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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned under.gtands�:.th�t this,p�rmit,.may.be.sub)ect.to,"deed"restcictions"
<br /> which may be:�more°.rest�ictive-thaFl Gounty:ariegulafCons.=The�undersigned'assumes`responsitiiltty for'�compliance�with'�any
<br /> applicable deed rest�ictions. - � .
<br /> UNLICENSED: CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has-�hired��a contractor or
<br /> contractors to undertake work, they may,be;cequired�,tobe,llcensed In accordance.with state.and_loca,l regulations: If the�
<br /> contractor_is�not.l(censed as cequlred"tiy law, both the owner and=�contiactor=may be-cited-for a�misdemeanor violation
<br /> under state law. If the owner or (ntended�:contractor.are:uncertain as to what Iicensing.requirements`may�-apply>:for,-the
<br />, intended work, they are advised to contacf the Pasco Coun'ty Building'Inspection DIvlslon--L(censing Section at 727-847-
<br /> 8009. Furthermore; If the ovmer has-hired�a conhactor o� contractors, he is advlsed to have the contractor(s). sign .
<br /> portions of the "contractor Block" of_this application for,which they will.be r.esponsible.. .if you,-as.the owner'stgn�as'the � ;
<br /> contractor, that may-be an indicatfon that�he is not.properly licensed and�'is not�entitled�to permittfng priv(leges in Pasco
<br /> County. - • ' i
<br /> TRANSPORTATION=IMPACTIUTILITIES-IMPACI��ANb�RESOURC@ RECOVERY�FEE3; The underslgned understands ,
<br /> that Transportation Impact Fees and.Recourse Recove.ry.Fees may.��apply�to�the constn�ction of new build(ngs,:change of ` � ;
<br />' use in existing buildings;��or-•:expansion•of-�ezisting`6ulidings, as specifled.in Pasco County Ordinance number 89-07 and �
<br /> 90-07, as amended., The�undersigned also=understands, that:�such fees,�,as�rnay_�be��due;,will��be identified at the�time of� �
<br /> permitting. It Is further understood that Transportatlon Impact Fees and'�Resource Recovery�Fees.mu'st be paid prior to i
<br />' receiving a °certificate-of�occupancy" or flnal-powec-release. :If�the proJect does.not,involve a:certificate of occupancy.or
<br /> final power release;•the�.fees must be paid prior to permit issuance. F��th�rmore;'if Pasco�,County�Water/Sewer•�Impact
<br /> fees are due,.they must.be�pald.prior to permit-Issuance-In accordance with applicable.Pasca�-County ordinances.
<br /> CONSTRUCTION L"IEN"LAW(Ciiapter 713� Florlda Statutes, as amended): If valuation of work is$2,500.00=or more, I
<br /> certify that I, the_applicant,. Mave-been provided with a copy� of the "Florida Constructlon Lien Lav�Homeowne�'s
<br /> i Protection Guide" prepared by the Florida Departmenf of Agric.ulture 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 docurnent-and.ptomise in,good falth,to
<br /> deliver it to the.`owner"�.prior to>commencement: � ' � •
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the.information,in�thi� application is accurate and that all work
<br /> will�be done in compliance with all applicable laws regulating consiruction� zoning and land development. Application is
<br /> hereby made to obtain .a permit Co do. work...and Installation as indicated:-;, 'I certifjl�that no work:or installation has
<br /> commenced prior to Issuance of a permit'and that.all work will be pertormed to meet standards of all laws regulating- �
<br /> construction, County and City codes, zoning regulations, and land development tegulatlons�in the jurisdtctlon. I al'so �
<br /> certify that i u�derstand that the regulations of other government agencies may�apply�to the intended work, and that it is '
<br />' my responsibility to identify�what,actions I must take:to berin:.corr�pliance. S,uch agencles include but are.not Iimited to: `
<br /> - Department of Ehvironmental Protectibn-Cypress.Baylieads; VNetland Areas and Environmentally Sensitive `
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Fiorida Water Management: ..District Wells, Cypress. Bay.heads; Wetland Areas, Altering �
<br /> Watercourses. ;.
