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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that ihis parmik may be subject to"deed''reskrictlans"
<br /> which may be more restrictive ihan Gounty regulations. The undersigned assumes responsibility for compliance with any
<br /> applicabie deed restrictions.
<br /> UNLICEN5ED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: lf the owner has hired a contractor or
<br /> contractors fo undertake wark,they may be required to be licensed ln accordance with state and local regulations. If the
<br /> contractor Is not Iicensed as required 6y law,bath the owner and cantrac#or may be cited for a misderrieanar vio(ation
<br /> under state law. If the owner or intended contractar are uncertein as to what licensing requiremenks may apply for the '
<br /> iniended wark,fhey are advised ta contact the Pasco Caunty Building lnspection Division—Lieensing Section at?27-847-
<br /> 8009. Futlhermore, if the owner has hi�ed a canfractor ar contractors, he is advised tfl have Ehe conEractor(s} sign ,
<br /> portions of the"contractor Block"of this application for whigh they will be responsible. If you,as the owner sign as the
<br /> conEractor,tFtiat may be sn indicaftan#hat he is not prope�ly iicensed and is nof enti#led to permitting privileges in Pasca
<br /> Counky.
<br /> TRANSPORTATIQN IMPACTIUTILITIES IIVMFAC'f AND RESOURCE RECOVERY REES: The undsrsigned understai�ds
<br /> Ehat Trar�sporkation Impact Fees and Recourse ReGavery Fees may apply to the construction o#new buildings,change of
<br /> use in existing buildings,or expansion of existing buildings,as sgecified in Pasco County Ordinance number 89-47 and
<br /> 90-07,as amended. The undersigned aisa understands,that such fees,as may be due,will be identified at the time of
<br /> �permitting. !t is€urther understnod khat Tianspor#ation fmpact Fees and Resource Recovery Fees must be paid priar to
<br /> receiving a"certificate of occupancy"or final power release. If the projsct does not irnolve a certi8cate of occupancy ar
<br /> final pawer reiease,the fees must be paid prior to permit issuance, Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are dUe,they must be paid prior 10 permit issuance In acca�dance with appilca�le Pasco County ordinances.
<br /> CQNSTRUCTION UEN LAW(Chapter 713,Florida Statukes,as amended): If valuation of work is$2,500.00 ar more,(
<br /> certify that 1, the applicant, have been provided with a copy of fhe "Florida Canstruc8on Lien Law.—Horrmeowner"s
<br /> Prokection Guide"prepared 6y the Elorlda Deparlment of Agricuiture and Cans�mer Affairs, If fhe applicant is somenne
<br /> other than ihe"owner',I certify that I have obtained a capy of the above described document and pramise in goad faith ta
<br /> deliver�it to the"awner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFlDAVIT: I cerkify fhat aH the��formation in khis applicaEion is accurate and that aii work
<br /> wiii be done in compiiance with all appliceble laws reguleting construction,xoning and land development. AppUcaUbn is
<br /> hereby made to obtain a permif to da work and insta!latian as indicated. i cQrtify that na wark or installation has
<br /> commenced prior to issuance of a permit and that ell.work will ba pesformed to meet standards of aA laws regulaEing
<br /> construction, Couniy and City codes, zoning regulatians, and land develapment regulations in the jurisdictian. I also
<br /> certi€y that!unde�stand that the regutatsons of ather goYemment agencies may app{}i fo the intended work,�nd thaf it Is
<br /> my responsibility to Identify what actions I rr�ust take to be in compliance. Such agencies include but are not limited to:
<br /> - Departmenf of Environmentai Protection-Cypress Bayheads,NVetiand Areas and Environmentaliy SensiGve '
<br /> Lands,lNate�/Wastewater Treatmen#. �
<br /> ' = Southwest Ftorida Water Menagement Distnct-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. ,
<br /> - Army Corps of Engineers-SeawaOs,Docks;Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Sepfic Tsnks.
<br /> - US Environmenkal Protacqon Agancy-Asbestos abatement.
<br /> - Federal Aviatian Autharity-Runways.
<br /> 3�nderstand Ehat the fotiawing restric#ions app�y(n the use af fiil:
<br /> Use of fill is n.at allowed in Flood Zone"V'unless expressfy permitted.
<br /> - if the fifl materiai is to be used ln Flood Zone "A", it is understood that a drainage plan addressing a
<br /> " "campensating votuine"witi he submitted at time af perrnitting which is prepared by a professional engineer
<br /> licensed by the State af Florida.
<br /> - if ihe fi{i maierial is to be used in Flaod Zone"A° in connectian with a permitted building using stem wall
<br /> construction,I certify that fl!1 w1!!be used aniy Eo 8!i the area within the stem walt.
<br /> - If fill malerial is to be used in any area, t certify that use af such fill will not adversely affect adjacent �
<br /> properties, If use of fili is found ta adversely affect adjacent properties,the owner may be cited for vio�ating
<br /> khe conditlons of khe buifding permit issued ucider fhe attached permlt appRcation,far 14ts less than one{1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If t artt the AGENT FOR THE OWNER,i promise in gaod faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. f understand that a separate permit may be requ3red for electncai work,
<br /> plumbing, signs,wells, poots, air conditioning, gas,or other installations not specifically Included in the applicatian. A
<br /> perrnit issued shalt be construed to be a license ta proceed with the work and nat as aufhority to vioiate,cancei,alfer,or �
<br /> set aside any provisions of the technical cades,nor sha0 issuance of a permi!prevent the Building 4fficlal fram tf�ereafter
<br /> requiring a carreciion of errors in plans,construction or violations of any codes. Every permit issued shalt bacome invalid i
<br /> uniess the work authorized by such permit is commenced wifhln s{x manUis af permit issuance,or if work authorized by
<br /> the permik is suspended or abandaned for a pedod of six(6)months after the kima tha work is coinmenced. An extension �
<br /> may be requested,in writirig,from the Building Official for a periad not to exceed nlnety(90}days and wiil demonstrate I
<br /> - jusUfiabte cause for the extension. if wark ceases for nlnety(90}consecutive d�ys,ihe Job ts cansidered abandaned. i
<br /> WARNit�G T¢OW��R: YQt��{tE t'�Lt�RE Td RECORfl A NOTiCE OF CON�M E T MAY RESULT iN YOUR
<br /> RAYlNG 1'WIGE FCqEt lMPf�bVFM��+tTS TO YOI�i�PROPE�'fY. !F YQU lN���.D TC?O� . _N FINANGl�1Ca,G"ONSUl.T
<br /> 1 YOUR E DER O � �RNEY BEFO E E O GING YOU �IV TIG O GOM E CE E .
<br /> �LORlDA'JURAT(F:S:9`1763j.__..f„,:__,. .__..__.... . .. .., ._._.. ....... ........................ ..�_ . .._._...._.. ... . .
<br /> OWNEROR_AGENT f � C4N7itAGTOR ' _,
<br /> Subscribed end ewom to r aHirr�d)�before me this' �uy scjibed and @worn . -affirtned)before me this
<br /> by ; I t"J'c�l��!}}r�.... 1
<br /> Who Is/are personally knoWn lo rrie or has/hade produced Who is/ar, ona ly n n t me or hasltiave produced �
<br /> as idanUficafian, as identification.
<br /> � `
<br /> Notary Pu6lic _��Q..� +`� tJotary Pubtic
<br /> � Commission No. Co mis.
<br /> ;_�. -rt�c, JACQUELfNE BOGEB
<br /> Name of Notary lyped,pdnted or siamped NBme of_ _�, C ,dfuil 6 2�
<br /> - Qo: Expires December 12,2018
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