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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned under�tands°.that thls.p�rmif.may be.subJect to"deed"restrictions"
<br /> which may be,moce:rest�ictive�than County regulations. �The undersigned assumes responsibility for compilance wikh any
<br /> applicable deed restrictions. -
<br /> UNLICEIdSED CONTRACTORS AND COPITRAC70R RESPONSIBIL-ITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required:,to be:licensed In accordance.wlth state.and•local regulations. If the
<br /> contractor is not licensed as required`�by law, both the owner and contractor-may be clted for a mtsdemeanor violatton
<br /> under state law. If the owner or intended contractor are-uncertain as to what Iicensing.requirements may�apply.�for the
<br /> intended work, they are advfsed to contact the Pasco County Buliding Inspection Divislon—Llcensing Section at�27-847-
<br /> 8008. Furthermore, If the owner has hlred a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portlons of the "contractor Block° of this application for which they wlll kie responsible. If you, as.fhe owner sign as the
<br /> contractor, that tnay be an indication that he is not.properly Ncensed and is not entitled to permitting priuileges In Pasco
<br /> County. �
<br /> TRANSPORTATION.IMPACTIUTILITIES�IMRAC7 AND RESOURCE RECOV@RY�FEES: The undersigned understands_
<br /> � �hwt_..'['c��s�o�t�t!on lea��act-��e§��d:R�co�r�e-�acoveey.-Faes=may�-apply'to the consfniction of nevir tiuildings, change of --
<br /> -use in existing bufldi�gs, or;expansions of�existi�ig�6uiliiings, as specifled ln Pascv County Ordinance number 89-07 and
<br /> 90-07, as amended. The,undersigned also understands, that such fees,:as;may be:dne„wlll be Identlfied at the time of ',
<br /> permitting. It is further understood that Transportation Impact Fees and°Resource Recovery'Fees must be pafd prlor to
<br /> receiving a "cerfificate.of o.ccupancy" or flnal.power release. :If the project.does not involve a certfflcate�of occupancy or
<br /> final power release, the f�es must be patd�pcior to permit-Issuance. Fu�thermore;�if:Pasco County Water/Sewer Impact
<br /> fees are due, they�must be-pald;prtor to permit-Issuance�in accordance with applicable Pasco.County ordinances.
<br /> CONSTRUCTION LIEN`Li�W(Chapter T7�� �lorl��Statutes�as amended): If valuatlon of work is$2.500.00 or more, I
<br /> certify that I, the, applicant, have.been provided writh a copy of the "Florida Construction Llen Law—Homeowner's
<br /> Protection Guide" prepared by th.e Florida Department of Agric.ulture and ConsumerAffairs. If the applicant is someone
<br /> other than the"owner", I certlfy that I have.obtained a copy;of the above..described docui►aent°and promise in.good faith to
<br /> deliver it to the"owne�'�prior to.commencement:
<br /> CONTRACTOR'SIOWNER'8 AFFIDAVIT: I certify that.ail the information�iri`thl� appl(catlon is accurate and that all work
<br /> will'be done in compliance with all applicable lawrs regulating construction, zoning and land development. Appilcation is
<br /> hereby made to obtain .a permit to do work.and installation as indicafed.• `I certifj► 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 regulatio.ns, and land development regulations�in the jurisdiction. I also
<br /> 'certlfy that I understand that the regulations of other government agencies may�apply�to the lntended work, and that it is
<br /> my responsibllity to identify•what,actions I must take to be,in:.conlpliance. S,uch agencles include but are.not limited to:
<br /> - Department of Environmental Protection=Cypress. Bayheads; Wetland Areas and Envlronmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management..District=Wells, Cypress. Bay.heads, Wetland Areas, Altering
<br /> Watercourses. .
<br /> - Army Corps of Engineers=Seawalls, Docks, Navlgable Waterways.
<br /> - Department of Health 8 Rehabilitative Services/Environmental Health Unit Wells� Wastewater�Treatment,
<br /> Septic Tanks. _
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federal Avtatlon.Authorhy-Runw►ays.
