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<br /> NOTICE OF DEED RESTRICTi�NS: The undersigned understands that this permit may be subject to"deedn restrictians"
<br /> which may.be moce�restrictive than County regutations. ti'he�undersigned�assurnes respansitiiti#y�far camp(iance with any
<br /> appticabie deeci restrictions. ��
<br /> UNLICENSEQ C�NTRACTQRS AND CONTRACTOR RE�PGNSIBlLITlES: If the owner has hired-a con#ractor or
<br /> contrac#ors to undertake wark, they may be required to be�licensed in accordance with state and local regulatians. If the
<br /> contractar is not licensed as required by law, b6th the owner and confractor may�b-e cited for a misdemeanor violation
<br /> under state law. 1f the owner or intended contractor are uncertain as to what (icensing requirements:may�appiy for.the
<br /> intended wock, they are advised#o cantact the Pasco Gounty Building Inspection Division—Licen'sing Section at 727-847-
<br />' 8009. Furthermare, if the owner has hired a contractor or contractors, he is advised to �have the contractar(s} sign
<br />�� portians of the "cont�actar Block" of this application for which they will be respansible. !f yau, as'the owrier s'ign as the
<br /> cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> j Coun�y.
<br /> TRANSpORTATtON tMPACT/UTiLiTtES IMPACT AND RESOURCE RECOVEI2Y FEES: The undersigned understands
<br /> that Transportation impact Fees and Recourse Recavery Fees may,app{y ta#he construction af new buildings, change of
<br /> use in existing build9r�gs, ar expansion of existing buildings, as specified in Pasca Gounty Glydinance number 89-Q7 and ,
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will 6e•iden#ified at the time of
<br /> permitting. It is further understoad tha# Transportation Impact Fees and Resource Recovery Fees must be paid prior ta ,
<br /> ' receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occapancy or
<br /> , finai pawer release, #he fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> '� fees ara due,they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
<br /> , CONSTRUG710N LIEN LAW{Chapter 713, �lorida Statutes,as art3ended): !f valuation aF wark is$2,500.00 or more, 1
<br /> ce�tify that !, the app(icant, have been provided with a copy. of "the '"Florida Construction Lien Law—Homeawner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> � other than the`bwner", ( certify that I have obtained a capy of the above described documen#and promise-in gaod faith ta
<br /> deliver.it to the"owne�'prior ta commencement.
<br /> ! CONTRACTOR'S/OWNER'S AFFIDAViT: I certify that all the informa#ion in this application is accurate and that ail work
<br /> will be done in compliance wi#h all applicable laws regulating construction, zoning and land development. Applicatian is
<br /> hereby made to obtain a permit ta do work and installatior► as indicated. I certify that na wark ar instaflation has
<br /> I� cammenced prior to issuance of a permit and that all wark v+rill be performed to meet standards of all laws regulating _
<br /> � construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may appiy to fhe intended wark, and that it is
<br /> i, my responsibility to identify what actians i must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protectian-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Sauthwest Florida Water Management District-Wells, Cypres's Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-5eawatis, Docks, Navigable Wate►ways.
<br /> - Department af Health & Rehabilitative Services/Enviranmental Health Unit Weiis, Wastewater Treatmen#, "
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> , I understand that the following restrictions apply to the use af fill:
<br /> - Use of fill is no#allawed in Flood Zone"V"unless expressly permi#ed.
<br /> - If the fiil material is fo be used in Flood Zone "A°, it is understood that a drainage plan addressing a
<br /> "compensating volume° witl be submitted at time af permitting urhich is prepared by a prafessionai engineer
<br /> licensec!by the State af Florida.
<br /> - If the fill material is to be used�in Flood Zone "A" in connection with a permitted building using stem wa!!
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fil( materiat is to be used in any area, I certify that use of such fill will nat adversely affect adjacent
<br /> properties. if use af fiii is found to adversely affect adjacent properties, the owner may be cited for viola#ing
<br /> the conditions of the building permit issued under the attached permit,application, for lots iess fhan one (1)
<br /> acre whiah a�e e{evated by�II, an eng�neered dra9nage plan is requi�ed.
<br /> If! am the AGENT FC?R THE OWNER, I promise in goad faith to inform.the owner of.the permitting conditions set forth ir�
<br /> this affidavit prior to comm�ncing construction. I understand that a,separate permit may be required for electrical work, ,
<br /> p(umbing, signs, we11s, poais, air conditioning, gasj'or other installations not specifically included in the application. A
<br /> permit issued shall be construed#o be a license to proceed witfi the work and not as authority to violate, cancel, alter, or �
<br /> set aside any provisions af the technical codes, nor shall issuance of a permit prevent the 8uilding f3�ciai frorn thereafter
<br /> requiring a correction of errors in plans, construction or violations of any cades. Every permit issued sha!! become invaiid
<br /> unless the work autharized by suah permit is commenced within six months o#permit issuance, or i#work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is cainmenced. An extension
<br /> may be requested, in writing, from the Building Officiai for a period not to exceed ni�ety (90) days and will dem.onstrate �
<br /> jus#ifiable cause for the extension. 1#work ceases far ninety(90}consecutive days,the job is cansidered abandoned. ,
<br /> WARNlIdG TQ OWNER: YOUR FAILURE TO RECORD A NC?TlCE OE CQMMENCEMENT MAY RESUl.T fN Y�UR
<br /> PAYING TWICE FOR lMPROVEMENTS T�?YOUR PRi?PERTY. IF YOU lNTEND�TO OBTAIN FINANCING, CONSULT
<br /> W(TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEIIAENT, -- - --- -- - �- �
<br /> FLOR►C}A JURAT(F.S.117. ) - �`-----""-"" �
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<br /> � ___ _ ,�_ ,,
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<br /> OWNER OR AGENT , CONTRACTOR °O I �-ti.��
<br /> Subscribed nd swom to(ar affirmed)before me this Subscribe and swom to(or affirmed}befare me this
<br /> -z�z yC 7 az-�,� �
<br /> Who is/are p rs nally k o to me or has/have produced Who is/are p onally kno ta me or has/have produced
<br /> as idenGfication. ���. as identification.
<br /> I
<br /> � � Notary PubAc '' �� �t' Notary Public ��
<br /> Commi si No. Gamr ais ian N ��
<br /> :2°`•,�Y➢i%�' JAC{�UELiNE BOGES f
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<br /> Name of Nata. �tp, {��t Rlame of Natary ryped,prin d�a�;�Cg�pec�A��UELINE BOGES
<br /> = a. xpires ecem er 12,2018 ;n
<br /> _ �.;�e� :*• .k= Commission#FF 150422
<br /> .,, EondedThnr7rayFpininaurence86p-385-7019 :`�� :;�': Expires December 12,2018
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<br /> 'oP�;;;a Bonded Thru Troy Fein Insuranne B00•385Jpt9 .
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