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I NOTICE OF DE�D 32ES�RICTIONS: 3�is undersigned undersiands ihat tiois pennit may be subjed to'deed"restrictions" <br /> � � which rnay be more resYrictive fhan Crnmty regulations_ The undersigned assumes respor�sibifrty for compliance wiih any <br /> appiicabfe deed restrictior�.s. <br /> UNLICENSED CORITRACTORS AND COMRACTOR RESPONSIBILiTIES: If the owr�er has hired a corrtrador or <br /> coritractors io undertake work,they may be required to be licensed in aa:ordance wiih state arad local regulations. !F the <br /> contractor is not licensed as required by law, both the owner and coniractor may be cited for a m�sdemeanor violation <br /> under state law. �4f the owner or intended�rontraeYor are uncertain as to what Gcensing requirements may apply fior the <br /> � ¢rotended wark,#hey are advised to co�ataci the Pascfl�Caunty Bvildmg Inspection Division—L'sceruing Sectior�at 727-847- <br /> I 8009. Furihermore, if the oumer has hired a contracior ar aontractors, he is advised ta have the canttadorls)sign <br /> poriions of the'contracior BIoc1�of this application ior which they will be responsible. 1f you,as the owner sign as the <br /> contractor,that may be an indication fihat he is not properly licensed and is not entitled fo permitting privleges in Pasco <br /> County. <br /> i TRANSPDRTAT.101V IMPACT/UTIL1TaES IMPACi'A911D�2ES01➢RCE�tECOVEAY��5: The andersigned uraderstancfs <br /> tha2 Transporta5on Impaci Fe�s and Reooiuse Recovery Fees may app9y to the wnstruc6on of new build'mgs,daange of <br /> a�se in existing buildings,or expansion of e�6sting buildings,as speafted in Pasco County Ordimance number 89-07 and <br /> 90-07,as amended. '7'he undersigned also understands,that such fees,as may be due,will be identified at the time of <br /> permitting. it is further understood that Transporta6on Impact Fees and Resource Rewvery Fees mus!be paid prior io <br /> receiting a"certificate of occupanc}r'or final power release. If the project does not inva9ve a certificate of occupancy or <br /> final power release,the fiees must be g�aid prior to permit issuance. Furihermore,if Pasco County WaterlSewer lmpact <br /> fees are due,they r3tust t�e paid prior to�ermii issuance in accordance with appBwble�asco County ordinances. <br /> C�NSTRUCTJON 11EN iAW(Chapter 713,Florida Statutes,as amendedk 3f vafuation af work is$2,�00.00 or more,9 <br /> , csrti�y that 1, the appGpnt, have been provided with a oopy af the "Florida Construction Lien Law—HomeownePs <br /> Protection Guide"preFrared by the Florida Deparfinent of Agriculture and Consumer Affairs. ]f the appficani is someone <br /> other fhan the`ownef,l certify thai!have obtained a copy of the above described documerai and promise in good faith to <br /> defiver 9t?o ihe"owner'prior to commencament <br /> �ONTRACTOR'SIQUYNER'S AFFIDAI/1T: I certify that a➢the information in#his appLoa6on is accurate and that all work <br /> will be dane in campl'rance with a11 applicable laws regulatmg construction,zoning and land development AppTiration is <br /> hereby made to obtain a permit to do work and installation as indcated. 1 certify ihat no woric or installation has <br /> commenced prior to issuance of a permit and that all work will be perfiormed to meet standards af all laws regulaUng <br /> construction, County and City cades,zoning regulations, and land development regulations in the jurisdiction. 