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<br /> NOTICE PJF DEED RESTRICTI�ONS: The under.signed understands that this permit may be subject to"deed"restrictions"
<br /> which may be more resfrictive fhan County reguiations. The undersigned assumes respansibiiity for compliance with any
<br /> applicable deed restric#ions.
<br /> UNL(CElUS�D CONTRACTQRS AND COIVTRACTOR RESPOIVSlB1LlTlES: !f the owner has hired.a contractor or
<br /> contractors to undertake work, �hey may be required to be licensed in accordance with state and local regulations. If fhe ;
<br /> ; contracfar is nof Iicensed as re�quired by law, bath the owner and contractor may be cited for a misdemeanor violation i
<br /> under state iaw. if the owner or intended contractar are uncertain as to what licensing requ'sremen#s may apply for the �
<br /> f Entended wark,fihey are advised to contact tha Pasco County Buifding lrtspectian Division—Licensing Section at 727-847- ',
<br /> 8049. Furthermore, if the owner has hired a contrac#or or contractors, he is advised to have the cantractar(s) sign �
<br /> ; portions af the "co�rtractor Block" of this application for which they will be responsible. If you, as the owner sign as fhe
<br /> ' confracfor, fhat may be an indication thaf he is not properiy iicer�sed and is not entifile�d to permitting privileges in Pasco '
<br /> County.
<br /> - TRANSPC?RTATlON lMPACT/UTlLlTlES lMPACT AND RESC?URCE REC4VERY EEF�: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buitdings, change of
<br /> use in exisfing buiidings, or expansion of existing buiidings, as specified in Pasco County �rdinance number 89-07 and
<br /> 90-07, as amended. The undersigned also unders#ands, fhat such feas, as may be due, wil! be identifed at the time of
<br /> perrrtitting. It is further underst�ood that Transpartation lmpact Fees and Resource Recavery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not invalve a certiflcate of occupancy or
<br /> final power refease, the fees musfi be paid prior fo permit issuance. Furthermore, if Pasco County WaterlSewer Impact
<br /> fees are due,they must be paid priar to permit issuance in accordance with appficabie Pasco County ordinances.
<br /> CONSTRUCTIC?N LlEN LAW(Chapter 713,F{orida Statutes, as amended}: lf vaJuatian af wark is$2,500.00 ar mare, !
<br /> certify that !, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide° prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", (certify that i have o6tained a copy of the above described dacurrtent and promise in good faifh to
<br /> deiiver it to the"owner"prior to,commencement.
<br /> Ct?NTRACTt}R'S/QWNER'S AFFtqAVlT: i certify that all the information in this app{ication is accurate and that a!I work
<br /> will be dane in compliance with a!! applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installafion as indicated. i certify fihat no work or insfaitation has
<br /> commenced prior #o issuance af a permit and that a11 wark wi11 be performed ta rrreet sfandards of a11 faws regulating
<br /> canstruction, County and City cadas, zaning regulatians, .and land development regulations in the jurisdiction. 1 also
<br /> � cer#ify that 1 understand that.the regulations.of o#her government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include buf are nofi iimited fo:
<br /> - Depar#ment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmenfaiiy Sensitive
<br /> Lands,WaterlWas�ewater Treatment.
<br /> - Sauthwest Florida Water Management Dis#rict-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - �Department .af Health & Rehabilitative Services/Enviranmental Health Unit-1Ne1(s, Vl/astewater Treatment,
<br /> Sepfic Tanks.
<br /> - US Environmenta! Protection Agency-Asbestos abatement.
<br /> Federal Aviation Au#hority-Runways.
<br /> I undersfiand that the following�restrictions apply to the use of fi1l:
<br /> - Use afft(i is not aliowed in Fioad�Zone"V"uniess expressiy permitted.
<br /> - If the fi(I materiaif is to be used in Flood Zone "A", i# is understood that a drainage plan addressing a
<br /> "campensating volume" wi!! be submitted at time of permitting which is prepared by a professianal engineer
<br /> licensed by the 5tate of Florida.
<br /> - If the fi11 material is to be used in �1oad Zone "An in connection with a permitted building using stem wa11
<br /> construction, 1 ce ify that�ll wi11 be used anly to fl1 the area within the stem wa!(.
<br /> - !f fill materiaf is to be used in any area, 1 certify that use af such �ll wi!! not adversely affect adjacent
<br /> praperties. !f use�of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of he building permit issued under the attached permit application, for iofs less than ane (1)
<br /> acre which are eievated by fiii, an engineered drainage plan is required. ;
<br /> 1f i am the AGENT FC}R THE�ODUNER, i prarr►ise iri good faith to inform the owner of the permitting conditions sst forth in i
<br /> this a�davit prior fio commencing construction. ! understand that a separate permit may be required for electrical wark,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or ofiher installations not specifically inciuded in the application. A
<br /> permif issued shall be construed to be a (icense to proceed wifh the work and not as authority to vioiate, canceS, aiter, or
<br /> set aside any pr.ovisions of the technicai codes, nor shali issuance of a permit pr�vent the Buiiding Officiaf from thereafter
<br /> requiring a correctian af errors in pians, canstructian or vialations of any codes. �very permit issued sha!!become invalid
<br /> unless the work authorized by such permit is commenced within six manths of permit issuance, or if work authorized by �
<br /> the permit is suspended or ab'andonetl for a period of six(6) months af�er the time the work is commenced. An extension
<br /> may be requested, in writmg,�from the Suiiding Officiai for a periad nofi to exceed ninety (90) days and will demonstrate
<br /> jusfifiable cacase for the extens�on. Cf work ceases for ninety{90}consecutive days,the job is considered abandaned.
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<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPRO�VEMENTS TO YCIUR PROPERTY. IF YOU INTEND T'O't�BTA1N FINANC1iVG,CONSt1L3'
<br /> WtTH YtJUR LENDER UR AN AT7'ORNEY BEFORE RECORDtNG YOUR�t�TICE OF CONfMENCEfVIENT.
<br /> Fi.OR1DA JURAT{F.B.117.03 � f
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<br /> OWNER CiR AGENT I l, f " .,�cn CONTRACTQR .._ f��_�
<br /> S bscribed and swom qr�affirm d� e ore me fhis J Sub crib dand swom to o rr�e,d befQ� ine this
<br /> ! I o2. I ir by d'h J / 02 ! {, by �,�Q.tif''h c-� 1f�t t�z �_
<br /> a�stare personalSy kn, awn t me or hasthave praduced o is/are persona!!y known to me or�raslhave produced
<br /> as identification. as identification.
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<br /> Commissian No. �!" ����pi)� Commission No. �"����o �
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<br /> (ao�)3s8-o153 FloridallotaryService.com (40�y 398-0153 FloridallotaryService.com
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