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<br /> N�TICE OF DEED RESTRlCTtaNS: The undersigned understands that.this permi#may be subject to"deed"�estrictions" ,,
<br /> which may.be more restrictive than Caunty regulations. The�.:undersigned assume's responsibiiityfor comptiance with,any'
<br /> applicable deed restrictians. � . �� .
<br /> UNLICENSED CONTRACTORS AND� CONTRACTOR RESPQNSlBILlTIES: !f�the owner lias hired�a eontractor ar � �
<br /> cantractors to undertake work, they may be required_to be:licensed in accordance with state and bcal.regulatians: �If the� =
<br /> confractor is not licensed as required 6iy law, bat15�the owner and.contracfor may�6e cited-for a misdemeanor violation ,
<br /> under state iaw. !f the owner or intended contractar are uncertain as to what ticensing requirements�may<apply for=�the: '�
<br /> intended work, they are advised to contact`the.Pasco Caurity Buiiding Inspection Division=L:icensing Seafion.at 727-847-
<br /> 8009. Furthermare, if the owner has hired a contractor or contracfors, he�is advised to 'have the contractor{s} sign ,a
<br /> portions of the °contractar Block" of this application for which they wiN be responsible. !f you, as tlie�owner sign as°ntlie
<br /> contractar, that may be an indication that he is not properly licensed and�is nof entitled to permitting privileges in Pasco
<br /> County. � -
<br /> TRANSPORTATIQN IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpartation tmpact Fees and Recatarse Recovery Fees may apply ta the consfructian af new bui(dings, ci5ange�of ��
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordir►ance number 89-07 and
<br /> 90-07, as amended. The undersigned alsa understands, tha#such fess, as may-be-due, wii! be:identifred at.the titi�e of '
<br /> permitEing. It is further understood that Transportation Impact Fees and Resource Recovery. Fees must be paid prior ta
<br /> receiving a "cettificate af occupancy" or finai power release. If the project daes not involve a certificate of accupancy or.
<br /> fina! power re{ease, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counfy Water/Sewer,�lmpact
<br /> fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasca County ordinances.
<br /> CONSTRUCTIQN L-IEN LAW(Ghapter 713, Florida Statutes,as amended); If valuation of work is$2,500.00 or mor.e,.i., _
<br /> certify that I, the applicant, have been provided with a copy_ of the "Florida Construc#ion L:ien Law-�Homeawner's
<br /> Protection Guide" prepared by the Florida Department af Agriculture and Consumer Affairs. If#he applicant is someone
<br /> ather#han the"owner", I certify that( have obtained a copy of the abave descri6ed document and promise�in goad faith to
<br /> deiiver it ta the"awner"prior.�ta.commencement. " �
<br /> CONTRACTQR'StOWNER'S AFFIDAVIT: f certify that all the informati�n in this applicatian is accurate and that all work
<br /> will be done in compliance with all applicable (aws regula#ing canstructian, zaning and land develapment. Application is
<br /> hereby made ta abtain a permit to do work and installation as indicated. 1 eer#ify that no work or instatlation has i
<br /> � commenced prior to issuance of a permif and that all work wil! be performed to mee# standards of all laws regulating II
<br /> canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also i
<br /> ce�#ify that 1 understand that the reguiations of other government agencies may apply to the intended work, and that it is
<br /> rny responsibility to identify what actians f must take ta be in campiiance. Such agencies include but are nat.limited to: �
<br /> - Department of Envaronmenta! Protec#ian-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treattnent.
<br /> - Southwest Florida Water Management District-Wells, Cypr�ss Bayheads, Wetland Areas, Altering
<br /> Wa#ercourses. �
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Deparkment of Health & Rehabilitative Se,r,vices/Environmentat Health Unit Welis, Wastewater Treatment,
<br /> ' Septic 7anks.
<br /> - US Environmental Protection Agency_-Asbestos abatement - ----— �- --— - -- - —
<br /> - - - ^� - -- —Fecle�ai"�►viation�tha�ity-Ru�ways.
<br /> I understand that fhe foltowing restrictions apply to the use of fill:
<br /> - Use of fi8 is not allowed in Flood Zone"V"unless expressly permitted. I
<br /> - !f the filt material is to be used in filood Zone "A", it is understood that a drainage plan addressing a ,
<br /> °compensating volume" wilf be submitted at tirne of permitting which is prepared by a p�ofessianal engineer � ,
<br /> licensed by the State of Florida. .
<br /> - If the fill material is to be used in Flaod Zone "A" in cannection with a permitted building using stem wal!
<br /> constructian, I certify that.fill will be used only to fill the area within the stem wall.
<br /> - if frll .material `rs #o be used in any area, ( ce�tify that use af such fill witt not adversely affect adjacent
<br /> properties. If use of fill is faund ta adversely affect adjacent praperties, the owner may be cited for violating
<br /> the conditions of the building permPt issued under the attached permit application, fior (ots less than one ('t)
<br /> acre which are elevated by fill, an erigineered drainage plan is required. ' -
<br /> lf I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forih in
<br /> this affidavit priar to commencing construction. I understand that a separate permi# may be required far electrical work,
<br /> plumbing, signs, wreils, poois, air conditianing, ga's, ar othec�installations not specifically included in the application. A -
<br /> permit issued shalt be construed ta be a license ta praceed with the work and not as authority to vialate, cancel, alter, or -
<br /> set aside any provisions of the technical codes, nor shall issuance af a permit prevent the Bvilding Ufficiai frorn thereafter
<br /> requiring a carrecttan of errors in plans, construction o�violations of any codes. Every permit issued shalt become invalid
<br /> uniess the work authorized by such permit is cammenced within six months of permit issuance, ar if work authorized by
<br /> the permit is suspended ar abandoned for a period of six(6) manths after the time the work is commenced. An extensian
<br /> may be requested, in writing, from the 8uitdirig Official for a period not to exceed r�inety (90) days and will demonstrate
<br /> justi�able cause for the extension. If work ceases for ninety(90}cansecutive days,the job is cansidered abandoned.
<br /> WARNING TO OWNER: YQUR FAILURE TO RECQRD A NOTICE OF COMMENCEMENT MAY RESULT !N Y+I�UR
<br /> I FAYING TWICE FOR IMpROVEMENTS TO YOUR PROPERTY. IF YOU.�INTEND�-TO OBTAlN FINANCING,ClJ�lSULT 1
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDtNG YOUR NOTICE OF COMMENCEMENT. �i
<br /> ' F�QRlQA JURAT(F.S.117.03) ',
<br /> � !-
<br /> .___ OWNERAR-AGENT - - �- - Lte ��i CONTRACTOR
<br /> Spub/scrib,��d .ad swo to{or affirmed-�me this 8pub�s,ori ed and s om to(ar a d b re me this � �
<br /> ��L�-�'"1 bY —��-r r�a�bY � �
<br /> Wha is/are personaity known to me ar haslhave produced ' Who Islare personally known to me ar has/have produced
<br /> as Idert6fication. �; as identification. ,
<br /> � ��.�7�i�._r'--{��„� -� � ' ; ��
<br /> , iv n� ���" kary Public Notary Pub}ic
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<br /> �'���E�cpires November 7,2020 (y'�:;;�P;°�xpires November 7,2020
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