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NOTICE�F DEED�'RESTRICTIDNS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be more restrictive than Caunty regulations. The undersigned assumes responsibility far campliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBtLiT1ES: If the awner has hired a cantractor or
<br /> contractors to unde�take wark, they may be required to be (icensed.in accordance with state and loca( regulations. !f the
<br /> contractor is nat licensed as required by law, both the awner and contractor may be cited for a misdemsanor violatlon
<br /> under state law. If.�the owner or intended contractor are uncertain as to what ficensing requirements may apply for the
<br /> intended wark, they are advised to contact the Pasca Caunty Building Inspection Division—Licensing Section at 72?-847-
<br /> SOQ9. Furthermore, if the owner has hired a contractar or contractars, he is advised to have the cantractor{s) sign
<br /> portions af the "cantractor Block" of this app(icafion for which they will be responsible. !f you, as the awner sign as the ,
<br /> contractor, that may be an indication that he is nat proper•!y Gcensed and is not entitled to permitting privileges in Pasco
<br /> County. � • ,
<br /> TRANSPt?RTATlO�! tMPACT/CITtLIT1ES tMPACT AND R�SOURCE AECOVERY FEES: The undersigned understands
<br /> that Transparta#ion:,lmpact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing�buildirigs;.:or�expansion`af existing buildings, as specifiec! in Pasco County Qrdinanee number 89-07 and
<br /> 90-07, as amendedfi The undersigned alsa understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. !t is,fur�her understood that Transportation Impact Fees and Resource Recovery Fees must be paid priar to
<br /> receiving a "certific�te of occupancy" ar final power release. If the project does not involve a certificate of occupancy or
<br /> final power release; the fees must be paid prior to permit issuance. Furthermore, if Pasco Gounty Water/Sewer lmpact
<br /> fees are due,they must be paid prior ta permit issuance in accardance with applicable Pasco County ordinances.
<br /> CONSTRUCTIClN RIEN LAW (Chapter?13, Ftarida Statutes, as amended}: If valuation af work is $2,500.Od or more, I
<br /> certify that I, the app(icant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someane
<br /> other than the "awner", ! cerkify that! have obtained a capy of•the above described document and promise in good faith to
<br /> deliver it ta the"owrjer" prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all the informafiion in this application is accurate�and that a!! work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to abtain a permit to do virork and installation as indicated. I certify that no wark or instafiation has
<br /> commenced prior to iss�ance of a permit and that ali wark wil( be performed to meet.standards of a1( laws regulating
<br /> constructian, County and City codes, zoning regulatia�s, and land develapment regulations in the jurisdiction. I a(so
<br /> certify that I understand.that the regulations of other governmsnt agencies may apply to the intended work, and that i# is
<br /> my responsibility to;(dentify what actions ! must take ta be in compliance. Such agencies include but are not limited to:
<br /> - Department of Enviranmental Protection-Cypress Bayiieads, Wetland Areas and Environmentally Sensitive
<br /> Lands,:V1later/Wastewafer Treatment.
<br /> "- Southwest Florida Water Management District-We!!s, Cypress Sayheads, Wetland Areas, Altering
<br /> Watercourses. -
<br /> - Army Corps af Engineers-Seawalls, Docks, M1lavigable Waterways.
<br /> - Departnf�ent of Nealth & Rehabiiitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Sepfiic Tanks.
<br /> - US Envlronmental Protection Agency-Asbestos abatement. .
<br /> - Federal;Aviatian Authority-Runways.
<br /> I understand that th`e following restrictions apply ta the use of filL
<br /> - Use of:fll is not allowed in Flood Zone"V" unless expressly permitted
<br /> - If ttie fil! material is to be used 'sn Flood Zane "A°, it is uncterstood that a drainage plan addressing a
<br /> "compensating.volui�tme" wiff be submitted at t"rme af permitting which is prepared by a professianal engineer
<br /> licensed by th� State of Florida. : � �
<br /> - If tiie f[II material is to be used in Flood Zone "A" in connectian with a permitted building using stem wal!
<br /> construGtion, I certify that fi!!will be used only to fil!the area within the stem wa!!.
<br /> - ff filfa material is to be used in any area, I certify that use of such fill will nat adversefy affect adjacent
<br /> properti�s. if use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> ,, the;conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> ' acre which are elevated by fi!!, an.engi►zeered drainage plan is required.
<br /> If �am the AGENT;FOR.THE OWNER, I promise in goad faith ta inform the owner of the permitting conditions set forth in
<br /> this affidavit prior tci commencing construction. I understand that a separate permit may be required far e(ectrica( work,
<br /> p(umbing, signs, wells, poals, air conditioning, gas,. or other installations not specifically included in the application. A
<br /> permit issued shal!!be construed ta be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any pravisions af the technicat codes, nor shafl issuance of a permit prevent the Building Officia!frqrn thareafter
<br /> requiring a carrectio� of errors in plans, construction or vialations of any codes. Every permit issued shali become invalid
<br /> uniess the work�authorized by such permit is commenced within six manths af permit issuance, or if wark authorized by
<br /> the permit is susper',jded or abandoned for a periad of six (6) months after the tirr�e the work is commenced. An extension
<br /> may be requested„fn writing,'fram the 8uilding C?fficial far'a period nat ta exceed ninety {90) days and will demanstrate
<br /> justifiable cause.for#the extensian. If work ceases far ninety (90} consecutive days,the job is cansidered abandoned.
<br /> WARNlNG TO'OWNER: Y�UR FAILURE TQ RECORD A NOTlCE �?F COMMENCEMENT MAY RESULT !N YOUR
<br /> PAYING TWlGE FQR IMPROVEMENTS 70 YOUR PRI�PERTY. !F YC}U INTEND TC! OBTAIN FINANCING,CONSULT
<br /> WfTH YOUR LENDER OR A�t ATTORNEY BEFt3RE RECt�RDING YOUR NOTIGE OF COMMENCEMENT.
<br /> FLORiDA JURAT(F.S.1;17.03�� , ,
<br /> 01NNER OR AGENT �� '�''J` !l�✓ � CONTRACTOR ,,��.o�'"
<br /> Sub cr'b d d sw�,,�to;(or affirmed before me this Sub riti d and swom ta(a affirmed}befare me this ,
<br /> by 7:►�.c�rti�c'�,�ezu�.h�c.�r�«� jtd by G�e�.�,.,.4�C�sCr a.�t^}�►.��... .
<br /> ha� ar ersonally knbwn to me ar haslfiave produced W a is are personalty known to me or fias/have produced
<br /> i:` as identification. . as identificatian.
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<br /> �• No#ary Pub(ic Notary Public
<br /> Comm " c': Co missi .
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<br /> Name of M1latary typ �*. ��g�(�IS510N N FF 154529 M11ame f, 9��yped 5 �.
<br /> �a= EXPIRES;Sepiember 28,2018 ,� Mf C,(3M1h4�SSkON�
<br /> �� ��;•"'`��' gonded Thru Notary Pubr�c Undenrritera �*���,: EXPlRES:September 28,2018
<br /> �°fi�t:� '%���F�d;° Bor�ded Thro Notery Public Under�ritere
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