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<br /> NOTICE OF DEED RESTRICTIONS: 7he'undersigned understands.that this.permit may be subject ta"deed" resfrictions" �T�
<br />'� which may_be,more�restrictive#har�County, regulations. The�_undersignei3 assuri�es�responsitiil�ty`for corripliance with arty�';°�
<br /> applicable deed"restrictions. � , � °. : • � . ; . . �
<br /> UNLICENSED CONTRAGTORS AND GONTRAC70R RESP4N�IBILlTIES�� Ef�the owner has fiired'-a� contractar or ^
<br /> contractars�ta undertake work,,#hey may be re.quired to be iicensed in accardance with.state and local:regulations: =lf-the��.
<br /> contractor-is not licensed as required by law, both the awner and Icontractor�may��be cited for�.a misdemeanor violation `
<br /> under sfate law. If the owner or intended'contrac#or are uncertain as to what ticensing requireriients::may:appfy}far:�the� "°
<br /> intended work, they are advised to contact the Pasco County Buildi�g Inspection DiVision=Licensing Sectian at ?27-847-
<br /> 80Q9. Fur#hermore, if the owner has hired' a contractor or cantractars; he is advised to ;have the contractor(s}, sign ;
<br /> portions of the "con#ractor 81ock" of this applicatian for which.they�vill be responsible. If you, as tlie ovirner sigri as'tfie �
<br /> cantractor, that may be an indication that !ie is not properly license�d and is not entitled'#o permitting�privileges in Pasco "
<br /> Caunty. _ ` ' .. , ' '�--
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transporkation Impact Fees and Recourse Recovery Fees may4apply ta the constructiart of new buildings, change'of� '" '
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such�fees, as�may be due, will 6e identified at ttie time-of `
<br /> permiiting. It is further understaod that Transportation tmpact Fees�i and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" ar final power retease. If the praject does not involve a certificate of accupancy..or,.: �
<br /> final power release, the fees must be paid prior to permit issuance.� Furthermore, if Pasco Gaunty Waterl,Sewer�lmpact. -
<br /> fees are due, they must be paid prior ta permit issuance in accordanae with applicable Pasco Caunty ardinances.�
<br /> CQNSTRUCTtON LlEN LAW(Chapter 793, Plorida Statu#es,as ai�encled}:, If valuation of work is$2,500.00�or rrioce,ai.� ,.
<br /> certify that I, the applicant, have been pravided with a copy of �the "F'landa Construction Lien Law—Homeowner's�
<br /> Protection Guide" prepared by the Flarida Department of Agriculture and Cansumer Affairs. •!f the appficant is someone_
<br /> other than the"awner�, I,certify that 1 have obtained a copy of the above descri6ed docurnent and promise�in good faith to
<br /> deliver it to the"owner" prior to commencemerit. - '
<br /> C�NTRACTOR'S1C?WNER'S A�FIDAVIT: 1 certif.y that aH the information in this applicat�on is accurate and�that alt work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do wofk and installation as inclicated. ! certify that no work or installatio� has
<br /> commenced prior ta issuance of a permit and tha# all wark will be �performed ta meet standards of all laws regulating
<br /> canstruction, County and City codes, zoning regulations, and land development regulations in�the jurisdiction. I also
<br /> cerEify that 1 unaerstand #hat fhe regula#ions of at#�er gavernment agenc�es may app�y to the in#ended wark, and thaf it is
<br /> my respansibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: , •
<br /> - Department af Environmental Pr.otection-Cypress Bayhe" ds, Wetland Areas and Environmentally Sens9tive
<br /> Lands,Water/Wastewate�Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitafive Services/Environ�mentai Health Unit V1lells, Wastewater Treatmen#,
<br /> Septic Tanks.
<br /> - US Environmenta!Protection Agency-Asbestos abatemen . , � � .
<br /> Federal Aviatian Au#hority-Runways. 1
<br /> 1 understand that�the following restrictions apply to the use of fill:
<br /> - Use of fill is not allawed in �lood Zone uV"unless expressly permitted.
<br /> - If the fill materiaf is to be used in Flaod Zone "A", it is understoad that a drainage plan addressing a
<br /> "compensating vaEume" will be subrr�itted at time of permifting which is prepared by a professional engineer
<br /> �icensed by the State of Florida. '
<br /> - lf the fill material is ta be used in Flood Zone °A" in co`nection with a permitted building using stem wall
<br /> construction, 1 certify that filt will be used only#a fill the are�within the stem wail.
<br /> - If fill material is to be used in -any area, I certify that use of such �ll will not adversely affect adjacent
<br /> properkies. If use of fll is found ta adversely affec#�adjacent properties, fhe owner may be cited far violating
<br /> the conditions af the building per�mit issued under the attached permit application, for 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 ta inform the owner af the permifting canditions set forth in
<br /> this affidavit prior to commencing constructian. 1 understand that a separate permit may be required for electrical work, �,�
<br /> plumbing, signs, wells, poats, air car�ditianing, gas, or ather instailations not specifically included in fhe applica�ion. A '
<br /> permit issued shall be construed #o be a license to proceed with the work and not as authority to violate, cancel, alter, or .
<br /> set aside any provisions of the technicaf codes, nar shall issuance of a permit prevent the Building Qfficial from #hereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid �
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> Ehe permit is suspended or abandoned far a period-of six(6}manffis after the time#he work is commenced. An extensian -
<br /> may be requested, in�writing, from the Buildirig Official for a period.nat to exceed•ninety (90) days and will demonstrate�
<br /> justifable cause for the e�ension. 1f wo�rk ceases fbr ninety{90}cansecutive days,the job is considered abandoned. �
<br /> WARNING TC? OWNER: YOUR FAILURE TO RECORD A NOTICE iOF COMMENGEMENT MAY RESUl.T !N YOUR
<br /> PAYING TWICE FOR iMPROVEMENTS TO YOUR.PRORERTY. tF YOU�INTEND=TO OBTAIN FINANCING, CCINSULT
<br /> WITH YOUR L'END�R OR AN ATTORNEY BEFORE_REC�R�ING-YC)l1R-ldCDTlCE-OF COMMENCEMEEI1f. -"�" - -� ~ �
<br /> - �Fi�<}RIDA JURAT(F.S. 1T 03) � -`
<br /> OWNERQRAGENTo�/dA�.�NC� �'S`�' ":1C ' CONTRAGTOR I �)�-![—
<br /> Subscr bed and swa{�to(or affi�ed}be e�ne this Subscribed and s�niorn ta{or a�irmed)befare rne thls
<br /> �i/ ./ by T7U.�Q.e�,/c� �.�s �O C'.� byl
<br /> W a/�1s/aqre onall knpwn to me or has/have praduced , Who islare personally known to me or has/have produced
<br /> �K_l��t'� �-[���S Id6T1�fCd�l4tt. ( as iden�ficat(on.
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<br /> 1���c�� 'G(..6.�..Q.�.� c�ta"ry Public Notary Public
<br /> Commisslon Na.�l.f �����..�� Commission Na. !
<br /> ��,6r'� �ru��e �U �' �
<br /> Name of Notary typed,printed or stamped ,' � Name af Notary typed,pr3nted or stamped
<br /> ��,•4�;p�,"�'���.�DEBRA ELAINE RUFFELL
<br /> ,-.J. � •c;.Commission#�G 0453�3 -
<br /> •����:Fxpires November 7,2020 `
<br /> ''F°�;;°c' EondedTtwTroyF2lnlnsuranca8Da385�7019
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