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<br /> i�OTICE OF DIEED RESTR(CTIONS: The undersigned understands tfiat.this,permit may be subject to;deed",restnctions",��;
<br /> s which may:,be::more,restricfive:than Gounfy regula#ions. The andersigned�a`ssumes responsibifity�#o�`com'pliatice:witfi anq"
<br /> appiicable deed restrictians. . ,.. `�•"`•` � "'� '
<br /> UhFLICEftiSED�GQhiTR,4CT.ORS AidD CONTRACTOt� RESP.OI�S1BiGET(�S: if tfie•owrier iias-hired�a:contractor,or
<br /> ' coniractors to undertake wotk,.they.may be;requirgd to be:(icensed in accordance with state and local r.egutafions:- If the�
<br /> cantractor is not ifcensed as required�by law, bofh the owner and confracto�.may��tie�citedtifor a misdemeanar violation
<br /> � under state law, if the owner or intended.ccsntr,actor are uncertain as to what ticensing requirements::may..appiy for.tfie "` ,
<br />� � intertded-work,they are advised to contactfhe Pasco County Building in'specfion�D'ivisibrr=Licensing Section at 727-847-
<br /> 8009. Furthermare, if the owner has hired�a contractor ar confracfars, he is advised to have the contractor(s}.,sign �:
<br /> partians of the"contractor Bitrck"of this applica6on_far which they.wifl.ba responsibie. -if:yau, a`s flie'oviiner}sign`as tlie
<br /> contractor,ttiat may be an indication t#iat he is not praperiy licensed and is ncit enti#tet!to permitting priviteges in Pasca,
<br /> County. �: � :,�,��. ,
<br /> TRANSPORYA7'ION IMPACTtUTILITtES IMPACT AfdD RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpottation lmpact Fees and Recaurse Recovery Fees may apply to the construction of new builiiings,charige of � .
<br /> use!n existing build3ngs,ar expansion.of exisiing buildings,as specifled in Pasco County Ordinance number 89�7 antl
<br /> 90-47,as ame�ded. The undersigned aiso understands,thai such fees,as inay.�be due,wiit 6e.icienttfied af the time of•�
<br /> permitting. Ik is further understood that Trartsportation Impact Fees and Resource�Recovery.Eees mast be paid prlor to
<br /> ', receiving a"cerkificate of occupancy"or final�power retease. if the project�do.es not invaive a ceitificate af accnparrcy:ar.'.
<br /> , final power relsase,the fees must be paid prior ta permit issuance. Furttiermore, iE,Pasco Gounty WaterlSewer.•i,mpact..
<br /> I fees are due,tliey must be pa�d prlor to permit issuance in aacordance writh applicabie Pasco Caunty ordinances. �
<br /> CQNSTRUCTlON LIEN LAW�{Chapker 713,Flarlcla Statutes,as a�vtended}: If valuatlon of work is$2,50Q,OO,ar.more,.t,;
<br /> certify that t; the applicant, have been provided wikh a capy of the "Florida Consfircfson Lien.Law-Horrieowner's
<br /> Protection Guide°prepared by the Florida Department of Rgriculture and Cansurner Affairs. if the applicant is someane.
<br /> other than the°owner",!certify khat l.have obtained a copy of the above d'escri6ed"document and promise�in good.faith,to
<br /> deliver it to the"owner'prior to commencement
<br /> CQNTRACTOR'S/OWNER'S AFFIDAVlT: l.certify that•a!I the information in this application is accuraie and that at!work
<br /> will be dona in compliance with ali applIcable laws regulating construction,zoning and�fand development. Apptication.is
<br /> nereby made to obtain a permit.to.do work and installatian as indicated. 1 certify that no ivork or.lnstallatton--has
<br /> commenced prior to issuance of a permit and that a}!work will be per€armed to meet standards of ati laws regulating
<br /> constructian, County and City codes, zoning regulations, and land development regulations in the jur'tsdictiat�: 1 aiso
<br /> certify that I understand that the regulations af pther government agencies may apply to the intestded work,and that it is
<br /> my responsibiliry to identify what actions I must take to be in compliance. Such agencies include but are noE ftmited.ta:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentalty Sensitive
<br /> Lands,WaterMlastewater Treatment.
