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NCITICE QP DEED RESTRICTIONS: The undersig�ed understands that this permit may be subJect to"deed'restrictions" <br /> which may be more restrictive than Gounty regulations. The undersigned assumes responsibility for compliance witH any <br /> appticabte deed restricfions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLIT1ES: If the owner has hired a contractor or <br /> contractors to urede�tak�work, they may be required to be lfcensed in accardance with state and loca! regulatEons. If the <br /> contractor is nat licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation <br /> under state law. If the owner or intended confractor are uncerEain as fo what iicensing requirements may apply for khe <br /> infended work, they are advised fo contact the Pasca Counfy Buiiding )nspection Divisian—Licensing Sectian at 727-847- <br /> 8Q09. Furthermare, if fhe owner has hired a conEractor or confracfvrs, he is aclvised fo have the canfractor(s} sign <br /> portions of the °cor�tractar Block" of this epplication for which they v�ril! be responsible. !f you, as the owner sign as the <br /> contractor, thak may be an indication that he is riot properly licensed,and is not entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATtON iMPACTIUTiLITFE$ iMPACT AND RESt�URCE RECOVERY FEES: The undersigned understands <br /> thaf Transportation Impact Fees and Recourse Recovery Fees may appiy to the construct�on of neuv buildir�gs, change of <br /> use in existtng buildingsT or expansion of existing build�ngs, as specified in Paseo Co�nty Ordinance number 89-07 and <br /> 90-07, as amended. 7he underslgned alsa understands, that such fees, as may be due, will be identif(ed at the time of <br /> permitting. It is further understood that Transporkafion Impact Fees and l�esource Recovery Fees must be paid prior to <br /> receiving a "cerfificate of oocupancy" or final power release. if fhe project does no#invoive a cerfifica#e of occupancy or <br /> final power release, the fees must be paici prior fo permi# issuance. Furthermore, i€Pasco Coun#y WateriSewer Impact <br /> fses are due,they must be paid prior to permit issuance in accordancs with app(�cable Pasco Caunty ordinances. <br /> CONSTFtUCT10N LIEN LAW(Chepter 773, Florida Statutes, as amended): If valuation of work is $2,500.00 ar more, I <br /> certify that I, the applican#, have been provided with a copy of fhe "Fiorida Cons#rucfion Lien Law—Homeowner's <br /> Profection Guide" prepared by the Florida Department of Agricutture and Consumer Affairs. Ifi the applicant is someane ... <br /> ofher fhan the'bwner", 1 cer#ify#haF t have obtained a capy af ihe above descri6ed document and promise in goad faifh ta�:-_, <br /> deliver it to the"'owtter"prior Eo corramencemenk. - ... - <br /> CONTRACTOR'S/OWNER'S AFFlDAVIT: ! certify that all the information in this application is accurate and that all work <br /> will be done fn compliance with aft appticable laws regulating consfruction, zoning �nd land development. Appli�afion is - <br /> hereby made to obtain a permit to da work and instatiafion as indicafed. I certify thaE no wc�rk or installafion has <br /> comtnenced privr to issuance of a perrnit and that alf work wiEi be performed to meet standards of af! IaVus regufafing <br /> canstruction, County and Gity cades, zoning regulations, and land development regulations in the Jurisdiction. I al"so <br /> cer#ify that 1 understand khat the regulations of other government agencies may apply#o the intended wark, and that it is <br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include buf are nat timiEed#o: <br /> - Department of Environmenfai Protection-Cypress Bayheads, Vl/etland Areas and Ernironmentatly Sensitive <br /> Lands, WaterJWasfewafer