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<br /> NOTICE OF DEED RESTFtiCTIC1NS: The undersigned understands that this,permit.may be subject ta"deed" restrictions;' ''
<br /> which.may:be..more:restrictiue than Caanty cegulations: The undersigned-�assumes�iesponsibility'f6rcom�Eii'iance with any��'��
<br /> applicable.deed restriction�. .,
<br /> UNLICENSED C�NTRACTORS AND CONTRACTOR RESPQNSEBILlTIES: Ef ttae owner has� hired-a� con#ractar or
<br /> contractors to undertake work, they may be required to be licensed in accordance with sta#e and loca! re�ulations: If:the: �
<br /> contractar is not licensed as,required by law, both�the owner and contractar may,'�be cited>for�a misderr�eanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements:;m�ry�apply for°the.- '� ,
<br /> intended work, they are advised ta coritact,the Pasca Caunty Buiiding Inspection Division-Licensing Section at 727-847-
<br /> 8009. -Furtherrnare, if the owner has hired a canfractor ar cantractors, he is advised�to �have the coiitractar(s.} sign '
<br /> portians of the °contractor Block" of#his application for which they will be rssponsible. If yau, as�the awiier'sign a"s�fhe
<br /> contractor, that may be an indication that he is not properly licensed and is no# entitl'ed ta permitting privileges in Pasco
<br /> Caunty. - .
<br /> TRANSPORTATItJN 1MPA�T/.UTtLIT1ES 1MPACT AND RESOURCE REGOVERY FEES: The undersigne:d understands
<br /> that Transpartation Impact Fe�s and Recourse Recovery Fees may appiy to the consfruction of new buildi�ngs, change`of `� ,
<br /> use in existing buildings, or expansion of.existing bt�i(d9ngs, as specified in Pasca County Ordinance nurr�ber 89-07 and ;
<br /> 90-07, as amended. The undersigned alsa understands, thaE such fees, as may,-be due, wi11 6e�identifie� at:the�tirrie af�a � .,
<br /> permitting. lt is further understood that Transportation Impact Fees-and Resource Reeovery Fees must b�e paid prio�to �
<br /> receiving a °certificate of occupancy" or final power release. If the,project does not involve a certificate of'ocaupancy:or
<br /> finat power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water,�Sewer-.I,mpact
<br /> fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTlON LIEN LAU1t(Chapter 743;Florida Statutes,as amended}: (f valuation af wark is$2,�Ot),Od.or more,.I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Constructian t�ien Law=�Nomeawner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other#han the"owner", I cerfify that I have obtained a copy of the above'descr`ibed document and promise�ii�goad faitli to
<br /> deiivec it to the"owner"prior to commencement.
<br /> C4NTRACTOR'SIOWNER'� AFFIDAViT: I certify fhat all the information in #his appiication is accurate an�d�that all work
<br /> wiN be done in compliance�nrith all applicable laws regulating construction, zaning and tand-develapmen#. Application is
<br /> hereby made ta obtain a perrnit to do work and installation as indicated. 1 certify that no work ar�insta(latian has
<br /> _,commenced prior to issuan'ce of a permit and that all work wEl! be performed to mest standards of aA laws regulating
<br /> construc#ion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ! also
<br /> certify that I understand tha#the regulations of other government agencies may apply to the intended work„ and that it is
<br /> my responsibility to identify what actions I must take to be in campliance. Such agencies include but are nat timi#ed to: ,�
<br /> - Department of Environmental Protec#ion-Cypress Bayheads, We#land Areas and Environmentally Sensitive
<br /> Lands,WaterMlastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Ar�:as, Rltering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawal(s, Docks, Navigable Waterways.
<br /> - Departmenf of Health � Rehabiiitative Services/Environmentat Health Unit-Welis, Wastewate;r Treatment,
<br /> Septic-Tanks.
<br /> - US Environmen#a!Protection Agency-Asbestos abatement.
<br /> - Federa!Aviation Autnority-Runways.
