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<br /> NtJTlCE OF DEED RESTRICTtONS: The undersigned understa�ds that this;permit may be subject�o"deed�''restri�ions"�.��,
<br /> which.rnay�be more rest�ictive.thar�,Caunty.cegulations: The�-undersigned��assumes`responsibili#y'for�comptiance�with any'`
<br /> applicable deed restrictions.. � . ..,,. : .�-:.�,:r�
<br /> UNLICENSED CONTRACTORS AND' CCJNTRACTOR RESPUNSIBILITlES: !f ttie-owner Itas tiired�a�confractar or ,
<br /> contractors to undertak�work, they may be requ,ired to be�licensed in accordance with state anc!.loca! r,egul,ations..�!f,the�-"
<br /> canfractor is not iicensed as required �iy law, botii�the owner and:°contractbr-may�=be ci#ed�for=a misdemeanar violation
<br /> under s#ate law. If#he awner or intended contractor are uncertain as to what licensing requirements may;app(,.y for the = •
<br /> intended war•k, they are advised ta coritact`ttie Fasco County 8uitding Inspection�Division=Cicerising Section-at 727-847-
<br /> 80Q9. F'urthermore, if the owner has hired�a coritractar ar contractors, he is adv'ised�to�have the contractar(s) sign, :.
<br /> partions of the °cantractor Block" of this application for which they will be responsible. If you, as���ttie=ovurier stgn as'tlie3 " -
<br /> cantractor, that may be an indication fhaf he�is not properly licensed and is nof entitled to pe�m'itting�privileges in Pasco ,
<br /> County. _ � . ' - ' .��'� -. .
<br /> i'RANSPORTATIaN IMPACT/UTtLITiES,IMPACT AND RESiJURCE RECOVERY FEES: The undersigned understands �
<br /> that Transpa�tation tmpact Fees and Recourse Recovery Fees rr►ay apply to the consfruction of,new buildings, cfiange�of''�" �
<br /> use in existing buildings, or expansEon of existing"buildings, as specified in Pasco County Orciinance ntamber 89-07 and ,
<br /> 90-07, as amended. The undersigned altso understands, #hat such fees, asymay,.,b.e_due, will tie identifed at;.the�#iri�te�of`° �t
<br /> permitting. It is further understoad that�Transportation Impact Fees and Resource.�Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the:praject does not involve a certificate of occupancy,��or.�° � ,
<br /> final power re(ease, the fees.must be paid prior to permit issuance. �urthermore, if Pasco County Watec/�ewer Impact �
<br /> fees are due,they must 6e paid priar ta permit issiaance in accordance with applicable.Pasco County ordinances.
<br /> CGINSTRUCTlON lIEN LAW(Chapter 743;"Florida Statutes,as amended}: If valuation of work is$2,500,OO.or more,.l:;q,�
<br /> certify that I, the applicant, have been providad with a capy .of .the °Florida Construction Lien �aw=Hameowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant�is some,one >
<br /> other than the"owner�, i;certify that l have obtained a capy of the above describe8'document and promise in good faitri fo� _
<br /> deliver it to the"owner"prioe�to�commencement: � '
<br /> CON7RACTOR'S/OWNER'S AFFfDAVIT: I.certify>that aH the informa#ion in this application is accurate and that alI work
<br /> uvil! be done in campliance with af! appl'icable�laws regulating construction, zoning and-land-development. Applicatian is
<br /> hereby made to. obtain a permit ta do_work and installation as indicated. I certify that no .wark. ar installation has
<br /> commenced prior to issuance of a permit and�that all work will be performed to meet standards of al! laws regulating
<br /> construction, County and City cpdes, zoning regulations, and land development regulations in.the jurisdictian. ! also
<br /> certify that I understand that the reguia#ions of other gavernment agencies may apply to the interided wark, and that it is
<br /> my responsibility to identify what actions t must take to be in compliance. Such agencies include but are not limited to:
<br /> - Deparkment of Environmental:Protec#ian-Cypress Bayheads, Wetland Areas and Environmentai(y Sensitive
<br /> Lands,WaterlWastew�ter Treatment.
