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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 resrtrictive than County;regulations: TMe un�ersigned assumes.responsibility for compliance.with.any ,
<br /> applicable deed restrictions.� � � ` ' ' ""� �
<br /> UNLICENSED,CONTRACTORS AND CONTRACTOR RESPO�ISIBILtTIES: If_the owner has hired a�:contractor or °�
<br /> contractors to undertake work,-they may be required to be licensed in accordance"with°state and local regulations. If the
<br /> contractor is not licensed as required�by law, �both the ownee.and contractor may be cited for a misdemeanor violation �
<br /> under state law. lf the owner�or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County_Building I.nspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the. owner_.has hired-a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as.the owner sign as the
<br /> contractor, that may be an indication that he_is�not properly licensed:.and is not entitled to.permitting privileges in Pasco
<br /> County. � . ,
<br /> TRANSPORTATION IMPACT/UTILITIES•IMPACT AND RESOURCE RECOVERY FEES:_The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buitdings, change of
<br /> use.in existing buildings, or_expansion of.existing buildings, as specified in Pasco County Ordinance 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. It'is further understood that Transportation Impact Fees and Resource Recavery Fees must be paid prior to '
<br /> receiving a "certificate of occupancy" or final power release. If the p�oject does not involve a certificate of occupancy or
<br /> final power release, the fee5 must be paid prior to permit issuance:� Furthermore, if Pasco County WateNSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance.with applicable Pasco County ordinances. -
<br /> CONSTRUCTION LIEN�LAW(Chapter 713, Florida Sfatutes,as 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—Homeowner's
<br /> Protection�Guide° prepared by the.Florida Department of Agriculture and Consumer Piffairs. If tlie applicant.is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described.document and promise in good faith to �.
<br /> deliver it to the`bwner"_prior_.to commencemerit. _` _ _ �-. . �� , : , � - ,. . ,,. �
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I�certify that all the information in this application-is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating constructiori, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that_no work or installation has
<br />, comrrienced prior to issuance�of�a permifi and that all work wilf`be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that ( understand that the regulations of other government agencies may aPply to 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 /> - Department of Environmental Protection;Cy,press Bayheads,.Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment. � r
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, INetland Areas, Altering
<br /> Watercourses. - � -
<br /> - � Army Corps of Engineers-Seawalls, Docks, Navigable-Waterways.- , ,
<br /> - Department of Health & Reh�abilitative Services%Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. � - � ' - -
<br /> - US-Environmental Protection Agency-Asbestos abatement. - �� �
<br /> - Federal Aviation Authority-Runways. . , �
<br /> I understand that the following restrictions apply to the use offill:: . _,_ - �
<br /> Use 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", .it_is understood. that .a drainage plan addressing a
<br /> . - �� "compensating volume" will 6e submitted at time of permitting-whicfi is prepared by a professional engineer
<br /> , licensed by the State of Florida. . � -�
<br /> - If the fill material is to be used-.in'Flood Zone "A° in connection with a permitted building using stem'wall °
<br /> construction, I certify�that fill will be used only to fll the area within the stem wall. ^ �
<br /> - If fill material-is to be used_in_.any area,. I certify that use of_such._fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the�building-permit issued under the attached permit application, for lots less than one (.1) '•
<br /> acre which are elevated by fill,'an engineered drainage plan isrequired. _ - =� , � -- �
<br /> )f 1 am the AGENT FOR THE �VNNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior.to commencing construction. I.understand that a separate_permit may be-required for elect�ical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application, A
<br /> permit issued shall be construed to be a license to proceed,with 'the work and not as authority to violate, cancel, alter, or� ;
<br /> set aside any provisions"of the technical codes, nor shall issuance of a pe�mif prevent the Building Official fro"m thereafter
<br /> requiring a correction of errors in plans; construction or viofations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is-commenced within six months of permit issuance, o� 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 requested, in writing, frqm the Building'Official for a period not to exceed ninety (90) days and will demonstrate°
<br /> justifiable"cause"fior the extension. If work ceases for ninety (90)consecutive days, the job is conside�ed abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> _ _ P_AY_IN.G_T_WICE..FQRIMP_ROVEMENT$�TO;YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSUL-T "�
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE'RECORDING YOUR NO.TtCE OF COMMENG�MENT�
<br /> FLORIDA JURAT(F.S.117.03) � ` , ' ;. . � " � ,
<br /> . , ,,, , ,� .. . , �, . „ ,
<br /> OWNER OR AGENT r � � '- -_ -: CONTRACTOR� /�l� ,.- '. ,." •. - ' -
<br /> s nb�d and swom to affirtne )before me this S cr' ed d swom to(or affirmed),before me this ' � � � �
<br /> 3 S by Bryan A Demnsey ����5 C� by,�yan A Demns� : ,, . . �
<br /> o is/are personally known to me or has/have produced Who is are�ersonally known t�or•has/have produced
<br /> as identification....�:�, ., as idenffication. � .. - - ,
<br />� � "''� Notary Public �G�. ` � ��'�`-' —. Notary Public: �
<br /> Commission No�!" � ! � �,7 � ` ' � ' Commission No.�/����.� �d— �
<br /> Name f,f�7jL' pesi� r' ted or s am� pe Name of N aq��pa�'�.pri���r�+�c� BUTLER
<br /> _: ,a,;�-.. D��ORAH K BUTLER , - -
<br /> � � MY CdMMISSION#FF07??/? f�` ,�: MY COMMISSION#FF072272
<br /> i±�°Q`� �•.'.�,Fno*'��. EXPIRES November 21,2017
<br /> ••?oF��`'.� EXPIRES November 21,2ot7
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<br /> (4a7 asa-p153 (4p7)79it-0153 FloridallotaryService.com
<br /> � FloridallotaryService.cortt
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