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NOTIGE OF DEED RESTRICTIOPIS: The undersigned understands that this permit may be subject to"deed"restrictians"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance wifh any
<br /> applicable deed restrictions.
<br /> UPILICENSED CONTRACTORS AND CON7RACTOR RESPONSIBILITIES: If the owner has hired a contractar or
<br /> contractors fo undertake work,they may be raquired fo be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owrter and contractor may be cited for a misdemeanor viotation
<br /> under state law. If the owner or intended cantractor are unoertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact fhe Pasca County Building Inspection Division—ticensing Section at 727-847-
<br /> 80Q9. Furthermare, if the owner has hieed a contracior or contractors, he is advised to have the contractor(s} sign
<br /> portions of the"contractor Black"of this applicatian for which they will be responsible. If you, as the owner sign as the
<br /> canfractar,that may be an indication that he is not properiy licensed and is noF entit(ed ta permiffing privileges in Pasco
<br /> County
<br /> TRANSPQRTATION IMPACTNTILITIES IMPACT AND RE50URCE RECOVERY FEES: The undersigned understands
<br /> that TransporNation tmpact Fees and Recourse Recnvery Fees may apply to the constructian af new bui(dings,change of
<br /> use in existing buildings,or expansion of existing buildings,as specified in Pasoo County Ordinance number 89-47 and
<br /> 9Q-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
<br /> permitting. ft 3s further understaod that Transportation impact Fees and Resaurce Recovery Fees must be paid prior ta
<br /> receiving a"certificate of occupancy"or final power release. If the project daes not involve a certificate of occupancy or
<br /> fina(power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer Impact
<br /> fees are due,they musi be paid prior to permit issuanoe in accardance with applicable Pasco County ardinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation oP work is$2,500.OQ or mare,I
<br /> certify that 1, the applicant, have been provided with a capy of fhe "Florida Construction Lien Law—Homeowner's
<br /> ProtecEion Guide"prepared by the Florida Department of AgricuEture and Consumer Affairs. If the applicant 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 /> deiiver it ta the°owner"prior to commencement.
<br /> CONTRACTOR'SlOWNER'S AFFlDAV1T: i certify that aH the informatian in this apptication is accurate and that all work
<br /> will be done in compliance with all appliaable laws regulating construction,zoning and land development. Application is
<br /> fiereby made to obtain a permi# to do work and instailation as indicated. t cer#ify #hat no work or installation-has
<br /> commenced prior to issuance of a permit and that all work wiii be performed to meet standards of a!1 iaws reguiating
<br /> � canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiotion. ! also
<br /> certify that t understand that the regulatians of atfier govemmen#agencies may app(y fo fhe intended work,and that it is
<br /> my responsibility to identify what actions I rrtust take to be io compliance. Such agencies include but are nat ilmited to:
<br /> - Department of Environmental Pratection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaferNVastewater Treatment.
<br /> - Sauthwest Florida Water Management District We!!s, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawails,Docks,Navigabie Waterways.
<br /> - Department of Health & Rehabilitakiue ServiceslEnvironmenta! Nealth Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand#hat the following restrictions apply to the use of flll:
<br /> - Use af fii!is not aAowed in Flood Zone°V"unless expressly petmitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> °compensating voiume"wi11 be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fiil material is to be used in Flood Zone "A" in connection with a permitted building using stem waf!
<br /> construction,I certify that fiH wi11 be used only to fili tfie area wifhin the stem wall.
<br /> - If fil! material is to be used in any area, i cerEify that use af such fi12 wilt 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 buiiding permit issued under the attached permit application,for lats less than one(1)
<br /> acre which are elevated by fill,an engineered drainage pian fs required.
<br /> if I am the AGENT FQR 7HE OWNER,I promise in good faith to inform the owner of the permitting canditions set forth in
<br /> fhis affidavit prior ta commencing consfruetion. I understand that a separate permif may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other instaHations not specificaliy included in fhe application. A
<br /> permit issued shall be construed to be a license to proceed with the work and nat as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shali issuance of a permit prevenE the Bui(ding Official from thereafter
<br /> requiring a correction of errors in plans,constrc�ction or violations of any codes. Every permit issued shai!become Enva(id
<br /> unless the work autharized by such permit is commenced within six months of permit issuance,or if work authorized by
<br /> the permit Es suspended or abandoned for a periad of six(6}months after the time the wark is comme�ced. An extension
<br /> may be requested, in writing,from the Building O�oial for a period not to excesd ninety{90)days and wiii 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 FAILURE TO RECORD A NOTlCE OF COMMENGEMENT MAY RESULT IN YOUR
<br /> PAYiNG TWiCE FOR IMPi20VEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAI INANCING,CONSULT
<br /> W{TH YOUR l.ENDE32 OR AN ATfOF2NEY BEFC}F2E RECQRDING YOUR iVOTICE OF CO EHCENiENT.
<br /> FI.ORIDA JURAT(F.S.117,03)
<br /> OWNER OR AGENT CONTRAC R .��`
<br /> Subscribed and swom ta{qr affirmed}before me this Subsoribe an m to or . } efore me thfs
<br /> bY aY ItL�
<br /> Who islare personalty known to me or has/have produced Who is/are personat�y nown t me or haslhave produced
<br /> as Identificatlon. as tdentification.
<br /> r
<br /> Notary Public �k = V�.� ,G�i--�.-� Natary Pubiio
<br /> Commission No. Cum�s�
<br /> � 'Q:a�'��n.�s �A ft FF 15Q�22
<br /> Name of Notary typed,printed or stamped Name of Ot�ry; ea�e� ��gtm�nher 12.2
<br /> -.;;�::,���:
<br /> .;a;'f���� Bondr? :'`rca�'c�n i�t.rAn:e S'00�5fl5•7Ui8
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