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<br /> i NOT{CE QF DEED RESTRICTIONS: The underslgned understands that this permit m y be sub)ect ta"deed°restrictions"
<br /> I which may be more restrlctfve than C unty cegulatlans. The underslgn�d assumes r.es onsibUity for compi(anee wifh any
<br /> i applicable deed restr(ctlans. ; `
<br /> I UNLlCENSED CUNTRACTORS AN CONTRACTOR RESPONS18iLiTIES: If fhe owner has hired a contr�ctor or
<br /> cantractors ta undertake work, they y be req�llred #a be !(aensed (n accordance w(�h s�afe and local reguiat(ons,� If fhe
<br /> � contractor is nof iicansed as required by law, both tlie owner and contractor may be cited for a mfsdemeanor vlolatlon
<br /> � under state law. if th��owner or inte ded contractor are uncerta3n as to what i#censi g requlrernents may apply for the
<br /> I intended work, they are advlsed to co tact the Pasco County Bu(Iding Inspection Divisi n--Licensing 8eetfon at 727-847-
<br /> 8009. Furthermore, if tha owner ha hired a contractor or contractars, he !s advls d to have the contractar(s) s(gn
<br /> I portions of the "contractor Blook" of t is appiication far which they wi!! be respansfb}e !f you, as the o.wner sign;as the
<br /> contrac#or, that may be an indlcat(on hat he Is nof properiy ilcensed and is not entitfe ta permitfing privlieges In�Pasca
<br /> County. • ' �
<br /> TRANSPORTATiON IMPACTiUTitl ES IMPACT AND RESOURCE REGQYERY FE S: The und+ersigned understands
<br /> that Transportation Impact Fees and scourse Recovery Fees may.appiy ta the const uction af new bulldings, change af
<br /> use In exfsting buildings, or expanslo. of existing buildings, as speclfied in Pasco Co nty Ordinance number 89-07 and
<br /> 90-07, as amended, The underslgne also understands, #hat such fees, as may be ue, w01 be Identlfied at the time af
<br /> permitting. If ls further understood t at Transportation Impact Fees and Ftesource R aovery Fees must be pald prlor ta
<br /> recefving a "cerkiflaate of occupanoy" or flnal power release. If fhe proJect does not i ofve a certiffcate af aocupancy or
<br /> finai powar release, the fees must b paid pritir to permit issuance. Furthermore, if asca County Wafer/Sewer�Impact
<br /> fees are due, they must be paid priar o permit lssuance in accordance uulth appllcable asco Gounty ardinances.
<br /> CONSTRUCTION LIEN LAW{Chap# r 713, Florida Statutes, as amenciedj; if valua ion of wark fs $2,500.00 or more, i
<br /> cerkify that !, the appllcant, have b en provlded wfth a copy of the "Florida Con fruction Lien L.aw—Hameowner's
<br /> Protection Guide" prepared by the FI rlda Depar#ment of Agriculture and Consumer ffalrs. If the appllcant is someone
<br /> ofher than the°ownar", f certify that I ave obtained a copy of the abave described da ment and promise In goad rf.aith to
<br /> deliver lt to the uowner"priar to comm ncemen#.
<br /> CONi'RACTOR'S10WNER'S AFFlD VlT: 4 certlfy that all the Informa�lon !n khis app) atfon (s accurate and that all work
<br /> will�be done in compliance with aN a plioable (aws regulating aonstructlan, zoning an land development. App!lcatlon is
<br /> hereby made to abta(n a permit fo do work and (nsfal{atian as indica#ed. ( certi that no work ar instaifation has
<br /> commenced prior to fssuance of a ermit and that all work wlll be performed to m et standards of a(I laws regulating
<br /> construetlon, Caunty and Clty code , zoning regulations, and land develapment re ulatlons in the Jurlsdlction.� I also �
<br /> certlfy that i understand that the reg lations af o#iier government agencies may appiy to the fnterided work, and that !t is
<br /> my responsibiliky to identlfy what acti ns I must take to be tn compliance. Such agenci s include buf are not iimited to:
<br /> - DeparEmenE of �nviromm �tal Pro#ectlor�-Cypress Bayheads, UVetland Ar as and Envlranmentally Sens(tive
<br /> Lands, WaferJWastewafe Treatment, '
<br /> - Southwest Florida Wa er Management Disfrlc#-Weils, Cypress 8a heads, Wefland Areas, Aitering '
<br /> Watercourses.
