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NOTICE OF DEED RESTRIG'fiIONS: The undersigned understands that this permit may be subject to°deed" restriction's" �
<br /> which rnay be more cestrictive than Caunty regulatlans. The undersigned assumes tespans�bility for compl4��nce with any
<br /> applicable deed restrictions.
<br /> UNl.lCENSED Ct�NTRACTCl9tS AND GONTRACTUR RESPONSIBI�ITIES: If #he owner has hired a contcactor or
<br /> cont�acfors to undertake work, they may be required to be licensed in accordance with sfate and local regul;ations. If fhe
<br /> contractor is no# licensed as required by law, both the owner and contractor may be cited for a misdemee�nor vfolation
<br /> under state law. If tfie awner ar intended confractor are uncertain as to what licensing requ�rements may apply far the
<br /> intended wark, they are�advis�d to contact the Pasco County Buiiding Inspection Division—Licensing Sectior� at 727-847-
<br /> 8009. Fuethermore, if the awner has hired a contractor or contractors, he is advised to have the cantractar(s) sign
<br /> portions of the "contractor Black" of this appiica#ion for which they will be responsible. If you, as fhe awner sign as the
<br /> cont�actor, that may be an indication that he is not properly licensed and is nat entltled ta permltting privilec�es In Pasca
<br /> County. .
<br /> TRANSPORTATION IMPAC7"PUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned unde�stands
<br /> thaf Transpo�kation Impact Fees and Recourse Recovery Fees may apply to fhe canstrciction af r�ew buildingis, change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance numb��r 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, wi!! be identified �it the tirne of
<br /> permi#fing. It is further undersfood fhat Transportation Impact Fees and Resource Recovery Fees musE be paid prior ta
<br /> receiving a "certificate af occu�ancy" or final pawer release. If the project does not involve a certificate of o�ccupancy or
<br /> finai power release, the fees �ust be pald prlor to permit issuance. Furthermore, if Pasco County VttaterlSewer Impact
<br /> fees are due, they musk be paid priar to permit issuance in accordance with applicable Pasco County ordinanc:es.
<br /> CONSTRUCTIC?N lIEN LAW�Chapter 793, Ftorida Statules,as amendec3}: tf valuation of work is$2,500,1�4 or more, 1
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien t,aw—Hlomeowner's
<br /> Proteckion Guide" prepared by the Florida Department of Agriculkure and Consumer Affairs. If the applicant ls someone
<br /> other than the"owner", i certify fhat t ha�e obtained a copy of the abave descr'tbed document and promise in good faith ta
<br /> deliver it ta#he"owner"prior ta commencement.
<br /> CQNTRACTOR'SlOWNER'S AFFIDAVIT: 1 ce�#ify that alE the information in fhis applicatian is accurate and that at4 wark .
<br /> will'be done in campliance with all applicable laws regulating constructian, zoning and land development. �►pplication is
<br /> hereby made ta abtain a permik ta do work and installation as indicated. I certify that no work or installatfan has
<br /> � commenced prior to issuance of a permit and tfiat all work will be performed to meet standards af. a1} laws regutating
<br /> construction,�County and City codes, zoning regulations, and land development regulatians in the jurisdic.tion. I alsa
<br /> certify that 1 understand that the regulations of afFier gavernment agenc�es may appty to the intended work, �nd that it is
<br /> my responsibility to identify what actions I must take ta be in compliance. Such agencies include but are not limited to:
<br /> - Departmerit bf Environmental Protection-Cypcess Bayheads, V1fetEand Areas and Environrnentaliy Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Flarida Vl/ater Managemen# Distric#-We!!s, Cypress Bayheads, Wetland Ares�s, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilita#ive ServiceslEnviranmental Health Unit V1lells, Wastewater� Treatment,
<br /> Septic Tanks. -
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> t understand that the fallowing restrictions apply to the use of fill:�
<br /> - Use of filt is not atlowed in F1aod Zone"V"untess expressty permitted.
<br /> , _ - If the fill materia) is ta be used in Flood Zone °A", it is understood that a drainage plan addressing a
<br /> °campensating volume° will be submitteti at time of permitting which is prepared by a professiaE�ai engir�eer
<br /> licensed by the State of Florida.
<br /> - If the fii! materia) is to be used in Flaod Zone °A" in connection with a permitted building usin�g stem wall
<br /> consfruction, 1 certify that fill wiil be used anly ta frli the area within the stem wa(1.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely aff�,ct adjacent
<br /> properfies. 1f use of fill�is found tc� adversely affect ad�acent properties, the owner may be cited for v3olating
<br /> the conditians af the building permit issued under the attaahed permit applica#ion, far Iots less 1:han ane (1)
<br /> acre which are elevated by fill, an eng�neered drainage pian is requlred.
<br /> If I am the AGENT FOR THE �WNER, I promise in good faith fo inform the owner af the permitting condition�s sef forfh in
<br /> this a�davit prior to cammencsng aonstructian. ! unde�stand that a separate permlt may be required for electrical work,
<br /> plumbing, signs, weHs, pools, air canditianing, gas, ar other installations not specifically included in the application. A
<br /> permit issued shall be construed.to be a license to praceed with the work and not as authority ta violate, cancel, alter, or
<br /> set aside any pravisions of the technlcal codes, nor shall issttance of a perm's#prevent the BuRiding Officiai from thereafter
<br /> requiring a correction af errors in plans, canstruction ar violations of any codes. Every permit issued shali bei�ome invalid
<br /> unless the work authorized by such permit is commenced within six manths of gerrnit issuance, or if work aiathorized by
<br /> the permit is suspended or abandoned far a periad of six(6) monfhs after the time the work is commenced. ��n extension
<br /> may be requested, in writing, from the Building Official for a periad not to exceed ninety (90) days and will r�emonstrate
<br /> justifiabte cause for the extension. if worlc ceases foc ninet}r{90)consecutive days,the�job is considered abandaned.
<br /> WAR�i1NG TO tJWNER: Y{�UR �AILURE TO RECORD A NQTICE OF Ct7MMENCEMENT MAY RESUL.T fN YOUR
<br /> PAYING TWICE.FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FiNANCING,CONSUlT
<br /> WtTH YQUR I.ENDER OR AN ATTQRNEI(-���ORE IREC9�RDING YC�UR-N�ITICE OF COMIVIENCEMENT. _ _
<br /> FLORIDA JURAT(F.S.117.03)
<br /> I OWNEIt OR AGENT � /� _'���', CONTRACTOR —
<br /> S��bsar(be���d and swam t r ffirr�ed).before�fh�i Subscribed and b�om to{or af�rmed}before me th3s , �
<br /> u���{.ui�-bY
<br /> Wha�slare pers narly kna a me ar hasJhave gr duaed Who(s/are personally known to me or hasChave produced
<br /> ,v ,Q ,C./ •as tdenUflcatlon. as iden�ficatian.
<br /> ;�~�'���� , ` � Naka Pubiic Noiary Pubiic
<br /> a��MY s�eq�r
<br /> Commisston N ='�Q��'����8�����E��F���'�' Commtssion No.
<br /> ' :•- �orr#�S�Ort5�43"
<br /> :�, b�:Expires November 7,2020
<br /> �'°�`�'�� nce tos9 Name of Natary fyped,Printed or star�ped
<br /> Name of Nota s a
<br /> D���� ��-.Ar��l� �4 UF,c�� -
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