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<br /> NOTICE OF DEED RESTRIC7(ONS: The unders(gned undersfands thaf fhis permit may be subject to"deed"resfrictions"
<br /> which may be more restrictive than County regulatians. The undersigned assumes responsibility for compliance with any ' �
<br /> applicabie deed res#dctlons.
<br /> LiNLICENSED CONTRACI'0}2S AND CONTRACi'012 RESPONSIB1LITtE3: If the owner has hired a contracfar or
<br /> cantractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> cantractor Is nat licensed as required by law,both the owner and contractor may be cited for a mtsdemeanor violaBon
<br /> under sfafe law. tf the owner or tntended canfractor are uncertain as fa wha#ltcensing requirements may appty foc the
<br /> intended work,they are advised to contact the Pasca County Building Inspectipn Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hlred a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the'eontracfor BlociC'of this application for whioh they wilt be responsible. lf yaa,as the ownar sign as fhe
<br /> contractor,that may be an indicatlon that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> Ti4ANSPORTATI0i3 iMPACTIUTtLlT1ES tNtPAGT AMD RESOURGE REGOVEE2Y FEES: The undersigned undersfands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply fo the construction qf 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 onderstands,that such fees,as may be due,wilt be ident3fied at the 8me oE
<br /> permitting. It is further undersfood that Transportatian fmpact Fees and Resource Recovery Fees must be paid prior ta
<br /> receiving a"certificate of occupancy°or final power release. If the praject does not involve a certificate of occupancy or
<br /> final pawer rslease,fhe fees must 6e paid'prior ta permit issuance. Furthesmare,if Pasca Caunfy WaterlSewer(mpact
<br /> fees are due,fhey must be paid pnor to permit issuance in accordance wifh applicab(e Pasco Counfy ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Stafutes,as arnended): If valuation of work is$2,500.00 or more,I
<br /> cerfify#hat 1, #he appiicant, have been provided with a copy of the "Fladda Construction Lien Law—Homeowner's
<br /> Profecfion Guide"prepared by fha�larida pepartment of Agricu(fure and Consumer Affairs. tf fhe applica�F is someone
<br /> other than the"owner",I certify that i have obtained a copy of the abave described document and promise in good faith to
<br /> deliver it ta the"owne�'priar ta commencement.
<br /> GOIVTRACTQR'SJOWNER'S AFFiDAVIT: I certify that ali fhe tnformafian in this appficafion is accurafe arrd fhat aii wark
<br /> will be dane in compliance with all applicable laws regulating construction,zaning and land development. Application is
<br /> hereby made to abtain a permit to do work and insta!lation as indicated. ! cectiiy that no work or installation has
<br /> � cammenced prior to issuance af a permit and#hat all wark wiii be pesfarmed fo meet stsndards of all laws regulatSng
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdictian. I alsu
<br /> certify that!undersfand that the regulations of other government agencies may apply to the intended work,and that it is
<br /> my responsibifi€y to identiiy what actior�s i must take to be in campliance. Such agencies include but ara na#limifed fo:
<br /> - Department of Environmental Profection-Cypress Bayheads,Wetiand Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewa#er Treatment.
<br /> - Soufhwesf Florida 1Nater Management District-We(Ss, Gypress Bayheads, 1Netland Areas, A(#ering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watenroays.
<br /> - Degartment of HeaSth & Rehabilitative ServiceslEnvironmental Health Ltnit-Wei1s, Wastewater Treafinent,
<br /> Septic Tanks. .
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federat Avtafion Aufhority-ftunways. .
<br /> I understand fhaf the following restrictions appiy to fiie use of fill:
<br /> - Use of fill(s no#allowed in Fload Zone"V"unless expressly permitted.
<br /> - Jf fhe ft!i materiai is to be used in Fiood Zone "A', it is understood that a dralnage plan addressing a
<br /> "compensating vbiume"wilt be submifted at time of permitting whlch is prepared by a professional engineer
<br /> ' licensed by the State af Florida.
<br /> - !f the fi11 materiat is to be used in Flood Zone"A°in cannection with a permitted building using stem wall
<br /> construcfion,i certify fhat fi!(wili be used aniy fo fll the area within the sfem wa[!.
<br /> - If fill material is to be used in any area, I certify that use of such fill will nat adversely affeot adjacent
<br /> psoperties. !f use of fi4{is faund to adversely affect adjacent properties,the owner may be cited for violating
<br /> the canditions af the build►ng permit tssued uncler fhe attached permit applicat3an,far Iots less fhan one{1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> lf 1 am the AGENT FOR THE OWNER,I promise fn good faith to inform the owner of the perrnitting conditions set forth in
<br /> this a�davit grior fo commencing constcucfian, !unBerstand that a separate permi#may be required far electricat work,
<br /> plumbing, signs,wells, pools, air conditioning, gas, or other installations not specificaffy included in the application. A
<br /> permit issued shall be construed to be a Ilcense to proceed with the work and not as authorify to violate,cancel,alter,or
<br /> set aside any provisions af the fechnicat codes,nar sha[i issuarsce of a permlt prevent the Bullding Officiat frorn thereafter
<br /> requiring a correcfion of errors in pfans,construction or viofations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within sGc months of permit issuance,or if work authorized by
<br /> the permit is suspended or abarrdoned far a period of six(6}manths after ihe time the work is commenced. Ar�extension
<br /> may be requested,in writing,from the Buifding Offic(at for a period nof fo exceed ninefy(90)days and wilt demonstrate
<br /> justifiable cause for the extension. Ifwork ceases far ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO dWNER: YOUR FAtLUR�TO RECORD A NO'i'ICE OF COMMENCENIENT MAY RESUI.T iFt YOUft
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPEFLTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR lENDER Qk2 AN AT70RNE ORE RECORDtNG YOUR C10T1C�OF GOMNIE T.
<br /> FLORIDA JURAT(F.S.t i7.03) �..
<br /> OWNERORAGENT� CONTRACTOR �.�' �
<br /> Su scri6ed and swo�r(or a ed}�fare m�this Subscribed and swom to�ftfrmedj before,u�thEs �
<br /> ,GL��It Arv�•c. t'��wt� /J—t-{G b�r , +nc.c G�v�-�-rc•.—
<br /> ' VJho is/are�me or haslhave produced Who is/are o me or has/have produced
<br /> as idenUfication. as Identifica8on.
<br /> '^�� .�--- �� �'�^.�
<br /> �-'"'",��� f� Notary Public —�'Y'`�:-_r�—"— J� ~ Nokary Publfc
<br /> Comm3ss3c�n No. Cammission No,
<br /> - Name af Notary typed,prinfed or sfamped Name of Notary typed,pdnted ot stamped
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