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,� ` NQTICE OF DEED RESTRICTIONS: The undersigned understands tha#this permi#may be subject fo"deed"resfricfions"
<br /> which may be more restrictive than Caunty regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED GONTRACT4E2S AND CQNTRACTOR RESPONS1811.ITlES: If the awner has hired a contractor or
<br /> contractors to undertake work,they may be required ta be licensed in accordance with state and local regulations. If the
<br /> contractar�is not licensed as required by law, both the awner and coniractor may be cited for a misdemeanor violation
<br /> under staEe law if the owner ar iritended canfractor are uncertain as fo what{icensing requirements rrtay app(y far the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section a#727-847-
<br /> 8009. Furthermore, if the owner has hired a contractar or cantractars, he is advised to have the cantractor(s) sign
<br /> portions of the"contractor Block"af this applicatian for which they vuilE be responsibEe. lf you,as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATiQN IMPACTIUTiLITlES iMPACT AHD RESOt3RCE RECOVERY FEES: 3'he undersigned understands
<br /> that Transportation impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change qf --,---, - .-
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 9d-47,as amended. The undersigned also undersiands,thaf such fees,as may be due,will be idenEified at the time of
<br /> permitting. if is further understood that Transpartation impact Fees and Resource Recovery Fees mus#be paid prior to
<br /> receiving a"ccrtificate af occupancy°ar final ppwer release. If the project does not invalve a certificate of occupancy or� -''""'T '� '-
<br /> fina!power release,the fees musf be paid prior to permit issuance. Furtl�ermore,if Pasco County WateriSewer lmpect
<br /> fees are due,they mus#be paid prior ta permit issuance in accordance with appiicable Pasco Caunty ordinances.
<br /> CONSTRUCTIQN LIEN LAW(Chapter 713,Flarida Statutes,as amended): If valuation of work is$2,500.00 or more, I '
<br /> certify that !, the applicant, have been provided with a capy of the "Florida Canstruction Lien Law—FEameawnePs
<br /> Pratection Guide"prepared by the F(orida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"awn�r",I certify that I have obtained a capy of the above described document and promise in gpod faith to
<br /> deliver it to the"owneP'prior to commencemenf.
<br /> CONTRACTOE2'SlOWNER'3 AFFlDAVIT� I Certify that aN the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating canstructian,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and ins2a11ation as indicatecl. ! certify thai no work or instatiation has
<br /> commenced prior to issuance of a perrnit and that ail work will be pecformed fo meet standards of alI Iaws regulating
<br /> construction, County and City codes, zaning regulatians, and land development regulations in the jurisdiction. I alsa
<br /> certify that 1 understand fhat the regulations of other govemmeni agencies may apply to the intended work,and that it is
<br /> my respons9bility to'sdentify what actions I must take to be in comp[iance. 8uch agencies inc�ude but are not Iimited ta:
<br /> - ' Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Sau#hwest Fiorida Water Management District-WeEIs, Cypress Bayheads, Wetland Areas, Altering
<br /> • Watercourses.
<br /> - Army Corps of Engineers-Seawalls,qocks,Navigable Waterways.
<br /> - I?epartment of Health 8� Rehabilita#ive ServiceslEnvirar�mental Healfh Unit-We(Is, Wastewater Treafinenf,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> 1 understand that tfie following restrictions apply to the use of fili:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted,
<br /> - !f the fiil materiai is ta be �sed in F3aod Zone "A", it is understaod that a drainage pian addressing a
<br /> "compensa#ing volume°wili 6e submifted at time of permitting which is prepared by a professionai engin�er --r-�� ' �-
<br /> licensed by the State of Florida.
<br /> - if the f!I materia! is to be used in Ftoad Zone "A" in cannection with a pennitted bui(ding using atem wall
<br /> constructian,i certify thaf fiA wi(I be used only to fiIl the area wifhin the stem waii. •-� --,--•7 • --
<br /> - If fill materiel is to be used in any area, I certify that use of such fiil will not adversely affect adjacent
<br /> properties. If use of fi!!is found to adverse{y affect ad}acent properties,the owner may be ciled for violating
<br /> the conditians of the huilding permit issued under the a#tached permit appiicafion,for(ots less than ane(9}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If f am the AGENT FOR THE OWNER,!promise in good faith to inform#he owner of the permitting conditions set forth in
<br /> #his aifidavit priar to commencing construction. !understand that a seperate permit may be requirecf far e(ecErica!work,
<br /> plumbing, signs, we(Is, pools, 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 /> sef aside any provisians af fhe fechnical codes,nor shall issuance of a permif prevent the Bu�lding Officia!from thereafter
<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 /> the perrnit is suspended or abandaned for a period of six{6}mon#hs after fhe time the work is commenced. An extension
<br /> may be requested, in writing,ftom the Building Officiai for a period not to exceed ninety(90)days and wiil demonstrate
<br /> justifiable cause for the extensian. If work ceases for ninery(90)consecutive days,the jab is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAiLURE TO RECQRD A NQTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOf2 IMPROVEMENTS TO YOUR PROPERTY. IF Y4U INTEND TO OBTAIN FINANCING,CONSULT
<br /> WlTH YOUR LENDER dR AN ATTORPlEY BEFORE REG033DiNG YQl1R A1071GE OF CQMMENCEMENT.
<br /> FIORIpA JURAT(F.S.117.03} •
<br /> OWNER OR AGENT�i�-�Q=����,_..� CONTRACTOR /.�t..F3.�7'v.�CL.Cn�
<br /> ubsctibed andy}�to{or affiRned before me this Subscri ed and swom ta(or affirmed} e re me is
<br /> Who is/ar rsonally nown to or hasltiave pr uced � o islar ersonally nown me haslhave produ
<br /> as identificaUon. as identification.
<br /> Notary Putaflc IV Notary Public
<br /> Commission No.
<br /> C�—�G�LIg�fHs1-- Commission No.� 7�{}C����F1� "r '-r"T - _
<br /> Name of Nota�y typed,printed or stamped Name of Notary typed,prinied ar stamped -r --r--�r -- •-
<br /> �.�.....+n...r.. _._ .,., _
<br /> ��Y»y' AMANDA ACKERS�iV � ... �..�� -� p� R�Q►�
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