Treatment. <br /> - Soufhwest Florida Water Management Dlstrict-V1fe!!s, CY{�f�SS Bayheads, Wetland Areas, Altering. <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Healfh & Rehabititafive Services/Environmentai Nealth Unit-Wells, Was#ewater Treakment, <br /> Sepfic Tanks. <br /> - US Enviranmenfal Protecfsan Agency-Asbestos abatement. <br /> - Fede�al AvfaEion Au#hor�ty-Runways. <br /> I unders#and that the following resfrictions apply ta the use of fill:� <br /> - Use of fitl is not al(owed in Fioad Zone"V"uniess expressiy permitfed. � <br /> - tf the fili material is to be used in Flood Zone "A", 1t fs understoad thaE a drainage ptan adc�tess�ng a <br /> "compensating volume" wii! be submitted at ttme vf pecmitting whsch is prepared by a grofessiona! engineer <br /> licensed by the State of Florida.. <br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitfed building using sfem wali <br /> construction, (certify tha#fill wil(be used only to�lt the area uvi#hin the stem watl. <br /> - tf fill materiai is fo be tased in any area, 1 cerfify that use of such �E{ wiil nof adversely aifect adjacent <br /> praperties. if use of fili is found to adversety af#eck adjacenk properties, the owner may be cited for v3olating <br /> the canditions of the building permit issued under the attached permit applicatian, for lots less than one (1) <br /> acre which are elevated by fill, an engineered drainage plan is requir�d. <br /> If I am the AGENT FOR THE OWNER, 1 promise in good faiffi ta inform the awner of the permifting conciittons set fiorth ln <br /> this affidavi# p�ior #o oommencing construcfion. 1 unders#and fhaf a separate permit may be required for eRectrical work, <br /> ptttmbing, signs, wells, paols, aic candi#ioning, gas, ar Qther installations nat specifically included in the application. A <br /> perrrtit issued shai! be construed ta be a license tv proceed wikh the work and not as authoriky ta violate, cancel, alter, or <br /> set aside any pravisions of the technical cades, nor shall issuance af a permit prevenf fi�e Building Officiat from fhereaffer <br /> requiring a correction of errors in plans, canstrucfion or vialafions of any codes. Every permif issued shall became invalid <br /> unless fhe work authorized by such permit is commenced withtn six months of permit issuance, or if work autharized by <br /> fhe permit is suspended or abandaned for a period of six{6}months after the tEme the worlc is commenced. An extension �I <br /> may be requested, in writing, fram the Building Kafflcial for a period not to exceed ninety (90) days and will demonstrate <br /> ]ustif4able cause far fhe extension. !f work ceases for ninety(90)consecufive days,the�job is considered abandaned. <br /> ( WARNiNG TO OWNER: YOUR FAIi.URE TO RECORD A NOTiCE OF G�MMENCEMENT MAY RESULT !N YOUR <br /> PAYING TINtCE FOR iM RCiVEMENTS TO Y�UR PRQPERTY. IF YOU lNTEND TO CIBTAIN FINANCING, CONSUL7 <br /> ��YVITH 1(tOIIR GEi�t[3P'cF� � �'il`y-- � �?�lL�� � FOR�Ft�GORDING YOUR N0710E OF COMMENCEMENT. <br /> FLORIDA JUFtAT(F.S.117. 3) ~ `�,� - <br /> 4WNER QR ACElJT GONTRACTOR � � <br /> Subscribed and swo to e fore e hi i (j� Subscribed and suvom Eo(ar afftrmed)before me thts <br /> � Y�- �y ' aY <br /> Who slare Qersonalt nawn to m or h s ve prodUced Who Is/are personalty known fo me or haslhave produced <br /> as iden#ifiicafion. as identifica8on. <br /> . <br /> Notary Public Nafary Pubfic <br /> Cammisstan IVo, Cammisslon tJo. <br /> Name of(Votary typed,pr�nted or starnped Name of Notary lyped,printed or stamped <br /> .......�;._.: ..�`. <br /> .�.;.�:a��;.. l.t�A�f9 L�N�J►� -�. <br /> .., � ,.. <br /> ' '�� � fviY�'{:�:'htlSSlON#FF2271B9 <br /> :"�'�" :F'3 ytay p5.2019 <br /> :�.�yt,,•' , , <br /> •�oi,;fsl�&G�:r ..�::���y5orvic��.r.arc <br />