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NOTiCE OF DEED RESTRICTIONS: 1'he undersigned understands that khis petmit may be subjeat to"deed"restrickions"
<br /> which may be more restrictive than Caunty regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed�estriotions.
<br /> UNLiCENSED CONTRACTORS AND CONTRACTOR RESPONSiBILtTtES: tf the awner has hired a contracfor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations, if the
<br /> cantractor is not Eicen�ed as required by(aw,both ti�e owner and cantractor may be cited for a misdemeanar violaf'son
<br /> under state taw. If the owner or intended contractor are vrtcertain as to what iicensing requirements may appty for the
<br /> intended work,they are advised to contact the pasco Gaunty Building Inspection Division—Licensing Section at 727-847-
<br /> SOO�. FUCCtt@ttilQ(6, if the owner has hired a contrac#or ar cantractors, he is advised to have the contractar{sj sign
<br /> partions of the"can#racfor Biock"of this appiicafion tar which tfiey witl be respansible. If yau,as the owner sign as the
<br /> � contractor,that may be an indication that he is not properfy licensed and is not entitled to permitting privileges in Pasco
<br /> Gounty.
<br /> TRANSPflRTATtON tMPAGTJtJ'i1LI3IES iMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpar#ation Impact Fees and Recourse ftecovery Fees may apply to the construction of new buiidings,change of
<br /> use in existing buildings,or expansion of exisiing buildings,as specified in Pasco County Ordinance wmber 89-q7 and
<br /> 90-07,as amended. The nndersigned also understands,that such fees,as may be due,will be identified at the time af
<br /> permitting. It is furthe�understaod that Transportation Impact Fees and Resource Recavery Fees must be paid prior to
<br /> receiving a"certificate af occupancy°or final povier release. If the project dces not involve a certificate af occupancy or
<br /> finai pawer Geiease,the fees mus#be paid prior ta permit issuance. Fur#hermore,if Pasco Gaun#y WatertSevrer tmpact
<br /> - fees ere due,they must be paid prior to peRnit issuanca in accordance wi#h appiicabie Pasc:o Cou�ty ordinances_
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or rnore,I
<br /> certity that I, the appticant, have been provided with a copy of the "Fladda Gonstructian Lien Law—Ftameowners
<br /> Proteotion Guide"prepared by the Florida Qepartment of Agriculfure and Consumer Affairs. If the applicant is sameone
<br /> other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to ihe"awne�'prias to commencernen2.
<br /> CONTRACTOR'$IOWNER'S AFF[DAVtT: i certify#hat aii the'snformaiion in this agplication is accurate and that siI woric
<br /> will tae done in compliance with all applicable laws regulating consVuction,zoning and land developme�t Application is
<br /> hereby made to obtaCn a permit to do work and installation as indicated. t certify that no work or installatinn has
<br /> commenced prior ta issusnce af a petznif as�d tha#all ovork will be pesformed to rrseet standards of aIl Eaws regulating.
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I atsa
<br /> certify that I understattd that the regulations of other government agencies may apply to the intended work,and khat ft is
<br /> my respansibility fa identify wha#ections t must take to be in compiiance. Such sgencies Incl�sde but are not limited to:
<br /> - pepartment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmenfaliy Sensitive
<br /> Lands,WatedWastewaterTreatment.
<br /> - Southwest Flarida Wa#er Management District-Welis, Cypress Bayheads, Weiland Areas, Altering
<br /> Watercourses.
<br /> • - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Departmeni af Neaith & ftehat�ititative ServiceslEnviroamenta! Heatth Unit-Wells, Wastewater Treatment,
<br /> Sep�c Tanks.
<br /> - US Enviranmentai Protection Agency-Asbes#os abatement.
<br /> - Federa!Aviation Authority-Runways.
<br /> 1 understand that fhe foC3awi�g res#rictions app{y ta the use of filt:
<br /> - Use of fiU is not allowed in Fiood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in F�ood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating valume°wilt be submitted at time of permitting which is p�epa�ed by a profassionat engineer
<br /> licensed by the State of Florida. ,
<br /> - If the fill material is to be used in Flood Zone`A" in connedion with a permitted building using stem wall
<br /> cons#ruction,I certi#y that fill w'sI{6e used oniy to fiI!the area within the stern wafi.
