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<br /> NiJTICE OF DIEED RE�TRtCT10NS: The undersigned understands that this permit may be subjec#to"deed" restrictionsn ,'
<br /> which:may,-be,moretrestrictiue than County cegr�lations: The.undersigned-assumes��r�`sponsibilit'y'•for`compiiance witF�`any
<br /> applicable deed restrictions. ' �-
<br /> UNLICENS�D-CONTRACTORS AND CQNTRACTOR RESPONSlBlLlTlES: If the owner has-hireii a contractar or
<br /> co'ntractors to undertake work, they may be required to be licensed in accardance with state and local regulations. �lf:the-
<br /> contractar is nat licensed as required by law, both the owner and contractor-may-4be cited'for�:a misdemeanor violation �
<br /> under state law. If the orrvner or intended confractor are uncertain as to what licensing requirements:rnay apply�for;:ttie.y���
<br /> iniended wark, they are advised to coritact�ihe Pasco County Building`tnspectian�Division=Licensing Section a#727=847- �
<br /> 8QQ9. Furthermare, if the owner has hired a ccintractor or contractors, he��is advised to 'have #he contrac#or(s}, sign ,
<br /> portions of the "contractc�r Block" of this application for which they wiH be responsible. !f you, as tFie�owne� sign asy`the � '
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled�to permitting privileges in Pasco
<br /> Coun#y. _ .. ` ` j
<br /> TRANSPORTATION IMPACTLUTiLiTtES 1MPACT AND RESOURCE REGOVERY FEES: The undersigned understands ;
<br /> that 7ranspartation tmpact Fees and Recaurse Recovery Fees may,app(y ta the canstruction of new,b,uildings, ciiange�6f � ��
<br /> use in existing buildings, Q!' @Xp1f1S10t1 Of @XiSttfl�I}UIIt�IC1gS, as specified in Pasco County Ordinance number 89-Q7 and ;
<br /> 90-07, as amended. The undersigned_alsa understands, tha#such.fees, as may be dus, wil! be identified at�<tlie time�of��
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to '
<br /> receiving a "certificate of occupancy° or final power release. lf the projec#daes not involve a certificate af occupancy�or: �
<br /> finai power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer�lmpact� �
<br /> fees are due,they must be paid priar to permit issuance in accordance with applicable Pasca County ordinances.
<br /> C4NSTRUCTION LIEN LAW(Chapte�743, Ftor�da Stat�ates,as amencfed}: If valuatian of work is$2,500.00.or moce, 1 ..
<br /> certify that !, the applicant, have been provided with a copy of the "Florida Gonstruction Lien Law�Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someocne
<br /> other than the"awner", I certify that I have obtained a copy of the above described document and promise�in good"'faith to
<br /> deliver it to the,"owner"prior to commencement.
<br /> CQNTRACTOR'SIOWNER'S AFFIDAVIT: I certify.that all the infarmatian in this applicatian is accurate and that ail"work
<br /> will be done in compliance wi#h a!! applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and insta!lation as indicated. 1 certify that no work or installaticin has
<br /> commenced prior to issuance of a permit and that all work will be pertormed to rneet standards of a!I laws regula#ing
<br /> construction, Caunty and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I also
<br /> certify that 1 understand that the reguiations of other government agencies may apply to the intended work, and that it is
<br /> my respansibility to identify what actions I must take to be in campiiance. Such agencies inciude but are nat limited to: `
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmeritally Sensitive j
<br /> Lands,WaterMlastewater Treatment.
<br /> - Southwest Florida Water Management District-We!!s, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigable Waterways. '
<br /> - Department af Heaith & Rehabilitative Services/Environmental Heaith Unit Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestas abatement,
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the fo�lowing restric#ions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zane"V" unless expressly permitted.
<br /> - 1f the fill material is ta be used in Ffaad Zone "A", it is understood that a drainage pian addressing a
<br /> °compensating uofume" will be submitted at time of permitting which is prepared by a prafessional engineer �
<br /> licensed by the State of Florida. �
<br /> - If the fill material is to be used in Flaod Zane "A" in connection with a permitted building using stem wall �
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fil( materiat is to be used in any area, 1 certify that use af such-fill will not adversely affect adjacen#
<br /> proper#ies, If use af fill is found ta adversely affect adjacent properties, the owner may be ci#ed for viaiating
<br /> the conditions af the buiiding permit issued under the attached permit.app(icatian, for'iats less than one (1} ,
<br /> acre which are elevated by ftll, an engineered drainage plan is required. •
<br /> If I am the AGENT FOR THE OWNER, I pramise in good faith to inform the owner of the permitting canditians set farth in
<br /> this affidavit pcior to commencing construction. I understand that a separate permit may be required for electrica! work, �
<br /> plumbing, signs, we11s, pools, air conditioning, gas, or ather installations not specifically included in the application. A „
<br /> permit issued shatl'be consfrued to be a ticense,to proceed with the work and no# as authority ta vialate, cancel, a(ter, or
<br /> set aside any provisions of the technicai codes, nor shalE issuance of a permit prevent#he 8uilding Officiai from thereafter ,
<br /> requiring a correction of errars in plans, canst�uction or violations af any codes. Every perrnit issued shail become invalid '
<br /> unless the work authorized by such permit is commenced within six manths of permit issuance, or i#work author9zed by
<br /> the permit is suspended or abandoned far a period-.of six(6) manths after the time the work is commenced. An extensian �
<br /> may be reques#eci, in wri#ing, from the Buildirig Offioial for a period.not to exceed•ninety (90) days and will demonstrate
<br /> justifiabte eause for the extension. !f wark ceases far ninety(90}consecutive days,the job is cansidered abandoned.
<br /> WARNING TO QWNER: YQUR FAILURE TO RECQRD A NOTICE OF C.OMMENCEMENT MAY RESULT tN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY..!F YOU�INTEND TO QBTAlN FINANClNG, CONSULT
<br /> —_ .__-lMiTH YQtIR_�:ENDEFt_012AN AT_1'ORNEY BEEORE RECQRDING YOUR NOTICE OP C4MMENC�MENT.
<br /> FLflRtDA JURAT{P.S . 3) � y - �-- --_ -�J ^
<br /> C_.�-- t
<br /> OWNER OR AGENT 4 f,�� CONTRAC70R � Q��
<br /> Sy cribed a d swom to a�rrned)before e tfiis S�y,�scribed and or�i.to(or affirmed}before me this
<br /> � 02/-/ 7'` -t'7 L, rs�.t �
<br /> o is/ e ersanally known me or has/have produced ' Wha is/are rsonally kno me or has/have produced
<br /> as identificatian. as identificatian.
<br /> ,,,,, �iNotary Public Natary Pubtic
<br /> C mission No. Commission No.
<br /> +y��+�+a SYIVEA A.CAMPBELI. �~1RY Ali� SYLVIA A.GAMPBEfI.•
<br /> �J��,P�pU�� ���� UB���'.
<br /> hlame of #�! `�fti � Name of Notary ty �d�a' ot�
<br /> •a M Comm. pues Jul 19,2017 �n Expires Ju1.19,2017 �
<br /> ;� �g y %9 �q,' Gommission�FF 034230
<br /> , Commission#�FF 034238 .,,�o���op.'
<br /> �'•�t°;U•�~ Bonded Thioupl�N�itan�l Hotary Ass�. ' Bonded Through National Notary Assn.
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