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<br /> NOTtCE 4F DEED RE3TRiCTtONS� The undersigned understands thak this permiE may be subjecf fo"deed"restricfions"
<br /> __._---_� which may he mor�rpGt�.ciiva_iqap_Cnunt�regulatio[as.—The-uqdersigaed-ass�mas-Fespar3sibil4Ey-foFse��liaFlce-witFrar�y----- ___...__.
<br /> applicable desd restrictions.
<br /> UNLlCEEiSED CONTRACTQf2S AND CON7RACTOR RESPONSE8tL.1TIE8: tf the owner nas hired a contractor ar
<br /> contrackors 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 contrector may be cited for a misderneanor viotation
<br /> under state Iaw. If the awner or intended contractor are uncertain as to what licensing requirements rnay apply tar the
<br /> intended work,they are advised to conkact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furtherrnore, if the owner has hired a contractor or contraciors, he is advised to have the conkractor(s) sign
<br /> POit10t7S Of tIl$"conttactor 81ock"of this application for which#hey wi11 be responsible. lf you,as fhe owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permikting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTtUT1LIT1E3 IMPACT ANp RESOURGE RECOVERY FEES: The undersigned understands
<br /> fhat 7ransportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion af existing buildings, as specified in Pasco County Ordinance__number 89-07 and
<br /> 9Q-47,as amended. The undersigned also uriderstands,thaE such fees,as may be due,will ba identifed at the fime of
<br /> permitt3ng. !t is further unders#ood that TransparEation lmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate af occupancy"or final power relsase. If the projeat does not involve a certificate of occupancy or
<br /> final pawer refease,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaferiSewer impacf
<br /> fees are due,they must be paid priar#o perznit issuance in accordance with applicabte Pasco County ordinances.
<br /> CONSTRUCTION LIEN I.AW(Chapter 713,Flarida Statutes,as amended). If valuatian of work is$2,500.00 or more,I
<br /> certify that 1, the applioant, have been provided with a copy of the "Florida Gonstruction Lien �aw--Nomeowner's
<br /> Pratection Guide"prepared by the Florida Deparfinent of Agriculture and Consumer Affairs. If#ha appEicant 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 to
<br /> deliver it to the"owner"prior to commencement.
<br /> CON7RAGTOR`SJOWPlER`S AFFIDAVIT: I certify that a!!the information in this appticafion is accurate and#hat aII work
<br /> wiil be done in compliance with ali applicable laws regulating canstruction,zoning and land development. Application is
<br /> hereby made ta obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> cammenced prior ta issuance of a petmiE and fhat a{!work will be periormed to meet standards af al! laws reguiating
<br /> construction, Gaunty and City codes, zoning regulatians, and land development regulations in the jurisdiction. I alsa
<br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
<br /> my responsibility ta identify what actions 1 must fake to be in compliance. Such agencies include but are nat iimited fa:
<br /> - Department of Environmental Protection-Gypress Bayheads, Wetiand Areas and Environmentally Sensitive
<br /> Lands,Wa#er/Wastewater Treatment.
<br /> - Southwest Ftorida Water Management District-Wetls, Cypress Bayheads, Wetland Areas, Alterirrg
<br /> - Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Qocks,Navigable Waterways.
<br /> - Department of Health & Rehabifitative ServiceslEnviranme�ta] Health Unit-Weils, Wastewatar Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Ru�ways.
<br /> 1 understand that the fallowing restrictians apply ta the use of fiIL•
<br /> - Use of fill is not allawed in Flood Zane"V"uniess expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood tha# a drainage plan addressing a
<br /> "campensating volume"will be submitted at time of permitting which is prepared by a prafessional 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 /> construc#ian,I certify fhat fi3l wi(1 be used only to fiI]the area within fhe s#em wall,
<br /> - If fill material is ta be used in any area, I certify that use of such fill wiil not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,the awner may be cited for violating
<br /> the conditions of the buildirtg permit issued under the attached permiE application,for lofs Iess than one(1}
<br /> acre which are e�evated by fill,an engineered drainage pian is required.
<br /> If I am the AGENT FOf2 THE OWNER,1 promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit priar to commencing constructian. {nnderstand fhat a separate permi#may be required far e2ecUical work,
<br /> piumbing, signs, welts, pools, air conditioning, gas, or other instatlations not specifica0y inc�uded in the app�ication. A
<br /> permit issued shall be canstrued to be a license to proceed with the wark and not as authority ta violate,cancel,alter,or
<br /> set aside any provisions of the technica{cades,nor shai!issuance af a permit prevent the Bufiding Officiai from thereaffer
<br /> requiring a carreetian of errors in plans,constructian or viotatians of any codes. Every permit issued shaN become inva(id
<br /> unless the work authorized by such permit is commenced within six manths of permit issuance,ar 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 the Building fl�cial for a period not to exceed ninety{90}days and wii]demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WAtZNING TO OWNER: YOUR FA[LURE TO RECQRD A NOTEGE OF GOMMENCEMENT MAY RESULT tN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PRQPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YQUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JllRAT(F.S.117.03}
<br /> OWNER OR AGENT__ CONTRACTOR� �`
<br /> Subscribed an bYwom to(or a�rmed)before me this Subscri6ed and byorn�or�affir �befo��re Te t [s Y,
<br /> �,_��+"t .!
<br /> Wrio istare personafly known ko me or haslhave produced Who}'��e pe�4�onai�y known o me r6 haslhave produced
<br /> _ �as identification. �_Q�,�L✓�'�7os,c�„as identification.
<br /> Notary Public G�^[�EL'E-- � ,,,,, Notary public
<br /> ___���
<br /> Commission No. Com �ssia a.
<br /> IIMn- •• �-
<br /> Name of Notary typed,printed or stampad Name of N ta�k�}7elty�int�{'r,Q�}�„��,JE��GES
<br /> :*. �:= Commission#FF t5d422
<br /> =;�� �o: Ex ires December 12,2018
<br /> ��%;p��„°Q��` BondedlhruTroyfaininsurance8�4-385�70i4
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