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<br /> � '"N4TICE OF DfEb RESTRlCTltihiS: l'he undersigned understands that this pennit may be subject ta'deed`restric:tians'
<br /> which may he mane restric�iva than County ragulations. The undersign�l assumes respor�l�ility far corr►pliance with any
<br /> appiica6le deed restrid'tons.
<br /> Ut�fUCENSED CONTRACTORS AND CONTRACTOR RESFONSlSIlfTiES: tf tfie owner t�as hired a contractor or
<br /> � contractors W unde►take vuork,they may be required to be licensed in accaordance with state and local regulations. If the
<br /> j cantractor is nflt liceresed as�equired by law,bottr the owner and contractar may be cited for a misdemeanor violation
<br /> i under state taw. if the owner ar�ded contraciar are uncestain as to what Crc�r�sing requirements may apply for the
<br /> intended work,they are ad�to contact the Pasco County Built6ng Inspection Division--Licensing SecUon at 727-847-
<br /> 8UD9. �urthermore, if the owner has hired a coMractor or conVactors, he is advised to have the conVactor(s) sign
<br /> portians af the'oontractor Btoc3�'af this applicatiors far which they w�'�be respansibie. ff yau,as the awner sign as the
<br /> contractor,that may be an indicallon that he is not properly licensed and is not entitled ta pertnitting privileges in Pasco
<br /> Caunty.
<br /> TRANSP'QRTATtOi�t t11/PACTlU'T!l.�TiES 11iPACT AHd RESOilRCE ftECOVEi�Y FEES: The titedessign�d undersFands
<br /> lhat TranspoRaOan Impact Fees and Recourse Recovery Fees may apply ta the cQnstruction of new buildiogs,change of
<br /> use in e�isting buildings,ar expansion of txisting buildings,as spe,cified in Pasco County Ordinance number 89-07 and
<br /> 9th07,as amended. The ur�dersigned also under„'tands,that such faes,as crray be due,w+!!be ider+tified at the time of
<br /> permitiing. ft is further understoad that TranspoRation impad Fees and Resource itemvery Fees must 6e paic3 prior to
<br /> receiving a"certificate of acwpancy'or final power release. If the project daes not involve a certificate af occupancy or
<br /> finai power reiease,ihe fees must be paid prior m permit issuance. Furthe�mc�re,if Pasco County WatertSew�Impad
<br /> fees are due,ihey must be paid priqr to permit issuance in axerdance wrid�epplicable Pasc:o County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is S2,5Q0.00 or more,I
<br /> c�.rEify t#iat.!, 2he app(icant, have been ptavided with a copy of the "F4orida GanstnJction Lien Law—l-lomeoumers
<br /> Protection Guide°prepared By U�e Ftorida Depariment af Ayric�Iture and Cor�umer Affairs. ff the applicant is someone
<br /> ather than the"owner',I certify that 1 have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to!he"owrte�'prior to commencement
<br /> CONTRACTOR'StOWNER'S AFFIDAVlT: I certity that ait the irifcxmatiar�in this ap�cation is accurate and that al!worlc
<br /> unill be done in oompliance with all applicable lauvs regulating constructian,zoning and land development Application is
<br /> hereby made to obfain a permit to do work ant! install2�tion as indicated. ! certity that no work nr installatian has
<br /> aommenced prior to issuance of a permit aad d�at all work wiI!be performed ta mest standards of aEi laws regu}ating
<br /> construcGon, County and Ciry codes, zaning regulations, and land developmer►t negulations in the jurisdiction. I also
<br /> ceriify that 1 understand that the regulations of other govemment agenaes may apply ta the intended work,and that it is
<br /> my responsib�Tdy to identiiy wt►at actians F must take fo he in compli�. Such agen�es inctude but are not iimited to:
<br /> - Department of Environmental Protedion-Gypress Bayheads, Wetland Areas and Environmentally Sensi6ve
<br /> Lands,WatedWastewaterTroatment,
<br /> - Southwest Florida Water Managemertt Disvid-WeIIs, Gypress Bayheads; Wetland Areas, Aitering
<br /> Waterc�urses.
