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�.�n�i <br /> .__...._— . .....^.a^-�'r���vae........�,.--......�.�_.t..,. <br /> NOTICE OF DEEID R�$TRIC710MS: The undersigned understands that this permit may be subjec#to"deed" restrietions" <br /> which,may:be mare r.estric#ive than County regulations: The:undersigned assumes respansibil'ity for compliance with any <br /> appticabie deed restrictions. � � <br /> UN�ICENSED GQNTRAGTORS AND CONTRAGTOR RESFONSiBtUTtES: If the owner has hired a contractor or <br /> contractors to undertake work, they may be required ta be licensed in accardance with state and locai regulations. if the- <br /> contractor is not licensed as required by law, both�th� owner and cont�actor rriay�tie citeii for�a misdemeanor vioia#ion <br /> under state law. If the owner or intended contractor are uncertain as ta what licensing requirements may.apply for.the <br /> intended work, they ace advised to contac#`the Pasco County Building Inspection Division=Licensing Sectian at 727-847- <br /> 8009. Furthermare, if the owner has hired a contractor or cont�acfors, he is advised ta �have the contractor(s) sign <br /> portions of the "cantractor Block" of this app{icatian far which they wili be responsibte. (f you, as the owrier sign as the <br /> contractor, that may be an indication that he is no# properly licensed and is not entitied to permitting privileges in Pasao <br /> County. ' <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES; The undersigned understands <br /> that Transportation (mpact.Fees.and Recourse Recovery Fees may apply to the construction of new buildings, change of <br /> use in existing buildings, or expansion of existing buiidings, as specified in Pasco Caunty Ordinance number 89•07 and <br /> 90-07, as amended. The undersigned atso understands, that such fees, as may be due, witl be identified at the time of � <br /> permitting. It fs fur#her understood that Transportatian Impact Fees and Resource�Recavery Fees must be paid pripr ta <br /> receiving a °certificate of accupancy" or fina! power release. If the project does rtot involve a certificate of occupancy or-� <br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Caunty WaterlSewer Impact <br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTiON L{EN LAVU(Chapter 713, Florida Statutes, as amended): If valuation of wark is$2,500,Q0 or mare, 1 <br /> cer#ify that !, the applicant, have been provided with a copy. of tFie °Florida Construction Lien Law .—Nomeowner's <br /> Pratection Guide" prepared by the Florida Department af Agrfcufture and Constamer Affairs. ff the applieant�is sameane <br /> other than the"ownec", ! certify that! have obtained a copy af the abave described'dacument and pramise in good faith to <br /> deliver it to the."owner" prior to commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.cerkify that all the information in tliis application is accurate and tiiat all work <br /> will be done in compliance with alt applicable taws regutating canstrucfion, zoning and tand develapment. Application is <br /> hereby made to abtain a permit to da work and insta(iation as indicated. I certify that no work or installatian has <br /> commenced prior ta issuance of a permit and that ali work will be perfarmed to meet standards of all laws reguiating <br /> construction, County and City codes,.zoning regulatians, and land develapment regulations in the jurisdiction. ! also <br /> certify that ! understand that the regulations of other government agencies may apply to the intended work, and that it is <br /> my respansibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: <br /> - Department of Enviranmental Protection-Cypress Bayheads, Wetland Areas and Environmen#ally Sensitive <br /> Lands,WaterNVastewater Treafinent. <br /> - Southvvest FEorida Water Management District-Wells, Cyptess Bayheads, Wetland Areas, Attering <br /> Watercourses. <br /> - Army Carps of Engineers-Seawalls, Docks, Navigable Watennrays. <br /> - Department of Heal#h � Rehabilitative Services/Enviranmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmenta(Pratection Agency-Asbestos abatement. <br /> - Federal Aviation Autharity-Runways. � <br /> I understand that the fo!lowing restrictions apply to the use of�II: � <br /> - Use of�Il is not allowed in Flopd Zone"V' unless expressly permitted. <br /> - If the fill material is to be used in. Flood Zane "A", it is understood that a drainage plan addressing a <br /> "campensating volume" will be submitted at time of permi#�ing which is prepared by a professianal engineer - <br /> licensed by the State of Fiarida. <br /> - If the fiil materia! is to be used in Ftaad Zone "A" in cannection wi#h a permitted building using s#em wall <br /> construction, !certify that fill wil! be used only to fill the area vuithin the stem wall. <br /> - lf fill material is to be used in any area, ! certify that use of such fill will not adversely affect adjacent <br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating <br /> the canditions of the building permit issued under the attached permit application, for lots iess than ane (1) <br /> acre which are elevated by fili, an engineered drainage plan is required. <br /> If 1 am the AGEIdT Ft�R THE QWNER, i promise in good faith ta infa�m the awner of the permitting canditians set farth in <br /> this affidav9t prior to commencing construction. 1 understand that a separate permit may be requirecf for electrical wark, <br /> plumbing, signs, wells, poals, air conditioning, gas, or ather installatians not specifically inciuded in the application. A �� <br /> permit issued shall be canstrued to be a license to proceed with the wark and not as authority to violate, cancel, alter, or <br /> se#aside any provisians of fhe technical codes, nor shall issuance of a permit prevent the Building Official from thereafter <br /> requiring a correct'ton of errors in plans, constructian or violatians of any codes. Every permit issued shali become invatid <br /> unless the work authori�ed by such permi# is commenced within six months af permit issuance, or if work authorized by <br /> Ehe permit is suspended or abandoned for a period_of six(6)months afEer the time the work is�commenced. An extension <br /> may be requested, in writing, from the Building Official for a period not ta exceed ninety (90) days and will dernonstrate <br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. �� <br /> � WARNtNG TO OWNER: YOUR FAiLURE TO RECORD A NCiTICE OF Ct3MMENCEMENT MAY RESULT tN YOUR <br /> PAYING TWICE FQR lMPROVEMENTS TC}YOUR PROPERTY. tF Yt�U�INTEND TO OBTAIN EINANGING,CBNSUCT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFQRE RECORDING YOUR NOTlCE C!E GOMMENCEMENT. <br /> FLOFiIDA JURAT(F.S.117.03) _ T._ — ------ _—�__—. _ . _ __. - - - -- - - -- .___ <br /> OWNER OR AGEPIT CQNTRACT <br /> Subscribed and swom to(or affirmed)before me th(s Su scribed and o 0 or affirmed befor me i <br /> �y <br /> Who islare personatly known to me ar has/have produced � Who is(ar personalty k wn to me or has(have produced <br /> as identification. as identification. <br /> 1 <br /> Notary Pubtia Notary Public <br /> Commission No. Cammis No. <br /> Name of Notary typed,printed or stamped Name of Notary t d or stamped <br /> . . �<,�. <br /> ,•�ati.��=ya1;% JACQUELIN�BOGES <br /> =*� }= Commission#FF 150422 <br /> '�� � - Ex ires De <br /> 'G= A cember12,2p�$ <br /> �'%0�!,`.°Q��� BondedThruTroyFainlnsuranca8 <br /> 00.385-7019 <br />