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<br /> NOTICE OF DEGD RES7RICTION5: 7he undersigned understands lhat ihis permit may be subject lo"deed"restrictions"
<br /> which may be more restrictive than Caunty regulations. 7t�e undersigned assumes responsibility for compliance with any ,
<br /> applicable deed resUictions. �
<br /> UNLICENSED CONTRAC70RS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or ��
<br /> conlractars lo untleitake tivork,they may be required to be Iicense�J in accordance with stale and local regulalions. If the
<br /> � conlractor is nol licensed as required b�,l law, both lhe owner and contrar,tor may be cited for a misdemeanor violallon
<br /> ' under stale law if lhe owner or intended contractor are uncertain as 10 what licensing requiremenls may apply for Ihe
<br /> � inlended work,they are advised to contact the Pasco County Buildin�Inspecllon Division—Licensing Seclion ai 727-847-
<br /> � 8009. Furthermore, if the owner has hired a coniractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of lhe"contractor 4lock"of this appl(cation for which lhey will be responsible. If you,as tt�e owner sign as the -
<br /> coniracior,lhal may be an indicafion Ihat he is not properly licensed and Is nof enfitfed to permitting privileges in Pasco
<br /> Counfy.
<br /> TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURC[RECOVERY FEES: The undersigned understands
<br /> iiiat Transporlation Impact Fees and Rer.ourse Recovery�ees may apply to the construclion oi new buildings,change of
<br /> use in exisfiny buildings,or expansion ot ex�sling buildinr�s,as specified in I'asco County Ordinance number 89-07 and
<br /> 90•07,as amerded. The undersig�ieci also understands, thal such fees,as may be due,will be identified a;ttie time of
<br /> permitting. It is further understaod that Transportation Inipacl Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"ur iinal power release. If the project does not invoive a certificate of occupancy or
<br /> final power release,lhe fees must be paid prior to pennil issuance. Furthermore,iF Pasco County VJaterlSewer Impact
<br /> fees are due,they must be paid prior to pennil issuance in accordance wilh applicable Pasco Counly ordinances.
<br /> CONSTRUCTION LIEPI LAW(Chapter 713,Florida Statutes,as amended): if valuation of work ia 52,5D0.00 or more,I
<br /> certify that I, ihe applicant, have been provided wi(h a copy oi the "Florida Consiruction Lien Law—Homeowner's
<br /> Protection Guide"prepared by Ihe Florida Deparlinent uf Agriculture and Conswner Affairs. If the applican!is someone
<br /> other than the"owner",I certi�y ihat I have oblained a copy of Ihe above described document and promise in good faith to
<br /> deliver i(to the"owner"prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT I certify ihat all tfie informalion in this application is accuraie and that ali work
<br /> tivill be done in compliance with ali applicabie laws regidating conslruction,zoniny and land developmenL Appiication is
<br /> hereby made to obtain a permit to do work and insiallation as indicated. 1 certify thet no work or inslallation has
<br /> r.ommenced prior lo issuance of a permit and lhal all work will be performed io meei standards af all laws regulating .
<br /> conslruction, County and City codes, zoning regulaiions, and land development regulations in lhe jurisdiction. I aiso
<br /> icerti(y that I understancl thal the reguiations of other govemment agencies may apply to lhe inlended work,and thal it is
<br /> i my responsibiliiy to idenlify what ackions I must lake to be in compliance. Such agencies include but are not limited to: t
<br /> � - Deparment of Environmental Proleciion-Cypress Bayheads, VJetland Areas and Environmentally Sensitive '
<br /> Lands,WaterNVastewater 1'reatmenL }
<br /> - SouFhwesi Florida Water h4an2gernenl District-Wells, Cypress Bayheads, Welland Areas, Altering
<br /> Watercourses.
<br /> i - Army Corps of Engineers-Seawalls,Docks,�laviyable Waterways,
<br /> - Depaijment of Heallh & Rehabilitative Ser�ices/Environmental Health Unil-Wells, Wastevrater Treatment,
<br /> � Seplic Tanks.
<br /> US Environmental Protection Agency-Asb2stos abatement.
<br /> - Federal Aviation Aulhority-Runways.
<br /> I undersland that ihe following restrictions apply to the use of fill:
<br /> - Use of fill is nol allowed in Flood Zone"V"unless expressly permitted.
<br /> - I( lhe fili material is ta be used in Flood Zone "A", il is understood that a drainage pian addressing a
<br /> "compensating volume"wiil be submitted at lime of permitling which is prepared by a professional engineer '
<br /> licensed by the State of Florida.
<br /> - If the fili material is to be used in Flood Zone "A"in connection with a pennitted building using stem wall
<br /> construction,I certify that fill wiil be used only to fill Ihe area within the stem wall. ,
<br /> - If fill materia! is to be used in any area, i cerlify thal use of such fiil wiil not adversely affect adjacent
<br /> properties. If use of fiil is(ound to adversely affect adjacent properties,the owner may be cited for vialating
<br /> the conditions of ihe building permit issued under lhe attached permit application,for Iols less lhan one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> , If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitUng conditions set forih in
<br /> � this affidavii prior to commencing consiruction. I �mderstand that a separate permit may be required for etectrical work,
<br /> plumbing, signs,weils, poofs, air conditioning, gas, or other installafions not specifically inclucied in the application. A
<br /> pennil issued shaii be construed to be a license to pror,eed with the work and nol as aulhorily 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 ihereafter
<br /> i requirirg a correction of errors in plans,construction or violations of any c:odes. Every permit issued shall become invalid
<br /> unless the work aulhorized by such permit is commenced within six months of permit issuance,or if work authorized by
<br /> the permil is sus�ended or abandoned for a period of six(6)monfhs aher the time the work is commenced. An extension
<br /> i may be requested,in writing,from ttie Buitdiny Official for a period not lo exceed ninety(90)days and wili demonsirate
<br /> justifiable cause for the extension. if work ceases for ninety(90)conseculive days,the job is considered abandoned.
<br /> � WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT h7AY RESULT IN YOUR
<br /> I PAYING lU1JICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCItdG,COPISULT ;
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO710E OF CO NCEMENT.
<br /> FLORIPAJURAT(F.S.177 9) �J
<br /> OWNERORAGENT ti C CLHO" CONTRACTOR �
<br /> St{¢&cr'bed and_ }�m o or finned) for bis i� ,cnb A and sa:o o io� t iroi. ) elore m is
<br /> �II�.�.(p—by_L"�f��a_F�_ �-� b
<br /> io islar rsori ,nown lo me or hasihave produr.ed io isiare ersonatly knox�n l e or has0iave produced '
<br /> �_ as idenlificaf(on. � as idenlificalion.
<br /> -����1" -�- NolaryPu6lic � � Not2ryPub3ic
<br /> Commission Na �����S�7 _ Coomiission tJo.
<br /> � �.I N�(a 5. 5 i o� __ �����► U�i�� �
<br /> Name of Nolan�i����i p.�..io�+� �a�++�F.i Name uf,ja t penteq •�
<br /> EINDA S.STOREY �4 J aASSIONF•. 24�
<br /> NOTARY PUBLIC �Q�•p� �',oi•, y
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