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<br /> NCJTtCE i7� DEEQ RESTRlCTtONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more: resfrictive than Counfy regulations. The undersigned assumes responsibilify for compliance with any
<br /> applicable deed res,trictions.
<br /> UNLICENSED CONTRAGTORS AND Ct�NTRACTOR RESPONSIBILITt�S: If the awner has hired.a cantractor 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 owner and contractar may be cited for a misdemeanor violation
<br /> under state law. !f the owner or intendec{ confractor are uneerEain as to what licensing requirements may apply far the
<br /> inte�ded work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermorf:, if the awner has hired a cantractor or contractars, he is advised to have the contractor(s} sign
<br /> portions of the "cor�tractor BfocK" of fhis application for which they will be responsibfe. ff you, as the owner sign as the
<br /> contractor, that may be an indication that he is nat properly licensed and is not entitled to permitting privileges in Pasco
<br /> Caunty.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> ___ that Transaortation itnpact Fees and Recourse_Recovery_Fees may apply_to the construction af new btaildings, change of
<br /> use in existing builciings, or expansion of existing bui(dings, as specifed in Pasco Coun#y Ordinance number 89-p7 and ��
<br /> 90-07, as amendecl. The undersigned alsa understands, that such fees, as may be due, will be identified at the fiime of
<br /> permitting. It is further understaad tYiat Transpartation Impact Fees and Resource Recavery Fees must be paid prior to ,
<br /> receiving a "certifiaate of occupancy" or final power release. If the project does not invalve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer lmpact
<br /> fees are due,they rnust be paid priar to permit issuance in accordance with appiicable Pasco County ordinances.
<br /> _ __ __ COIVSTRUCTION LIEN LAW(Chapter 713,Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that 1, the s�pglicant; liave kieen-provided with a �copy af-#he "Floric3a C�nstructia:� Lien Lalv.Homeowner's
<br /> Protection Guide" ��repared by the Florida Department af Agriculture and Consumer Affairs. If the applicanfi is someone
<br /> other than the"awner", 1 certify that 1 have obtained a capy of the above described document and promise in good faith to
<br /> deliver it to the"owr�er"prior ta cammencemenf.
<br /> CONTRACTOR'S/()WNER'S AFFIDAVIT: I cerl:ify that all the information in this application is accurate and that all work
<br /> will be done in corr�pliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made ta ol�tain a permit to do wark and installation as indicated. I certify thaf np work ar installatian has
<br /> commenced prior t�� issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construetian, Couni,y and City codes, zoning regulatians, and {and develapment regulations in fhe jurisdiction. 1 also
<br /> certify that I understand that the regulations.of other government agencies may apply to #he intended work, and that it is
<br /> my resportsibility ta identify what actions l must take to be in compliance. Such agencies include but are nat iimited to:
<br /> - DeparEment of Environmental Protection-Cypress Bayheads, Wet(and Areas and Environmenfiaily Sensitive
<br /> Lands,Water/UVastewater Treatment.
<br /> - Southw�est Flarida 1Nater Nianagement District-V1lells, Gypress Bayheads, V1letland Areas, Altering
<br /> Watercourses.
<br /> - Army Gorps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Hea(th & Rehabiiitative ServiceslEnvironmental Nealth Uni#-Welis, Wastewater Treatment,
<br /> Septic"fanks.
<br /> - [1S EnU�ironmentai Protection Agency-Rsbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> l understand that the following restrictians apply to the use of fill:
<br /> - Use of Fii is not a(lowed in Fload�Zone"V"unless expressiy permifted.
<br /> - If the fill material •is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> °compensafiing valumeu will be submitted at time of permitting which is prepared by a professionai engineer
<br /> license��by the State of Florida.
<br /> - lf the fill material is to be used in Flood Zone "A" in cannection with a permitted building using stem wall
<br /> construcfion, 1 cerEify that fill wi(1 be used aniy to fili the area within the stem wa(1.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacenfi
<br /> properties. lf use of fill is faund ta adverseiy affect adjacent praper#ies, the owner.may be cited for violating
<br /> the cor�ditions of the building permit issued under the attached permit application;;for lots less than one (1)
<br /> acre wPiich are alevated by fill, an engineered drainage plan is required. � � .
<br /> if 1 am the AGENT FCiR THE OWNER, ( promise in good faith to inform the owner of the permitting canditions sef forth in
<br /> this affidavit prior tc� commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, vu�.11s, pools, air canditioning, gas, or other irtstalSations not speci#ically included in the application. A
<br /> permit issued shall be construed to be a license to proceed wifh the work and not as authority to violate, cance(, alter, or
<br /> set aside any provi:sions of the technica! codes, nar shal! issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correctic�n of errors in pians, canstruction ar violations of any codes. Every permit issued sha11 becoma invalid
<br /> unless the work au��horized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> � the permit is suspended ar abandaned far a periati of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in wrifing, from the Buifding ,0#ficial,for:a period not to exceed ninety (90) days and wifl demonstrate
<br /> justifiable cause for the extension. !f work cease's for ninety(90) consecutive days,the job is considered abandoned.
<br /> WARNING TO OW'NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL.T IN YOUR
<br /> PAYING TWIC�Ft}R 1MPR{�VENtENTS TO YOUR PROPERTY. [F YOU tNTENi7 TO'OBTAiN FINANClNG,CONSULT
<br /> WITH YQUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NfJTtCE OF COMMENCEMENT.
<br /> FLpRIDA JURAT(F.S.11. )
<br /> OWNER OR AGEN'R.� � � D i� "~ CONTRACTOR � Z�___���`-"-"t°"'--``.---
<br /> Subscribed and swor o�(or affirmed)'bMefo'rne.me this Subscribed and sworn to r ff ined) efor e this
<br /> �Y�1�r"Lt � u' +�?CL�-Yl by �G r 19-
<br /> Who is/are personally known tTme or has/have produced Who is/are personally known to me r has/have producad
<br /> as identification. as identification.
<br />, U Notary Public � r V�{/1�.�������L� Notary Public
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<br /> Commission No. Commission Na.
<br />� Na �i:tr�tlr.��+atnpP�i Name of Notary typed,printed ar stamped
<br /> p��1 ,�a�"AY`"8��; P�ANCY J BRd�OKS
<br /> 2Q,`p,PYP�Q�C'. I�EIleyI4Y� BROC�KS
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<br /> ' _ M'!i�OMMfSSION#FF093699 " � *' MY COMMiSSIdN#�F093fi9a
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<br /> ��� �'"r�?.•• EXPIRES February 18,2078
<br /> `•',�aF�:oP•` EXPIRES February 18.2018 ,op,�;,..•
<br /> {ao7}388-ot53 i°tor#dallotaryService.COm {ao7)3ss-o153 Ftoridallotasy5ervice.com
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