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13-Jan-2917� 20:07 SpanDSP Fax Header 7Z74740908 p.3 <br /> NOTICE OF DEEO RESTRICTIQNS: The undersigned understands that�is permit may be subject to°dead'reatrictions' <br /> � which may be moYs restricYrva lhan Cqunty reguletlons. The undersigned assumes responslbil(ty fot CAmpllance wilh any <br /> � appNcable deed resuicuone. <br /> UNLICENSED CdNTRAC'FORS AND CONTRACTOR RESPt1NSIBiL1TlES: If Ihe owner has hired a contractor or <br /> � contractors to undettake work,they msy be required to be Ifcensed in accorclance with state and local regulatians. If the <br /> contrectar is not licensed es requlred by law,both the owner and contra�tor may be Gted for a misdemeanor vfoladon <br /> under state law. If the owner or Intended contraclor ere uncertain as to whet Iicenying requiremeMs may apply for tha <br /> )ntertded wotic,they 8fe advised to epntaet the Peseo CouMy Buitding tnspeetion Divislon—Licensing Section at 727-847- <br /> � 8Q08. Furtltermore, if the ownet has hlred a cantractar or contractore, ha is advised tn have the coMractor(s)sign <br /> � portions of the'contrector Block"of this epptication for whiCh they wlll be responsibte. lF yau,as tlte ownbt sign as the <br /> eonhactor,tha!may be an irsdicetion that he is not property Ifcensed and is not entitled to permltting privileges in Pasco <br /> Coumy. <br /> 1RANSPORTATIGN IAAPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recavery pees may appfy�o the consttucUon of new buildings,change of <br /> use in existing butldfngs,or expertsion of existing bulldings,as specified in Pasco County Ordinance num6er 99-07 and <br /> ' 90-07,8s amandpd, The undersigned alsa undersfands,fhat such fees,as may be due.will be idanUfied at tl�e dme af <br /> � pertnitting, It Is fuRher understood thet Transportatlon Impact Fees and Resource Recovery Fees must 6e paid prior to <br /> receiving e°car�ircate of accupancy"or flnal pvwer refease. If the pro)ect does not involve a certificate of occupancy or <br /> fin�l power relesse,the f6eS must b9 peid p�iar to pertnit iasuanae, Furthertnore,if Pasco County Water/Sewer Impact <br /> i fees are due,they must be pald pdar to permit issuanca in accordance with appGcable Pesco Gounty ordlnances. <br /> CONSTRUCTIdN LIEN I.AW(Chapter 713,Flortda Statutea,as a�tendad}: If valuation of work is$2,500.00 or more,I <br /> certity that I, tfie applfcant, have been ptovided with a copy of the "Florida Construction Llen Law—Hpmeowners <br /> Protection Gutde"prepared by the Florida Oepartment of Agriculture and Consumer Aftalrs. IF the applicant Is someone <br /> othet lhan the"owner",i certily that I have obtained a copy of the ebove descHbed documant and promise in good faith to <br /> daliver it to the"ovmer"priorto commencement, <br /> i CbNTRACTOR'S10WNER'8 AFFipAVIT: 1 certify that all the intom�aUon fn thls eppllcatian is accurate and that atl work <br /> wip be done in camplfance with a8 applic9bfe laws regule6ng oanstruction,zoning and land developmenL Appt�etion Is <br /> I hereby made to obtain a pertnit to do work and installation as indicated. 1 eertify that no wo►k or Instaflatlott has <br /> commenced prlor to issuan�e of a pertnit and that all wark wlll be performed to meet standards of all laws regulating <br /> I canstruction,County and Ciiy codes,mning regulatians, and land development regulgrons In the juflsdicdon. 