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' NOTICE OF DEED RESTRICTIONS: The undersigned understands that,fhis permit may be subject to"deed°restrictions"
<br /> whictr�may be more resfrictive than Caunty regulation's. The undarsigned assumes responsibElify for compliance wifh any
<br /> appficabte deed restrictlons. � •
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the ouvner has hired a contractor or
<br /> contractars to undeitake work,they�ri�ay be requ3red to be{Ecensad 9n accordance with state and locai regulat'sorts. If fhe
<br /> eontractor(s not licerised es required by law, tioth the owner and contractor may be cited for a misdemeanor violation
<br /> under,state law. H the owner or intended"cont�actor are`uncertain as to'what licensing requirertients rrray apply for the
<br /> sntended work,they are advised ta cantact the Pasco County Building lnspeation Division--Licensing Section at 727-847- ,
<br /> 80t19. �Furthermore; if the owrter has�iiired a contractoP or cvntracCors,•-.he is advised to.have the oantraetor(s) sign
<br /> portions of the"contrector 61ock"of this�pplication for which they.wfll be responsible. If you, as the owner sign as the
<br /> contrao#or,thaf may be an indicatian thaf he is nrit prop�rly licensed and is aot entifled to permltting priviisges in Pasco
<br /> County.. .
<br /> 7RANSRORTATION IMPACYIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: 7he undersigned understands
<br /> that Transporiation 4mpaat Fees and f2ecourse Reco'very Fees may apply to#he consfructian af new buildings,change of
<br /> use in existing buildings, ar expansion of existing buiidings,as specified in Pasco Caunty�"O�dinance number 89-07 and
<br /> 90-07,as amendetl: The�undersigned also understands,that such fees,as may be due,.will be Ideniified at the time oi
<br /> permitting. !t is further understood that 7ranspartatian Impact Fees and Resource Recovery�ees must be paid prior to
<br /> regehring a.'cettificate of occtipancy"or ftnat power reiease, #�the projecf does not involve a cert�cate of oacupancy or
<br /> final power release,the fees must be paid prio�to permit Issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permlt tssuance in accardanGe wtth applicable Pasco Couniy ordlnances.
<br /> CONSTRUCTlOAt UEN LAW{Chapter T93,Plarlda S4atotes.as amended}: If va3ua5ori o#work is$2>�ao.00 Qr ma�,!
<br /> cettify that l, the apPlicant, have been provided with a copy bf the "Florida ConstrucBon Lien Law--Homeowner's
<br /> Protection Guide°prepared by the Florida Depattment of Agricultute and Consumer Affairs. (f the applicant is someone
<br /> other#tian the`owner",1 cet#ify that!haue obtained a capy of the above'described dacamenf and prosrrise in goad faiEh fo ---
<br /> delfver it to the"owner"prior to commencement. -. ' �
<br /> C�NTRACTOR'SIOWNER'S AFFIDAVIT: 1 certlfy that all the Infarmation in this application is accurate and that all work
<br /> will be done tn compliance with al3 applicabte laws regulating construcfson,zaning�r�d land developmsnt. Appl9cation is
<br /> hereby made io obtain a permit to do wo�k and installation as indicated. I certify that no work or iristallation has •
<br /> �ammenced prlor to issuance of a permit and that ell work will be performed to meet�standards of all laws regulating
<br /> aans#ruction, Gottnty and City codes, zonfng regulaf�ons, and tand �evelopment regulat3ons in the jorisdtction. •! al"so
<br /> certify that I understand that the regulations of otFier govemment agencies may apply to the intended wark,and that it is
<br /> my responsibility to identify what ections I must iake to be in compliance..Such agencles Include but are nat Ii►nited to:
<br /> - Deparkment ot Environmentai RrotectEan-Gypress Hayheads, 1Ne8and Areas and Env'sronmentallp Sensitive
<br /> Lands,Waier/Wastewa#er Treahnerik
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wettand Areas, Altering
<br /> Watercoursss. } ,
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigabte iNaterways. t'
<br /> - Department of Health 8 Rehabllltatfve Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Sepfic Tanks.
<br /> - US Environmenfat Frotection Agency-Asbestas abatement.