1 also <br /> cerdify that I understand that ihe regulations of other govemment agencies may apply fo the intended work,and that it is <br /> cr�y responsihiGty io identify what actions 1 must iake to be in comp6ance_ Such agencies include but aie not Gmited io: <br /> - Departr�-ient of Environr�nental Pro3ection-�ypress Sayheads,1NeHand Areas and Environrnentaliy SensiSve <br /> Lands,WatedWastewaterTreatrnenL <br /> - Southwest Florida Water Management D'utrict-Wells, Cypress Bayheads, WeUand Areas, Alierirlq <br /> Watercourses. <br /> - Army Go�s of Engineers-Seawalls,Docics,T)avigable Waterways. <br /> - Departra�ent of Health 8 RehabifitaYive Servic�s/EnviranmenNal Health Unit-Wells, Wastewater Treatrnen2, <br /> Septic Tanks. <br /> - US Environmental Protection Agency Asbes2as abaternent. <br /> - Federal Aviation AuihoriYy-Runways. <br /> � I understand that the fo]lowing restricfions appty to the use of fill: <br /> - Use of fifl is noi allowed in Flood Zone`1/"vnless expressly permitied <br /> - 8f the�II material as to �e used 6n Flood Zone 'A', it is uradersiood that a drainage pfan addressing a <br /> 'compensai"mg vafume"wi91 be submitted at Yime of permi3Ying whlch is prepared by a profess9orral Qngineer <br /> , licensed by the State of Florida. <br /> ; - tf the fill material is to be used in Flood 2one"A"in connection with a permitted buildng usir�q stem wall <br /> construction,l certify that fill will be used only to fill the area wiihin the stern wall. <br /> - Bf fifl maierial is to be used in any area, 1 certiiy that vse af such fill will not adversely affect adjacent <br /> properties. If use of fil]is found io adversely affect adjaceni�roperties,the owner may be dted fior vio]atirLq <br /> the con�lions of ihe buildirrg pemvt issued imder the attached perm�"t applipYion,far lois le�than one(1) <br /> i acrewhich are elevated byfill,an engineered drainage plan is required. <br /> ff 1 am the AGENT FOR THE OWAIER,I promise in good farth to irtFoma the owner of the pemuiting wndit3ons set forth in <br /> , this affidavii prior to oommencing construcSon. I understand thai a separate permit may be required for electrical work. <br /> plumbing, signs,vvells,poois, air cond�tiorimg,gas,or other instaUatior�s not specifically included"m ihe applica5on. A <br /> �ermit issued shall be consshuued to be a license to proceed with the work and not as autharity fo violate,pncel,alter,or <br /> set aside any prrnrisions of 4he technica1 codes,nor sfiall issuance of a gserrnit prevent the Bvilding Official from ihereaRer <br /> requiring a corredion of errors in plans,�nsVuction or violations of any codes. Every permit issued shaA beoorne invafid <br /> ; unless the work authorized by such permit is commenced within six months of permit issuance,or'rf wark authorized by <br /> Ithe pemut is suspended or abandoned for a period of six(&)morrths a8er the time the work is commenced. An extension <br /> i m�ay be requested,in v,raiting,from�he BuiJding Offiaal for a period not to exceed ninety(90)days and will demonstrate <br /> j�stifiable puse tor 3he extension_ Hf wo�c ceases ior ninety(90)consecutive days,the job is cansidered abandoned <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMSNT MAY RESULT RJ YOUR <br /> PAYING TSMCE FOR IMPROVEMENTS TO YOUR PROPERPI(_ IF YOU 1P7TQJD TO OBTAIN FiNANGiNG,GONSULT <br /> WITH YOUR LENDER OR AN ATTOi2NEY BE ORE RECORDING YOUR NOTICE OF L:OM ENCEMENT. <br /> FLORIDA JURAT(f_S.'1'17_03) <br /> OWNER OR AGENS CON7RACTDR <br /> Subscribed and swnm to(or affume�before me this Su�pibed ar�d swom Po(or affumed) ef �ttus <br /> bY bY <br /> Who is/are personatly larown to me or has/have produced Who isJare personally krmwn to me or haslha�e{xoduced <br /> i as idrs5ficatiw�. as identificatian <br /> � Notary Pub6c t��� Notary PubSc <br /> Cammission No_ Co�pr rssion N . <br /> PaameofN�rtyPed.Pm�iedwstarnped NamaofN r .. •r,. �n,(��� ;r.�rA.n^FS <br /> ' �a, r�c'•/�:.� ' ' - ' • , ,;�^.79 <br /> �� p�: , .. .. •-1� <br /> � :N'..�L'.�� . <br /> g s�:�: ^ <br /> ;r. . i <br />