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��i <br /> _ zsn�.arr��.^5cr- "r�::.lY�'^`...,+v i,-.r� <br /> Nt3TICE OF DEED RESTRtCTIta►NS: The undersigned understands that this permi#may be subject to"deed" restrictions" <br /> which may be more r.estrictive than Caunty regulations.' The�uncfiersigned assume§responsikiility�for compliance with any <br /> applicable deed restrictions. � <br /> UNLlCENSED CONTRACTORS AND CONTRAGTOR RESPQNSIBtLiTlES: tf the owner has hired a contractor ar <br /> contractors to undertake work, they may be reqwred to be licensed in accordance with state and loca! regulations. �ff�the <br /> confractor is not licensed as required by"law, bath'the owner and contractor may-be citecf for a misdemeanar violation <br /> under state iaw. If the owner or intended contractor are uncerkain as to what licensing requireriments�may.apply for#he � <br /> intended work, they are advised to contact`the Pasco Gounty Building lnspection Division-Licensing Section at 727-847- <br /> 8Q09. Furthermare, if the owner has hired a contractor or cantractors, he is advised to have the c+ontractar(s} sign <br /> portions of the "contractor Block° of this application for which they will be responsible. If yau, as tiie awner sign as the <br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Fasco <br /> Caunty. <br /> TRANSPORTATiUN iMPACTLUTtLITtES tMPACT AND RESCiURCE RECOVERY FEES: The undersigned understands <br /> that Transpartation Impact Fees and Recourse Recavery Fees rnay appty to the construc#ian of new buiidings, cFiange'of <br /> use in existing buildings, or expansion of existing buildings, as specified in Pasca Caunf}r Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned alsa understands, #hat such fees, as may be due, will be identified at the time of <br /> permitting. It is further understood 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 nat involve a certificate af accupancy:or- � <br /> finai pawer release, the fees must be paid prior to permit issuance. Furtfiermore, if Pasco County WateNSewer. lmpact <br /> fees are due, they must be p�id prior ta permit issuance in accordance with applicable Pasco Coun#y ordinances. <br /> GONSTRUCTIQN L!lEid LAW(�hapter 713, Florida Statutes,as amended); If valuation of work is$2,500A0 ar mare, l <br /> certify that I, the applicant, have been provided with a capy. of the "Fbrida Construction Lien Law—Homeowner's <br /> Protection Guide" prepared by the Florida Department of Agriculture and Gonsumer Affairs. If the applicant is someone <br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to <br /> deiiver it to the"owner"prior to cornmencement. <br /> CONTRACTOR'S/OWIdER'S AFFIDAVIT: I certify that all the information in this application is accurafe and tfiat all"work <br /> will be done in compGance with al1 applicabie laws regulating construction, zaning and tand development. Application is <br /> hereby made to obtain a permit to do work and installation as indicated. E certify #ha# na wark ar instatlation has <br /> commenced prior to issuance of a permit and that aU wark wi!! be perfarmed to meet standards of a!I laws regulating <br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is <br /> my responsibility to identify what actians I must take#o be in campliance. Such agencies inciude but are not limited to: <br /> - Department af €nviranmenta! Protection-Cypress Bayheads, Wetland Areas and Environmentatly Sensitive <br /> Lands,WaterMlastew�ter Treatment. <br /> - South�nrest Florida Water Management Qistrict We!!s, Cyptess Bayheads, Wetland Areas, Rltering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watenivays. <br /> - Department of Health & Rehabilitative Services/Enviranmen#al Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Pratection Agency-Asbestos abatement. �� , <br /> - Federa!Aviation Authority-Runways. <br /> I understand that the follawing restricfions apply ta the use of�IL• <br /> - Use of fi1� is not allowed in Flood Zane"V" unless expressly permitted. <br /> - if the fili material is ta 6e used in_ Flood Zone "A", it is understaod that a drainage plan addressing a <br /> "corrtpensating volume° wili be submitted at time of permitting which is prepared by a prafessionaf �ngineer " <br /> licensed by the State of Flarida. <br /> - If the fil! ma#erial is to be used �in Flaod Zone "A" in connection with a permitted building using stem wall <br /> construction, I�certify that fill will be used only ta fill the area within the stem wall. <br /> - If fi11 material is to be used in any area, I certify that use of such fill will nat adversely affect adjacent <br /> properties. If use of fili is found to adversely affect adjacent properties, the owner may be ci#ed for violating <br /> #he conditions o€the building permit issued under#he attached permit application, for iots iess than one (1} <br /> acre which are elevated by filf,an engineered drainage plan is required. <br /> If! am the AGENT FOR THE 4WIdER, I promise in goad faith to inform the owner af the permitting conditions set farth in <br /> this affidavit priar to commencing construction. I understand that a separate permit may be required far electri�al work, , <br /> plumbing, signs, vuells, pools, air conditioning, gas, or other installations not specifically included in th� application. A � <br /> permit issued shall be cons#rued to be a license to proceed with the work and not as authority ta violate, cancel, alter, or <br /> set aside any pravisions af#he technicai codes, nar sha11 issuance af a permit preven#the Building 4fficial from thereafter <br /> requiring a correction af errors in plans, constructian ar vialations af any cades. Every permit issued shalf become invalid <br /> unless the wark autharized by such permit is commenced within s�x months of permit issuance, o� if wark authorized by <br /> the permit is suspended or abandoned far a period of six(6) months after the time the work is`commenced. An extension <br /> may be requested, in writing, from the Building Clfficial for a periad not to exceed ninety (90) days and will demonstrate <br /> justifiabie cause for the extensian. if work ceases for ninety(90)consecutive days, the job is considered abandoned. <br /> WARNING TQ OWNER: YOUR FAILURE TD RECORD A N0710E OF COMMENGEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FQR IMPROYEMENTS TC?YOUR PRQPERTY. IF YOU�lNTEND TO OBTAlN FtNANGlNG,CQNSU�T <br /> WITH YOUR LENDER OR AN ATTORNEY BEFQRE RECORDlNG YOUR NQTICE OF COMMENCEMENT. . - - <br /> -FLORIDA JURAT(F.S:11TA3 , ' " -` - - <br /> OWMER OR AGENT CONTRACTOR���� <br /> S bscribed and swo #o tor affi efore me this Su cribed nd swam to rmed)before me this <br /> �S= by �����"��f�,t �.r=l� bY 'Y+�.G2��'".—.�'�-��"/'�" <br /> W a is/a persona ly known ta me or has/have produced Who Islare�pe�s onal�ykr�own to me or has/have produced <br /> �r�;f� as iden�fica�on. �'f ��CtVe�"S{.,�G?.�.� as identification. <br /> ^ Notary Public ►%��^�... ��. Notary Pubtic <br /> Cor� issio h!o Commi ' n No. <br /> d Name of Nota ed rinted or stam ed <br /> Name ,�r,pedf�� �Y P <br /> • ;*' .�_ Commission#FE 1 Q422 �r P„•., '�-�� <br /> ;�: :;�: Expires December 12,2018 ;.,�:.��•yBF; JACQUELINE BOGES <br /> �'%;P;f��:,'� efl�a�arn�T�Y��,r��„���eoa�esaoas .*: ;�- Commissfon#FF180422 <br /> _� Qo: Expires December 12,201g �^ <br /> ' �'`+�i„oF��°a`� 0pndedThruTroyF+inlnaurenoe800.385-7p�g <br />