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<br /> NQTICE O DEED RESTRfCTlONS: The underssgned understands that this permtt may be subject to"deed"restricfions" '
<br /> which may e mare restrictive than County regulations. The undersigned assumes responsibility for camptiance with any �
<br /> applicable eed restrictions. � . �
<br /> UNLICENS`EQ CC}NTRACTQRS AND CONTRAC'TOE2 R�5PONSIB1�17'IES: If the ovuner has hired a contractor or
<br /> contractorslko unde�take work, they may be required to be licensed'in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by taw, both the owner and conEractor may be cited for a misdemeanor violation
<br /> under stat law. If the awner or intended contractor are uncertain as to what iicensing requiremenfs may apply for fhe
<br /> intended w rk, they are advised to cantack the Pasco County Building Inspectian Division--L.icensing Section at 727-847-
<br /> 8009. Fur hermore, if the owner has hired a contractor or contracfors, he is advised to have the contractar{s} sign
<br /> portions of#he "contrac#or Block" of this application far which they will be respansible. If you, as the owner sign as the
<br /> confractor, that may be an indication that he is not praperly licensed and is not entitled ta permitting priviteges in Pasco
<br /> Counky. ' - '
<br /> TRANSP�► TATtON IMPAC7NTtLlTIES tIUIPACT ANQ R�SOURCE REGOVERY FEES: The undersigned understands
<br /> that Trans o�tation Impact Fees and Recourse Recovery Fees'�may apply to the construction of new buildings, change of
<br /> use in exis ing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as mended. The undersigned also unde�stancis, that such fees, as may be due, will be identified at#he time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving °certificate of occupancy" oe finai power release. If the project does na# involve a certiftcate of occupancy or
<br /> final powe re(ease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer (mpact
<br /> fees are d e, they mus#be paid priar to permit issuance in aceordance with appllcable Pasco County ordinances.
<br /> CONSTR CTION LiEN L�►W(Chapter 713, Florida Statutes, as amendedj: (f vatuafion of work is$2,500.00 or more, 1
<br /> certify tha I, the applicant, have been provided writh a copy of the °Florida Canstruction Lien Law—Homeowner's
<br /> Protec#ion Guide" prepared by the Florida Department of Agriculture and Gonsumer Affairs. If the applicant is someone
<br /> other#han khe"owner", I certify tha# I have obtained a copy af the above described dacument and promise in good faith ta
<br /> deliver it t the"awner"priar to commencement.
<br /> CONTRA �TOR'S/OWNER'S AFFID�Vil': t ce�#ify that ail the infarmation in this appiication is accurate and that aii work
<br /> will�be do e in compliance with all applicable laws r�gulating construction, zaning and land development. Application is
<br /> hereby m de ta ob#ain a permit to do wark and instatlation as indicated. 1 certify that no work or installation has
<br /> commenc d prior to issuance of a permi# and that all work will be perfarmed to meet standards of all laws regulating
<br /> constructi n, Gourtty and City codes, zaning regulations, and land d�velapment regulations in the jurisdiction. f also
<br /> certify tha I understand #hat #he regulatians of other government agencies may apply to the intended work, and that it is
<br /> my respa sibiliky to idsntify what actions E rnust take ta be in compllance. Such agencies include but are not limited ta:
<br /> - Departmen# af Environmental ProEection-Cypress Bayheads, Wetland Areas and Environmentally Sensifive
<br /> Lands, WateNWestewater Treatment.
<br /> - Southwest Florida Vllater Management District Vllells, Cypress Bayheads, Wefland Aceas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawails, Docks, Navigable Watetways.
<br /> - Deparfinent of Health & Rehabilitative Services/Environmenfal Hea(th Unit-Wells, Wastewater Treatment,
<br /> Septia Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Avfation Authority-Runways,
<br /> t understa d#hat fhe falEowing restrictions apply to the use af fitl:�
<br /> - Use of fill is not allawed in Flaod Zone"V"unless expressly permitted.
<br /> - if the fili materiai is ta be used in Fiood Zone "A"t it is understood that a drainage plan addressing a
<br /> "compensating valume" wi(I be submitfed a# time of permifting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If fhe fill material is ta be used in Flood Zone "A" in connec#ion with a permifted building using stem wai!
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fil{ material is to be used in any areaJ t certify that use of such fill will nat adversely affect adjacenf
<br /> properties, If use of fill is found to adversely affect adjacent properties, the owner may be cited for vialating
<br /> the canditians of the building permit 9ssued under tfi�e attaahed permit application, for lots less than ane {1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am th AGENT FOR TH� 01nlIVER, I promise in gaod faith to inform #he owner of the permitting conditions set forth in
<br /> this affida it prior to camrrtencing cortstrucfian. 1 understand that a separate permit may be required for eEecfrical work,
<br /> plumbing, signs, wells, pools, air canditianing, gas, ar other installations not specifically included in the application. A ,
<br /> permit iss ed shali be construed ta be a license to proceed v►rith the worlc and nat as autharity to violafe, cancel, alter, ar
<br /> set aside,�any provisions of the technical cades, nor shall issuance of a permit preven#the Buiiding Offiaial from thereafter
<br /> requiring�correc#ion of errors in plans, construction ar viqlations of any codes. Every permit issued shall become invalid
<br /> uniess th� work authorized by sucft permit is commenced within six man#hs af permif issuance, or if work aufharized by
<br /> the permi is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> may be r quested, in writing, from the Building Officiai for a period not to exceed n�nefy {90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> WARNIN TO OWNER: YQUR �AiLURE Tt� RECQRD A NOTICE OF COMMENCEII�ENT NiAY iZESULT IN YOUR
<br /> PAYING TWlCE FOR IMPROVE�(lENTS TO YOUR PROPERTI(. IF YOlJ INTEND_TO�BlG�1IV�FMN�NGs[��� �ON�S!!�T ----�-
<br /> - �i���t�5���ii���ND�R i3R AN�►'T7'C}RNEY��FtJRE t2EGORDING YOURNOTICE OF COMI1tIENCElVIENT.
<br /> FLORIpA J RAT(F.S.117.03) r
<br /> OWNER OI�AGENT CQNTRACTOR �
<br /> Subscribed and sworn to(or affirmed)before me ihls Subscr�,'b_ed nd � to(or ffiry ed be ore e}his
<br /> by �'m /�,r1/`rfJrrr �s f�utCh��+-Sa�
<br /> Who islare bersonai(y known to me or has/have produced 1iVh�is/are pe onally knorm to me,gr haslhave produced
<br /> 1 as IdenUfication. as identifica6on.
<br /> a
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<br /> Notary Public No Public
<br /> .,`�aY PU' ��
<br /> Commisslo No. Commissfon No. :�'`P ;�c;•. Notar,y Public-State oi rlorida
<br /> = * ;�� MyGamm. � C�
<br /> • z�,� °o�c Commission#FF 045723 y
<br /> Name of N tary typed,printed or stamped Name oF Nakary typed ri , �,R�;�iarrQa�L�d?hrough Na iona
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