<br /> - If fiil materiaf is to be used in any area, i certify that use of such fiti wiii nat adversely afiect adjacent
<br /> properties. if use of fill is found ta adversely affect adjacent properties,the awner may be cited for violating
<br /> the condi#ians of the buiiding permiF issued under the attacfied permit application,fa�4ots less than one{1)
<br /> acre wfiich are elevated by fiII,an engineered drainage plan Is required.
<br /> If I arn the AGENT FOR THE OWNEl2,1 promise in good faith to inform#he owner of the pecmitting conditions set forth in
<br /> ttris affidavit prior ta commencing construcYion. 1 undersland that a separate permit may be required for electrical work,
<br /> piumbing, signs,wells, pools, air conditioning, gas,ar ather ins#allations no#specif�catly included in fhe appiicatian. t�
<br /> permit issued shall be construed to be a license to praceed with the wark and not as aukhoriry to violate,cancel,alter,ar
<br /> set aside arry provisions of the technical codes,nor shall issuance of a permft prevent the Build(ng Official from thereafter
<br /> requiring a carrecfian of errors in pians,canstntotion ar viola#ions of any codes. Every permit issued shati became invalid
<br /> unless the work authorized 6y such perrnit is commenced within six manths qf pertnit issuance,or if work autharized by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the wark is cammenced. An eactension ,
<br /> may be requested,In writing,Erors�the Building O�cial ior a periad not ta exceed ninety{90}days and wili demonstrate a
<br /> jus'trfieble cause for the extension. �f work ceases for ninety(90)consecutive days,fhe job is considered abandoned. �
<br /> WAftN1i+SG TQ OWNER: YOUR FAILURE TO REGORO A NOTlCE OF COMMENCEMENT MAY RESULT IN YOUF� �
<br /> PAYING TUYtCE FOR iMtPR4VEMEN3S TO Y4t3R PR4PERTY. {F Y8U ItJ7'END TO OBTAlN FtNANGltdG,CONSULT
<br /> WITH YOUI2 LENDER OR AN ATfORNEY BEFORE RECORDING YOUR NpTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03) , /J 1.J.._--` � ��A.--._.
<br /> OVYNER OR AGEtiT\. ����/ �--/./ CQtiTRACiOF'� ```"�'�"'' —
<br /> Sub bed and swo�t��f atflmre`d `4»re�m'e this S�u�bj`�c,,t,l,,b�e.�d and swo to(��` ed)I,�o�e a this
<br /> (s�- by �1'iA!l�P +����'g�]C1-- �1d�_LL—bY�e 1V� i
<br /> Who isJace oersona]Sy k 1�wn ta me or hasthave.Praduced wha istarepersonat knawn to me ot haslhave produced
<br /> as identiflcaUon, gs����°�•
<br /> � �
<br /> _���ov.,.. }�Notary Publ€c ____^���� Nntsry PutrStc
<br /> Commission No.�,�I� "fO� Commission No.� r
<br /> �C=rir�V1 }'��('i�,Vl lVli(��Q,� _ �G.�icJY1 �VG�h l�i{\�� r
<br /> Name of Notary ,p�Inted or stamped Neme of Notary typed, rim or stamped
<br /> .o��e.�.,, �..
<br /> :s`��''.`a Je0.SOR1 RYAil4!4lililiS� .�at�Y"`'�c�; .�ASOAt RYAN NfIP4SE6�
<br /> �,: :;:
<br /> • •- MY COMMISSION#FF21T901 _ MY COMMISSION#FF217901
<br /> '",�`';r.�dt,v`= EXPIRES Apti!07.2018 �;�'sr:
<br /> .,��ta,fl,i�;:- EXPIRES April O7,2019
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<br /> i;'�'s45-C'S3 Fla�dallo:aySen{ice.com I������d-0"53 Flondallo:arySernce.con•
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