<br /> I understand that the following,restrictions apply to the use of flll:� �
<br /> - Use of fill is not ailowed in Flood Zone°V"unless expressly permittgd.
<br /> - If the fiil material ts to �e� used``in Flood Zone "A", ft. is understood that:a drainage plan addresstng a
<br /> "compensating volume".will be subm(tted at time of_p�rmltting which is prepared by a professional engineer
<br /> licensed by#he State-of,Flor(da. �'
<br /> - If the fill material.(s:to be used in Flood Zone °A" in:connection wlth.a�permitted building using stem wall
<br /> construction, i certify th.at fll�.will:b.e used only.to flll the area within:the stem waii.
<br /> - If fill material is to be used in any area, I certify that .use. of such- flll will not adversely affect adjacent
<br /> properties. if use�of flll is found to adversely:affect adJaeent�pcopertie5,.the owner may be cited for viofating
<br /> the conditions of the 6uilding;permit issued under the attached permit.application, for lots less than:one (1)
<br /> acre which are elevated by flil, aR englneered drainage plan is required:
<br /> If I am the AGENT FOR THE OWNER,`I;promise in good faith to inform the owner of�the permitting conditions set forth in
<br /> this affidavit��prtor to commencing,construction. I understand that a-separate permlt may be required for electrical work,
<br /> plumbing, signs, wells, pools; air condltioning,.gas, or other install�tions no��spec�ically included�in.the application. .A
<br /> permit issued shall be construed to�be�-a'�Iicense fo proceed with the`wo�k and not as:authority to.violate,cancel, alter, or
<br /> set aside any�provisions of the technical:codes; nor shall�issuance`of=a:permit.prevent the Bulldirig O(ficial from thereafter
<br /> requiring a correction af ercors In�plans, construction or vlolations of any oodes:; Ev.ery piermlt issued shall-become invalid
<br /> unless the work authorized..by s.ucFi permit��s-commenced�wtthln six;months of permit issuance, or if work authorized by
<br /> the permif is_suspended or.abandoned for a:per(odtof six�(B)-monttis,:after the time the work ts commenced. An extension
<br /> may be requested, in writing; from the Building.Officlal for a period::not•to exceed ninety�(90) days and will demonstrate
<br /> justifiable cause•for.�the extension. If work ceases:for ninety(90)cons.ecutive:days�..the job�is considered abandoned.
<br /> WARNING"-TO'OWNER: YO.UR..FAILURE.T�Q:REC'OltD.A�'.NOTIGE�OF.�COMMENCEMEt�T NtAY=RESULT IN YOUR
<br /> PAYING TINICE,;FOR;IMPROVEMEN.TS=TO;YOUR:_PROPERTY.-:.IF YO.U�IIdTEPiD'°TQ�:OBTAIN�FI�FANCING,�CONSULT
<br /> WITH YOUR-LENDER�OR AN A7TORNEYBfFOR�-RECOR�ING�YOUR'NOTICE`OF�COf9�NlENCENJENT
<br /> FLORIDA JURAT,(F.S.,1.17 Q3) . � � - � -
<br /> ` `.
<br /> OWNER OR AOENT ' CONTRACTOR D�-`-�/ "
<br /> Subscrlbed and swom (or a�irmed)before me this - Subscribed nd'swom to(or aHirmed)�before me'ltiis
<br /> by 3- ��
<br /> Who is/are personally knovm to me or�has/l�aye produced � Who ts/are p.e_ nallyacno ta me.or has/have+produced
<br /> ' 'as IderitlBcatlon. as IdentldcaUon.
<br /> -Notary Public- Notary Publlc
<br /> Commisslon No. � � � `Com on No.
<br /> . „�. , _. . _ .
<br /> . r ,,,11T➢'I,
<br /> Name o(Nt�tary typed,.printed or;stamped Name of Nota � �_t��
<br /> ►, .: , � � : - ��I� F 150422
<br /> . " :;;;�, _P�; Expires December 12,2018
<br /> ��•�p���°�`� Bonded Thru Tray Fain Ineurencu 800�588�701A
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