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• 4 1 � � <br /> NOTICE OF D�ED RESTRIC'TIONS: The undersigned understands that this permit may be subject to"deed°restrictions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. ' <br /> IIMLICENSED CONTRACTORS AND CONTRACTOR. RESPONSIBYLITIES: If the owner has hired a contracto� 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 not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation <br /> und�r state law. If the owner or intended confractor are uncertain as to what licerasing requirements may apply for the <br /> intended work, th�y are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign <br /> portions of the "contractor Block" of this application fior vuhich they will be respon§ible. If you, �s the owner sign as the <br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County. � � <br /> TR�►iVSPORT�►TION 11lAPACT/UTILITIES I�fIPACT APID RESOURCE RECOVERY FEES: The undersigned understands <br /> that Trans.portation Impact Fees and Recourse Recovery Fees may apply to tHe construction of new buildings, change of <br /> use in existing buildings, or expansion of existing buildings, as specified.in Pasco County Ordinance number 89-07 and <br /> 90-07, as�amended. The undersigned also understands, that such fees, as may be due, will be identified_at the time of <br /> permitting. It is further understood that Transportation Impact Fee� and Res�urce Recovery Fees must be paid prior 40 � <br /> receiving a "certificate of occupancy° or final power release. If the project does not involve a certificate of occupancy or <br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Coun#y WateNSewer Impact <br /> �fees are due, they must be paid prior to permit.issuance in accordarice with applicable Pasco County ordinances. <br /> CONSTitUCTION,LIEN LAW(Chapter 7'�3, FOorida S�atutes, as amended): If valuation of work is$2,500.OU or more,. I <br /> certify that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's <br /> Protection Guide" prepared by the Florida Departmer�f of F►griculture and Consumer Affairs. If the applicant is someone <br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise�in good faith fo <br /> deliver it to the"owner" prior to commencement. • <br /> CONTR�►CTOR'�/OWiVER'S AFFIDAVIT: I certify.that all the information in this application is accurate and that all work <br /> will be done in compliance with all applicable laws regulating constru�tion, zoning and land development. Application is <br /> 'hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has <br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating <br /> construction, County and City codes, zoning regulations, and land developmenQ regulations in the jurisdiction. ( also <br /> certify that I understand that the•regulations of otlier government agencies may appiy to the intended work, and that it is <br /> my responsibility to identify what actions I must tak�to be in compliance. Such agencies include but are not limited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, 111laterMlastewater Treatment. <br /> - $outhwest Florida Wate� Managem�nt Dis#rict-Wells, Cypress Bayheads; Wetland Areas, Altering <br /> Watercourses: - . <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watennrays. <br /> - Departraient of Health & Rehabilitative Services/Environmental Nealth llnit-Wells, Wastewater. Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Runways. � <br /> I undersfand that the following restrictions apply to the use of fill:� <br /> - �Use of.fill is not allowed,in Flood Zone"V"unless expressly permitted. <br /> - If the fill material is to be used in Flood Zone °A", it is understood that a drainage plan addressing a <br /> "compensating volurne" will be submitted at time of permitting which is prepared by a professional engineer <br /> li�ensed by the State of Florida. , - <br /> - If the fill material is. ta be used in Flood Zone "A° in connection with a permitted building using stem wall <br /> ; construction, I certify that fill will be used only to fill the area within the stem wall. <br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect. adjacent <br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating <br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1) <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> If I am #he AGEFIT FOR THE O�i11dER, I promise in good faith to inform•th�owner of the permitting conditions se�forth in <br /> this affidavit prior to commeracing construction. I understand that a separate permit may be required for electrical work, <br /> plurnbing, s'igns, wells, pools, air conditioning, gas, or other installations not specifically included in�the applica#ion. A <br /> permit issued shall be construed to be a license to proceed with the work and not as authority to,violate; canc�l, alter, or <br /> set aside any.p�ovisions.of the technical codes, nor shaCl issuance of a permit prevent the �uildio�g Official from thereafter <br /> requiring a correction of errors in plans, construction or violations of ar�y codes. Every permit issued shall become.invalid <br /> unless the work auQhorized by such permit is commenced within six months of permit issuance, or if work authorized by <br /> the perrnit is suspended or abandoned for a period of six(6) months after the�time the work is commenced. An extension <br /> may be �equested, in writing, from the Bu,ilding �Official for a period not to exceed ninety (9U) days and will demonstrate _ <br /> justifiable cause for the extension. If:wo[k ceases for ninety(90)cansecutive days,_the�job is considered abandoned. <br /> WARii�IfdG TO OWIdER: YOUR FAILUFZE TO RECORD.�► iV�TICE OF C�di1flN1ENCE�flII�NT IYIAY i��SliL'T IR! 1fOU12 <br /> PAYIPdG�llillCE FOFZ IMPROVEMENT�TO YOUR PROPEF3TY. IF YO.I�lNTEP1D TO OBTAIN FINANCING, CONSULT <br /> lAl1YH YOUR LENDER OR AN ATTORNEY BEFORE CZEG062DING YOUFZ NOTIC�OF COlIIIMENCEIII��I�T. ' <br /> FLORIDA JURAT(F.S. 1•7.03) • : „ __ __ >. . <br /> .,z Iu _ �e�[L��P�};R;c;7ti`.ti;+'ij};,iati��;iy�'.'�:��'��;;`jFL}"`�� '� f'j�� ��i`;�``� <br /> 'Yi. .t�T��`.,.(4 � Q�i �p �'.�`4bS..�SI.'�coNTwaeroR�'.�...��1Y� � �'���.�`, <br /> OWfdERt�QR AGE '-ti'"`' �II��IS�. �'_r ' <br /> t a (�j7�'';;::.__.: !v`u' . � t:7+�-s � <br /> i-�.J. � ...w..n <br /> i u �cntied`and swof�j�,,o(or ' rme�d�1 be)ore� e t s s ubed and swom�(o a pne [�fore e <br /> + b....'.k�l by �Iti'����� f�ICi`F�-l.'� � abl by i. Y�q�Lf k [�U.�l.l.:� <br /> �N — <br /> Who i /are personal ly k n w n t o m e o r h s l h a v e p r o d u c e d W ho Is/are personall y I ovuc�o me•or ha as tde tifi ation. <br /> � as identlfication. <br /> otary Public • Notary Public <br /> Commissfon No. �, d Commissi n No. T� J� � <br /> 1�,�1�. (,�1�.�'� �o� �� �rnac� <br /> IVame of Notary typed,p� Name of Notary type pnnted or sta ��������� <br /> �,�.p.o,,,�,,,, KELLI B. RYMAN <br /> � ,•;R:':�;y KELLI B. RYMAN -° : <br /> `,�o< <^� �+ _ Commission N FF 905017 <br /> .• ' Commission H FF 905017 '� �` <br /> _��� �, o.� My Commission ExPires <br /> �,, o.�; My Commis'sion Expires �'�;;Eof���:�� JUIy 30, 2019 <br /> • ��'%;;����r� <br /> •July 30, 2019 "����"• <br /> _ .�� _.,_ - - - <br />