<br /> - Army Carps of Englneers Seawalls, Qocks,Navlgable Waterways.
<br /> - Department of Mealth Rehabi{itative Servicesl�nvironmentai Heaith n4t-Wel4s, Waskewater Treatment,
<br /> Septla Tanks. i
<br /> - US Envlronmental Prote i#on Agency-Asbestos abatement. �
<br /> - Federal Avfatfon Authorf -Runways.
<br /> ! undersfand thaf fhe following restric.(ons apply�to the use of fliL•�
<br /> - Use oF fill is not allowed i Fload Zone"V"unless expressl�i perm(ited.
<br /> - if the flll materfaf is #o e used in Flood Zone "A", (t Is understood t at a dralnage plan addressing a
<br /> "compensating voiuma"" ili be submitted af tlme of permltting which (s p epared by a professiana! e'ngEneer
<br /> ((censed by fhe State of tor(da,
<br /> - !f th� flll materla) is to used (n Flood Zone �A" !n connecflon wlth a perm(tted bulldlhg using stem wai(
<br /> � canstruetion, i certliy tha fiH wEf) be used oniy to fi!!the area wlthln the ste wall.
<br /> - If fill material Is to be sed (n any area, 1 certify that usa of such fiil wi(i not adverse{y affect adjacent
<br /> properkles. If use of flll i found to�adversety affecfi�adjacent properfies, t e owner may be cifed for vioiating
<br /> the condltlons af the bu!ding pe�mlt lssued under the attached permit a p!lcation, for lots less than�one (1)
<br /> acre wMch are etevated y flii, an engineered drainage plan ls+Feq�fred. #;j f� ,�
<br /> !f ! am the AGENT FOR TNE OWN , I prom(se in goad faith to inform�the owne`r of he permitting canditians set forth (n
<br /> this affldavit pr{or to cQmmencing co structlon. I understand ihat a separaEe permlE ay.;be requlred for efectrical work,
<br /> plumbing, slgns, wells; poots, a1r co dEtEaning, gas, or other InstaNakions not specifi ally included in the appllcatlon: A.
<br /> permit issued shall be constrt�ed to e a license#o proeeed with the wotk and not as authority to,v!olate, cancel, a4ter, or
<br /> set aside any provisions of the techn ca! codes, nor shall Issuance of a permit preven the Bvlldirig Officiai from thereafter
<br /> requ(rfng a correction oi errars in pla s, constructlon or vlalatEons of any codes. Eve permit issued�shall become Invalld
<br /> unless the work authorized by such ermit is commanoed withln slx manths af perm issuance, ar if work authorized by
<br /> the permit Is suspended or aba�ndon d for a period of six{8j manths after fhe time th wark is commenced. An exfension
<br /> may be reqttested, !n wrlting, from t e Bullding,Offictal for a period not ta exceed n( ety (90) days and wlii demonsfrate
<br /> justiffabie cause for the extension, if ork ceases for rtine#y(90)consecut4ve days, th Job Is consldered abandoned.
<br /> WARNlNG TO OWNER; Y4UR F ILURE TQ RECORD A NOTtCE OF COMME GEMENT MAY RESULT IN YQUR
<br /> PAYlNG TW10E FC?R lMPIRQVEME _T_S�TO YOUR PR'dpERTY. !F YOU 1�1'�END T 0.8TAIN FINANGIN�� CONSULT
<br /> WfT <O LE D . � R E. . Ft'�. EC RDI G Y� - = O E �E T��==---=—}---�=---�-=
<br /> �LORIDA JURAT(F.S, 117.�3) _ �
<br /> OWNER OR AOENT CONTRAGTp 4x�-C./
<br /> Subscribed end swom to(or af�rmed)before e this Subsctibed an swam ta(or afflrme )-befare me#hls
<br /> bY �Y
<br /> Who Islare personaily known to me or hasiha e produoed Who slsre�persdnaiiy known ta me r hasJt�ave produeed
<br /> as IdenHfica on. as ldentiflcafion.
<br /> i
<br /> Notary Publlc � � Notary Qubife
<br /> Commission No. Commis a. �
<br /> .•���iYPi%a�. J EL E.BACON
<br /> Name of Natary typed,p�inted or stamped Name of Notary fype ' y�fs ' ion#FF 137073
<br /> ,� •a� E pires June 29,2018
<br /> '�,,a,��°+'` 9 dedThmTroyFeinlnsurence800.3B5�7019 '
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