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<br /> !
<br /> , e N071GE OF DEEQ RESTRICTIQNS: The underslgned understands that this perrnit may be subject to"deed"restricfions" I
<br /> -----._.__ kYhif'h m�yJtricporP rPstri�va thaLLCouctE�tegtttatiocas.—�ha.uRdersigc�sd-ass�spaes-�Asgsr�sibitit�f�3F6srr��liaFlee-wit#t-a 4 -----
<br /> applica6le deed restrictions. �
<br /> I UNLICENSED CONTFtAGTQRS AND CONTRACTOR RESPONSlBt�171ES: !f the owner has hired a cantractor or I
<br /> contractors to undertake work,khey may be required to be iicensed in accordance with state and tocai reguiations. if the
<br />� contractor is not licensed as required by law, bofh tha owner and contractar may be citad for a misdemeanar vialation i
<br /> under state law. If the owner or i�tended contractor are uncertain as ta what l3censing requirements may apply for tha
<br /> intended work,they are advised to cantact the Pasco County Building lnspecUon Division—Licensing Sectian at 72T-847- ��
<br /> 8009. Furthermore, if the owner has h(red a contractor or contractars, he is advised to have !he contractor(s) sign
<br /> portions of the"contractor Block"of this applicatlon for which they wiil ba responsibla. If you,as khe 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 /> TRANSPORTATiON IMPACT/UTIL{TtES iMPACT ANp RESOURCE RECOVERY FEES: The undersigned understar�ds {
<br /> ', tttat Transpottation impact Fees and Recourse Recovery Fees may apply to the constructio�of new buildings,change of �
<br /> use in existing buildings,or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and �
<br /> 90-07,as amended. The undersignad also undersfands,that such fees, as may be due,will be identified at the time of
<br /> � permitting. it is further understood that Transportetion Impact Fees and Resource Recovery Fees must be paid prior to I
<br /> receiv�ng a"ceriificate of accupancy"or finai powar release. if the project does nat invaive a certiticate of occupancy or
<br /> fina!power release,the tees must be paid prior to permit issuance. Furtharmore,if Pasco County Water/Sewer tmpact
<br /> fees are due,they must be paid priar to permit lssuance in accordance with applicabta Pasco County orciinances. �
<br /> CONSTRUCTlON LIEN LAW(Chapter 713,Florlda Sfatutes,as amended): if valuation af woric"ss$2,BOO.Od or more,I �
<br /> certify that I, the applicant, have been provided with a capy of the "Florida Constructian Lien Law—Flomeowners {
<br /> Protection Guide"prepared by the Flarida Department of Agdculture and Gonsumer Affairs. if the applicant is sameone i
<br /> other than the"owner^,I certify that I have obtained a copy of the above descrtbed doaument and promise in good faith ta
<br /> deiiver it ta the"owne�'prior to commencement. �
<br /> CONTRACTOR'SIOWNER'5 AFFIDAVIT: I certify that all the information in this appllca#ion is accurate and that al!work ',
<br /> will be done in compliance with ait app�icable laws regulating construction,zoning and land development. ApplicaGan is �
<br /> fiereby made to obtain a permit to do work and installation as indicated. ! certify that no work or installa6on has
<br /> cammenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> canstrucSon, Caunty and City codes, zoning regu�ations, and land develapment regulations in the jurisdictlon. ! also '
<br /> certify that i understand that the regulations of ather govemment agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in campliance. Such agencies include but are not limited ta: ,
<br /> - Departmant at Environmentat Protection-Cypress Bayheads, Wetland Areas and EnvironmeMaliy Sensitive
<br /> Lands,WaEerlWastevr�tar Treatmant. 1,
<br /> - Southwest Fiorida Watsr tvtanagement District-Wetts, Cypress Bayheads, Wetland Areas, Altering I
<br /> Watercourses. i
<br /> - Areny Gotps af Engineers-Seawalis,Docks,Navigab)e Waterways. I
<br /> - Departmenk of Health & Rehabilitative ServiceslEnvironmental Neatth tlni#-We1(s, Wasfewater Treatment, �
<br /> Septic 7anks. �
<br /> - US Environmental Protection Agencyy4sbesfas abatemen2.
<br /> - Federal Aviation Authority-Runways. '
<br /> I understand that the foUowing restrickions apply to the use of fiA:
<br /> - Use of fill is not allowed in Flood Zone"Y"unless expressly permitted. �
<br /> - If the fill material is to be used in Flood Zone °R", it is undersiood that a drainage pfan addressing a �
<br /> "compensating volume"wiil be submitted at 6me of permitting which is prepaced by a professiona!engineer
<br /> Iicensed by the State of Florida. I
<br /> - If Ehe filI material is to ba used in Fload Zone "A" in connectian with a permitted buitding using sfem wall
<br /> construction,I certify that fill will be used only to fill the area withln the stem wa!!. j
<br /> - 1f fill materiai is to be used in any area, i certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fiti is found to adversely affect adjacent praperties,the owner may be cited for violating
<br /> fhe conditions of the buiiding permit issued under the attached permit applicatlon,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage pian is required.
<br /> if i am the AGENT FOR TtiE OWNEit,I promise in good faith to inform the owner of the permitting conditions se#forth in i
<br /> this affidavit prior to cammencing canstructian. t unders#and#ha#a separa#e permlt may be required for elec#rical work,
<br /> plumbing,signs, we!!s, paois, air condiUoning, gas, or other instatiations not specificaliy included in the application. A
<br /> permit issued sha!!be construed to be a iicense ta praceed with the woric and no#as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technieai codes,nor shali issuance of a permif prevent the Building O�ciat from tfiereafter
<br /> requiring a correction of errors in plans,canstruction or viofations of any cades. Evary permit issued sheH bacome invalid
<br /> unless the work autharized by such permit fs commenced within six manths vf permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(B)rnonths efter the time the work is cornmenced. An e�ctension
<br /> may be requested,in wnting,from the Building O�cia!ior a period not io exceed ninaty(90)days and wfEi demonstrate �
<br /> justifiable cause for the extension. ff work ceases far ninety(90)consecutive days,the job is considered abandoned. ��
<br /> WARNING TO QWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESU�T!N YQU12
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. !F YOU lNTEND TO OBTAIN FlNAMClNG,CdNSULT
<br /> WITH YOUR LENDER OR AN AT70RNEY BEFORE RECORClING YOUR NOTlCE OF COMMENCEMENT.
<br /> FLORiDA JUR,4T(F.S.117.03}
<br /> � OWNER dRAGENT CONTRAS:SOR� �,
<br /> Subscribed an bywom to(or affirmed)before me this S�bs�cci e d b o {or r befora me t'ts, t.—Y.
<br /> (�J
<br /> Who istara persanaity known to me or haslhava produced �i are e onalty known to m or has/h e produced
<br /> __as identifscaRion. ��1�,,,5 1.._/C�� as ident�cation.
<br /> r ,, � /�
<br /> � Motary Ppbiic �,iJ�..�. No#ary Pubiic
<br /> � Commission No. Co mission No. �I'-+ � S� i
<br /> i � �
<br /> E�31`Ct� �,Q�!1 c1 /l. �
<br /> � Name of Notary typed,printed or stamped Name of Notary typed, rinted or stam ed � �
<br /> •,��py;�,,DEBRA ELAINE RUFFELL
<br /> "?� :,:Commission#GG 045343 �
<br /> -`� o`Expires November 7,2020 �
<br /> %��� ��
<br /> w:fJ.....PC I
<br /> '•...o`�°'' BondeA Thru 7roy FBin Insutante BOo-365-7019 j
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