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<br /> NOTICE�F DEED RESTRICTtfJNS: The under.stgned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more res#rictive t�an County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restric#ions.
<br /> UNI.ICENSED CONTRACTOR,1S AND CONTRACTOR RESPONSIBILITfES: If the owner has hired.a cantractor or
<br /> contractors#o undertake work, #hey may be required to be licensed in accordance with state and local regulatians. !f the
<br /> contractor is not licensed as requir.ed by law, both the owner and contractor may be cited for.a misdemeanor vialation
<br /> under state law. If the owner or intended contractar are uncerkain as to what licensing requirements may apply for#he
<br /> inte�ded work,they are advised to contact the Pasco County Building lnspection Division—Licensing Sec#ion afi 727-847-
<br /> 8009. Furthermare, if the owner has hired a contracfor or contractors, he is advised to have the confractor(s) sign
<br /> partions of the "co�tracfior Bloc�C" of this application for which they wi!! be rssponsible. !f you, as the owner sign as the
<br /> confiractor, that may be an indication that he is not praperly licensed and is nat entitled to permitting privileges in Pasco
<br /> County. �
<br /> TRAlVSPQRTATtQ�1 ttVIPAGTlUT!!ITIES IMPAGT AND E�FS0�3RGE.RECOVE�2Y FEES: The undersigneu understands -
<br /> that TransparEation Impact Fees and Recourse Recovery Fees may apply to fhe constructian of new buildings, change of
<br /> use in existing buildings, or expansion of existing buiidings, as specified in Pasco County Ordinance number$9-07 and
<br /> 90-07, as amended. The undersigned also understands, thaf such fees, as may be due, will be identified at the time of
<br /> permitting. It is further underst�aod that Transportation Impact Fees and Resource Recovery Fees must be paid prior fo
<br /> receiving a"certificate of occupancy" or finai power release. If the project does not involve a certificate of occupancy or
<br /> final power reiease, the fees rriust be paid prior ta permit issuance. Fur�hermore, if Pasco County VttaterlSewer 3mpact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRtJCTtON LIEN LAW{Chapter 7'i3,Florida Statutes,as amended): If va(uation af work is$2,504.00 or mare, i
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Consfruction Lien Law—Homeowner's
<br /> Protection Guid�" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�', ! certify that( have obtained a copy of the above described document and promise in goad faEth to
<br /> deliver it ta the"owner"prior to�commencement.
<br /> GONTRACTQR'SIOWNER'S AFFtDAVIT: i certify fihat a!I the infarmation in this application is accurate and that all work
<br /> will be done in campliance withI all applicable laws regulating construction, zoning and iand deveiopment. Application is
<br /> hereby made to obtain a perYnit to do work and installation as indicated. I certify that no work ar installation has
<br /> cammenced prior to issuance�af a permit and that all work wilI be performed to rnest standards of aIl iavus regulating
<br /> constructian, County and City codes, zoning regulations, .and land development regulations in the jurisdiction. I also
<br /> certify that 1 understand that.the regulations.of other gavernment agencies may app{y ta the intended work, and that it is
<br /> my responsibifity to identify wha#actions 1 must take to be in compliance. Such agencies inciude but are not ti►nited fo:
<br /> - Department of Environmental Protectian-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWas�ewater Treatment.
<br /> - Sou#hwest Florid�a Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alfiering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigabie Waterways.
<br /> - .Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation A #hority-Runways.
<br /> 1 understand that the foliawing resfrictians appiy fia the use of fil1:
<br /> - Use af fill is not allc�wed in Flood�Zone"V"unless expressly permitted.
<br /> - If the fi11 material� is to be used fn Flood Zane "A", it is understood that a drainage plan addressing a
<br /> "compensating vo ume" will be submitted at time of permitting which is prepared by a professioriai engineer
<br /> licensed by the St�te of Florida.
<br /> - lf fhe fiil material is to be usad in Fiood Zone "A" in connection with a perraitted building usirig stem,waii
<br /> construction, I ce ify that fill will be used only to fill the area within the stem wall.
<br /> - if fil! material is to be used in any area, t certify that use of such f(! will nat adversely affect adjacent
<br /> properties. If usel of fifl is found to adversely affecf adjacent proper�ies, the own'er may be cited for vio(ating
<br /> the conditions of fhe building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are eleuated by fii1,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE�OWNER, I pramis� in good faith to inform the owner of the permitting conditions set farth in
<br /> this affidavit prior to commencmg construction. 3 understand that a separate permit may be required far elecfrica! work,
<br /> plumbing, signs, weils, poois,+ air canditioning, gas, or other instailations not specifically inciuded in fihe application. A
<br /> permit issued shall be constr�led to be a license to proceed with the work and not as autharity ta violate, cancel, alter, or
<br /> set aside any provisions af the technical codes, nor shail issuance of a permit preven#the Building Official from thereafter
<br /> requiring a correction of errors in plans, constructian or violations of any codes. Every permit issued shall become invalid
<br />, unless the work authorized by such permit is commenced within six rnonths of permit issuance, or if wark authorized by
<br /> ' the permit is suspended or ab"andoned for a period of six(6) months after the time the work is.commenced. An eictensian
<br /> may be requested, in writing, from the Building Official far a period nat to exceed ninety (90) days and will demonstrate
<br /> justifiiable cause far the extensian. if work ceases far ninety(90)consecutive days,the jab is considered abandaned.
<br /> WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT !N YOUR
<br /> PAYING TWtCE FOR tMPROVEMENTS TO Y�UR PR4PERTY. [F Yt7U INTEMD TO'08TAiN FINAMCING,CONSULT .
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C4MMENCEMENT.
<br /> FLCFRIDA JURAT(F.S.1'i7 03
<br /> OWNER OR AGEN7 �� .�1�;//.�tti CONTRACTO 1/��r��i
<br /> S bscribed and sworn��o{ a�rme � efare tne this Su scri ed and sworn t r a ir ed)befo �m e this
<br /> ! r�, r by 1SC�� !v» 5 ! �. by �1
<br /> Who is/are person o�w „to m�has/have produced- W o is/are persanally known to me r has/have pro uced
<br /> as�dentification. as identification.
<br /> �;����lt�� _Nofary Puhlic Lr�J"'�O Notary Public
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<br /> Commission l� �a� ��0 C/ � Commission No. O �
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<br /> Name � ' • ' Name of Notary A, '
<br /> a?�'�YAU'�"'ns N��L7 � P}l�Vi\S ,.,aSW,Y?4$°..` ��..�
<br /> � :� := t�= NANCY� gR0�11KS
<br /> ;• ' ': MYCOMMIS�SION#FF093699 =` :'° YCOMMIS
<br /> ="�. :Q= M SION#FF093699
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<br /> �'.°jk:aF�o?;,•' EXPIFtES FebYualy 18.241$ '"',fafi�o,`,:��`� EXPtRES FebruBry T8.2t}18
<br /> (ao�)3as-oi53 FlaridallotaryService.com (407)398-0153 FlorldallotaryService.com
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