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`' � NOTlCE 4F DEEQ RESTRiCT10NS: The undersigned underskands that this permit may be subject#o"deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicabie deed restrictions.
<br /> UNUCENSED CQNTRQGTORS AND CONTFtACTOR RESPQNSIBI�ITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with s#ate and(ocal regulations. If the
<br /> contractor is not licensed as required by law, bofh fhe owner and conEractor may be cited for a misdemeanor vialation
<br /> under state law. 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 Paseo County 8uilding Inspection Division—�icensing Secfion at 727-847-
<br /> 8C109. Furthermare, if the owner has hired a cantractor or contractars, he is advised to have the contractar(s) sign
<br /> portions of the"contractor Block"of this application for which they will be respansible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not propefly licensed and is not entitled to permitfing privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE REC4VERY FEHS: The undersigned unders#ands
<br /> fhat Transportation lmpact Fees and Recourse Recavery Fees may apply ta the constructian of new buildings,change af
<br /> use in existing buildings,or expansion of exisHng buildings,as specified in Pasco County Qrdinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands,that such fees,as may be due,wiil be identified af the time of
<br /> petmitting. It is further understoad that Transporfation Impact Fees and ftesource f2ecovery Fees must be paid ptias to
<br /> receiving a"cer#ificate of occupancy"or final pawer release. If the project does not involve a certificate of accupancy or
<br /> final power release,the fees must be paid priar to permit issuance. Furthermore, if Pasco County Wa#edSewer Impact
<br /> fees are due,they must he paid prior to permit issuance in accordance wiih applicab(e Pasco County ordinances.
<br /> CONSTRUCTlON LlEN LAW(Chapter 713,Florida Statutes,as amended�: If valuation of work is$2,500.00 or more,I
<br /> certify that t, the appficant, fiave been provided with a copy of the "Florida Construction Lien Law—Nomeowner's
<br /> Protection Guide"prepared by the F(orida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other than the"owner",I certify that I have abtained a copy of the above described document and promise in goad faith to
<br /> deliver it ta the`owner"priar to commencement.
<br /> CONTi2ACTOR'StOWNER'S AFFiDAVfT: i certify that all the information in this application is accurate and that a!!work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development. App(ication is
<br /> hereby made to obtain a permif to da work and insfaNafion as indicated. i certify that na work or instaHation has
<br /> commenced prior to issuance of a permit and that all work wil! be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 aiso
<br /> certify fhat 1 undersfand that the regulations of other govemment agencies may apply to the intended worEc,and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Senssfive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Sauthwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Gorps af Engineers-Seawalfs,Docks,Navigable Watenvays.
<br /> - Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treafinent,
<br /> Sepfic Tanks.
<br /> - US Enviranmental Protection Age�cy-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> (undarstand that the fotiawing testrictions app{y to the use of fi{L
<br /> - Use of fi!!is not allowed in Flood Zone"V'unless expressly permitted.
<br /> - If tha fill material is to be used in Flood Zone "A", it is undersfood that a drainage p(an addressing a
<br /> °compensating valume"wii!be submitted at time of permitting which is prepared by a prafessional engineer
<br /> licensed by the State af Florida.
<br /> - If the fill materiai is to be used in Flood Zone"A"in connection with a permitted building using stem wall
<br /> canstruction,i certify that fiA wi!!be used only Yo fi!{the area within the sYem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properfies. If use af fill is found to adversety affecf adjacent properties,the awner may be cited far violating
<br /> the conditians of the building permit issued unde�the attached permik application,for lots less than one (1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> if 1 am the AGENT FOR THE OWNER,1 promise in good faith ta inform the owner af the permitting conditions sei fortn in
<br /> this affidavit prior to comrnencing construction. 1 understand that a separate permit may be raquired for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, ar other insfallafians not specifically included in the application. A
<br /> permit Essued shal!be construed to be a iicense to proceeB with the work and nat as autharity to viatate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,canstruction or violations of any cades. Every pe�rnit issued shal]hecome invalid
<br /> unless the work autha�zed by such permit is commenced within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandaned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be reqnesfed,in wri6ng,frorn the Building O�cial for a period not ta exceed ninety{90)days and wii{demonstrate
<br /> justifiable cause for ihe e�ctensian. if work ceases for ninety(90j consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAllUF2E TO RECdRD A NQTlCE OF COMMENGEMENT MAY RESULT IN YOUl2
<br /> PAYING TWlCE FOR IMPRdVEMENTB TO YOUR PROPER'1Y. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN A7TORNEY BEFORE RECORDING YOUFt NOTtCE OF COMMENCEMENT.
<br />� F�ORiDA JURAT(F.S.11T.43}
<br />' OWNBF2 OR AGENT COt3Ti2Ac.'i�R"��-�
<br /> Subscribed and sworn to(ar affirmed)befpre me this Subscribed and swom to(or affirmed)before me this
<br /> by �'t�o'o�Ol�i by�x'i('� y0[rc`cG
<br /> Who islare personaliy known to me or haslhave produced Who islare persanailv knawnso_me�r ha ave produced
<br /> as identi5cat{on_ as iden6fication.
<br /> Notary PubSic i���y.�i t�.,KA+,u�. Notary Pu6lic
<br /> Gommission No. �Commission No. �� t���-t TERRI A RITTER
<br /> Notary Public•State of Florida
<br /> Name of Natary typed,printed or stamped Name of Notary typed,printed or stamped O�T1fT11SStOfI FF 98179
<br /> tuiy Cammissian E�ires
<br /> May 8,20i 8
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