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<br /> N0710E OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" '
<br /> which may be moce,restrictive than County regulations:• The undersigned assumes responsibility fa�corripliance with'any
<br /> applicable deed restrictions.
<br /> UNLICENSED GON7'RACTQRS AND CONTRACTC?R RESPQNSIBtLITiES: If the awner has hired a contractor or
<br /> contractars to undertake work, they may be required to be-licensed in accordance with state and local regulations: If the�
<br /> contractar is not licensed as required kiy law, botli�the owner and contracfor rriay-6e cited #or a misdemeanor violation
<br /> under state law. (f the owner or intended contractor are uncertain as to what licensing requirements may.apply for the
<br /> in#ended work, they are advised to contact'the Pasco County Building Inspection Division-=Licensing 5ection at 727-847-
<br /> 8409. Furthermore, if the owner has hired�a contractor or contractci�s, he is aduisec! to have the contractar{s) sigr�
<br /> portions af the "contractor Block° of this application for which they,will be responsible. If you, as the awner sigri as the
<br /> contractor., that may be an indication that he is not praperly ficensed and is not entitted-to permitting�privileges in Pasco
<br /> Caunty.
<br /> TRANSPCIRTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> tha#Transpartatian Impact fiees and Recaurse Recavery Fees may appiy ta the construction of new buildings, change�of
<br /> use in existing buildings, or expansion af existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-Q7, as amended. The untiersigned also understands, #hat such fees, as may be due, will be identified at the time�of .
<br /> permitting. lt is further understood that Transportation Impact Fees and Resaurce Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or fina! power release. If the praject does not involve a certificate of occupancy•or._�
<br /> fnal power release, #he fees must be paid priar ta permit issuance. Fur#hermore, if Pasco Caunty WaterJSewer irnpact.
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> GC}NSTRUCTION LIEN LAVY{Chapter 7�13, Flarida Statu#es,•as amended}: If valuatron af wark is$2,500.00 or moce, 1.
<br /> certify that I, the applicant, have been provided with� a copy. of the "Florida Construction Lien Law—Hameawner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Gonsumer Affairs. If the applicant�is someo�e
<br /> other than the"awner", 1 certify tha#I have obtained a copy of the above described dacument and promise in good faifh ta
<br /> deliver.it to the'"awner" prior to�commencement.
<br /> CONTRACTOR'SlOWNER'S AFFIDAVIT: i certify that a8 the infarmation in this application is accurate and #hat all work
<br /> will be dane in compliance with all applicable laws regulating constructian, zoning and land development. Application is
<br /> hereby made to obtain a permit to da work and installatiart as indicated. 1 certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City cades, zoning regulations, and land development regu{atians in the jurisdiction. ! alsa
<br /> certify that i understand that the regulations of other government agencies may apply ta the intended work, and that it is
<br /> my responsibility to identify what actions I must take ta be in compliance. Such agencies include but are not limited to:
<br /> - Department of Env9ronmental Protec#ian-Cypress Bayheads, Wettand Areas and Environmecitatly Sensitive
<br /> Lands,WateNWastewa.ter Treatment.
<br /> - Southwest Flarida Water Management District Wefls, Cyptess 8ayheads, Wetland A�eas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - � Department af HeaEth 8� Rehabilitative Services/EnvironmentaE Health Unit Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environrnental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> I understand that the t'ollowing restrictions appty ta the use of fi!!:
<br /> - Use of fil(is not aliowed in Flood Zane"V" unless expressly permitted.
<br /> - If the fill material is to be used in. Flaad Zane "A", it is understood that a drainage plan addressing a
<br /> "campensating volume° will be submi#ted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State af Florida.
<br /> - If the fill material is to be used in Flood Zans "A° in cannectian with a permitted building using stem wal!
<br /> construction, 1 certify that fil)will be used only to fill the area within the stem wall.
<br /> - !f fill material is to �be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> praperties. 1f tase of fl! is found to adversely affect adjacent properties, the awner t�nay be cited for viola#ing,
<br /> the condi#ions af the building permit issued under the attached permit application, for lots less than ane (1)
<br /> acre whEch are eleva#ed by fill, an engineered drainage ptan is required.
<br /> If I am the AGENT FC1R THE OWNER, I promise in good faith to inform the owner of the permitting conditions set farth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrica! work,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or ather installations not specifically included in #he application. A -. `
<br /> permit issued shall be construed ta be a license to proceed with the work and not as authority ta violate, cancel, alter, or
<br /> set aside any provisians of the technical codes, nar shaEl issuance of a perrnit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction ar violations af any codes. Every permit issued shall become invalid '
<br /> unless the work authorized by such permit is commenced within six manths of permit issuance, or if wor[c autharized by �
<br /> the permit is suspended or abandaned far a period.af six(6}months after the time the work is cammenced. An extension �
<br /> may be requested, in writing, from the Buildi►ig Official for a period not to exceed ninety(90) days and will demonstrate
<br /> justifiable cause far the extensian. If work ceases for ninety{90)cansecutive days,the jab is cansidered abandoned.
<br /> WARNING Ttt OWNER: YGIUR FAtLURE Tt) RECQRD A NC}TICE OF Gt}MMENCEMENT MAY RESUl.T IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR_PROPERTY. IF YOU�INTEND TO OBTAIN FINANCING, CONSULT
<br /> WI'PH YOUR LENDER OR AN ATTORN'�Y BEFORE RECORDlNG YOUR NOTICE OF COMMENCEMENT.
<br /> - - —F��Ri�A Jl?�2r4T-�F.S.t',-7-:^3} -- --- , __-___ __ =------ -----� �._ _�.-—- •-...�
<br /> OWNER OR AGEtdT � CONTRACTQR �1��'^"'"
<br /> Subscribed an bswom to(or a#firmed}befare me fhis b ri�d nd swom fo(or afficmed)before me this
<br /> Y
<br /> Who islare personafly known to me or haslhave produced � Wha istare p sonal k wn to me or has/have produced
<br /> as iden6fica6an. � as identification.
<br /> Natary Public ��,._. Notary Public
<br /> Car»missian Mo. Gammis Na.
<br /> (Vame of Notary typed,printed or stamped Name af Nafary typed 'nted or stamped
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<br /> ���� JACQU�L►NE 8GGE5
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<br /> =*. :i: ComtriiSSlOrt#FF 150�2�
<br /> ;;;��p,: Expires Decembet 12 2018 �
<br /> ' ip,`�,�.`' Bondad Thru Troy Fsn InOu�Ani/A90/J9�':Ytl14
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