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<br /> NOTlCE QF DEED R�STRICTEt�NS: The undersigned undersfi�nds that this permit may bs subject to"deed" restrictions"
<br /> 'r which may be rnore restric#ive tl��Gi�! County regulatians. The undersigned assumes respansibility for compliance with any
<br /> applicable deed restric#ions. ' ,
<br /> UNLIC�NSEp CONTRACT�92� AiJD C�NTRACTOR RESPONSiBiLiTtES: If the owner has hired a confiractor or
<br /> cantractars to undertake �-vorlc, they may be required to be licensed in accordance with state and local regulations !f the
<br /> contractor is nat IicensecJ as required by law, both the owner and contractar may be cited for a misdemeanor violation
<br /> under state lavu. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Buifding (nspectian Division—Licansing Sectian at?27-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or cantractors, he is advised to have the contractar(s) sign
<br /> partions of the "contractor Block" of this application for which they will be responsible. !f you, as the owner sign as #he
<br /> contractor, that may be an indicatian that he is not properly licensed and is not entitied to permitting privi(eges in Pasco
<br /> Caunty � �
<br /> FRANSPORTATIQN IMF'ACTIUTlLITIES IMPAGT AND RESOURCE RECt}VERY FEES: The undersigned understands
<br /> that Transportation Impact �ees and Recourse Recovery Fees may appiy to the canstruction of new buildings, change ofi
<br /> use in existing Uuildings, or expansion af existing buildings, as specified in Pasca County Ordinance number 89-Q7 and
<br /> 90-d7, as amended. The undersigned also unders#ands, that such fees, as may be tiue, wiil be identifed at the time af
<br /> permitting. It is furkher und�rstood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certiftcate af occupancy° or final power release. If the project does not invalve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Cc�unty Water/Sewer Impact
<br /> fees are due, they must be paid peior to permit issuance in accordance with applicable Pasco County ardinances.
<br /> COINSTRUCTION LIEN LAW(Chapter 713, Ftorida Statutes, as amended): lf valuatian of work is $2,500.00 or more, I
<br /> certiiy that l, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department af Agricu(ture and Consumer Affairs. If the applicant is sameone
<br /> other than the"owner`", I certify that I have obtained a copy of the abave described document and promise in good faith to
<br /> deliver ifi to the"owner" priar to camrnencement.
<br /> COfVTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating canstruction, zoning and fand development. Application is
<br /> hereby made to obtain a permit to do work and instaliation as indicated. I certify that no work or installation has
<br /> commenced prior ta issuance of a permit and that al! work will he performec! to meet standards of all laws regulating
<br /> construcfiion, County and City codes, zoning regu(ations, and land development reguiations in #he jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply ta the intended work, and that it is
<br /> ;�ny responsibility to identify what actions 1 musfi take to be in compliance. Such agencies include but are not limited to
<br /> - Department of Enviranmental Protection-Cypress Bayheads, Wetland Areas and Environmentally �ensitive
<br /> Lands, WaterlWastewater Treatment.
<br /> - Sauthwest Florida Water Management District-Wei(s, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Dacks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Fnvironmental Pratection Agency-Asbestas abatement.
<br /> - Fedesal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not aUowed in Flood Zone"V" unless expressly permitted.
<br /> - lf the fill material 'ss to be used in Fioad 2ane "A", it is understaod that a drainage pian addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connectian with a permitted building using stem wall
<br /> construction, I certify that fill will be used only ta fill the area within the stem walf.
<br /> - 1f fili material is to be used in any area, 1 certify that use of such fiil wili not adverseiy affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditians of the building permit issued under the attached permit app{ication, for lots less than one {1}
<br /> acre which are elevated by�II, an engineered drainage plan is required.
<br /> If 1 am the AGEhlT F4R THE OWNER, 1 promise in good faith to infarm the ov,rner of the perrtlitting conditions set forth in
<br /> � this affidavit prio� to commencing constructian. I un�erstand that a separate permit may be required for electrical work,
<br /> p!u►�bing, signs, welfs, paols, air eonditioning, gas, ar o#her installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisians of the technical codes, nor shall issuance of a permit prev�nt the Building Official fram thereafter
<br /> �equiring a carrection of errors in plans, constructian or violations of any cades. Every permit issued shall became invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work autharized by
<br /> the permit is suspended or abandaned far a periad of six{6} months after the time the work is commenced. An exiension
<br /> m�y be requested, in writing, .from the Building Official far a period nat to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases far ninety t90}c�r,sec��ti�,�e wY}r�, th�;�h 6s uu^�:��retf aba��oned.
<br /> WAI�IVING TO OWNER: YOUiZ FAIL.URE "CO RECORD A NOTIC� OF GO(If1NlENCEMENT l!�/�Y RESULT lN YOUR
<br /> PAY11�G T6NiCE FOR IMPROVEMENTS TO YOUR PRQPERTY. IF YOU INTEND TO C}BTAIN FINANCtNG,CONSUL.T
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<br /> FLOREC�A JU�2R-f(F.S '117.0 . -------- —v
<br /> OWNER OR AGENT � " CONTRACTOR
<br /> Subscribed and s n ta{or �rmed} efare me tttis Subscribed and swom to(or afEirmed)before me fhis
<br /> U,� Z, by��i /2 ���(.�L _��—bY�Q+.�_� �Q
<br /> Who i are p�rsonallytttio�7n fo�i�"�rave produced W i re persoqaNq-k�iawn to '�ave produced
<br /> as�dent�f�caEian. `'���------..�rn�Y��--�s identificatian.
<br /> QI'�A.lovett 0livia A.Lovett
<br /> Nc�taty Publkc,St�te of Flo�d��016 Notary Pubiic,S�t�Of�IO(I{�8 Notary Public
<br /> � � mm�ss�on ires August 49,2016 � i
<br /> Cammission Na �4t'tl.�0. ��8�a��9 Commissiott RIo.
<br /> Name of Notary fyped,priniecf or stamped Name a{Notary typed,printed ar statnped
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