<br /> - Federal Aviation AuthoHty-Runways. � _
<br /> 1 undersfand fhat fhe failowing restrictions apply#a the use of fil1:�
<br /> -- Use of filt Is not aiiowed in Fiaod Zone"V'uniess expressiy perrnitted.
<br /> - If"the flll material is to be used in Flood Zone 'A", it is understood that a drainage plan addressing a
<br /> "compensating-volume"-witi be submitted af time of permftking wttich is psepared by a psofessional engineer
<br /> ticensed by tfie Sfate of Florida. - -
<br /> - If the fll material is to be,used in Flood Zone'A° in conneckion-virith a permltted buiiding using stem wall
<br /> coristructEon,i certi(y 4hat f!i will�e used dnly to filt the.area wtthin the siem wall.
<br /> - if�fll( rriaterial is to be used in any erea, 1 certify that use of sueh ft[ wilf nat_adversely affecf adjacen#
<br /> properties;.If use of fi11 is found to adversely affect adjacent properties,the owner may be cited for vlolating
<br /> -khe condition`s bf the buifdfng permit tssued under the attached�permft application,for lots less-.than,one(1) ,
<br /> � acre which are elevated by.fill,an eagineerer!drafnage plan Is r+equir�d. -' ' '
<br /> tf I am the AGENT FOR 7HE OWNER;I promise in good fafth to irtform the owner of the permifling conditians set forth in ' -
<br /> thEs affidavft prior!o commencing construction. !unders#and that a sepaiate_permit may be requfred for electrical work,
<br /> . , piumbing, signs,wetis, poois,a3r conditioning, gas, or other Instatta6ans nof spec�cally Induded in fhe appiicatlon. A
<br /> permit issued shall be canstrued to be.a license to proceed wfth the work end not as aiithorfty ta violate,cancel,alter,or �.,
<br /> set aside any provisions of the technica!codes,nor shall issuance of a pettnit prevent the Butldirig f?fficial frbm thereafter '
<br /> requ4ring a carrection af errors tn glaos,construction or violations ot any codes. Every petmEt tssuetf shalE become tnvalid
<br /> unless the work authorized by such peRnit is commenced within six months of pertnft isauence,ar if woric authorized by
<br /> the permtt Is suspended or abandoned for a period of stx(8)months after the time the�vork is commenced. An e�ension
<br /> mey 6e res;uesfed,in wri#ing,from fhe Building t7tiicial for a period not to sxceed ninety(94}days and wil!demons#rate
<br /> just�able cause for the extension. if work ceases for ninety(90)aonsecutive days,tFie job is considered abandoned.
<br /> WARNING TO OWRlER:'YOUR FAILURE TO F2EG�RD A�10T1GE OF CflMMEtdG�MENT MAY ftESULT IN YOUFt
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR Pt20PERTY. (F YOU ITiTEND TO OB'TAIN FiNANCiNG,CQt+tSULT
<br /> Y,yITH YOUR LENDER OR AN ATTORNIHY BEPORE RECORDItdG YOUR NOl'ICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F:S.117A3) , �,�''^ �
<br /> OWNERQRAGENT . .. - CONTRACTOR.�^'<�1i�'''f--�_..�G""" 1/�'��L��~�
<br /> Subsalbes!and svmm to(or affrrmed)before me Ihls � a1b and �,(por�aff-irt,�ped)befo ¢t�hls `
<br /> ..by ., - -_.. : _.. ��b�:r'N����`.."'Z��'�`7�f'vt i/CGc"!{ .,
<br /> Who islare personatly known io me or hasti�ave produced sre aersona y known to me ar hasthave praduced
<br /> as ldentlfiqtion. as IdenUfication. .
<br /> Notary Publlc Notary Public
<br /> Camm3sslon Na. Commisslon No, �j �
<br /> r- r 2.�
<br /> Neme oi Notary typed,pdnted ar stamped � Name oi Natary rypad,printed ar sbmped ��
<br /> ' `.���YPtttBL�.�+ SERENAPURCELI�
<br /> +: ,,, MY COMMISSIQN#GG q28212
<br /> "'��o: E?(PIR�S:September 8,2020
<br /> ,''+t,OF ft�4'�, Baxled Thru Notary Pubiic t}ndezwriters
<br /> �„��.�
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