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NOTICE C1F DEEp RESTRICTIONS: The under.signed understands fihat this permit may be subJect to"deed"resfrictions" <br /> which may be more restrictiv�than County regulations. The undersigned assumes responsibility far compliance with any <br /> applicabfe deed restrictians. <br /> UNL.ICENSED CONTRA,CTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired .a contractor or <br /> contractors to undertake work,they may be reguired to be licensed in accordance with state and locai regufations. if the <br /> contractor is not Iicensed as required by (aw, both fhe owner and cantractar may be cifed for.a misdemeanor vioiation <br /> under state law. If the owner ar intended contractor are uncerkain as to what licensing requirements may apply far the <br /> intet�ded wark,they are advised to contact the Pasco Caunty Bttilding Inspection Divis9on—Licensing Sec#ion at 727-847- <br /> 8009. Furthermare, if the owner has hired a contractar or cantractors, he is advised to have the contractor(s) sign <br /> portians of the "cot�tractor B(acic" of this applicatian for which they wil! be responsible. if you, as the owner sign as the <br /> contractor, #hat may be an indication that he is not properiy Iieenseci and is not entitied to permitting priviieges in Pasco <br /> County. <br /> TRANSFOt2TATtQN IMFACTIUTtLIT1ES INIPACT AND RESOURCE RECUVERY FEES: The undersigneci urtderstands <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the canstruction of new buiidings, change of <br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and <br /> __ __90-07, as amended. The undersigned also understands, that such fees, as may �e due, vuiil be identified at fihe time af <br /> permitting. It is further understood tfiat Transportation Impact�Fees and Resaurce Recovery Fees must be paid prior to - <br /> receiving a"certiftcate af occupancy" ar final power 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. FurEhermore, if Pasca County Water/Sewer lmpact <br /> fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances. <br /> Gt,1NSTRUCTIQN LtEN LAVf/(Chapter 713,Fiarida Statutes,as amended}: 3f valuatiott of work is$2,500.00 or more, [ <br /> cerkify that I, the applicant, have been pravided with a copy of the "Flarida Construction L.ien Law—Hameowner's <br /> Pratection Guide" prepared by the.Florida i7epartment�af Agriculture and Consumer Affairs. !f the appficant is someone <br /> ofher than fhe uowner", 1 cerfify that 1 have obtained a copy of the.above described document and promise in good faith to <br /> deliver it to the"owner"prior to�.commencement. <br /> CaNTt�ACTOR'S10V11NER'S AFFIt�AV1T: 1 cerEify that a!I the information in this application is accurate and that a11 wark <br /> will be done in campliance with all applicable laws regulating canstruction, zvning and land development. Applicatian is <br /> � hereby rnade to abtain a permit to do work and installatian as indicated. 1 certify that no work or installation has <br /> commenced priar to issuance of a permit and that a11 work will be performed to meet standards of all laws regulating <br /> construcfion, County and City codes, zoning regulations, .and land development regulations in the jurisdicfiion. I also <br /> certify that i understand that the reguiations.af ather gavernment agencies may apply ta the intended vdork, and that it is <br /> , my responsibility to identify what actions I must take to be in compliance. Such agencies inciude but are nof limified to: <br /> - Department of Environmerital Protecfiian-Cypress Bayheads, Wetland Areas and Environmentally,Sensitive <br /> Lands,lNaterlUVasfiewater Treatment. ' <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alfiering <br /> Watercaursas. <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - �Department of Health & �Rehabilitative-Serv'rces/Environmental Health Unif-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - FederaI Aviatian Authoriiy-Runways. � - <br /> 1 understand that the following restrictions apply to the use of fill: <br /> - Use of fill is not allowed in Flood'Zon�"V"unless expressly permitted. <br /> - 1f the fifl material is to be used in Flaad Zone "A", it is understoad that a drainage pJan addressEng a <br /> "compensating valume" will be submitted afi time af permi#ting which is prepared by a professional engineer <br /> licensed by#he Stafie of Fiorida. <br /> - if the fi11 material is to be used in Flood Zone "A" in connection wifh a perrnitted buiiding using stem wa11 <br /> construction, I certify that fill will be used only to fill#he area within the stem wall. <br /> - If fil materiai is ta be used in any area, I cert9fy that use of such fiI will not adversely affect adjacent <br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violafing <br /> the conditions of the building permit issued under the atkached permit application, for lats less than one (1) <br /> acre which are elevated by fil1, an engineereti drainage plan is required. <br /> If I am the AGENT FOR THE OWNER, I pramise in good faith to inform the owner af the permitting conditions set forth in <br /> this affidavit prior to commencing construction. I canderstand that a separate permit may be reqttired for eIectrical work, <br /> plumbing, signs, wells, pools, air canditioning, gas, or other installations nat speci�cally included in the applicafion. A <br /> permit issued sha!! be construed to be a license ta proceed with the work and not as authority ta violate, cancel, alter, or <br /> set aside any provisions of fhe technica!codes, nar shall issuanoe of a permit prevent the Building 4�cial from thereafter <br /> requiring a correction of errors in plans, constructian or violations of any codes. Every permit issued shall became invalid <br /> unless the work authorized by such permit.is commenced vuifhin six months of permit issuance, or if work authorized by <br /> the permit is suspended or abandoned for a period of six(6) months after�fhe time fhe work is cammenced. 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 extension. (f work eeases far ninefy�90)consecutive days,the jab is considered abandoned. <br /> 1NARI3iNG TO ODUNER: YC}UR FAILURE T4 RECORD A t�OTlCE OF CtaMMENCEMENT MAY RESULT !N YOUR <br /> PAYING"TW(CE�OR IMPROVEMENTS TO YOUR PROpER7'Y. IF YOU INTEND TO'OBTAIN FINANCiNG, CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C(7MM�NCEMENT. <br /> FLC}RlI}A JUt2AT{F.S.1'17.03} ` <br /> � <br /> OWNER 012 AGENT__� CONTRACTOft <br /> Sub cribed and swom to or affirmed)be re me this - � .Subscribed and s om t r� yrmed hefore me this <br /> 3 x t 4 by K�u vVb t✓n�, 's CZ(1 t� by ���.n UY►��.5 <br /> Who is/are a nown�r,m or has/have produced Who Is/are personally knawn to me r has/have produced <br /> as iden6fication. as Edenfificaflon. <br /> �''�����Z�^f��� Nofary Pu6lic ��'��l.2kfW'L.t.,, � t���'� _ Nofary Pa61ic <br /> Gommission No. �r b Q ��`� ! Commission No. t` ��� �J�n� � <br /> Na ,:�RY pUL� pec,pnn e or stam ed ' Name of Not nad.printed or stamped <br /> a 8{:=. NANCY J �ROC}KS .•�••�•. —. <br /> �_ � "� ''°�'RYAGg�-'� i�ANCY d BROOKS <br /> • - MY COMMISSION#FFq93699 =�� ,1� o'•; <br /> `:'�"�'a:' O -` '�1 "= MY COMM15SION#FF093699 <br /> ``4�of�o4: EXPIR�S February 1$.2O�U ;4.Cs-�1_�,Q�: <br /> (407)398•0153 FloridallotaryService.com `•�'oF�P��` EXPlRES February i8,2di8 <br /> (aq7)ass-o153 FloridallotaryService.com <br />