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<br /> J � 4' • �NOTfGE OF DEED RESTEtIGT10�iS: The undetsigned understands that this permit may be subject to"deed°resErictions"
<br /> which may be mare restrictive than County regutations. The undersigned assumes responsibii'Ry for compliance with any
<br /> applicable deed restrictians.
<br /> UfULiCENSED CQNTRACTQRS AND CONTRACTOR RESPUNSI8I�ITIES: tf the owner has hired a contradar 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 contractor may be cited for a misdemeanor violation
<br /> under stafe 1aw !f fhe owner or intended confractor are uncertain as to what iicer�sing requirements may apply far fhe
<br /> in#ended work,they are advised to contact the Pasco County Building inspection Division—�._icensing 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 Bloc�c"of this appfication for which they wiH be respattsible. If you, as fhe owrter sign as fhe
<br /> contractar,that may be an indication that he is not properly ticensed and is not entitled to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATlQN IMPAC7NTIUTtES EMPACT AND RES4Ul2GE RECOVERY FEES: The undersigned understands
<br /> thaf Transportatian Impact Fees and Recavrse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion af existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as emended. The undersigned aiso understands,that such fees,as may be due,wilI be identified at the time o€
<br /> permifting. It is iurther undersfaod that Transportation impact Fees and Resource Recovery Fees must be paid pnor ta
<br /> receiving a°certificate of occupancy°or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paic!prior to permii issuance. Futthermore, if Pasco County WaterlSewer 1�npact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicab{e Pasco Goanty ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter'713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, 1
<br /> certify that I, the applicant, have been provided with a capy of the "Fforida Consiruction L.ien Law—Homeowne�s
<br /> Protectian Guide"prepared by the Florida department of Agriculture and Consumer Affairs. If the 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 ta
<br /> deliver it to the°owne�'prior to commencement
<br /> COttITRACTOR'810WNER'S AFFIDAVET: I certify fhat atl fhe information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development. Appiication is
<br /> hereby made to obtain a permit to do work and installation as indicated. ! certify that no work or installation has
<br /> commenced prior to issuance of a permit and that a11 work will be performed to tneet standards of aI3 laws regula6ng
<br /> construction, County and City codes, zaning regulations, and land development regulations in the jurisdiction. I alsa
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsib9lity to identif}+what actians 1 rr�ust take to be in campliance. Such agencies inetude but are not limited to:
<br /> - Department af Enviranmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Florida Water Management District-We[ls, Cypress Bayheads, Wetland Areas, A3ter�ng
<br /> Watercourses.
<br /> - Army Gorps pf Engineers-Seawalls, Docks,Navigable Waterways.
<br /> - Qepartment of Fleatth & Rehabilitative ServiceslEnvironmentai Nealth Unit-WeIIs, Wastev,rater Treatmerrt,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Fedeta!Aviatian Authority-Runways.
<br /> i understand fhat the fo(lowing restrictions apply to the use of fili:
<br /> - Use of fill is nat allowed in Flood Zone°V°unless expressly permitted.
<br /> - if the flii materiai is to be used 'm Fiood Zone °A°, it is understood that a drainage p(an addressing a
<br /> "compensating voiume°will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - if the fill materiai is ta be used in Flood Zone°A" in connection with a permitted btailding using s#em wa!!
<br /> canstruction,1 certify that fiii wilt be used oniy to fiIt 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 fiU is fourtd to adversely atfect adjacent properties,the owner may be cited for violafing
<br /> the condifions of the building permit issued under the attached permit application,far lo#s less than one(1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> tf 1 am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting canditions set forth in
<br /> i this affirdavif priar ta cammencing constrtaction. I understand that a separate permiE may be required for electrica(work,
<br /> plumbing, signs, wells, pOqIS, air conditianing, gas, or other installations not specifically included in the application. A
<br /> Ipermit issued shall be construed to be a license to proceed wiih the work and not as authorify to violate, cancel,alter,or
<br /> , set aside any provisions of the technica[oodes,nor shall issuance of a permit prevent the Building Officia!from thereafter
<br /> i requiring a correction of errors in plans,canstructian or violations of any cades. Every permit issued shall become invalid
<br /> unless the work author¢ed by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandaned for a periad of six{6}months after the time the work is commenced. An e3ctension
<br /> i may be requested, in writing, from the Building dfficial for a periad not ta exceed ninety(90)days and will demanstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> I
<br /> ( WARNING TO OWNER: YOUR FAILURE TO FtECORD A NOTICE OF M ENCEMENT MAY RESULT IN YOUR
<br /> ' PAYING TWICE FOR IMPROVEMENTS TO Y UR PROPERTY. IF YOU TE Q TO OBTAIN FINANCING,CONSULT
<br /> WITH YdUR LENOElt d AN ATTO EY FOF2 EGORDING YOtJ N GE OF GO{VtMERICEiVIENT.
<br /> FtdRIDA JURAT(F.S.117.
<br /> v v
<br /> , O R OR AGENT CTO m`"�"
<br /> nd s ar a before me this s 'be and n to{o affir ed}be{o me/�'�s � g c�.+;
<br /> �(p• '�� Q _a
<br /> by � c,. b .ti...d�JL��r..,�, ��N�
<br /> o i are personalty kno�me or ha ave pr uced � is/ar ersonaly to or haslhave produced aa�_
<br /> �— as identiPcalion. as ident�ca@on. ¢��a
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<br /> ��� JESSICARIVERA r�i�;;;�: J�SSICARIVERA � �:�w�
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<br /> ��• � EXPIFiES:Mar�h 27,2017 ��=,�; ��3t�cS:it�4rch 2F;�:�;��=.�
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<br /> Name of Notary typed,prinMd or stamped Narrre ai Notary typed,prirEted ar sta d '
<br /> � =S.`,�'��y
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