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i <br /> i <br /> E <br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restric�ions" <br />'; vuhich may be mare�restrictive than County regulatians. The undersigned assumes responsibility for compliance with any <br />� applicable deed restrictions.� <br /> UNLICENSED CONTRAGTORS AND CQNTRACTOR RESPONSl�ILtTiES: !f the owner has hired a contractor or <br /> contractors to undertake wo�k, they may be required to be licensed in accordance with state and (aca( regulatians. If the <br />� contractor is not licensed as required by law, both the awner and contractor may be cited far a misdemeanar violation <br /> under sta#e law. If the own�er or intended cantractor are uncertain as to what licensing requirements may apply for the <br /> intended work, they are advised to cantact the Pasco Caunty Building Inspection Divisian—Licensing Section at 727-847- <br />, 8049. Furthermore, if the ,owner has hired a contractor or cantractars, he is acivised to have the contractor{s} sign <br /> portions of the "cantractar Block" of this.appficatian for which they will be respansible, If yau, as the owner sign as the <br /> contractor, that may be an �ndication that he is not properly licensed and is not ent�tfed to perrr��tting pr�vileges m Pasco <br /> Caunty. : <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation tmpact Fees and Recaurse Recovery Fees may apply to the const�uction of new buildings, change of <br /> use in exis#ing buildings, or;expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and <br /> 9Q-07, as amended. The undersigned also understands, that such fees, as may be due, wil! 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 final power release. If the project does not involve a certi�cate af occupancy or <br /> final power release, the fees must be paid priar ta permit issuance. Furthermore, if Pasca Caunty Water/Sewer Impact <br /> fees are due, they must be p'aid prior to permit issuance in accordance with applicable Pasco Gounty ordinances. <br /> CONSTRUCTIQN ZIEN �AW{Chapter 793, Florida Statu#es,as amended}: tf valuation af work is$2,500.00 or mors, t <br /> certify that I, the applicant; have been provided with a capy of #he "Florida Construction Lien Law—Homeowner's <br /> Protection Guide" prepared by the Flarida Department of Agriculture and Consumer Affairs. If the applicant is someane <br /> pther than the"owner", E certify#hat I have abtained a capy of#he above described document and promise in goad faith to <br /> deliver it to the"owner" prior ta commencement. <br /> GONTRACTOR'SIOWNER'S AFFIDAVIT: 1 certify that a1I the information in this application is accurate and #hat aE1 work <br /> will be done in compliance with all applicable laws regulating construction, zoning and land develppment, Application is <br /> hereby made to abtain a permit to da work and installation as inclicated. I certify that no wock or installatian has <br /> cammenced prior to issuance af a permit and that all work wil( be perFormed to meet standards of all laws reguiating <br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ! also <br /> ce�tify that i understand that�the reguiations af o#her gavernment agencies may appfiy to the intended wark, and tha# it is <br /> my responsibility#a identify what actions I must take to be in campliance. Such agencies include bu#are nat limited to: <br /> - Department of Enviranmental Pratec#ion-Gypress Bayheads, Wetland Areas and Enviranmentally Sensitive <br /> Lands,WaterNVastewater Trea#ment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercaurses. ` <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Health & Rehabilitative ServiceslEnv9ronmental Health Unit-We11s, Wastewater Treatment, <br /> Septic Tanks. �, <br /> - US Environmenta! Protection Agency-Rsbestos abatement. <br /> - �ederal Aviation�Au�hority-Runways. <br /> I understand that the following restrictions apply to the use of fill: <br /> - Use af fi]I is not allowed in Fbod Zone"V° unless expressly permitted. <br /> - If the �II material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a <br /> "compensating valume" wi11 be submitted at time of permitting which is prepared by a prafessic�rtal engineer <br /> licensed by the State of Florida. <br /> - If the fill materia! is to be used in Flood Zone "A" in cannection with a permitted building usirtg stem wall <br /> construction, I certify that fili will be used anly ta fi1(the area within the stem wali. <br /> - If fill material isj to be used in any area, I certify that use of such fill will not adversely affect adjacent <br /> praper�ies. If use of fill is found ta adversely affect adjacent properties, the owner may be cited for vialating <br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1) <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> If i am the AGENT FOR THE OWNER, I pramise in goad faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing canstruction. I understand that a separate permit may be required for electrica! work, <br /> plumbing, signs, wells, paals, air conditianing, gas, or other installations not specificaily included in the applica#ian. A <br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or <br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building 4fficial from thereafter <br /> requiring a correction of errors in plans, construction or violatians of any codes. Every permit issued shall become invalid <br /> unless the work authorized by such permit is comrr►enced within six months of permit issuance, or if work authorized by <br /> the permit is suspended or abandaned for a period of six(6}manths after the time the work is commenced. An extension <br /> may be requested, in writing; from the Building Official for a period not to exceed ninety (90) days and will demonstrate <br /> justifiable cause for the e�erision. If work ceases for ninety{90}cansecutive days,the job is cansidered abandoned. <br /> ; <br /> WARNlNG TQ OWNER: YOUR FAILUR� TO REGQRD A NOTICE OF CQNOMENCEMENT MAY RESUI.T tN YClUR <br /> PAYtNG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAiN FiNANCING, CONSULT_ _ _ <br /> = –�.'�'tTH Y�U�t�LE1���R CiR AN ATYf3RAlElf�B��fJR�-���Cl`5R[�ING�Y`OUR NOTICE OF COMMENCEMENT. <br /> FLOFZIDA StlRAT(F.S.1'[7.03) � <br /> QWNER OR AGENT���^�^e���'�`�� CONTRr4CTOR �� <br /> Subscribed and su�t to ar aNirm ) efare rrte fhis Subscribe and s ta{ar affirm d} fore me this <br /> 7-7/� byv 1�' �c�c-l^-c.c- � �.. J1/�/"1�N•nJ ;)—7—r� b N1�'�(n a c� L JV1�A,ll�N <br /> Who is/are Rersonall known to me or has/have roduced Wh / re p•s�'sa�ally kno to me or haslhave produced <br /> �'L.� f1✓�t�fs lr'ce.�Ce, as;iden6ficatian. �� !J�+V�-�"_a=�,Zn Ss�...�as identificafion_ <br /> G��-�j�-�� Notary Public ����-'v'^�- Notary Public <br /> Co mis an N �,,.. Cammis an <br /> :'�'''��"•'''�-• JACQUELINE BOGES ,,.•��:n:es;�;,,, JACQUEI.INE BQGES <br /> ���: <br /> Name of Notary typ �'�t�Cj; �� Name of Notary 'e riEtY� p@ F�150422 <br /> ' � ��'��2��$ :�;��.., �a: Expires December 12,2018 <br /> I �„°�o-� Bondbd Thru Troy Faki tnsu:anae BOOa85•7019 '•7,p���;°``� Qondad Thru Tray Fdn Inawance B00385.7019 <br /> .�. <br />