<br /> I understand that the follawing restric#ions apply to the use af fill:
<br /> - Use of fill is not allowed in Flood Zane uV" unless expressly permitted.
<br /> - tf the fill materi�l is to be used in Flood Zone "A", it is understaod that a drainage plan addressing a
<br /> °cornpensating volume° witl be submitted at time of permitting which is prepared by a professicmal engineer �
<br /> Ncensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zons "A" in connection with a permitted building using stem wa!!
<br /> constructian, I certify that fill will be used anly to fill the area within the stem wall.
<br /> - If fill materiai is to be used in any area, 1 certify that use af such--fill will not adversely aff'ect adjacent
<br /> praperties. If use af fili is found to adversely affect adjacent properties, the owner may be cited for viola#ing
<br /> the conditions at'ttte builcfing permit issued under the attached permit application, for lats less than one (1) '
<br /> acre which are elevated by fil1,an engineered drainage plan is required.
<br /> !f I am the AGENT FOR THE QWNER, I prorriise in gaod faith to inform the owner of the permitting conditions set forth in �
<br /> this affidavit prior ta cammencing construction. I understand that a separate permit may be required for ele:ctrical v+rork, �
<br /> p(umbing, signs, welts, pools, air conditioning, gas, or other installations not specifically included in #he ap�plication. A
<br /> permit issued shatl`be construed to be a license to proceed with the work and not as authariry to violate, caricel, alter, or
<br /> set aside any provisions af the fechnical codes, nor shaE( issuance of a perrnit prevent the Building Clfficial from #hereaf#er
<br /> requiring a correctian of errors in plans, construction ar viokations of any codes. Every permit issued shafl berame inva(id
<br /> unless the work autharized by such permit is cammenced within six months o#germit issuance, or if work ap,athorized by�
<br /> #he permit is suspended ar abandaned far a period-of six(6) months after the time the work is commenced. ��n e�c#ension
<br /> may be requested, in writing, from the Buildirig Official for a period not to exceed-ninety (90) days and will iiemonstrate
<br /> jus#ifiabte cause for the e�ension. tf vvark ceases for ninety(90}consecutive days,the job is considered abandoned. �
<br /> WARNlNG TQ QWNER: YOUR FAILURE TO.RECORD A NOTlCE O,F COMMENCEMEN'T MA.Y_RESUI..T–IN YOI�R------
<br /> PAYlNG TWICE_FQRIMP_RA�EMENTS 7CD YQUR-P'RC?PER'Y'Y:!F Y�0-INTEND-TO�BTAlN FlNANGING, CQNSULT
<br /> �WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR�NOTICE OF�COMMENCEMENT.
<br /> FLflRIDA JURAT(F.S.117.03) r�
<br /> :.�'
<br /> OWNER OR AGENT � CONTRACTOR :�
<br /> Suqscnb and swom to{or a efofe ~ Subscribed and wom to r ftirm d befor e fhi
<br /> rr(/ (d by L' tl�l(o�fUby . � f `
<br /> Who is/are ersanall kno to me or has g duced � Wha s/are ersonall k ow to me or ha /h p duced F�„pk'./�}� AR/l/��S�✓G
<br /> en i ca f�fication. �
<br /> :i�`•�;►„�,,� : i'',`�R�l'FF�LL = <;a?►L'��.. DEBRAEtA#NE FtU�FEtI.
<br /> _ =Commission#GG 045343 •- ^�'�� �"�=�ommisston#GG 045343
<br /> :"��=a�:Expires November 7,2424 ` =•� :*=
<br /> s%�;o;�;°;''' eondedrnNTrayF�tntnsurance8oa39�7ot9 '�; �o;E%plresNovember7,2020
<br /> Notary Public Not��ry Public
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<br /> Commission No. � Commission No.
<br /> ,1��'.�/z E�-i.�l� ���'E:�G-- ��'%.�9 �i�/�✓L R(�G�',�. ,
<br /> S3ame of Natary typed,printed or stamped Name of Notary typed,prin#ed ar stamped
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