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fiIOTICE OF DEED RESTRIC'TIONS: The undersigned undecstands that this permit may be subject to"deed"restrictions" <br /> which may be mote restrictive than County regulations. The undersigned assumes responsibility for compliance�with any <br /> applicable deed restrictions. <br /> LYNLICENSED COfd'TR�4CTORS �►fdD CONYRACTOR 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 not licensed as required by law, both .the owner and contractor may be cited for a misdemeanor violation <br /> under state law. If the owner or intended confractor are uncertain as to what licerasing requirements may apply for the <br /> intended work, they 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 for verhich they wi!! be respon§ible. If you, �s the owner sign as the <br /> contractor, that may be an indication tha# he is not properiy licensed and is not entitled to permitting privileges in Pasco <br /> County. , , <br /> TRAWSPORYATION IIlAPACT/llTILITIES INIPACT ARID RESOURCE RECOVERY FEES: The undersigned understands <br /> that T.rans.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 Resource Recovery Fees must be paid prior to <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 County WateNSewer Impact <br /> �fees are due, they must be paid prior to permit.i5suance in accordance with applicable Pasco County ordinances. <br /> COPISTRUCTIOM,LIEN LAW(Chapter 713, Floric➢a S4afutes, as amended): If valuation of work is $2,�00.00 or more, I <br /> certify that I, the applicant, have been provided with a copy of the "Fiorida Construction Lien La.w—Homeowner's <br /> Protection Guide" prepared by the Florida Departmer�t of Agriculture �nd 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 fiaith fo <br /> deliver it to the"owner"prior to commencement. <br /> COPdTRACTOR'S/OWNER'S AFFtDAVIT: 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 ail work will be performed to meet standards of all laws regulating <br /> construction, County an�i City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br /> certify that I understand that the•regulations of other 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. �uch agencies include but are not limited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> -_� Lands, VVater/Wastewater Treatinent. <br /> - $outhwest Florida Wate� Management District=Wells, Cypress Bayheads; Wetland Areas, Altering <br /> Watercourses: � <br /> - Army Corps of Engineers-Seawalls, Docks, Naorigable VVa#e�rirays. <br /> - Department of Healtfi & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater.Treatment, <br /> Septic Tanks. � <br /> - US Environmentai 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 ailowed in Flood Zone"V"unless expressly permit�ed. . <br /> - If. the fill material is to be used in Flood Zone °A", it is understood that a drainage plan addressing a <br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer <br /> licensed by the Sfate of Florida. - <br /> - If the fill material is. to be used in Flood Zone "A° in connection with a permitted buiEding 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, 1 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 co�ditions 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 the�►GENT FOR THE Ol�Ii�E12, I Promise in good faith to inform�th�e owner of fihe permitting condttions set forth in <br /> this affidavit prior to commencing const�uction. I understand that a separate perrnit may be required for electrical work, <br /> plumbing, 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; cancel, alter, or <br /> set aside any p�ovisions of the technical codes, nor shaEl issuance of a permit prevent the Building 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 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) mont9�s after the time the work is commenced. An extension <br /> may be �equested, in writing, from the Bu,ilding OfFcial for a period not to exceed ninety (9p) days ar�d will demonstrate <br /> __ jus#ifiable cause for fhe�extension. If work ceases for ninety(90)cansecutive days,the`job is considered abandoned. <br /> !1lfAR�lING TO OWfdER: YOUR FAILUFZE '�O RECORD A f�OTICE OF C�MIlA�NCE�flIiENT IVIA`ff FZ�5UL7' IP� Y�UR <br /> PAYING�'�WWICE FOR IMPROVEIIflENTS TO YOUR PROPERTY. IF YO.I� INTEWD TO OBTAIN FINANCING, CONSULT <br /> l�ill�'H YOUR LEPIDER OR AaPI ATTOFtWEY BEFOiZE CZ�G002DING YOUIt NOTIC�OE COlVIMENCEIIAE(VT. • <br /> FLORIDA JURAT(F.S. 1�7.03) • ___ „ <br /> :;+ ;,:.,���`;;�,:n...,,,Y... ;F;,,,,-- :;s;>,:;���;.:. <br /> ,'.:��';;�:�;;'.� { :4«:,�,<:�� (,� _e;;��.:�,_: <br /> �,. /� <br /> :.Y _ ;;:�-.. _:: � ,,;. /� �' ���•::c-.. <br /> � J , �'W': =.��'I'n't 'hf-,eu.t,.�R e V' <br /> ,`�;, :.:�)� a::- t':y � �� ' �i:' .�.� • <br /> OYVIdERs;QRr74GEM:Ts:S.;�_ _ Q s:��t,���`.'�:GONTRACTOtt'" � - <br /> ��,..J i <br /> Suti"'''�-�a d wom o(or ' ed)betor � e.this � S bscribed and swo to r a rme b�f rP me is <br /> b�l(o G [x, % . S'e f o�l(a by rY <br /> Who is/a e ersonally known to or haslhav produced Who is/are personally k to me�or h slhave produced <br /> ` � • as identiflcation. as Identification. <br /> !� . <br /> Notary Public • Notary Publlc <br /> Com issi n No. `� �5�I� Comm ion No. �� r D `�o�� I <br /> I�Z��l �t� �{�Q..{�t ��! <br /> iVame of Notary o�stamped Name of Notary typed,printed or stamped <br /> ' ,�`:����°�s- KELlI B. RYMAN """"' �� <br /> _�o ��� _�+o�►*�ro��n� KELLI B. RYMAN <br /> _� �_ Commission N Ff 905017 Commission N FF 905017 � <br /> :; ,.,e My Commission Ex ires :�•� <br /> ' ,,''`r°111„F,• P ,��f *A`� My Comm�ssion Expires <br /> JuIY 3'0, 2019 '�•.`„�;;;,•`' July 30, 2019 <br /> , -. , , - �- - �. - .. _ <br />