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<br /> NUTICE OF DEED RESTRiCT10NS: The undersigned understands that this,permit may be subject to"deed° restrictions° ° -
<br /> which..may be.more=restrictiue than County regulatians: The;undersig�ed assume`s"responsibilifjt fbr comptiance vdith�any` "'
<br />, applicable deec!restrictions. ' _ ` � ::. . � '
<br /> UNLICENSED CQNTRACTORS AND CC?NTRACTOR RESP.ONSIBILI71E5: lf the owner-has hired a contcac#or or
<br /> contractors to u�dertake work, they may be required to be licensed in accardance with state and local regulations: .,If�.the- �-
<br /> contractor is not licensed as required by law, bo#ti�the owner and contractor�rriay��be cited�fo��a misdemeanor violation
<br /> under state {aw. If the owner or intended contractor are uncertain as to what licensing requirements.may apply for=�the '" �
<br /> intended work, they are advised ta caritact'the Pascci County Bailding Inspectiori"Division-=Licensing Section at 727=847- �
<br /> 8009. Fur#hermore, if the owner has hired a contractar ar contractors, he is advised to ahave the contractar(s} sign . _
<br /> I portions of the "contractor Block" of this application.for which they will be responsible. !f you, as�ttte�owrier sign as'ttie � �`
<br />, contractar, that.may be an indication that he is not properly licensed and is not entitled�to permitting privileges in Pasco
<br /> County. _ - -- ' ;
<br /> TRANSPORTATI�N 1MPACTI.UTILiTtES 1MPACT AND RESt,)URCE RECOVERY FEES: The und`ersigned understands
<br /> that Transpartation tmpact Fees and Recourse Recavery Fees may,apply to the canstn.iction af new buitdings, chan'ge•of� �+� �"
<br /> � use in existing buildings, or expansion of.existing buildings, as specifed in Pasca County Ordinance number 89-Q7 and �
<br /> � 90-07, as amended. The undersignec! also understands, that such fees, as rnay�be due, wil!be identified at-the-time af '
<br /> permitting. it is further understood that Transportatian Impact Fees and Resaurce Reeovery. F.ees must be paid prior ta
<br /> receiving a "certificate of occupancy" or final power release. If the.project daes not involve a certificate a�occupancy�or •
<br /> final power reiease, the fees mus# be paid prior#o permit issuance. Furthermore, if Pasco County Watec/Se.w,er-Impact.:. -
<br /> fees are due,tiiey must be paid prior to permit issuance in accordance with�applicable Pasco Caunty ordinances.
<br /> CCINSTRUCTItaN �IEN LAW(Chapter 713;Ftarida S#a#utes,as amended}: ff valuation of work is$2,5Q0,00_or more,•.1,,
<br /> certify that I, the appliaant, have been provided with a copy of .the "Florida Constructio� l.ien Law-=Hameowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone.
<br /> other than the"awner", I certify that I have obtained a copy of the abave described docume�t and promise•in goad'faith�to
<br /> , deliver it ta the"owner" prior to commencement.
<br /> , CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify#hat atl.the informatian in this appticatian is accurate and`#hat alI wark
<br /> 'i will be done in compliance with all applicable laws regulating cartstruction, zaning and land-development. Application is
<br /> � hereby made to obtain a permit to do work and installation as indicated. ! cerki€y that no wo�k or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to rneet standards of a!! laws regulating
<br /> construction, County and City codes, zoning regulations, and land develapment regulations in the jurisdiction. I also
<br /> certify that I understand tha#the regulations of other government agencies may apply to the intended work, and that it is �
<br /> my responsibility to identify what actians i must taice to be in compliance. Such agencies include but are nat limited to: ,'�
<br /> - Department of Environmentat Protectian-Cypr�ss Bayfieads, VIletland Areas and Enviranmentally Sensitive
<br /> Lands,WaterM(astewater Treatment.