<br /> - Southwest Florida Water Management District-WeAs, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawaiis, Docks, Navigable Waterways. "-"
<br /> - Department af Health & Rehabilitative Services/Environmental .Health Unit VUells, Wastewater Treatment,
<br /> Septic Tanks: ' '
<br /> - US Environmenta!Pratection Agency-Asbestos abatement. �
<br /> - Federal Aviation Authority-Runways. _
<br /> I understand that�#he follawing:re"stric#ions appiy ta the use of fill:
<br /> - Use of fill is nof allowed in Flood Zone"V" unless expressly permitted.
<br /> - tf the fill materiai is to be used in. Fbod Zone "A", it is understaad that a drainage pian addressing a
<br /> "campensating valume" wi!! be submitted a#time of perrnitting which is prepared by a professional engineer "
<br /> licensed by the State of Florida.
<br /> - If #he fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wal!
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - if fil( �materiai is to be used in any area, I certify that use af such�fill will nat adversely affect adjacent
<br /> properties. If use of fiif is found to adversety affect:adjacent properties, the owner may be cited for vio(ating
<br /> #he conditions of the building per►nit issued under the attached permit application, far lots less than one (1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform.the owner af the permitting conditions set for#h in
<br /> this affidavit prior to commencing construction. t understand that a separate permit may be required�for electrical work, '
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other ins#atlations not specifically included in the application. A
<br /> permit issued shall�'be construed to be a ticense ta proceed with the wark and nafi as authority fa violate, cancel, alter, or '
<br /> set aside any provisions of#he technica!codes, nor shall issuance of a permit prevent the Building �fficiaf from thereafter
<br /> requiring a correction of errors in plans, construc#ion or violations of any codes. Every permit issued shalf become invalfd
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorixed by
<br /> the permif is suspended or abandaned far a period<of six(6) months.after the time the work is'commenced. An extension
<br /> may be reques#ed, in.writing, from the Buildirig Official for a period no# to exceed nine#y(90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases far ninety(90)consecutive days,the jab is considered abandoned.
<br /> WARNING�TO OWNER: YOUR FAMLURE TO RECORD A NOTlCE QF GOMMENCEN�ENT MAY RESU�T IN YOUR .
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR RROPERTY. IF YOU::INTEND TO�OBTAlN FlNANClNG,CONSULT
<br /> WtTH YOUR L'" NDER OR AN ATT : NEY BEFORE RECtJRDING YOUR NOTICE OF'C ENCEMENT. __.__
<br /> - _FLOR(DA JURAT F.S.I17A3) _ ___ __ _ � _ - . .�-__ - — � -- - - — . -------- ___. _ .�.�
<br /> OWNER OR AGEN7 CONTRACTOR ��� � ��_
<br /> Subs ribed nd swa or affirmed} e me this S bs�c ribed and m to tor affirtne be re me this
<br /> I'�''/ /t1� /�ll5 P" `e�'/ t.`-�tt e�"'
<br /> Who is/ar ersonaily known me or haslhave praduaed ` Who is/are rsonally known to e or has/have produced
<br /> as(dentification. as identiflca#ion.
<br /> �
<br /> Notary Public _ Notary Pubfic
<br /> mission Na. Commission No. CL
<br /> o•`�pn nwa•,
<br /> ��q�+;,:.,,� SYLYIA A.GAMPSEII ��,,,tp` �-.. Nofary Public-State ot Flarida
<br /> Narrre of No 6�;d , Name of Nota � A� �o�� ��on�FF d34230 �
<br /> �. . My Com . xpires JuI 19.2017 �`
<br /> Z Ff,� Commission�FE 034230 �'a��,�;;:�'' gp�ed'�t�rough Natian2l Notary Asso.
<br /> �.?;,o�tst�'a` �p�ed'(hrou�Nattonal Notary Assn. ��►�"'r""�"'r`�'
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