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<br /> NOTICE OF DEED RESTRtCTtt3NS: The undersigned understands.that.this,permit may be subject to"deed" restrictions" �
<br /> which�maybe more r.estrictive than County regulations, The�undersigned assumes`�espansitiilifyfbr�corripiianae with`any` �
<br /> applicable deed restrictions. , �t �,
<br /> UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBlLITIES: !f the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and lacal.regulatians: If the
<br /> contractar is not iicensed as required by"iaw, bofh-the owner and�contractor rriay�be cited for a mi'sde,meanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what ticensing requirements•may-.appty�for tfie
<br /> intended work, they are advised to coritact the Pasco Courity Building lnspection�Division=Licensing 5ec#ion at�727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or cantractors, he is advised to :have the contractor{s) sign .
<br /> portions of the "contractar Block" of this application for which they will be responsible. !f you, as tl�e owrier sign as thie '
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting�privileges in Pasca
<br /> Caunty. - . .
<br /> TRANSPORTATit?N IMPACTLUTIltT1ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation lmpact Fees and Recaurse Recavery Fess rnay.apply ta the constructian of new buiidings, cfiange�of��- �
<br /> use in existing buildings, or expansion of.existing buildings, as specified in Pasca Coun#y Qrdinance number 89-07-and � ,
<br /> 90-07, as amended. The unde'rsigned also understands, that such fees, as may be-due, will tie identified at;the time of ° .
<br /> permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior ta i
<br /> receiving a "certificate of occupancy" or final pawer release. If the project does not involve a certificate of occapancy�.or � ��
<br /> fina! pawer release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco County Water/Sewer Impac#
<br /> fees are dus, they must be paid prior to pe�mit issuartce in accordance with appficable Pasco County ordinances.
<br /> � CONSTRUCTION LIEN LAW(Chapter 713, Fla�ida Statutes,as amended}: !f valuation qf work is$2,5QQ.OQ or mace, (;;
<br /> � certify that I, #he applicant, have been provided with a copy of the "Florida Canstructian Lien Law—Homeowner's
<br /> � Pratection Guide" prepared by the F(arida Department of Agriculture and Consumer Affairs. !f the applicant�is someone
<br /> other than the"owner", t certify that t have obtained a copy of the above described document and promise in.good faith to
<br /> delivet it to the"awner"priar ta commencement. � '
<br /> CONTRACTQR'S/OWNER'S AFFIDAVIT: 1 certify that al!the information in this application is accurate and that alt work �
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. 1 certify that no wark or installation has !
<br /> commenced prior to issuance of a permit and that all work will be pe�formed to meet standards of al! laws regulating
<br /> construction, County and Cify codes, zoning reguiations, and land development regulations in the jurisdiction. I also
<br /> certify that 1 understand.that the regulatians of other government agencies may apply�to the infended work, and that it is '�
<br /> my responsibility to identify wtia#actions I must take#a be in campliance. Such agencies include but are not lim'rted to:
<br /> - Department of Environmenta! Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Fiorida Water Management District-Wells, Cypness Bayheads, Wetland Areas, Altering
<br /> Wa#ercourses. ,
<br /> - Army Corps of Engineers-Seawa{Is, Dacks, Navigable Waterways.
<br /> - Department of Health � Rehabi(itative ServiceslEnviranmentaf Health Unit Weiis, Wastewater Trea#ment,
<br /> 5ept+c.7anks.
<br /> � - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fiil:
<br /> � - Use af fll is noC atlowed in Flood Zone"V"unless expressly permifted. -
<br /> - !f the fill ma#erial is to be used in Flood Zane "A", it is understood that a drainage ptan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a prafessianal engineer
<br /> licensed by the State of Florida.
<br /> - (f the fill ma#erial is to be used in Flood Zone "A" in cannection with a permitted building using stem wall
<br /> constructian, i certify that fill wifi be used anly to fill the area within the stem wall.
<br /> - ff fiil materiaE is to .be used in any area, ( certify that use� of such ftll wili not adversely affect adjacent
<br /> properties. If use of fiH is found to adversely affect adjacent properties, the owner may be cited for violating �
<br /> the conditians of the building permlt issued under the at#ached permit.application, far lots fess than one {1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am #he AGENT FOR THE OWNER, I pramise in good faith to inform the owner of the permitting conditians set for#h in t
<br /> this affidavit prior ta commencing construcfion. t unders#and that a separate permit may be required for electrical work,
<br /> plumbing, signs, weils, paals, air conditioning, gas, or other�iristallations not specificaliy included in the application. A - '
<br /> permEt issued shall be construed ta be a license to proceed with the work and no#as autharity to violate, cancet, ai#er, or
<br /> set aside any provisions af the technical codes, nor sha!! issuance af a permit prevent the Building C3fficiai from thereafter
<br /> requiring a carrectian of errors in plans, construction or violations of any codes. Euery permit issued shall become invafid
<br /> uniess the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) manths after the time the wark is �ommenced. An eactensian
<br /> may be requested, in writ�ng, from the Buildirig Official for a period nat#o exceed r�inety (90) days and witl demonstrate
<br /> justi�able cause for the extension. !f work ceases far ninety{90)consecutive days,the jab is considered abandaned.
<br /> WARNING TO OWNER� YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YlaUR
<br /> PAYtNG TWICE�FOR IMPROVEMENTS TO YQUR PROPERTY. IF YOU•INTEND-TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTBRNEY BEF�RE RECORDING YOUR NOTICE UF COMMENCEMENT. '
<br /> FL4RIDR,fURAT(F.S.117.03) �_ �'_
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<br /> . __UV4rN�R..OR-�4fiENT-- ---_—_ .__ .. ____-._ .. ---_ GONTRACTOR G.x.-�: -�u.R/'` �
<br /> Subscribed and swom to{or aificmed}before me thls Subscribed and swam to{oc afftrmed}tiefore me this E
<br /> by '
<br /> Who is/are personally known to me or has/have produced ' Who is/are p a0y kn,_w to me ar has/have produced
<br /> as Identification. as identiftca6on.
<br /> Notary Public Notary Puhlia
<br /> Gommissfon No. Co m' ian �
<br /> .ev�4., JAC
<br /> �:: Cammissian#FF 150422
<br /> Name of Natary typed,printed or stamped - Name of Rtota �' f��i�� � �� �
<br /> �!�„p i�F;°.`" Bondod Thm iroy Fain Insuranee 800.385�7019
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