1 also <br /> ceHlty that I understend that!he reguletlons of othe�govemment ageneies may appty to the intended work,and that it is <br /> my tesponslbility to identity what ections I must take to be in compliance. Such agencies include but are not IlmRed to: <br /> - Department of Environmentsl ProteCtlon-Cypress Bayheads,Wetlend Areas and Envlronmentally 89nsitiva <br /> Lands,WeterNUastewater7reatment. <br /> i - Southwest Florida Water Management Dlefict-Wells, Cypress Bayheads, WeUend Areas, Altering <br /> � Wateroourses, <br /> � - Artny Corps of Englnee�s-Seawalls,Docks,Navigeble Weterway&. <br /> - pepartment of Health 8 Rehabilitative ServiCes/Envlronmen�l Health Unit-Wells, Westewater Treatrnent, <br /> . Septic TaMcs. <br /> - US Emrironmental Protection Agency-Asbestos abaternent. <br /> � - Federel Avlatlon Authority-Rurnveys. <br /> i I undarstend that the bllowing restrictions appty to the use of fill; <br /> - Us0 of fill ia rtot allowsd In Fbod Zone°V°unless expr�esly pertnitted. <br /> - N the fill materraf is to be used ir� Flood 7ane "A', it is urtd6tstood that a drainaE}e plan addressing a <br /> "compensating votume`witt he subrnitted at time nf permitting which is prepared by e ptpfesstanal engineer <br /> licensed by the fitete of Florida. <br /> - tf the fill material is to he used in Flaod Zone"A° in connection with e permitteQ bulltling using stem wall <br /> consVuction,I certify that fiU will tre used only to fitl the area within the stem wall. <br /> - tf fitl material is to be us$d in any area„I certlfy thet use of such fltl wltl not adversely affec:t adjecem <br /> properties. H us�of Afl is lpund ta adversely aflaat adjacent prope�tias,the owner may be cited for vlofating <br /> i the condltlons pf the pulldtng p6rnllt lssued under the attaohed pertnit application,for lots less than one{7) <br /> � ecre which ere eleveted by fitl,an englnaered dralnage plan is tequired. <br /> � If 1 am the AOENT POR THE OWNER,t promise fn good falth to Inform the owner of the perrnittfng conditions set forth in <br /> � khis affldevit pAar to Cqmmancing conshuction. 1 undarstand that e seperate pertnft mey tse repulred fo�alechical work, <br /> plumbing,signs,wells,pools,sir conditioning, gas, or other installatfons not speclflcally Ineluded in the appticetion. A <br /> permit issued shall he aonstrued to be a license to proceed with the work and not as authority to violate,cancel,alter,or <br /> � set aslde any provlsions of the technlcal codes,nnr shall issuanc�af a permit prever►t the Building Oflicial fram thereafter <br /> � requiring a correctlon of errors in plans.construction or vlolations of any codes. Every pertntt Issued Shall becpme Invalld <br /> unless tha work authorized by su�►permlt IS CommQnced within six manths of permit issuance,or if work authorized by <br /> I me permft is suspended or abandpnad for a period ot Six(6)months after the Gme the wotk is commencsd. An extensipn <br /> imay be requested,in wriNng,from the Bulldfng Otticial for a periad not to exc�ed ninaty(90)days end w111 demonsVate <br /> I Justiflable cause for the extension. If work cesses for ninety{90)consecuHve days,the job is considered abandoned. <br /> i WARNING TO OWNER: YOUR AILURE ��CORD A N0T10E OF COMMENCEM MAY RESULT IN YOUR <br /> PAYINQ TWICE FOR 1 TO Y4UR PROPERTY. IF YOU INT N FINANCiNG,CONSULT <br /> W1TH Y R I.B BEFORE REC RC F N <br /> FLORIDA JURA7(F.S.1 . <br /> I OKINEft OR A66NT �� CONTRACT <br /> S I 8 Btvo �8 Mte t16( m@_ (hjp_�� � ` gy,� � <br /> ����. ` <br /> o fe/ pet I or hesThave pmduoed o wm m �aelhave <br /> ies Idemtnrduoi,. as r Gon, <br /> I <br /> I ��ry���� Notary Publtc <br /> � mlealon Np. <br /> i Cpmm19e10 <br /> �;�'�,�c, l�ARLAJ�Ii�I�NU11�8j y4��.•••, fslW JwIIKONNQ <br /> � Neme of ��B Nama of Notery � ��.�0 <br /> � �4nna� AOR9d1kYM�tlYMtmlM 4+r�a B�Ok11nIt4�dM11ryMARs <br /> i <br /> ,� 1 <br /> I <br />