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NOTIGE C7F DEED RES7RICTlO�lS: The underslgned �mderstands that this permit may be subject ta"deed" restrictions"
<br /> which may be mare restrictive than County regulations. The undersigned assumes respansibiiity for compiiance wi#h any
<br /> � app;;Labie deed restrictians.
<br /> !1[�LtCE�]SED COh��'RACTt3RS A►ND C�NTiRACT4R R�SPt�i����ILtT`IES: Cf the owner has hired a contractor ar
<br /> contractors to underta{<e work, they may be required to.be licensed in accordance with sfate and local regulations If the
<br /> contractor is not ficensed as required by law, both the awner and contractor may be cited for a misdemeanor violation
<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 cantact the Pasco Counky Building Inspection Division—Licensing �ection at 727-847-
<br /> 8009. Furthermare, if the owner has hired a contractor ar conkractars, he is advised to have the contractor(s} sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly Eicensed and is not entitled to permitting.priv_ileges in Pasco .. ... _
<br /> _... ._County...._. . •
<br /> TRANSPORTATIQN !(U1P�1CT/UTlL17'!ES �MPACT AND f?ESOIYE�CE REGOVERY FEES: The undersigned understands
<br /> that Transportation impac# F�es and Recourse Recovery Fees may apply to fihe construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The unciersigned also understands, that such fees, as may tte dtte, will be identified at the fiime of
<br /> permitting. It is further understood that Transportatian Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "cer�ificate of occupancy" or final power release. !f the project does rtat involve a ce�tificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuanc� Furthermore, if Pasca County Water/5ewer Impact
<br /> fees are due,they must be paid priar to permit issuanc� in accordance with applicable Pasco County ordinances.
<br /> GOV�STRUCTIQN C.tEN LAiN{Chapter 713, Florida Statutes, as amenc�ed). If va{uation af work is $2,500.Od or more, 1
<br /> certify that I, the applicant, have been provided with a copy of ihe "Florida Construction Lien Law—Homeowner's
<br /> Pratection Guide" prepared by the Flarida Departrnent of Agriculture and Consumer Aifairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy af the above described document and promise in good faith to
<br /> deliver it to the"owner" priar ta commencement.
<br /> COiVTRACTOR'S/OWh1ER'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 constructian, zoning ansi land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. i certify that no work or insfial(ation has
<br /> commenced priar to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> constructian, Caunty and City codes, zaning regulatians, and land cfevelapment regulations in the jurisdiction 1 also
<br /> certify that I undersfiand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> ;�ny responsibility fio identify what actions 1 must t�ke to be in campliance. Such agencies include but are nat limited to�
<br /> - Department of Environmentai Protection-Cypress Bayheads, Wetlar�d Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwes# Florida 1Nater Nianagernent District-Wel(s, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Ertgineers-Seawalls, Dacks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanlcs.
<br /> - llS Fnvironmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways �
<br /> I understand that the faliowing restrictions apply to the use of fill:
<br /> - Use af fill is not allawed in Flood Zone"V" unless expr�ssly permitted.
<br /> - if the fili material is to be used in Floocf Zone "A", it is understaad fihat a drainage plan addressing a
<br /> "compensating valume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State ofi F'lorida.
<br /> - If #he fiii material is to be used in �lood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill rriaterial is to be tased in any area, 1 cer�ify that use o€ such fill wil! not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent prop�rties, the owner may be cited far vialating
<br /> the conditians of the buiiding permit issued under the attached permit application, for lats less than ane {1)
<br /> acre which are elevated by fill, an engineered drainag�plan is required.
<br /> I€ I am the AGENT FOE2 TFlE OWNER, I promise in gaod faith to inform the owner af the permitting conditions set farth in
<br /> this affidavit prior to commencing construction. I und�rstand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other insta!lations not specifically included in the applicatian A
<br /> permit issued shal( be construed to be a lieense to praceed with the work and not as authority ta violate, canc�l, al#er, or
<br /> set aside any pravisions of the technical cades, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> -equiring a correctian of errors in plans, canstruction or vialations af any cades. Every permit issued shali become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6} manfhs after the time the work is commenced. An extensian
<br /> may be requested, in writing, fr.om the [3uilding Offici�( for a period not ta exceed ninety (90) days and will demonstrate
<br /> justifiable cause far the extension. If work ceases for ninety f901 cc�nsec;��ti+re�+��«, th�j�ti:�,u�.^,sidered �bar,�oned.
<br /> WAF�IVING TO OWNE�t: YClUR FAILURE TO RECORD A NOTICE C.1F CO�iInfIEIVCEiVIENT iVdAY R��UL`I' IN YOUR
<br /> PAYlNG TIIUtCE FQR 11U�PROVEMERlTS TO YOUR PRQPERTY. 1F YOU 3�lTEtdD TO OBTA1t�1 FINANCtNG, CON��ILT
<br /> W�T�-1 YQLpFE l.E�r`!'�� �'►R¢!�!;Q;'rTI,�„lR7r9cv Q��n�a� ��,+n.�+�-;« .,, ..... •�.,•.,..-,— .-,� . .._
<br /> �,..�._,�y ..... .1r... v .c.. .�vv��uo�v'.,� �vii3'"� 7rv.q tld.� 1..+i' l�•i..I'ii��I1�i�,iVl.�IIIIC�V 1.
<br /> FLORIGA JURA'f(F.S, '117 03)�
<br /> OWNER OR AGEPIT COYV712ACTOR � •
<br /> Subscribed and sw n o ffirm�e��d)��efore me this Subscribed and sworn to(or a med)before me this �
<br /> Z� 1:L.._�Y -� ?��...�#��LL. �� � bY�.�}..�CI��'�11��-
<br /> Who is ar�known�o-r+ie-orhas/have produced W�ersonally I to me-or�Ta /have praduced
<br /> — as identification. ��n �as iden#ification.
<br /> Of�iaA.Lovett n11v1��,
<br /> �n�.fl������ ���� Notary Public
<br /> Commission No, SfA11 X �l�SA ust 19,Z��� Commission � U C, tate of Florida
<br /> ���-----�P� � . .
<br /> Cam.No, EE828129 �
<br /> Com.No. EE828g29 �
<br /> Name nf Notary typed,printed or stamped r• � Name of Notary typed,printed or stamped
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