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i � <br /> f � . <br /> NQTICE OF DEED I�ESTRICTIONS: The undersigned understands thafi this permit may be suEaject to"deed"restrictions" <br /> which may be more restrictive t�an Counfy regu(ations. The undersigned assurt�es responsibiiity for compliance with any <br /> i appiicable deec3 restrictions. <br /> UNLICE�ISED COIV'I'F2ACTORS AND CC)IVTRACTOR RESPONSlBlLITIES: !f the owner has hired .a contractor or <br /> contractors fip undert�ke work, �hey may be required to be licensed in accordance with state and lacal regulations. if the <br /> contractor is nof licensed as re�quired by law, bafh the owner and contractor may be cited for a misdemeanor violatian <br /> under state 1aw. ff the owner or infiended contractor are uncertain as to what Iicensing requirements may apply for the <br /> inte�ded work,they are advised to contact�the Pasco County Building tnspection Division—Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign <br /> portions of the "cot�tractor Black" of this application for which they will be responsib(e. ff you, as fihe owner sign as fihe <br /> contractor, that may be an indication fhat he is not properly licertsed and is nat entitled to permitting privileges in Pasca <br /> County. <br /> TRANSPQRTATION lMPAGT/U7lLlTIES 1MPAGT AND R�SOURGE RECCIVERY FEE�: The undersigned understands <br /> ___ __ that Transportation_Impact-Fees and-Recourse Recovery Fees may apply to the construction of new bui►dings; change of <br /> use in existing buildings, or expansion of existing buiidings, as specified in Pasco Coun#y Ordinance number 89-07 and <br /> 9Q-07, as amended. The undersigned also understands, that such fees, as may be due, wifi be identifed at the time af <br /> permitting. it is furti-ler understoad that Transportation lmpact Fees and Resource Recovery 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 /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Caunty Wafier/Sewer lmpact � <br /> fees are due,they must be paid priar ta permit issuance in accordance with appiicable Pasco County ordinances. <br /> GONSTRUCTION �.1EN L.AVN(Chapter 7'i3, F{arida Statutes, as amended}: lf vafuation of work is$2,5Q0.00 or more, ! <br /> cectify that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's <br /> Protection Guide° prepared by the Florida Department of Agriculture and Consumer Affairs. If fhe applicanf is someone <br /> ofher than the"owner", 1 certify thafi 1 have obta'tned a copy of fhe above described document and prornise in good faith to <br /> deliver it to the"ownnr"prior ta, ommencement. <br /> CONTRAGTOR'SlOWNER'S AFFtDAVlT: l cerkify thaf a!!the information in this application is accurate and that all work <br /> wi!! be done in compliance with all applicable laws regulating construction, zoning and land development. Application is I <br /> hereby made to obtain a permit to do work and installation as indicated. I cerfiify that no work or installafion has <br /> cammenced prior to issuance(of a permit and that ail work wili be performed to meet standards of aIl laws reguIating <br /> canstrucfion, Coun#}� and Ciiy�codes, zoning reguia#ians, .and land development regulatians in the jurisdiction. ! also <br /> � certify that 1 understand that the regulations of ather gavernment agencies may apply to the intended work, and that it is <br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not Iimified#o: <br /> - Department of Environmental Profection-Cypress Bayheads, Wefiland Areas and Environmentaliy Sensitive <br /> Lands,lNaterNVas�ewater Treatment. <br /> - Sauthuvest Florida Water Management District-Wells, Cypress Sayheads, Wetland Areas, Altering <br /> Watercaurses. <br /> - Army C��rps of Engineers-Seawalfs, pocks, Navigable Waferways. <br /> - .Department of hiealth & Rehabilitative Services/Enviranmental Nea(th