<br /> - Army Cnrps of Engineet�Seawalls,Dodcs,N�vigable Watervways.
<br /> - DepartmenE of Heatth & Rehabilltative Se�riceslEnvironmerttal HeaEth Unit-Wells, Wasiewater Treatment,
<br /> Septic 7anks.
<br /> - US Environmental Pmtection Agency-Asbestos abatement
<br /> - Federal Av'rafton Au#harit1�Runways.
<br /> I understand that the following restridions�pply to the use of fill:
<br /> - Use af fill is not allow�ed in Flood Zone"V°unless expressly permitted.
<br /> - If the fiIt m�ter'ral is to he used in Floc�d Zone "A, ii is understood that a drainage plan address'rng a
<br /> "compensating valume°wiil be submitted at tlme af permitting which is prepared by a professianat engineer
<br /> licensed by the State of Florida.
<br /> - If the fill materiat is ta be used in Flood Zone"A in connectinn with a pemcitted buikiing using siem wa(!
<br /> construction,l certify that fiII will be used onty to fill tha area within ihe stem wa0.
<br /> - ff fill matarial is to be used in any area, I certify ihat use of such fill will not adversely a�ffed adjacent
<br /> pRaperOes. N use of fill is fourrd to adversely affect adjacent properties,the owner may be cited for viafating
<br /> the canditions of the buildirtg permit issued under the attached pemeit appiicatian,for toks Iess than ohe(t)
<br /> acre wttich are elevated by fiU,an engineered drainage plan is requirc�d.
<br /> !f t am Ehe A6EN7'FOR TNE OWNER,1 ptomise in gaod faith to infam tfie owrter of the permitting conditions set forth in
<br /> ihis affidavit prior to commencing construdion. 1 understand that a separate pe�mit may be required for etechicai wark,
<br /> plumbing,signs,wells, pools,air conditianing, gas, or other inst�llations not specifically induded in the application. A
<br /> pertnit issued shaU be cottstrued ta be a license to prnceed with the work and not as autharity to viotate,t�ncel,alter,or
<br /> set aside any provisions of the technica!codes,nor shall issuance af a permit preverrt ttse Buildirtg Otficial from ihereafter
<br /> requiring a corredian of�rrors in plans,canstruction or violatiais of any c�des. Every permit issued shall become invalid
<br /> unless ihe work euthorized by such permit is commenced within six months af permit issuance,ur if wnrk author'rzed by
<br /> ttae permit is suspended or abarsdoned f�a period of snt(6)raant#ts after ihe time the work is camtnetx:ed. M eattensian
<br /> may be requested,In w�iting,from the Building Official far a penad not to exceed ninery(90)days and will demonstrate '
<br /> justifiable cause for the e�ctension. If wotk ceases for ninety(90j cansecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NO`fICE OF COMMENCENENT NAY RESULT IN YOUR
<br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUl2 PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6,CONSULT
<br /> YOUR�ENO i2 OR At�!ATTORNEY B£� ftECORDIN�s YOUR dTiCE�F COIUNENCEl1ENT.
<br /> FLORlDA JUftAT(F.S. .03) � -
<br /> OYYNER QR A6Eiii CON7RAGI'QR
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<br /> by
<br /> UVho�slare persanally wn to m ar hasAtave produc� o is/a �ierso khown to tne or harJhave pmdu
<br /> �-�----'— as identifitaaon. .,-i'�� as iderttlficARfm.
<br /> ��1 Xd�.�1,��_ o � �����.���PuhGc
<br /> Commissim Na Gommission No. •
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<br /> �.�,'�pnr a� e af Noi�+��t$$(Q��[r�ed Name af ry�r,g�i[rted ar sfam�t
<br /> :a°, p�: ,1PaY pVB�i� HEAI HER D.HOSFEID
<br /> = ff a _ Notary Public-State of"Florida ��=�p �`�;
<br /> ?,r� ��:My Comm.Expires Mat 21,20t8 m tr . z Notary Public-State ot Florida
<br /> =b, �°.' � o e°N1y Gomm.Expires Mar 21,2418
<br /> %,;o���o,.� Commissian # FF 72365 '%;9.F q?: Commission#FF 72365
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