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'--. . � - �- r_ss�-s���:...�t��..f"�-.'""3,.._.,..__.._..;.!J <br /> ._ ,.. ... . a � <br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands.that.this,permit may be subject to"deed° restrictions";'�f�; <br /> which may.be:more;restrictive than:Cownty:r.egulations: :Th`e-undersigned�assumes��esponsibility�forcompliance'w'itli�any�"`" <br /> applicabie deed restcictions. , ,_._ ,_. _,; : <br /> R....... _. ....: <br /> � , . .. .. .: _ . <br /> - : ,. . <br /> UNLICENSED CONTRACTORS e4ND CONTRACTOR RESPONSIBILITIES: - If�tfie=�owner��has�hired��a��contractor. or <br /> coritractors to undertake work, they may be_required.to be�licensed in accordance with state and�local..r.egulations:�:�lf'tfie�-=� � <br /> contractoc is not licensed as��required �by'law, both the owner�and�cont�acfor�-rri`ay��be�ecited�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 wock,•they are advised to contact'ttie P"asco County Building Inspection'Division'=Cicensing Section at 727=847- <br /> 8009. Furthermore, if the owner Has hired a contractor or conf�actors, he is advised to`,;have the contractor(s).;sign_,.�, ; <br /> portions of the "contractor Block" of'this application for yuhich they.will..be responsible:--If you, as°�the�owner`'sign as the"�`` <br /> contractor, fhat may be an indication that he is not properly licensed and is nof entitletl to permitting.privileges in Pasco:_, � � <br /> County. � -- ..� -_ _ _. _ _ - .. _._�. _-< , <br /> TRANSPORTATION-IMPACT/UTILITIES IMPACT AND�RESOURCE RECOVERY FEES: The undersigned undecstands <br /> that Transportation Impact Fees and Recourse Recovery Fees may,apply to the construction of,new buildings, charige.'of T�= ��. <br /> use in existing buildings, or exparision,of,ezisting buildings, as specified in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned also understands, that such,fees, asymay<be��due, wilf`be'identified at'tfie::time�of'°-" ' <br /> permitting. �It is further understood that Transportation Impact Fees�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. Furtliermore, if,-Pasco County Water/S.ew.er.;lmpact;•;:- : <br /> fees are due, they musf be paid prior'to.permif issuance in accordance with applicable.Pasco.County ordinances.� <br /> CONSTRUCTION LIEN LAW(Chapter 713; Florida S4atutes, as amended): If valuation of vvork is$2,500.00..or.-moce,..l:r. � <br /> certify that I, the applicant, have tieen provided--with�a copy of the "Florida Construction, Lien,_ Law=�Flomeowner's �+� <br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant�is someone <br /> other than the°owner", I certify that I have obtained a copy of the above descri6ed'`document�and~promise in good'faitfi_'to. . <br /> deliver it-to the"owne�' prior to commencement. ' ' ` , � <br /> CONTRACTOR'�/OVNNER'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 construction, 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.installatiorr�-has <br /> commenced prior to issuance of a permit and that all work will be performed to meet standacds of all laws regulating <br /> construction, County and 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 apply to the intended work, and that it is <br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include�but are npt limited;to: <br /> - � �Department of Environmental�Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,VVaterM/astewater Treatment. <br /> � - �Southwest Florida Water Management District-Wells, Cypress Baylieads, Wetland Areas, Altering <br /> Vllatercourses. ' <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Health & 'Rehabilitative Senrices/Environmental .Health Unit-Wells;-W.astewater Treatment� <br /> Septic�.Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. . . <br /> - Federal.Aviation Authority-Runways. <br /> I understand 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 volume" will be submitted at time of permitting which is prepared by a professional engineer � <br /> licensed by the State of Florida. ' <br /> - If the fill material is to 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 tfie�building permit�;issued under the attached permit application,_for lots less than one (1) <br /> acre whieh are elevated by fill, an engineered drainage plan is required. <br /> If I am the AGEMT FOR THE OWNER,�1=promise in good faith to inform the owner of the permitting conditions set forth in , <br /> this affidavit prior to commencing�construotion. I_understand that.a separate permit may be required for electrical work,. <br /> plumbing, signs, wells, pools, air conditioning, gas,. or other` insfallations not specifically included in the application. A , <br /> permit issued shall be construed to be a license to proceed'inrith the work and�not as authority to violate, cancel, alter, or <br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter <br /> requiring a correction of er.rors in:plans;°construction or violations of any 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).months.after the time the work is�commenced. An extension � <br /> may be requested, in writing, from tlie Building'Official for awperiod not to�exceed•ninery(90) days and will demonstrate <br /> justifiable cause for the extension: If work ceases for ninety(90)consecutive days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FA9LURE T.O_RECO,,RD A.PIOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE.FOR,IMPROVEMENTS.TO YO.UR.PROPERTY. :IF YOU::.INTEND�TO OBTAIN FINiANCING; CONSULT <br /> W1TH YOURtENDER OR�►N ATTORNEY BEFORE<RECORDINGYOUR NOTICE OF'COMMENCEMENT" <br /> = FLORIDAJURAT(F.S.917:03)-- - - - - — ------ -- - -- --- - - - =--- -- — - — -- - ----- <br /> OWMER OR AGENT /' t� L CONTRACTOR ' � <br /> bsc�ib d and swo to o affirme )before me' Is Subscribed and swom to( rtned be�q re this il <br /> �?A�-g by � rl�. � 9 ZO—/,6 by � / f�' <f <br /> Who is/are personally known to me or hasJhave produced ' Who�are personal known to me or has/have produced <br /> �L.���`1�r�s 4�C�� as i den tl fica tion, L. �����' L��P.n.E� as Identificadon. <br /> /�Q-- Notary Public � Notary Publlc <br /> o missio o. Co is ' n No. <br /> Name ti:� d Q L Name of Nota ,2,p ��n� �r��r�$OGES <br /> ,`�. r ny'�c' ,t <br /> _,. � .=: Commission#FF 150422.. :.: .: Commission#FF 150422 <br /> ;�:��'a: Expires December 12,2018 :���oa Expires December 12,2018 <br /> �%:;Pd��°,:`�� 8onded Thru Troy Fain Insurenee BOOJ85-7019 �'�„p���,°�`��` Bonded TNu Tioy Fain Ineuranco 8D0.385•7019 <br /> ,ti- <br />