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� - Nt)TIC�OF DEED i2ESTRIC710NS: The undersigned understands thai ihis permit may be suhject to"dsed"resVictions'
<br /> •,ti�hidi may be more resirictive than County reguiations. The undersigned assurnes responsibility for compiiance with any
<br /> applicable deed restrictions.
<br /> 41NUCENSED CQNTRACTORS AND CONTRACTOR RESPONSIBlt.!'CtES: !f the oumer has hired a contractor ar
<br /> contractors to u�deftake work,they may be required to be Iicensed in accordance with state and locai reguta6ons. if the
<br /> contractor is not licensed as required by law, both the owner and contract.ar may be ated for a misdemeanor violation
<br /> under state}aw. If the owrser or intended con2ractar are unceriain as to what licensing requirements may appky fflr the
<br /> intended work,they are advised to oontact the Pasco Gounry Buit�ng Inspectian Division—L'+cerrsing Section at 727-847-
<br /> 8009. Furthermore, 'rf the owner has hired a contractor or contractors, he is advised to have the contradar(s) sign
<br /> portions of the"coniracior Btock°aE this application for which ihey witl be responsible. ff you,ss the owner sign as the
<br /> co�tractor,that may be an indicatian that he is not properly i+censed and is not entiNed to permitting privileges in Pasca
<br /> County.
<br /> TRANSPORTATlON lAIPACTMIL171ES IDtPACT ANd RESOURCE RECOYERY FEES_ The undersigned understands
<br /> ihat Transportation Impact Fees and F2ecaurse Recavety Fees rnay apply to the construt�eon of new buildings,efiange of
<br /> use in existing buildings, or e�qaansion of ezisting buildings,as specified in Pasca County Ordinance number 88-07 and
<br /> 9�-07,as amended. The undersigned also undeistands,that such fess,as may be due,will be identified at the time of
<br /> permitting_ tt is turther undarstood that Transportafion Impad Fees and ReSource Recovery F,e�.s must be paid prfnr to
<br /> receiving a`certificate of ocwpancy'or final power release. If the project does not involve a cerlificate of occupancy or
<br /> fi�al power release,the fees must be paid priar to permft issuance. Furthennore,if Pasco County WatedSewer Impact
<br /> fees are due,ihey must be paid prior to permft issuance in accorrlanr,c with applicable Pasco County ordinances.
<br /> �ONSTitUCT1QN UEN LAW(Chapter 713,Flprida 5tatutes,as amended): If valuation of work is$2,500.00 ar more,1
<br /> certify chat 1, the applicant, have been p�ovided with a copy of the "Florida Construction Lien Law—Fiomeowner's
<br /> Protection Guide"prepared by the F#orida Deparimeni af l�gricu3ture and Consumer Afhairs. !f the applicant is someone
<br /> other than the"ownel',I oertify that t have obtained a copy of the above desaibed doeument and promise in good faith to
<br /> deliver it to the"owne+"prior to commenCement
<br /> COMTRACTOR'3tOYYNER'S AFFIDAVl7': I certity that a11 the irifarmation in this application is accurate and thai all work
<br /> wili be done in compliance with alI appiicabte laws regulating construdian,zoning and land development. Application is
<br /> hereby made ka obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior io issuance of a permii and that al!wak wip be perforn�ed to rri�t standards ai a!1 laws reguiating
<br /> construction, County and City cades, zoning regulations, and iand development regulatians in the juri�ction. I also
<br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
<br /> my responsihili2y to itlentity what acti�s f must take to be in comptianc�. Sttch agenries inclttde but are not Iimited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmenta((y SensiGve
<br /> Lands,WatedWastewaterTreatrnent.
<br /> - Southwest Florida, Water Management Qistrict Wdls, Cypress Sayheads, WeUand Areas, Rltering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,pocks,Navigable Waterways.