<br /> - Army Corps of Englneers-Seawalls, Docks, IVavlgable Waterways. �;
<br /> - Department of Health & Rehabilitativ.e.Services/Envi�onmental .Heatth Unit Wells� Wastewater Treatment,
<br /> Septtc Tanks. �
<br /> - US Environmental Protection Agency-Asbestos abatement. .
<br /> - Federal Av(atlon Authority=Runways. ,
<br /> I understand that the following:restrictlons apply to•the use of flll:•
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly pertnitted.
<br /> - If the fill material,is to'be used`in �Flood Zone. "A", It. is understood that�a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting wh(ch ts prepared by a professiona)_engineer
<br /> Iicensed by�he-State�of�Florida.
<br /> - If ihe fill material.is,.to.be used In Flood �one °A" in�connection�with.a�permitted building using stem wall
<br /> construction, I certify that fill�:will=b.e used only.to fill the area within the�stem•wail.
<br /> - If flll materlal is to tie used in any area, I certify that .use of;suaFi`flli will not adversely affect adJacent
<br /> properties. If use of flll Is found�to adversely..�ffect adJacent properties,.the owner may be cited for viofating
<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 flll,a�engineered drainage pian is required.
<br /> If I am the AGENT FOR THE OVIlNER,'I;:promise In good faith to inform the owner of•the:permttting conditions set forth In ��
<br /> this affidavit prior to commer�cing constructlon. "I understand that a-separate permit may be requtred for electrical work, I;
<br /> plumbing, signs, wells, pools, air conditioning, .gas, o�"otMer installations noE,specfftcally included-in.the applicatlon. .A ,;
<br /> permit Issued shall be constcued to be a�license.to proceed with the work and not as-authority to violate,cancel; alter, or -:' i
<br /> set aside any provisions of the technical.codes; nor shall issuance of a.permit.prevent the 8ulldirig Official from thereafter �' '
<br /> �,
<br /> requirin_g a correction nf errors in�.plans, con§ttuctlon or vlolaQons of any codes. Every permlt Issued shalF become invalid f '
<br /> unless the work authorized.by such permlt�ls�commenced•within sfx:months of permit issuance, or If work authorized by
<br /> the permit is suspended or.abandoned for a:period.,of six(8)montFis after the time_the�work�ds commenced._An extenslon �� '
<br /> may be requested, in writing, from the Building,Officfal-for a period�not to.exceed ninety�(90) days a�d will•demonstrate ;�
<br /> �usti�able cause for.the extension: If work ceases:for ninety(90)cons.ecutive day.s�..the Job�is.considered abandoned.� ��
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<br /> WARNING TO OWNER: YOUR.FAILURE TO.,REC:ORD. .A..NOTIGE OF•COMMENCEMENT NtAY=RESULT IN YOUR �
<br /> PAYING TWICE.FOR IMPROVEMENTS TO YOUI�.;PR�OPER'TY.�;IF°.YO.U�INTEND'� °OBTAIN��FINANCING,�C.ONSULT
<br /> WIT UR DE O AN ATTO NEY�B FORE��RECOR� G:=YOU '- O� � 'O ` �' � E E � NT�
<br /> . _ . . �
<br />- FLORI�R;IURAT(F:S:9.97.03) ---- -_- - -=- - - - .._ ---- — -- ---- -- - - - -
<br /> DWNER OR AOENT CONTRACTOR__� '
<br /> 5ubscAbed and swom ta(or aflirmed)before me thls Subscribed and's m=to(ot afflrtned)�before`me Itii�
<br /> by .b . '
<br /> Nho is/are personally known to.me or has/have produced Who.ls/are o a �wn to me or haslhave•produced �
<br /> as Identlflcatlon. as Identlflcaflon.
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<br /> P
<br /> Notery Public i -`1 Notary Publlc
<br /> 3ommisston No. •• � �r�ilsslon. „„
<br /> ,;Q:....y,��, JACQU
<br /> ;.: :*_ �o ,ELINE BOGES
<br /> Vame of Notary typed,printed or stamped Name of Notary p",p no� ` Bo�p1�9gig mber 12, 22 ,
<br /> hru Troy Feln Insurance gp0.jo18
<br /> , �-]079
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