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<br /> NOTICE OF DEED R@STRICTII�NS: The undersigned understands that this permit may be subject to"deed"restrigtions"
<br /> whict� may.be more cestrictiye than Caunty regutatians. The undersigned assumes responsitiility far corripliance with'any�
<br /> applicable deed restrictions.
<br /> UNLl�ENSEQ C4NTRACTORS AIdD GONTRA,CTQR RESPQNSlBILITtES: if•the�owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accardance with state and local regulations.- If�the
<br /> contractor is not licensed as required by law, bothi the owner and-contractor m'ay��6e cited far�a misderrteanor violation
<br /> under state law. 1#the awner or intended contractor are uncertain as to what licensing requirements may�:appiy for.the;
<br /> intended work, they are advised to contact`the Pasco County Building Inspection�Division=Licensing Section at?27-847-
<br /> 8009. Furthermare, if the owner has hired a contractar or cantractors, he is advised to �have the contractor(s} sign
<br /> portions of the "contractor Block" of this applicatian for which they will be responsible. If you, as the owrier sign as.the
<br /> contractor, that may be an indication that he is not properly liosnsed and is nof entitled�to permi#ting privileges in Pasco
<br /> Coun#y.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The.undersigned understands
<br /> that Transportatian Impact Fees and Recourse Recavery Fees may apply ta the construction of neur 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 undessignec! also understands, that such fees, as may be due, will be ident�ied at:ttie time af �
<br /> permitting. tt is furfher understaod that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" ar ftnal power release. !f the project does not involve a certificate of occupancy-or
<br /> final power release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco Caunty WaterJSewer lmpact
<br /> fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTiON LlEN t�AW{Chapter 793, Flarida S#atutes,as�mendecf}: If valuation of work is$2,500.00 or more,-I
<br /> certify that 1, the applicant, have been pravided with a copy of the "Florida Cons#ruction Lien Law--�Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. ff the applicant is someone
<br /> other than the`bwner�, I certify#hat 1 have obtained a copy af the abave described document and pramise in good faith to
<br /> deliver it to the"owner" priar to cammencement.
<br /> CONTRACTt�R'SIQWNER'S AFFIDAVtT: 1 certify that all the infarmation in this application is accurate and that ail work
<br /> will be done in compliance with all applicable laws regulating canstruotion, zoning and land development. Application is
<br /> hereby made to abtain a permit to do wark and instailation as indicated, t certify fhat no work or installation has
<br /> commenced prior #a issuance af a permit and that all work will be performed ta meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land develapment regulations in ths jurisdic#ion. ! also
<br /> certify tha# 1 understand that the regulations of other gavernment agencies may apply ta the intended work, and that it is '
<br /> my responsibility to identify what actions I must take to be in compliance. Such ag�ncies include but are not limited to:
<br /> - Department pf Environrnentat Protectian-Cypress Bayheads, Wetland �Areas ai�d Enviranmentally �ensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District V1fe!!s, Cyptess Bayheads, Wetland Areas, Attering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawalls, Dacks, Navigable Waterways.
<br /> - Department af Heai#h & Ftehabilitative ServiceslEnvironmental Hea(#h UniE-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmen#al Protec#ion Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of�Il is nat allowed in Flood Zone°V" unless expressiy permifted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "campensatmg volume° will be submi#ted at time af permitting which is prepared by a professional engineer
<br /> licensed by the Sta#e of Flarida.
<br /> - !f the fi!! material is to be used in Flaod Zone "A" in connection with a permiited building using stem wall
<br /> construcfian, 1 certify that�II will be used only to fil�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 /> prape�ties. tf use of fill is found ta adversely affect adjacent properEies, fhe 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 requE�ed.
<br /> 1f I am the AGEIdT FOR THE OWNER, I promise in good faith ta infarm the owner of the permitting conditians set forth in
<br /> this affidavit prior to commencing constructian. 1 understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or other installations not specifically included in fhe appiication. A ,
<br /> permit issued shall be construed to be a license ta proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisians of the technicaE codes, nor sha11 issuartce of a permit prevent the Building O�#icial from thereafter
<br /> requiring a correction of errors in plans, constructian or violations of any codes. Every permit issued shall become invalid
<br /> unless the work author�zed 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 work is'commenced. An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifabte cause far the extensian. If wark ceases for ninety{90)cansecutive days,the job is cansidered abandaned.
<br /> WARNING TU OWNER: YOUR FAI�URE TO RECORD A NOTICE OF CONlMENCEMENT MAY RESU�T IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU�INTEND TO OBTAIN FINANCING� CONSULT
<br /> WITH YOUR LENQ. OR AN ATTORNFY B�FO E RECORDlNG YQUR NQTICE OF C MEItifCEMENT. __ ._ _ � -
<br /> --- PLORI�fiJURAT{F .117 03) - -- - - - -
<br /> OVUNER OR AG� T s � QNTRAC
<br /> Subscribed and swacn • ar affirmed}before rrfe this Subsaribed and om to(ar affirmed}before me this
<br /> by y
<br /> Who is/are personally nown to me or has/have produced �� Who is/are p orialfy n wn to me or has/t�ave produced
<br /> r"'1f-!�
<br /> as 3dentification. ' /.,�. as identification.
<br /> r
<br /> Notary Public GZQ..�� Notary Public
<br /> Commtssion No. Com i ion N
<br /> ,.••;;�';Q��;•,, JPGQUELINE BOGES ���
<br /> Name af Notary typed,printed or stamped Name af Natary- ' 'r►t�d,
<br /> . ;�� :,�:�„xpire mber 12,2018
<br /> ' ���'�Pi:,�Q.��� 'e8aded Thtu Troy Fefn Insuren:u 800�385•�018
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