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<br /> NO"T�CE OF DEED RESTRICTIONS: The underslgned�undee�tands��.th�t�dhls.p�rmlt:ma�.be;subJect„to"deed"restricttons"
<br /> which may.be�mor�-r.est�ictive�tha�n�Gounty r�gulatfons. �The`�.un"'d"erslgned'assumes°�esporisibitity for�compliance witfi`any
<br /> applicable deed restrlctions.
<br /> UNLICENSED CONYRACTORS .AND -CONTRACTOR RESPOMSI�ILITIES: °9f�tfie owner has -hir�d a contractor or
<br /> contractors to undertake work, th�y may.be_requlred�to be.;llcensed In.accordance.with-state.and•local regulations. If the
<br /> contractor ts not.lfcensed as�requlred`by law; both the owner and-�conVacto�-may be�cited�for a�misdemeanor vlolatlon
<br /> und�r state law. If the owner or Intended>:contraetor,:are�unce�tatn as to what Iicensing.requirements,mayr apply��for.the
<br /> intended work, they are advised to contact the Pasco County Bullding Inspectlon Divl�lon—Llcensfng�Section at 727-847-
<br /> 8009. Furthermore, tf the owner has hired a contractor o� contractors, he Is advi�ed to have the contractor(s). sign
<br /> porQions of the "contractor Block° of this application for which they will be t�sponsible. If.you, as.the owrier sign as the
<br /> contractor, that may be-an Indication that he is not�.properly Iicensed and is not entitled to permittfng privileges in Pasco
<br /> County. '
<br /> TRANSPORTA710N�IMIPACT/UTILITIES-�IMPACt'�AND-RESOURCE RECOVERY FEES: �The undersigned unde�sQands
<br /> that Trensportation Impact Fees and.Recourse Recove.ry.Fees may�:apply:to.the constndctfon of new bulldings, change of
<br /> use in existfng bulldings; or-:expansion��of�.existi�i,g'�buildings, as specifled in Pasco County Ordlnance e�umber 89-07 and
<br /> 90-07, as amended., The.undersigned aiso�understands, that:�such fees,.�s�may�tie;du�;,wfll:�be identified at the-time=of
<br />� permitting. It is furtHer understood that Transportation Impact Fees and Resource Recovery-'Fees mu�t be pald prior to
<br /> receiving a "c�rtificate..of occupancy'� or flnal-powrer:release. :16 the proj�ct does.not fnvolve-a certiflcaFe of occupancy o�
<br /> final power releaseF the fees-must be paid prior to permit Issuance. F�xthermore;�if Pasco County Vllater/�ewer Impact
<br /> fees are due,4hey�_must be-paid.prior to permit'•Issuance°in accordance with applicable P�sco County orclinances,
<br /> CONSTRUCTION L"IEPI LAW(Ch�pter 713� Florlda Statutea����mendeei): If valuation of work is$2,500.00..or more, I
<br />' certify that i, the applicant, have been provided with_ a copy- of the "Flor(da-Construction Lten Law—Homeowner's
<br /> Protectio� Guide" prepared by the Florida D�partment�of Agriculture and Consumer�Affatrs. if the applicant Is someone
<br /> other than the"owner", I certify that l�have.obadined�a copy.of.the above..described dbcuri�ent�and p.r.omi,se�in,good faith to
<br /> deliver it to the'owner"�prlor:��rcornmencement. . '
<br /> CONTRACTOR'S/OWNER'S AF�BDAVIT: I certi�y.that all the-_Information In�thi.s applic�tlon is accurat�and that all work
<br /> will�be done in compliance with all applicable laws regulating construction, zoning and land developm�nt. Appltcation (s
<br /> hereby mad� to obtain .a p�rmit to .do w►ork..and Installatlon as Indlceted::• I c�rtffy that no work �P Installatton has
<br /> commenced prior to Issuance of a permit and that.all work will be pertormed to meet standards of �II laws regulating-
<br /> construction, County and City codes, zoning regulatiQns, and land development regulations�in the jurisdtction. I also
<br /> certify that I understand that the regulations of other government agencles may�apply�to the lntended work, and that it is
<br /> my responsibility to identify'�wfiat:actions I must•take:to be,in:.conlpliance: Such agencies Include but-are.not Ilmited to:
<br /> - Depaitment of E�vironmental=Protection'-Cypress. �ayhead�, Wetland Areas and EnvfronPnentaliy Sensitive
<br /> Lands,91i1fatedWastewat�r Treatment.
