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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" <br /> which may be more resfricfive than County regulations. The undersigned assumes responsibiiity for compliance with any <br /> appiicabie deed restrictions. <br /> UNLtCENSED CONTRACTORS AND CONTRACTOFt RESPONSIBIL.ITIES: !f the owner has hired.a contractor or <br /> cantractars ta undertake work, they may be required to be licensed in accordance with state and lacal regulations. If the <br /> contractar is not licensed as required by Iaw, bath the owner and con#ractor may be cited for a misdemeanor violation <br /> under sfate (aw. If the owner or infiended contractor are uneertain as to what iicensing requirements may appiy for the <br /> intended work, they are advised to contact�the Pasco County Suilding Inspection Division—Licensing�ection at 727-847- <br /> 8p49. Furthermore, if the awner has hired a contractor or contractors, he is advised to have the contractar(s) sign <br /> portians of the "co�tractor Block" of this application for which they will be responsible. If you, as the owner sign as the <br /> contracfar, that may 6e an indicatian thaf he is not proper(y licer�sed and is not entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPOftTATiON fMPACT/UT1LlT1ES IMF'ACT AND RESt�URGE RECOVERY FEES: The undersigned understands <br /> � that Transportation lrrrnpact Fees and Recnurse Recovery-Fees-may apply to the construction-of new buildings, change of <br /> use in existing buifdings, or expansion of existing buiidings, as specified in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned aisa understands, that s�ach fees, as may be due, wi11 be identified at the time of <br /> permitting. It is further understoad tiiat Transpartation lmpacfi Fees and Resource Recovery �ess must be paid prior to <br /> receiving a '"certificate of occupancy" or final power release. !f 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 Pasca Caunty WateNSewer Impact <br /> fees are due,fhey must be paid priar ta permit issuance in accordance with applicabie Pasco County ordinances. <br /> GCiNSTfZEJCTION �IE1V I.,AW{Chap�er 713, Fiorida Statutes,as amended}: If vafuatian of work is$2,5Q4.00 or more, ! <br /> certify that l, 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 the applicant is someone <br /> other fhan the°owner", I cer�ify fihafi i have obtained a copy of#he above described document and promise in good faith to <br /> deliver it to the`bwner"prior ta commencement. <br /> CCINTRAGTOR'SIQWNER'S AFFIDAVtT: [ certify that a!!the infarmation in this application is accurate and that a!!work <br /> wili be dane in compliance with a!! applicable laws regulating constructinn, zoning and land development. Application is <br /> • hereby made to obtain a permit to do work and instailation as indicated. I certify fhat no work or installafion has <br /> commenced prior to issuance of a permit and thafi all wark wiii be pertormed to meet standards of a11 iaws regulating <br /> construct'ron, County and City codes, zoning regulations, .and land development regulations in the jurisdiction. l also <br /> certify that l understand that#he regulatians.of other government agencies may apgly to the intended work, and that it is <br /> , my responsi�ility to identify what actions 1 must take to be in compliance. Such agencies include but are not fimited fo: <br /> - Department af Environmental Protection-Cypress Bayheads, Wetiand Areas and Environmentaiiy Sensitive <br /> Lands,Water/V1/astewaferTreatment. <br /> - Southwest F(arida VUafer Managemerrt District-Wel(s, Cypress Bayheads, Wetland Areas, ACtering <br /> Wateccourses. <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - .Deparkment of Health & Rehabilitafiive ServiceslEnvironmentai Heaith