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<br /> NOTICE OF DEED;�AESTRtCT10NS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulatians. The undersigned assumes responsibility for compiiance with any
<br /> app(icabls deed res�trictions.
<br /> UNLtCENSED CONTRACTORS AND CONTRACTOR RESPONS18tLITtES: !f the owner has hired a cantractor or
<br /> contractors�to undertake work, thay may be required to be licensed.in accordance with state and locai regulations. lf the
<br /> contractor is not licensed as required by law, both the owner and contractar may be cited for a misdemeanor violation
<br /> under state law. if the owner or intended cantractor are uncertain as to what licensing requirements may apply fbr the
<br /> intended work, they are advised to contact the Pasco Counfy Building lnspection Division—Licensing Section at 727-847-
<br /> 8009. �urthermore, if the owner has hired a contractor or cantractors, he is advised to have the contr�ctar(s) sign
<br /> portions.af fhe "contractor Block" af this appficafion far which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not proper•!y licensed and is not entitled to permitting privifeges in Pasco
<br /> County. ' r
<br /> TRANSPOATATlC1�V IMPACTJt1TILlTtES IMPACT AND R�SOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation.Impact Fees and Recourse Recovery Fees may appiy to the construction of rtew buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Gounty Ordinance number 89-07 and
<br /> 90-07, as amendedr The undersigned also understands, that such fees, as may be due, wiN be identified at the time of
<br /> permitting. It is further understoad that Transpartation impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate af occupancy" or final power release. If the project does not invalve a certificate of occupancy ar
<br /> final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasca Caunty WaterJSewer [mpact
<br /> fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION L(EN i..AW (Chapter 713, Ftarida Statutes, as amended): If valuation af work is $2,500.00 or more, I
<br /> certify that !, the applicant, have been provided with a copy of the "Florida Constructian Lien Law—Hameowner's
<br /> Protection Guide" prepared by the Florida Department af Agriculture and Consumar Affairs. !f the applicant is someone
<br /> other thari the "owrier", i certify that f have obtained a copy of the above described document and promise in goad faith to
<br /> deliver it to the"awner" prior to cammencement.
<br /> CONTRACTOR'S/CIWNER'S AFF(DAVIT: ! certify that al! the information in this application is accurate and that aN work
<br /> will be done in cam'piiance with a!! applicable laws regulating construction, zoning and land develapment. Application is
<br /> hereby made to abtain a permit to do virork and instailatian as indicated. I certify that no wark ar installation has
<br /> commenced priar to issuance af a permit and that ail work wii[ be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. f afso
<br /> certify that f unders�and that the regulatians af ather gavernment agencies may apply to the intended work, and that it is
<br /> my responsibility to;Identify what actians I must take to be in compliance. Such agencies include but are nat iimited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland rlreas and Environmental(y Sensitive
<br /> Lands,iWater/Wastewa#er Treatment.
<br /> - Southuvest Flarida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering
<br /> Watercourses,
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Departrnent of Heafth & Rehabiiitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Sepfiic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - FederaliAviation Authority-Runways.
<br /> I understand that the foilowing restrictions apply to the use af fill:
<br /> - Use of f11 is not allowed in Flaod Zone"V" unless expressly parmitted
<br /> - If the fill material is to be used in Ffaod Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professiona! engineer
<br /> licensed by the State of�lorida. �
<br /> - If the fill materia! is tca be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> constru�tion, I certify that fiil wif( be used only to fil!the arsa within the stem wall.
<br /> - If fiN material is to be used in any area, I certify that use of such fiN will not adversely affect adjacent
<br /> properties. If use ofi fill is found to adversely affect adjacent properties, the awner may be cited for viofating
<br /> the,cond�tions of the buifding permit issued under the attached permit application, for lats less than one (1}
<br /> acre wtiich are elsvated by fiIl, an engineered drainage plan is required.
<br /> !f I am the AGENT FOR THE OWNER, ! promise in good faith to inform the awner af the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate perm'tt may be required for electrica! work,
<br /> plumbing, signs, welis, paols, air conditioning, gas, or ather instailations nat specifically included !n the application. R
<br /> permit issued shall:be construed to be a license to procead with the work and not as authority to violate, cancel, alter, or
<br /> set aside any pr,ovisians of the technical cades, nor shaH issuance of a permit prevent the Building {�fficial frQm thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. •Every permit issued sha(I become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, ar if wark authorized by
<br /> the permit is susper�ded or abandoned for a period af six (6) months after the time the wark is commenced. An extansion
<br /> may be requested„in writing, from the Buiiding Official for a periad nat to exceed ninety (9Q) days and will demonstrate
<br /> justifiable cause for°the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> 's;
<br /> WARNtNG TO'OWNER: Yf3UR FAILURE Td RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> RAYING TWtCE FOR iMPROVEMENTS TC?YOUR PROPl�RTY. IF YOU INTEND TO OBTAiN FWANCING, CONSULT
<br /> WITH YOUR LENDER QR AN ATTQANEY BEFORE RECCDRDlNG Y�l1R NOTICE OF COMMENCEMENT.
<br /> FLQRIDA JURAT(F S. 117 03 �
<br /> � � �
<br /> OWTEER OR AGENT !. ��''—� CONTRACTOR r�
<br /> Su � r ed and sw4�C(to;'(or affirmed}before me this Subscn ed nd swom to(or affirmed)before me this
<br /> �� b}� :l:�G���.'+�t-'$Ga.csc._hcY r.-�c /'}l,l by [�ec r�-nG�`Sl ��-�ar I-t.�.�� .
<br /> h is/ e per b�ally{cnpwn to me or haslhave produced Wha s/are personally known to me ar has/have produced
<br /> �,' �; as identification. as identification.
<br /> r
<br /> Natary Public Notary Public
<br /> Gommissio � �� ---- Com `ssio
<br /> ----��L NYN SMRS ~ .•���Y'{'��,, dENNIFEALYNNBRRRS
<br /> .,�:�:+.�°v''�. 54528 �FF i54528
<br /> Name of No �j�;� ,+�ri� s �r 28,2016 Na �''o ,o, �fRE�f�����e��ers
<br /> ="' NoSary Pub4ic UnderxritErs '�' irp`` 600ded 7iuu Notary PuGtb
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