<br /> - Southwrest Florida Water N9anagement ..District-Wells, Cypress."Bay.h�ads�, Wetland Areas, Aitering
<br /> VVatercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigatile Watervvays.
<br /> - Department of Health 8 RehabilitatPve Services/Environmental Healtk� Unit Well.s, .Wastewater�Treatment,
<br /> Septic Tanks. � ,
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Avlatlon Authority-Runweys.
<br /> I understand that the following,�restrictions apply to the use of flll:•
<br /> - Use of flll is not allowed in Flood Zone�V"unless expressly permitted.
<br /> - If the flll material is to be used in.�Flood Zone. "A", It. I� understood that a dratnage plan addressing a
<br /> "compensating volume" will be submitted at time of permittfng whlch is prepared by a professional engineer
<br /> Iicensed by 4he�StaQe-of Florida:
<br /> - If the fill materlal is to be used in Flood �one °A" in�connection�wlth:a �p�rmltted building using stem wrall
<br /> � coros4ruction, I ce�tify that flll�wlll=b.e us�ed only.to.fill the area within the�stern•wall.
<br /> - If flll material is �4o be used In any area, I certify that use. of such flll will not adversely affect adJacent
<br /> properties. If use of flll Is faund to adversely.�ffect adJacent�properties,.the owner may be clted for viofating
<br /> the condllions of the-b�ilding_.permit issued under the att�ched permit application, for•lots less than one (1)
<br /> acre which ere elevatetl�byflll, �et engtneered drainage plan is required. .
<br /> If I am the AGENT FOR TH�OWNER, I;promise In good fafth to Inform the owner of the permitting conditlons set forth In
<br /> this affidavit prior to commencing construction. I'underst�nd that a;separate permlt may b� requlred for electrical �nrork,
<br /> plumbing, signs, we01s, pools; �fr conditloning,.gas, or othec installatlons not•spec�ically included-in the application. .A
<br /> permit issued shall be consteued tu be a°Ilcense:to proceed with the work and not a� authortty to,violate, cancel, alter, or
<br /> set aside any provisions of the technical.codas; nor shall issuance�of a.perrrolf.prevent the�ulldirig Offic(�I from thereafter
<br /> requiring a correction.af errors In.plans, construction or violations of any codes. Every pi�rmit issued-shall become invalid
<br /> unless the work authortzed.by such permlt:�is-commenced•withln sUt months o�permlt Issuance, or If work authorized by
<br /> ihe permit is suspended�or.abandoned-for a.period of�six(8) months,.after the time the�work is commenced. An extension
<br /> may be requested, in wrEting, from the Building;Official for a period:not to exceed ninety�(90) days and will'demonstrate
<br /> justi�iable cause for.the extension. Bf work ceases,for ninety(90)cons.ecutive:days�..the)ob�is considered abandoned.
<br /> lNMItPDING 70 OIIYNER: YOUR FAILURE TO..R�C.QRD,A.NOTIGE:OF�COMMENCEMEPiT:NFAY�RESUi:T IR! YOUR
<br /> PAYIfdG'iWICE FOR�IMPROVEMENTS=TO.YOUit:PROPERiY.-1�°YO.tI}IN�'�END^TD�OB�TAIN�-FIPtAP1�1NG;�CONSULT
<br /> �IVITi�9 YOUR LENDER OR AI1��l770ttN��„BEFO'R��R�COR��IwG�YOIJR�N�TICE:O�'C�MMEMC�E�91ENTs _ -
<br /> FLOFiiDA-•f�n^F.�i�:S:i-:�8y-- - - - �
<br /> o1MP1E1s OR AOENT�� �'�� COPITRACTO -K-e� �.1��
<br /> Subscribed and swam to(or aPflrmed)before m is Subsalbed and'swom to(or afllrmed)'before me thi�
<br />', by �by
<br />, Who Islare pensonally known to.me or ha�/have produced Who ls/are p.ersonallyknown to me or has/have produced •
<br /> �
<br /> as IdenUBcatlon. � as Idendflcatlon.
<br />� � � '
<br /> Note Publi . Notary Public
<br /> Comm lon 0•`'�N'Y PYe'•., JOEL E,BACON
<br /> Com is on No.
<br /> _;; •;�: ommissi s�• 9c•; EL BpC
<br /> ;�. :a�: Expires June 29,2018 ='� ':�= Com E� ON
<br /> Name of No [yFp�9�i�l�rin e6 - Name of fVotary type ,",pI;`�lr � une 2g,�018
<br /> , Bortded Thn�iroy Fain�esurance
<br /> 8IX1385-7079
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