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<br /> NOTICE OF DEED RESTRICTIC1NSs ,The undersigned understands that this permit'may be subject,to"de�ed" restrictions° �.
<br /> which may.be more cestrictive.than County r`egutations. The=undersigned.a"ssumes cesponsibilitjr�for com��liance rrvifFt any '�`�
<br /> applicable deed restrictions. � ,.., .. � � :� �°
<br /> UNUCENSED=CONYRACTORS AND CONTRACTOR RESP.QNSlBILlTIES: !f�the owner tias hired�a� contractor or
<br /> cant�acfars fo undertake work, they may be required to be�licensed in accordance with state and local r;egulations: �1f the� �
<br /> contractor..is not licensed as required by`law, both the owner and'contractor may=-be-cited far.a misdemeanor violation
<br /> under state lauv. If the owner or intended contrac#or are uncertain as to what ticensing requirernents.;m<�y�apply•.for=#he. -�
<br /> intended work, they are advised to contact the Pasco Caunty Building�Inspection Division—Licensing Section at ?27-84?-
<br /> 8QQ9. Furthermore, if the owner has hired a ccintractor or cantractors, he is advised to�have the contractor{s},sign,.,,, ,
<br /> partions of the "con#ractor Block" of this application_for which they will be responsible. If you, as`the owrier sign'as tlie
<br /> contractor, that.may be an indication that he is nat properly licensed and is not entitled-fo permitt'ing prlvileges in Pasco
<br /> Caunty. ' . . -
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recavery Fees may apply#o the.constructian of new buildings, change�of�'- "
<br /> use in existing 6uildings, ar expansion of existing buildings, as speci�ed in Pasca County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as�may be due, will 6e identifiet! at�the time�of
<br /> permifting. it is further understood that Transpartation tmpact Fees and Resource Recovery Fees must k►e paid prior to •
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate o1f occupancy.ar, �
<br /> final pawer release, the fees must be paid prior to permit issuance. Furthermore,.i#Pasco Caun#y Wa#erlSewer-Impact=
<br /> fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco County ardinances.
<br /> CONSTRUCTION LIEN L:AW{Chapter 713, Florida Statutes, as amendedj: If valuation of work is$2,50��.QO.or more,..l �
<br /> certify that i, the applicant, have been provided with� a copy of the "Flarida Construction Lien Law--Homeawner's
<br /> Protection Guide" prepared by the Elorida Department oP Agriculture and Consumer Affairs. ff the applicant�is sameone_
<br /> other#han#he"awner", 1 cer#ify that I have abtained a capy of the above described'document and pramise-in;good faifh ta
<br /> deliver.it to the"owner" priar to commencement. � �
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that a11 the information in this appticat�on is accurate and that att wark
<br /> will be done in compliance with all applicable laws regulating canstruction, zoning and land-development. Application is
<br /> hereby made to obtain a permit to do work and installa#ion as indicated. ! certify that no virotk or.iristallation has
<br /> cammenced prior ta issuance of a permit and tha# a11 work wiil be performed ta meet standards of all I�iws regulating
<br /> construction, County and Gity cades, zoning regulations, and land develapment regulations in-the jurisd'iction. I also
<br /> certify that 1 understand #hat the regulatians of other gavernment agencies tnay apply ta the intended work, and that if is
<br /> my respansibility to identify what actions I must take to be in compliance. Such agencies include but are not limited,to: ,
<br /> - Deparfinenf of Environmentat Pro#ection-Cypress Bayheads, Wetland Areas and Ehvironmeni;alty Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Flarida Water Management District Wells, Cypress Bayheads, Wetland Ar+�as, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-5eawalls, Dacks, Navigable Waterways.
<br /> - Depa�tment of Health & Rehabilitative Services/Environmental Health Unit Wells, Wastewate:r Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Pratec#ian Agency-Asbestos abatement. � � �
<br /> - Federal Aviatian Authority-Runways. ��
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use Q€fill is not albwed in F1ood Zone"V" unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understoad tha# a drainage plan ��ddressing a
<br /> "compensating volume"will be submitted at time of permitting which is prepared by a prafessic►nal engineer �
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Fload Zone "A" in connectian with a permitted building usii�g s#em wal!
<br /> cons#ruction, I certify tha#fiil wilt be used anly to filt the area within the stem wal1.
<br /> - If fill -material is to .be used in -any area, I certify that use of such�fill will not adversely afi'ect adjacent
<br /> prape�ties. If use of fill is found to adversely affect adjacent properties, the owner rnay be citedl for violating
<br /> the conditions af the building permit issued under the attached permit application, for lots less than one (1) i
<br /> acre which are elevated by�II, an engineered drainage plan is requited.
<br /> 1f I am the AGENT FOR THE OWNER, 1 promise in good faith ta inform the awnerof the permitting canditians se#forth in �
<br /> this affidavit prior to commencing construction. I understand that a separate permit Fnay be required for ele:ctrical work,.
<br /> pEumbing, signs, wells, paois, air canditioning, gas, or other in`stallations riot,specifieally included in fhe a�plication. A :
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, caricel, alter, ar
<br /> set aside any provisions of the technical codes, nar shall Rssuance of a permit prevent the Builciing Official fr�m thereafter
<br /> requiring a correction of errors in plans, construction or vialations of any codes. Every permit issued shall be�come invalid -
<br /> unless the wark autharized by such permit is comrnenced within six months of permit issuance, or if work authorized by
<br /> fhe permif is suspended or abandaned far a period.of six(6}manths after the time the work is commenced. An e�ctension
<br /> may be requesteci, in.writing, from the Buildirig Official for a period, nat to exceed�nin_e_ty,_(90.)_daysand-will �demonstrate ----
<br /> iustifrable cause-fo�-the ex#ension:ff workceases for nmety�90 cansecutive days,the jab is considered abandoned.
<br /> WARNING TC? OWNER: YOUR EAILURE TO RECORD A NOTiCE QF CQMMENCEMEN'F MAY RESULT IN YDUR
<br /> PAYiNG TWiCE PC1R tMPROVEMENTS TO YOUR PROPERTY. IF YOU;INTEND.TO�BTAIN FtNANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YQUR. OTICE ° F OMMENCEMENT.
<br /> F�URtQA JUf2AT{F.S.11T.03)
<br /> OWNER OR AGENT CONTRACTOR _
<br /> Subscaibed and swom to{or a#fitmed)before me this Sabscribed and s o t or a ed) re m is
<br /> by b 1� "� _
<br /> Who is/are personally knoum to me or has/have produced ` Who is/are anally own to me or has/have produced
<br /> as 3dentification. as idenaficaUan.
<br /> Notary Public Notary Public
<br /> Commission No. Com a ian No
<br /> �,,,.,,'.,,
<br /> ti,�Y..yB4.,,, dACQUELIN
<br /> :� :°: ission#FF 150422
<br /> Name of Notary typed,printed ar stamped Name af iVo#ary typ � ��at�dDecesn t �
<br /> ,,, Q, zois
<br /> •,,�`�p��.Q,•� Bonded Thru Troy Fain Insureow 6043&5'
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