of Florida.
<br /> - If the fill material is to be used in Flood 2one NA" in connectlon with a permitted building using steeri wali
<br /> construction, I certify that fill will be used only to fill the area wi#hin the stem wall.
<br /> - !f fill materia! is #o be used in any area, ! certify that use of such fil! will not adversely affect adjacenk
<br /> properties. If use of fill is found to adverseiy affect adjacent prope�ties, the owner may be cited for vialating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than ane (1)
<br /> acre which are elevatec# by fill, an engineered drainage plan is requlred.
<br /> If I am the,A,G�IVT FOR YFiE OIIVINEIR, I promise in good faith to inform #he owner of#he permitting conditions set forth in
<br /> this a�davit prior to cammencing construction. 1 understand that a separa#e permi# may be required for etsctrical wrork,
<br /> plumbing, signs, wells, poots, air conditioning, gas, ar other installations not specifically included in the application. A
<br /> permit issued shall be canstrued to be a license to proceed wikh the work and not as authority to.violate, cancel, altec, or
<br /> set aside any provisions of the technical cades, nar shall issuance of a permit prevent the Building Officia!from fhereaffer
<br /> requiring a correckion of errors in plans, canstruction ar violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of perml# issuance, ar if worlt 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 requested, in writing, f�om the Building Ctfficiai far a period not to exceed ninety (9Q) days and wi!! demanstrate
<br /> justifiabte cause far the extension. If work ceases for ninety(90}consecu�ive days, the job is considered abandoned.
<br /> WAi2�IlNG TO OW1V�l�. Y0t1F� ��lLt1F2� TGl FtECt)�� 1� NQ7'1C� C31� CC?IMMENCE{Vl�i+lT MAY E2ESllLT tN Y�tlFt _ _
<br /> �'AYING TYVICE FOR IIVIPROVEII�ENTS'TO YOUR�ftOP�Ft'rY.- IF YOU INT"END 1'O OBTAIiV F1111id1fNCING, CO�I�ULT�
<br /> ��TEi Y�4lR-�ENCiEiZ-�iFt�1[Y i�►Tl'C?Rf�lfEY�E�t��E f2IECt?(l2�INC YQtlR i1101"IGE C��CO��El110E�f1 T.
<br /> FLORIDA JURAT{F.S. 117.Q3)
<br /> �
<br /> QWNER OR AtaENT / �- C�PITRAC7t}Ft��1� �w` „�' �
<br /> Subscrlbed and swom to(or affirmed)before m his Subscribed and sworn to(or a�rmed)before me thi
<br /> by by
<br /> Who islare persanalfy knawn to me or haslhave produced Who Islare persanal knawn to me or haslhave produced
<br /> as Idendfication. as i nGficaGon.
<br /> ',•�',.. Camm 1�'"' OEL .BACON
<br /> BAC(��_�,,,,,,,_No ry Public . Notary Public
<br /> �'`= ission#FF 137073 ' '"=
<br /> Co Issio �<= 18 Commissi �� Expires June 29,2018
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<br /> Name of Notary typed,printed or stamped Name f Notary typed,printed or stamped
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