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<br /> NOTICE OF DEED RESTRICTIOMS: The undersigned understands that this permit may be subject to "deed"restrictians"
<br /> which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance:with�.any�
<br /> applicabte deed restrictions. � , � • - . ; . � . � _ .-
<br /> UNLIGENSED CONTRACTORS AND COWTRACTOR RESPONSIBILITIES: If the owner has hired a contractar or..
<br /> contractors#o unde�take work, they may b'e�required to be licensed;in accardance with state,.and local:cegulations. 1€�the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanar violation.
<br /> under state law. if the owner or intend"etl cont'ractor are_uncerEain as to,whatvlicensing-r.equirements may-apply for the
<br /> infended wark, they are advised to cantact the Pasco County Building Inspeetion Division—Licensing,Section at,727-847-
<br /> 8009. Furthermare, if the-owner has'tiired a contractor or contractors, he-is advised to have ttie contractor(s)`sign
<br /> partions of the "contcactor Black° of this appfication for which they will be respansibte. if you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled_to permitting�privileges�in�Rasco�
<br /> Caunty. '
<br /> TRAN�PORTATION IMPACT/UTILITIES IIIfl�ACT ANCI q2ESOl1RCE RECOVERY FEES: The undersigned understands
<br /> that Transparta#ion lmpact Fees.and Recaurse RecQvery Fees may appiy to�the construction o€new buiidings, change of
<br /> use in.existing buildings, or expansian of existing buildings; as specified in Pasco County Ordinance number 89-07 and;
<br /> 90-07, as amended. The�:undersigned.also understands, that such fees, as may be due, will be ideritified at the time of
<br /> permitting, It is further unders#ood tha#Transportatian Impact,Fees and Resource Recavery Fees musf be paid prior:,to
<br /> receiving a "certificate of occupancy" or final power release. If the,project does not involve a°certificate af occupancy or
<br /> final power release, tF�e fees must be paid.priar to perrnit issuance. Furthe�ore,-if Pasco County VllaterlSewer Im.pact
<br /> fees are due, they must be paid prior to permit issuance in accardance with applicable Pasco.,County ordinances.,� �
<br /> CONSTRUCTlOPI LlEN LAW(Chapter.713, Florida Statutes,as amend'ed): If valuation of work is$2,5fJ0:40 or r�iore, 1
<br /> certify that 1, the applicant, have-been pravided witF� a copy af tiie "Florida Canstructian �Lien Law—Homeowner's.
<br /> Protection Guide" prepared by,the Florida Department.of Agriculture and Consumer Affairs.� If�the applicant is someone
<br /> otherthan the"awner�, 1 certi�r that 1"have obtained a copy of the above described documenfarid promise in good faith to
<br /> deliver it to the"owner"prior to commencemenf. �
<br /> CONTRACTQR'SIOWfdER'S AFFIDAVfT: �I cerkify that all the information in this applicatian is accurate and #hat all:work
<br /> wiil be done in compliance with all app(icab(e laws regulating construction, zoning and land development. Applieation is
<br /> hereby made to obtain a permit to do work and. insta!lation as indicated. I certify tha# no v+rork or installation has
<br /> commenced prior #a issuance cif;a_permit and-that a(1 work wiil be pecFormed to meet standards of ali (aws regulating
<br /> canstruction, County and City codes, zoning regulations, and land develapment regulations in the jurisdiction. I also
<br /> certify that 1 understand that the regulatians of other gavernment agencies may apply ta the intended work,.and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include,but are not limited to:
<br /> - Deparkment of Environmental Protectian-Cypress Bayheads, Wetland Areas ant! Environmentalty Sensitive
<br /> L'ands,WaferNVastewafer'Greatment: .
<br /> - $outhwest Florida Water Management District Wells, Cypress Bayheads, 1Netland Areas, Altering
<br /> tNaterc�urses.
<br /> - Army Carps of Engineers-Seawalls, Dacks,,Navigable Waterways. '
<br /> - Depa�tment of Health 8 Rehabilitative ServiceslEnvironmental Health Unit-We1Es, lNastev+rate� Treatinent,
<br /> Septic Tanks. �
<br /> ' - US Environmental'Protec#ion Agency Asbestos abatemenfi. !
<br /> - Federal Aviatian Authority-Runways. ;
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fitl is not allowed in Flood Zane"V"unless expressly permitted. �
<br /> - If the fill material is to be used in Flood Zane "A", it is understood that a drainage plan addressing a
<br /> °compensating volume" wifl be submitted at time of permitting which is prepared by a professianal engineer
<br /> licensed by the State of"Flarida. , ;
<br /> - If the �II material is to be used in Flaad Zone "A" in cannection with a permitted building using ster» wall.
<br /> construction, I certify that ftll will be used anly to fill the area within the stem wall. }
<br /> - If fill material is to be used in any area, I certify that use af such fill will not adversely aff�ct adjacent
<br /> properties. tf use af fill is found to adversely affect adjacent properties, the owner 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�Il: an engineered drainage plan is required. �
<br /> If! am the AGENT FOR THE OV{tNER, t pramise in good faith to inform the owner of the permitting conditians set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, poals, air conditioning, gas, or other installations not specifically incliaded in the applicatia:n. A
<br /> permit issued shall be construed to be a license to proceed wi#h the work and not as authority to violate, cancel,'`alter, or
<br /> set aside any provisions of the technica!codes, nar shall issuance of a permit prevent the Building Officiat from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued�shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)manths after the time the work is,�commenced. An extension
<br /> may be requested,;in writing, fram the Building Official for a period not to exceed ninety (90)days and will demanstrate
<br /> justifiable cause for the extension. If work ceases for r�inety{90)cansecutive days,the job is considered abandaned:
<br /> . �
<br /> WARNING TC? OWNER: YOUR FAILIJRE TO RECORD A NOTIC� OF COMMENCEMENT NlAY RESULT IN.YQUR
<br /> PAYtNG T{NICE FCiR FMPROVEMENTS TO YOUR PROPERTY. tF YOU tNTEND TO OBTAIiN FtNANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU OTIC OF GOMMENCEMENT. -
<br /> FL{3RIDA JURAT(F.S.147.03) ,
<br /> OWNER OR AGENT CONTRACTOR - - - ---— __ -_.,� _ _
<br /> Subscribed and swom#o{a�af�rmed)before me this 3ubs,cQribg,d and sw to{or a ed) efore thas
<br /> by ���F��—by � r7�' ,
<br /> Who is/are personally knawn to me or has/have produced Who i�(are erson I knawn to me or has/have produced
<br /> as iden�ficafion. �T�GGL� �j P S� as'sdent[ficatian.
<br /> �
<br /> Notary Pubtic Notary Public
<br /> Commission Na C mmission Na= �r�t' [1�3�.'
<br /> ����F}�/lV� �.'��'�L,C.. -
<br /> Name of Natary typed,printed or s#amped . (Vame of Notary - --
<br /> '�vrrq
<br /> ��:�:��.,;DEBRAELAINERUFFELL .
<br /> ?*: ;,_Commission#GG 045343
<br /> � �; o�=fatplres November 7,2020
<br /> �QP�'��`��' Banded Ttw Troy Fain Insurance 600-385�7019
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