Unit-We11s, Wastewater "i reatment, <br /> Septic Tanks. <br /> - US Environmental Protectian Agency-Asbestas abatement. <br /> - Federa!Aviation Authority-Runways. � � . - <br /> I understand that the following restrictions apply fio the use of fill: i <br /> - Use offii(is not al(owed in Flaod'Zone"V"unless expressiy permitted. <br /> - If the fi1l material is fio be used in Flaad Zone "A", it is understaod that a drainage plan addressing a <br /> "compensating volume" wi!! be submitted at time of permitting which is prepared by a professional engineer <br /> licensed by the State of Florida.� <br /> - If the fill material is to b� used in Fload Zone "A" in connection with a permifted buiiding using stem wa11 <br /> construction, 1 certify that fi11 wi1l be used only to fill the area within the stem wa(l. <br /> - If fill material 9s ta be used in any area, 1 certify that use af such �!I wi!! not adversely aifect adjacent <br /> praperties. !f use of fill is found to adversely affect adjacent properties, the owner may be cited for violating <br /> the conditions of the building permit issued under the attached permif applicafiion, for lo#s less than one (�i) <br /> acre which are elevated by fi11, an engineered drainage plan is required. <br /> 1f i am the AGENT FOR THE OWNER, ! promise in gaod faith to inform the owner of the permitting conditions set farth in <br /> this affidavit prior ta cammencing corsstruction. ! unders#and that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other insfiallations not specifically included in the application. A <br /> permit issued shal( be construed ta be a license to proceed with the work and not as authority to vioiate, cancei, aiter, or <br /> set aside any provisions of fhe technical codes, nor sha11 issuance of a permit prevent the Suilding O�ciaE from thereafter <br /> requiring a carrectian of errors in plans, construction or violations of any codes. �very permit issued sha!!become invalid <br /> un{ess the work authorized by such permit is cammenced within six monfihs of permit issuance, or if work authorized by <br /> the permit is suspended or abandoned for a period of six(6) months after the time fhe work is commenced. An extension <br /> may be requesfed, in writing, from the Buiiding Offtcial for a period not to exceed ninety (90} days and wili demonstrate <br /> justi�able cause#or the extension. If work ceases for ninety{90}consecutive days,the jab is considered abandoned. <br /> WARNlNG TO OWNER; YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO'OBTAiN FiNANCING, CONSULT . i <br /> WtTN Yt3UR�ENDER OR AN Al'TORNEY BEFORE RECORDING YOUR iUt3TtCE OF COMMENCEMENT. <br /> F�OF2lDA JURAT{F.S.9't7.43} I <br /> OWNER dR AGENT��__�����_� _ CONTRACTQR__�G�l��� YL y`L'�'w"` <br /> s ribsd and sworn or ffirmed befgs� e this �Sa c ibed and swom to'ar #Fir ed beforg�ne this <br /> 1 � by R.`� 1 ts er� Y�Y"i c.jL ! 1 / by �h�e� !�✓•1-�-i'"r G�G. <br /> islare persona3{y knawn to me or haslhave produced V�o�sl e persanally known to me or haslhave produced <br /> L, fl��ver� L�cenS�asidentiflcation. _/'U• �flVe�Ps LICG.�&� asidentifiGation. <br /> �y�� +���2� NOta PUblic �' t t�� r <br /> .-.�.- 2 /�, (� Q <br /> rY f{/ � Notary Public <br /> Commission No. �� � � �J tp% % Gommission No. � p �cv� / <br /> N me of Nofary typed,printed or stamped Name of Notary typed,printed or sfamped <br /> ;.o,�pava�Bn: ,`�M�Y'Lr I 6 /� �/ �•' <br /> �_ ( � GiRVollS 1PNYpfi�'��.� <br /> ,,0,.... �„�,8+.- �.�.F <br /> ?1. . y: MY COMMIS$ION#FF093s9g �. •��_ �ANC}�J BROC1K$ <br /> =rv`... .�o +, <br /> :?FOF'Fi.oQ• , EXPIRE �. � Q..�, MY COMMlS <br /> S Febru�ry 1 g,2018 { ?r'..... ::o; S(ON#fiFFpg369g <br /> (aa��ss8-atss t •FQf'�;;,"= EXPlRES FebrUa <br /> ��oriciallotaryService,com j(aa7)398•0153 �Y8�20�8 <br /> filorideNatarySero�ce.com <br />