Unit-We11s, Wastewater Treatment, <br /> Sep#ic Tanks. � <br /> - US Environmen#al Protection Agency-Asbestos abatement. <br /> - Federal Aviation A thority-Runways. <br /> 1 undersfiand that th�following irestrictions apply to the use of fiil: <br /> - Use off11 is not a1{owed in F1ood�Zone"VR unless expressiy permitted. <br /> - tf the fi1 material) is ta be used in Fload Zone "A", it is understood that a drainage plan addressing a <br /> "compensating volume" wil! ba submitted at time of permitting which is prepared by a professional engineer <br /> licensed by the State of Florida. <br /> - If the fili maferiaf is to be used in Fiood Zone "A" in connection with a permifted buiiding using stem wall <br /> construction, 1 ca ify that fiiil wi11 be used aniy to fill the area within the stem wall. - ' <br /> - !f fill tnaterial is to be used in any area, l certity that use of such �1! wi!! not adversely affect adjacent <br /> praperties_ If usel af fill is found to adversely affect adjacent properties, the owner may be cifed for viofating <br /> the conditions of�he building permit issued under the attached permit applicafiion, for iots less fhan ane (�) <br /> acre wt�ieh are elevated by fi1i, an engineered drainage plan is required. <br /> If 1 am the AGENT FOR TFIE�OVUNER, i prom9se in gaad faith ta inform the owner of the permitting conditions set forth in <br /> this a�davit prior t� commencing canstruction. ! understand that a separate permit may be required for electrical work, <br /> plumbing, signs, w�ells, pools,� air conditioning, gas, or other insfiallatians not specifically included in the appiication. A <br /> perrnit issued shall be consfirued to be a iicense to proceed with the work and not as authority to violate, cancel, alter, ar <br /> set aside any provisions of the technical cades, nor sha13 issuance of a permit prevent the Buiiding OfFcial from thereafter <br /> requiring a correction of error5 in pians, construction or violations of any codes. Every permit issued shal!become invalid <br /> unless the work authorized by such permit is commenced within six monfihs of permit issuance, or if wark authorized by <br /> the permit is suspended or ab'andoned for a period of six(6) months after fhe fime 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 wili demonstrate - <br /> justifiab(e cause far the exten!Tan. if work ceases for ninaty{90}cansecutive days,the job is considered abandaned. <br /> WARNlNG TO 01111NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPRO`VEMENTS TO YOUR PROPERTY. IF YOU 1NTEND 1'O'(JBTAIN FiNANCtNG, CONSULT <br /> W1fiH YdUR LENC�ER C)R AN ATTORNEY BEFORE RECORDING YOUR NC}TECE OF COt►JlMENCEi1f[ENT. <br /> FLORIDA JUFtAT{F.S,917.43} I ^ <br /> �- f /LJ�� <br /> OtNNER OR AGENT�/C�E�''�=+����'����i..� _ CQNTRAGTO� <br /> Sub cribed and sworn#o o a irme b fore �e thls Sub cribed and sworn to(o ir e�1)before me this <br /> I 2 by„���L,���e yw1� l Z 2 `'�by �LG�,� ��t m � <br /> Who islare persanal►v known to me ar has ave produced Wh isla e personally known to me or t aslhave produced <br /> as ldentification. as ldentiflca6an. <br /> � <br /> �,r ��,� ; _ <br /> Natary Pobiic T V���""�""� /1 `������ Notary Public <br /> ^ ��� �L � <br /> Cammission No.�— �' � '� �Cp�f�, Commission(Vo. �[ ��,� <br /> i <br /> Name of Nofary typed,printed or stainped Name of Nofary fyped,printed or stamped <br /> .._...----�--- <br /> --�'_'""_'.r.- g ,.,,P,,...�G�.:_ t�lANCY J BR(30KS <br /> ` �j{i� �+ <br /> IVA'VICY J �i'1z+'O0♦ •:Q4P YF.B°'.. <br /> .;'x°�PpY Pu�`�': �FF09"3699 � �L� *€ MY COMMISSION#FF093889 <br /> . MY GO�v1MtSSlt}N#18.2018 • �; - <br /> ���J, Q ��/ p c �I ,yi .......oa°4- EXPIRES February 18.2018 <br /> y'9,"-�"`P`= C!'���T1��7���fU�'T � ''•..FpFF�... <br /> '•••.�°F`"°"' Service.com (A07)398-0153 FloridallotarySQ�+�Ce.�Q� <br /> �aa7}ssa•oi53 F1or;dallotacy <br /> / i <br /> i <br />