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. PIOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictions°
<br /> which may be more rest�ictive than County regulations. The undersigned assumes responsibflity for compliance with any
<br /> applicable deed�strictfons.
<br /> UNLICEi�SED C�N7RACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contracfors to undertake work,they may be requ(red 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 contractor may be cited for a misdemeanor violaUon
<br /> under state law. If the owner or(ntended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing SecUon at 727-847-
<br /> 8009. Furthermore, If the owner has hfred a confractor or contractors, he is advised to have the contractor(s) sign
<br /> portlons of the"contractor 81ock'°of this application for which they wili be responsible. if you,as the owner s(gn as the
<br /> contractor, that may be an indication that he fs not propedy licensed and is not entiUed to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the c:onstruction of new buildings,change of
<br /> use in existing bufldtngs,or expansion aF ezisting buildings,as specffied 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 Recovery Fees must be paid prior to
<br /> receiving a'certificate of occupancy°or flnal power release. If the proJect does not irnolve a certificate of occupancy or
<br /> final power release,the fees must be pald prior to pertnit issuance. Furthermore,If Pasco County WatedSewer Impact
<br />, fees are due,they must be'pald prior to permit Issuance in a�cordance with applicable Pasco County ordtnances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florlda Statutes�as amended): If valuation of work is$2,500.00 or more,1
<br /> certify that I, the applicant, have been provided wHh a copy of the 'Florida ConstrucBon Lien Law—Homeowner's
<br /> Protectfon Guide°prepared by the�Florida Department of Agricufture and Consumer Affairs. If the applicant is someone -
<br /> other than the'oxme�',I certify that I have obtained a copy of the above described document and promise in good fafth to
<br /> deliver ft to the°owner'prior to commencgment. '
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Information in thfs application Is accurate and that all work
<br /> will be done fn complfance with all applicable laws regulat(ng construcBon,zon(ng and land development. Applicatton is
<br /> hereby made to obtafn a permit to do work and installation as indicated. I ceriify that no work or installatfon has
<br /> commenced prlor to issuance of a permit and that ell work wlll be performed to meet standards of all laws regulatlng
<br /> �construction, County and CHy codes, zoning regulations, and land development regulatlons in the jurisd(ction. I al"so
<br /> certify that I understand that the regulations of otfier govemment agencies may apply to the intended work,and that it is
<br /> my responsibility to identity what actions I must take to be in compifance. Such agencies include but are not Ilmited ta:
<br /> - Department of Environmental Protection-Cypress Bayheads, VIIeUand Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatmenk '
<br /> - Southwest Florida Water Management District-Wells, Gypress Bayheads, WeUand Areas, Altertng
<br /> Watercourses. �
<br /> - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
<br /> - Department of Health 8 Rehabllitative Servlces/Environmental Health UnR-Wells, Wastewater Treatrnent,
<br /> Septic Tanks.
<br /> - US Environmental Protectlon Agency-Asbestos abatemenL
<br /> - Federal Aviatfon Authority-Runways.
<br /> I understand that.the following restrictions appiy to the use of flll:•
<br /> - Use of fill Is not allowred in Flood Zone'V°unless expressly permitted.
<br /> - If the flll materlal (s to be used in Flood Zone 'A", it (s understood that a drainage plan addressing a
<br /> 'compensating volume"will be submitted at time of pertnitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If ihe fill material (s to be used in Flood Zone'A°in connection with a permitted buiiding using stem wall
<br /> constructfon,I certify tf�at flll xvlll be used only to fill the area withfn the stem wall. ,
<br /> - If flli material is to be used In any area, I certify that use of such flll will not adversely affect adjacent
<br /> propertfes. If use of fill is found to edversely aifect adjacent properties,the owner may be cited for violaUng
<br /> the conditions of the building pertnit issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fiil,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise tn good faith to infortn the owner of the permitting conditions set forth in
<br /> this affidavR prior to commencing construcUon. I understand lhat a separate permft may be required for electrical work,
<br /> plumbing, signs,welis, pools,air canditioning, gas, or other InstallaBons not specffically induded in the application. A
<br /> permft issued shatl be construed to be a Itcense to proceed with the wark and not as authority to,violate,cancel,alter,or .
<br /> set eside any provistons of the technical codes,nor shall Issuance of a permit prevent the Buildirig Offictal from thereafter
<br /> requfring a correction of eRors in plans,construction or vfolations of any codes. Every permit Issued shall become irnalid
<br /> unless the work euthorized by such permit is commenced within six months of permit issuance,or'rf work authorized by
<br /> the pertnit Is suspended or abandoned for a period of s(x(B)months after the time the work is commenced. An extensfon �
<br /> may be requested, in wrlting,from the Build(ng Officiai for a period not to exceed ninety(90)days and will demonstrate
<br /> Just�lable cause for the extenslon. If work ceases for ninety(90)consecutive days,th\job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> VYfTH YOUR LENDER OR AN ATI'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT COkiIiACTO J
<br /> Subsalbed end swom to(or aNlrtned)beiore me this Su salbed e d swo or ed)b this
<br /> py -2/-/ b l" n
<br /> Who islare parsonaity k�own to me or hasfiave pmduced Who Islare o y Im to me or has/have produced
<br /> as Identlfica8on. as Identlfiqtion.
<br /> Nohary Pubfic / ����
<br /> • 'Y'?" JACQUEL E BO
<br /> Commission No. Comm n No '���
<br /> '�� '«- es December 12,2018 `"
<br /> Name ot Notary typed,pdnted or stamped �Name of Notary F �e f�¢�Troy f ain Insurance 806385'
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