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i � <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 <br /> '�= <br /> ''�AF��;o�:•� 6onded Thru '�ftf�;t�°'� �...—�--�---~— <br /> ; <br />