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<br /> IdOTiCE�F DEED RESTRICTI4NS: The undersigned understands that this permit may be subject�o°deed°restrictions"
<br /> which may be mare restrictive than Caunty regulatians. The undersigned assumes responsibility for compliance with�any
<br /> appticable deetl restrictions. - , � _ - -_ , , _ _ _
<br /> UNLICENSED �CONTRACTORS AND CONTRACTOR. RESPONSIBILITIES: If the awner has hired a contractor or
<br /> contractors to�undertake work; they may be required to be licensed-in accardance with state and locai._reg,uiations. If#he
<br /> contractor is not licensed as required by law, both the awner and contractar may be cited far a misdemeanor violation.
<br /> under state law: if the awner ar iritendeii�cont'ractor are�uncertain as to what�licensing requirements may`appiy for the
<br /> intended work, they are advised to contact the Pasco Counfy Buitding Inspection Division—Licensing Sectian at.727-847-
<br /> 8009. ,Furthermore, if the owner lias`hir'ed a con#ractor or contractors, he is-advised to have`the contractor(s)�sign
<br /> partions af the "contractar Block" of this application far which they will be respansible. 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=priuileges in Pasco=,
<br /> County. " -
<br /> TRANSPORTATION IMPACT/U7'ILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impacf Fees�and Recourse Recovery Fees may apply to the construction of new buiidings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specifled 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 identified at the time of
<br /> permifting. It is fucther understooc4 fhat Transporta#ian lmpact,Fees and Resou,r,ce Recovery�Fees must be paid prior-,to
<br /> receiving a "certificate of occupancy" ar final power release. If the�project daes not involve a certificate of occupancy or
<br /> finat pawer release, the fees must be paid.prior to permit issuance. Furthermare, if Pasco County WaterlSewer Impact
<br /> fees-are due, they must be paid prior to permit issuance in accordance with appticabte Pasco Caunty ordinances.
<br /> CONSTRUCTlON LIEN LAW(Chapter.773, Florida Statutes,as amended): If valuation of wark is$2,500:00 or m'ore, I
<br /> certify that 1, the applicant, have�6een provided with a copy of tfie "Fiarida Canstruction Lien �aw—Hameowner's.
<br /> Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. .If-the applicant is•sameone
<br /> ather than the`bwner'°, 1 certify#hat I have obtained a capy of the above described document and promrse �n good faith to
<br /> deliver it to the"owner" priar to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT; 1 ce�#ify that a!I the information in this application is accurate arid that a!l;work
<br /> will be done in compiiance with alI applicable (aws regutating construc#ion, zaning and land development: Applieation" is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installatian has
<br /> cammenced prior to issuance of a,permit and that all wark will be performed to meet standards of all�laws regulating
<br /> const�uction, County and City codes, zoning regulations, and land developmen# regulations in the jurisdiction. I also
<br /> certify that 1 understand that the regulations of ather government agencies may apply ta the intended wark,;.and that 'st is
<br /> my responsibility to identify what actions I must take to be in compliance. Such ag�ncies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> Lands,WaterM/astewafer Treatment. ?
<br /> - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercaurses. ;
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. �
<br /> - Department of Health � Rehabilitative ServiaeslEnvironmental Health Unit Wells, Wastewater Treatment,
<br /> Septic Tanks. . ;
<br /> - Ua Environmenta!Protection Agency-Asbestos abatement. .
<br /> - Federai Aviatian Authorify-Runways. ;
<br /> I understand that the following restrictions a.pply to the use of fill: f.
<br /> - Use of�11 is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flaod Zane "A", it is understoad that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida. a
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> constructian, {certify that fil#will be used anly to fitl the area vuithin the stem wal1. :
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect ,adjacent
<br /> properties. 1fi tase of fll is found to adversely affect adjacent properties, the awner may be cited for violating
<br /> the conditions af the building permit issued under the attached permit application, for tats less than one (1)
<br /> . acre which are elevated by fill, an engineered drainage plan is required. ;
<br /> lf(am the AGENT FOR THE OWNER, 1 prornise in goad faith to inform the awner af the permitting conditians set fqrth in
<br /> this affidavit priar to commencing eonstruction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, we11s, poals, air concfitioning, gas, or ather installations not specifically inclitded in the applica#ia"n. A
<br /> permit issued shall be cons#rued ta be a license to proceed with #he work and not as authority to violate, cancel,�alfer, or
<br /> se#aside any provisions of the technica(codes, nar shall issuance af a permit prevent the Building Offic9al from #hereaf#er
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shali become invalid
<br /> unless the work autha�ized 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}mortths after the time the work is�;cammenced. An extensian
<br /> may be requested, in writing, from the Building Official for a period nat to exceed ninety (90) days and will demonstrate
<br /> jus#�able cause for the extension. tf work ceases far ninety{90}consecutive days,the job is considered abandoned�
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<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTI�E OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWlGE FQR IMPRt3VEMENTS TO YiJUR PROPERTY. 1F YQU iNTEND TO ClBTAIN FINANCING,CCfidSULT
<br /> WITH YdUR LENDER OR AN ATTORNEY BEFORE RECORDING YO,UR NOTICE OF COMMENCEMENT. }
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<br /> FLC}RIDA JURA3'(F.S.117.Q _ .__ _-- --— - — - - --_. `._.._ _.�.— — _..--- - -
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom Eo d)be e this Subscribed and swom or rmed} efare me fhis
<br /> by �
<br /> Who is/are personally k to me or as/ttave produced Who is/ ersonall nown to me or has/have produced �
<br /> as identificatian. as identtfication.
<br /> Notary Pubtic � ��1:�-�'�"�.� No#ary Public
<br /> Corrrmiss'san No. Commi io No. .��<�:Y=���. JACQUE�IN GES
<br /> =*r' :�: Commission#FF 15d422
<br /> :�� �'a: Ex ires December 12 2018
<br /> Name of Notary typed,printed ar stamped iVasr�e of Notary type pt��i.�*t7t'S�FYf�}�Troy Fat�Insurance 8fl0�385-7059
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