<br /> - Southwest Florida Water Wlanagement District-Welis, Cyptess Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> i - Army Gorps of EngineersSeawalls,Docks,Navigabte Waterways.
<br /> � - Department of Health & Rehabllitatiye Services/Environmental Health Unit-Wells, Wastewater Treatment,-
<br /> Septic Tanks. �
<br /> �I - US Environmental Protec6on Agency-Asbestos abatement.
<br /> - Federal,Aviatian Authority-Runways.
<br /> I understand that fhe following resfrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Fload Zone"V"unless expressly permitted.
<br /> - If.the fill mateFlal is to be used in Fioad Zone "A", it is understoad that a drainage plan addressing a
<br /> � "compensating votume"witl be submitted at time of permitting which is prepared by a professional engineer
<br /> ticensed by the State of Fiorida.
<br /> - tf the fill material is to be used in Ftood Zone"A" in connection with a permitted building using stem wall
<br /> construction,t certify that fiit will be used oNy to fill the area within the stem waU.
<br /> - If fill material is to be used in any area, t certify that use of such fill will not adversely affect adjacent
<br /> properEies. If usa of fiil is found#o adversety effect adjacent properties,the owner may be cited for violating
<br /> the condifians of tiae building permit;issued under�the aktached permik application,for lots less than one(1�
<br /> acre which are etevated by fiN,an engineered drainage pian is required.
<br /> if I am the A�ENT FOR THE OWNER;i promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this a�davit prior ta commencing construction. 1 understand tfiat,a separafe permit may be required for electrical work,
<br /> pfumbing, signs,weffs, poots, air condi#ianing, gas, or ofher instaltations not specificaliy inctuded in the appiication. A
<br /> permit issued shaN be consirued to be a ticense to proceed r+vith the work and nof as autfiority#o violate,cancel,a�ter,or
<br /> set aside any provisions of fFse technicat cades,nor shati issuance of a permit prevent fhe Buitding Officiai from thereafter
<br /> requiring a correctian of enors in.plans;canstruction or�iolations of any cades. �very permit issued shalt become invatid
<br /> unlsss the work authorized by such pertnit is commenced wi#hin six manfhs of permit 3ssuance,or if work aufhorized by
<br /> the perrrtit is suspended or abandoned.far a period af.siu{6)months after the time the work'ss'cammenced. An extension
<br /> may be requested, in writing,from ttie Buitditig Offtcial for a..period not to'exceed•ninety(90}days and will demonstrate
<br /> Justifiable cause for the extensEon. !f work ceases for ninety(SQ}consecutive days,the job is considered abandoned.
<br /> WARNING TO QWNEQ2: YbUR FAILURE.TO RECQRD,A.NQ7lCE OE GOMMENGEM�NT MAY RESUGT Ifd YOE1R
<br /> PAYING TWICE FOR,lNIPFLQY�NlEN'1'S TO_1FOURs�'ltOPEFt'[Y.:,IF YOU.:IN'�END�TO OBTAIN�FEtdAtdCENG;�ONSUlT
<br /> MIITH YOUR L'ENDER QR AN ATPOl�tdEY BEEORE ItECORDiN�YOUR OTIGE O "CO NCEiNENT."
<br /> FLORIDA JURAT(F.S.11T.03)
<br /> OWNBR OR AGENT CQ(VTRACTdR '�'ti'`+-t_
<br /> &ubscrlbed and swom ta{or atflrtned)betore me ihls S 6sc�ik bed�r�d bY�to( afficttsed}b��me���r�c
<br /> bY .�FE?. YJ .,^�7
<br /> Who is/are personally known to me or has�ave produced ar onal�ly n wn to ma or haslhave pmduced
<br /> as ldentl8cation. -S ti�'.�rnC,�,,,_,,_as Identlficadon.
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<br /> Natary Public J`�� i Notary Publlc
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<br /> CommissIon No. Gom Iss n N -�"' '•�' �.
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<br /> Name of Notary typed,prinEed or sNamped Name of Nota • � tl o ecem6er 92�2018
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