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,� . NOTiCE OF dEED F2ESTRtCTiQNS: The undersigned understands#hat this permit may be subject to"deed"restrictions" <br /> wriich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UN�iCENSED GONTRACTORS AND GOriI'i'RACT4R RESPOidSIBELITfES: tf the owner has hired a contractor ar <br /> contractors to undertake warlc,they may be required to be licensed in accardance with state and local regulations. If the <br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation <br /> under state!aw_ Sf the awner ar intended cantrac#ar are uncertain as to what Iicensing requ9rements may appiy far the <br /> intended work,they are advised to contac#the Pasco Couniy Building Inspection Division—Licensing Sectian at 72T-847- <br /> 8009. Furthermore, if the owner has hired a contractor ar contractors, he is advised ta have the contractor(s) sign <br /> , portions af the"contracfor Black"of this application for which fhey wili be respansible_ If you,as the awner sign as the <br /> � contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> ; County. <br /> � TE2ANSPORTATIQN IMPACTNTILt2iES IIktIPAGT AND RES4UE2CE RECOVEi2Y FEES: The undersigned understands <br /> that Transportation fmpact Fees and Recourse Recovery Fees may appiy to the cons#ruction of new buitdings,cfiange of <br /> use in existing buildings,or expansion of existing buildings, as specified in Pasco Counry Ordinance number 89-07 and <br /> 90-47,as amended. Ttse undersigned aiso ursderstands,that such fees,as may be due,witt be identified at the tirrie of <br /> permitting, it is further understood that Transporta6on impact Fees and Resource i2ecovery Fees must be paid prior to <br /> receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or <br /> finai pawer release,the fees must be paid priar to permit issuance. Furthermore,if Pasco Gounty WateriSewer impact <br /> fees are due,they must be paid prior to permit issuance in accordance with appticabte Pasco County ordinances. <br /> CONSTRUCTION L.IEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I <br /> certiiy that I, the appticant, have been provided with a copy of the "Ftc�rida Construction lsen Law—Homeowne�'s <br /> Protection Guide'prepared by the Florida Department of Agricul#ure and Consumer Affairs. if the appticant is sorneane <br /> other than the"owner`,I certify that I have obtained a copy of the above described document and promise in good faith to <br /> deliver it to the"owner"grior to commencement. <br /> G�NTt2ACTOR'SIC3WNER'S AFFIDAVIT: 1 certify that aIi the infarmatfon in this application is accurate and fhat aiI work <br /> will be done in compliance with all applicable laws regulating construction,zoning and land develapment. Application is <br /> hereby made to obtain a permit to do work and installation as indicated. ! certity thaY no work or insta!lation has <br /> commenced grior fo issuance of a permit and that ail work will be perFcrrrned to meet standards of at1 laws negulat9ng <br /> canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br /> certify that!understand that the regulations of other govemment agencies may apply to the intended work,and that it is <br /> my responsibitity ta iden6iy whaf actians 1 must take to be in compliance. Such agencies include but are not tirnited to: <br /> - Department af Environmental F'rotection-Gypress Bayheads,Wetland Areas and Environmentally Sensitive <br /> Lands,WateNWastewater Treatment. <br /> - Southwest Florida Water Nlanagement District Welts, Cypress Bayheads, iNetland Areas, Altering <br /> � Watercourses. <br /> - Army Corps of EngineersSeawalls,Docks,Navigable Waterways. <br /> - Departmenf of Health & Rehab"siitative ServiceslEnvironmental HeaSfh Unit-Vltetls, Wastewater Treatment, <br /> Septic 1'anks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federat Aviatian Authority-Runways. <br /> I understand that the foilowing restrictions apply to the use of fill: <br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. <br /> - If the fi11 rrtateria! is to be used in Ftood Zone "A", it is understaod thai a drainage p(an addressing a <br /> "compensating volume"will be submitted at time of permifting which is prepared by a professional engineer <br /> licensed by the State of Florida. <br /> - If the fiil materia(is to be used in Flood Zone A° in connectaon with a pemtitted building using stem waU <br /> constntction,1 ce�tify that firi wil!be used aniy to filt the area within the stem watt. <br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent <br />; properties. If use of fill is found ta adversely affiect adjacent properties,the owner may be cited for violating <br /> the conditions of the building permit issued under the atfached pesmit application,for to#s Iess than one{1} <br />� acre which are elevated by fill,an engineered drainage plan is required. <br />! If t am the AGENT FQR THE OWNER,I promise'sn good faith io inform the owner of the pertnitting conditions set forth in <br /> this affidavit prior to cammencing constructian. t understand that a separate permif may be required for electrical wark, <br /> plumbing, signs, wells, paols, air conditianing, gas, or other installations not specifically included in the application. A <br /> permit issued sha!!be construed ta be a license to proceed with the work and not as authority to violate,cancel,alter,or <br /> set aside any pravisians of#he technical codes,nor shalt issuanc.�;of a permit prevent the Building tJffiaal trom thereafter <br /> requiring a correction of errors in plans,construction ar violations of any codes. Every permit issued shall become invatid <br /> unless the work authorized by such permit is commenced within six months of permit issuance,or'rf work authorized by <br /> the permit is suspended or abandoned for a periad of six(6)months after the time the work is commenced. An extension <br /> may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and witl demonstrate <br /> justifiable cause for the extension. If work ceases far ninety(90)cansecutive days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTtCE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,COIdSULT <br /> 1MTH YOUI2 LENDER OR N AT'�'ORNEY SEFQF2E RECdRDlt1G YQUt2 NQT1G OF G0IVIMENGEMENT. <br /> FLORIDA JURAT(F.S.117.03) . <br /> ut•y * N�� — <br /> OWNER OR AGENT CONTRACTQR <br /> $ �:� S scri6ed and swa�}a{or�rmed},�efo[e me th3s Subscxihed nd swom tq{or affi e�}befor�me thEs <br /> ? .��c '�bY S �G.�'fS El4'!� �1�bY �-�.�_�5 �?4�1e <br /> �a� �fi Who is/are qersonallv known ta me or sfhave produced Who is/are qersanalhr knovm to me or h ave produced <br /> �. as ideMfica6on. as identiflcation. <br /> m � <br /> ��� ��,,,h.�.'...� i� LI'�� V Nafary Pubtic �\U�-'L.�-Z+'"` "'�'"l/y�""'t�•..��1 Notary Public <br /> w tis��� { )2 t <br /> �� �� Commis ion No. �� L � Cammissian No. � � i J <br /> ^� ��.Q,���•��v4 Q.��- v <br /> � <br /> �j-�',��� Name of Notary typed, rinted or stamped Name of Notary p' r stamg • <br /> �o ��s �aS�+�oN iob�MB N4L PaD�B �,.�°"jo�r MY COMMiSSI0N;1 PF 191311 <br /> �o� 6tOZ'�Z�BW�S3HIdX3 �' f�' � * EXP1flES;M8y 2f,2019 <br /> t tEt$t��#NOISStINWOa I�Nt � �` '�'',rF�,F F�e.�Q�" B�led Tha�B��Nw+No�ro tarvkes <br /> �JNIHQ'f�N�HMI '''�o�;"'�•^� <br />