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`--_..�. �� - �– _ -- <br /> � �-_ _ '' v.i - <br /> . =z:_ <br /> � ` � _.._—— i <br /> �� <br /> NOTtCE OF DEED RESTRtCT10NS: The unde�signed understands that this permit may be subject to"deed"restrictions" <br /> which may be more restrictive than Caunty regulations. The undersigned assumes responsibility for compliance with any ' <br /> applicable deed restrictions. �� ' <br /> UNLICENSED CONTRACTORS AND CONTRA,CTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. tf�the <br /> contractor is not licensed as required by law, both the owner and cantractor may be cited for a misdemeanor vialation <br /> under state law. If the awn�r or intended contractor are uncertain as to what licensing requi,rements may apply for the <br /> intended work; they-are advised to con#act the Pasco County Building Inspec#ion Division—Licensing Section at.727-847- <br /> 8009. Furthermare, if the owner has hired a cantractar or contractors, he is advised to have the contractor(s) sign <br /> - portions of the "contractor Block" of this application for which they will be responsible. ff yau, as`the owner sign as the <br /> contractar, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County. <br /> �` TRAIVSPORTA71t3M IMPACTIUTILITIES IMPACT AND RESCtURCE REC4VERY FEES: The undersigned understands <br /> �that.Transport'ation Impact Fees and Recourse Recovery Fees may apply ta#he canstruc#ion of new buildings, change of <br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordiriance number 89-47 and - <br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be iden#ified at the 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 accupancy" or final power release. If the praject does not involve a certificate af occupancy or <br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CUNSTRUCTION CIEN LAV6t{Chapter 713, Flarida S#atutes,as arnended) If valuation of wark is$2,500.00 ar mare, 1 . <br /> certify tha# I, the applicant, have been pravided with a copy of the "Florida Construction Lien Law—Homeowner's <br /> Protectian Guide" prepared by the Floricla Repa�tment of,Agriculture and Consurner Affairs. lf the applicant.is someane <br /> other than the"owner", 1 certify that I have obtained a copy of the above described document and promise in good faith to - <br /> deliver it ta the"awner"prior to commencement. <br /> CONTRACTOR'S/�WNER'S AFFlDAVIT 1 cerEify that alI the information in fhis application is accurate and that all work <br /> will be done in compliance with all applicable laws regulating canstrucfiion, zaning and land development. Application is <br /> � hereby made to obtairt a permit to da work and installation as indicated. 1 certify that no work or installatian has <br /> commenced prior to issuance of a permif and that a11 work will be performed to meet standards of all laws regulating <br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction: ! also <br /> certify that 1 understand that the regulations af other governmenf agencies rrtay apply to the intended wark, and that st is � <br /> my responsibility ta identify what actions I must take to be in compliance. Such agencies include but are not limited to: <br /> - Department of Environmental Protection-Gypress Bayheads, Wetland Areas and Enviranmentally Sensitive <br /> Lands,VVater/Wastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps af Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Health & Rehabilitative ServicesJEnvironmental Health Unit-Wells, V1lastewater Treatment, <br /> Septic"fanks. <br /> - .US Environmental Protection Agency-Asbestos abatement. <br /> - . Federal Aviation Authority-Runways. <br /> • -I-understand that the following restric#ions apply to the use of fill: <br /> ' " - Use of fill is not allowed in Flaod Zane''V"unless expressly permitted. <br /> - If the fill material is to be used in Flood Zone "A", it is understood fhat a drainage p(an addressing a <br /> "compensating volurne" will be submitted at time af permitting which is prepared by a professional engineer <br /> licensed by the State of Florida. <br /> - If the fill material is to be used in Flaad Zane "A" in connection with a permitted building using stem wall ' " <br /> construction, I certify that fil!will be used only to fll the area within the stem wall. <br /> - If fiil material is ta be used in any area, 1 certify thaf use of such fil( will not adversely affect adjacent <br /> properties. If use of fill is found to adversely affect adjacent properties, the awner may be cited for violating <br /> the conditions of the building permit issued under the.attached permit application, for lots less than one {1} <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> (f!'am the AGENT FOR THE OWNER, 1 promise in good faith ta inform the owner af the permitting conditions set forth in <br /> this affidavit prior to commencing construction. 1 understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or a#her installa#ians not specifically included in the application. A <br /> permit issued shall be canstrued to be a license to proceed with the wprk and nof as authority to viaCafe, cancel, alter, or <br /> set aside any provisions of the technical codes, nar shall issuance of a permi#prevent the Building Offcial from thereafter <br /> requiring a correction of errors in plans, cons#ruction or violations of any codes. Every permit issuec!shall become invalid <br /> uniess the work aufhorrzed by such permif is commenced within�six months of permit issuance, ar if wark authorized by <br /> the permit is suspended ar abandoned for a period af six(6) months after the time the work is commenced. An extension <br /> may be requested, in writing, fram the Bui(ding Officia! for a per.iod not ta excsed rtinety {90} days and will demonstrate <br /> justifiable cause far the extension. If work ceases for ninety(90) consecutive days,the job is considered abandoned. <br /> WARNING TO 01tttNER: YOt.1R FAtI.URE TO RECORD A NOTICE dF COMMENCEMENT MAY RESULT IN YQUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND 70 OBTAIN FINANCING, CONSULT <br /> WiTM YOUR LENDER C?R AN ATTC}RNEY BEFORE RECQRDtNG YOUR Nt�T E OF CQIV1f1tIENGEMENT. <br /> FLORfDA JURAT(F.S.117.03) � <br /> OWNER OR AGENT CQNTRACT412 � <br /> Subsaribed and sworn to(or a�rm ,}before m�--� Subscribed and sworn to�o� ffirmed}before me this <br /> ua-Hug-�t i py paul Sweene oa•n�9-,� py Paul w ene _ <br /> Who fslare personaliy known to me or�as!#�aue-��e�ed- UVho is/are ersonall knaw to me or+�esN3ave-p�ede�ee� <br /> -�` <br /> tification. � ldentificafion. <br /> Notary Public Notary Public <br /> Gammission No. FF98537 Cammissian No. FF48537 <br /> Elissa M.Holleran Elissa M.Holleran <br /> Name of Natarv tvoed,printed or sfamped Name of Notary typed,printed or stamped <br /> _ .__..._._ _ <br /> _ ' w ��I��bE1.H�l��N' <br /> ' ' ��I��A�i.�tQ��1V s�r���n�.�R�b��97, <br /> , : � �tr��sl�yFt���tbtt�? �������n�d�,�� <br /> ��}���s�ljl'�+��KF6� ,' � '' .�°!'��@lF3�"��b�9�litiA'�iI�+11�II <br /> ' Ba��iMl'�1.rJ���'A[si�#l�MC#'a�&"�°?��i , <br />