<br /> � - Southwest Florida Water Management District-Wells, Cypress Bayheads, We#land Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabi6tefive Services/Environmental Health Unit Weils, Wastewater Treatment, ��
<br /> Sept9c Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> i I understand that the following restric#ions apply fo the use af fill:
<br /> - Use of fill is not allowed in Fiaod Zone"V" unless expressly permitted. �
<br /> - If the fill material is ta be used in Flood Zone "A°, it is understaad that a drainage p(an addressing a
<br /> "compensating volume" wif! be submitted at time af permitting which is prepared by a professional engineer Y ',
<br /> licensed by#he State of Florida. ,
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used anly to fill the area within the stem wall. �
<br /> - If fill -materiai is to be used in any area, 1 certify that use of such�fill will not adversely affect adjacent I
<br /> properties. If use of fill is found ta adversely affect adjacent properties, the owner may be ci#ed for viaiating
<br /> the canditions af the buitding permit issued under the at#ached permit application, for lats iess than one (1}
<br /> acce which are e{evated by fill, an er�gineered drainage plan is required. `
<br /> If 1 am the AGENT FOR THE OWNER, I promise in good faith to infarm the owner of the permittirtg canditions set forth in
<br /> this affidavit pcior ta cammencing construction. I understand that a separate permit may be required for electrica! wark,.
<br /> piumbing, signs, we11s, pools, air conditioning, gas, or:other installations not specifically included in the�application. A
<br /> permit issued shall°be consfrued to be a license ta praceed with the work and not as authority to violate, cancet, alter, or
<br /> set aside any provisions of the#�chnical cades, nar shall issuance of a permit prevent the Building �fficia!from thereafter
<br /> requiring a carrection af errors in p}ans, canstruction or violaiions-of any codes. Every permit issued shall became invalid -
<br /> unless the wark autharized by such permit is cammenced within six months af permit issuance, or if work authorized by
<br /> the permit is suspended or 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 Buildirig Official for a periad not to exceed-ninety (90) days and will demonstrate
<br /> � justifiabie cause for the extensian. If wark ceases far ninefy(90)cansecufive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YQUR FAILURE TO RECORD A NOTlCE OF CQMMENCEMENT MAY RESUl.T Ifd YOUR '
<br /> RAYING TWICE FaR IMPROVEMENTS TO YOUR_PROPERTY. !F YOU�INTEND�TO�QBTAIN FlNANCING,CQNSUI.T
<br /> WITH YOUR LENDER OR AN ATTORNEY�EFORE_RECQRDING YOUR-_NOTICE_OF_COMMENCEMENT...–v —.�-_ _ ��-=
<br /> FLORIDA dL3RAT�F.S.11 3} _ � , '
<br /> � QWNER OR AGEN7 ` U��-� CONTRAC70R �7�—
<br /> �ubscribed and swo to affirmed}before me this Subscribed and sw n (or aifirmed}before me this
<br /> � �' .:- �/rj� __bu- � t 1?�t�-Pm�y'
<br /> Wha is/a ersanally kno to me or has/have produceii Who is/are ersonally kno to me or has/have produced
<br /> ' as iden6fication. as identificatian.
<br /> f I� /'�,�
<br /> , .,�t� Notary Public C�• �'^"G--� , o ry ubtic
<br /> C� iss'son Commission No. ,��`�°A�••, SYl.VlA A.CAN1PBfU.,
<br /> �.,���Y�,��,.,, SYLYIA A.-CAMPBEIL. ;1•. .�•: o ary u ic-
<br /> .>�o'�" `�<,; = ` ' •_ My Comm.Expires Jul 19,2017
<br /> iVame of Nat ; e eP�¢,�jr�y�pires',tul 19.:2q17 Name of Natary typed, .,F+ft,tttt�` pecCommission#�
<br /> ,"� Qc Commfssion�Ff 03423Q �'•°F'��+� 8bnded Through NaHon�l Nalaty Assn.
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<br /> �''���'��+��`�� Bonded'fhrough Natiunal Notary Assh.
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