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<br /> NOTICE OF DEED RESTRICTICINS: The undersigned understands that#his permit may be subject to"deed"r�estrictians"
<br /> which may be more res#�ictive than County reguEations. The undersigned assumes responsibility fo�campl'tanae with any
<br /> applicable deed res#rictions. -�
<br /> UNLiCENSED GpNTRACTORS AND CONTRACTOEt RESPONS1�tLiT1ES: If the owner has hired a con#ractor or
<br /> contractors ta undertake work, they may be required to be licensed in accordance with.state and tocal regulatians. If the
<br /> contractor is not licensed as required by law, bath the owner and contractor may be oited far a misdemeanar violaklon
<br /> under state law. If the owner or intended cantractar are uncertain as to what licensing requirernents may apply for the
<br /> intended work, they are advised to cantact the Pasco County Building Inspection Divisian—Licensing Section at 727-847-
<br /> 8009. Fu�#hermore, if the awner has hired a cantractor or contractors, he is advlsed to have the contractar{s} stgn
<br /> partions of the "contractar Block" of this application for which they will be responsible. If yau, as the owner sign as the
<br /> cont�actor, that may be an indication that he is not properly licensed and !s not entitled to perm6tttng privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IIIA�AC'T AND RESOURC� RECOVERY FEES: The undersigned understands
<br /> that Transportation lmpact Fees and Recvurse Recovery Fees may apply to the constructian af�ew Eiuilc#ings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 9Q-Q7, as amended. The undersigned aiso understands, that such feest as may be due, wii! be identified at the time of
<br /> permit#ing. It is fur#her understaod that Transportation lmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certifioate of occupancy" or�na! powsr relsase. If the project does not involve a certifieate of occupancy or
<br /> final pawer release, the fees must be paid priar to permit isstsance. Furthermore, �f Pasco County WaterJSewer impact
<br /> fees are due, they must be paid prior#o permit issuance in accardance with applicable Pasco County ordinances.
<br /> CONSTRUGTt�N �1�R1 lLA1�!{Chapter Z13, Eioc�d�St�t�t#�s, ��am�ncfed�: !f valuatlon of work is$2,�ao.oa o�more, 1
<br /> certify that I, the appiicant, have been "provided with a capy of the °Florida Constructian Lien Law—Homeowne�'s
<br /> Protection Guide" prepared by the Fiorida Department af Agriculture and Consumer Affairs. Ef the appticant is someone
<br /> ather than the"owner", i cer#ify that t have abtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AF�IDAVIT: f certify that atl the inforrnatian in#his application is accurafe anci that atl work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Applicatian is
<br /> hereby made to obtain a permit to da work and instatlation as indicated. t eertify that no work or instal4ation has
<br /> commenced prior ta issuance of a permit and that all work wiil be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations� and land develogment regulations in the jurisdictian. ! aiso
<br /> certify that I undersfand that ttte regulations of other gavernment agencies may apply to the intended wark, and that i# is
<br /> my responsibility ta identify what actions I must take to be in compliance. Such agencies include bu#are not limited to:
<br /> - Depa�tment a# Environmental P�otect'son-Cypress Bayheads, We#land Areas and Ernironmentally Sensitive
<br /> (�ands, WaterMlastewater Treatment. '
<br /> - Southwest Fiorida Watee Management District-We!!s, Cypress Bayheads, Wefland Areas, Altering
<br /> Watercaurses.
<br /> - Army Corps af Engineers-Seawalls, Doeks, Navigable Waterways.
<br /> - Depa�tment of Health 8 Rehabi(itafive ServiceslEnvironmental Health Unit-Wells, Wastewater Treatmenf,
<br /> 5eptic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatsment.
<br /> - Federal Aviakian Authority-Runways.
<br /> I unclerstand that the fotlawing restrickions appiy to the use of fil1:�
<br /> - Use of fiil is nat altawed in F1ood Zone°V"unless expressly permifted.
<br /> - If the fill material is to be used in Flood Zone °A", it is understaod that a drainage plan addressing a
<br /> "campensating volume° will be submi#ted at time of permifting which is prepared by a professionai engineer
<br /> licensed by#he State of Flarida.
<br /> - If the fill material is to`be used �n Fiood Zone °A" in connection with a permitfed building using sterr� wal#
<br /> canstruction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, ! certify that use of such �11 wili not adversely affect adjacenf
<br /> properties. (f use af fili is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lats less than one (1)
<br /> acre which are elevated by fill,an englneered drainage plan Is required.
<br /> If I am the AGEfVl'FOR THE OIIi1NER, I pramise in good faith ta infarm the owner of khe permitting conditions set forth in
<br /> this affidavit prior to commencing constructian. 1 understand that a separate permit may be required for etecfrical work,
<br /> plumbing, signs, welis, poois, air conditioning, gas, or ather installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> se#aside any pravisians of the technical cades, nar shall issuance of a permit prevent the Buildirig Officia(fram thereafter
<br /> requiring a carrectian 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 commenc�d vtirithln six months of perm€t issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the�Buifding O€Ficial for a period not to sxceed nine#y (90} days and wilf demonstrate
<br /> justifiable cause for khe extension, If work ceases far ninety(90)consecufive days, the job is considered aband4ned.
<br /> WARNtNG Tt� OVIINER: YQUR FAIE.URE TO RECORPJ A NOTICE OF COMMENCEMENT �iIAY RESULT IN Y�UR
<br /> F'AYING TWICE FOR IAAPROV�MENTS TO�YOUR PR09"ERTI(.__IF XO�J INT_END TO.OBTA11d FINe�IVCIIVG,-GCa��U�T-
<br /> Vit1`Tti YUU�2 LEN�E�2 OF2 AN i4,TTORNEY iB�FORE RECORl31NG Yt}UR NQT#CE O�COMNIENCEMEII[T. `
<br /> FLORIDA JURAT(F.S.117.03) ��,,
<br /> O1fltNEf2 R A{sEhlT .�. CONTItACTOt2� �ir/`� "" �'^•—
<br /> 5ubscribe a worr�to{ r me }befp r,e, me this Subscribed and wom to(Q a irm d) fore me this
<br /> �-/�-- by AC�v „`�� �"-�o--r`7 by �.Z1�`(l;a,�, D� ��h�.�.sr���
<br /> �lare persanaNy kn�iwn to me or haslhave produced 1Nho Islare personally knorrm ta me ar haslttave prodnced
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<br /> as ldentlficaUon. � as identlficatian.
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<br /> =•;�s,"Y pUs'� � y���+�� CHERYi.GILILEO
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<br /> Name of Nota ','rfn ry�y� . ,�,°�-�,ti � T��n�€-dB�.r;��
<br /> �Y'�!�t��+'A ��i#i�"�1�[T�R4dlional Notary Assn� Name of Nota ed=+.riat or sta H' �
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