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�.... � .._.... - i <br />...._ -�--- . __ ..e.. .s y*,2�45."".�,:S�E:�."w'i3 <br /> r �� <br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this.permit may be subject�to"deed"restrictians"„�; . <br /> which may-be more resfrictive than County regulations: The;undersigned-assu'mes��resporisibifity•for cbmpliance with'any "`� <br /> applicabfe deed restric#ions. � � � , � � . z.:{ � ::. ';4 -, I <br /> UNUCENSED CONTR.ACTORS AND CONTRACI"OR RESP.ONSlBILITIES: lfvtfie owner-has`hired a-�contractor or � <br /> contractors�to undertaRe work, they may be required to be licensed in accardance with state and local regulatians:.-If.the:�� _� <br /> contractor is not iicensed as required by law, both the owner and contractor m'ay;=be cited%for;:a misdemeanor violation � <br /> under state law. If the owner or intended contraetar are uncertain as to whaf licensing requirements.;may.apply fior°�tfie,=-" <br /> intended work, they are advised to coritact the Pasco Caunty Baildinglnspect�on�Division-=Licensing Section at 727=847- , <br /> 8009. -Furtherrrzare, if the owner has hired a contractor ar cantractors, he�is advised to ;have the contractor{s:} sign .r,. <br /> portions of the "contractar Block" of this applicatian for which they wil! be responsible. _!f you, as�the owrier sign'as:ftis � <br /> contractor, that may be an indica#ion that he is not properly licensed_and is not entitled-tb permitting privileges in Pasco � <br /> County. _ � � � y� ` <br /> TRANSPORTATtt}N tMPACTLUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The und`ersigned understands '� <br /> that Transportation lmpac# Fees and Recaurse�Recovery Fees may,app(y ta the constructian of new bui(clings, change'`af` ``� ' <br /> use in existing buildings, or expansion of existing buildings, as speci�ed in Pascv Gounty O�dinance number 89-07 and <br /> 90-07, as amended. The undersigned alsa understands, that such fees, as may b.e due, wilf 6e:identified at�.tkie tirrie of� <br /> permifting. it is further understood that Transportatian Impact Fees and Resource�Recovery Fees must be paid prior ta <br /> receiving a °certifica#e of occupancy" or final power release. If the�project does not involve a certificate of occupancy;or � <br /> finaE pawer release, the fees must be paid priar to permit issuance.� Furthermare, if Pasco County Water/Sewer Impact. <br /> fees are due,ttiey must be paid prior ta permit issuance in accordartce with appfieable Pasco County ordinances. <br /> CONSTRUCTI�N LlEN LAW(Chapter 713, Flor�da Statutes,as amended): if valuation of wark is$2,54Q.OQ,ar more,_1, ,. + <br /> certify that 1, the applicant, 'have been-provided with a' copy of the�"Florida Canstruction L.ien, Law—Nomeowner's � <br /> Pratection Guide" prepared by the Florida Department af Agriculture and Consumer Affairs. If the applicant is someone <br /> other than the"owner", t certify that I have abtained a capy of the abave desc'ribed document and promise�in goo.d faith ta <br /> deliver it to the�"owner"prior to commencement. <br /> CQNTRAGTOR'S/�WNER'S AFFIDAVIT: i certify#hat a(I the informatian in this appiication is accura#e and that all work <br /> will be dane in compliance with all applicable laws regulating construction, zoning and land-development. Application is <br /> hereby made to obtain a permit to do work and installation as indicated. f cerkify that no work or installation has <br /> commenced prior to issuance of a perm'it and that all work will be pertormed to meet standards of al! laws regulating <br /> construc#ion, County and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I also <br /> certify that 1 undersfand that the regulations of other government agencies may apply to the intended work, and that it is <br /> my responsibility to identify what actions ! must take to be in campliance. Such agencies include but are not iimited to: , � <br /> - Department of Enviranmental Frotection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive <br /> Lands,WaterlWastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland A('@a5y Altering <br /> Watercourses. . <br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways. - <br /> - Department af Heaith & Rehabilitative Services/Environmental Health Unit Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmenta!Protection Agency-Asbestas abaEsment. . - <br /> - Federal Aviation Autharity-Runways. <br /> I understand that�the following restrictions apply to the use af fill: <br /> - Use of fill is not allawed in Flaod Zone°V"unless expressly permifted. - <br /> - If the fiil material is ta be used in Flood Zone "A", it is understood that a drainage ptan addressing a <br /> "compensating volume" will be submitted at time of permitting vuhich is prepared by a professional engineer � <br /> licensed by the State of Flarida. � <br /> �I - If the �Il material is to be used in Flaod Zone °A" in cannecfion with a permitted building using stem wa!! <br /> const�uction, I certify that fill will be used only to fill the area within the stem wall. <br /> �i - tf fill materiai is to be used in any area, t certify that use of such fill will not adversely affect adjacent <br /> properties. If use of fif! is faund to adversely affect adjacent properties, the owner may be cited for vialating <br /> the conditions af the building permit issued under the attached permit apptication, for lots less than ane (1) <br /> acre which are elevated by fill,an engineered drainage plan is requi�ed. , <br /> If I am the AGEIdT FOR 7HE OWNER, I pramise in good faith to inform the owner of the permitting condi#ions set farth in � <br /> this affidavit pcior to commencing construction. I understand that a separate permit may be required for electrical work, '� <br /> plumbing, signs, weils, paals, air conditioning, gas, or ather ins#allations not specificaily included in #he applicatian. A <br /> permit issued shall�be construed to be a ticense ta proceed with fhe work and not as authority to violate, cancel, alter, or <br /> set as'sde any provisions of the technicaE codes, nor shali iss�ance af a permit prevent the Building Official from thereafter <br /> requiring a correc#ion of errors in plans, construction or violations af any codes. Every permit issued shall became invalid � <br /> unless the work authorized by such permit is commenced within six months af permit issuance, or If work authorized by <br /> the permit is suspended ar abandaned for a period��of six(6) months after the time the work is commenced. An extension <br /> may be requested, in wri#ing, from the Building Officiai for a periad not to exceed-ninety (90) days and��will demonstrate <br /> justifiable cause for the extensian. tf work ceases for ninety(90)cansecutive days,the job is cansidered'abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECQRD A NOTICE UF COMMENCEMENT MAY RESULT tN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU:INTEND�TO QBTAlN FINANCING,CQNSULT <br /> WITH YOUR LENDER OR�AN ATTORNEY BEFORE RECORDING:YOUR�NQTICE OF COMMENCEIVIENT:--_-�---------� ----,� <br /> FLURIDAJURAT{F.S..117.03j _w _— ---- - -- — -- - - �` � f <br /> --- _.___ _ S <br /> K' <br /> OWNER OR AGENT �?-'lt-e�, CONTRAC70R G�'�d')t1L t1L,�,_ <br /> 8ubscribed and swam t or affirmed} ef re me this Subscribed and swa to(or affirmed)be re me this <br /> e, L s�ri2`' S- -� b 3" rn G rS.e�2.�f� , <br /> Who is/ar ersonally known me or has/have produced ` Wha is/ar rsonally known o me or has/have produced <br /> - as identification. as identification. <br /> � � <br /> Notary Public Notary Publlc <br /> Co mis n g,�, a"`Y p'�•, SYLVIA A.CAMPBEIL <br /> Co issia t�,t�" °�% . . <br /> ��.��,a: �y.,� :r • : <br /> �° `�: Notary Rublic-Siate ot Ftorida :•„ ` •; My Camm.Expires 3ut 19,2017 <br /> • - <br /> PIB�TI@ 4t 8, �3[I dt'S� ' Name of N fl(���Ir„111,w;�ilinte <br /> o� �ommissio� FF 034230 8onded Throug National Notary Assn. <br /> �''%n°�,`.��Q�`` Banded Thruugh National Notary Assn. <br />