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<br /> NQTICE OF DEE(D RESTRICTIONS: The undersigned understands that this permit may be subject to"deed?' restrictions"�
<br /> which.may�be more:restrictiye than Caunty cegulations: The�und'ersigned assurimes�responsibility fat�corripiiance with'any``'
<br /> applicable deed restrictions.. � ' . .. �- � `
<br /> UNL{GENS�D:CONTRACTORS AND GONTRACTOR RESPONSlBILITIES; I� the owner has�hired�a�cantractor ar
<br /> contractars to undertake wark, they may,be required to be�licensed in accordance with state and local regulations: If the^���
<br /> contractor.-is nat licensed as required by'law, both the owner and:contractor may��6e cited for.a misdemeanor vialation
<br /> under sfate law. If the owner or intended contractor are uncertain as to what licensing requirements�may�:apply for.the� �' '
<br /> intended woric,they are advised to can#act the Pasco Caunty Building tnspection"Divisiart-=Cicensing Section at 727-847- ;
<br /> 80Q9. -Furthermore, if the owner has hired a contrac#or ar contractors, he�is advised ta have the contractor{s} sign„ ; �
<br /> portions of#he "contractor Block" of this application.for which they wi}I be responsible. If you, as�ttie owner sign as tlis
<br /> contractor, that may be an indica#ion that he is not properly licensed and is not entitletl�to�permitting privileges in Pasca �� '
<br /> �
<br /> Caunty. � � � � `
<br /> TRANSPC3RTAT10N IMPACTIUTILITtES IMPACT AND RES4URCE REGOVERY FEES: The undersigned understands
<br /> that Transportation (mpact Fees and Racourse Recovery Fees may.apply ta the constructiori of new.builtlings, charige of� `� �
<br /> use in existing buildings, or expansian af existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such#ees, as`may�b.e due, wil! be identified at::the�time�of � "
<br /> ' permitting. It is further understood that Transportatian Impact Fees and Resource�Recovery Fees must be paid prior to �
<br /> receiving a "certificate of occupancy" or final power release. If the project daes not involve a certificate af occupancyor.'-
<br /> final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer impact.
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicabie Pasco Caunty ardinances.
<br /> CONSTRUCTION L-IEN LA1N(Chapter 713, Flarida Statutes,as amended): I€valuation of work is$2;5QOA0 or mor.e,.l, .,
<br /> certify that !, the applicant, have been provided with a copy of .#he "Fbrida Constructian �ien Law--Hameawner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someane
<br /> other than the"owner", I certify that I have obtained a capy of the above descri6ed document and promise in goad faith to
<br /> deliver.it to the`;owner"prior to commencemen#. �
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify.that aH the information in this application is accurate and that a1I work
<br /> wil! be done in campliance with a!1 applicable laws regulating constructian, zoning and land-developmenf. Application is
<br /> hereby made to obtain a perrnit to e!o work and installation as �indicated. t certify that no work or in"staNatian has �
<br /> commenced prior to issuance of a perm'it and that a!! work will be pertormed to rneet standards of aA laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I �also
<br /> cerfify that i understand tha#the regulations of other government agencies may apply#o the intended work, and that it is
<br /> my responsibility ta ident�f}r what actions I must take to be in campliance. Such agencies include but are not iimited to: �
<br /> - Department of Environmental Protection-Cypress Bayheads, Vltetland Areas and Environmentaity Sensi#ive
<br /> Lands,WaterMfastewater Treatment.
<br /> - Southwest Florida Water Management District We!!s, Cypcess Bayheads, Wetland Areas, ;4ltering
<br /> Watercourses. _
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Heaith & Rehabiiitative Services/Environmen#al Health Unit Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmenta!Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restric#ions apply fo the use af fill:
<br /> - Use of fill is not allowed in Flood Zone°V" unless expressly permitted.
<br /> - If the ftll materia! is ta be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professionai engineer -
<br /> licensed by the State of Florida.
<br /> - If the �II material is to be used in Flood Zane "A" in connection with a permitted building using stetn wall
<br /> constructian, I cerfify that fill will be used only to fill the area within the stem wall.
<br /> - If fili �materiai is to be used in any area, I certify that use af suah�fill will not adversely affect adjacent
<br /> properties. If use of fiil is found to adversely affect adjacent properties, the owner may be cited for vialating
<br /> the candi#ions of the building permit issued under the attached permit application, for iots less #han one (9}
<br /> acre which are elevated by flll, an engineered drainage plan is required. `
<br /> If I am the AGENT FOR THE OWNER, ! promise in good faith to inform the owner of the permitting coriditions set forth in :
<br /> �this affidavit pciar to cammencing construction. I understand that a separate permit may be requlred for electrica! work, '
<br /> plumbing, signs, wells, poo(s, air conditioning, gas, or:other installations not specifically included in the applicatian. A
<br /> permit issued shatt�be construed to be a iicense to proceed with #he work and no#as autharity to violate, cancel, ai#er, or
<br /> set aside any provisions of the technical codes, nar shall issuance of a permit prevent the Buiiding Official from thereafter
<br /> requiring a corcection of errors in plans, construction or violatians of any codes. Every permit issued shali became invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if wark authorized by
<br /> the permit is suspended ar abandoned 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 Bui(ding Official for a periad,not to exceed•ninety (90) days and will demonstrate
<br /> justifiable cause for the extensian. If work ceases for ninefy(90}consecutive days,fhe job is considered abandoned.
<br /> WARNlNG TO OWNER: Y!?UR FAILURE TC} RECQRD A AfOTICE OF COMMENCEMENT MAY RESUi:T IN YOUR
<br /> PAYING TWICE FOR IMRROVEMENTS TO YOUR PROPERTY, IF YOU-INTEND-TO UBTAIN FlNANCING�CONSULT
<br /> WiTH YOUR LENDER OR AN AT7'ORNEY BEFORE RECORDING Y011R NOTICE OF COMIifIENCEMENT.-- -------- --
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<br /> l FLOR(DA_JURAT(F. . �7A3}` __. _.�__ - � .
<br /> OWNER OR AGENT a�n'�?�' r�-- CONTRACTOR `�:rn .rc�-�,,
<br /> S. bsc'bed a swa t (ot affitmed} efare m�—�^��—T
<br /> y t�. e this Subscribed and s m (or affirmed}before me this
<br /> -S°'��1-� bv �.J r?-!�?1 �. �'1 fS Pa��t' "' - A-tY�t �. fV! S Y
<br /> ' Who is/are ersonally known me or has/have produced Wha is/are ersonally known o me or has/have produced
<br /> �, as identification. as identlficatian.
<br /> � �
<br /> 4���� J Natary Public _ Notary Publlc
<br /> Co mission Commission No.
<br /> SYLYIA A.CAMPBELL �,��aY a�e+,'
<br /> ���i�YA9�4 ��,� fi
<br /> �*`r° `�: Notar Pubtic- c:° `�•� tdotary Public-State oi Florida
<br /> iVame of tVa � r�t+eRipCetat�l�ires Jui 19,201� Name of hlotary typed, !' pirr�omm.Expire&Jut 19,201
<br /> '•;� �� Gommtssfon A�PF 084230 : :�;^T Commission�F�Q3423Q
<br /> ��'�'������` Bonded Through I�at(dnAl Notiry Ass�i: �'��°�io�r� 8bnded`(hrouph National Motary Assn.
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