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<br /> NOTICE OF_D�� D h'kSTRICTIONS: The undersigned understands that this permit may be subject to"deed'restrictions"
<br /> which may`ae rr�ore restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicabie deed restria�lons.
<br /> UNLICENSED �ONT�tACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is no licensed as required by law, both the owner and conVactor may be cited for a misdemeanor violation
<br /> under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the �
<br /> intended work,l ey are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furtherr�ore, if the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign �
<br /> portions of the contractor 81ock"of this applicatlon for which they wfll be responsible. If you, as the owner sign as the I
<br /> contractor,that��nay be an indication that he is not properly licensed and is not entiHed to permitting privileges in Pasco �
<br /> County. � �
<br /> TRANSPORTA710N IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportat�1on Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings,or expansfon of existing buildings,as spec�ied-in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amen ed. The undersigned also understands,that such fees,as may be due,wiil be Ident�ed at the time of
<br /> permitting. It isl�further understaod thai Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a'ce �icate of occupancy"or final power release. If the project does not mvolve a cert�cate of occupancy or
<br /> final power rele�se,the fees must be paid prfor to permit issuance. Furthermore, ff Pasco County Vllater/Sewer Impact
<br /> fees are due,th y must be paid prior to permit issuance in a�cordance with applicable Pasco County ordinances.
<br /> CONSTRUCTI�N LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work Is$2,500.00 or more,I
<br /> certify that I, t e applicant, have been provided wRh a copy of the 'Florlda Construction Lien Law—Homeowner's
<br /> Protection Guid� °prepared by the Florida Department of Agriculture and Consumer Affairs. if the applicant is someone
<br /> other than the'i�wner�,I certify that I have abtained a copy of the above described dacument and promise in good faith to
<br /> deliver it to the j wner"prior to cammencement.
<br /> CONTRACTOR�SIOWNER'S AFFIDAVIT: I certify that all the InfortnaQon tn this application is accurate and that all work
<br /> will'be done tn�ampliance with all applicable laws regulating consUucUon,zoning and land development. Application is
<br /> hereby made t� obta(n a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced pri r to issuance of a permlt and that all work wlll be performed to meet standards of all laws regulating
<br /> construction, C unty and City cades, zoning regulafions, and land development regulations in the jurisdiction. I al"so
<br /> certify that,I un�erstand that the regulations of ottier govemment agencies may apply to the intended work,and that it is
<br /> my responsibili to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - De'artment of Environmental Protection-Cypress Bayheads, VIIeUand Areas and Environmentally Sensitive
<br /> La'ds,Water/Wastewater Treatment '
<br /> - So�thwest Fiorida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> Wa ercourses.
<br /> - A �y Carps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - De�artment of Health 8� Rehabil(taUve Services/Environmental Health Unit Wells, Wastewater Treatment,
<br /> Se'tic Tanks.
<br /> - USI Environmental Protection Agency-Asbestos abatement.
<br /> Fe eral Avlation Authority-Runways.
<br /> I understand fh�t the following restrictions apply to the use of flll:�
<br /> - Us� of fill is not allowed in Flood Zone'V"unless expressly permitted.
<br /> - If t e flll material is to be used in Flood Zone 'A", it fs understood that a drainage plan addressing a
<br /> 'co pensating volume"will be submitted at time of permitting which is prepared by a professional engineer
<br /> lice�sed by the State of Florida.
<br /> - If the fill material is to be used fn Flood Zone'A° in connection with a permitted building using stem wall
<br /> co i struction,I certify tfiat flll wlll be used only to fill the area wfthin the stem wail.
<br /> - If II material Is to be used in any area, I certify that use of such flll will not adversely affect adJacent
<br /> pro eriies. If use of fill is found to adversely affect adjacent properties,the owner may be cfted for violating
<br /> the conditions of the building pertnit Issued under the attached permft application,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AG NT FOR THE OWNER,I promise in good faith to inform the owner of the pertnitting conditions set forth in
<br /> this affidavft p or to commencing construction. I understand that a separete permit may be required for electrical work,
<br /> plumbing, sign�,wells, pools, air conditioning, gas, or other Installations not specffically included in the application. A
<br /> permit issued s all be construed to be a Itcense to proceed with the work and not as authority to,violate,cancel,alter,or
<br /> set aside any provisions of the technical cades,nor shall issuance of a pertnit prevent the Butldirig Official from thereafter
<br /> requiring a cor�ection of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the wor�c author¢ed by such permlt is commenced wilhin six months of permit issuance,or ff work authorized by
<br /> the permit ts si�spended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be reques�ted, in writing,from the Building Official for a period not to exceed ninety(90)days and wili demonstrate
<br /> justifiable causl for the extension. If work ceases for ninety(90)consecutive days,the job fs considered abandoned.
<br /> WARNING TO OWNER: AILURE TO RECORD A NOTI OF COM N ENT MAY RESULT IN YOUR
<br /> PAYING TWIC FOR ROV TS TO YOUR PROPERTY F YOU INT�D TO BTAIN FINANCING,CONSULT
<br /> WITH YOUR L ND A RN BEFORE RECOR NG Y UR N TIC F COMMENCEMENT
<br /> FLORIDAJURAT F:5 117.03)
<br /> OWNER Ok AGEI CO TO
<br /> Subsalbed and ' m ed)before me this ubsaibe��d n sva to(or atflrtned before me thls i
<br /> bY� �
<br /> Who islare person Ity known to e or iasJhave produced Who is/a onally to me or ha$/have produced
<br /> I a dentlficatlon. asidentlflcatlon.
<br /> I ' I
<br /> Notary Publlc Nohary PuhAc
<br /> Commisslon No. II Com ss o.
<br /> Neme of Notary II ed,pdnted or stamped �Name of Notary typed.pdnted or sfam ed �
<br /> I """• JACQUELINE BOGES
<br /> •1i+�''.:Ye�:
<br /> ;*q' :M: Commission#FF 150422
<br /> I �:,<; Expires December 12,�7019
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