<br /> - Departrnent of Neaftn 8� Rehabilitative ServicestEnvironmeniat tiealth Urtit•1Nells, 'Ntastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectian Agency-fLsbestos abatement.
<br /> - Federa!Aviatian Authoriry-ftunuvays.
<br /> !understand ihat the follawing restrictions ap¢ty to the use of fitt:
<br /> - Use af fill is not allowed in Flood Zone M unless exprassy parrnitted.
<br /> - !f the fill materia! is to be used in Flofld Zone "A°, it is understood that'a drainage plan addressing a
<br /> "compensating volume"witt be su6mitted at time of pertnitting which is prepared by a professionai engineer
<br /> licensed by the State of Florida.
<br /> - If the fi0 material is 2a be used in Flood Zone"A"in connectifln with a permit[ed buiiding using stem wall
<br /> construction,l certify that fiI!un'tI be used only to fiII Ehe area wiihin th9 stem wati.
<br /> - If fill material is to be used in any area, I certify tfiat use of such fill will not adversely affect adjacent
<br /> propeKies. If use of fill is faund to adversety affect adjacent properties,the owner may be cited for violating
<br /> the condifions oi the buitding permit i�ued under ifie attached petmit appficatiot�,for IoLs Iess tttan one{1}
<br /> acre which are elevated by fill,an engineered drairtage plan is required.
<br /> If I am the AGENT FOR THE OINNER,I promise in good taith to inform the owner of the permitting conditions set forth in
<br /> ttris affidavit priar to commenang const�etdion. 1 understand that a separate petmii may be required for e}ectrir.a!wosit,
<br /> plumbing, signs, wells, pools, air candilianing, gas, or ather installations not specifically included in the application. A
<br /> �ermit issued shall be consVued to be a license to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of fhe technical codes,nor shalt issuance of a permit prevern#he 8uilding Officia(from thereaRer
<br /> requiring a correction of en-ors in plans,construciion or violations of any codes. Every parmit issued shall became invalid
<br /> unless the work authorized by such permit is comment�d within six months of permit issuance,or'rf work autharized by
<br /> ihe permit is suspended or abando�ed for a period ai snc(6)rnonths after the time 2he waric is cammenced. M e�ctension
<br /> may be requested,in writing,from the Buitding pfficial far a period not to exceed ninety(9d}days and wi�l demonstrate
<br /> justifiable cause far the e�ctension. If work ceases for ninety(90)consecutive days,the job is considered akrandoned.
<br /> WARNIN6 TO GIWNER: YOUR FAiLURE TO RECORD A NOTiCE OF COMlf1ENCEMENT 141AY RESULT IN YOUR
<br /> PAYING 7'WICE FOR IMPROVEMENTS TO YOUR PRdPERTY. IF YOU INTEND TO OBTAIN FINANCING,CbNSULT
<br /> YUli'H YOUR LEPID R OPt A"tTORNEY B FORE RECORdlNG YOU OTICE GOMMENCEHENT.
<br /> r-ior�nn,ruRa;t�.s. 7.oa}
<br /> OWNER OR AGEHT CqNT OR
<br /> �r�sw� r is ��t��x�����r}d a afii� � -
<br /> by � � -�
<br /> h srare persona known to or hasfiave produced u tsle�personaly known tp me or haslha e produced
<br /> as itlenttCicaum. as idenoficarim.
<br /> ,�, o �c �1��������„` ry F'u41ic
<br /> C,ommissia�Na. Commi�i�r No.
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<br /> „�ot* °e��s HEATHER D.H4SFELD �a�� o o a c Notary Public-State of F�orida -
<br /> r 20 "e`�' Notary Public-State of Florida ,,a _ :�;My Comm.Expires Mar 21,2016
<br /> ;�,q :�'fNy Comm.Expires Mar 21,2018 i�OFft�44�, Commission#FF 72365 ,
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<br /> '�•,',FOFF��;�'� Commission#FF 72365
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