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<br /> NOTICE OF DEED RESTRICTIONS: The unders(gned undergtands°th�t this,p�cmit.may be.subJecfi to,°deed" restrictions" �
<br /> which may be�more�test�ictive-than County r�egulatlons:�Ttie undersigned assumes responsibii(ty for�complianoe with any�
<br /> appflcable deed reshictions. - ' , - �
<br /> UNLICENSED CONTRACTORS .AND CONTRACTOR RESPONSIBILITIES: .,If. th'e owner has�htred a contractor or
<br /> contractors to undertake work, they may be..requlred�:to.be Ilcensed In accordance.with state.and•local regulations. If the�
<br /> contractor is not Iicensed as requlred�by law, both the owne� and contractor•may be cited for a misdemeanor violatloru
<br /> under state law. If the owner or intended contcactor�are�uncertaln as to.,what Iicensing.requlrements..may appiy��for:th�
<br /> intended work, they are advtsed to�contact the-Pasco County Bullding Irispectton Diviston—Licensing Section at 727-847-
<br /> 8009. Fu�thermore, 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 thls appllcation for wrhich they wilt be .responslble. If you�.as.#he owner stgn a�the �
<br /> contractor, that�may be an Indication that�he Is not.properly Ilcensed and Is not entitled to perinitting privlleges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTIUTtES IMPACT ANb RESOURCE RECOVERY FEES: The undersigned understands ,
<br /> that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may.'apply to�the construction of new buildings,,change of
<br /> use in existing buildings, or.expansion��of existin�'�buildings, as speclfled in Pascv County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also-understands, that.such fees�.as�may�be��due,,wIIL•:tie identified at the time of
<br /> permitting. It is fu"rther understood that Transportatlon Impact Fees and Resource Reco�ery�-Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or flnal powec:release. :If the project�.does not involve a�certificate of occupancy o�
<br /> final power release;the:fees must be paid prior_to permit fssuance. Furthermore, if Pasco County WatedSewer�lmpact
<br /> fees are due, they.must be�paid prior to permit=lssuance-in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION�LIEN�LAW(Chapter 713� Florlda Statutes�as amended): If valuatlon•of work is$2,500.00 or more, I
<br /> certify that I, the_applicant,. have.been provided with a copy of the "Florida-Constructlon� Lien_Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Depa�tment�of Agric.ulture and ConsumerAffairs. If the applicant is someone
<br /> other than the°owner", I certify that I:have.obhalned a copy,of the above..described docur�ent�and promise in,good faith_to
<br /> deliver it to the°owner"prior to�commencement: ' -
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I cert,ify,that all the information In thi� applicatlon'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 Co do. work:.and installation as ind(cated.�� °I certffy that no work`.or installatton has
<br /> commenced prior to Issuance of a�permif and that'.all work will be pertormed to meet standards of all laws regulating�
<br /> construction, County and City codes, zoning regulatfons, and land development regulatlons�in the Jur(sd(ctton. I also
<br /> certify that I uaderstand that the regulations of other government agencies may apply�to the intended work, and that it is
<br /> my responsibility to identify�what.act(ons I must take:to bedn:.cotr�plla�ce: S,uch agencles include but are.not Itmtted to:
<br /> - Department of Ehvironmental Protection=Cypress.'��yheads; WeNand Areas and Envlronmentally Sensitive
<br /> Lands,WatedWastewater Treatment. -
<br /> - Southwest Florida Water Management� :.Distr(ct-Wells, Cypress.`�Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis,;Docks, Navigable Waterways.
<br /> - Department of Health'& ReMabilitative Services/Environmental Health Unit-Weiis, Wastewater-Treatment,
<br /> Septic Tanks. � _
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Avtatton Authority-Runways.
<br /> I understand that the following:restrictlons appiy to the use of flll:�
<br /> - Use of fill is not allowed in Flood�Zone°V"unless-expressly pe�mltted.
<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 petmitting which is prepared by a professfona) englneer
<br /> iicensed by the State of Florida: ,
<br /> - If the fill materlal.is to be used in Flood Zone °A" (n�connectfon�with'.a permitted building using stem wall
<br /> const�uction, I certify that fill�.w111=be used only.to.fill the area within the�stem•wali.
<br /> - If ffll 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:�ffect adJacent�properties, the owner may be clted for violating
<br /> the conditions of the buiiding:permit issued�under the attached permit application, for.lots less than one (1)
<br /> acre which are elevated by flll;an englneered drafn�ge plan is required.
<br /> If I am the AGENT FOR THE OWNER, I;�promise in good faith to inform the owner of the permitttng condittons set forth (n
<br /> thls affidavit��prior to commer�cing construction. 1 understand thet a�separate permit may be requtred for electrical work,
<br /> plumbing, signs, wells, pools, afr conditioning, .gas, or other Install�t(ons not.spec�ically lncluded�in.the apptication. .A
<br /> permit Issued shall be constcued to be a Iicense to p�oceed with tfie work and not.as authority to,violate,cancel, alter, or
<br /> set aside any provis(ons of the techn(cal codes; nor shall tssuance�of a permit.preven ulldirig O#�icial from thereafter
<br /> requiring a correction Qf errors in plans, construction or violatlons of any codes, ry p rmit Issued shall become invalid
<br /> unless the work autFiorized by s h permit.�ls:commenced•within sGc months o ermit ssuance, or if°�work autNorized by
<br /> the permit is suspended or.aba oned for a:perivd of six;(8)montF�s after the me th v�rork�ds commenced. An extension
<br /> may be requested;in writing, om the Building,Official for a period.not to e ceed nety�(90) days and will demonstrate
<br /> justifiable cause for.the exte ior�. If work ceases�for ninety(90)cons.ecutive ays h�job is considered'aba�doned.
<br /> WARNING TO OWNE OUR.FAILURE�TO.,REC.ORD.A - . :IGE ENCEMEMT MAY RESULT IN YOUR
<br /> PAYING TWIC . OR ROVEMEMTS TO YOUI�PR�� TY. IF YO. �I � - ` O�OBTAIN�FIN�A(�CING�'CONSULT
<br /> WITH YOUR DE : R AM ATTORNEY� FO . � ECO �� G YOU � �C ` E CEIVfEN �
<br /> F10RIDA.JURAT_(F. ._1. - - . ---- � - --- ----- . - - -------- - ---- --- -- - - -- - - ---
<br /> OWNER OR A CONTRACTO
<br /> Subscrlbed a m M or afl )before m f s S s bed and's me ttiis
<br /> Y —
<br /> Who Is/are on ly �novm t me have produced o Is/are .erson wn�tai me a ave-produced �
<br /> as Identlflcatlon, as Ide .
<br /> Notary Public ,• � Notary Publlc
<br /> Commisslon No. Corr�m s�i n No
<br /> � ��..va• JACQUELINE BOGES
<br /> •,�• p ���i
<br /> Name of Notary typed,printed or stamped Name oi N �d'ry eif;
<br /> :;• •o; i s 2,2018
<br /> ''�PJ��y°,:�� Bond�d Thru Troy Fmn Inaurenoe BOOa05•7019
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