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<br /> NOTICE OF DEECI RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" r,�:strictians"
<br /> which may be more restrictive than Cot�nty regulations.. The undersigned assumes responsibility for compliance.wi#h:�ny
<br /> appticable,deed;resteictions. . . _. - � � .. .
<br /> UNLICEfdSED CONTRACT4RS AND CONTRACTOR. RESPONSIBILITIES: If th� owner has-hired a contractar or.
<br /> cantractors ta-undertake v�rark, #hey'may be required to be licensed in accordance wifh state and local..regulations. If the
<br /> contractor is not licensed as:required by law, both the�owner and contractor may be cited for a misdemeanor violation.
<br /> under state law: If the owner or iritended c�ntractor are uncer#ain as to what-19censing�requirements may apply�for the
<br /> intended work, they are aclvised to cantact the Pasco County Building Inspection Divisian—Licensing.Sec#ion at.727-847-
<br /> 8U09. Furthermore, if the owner has hir'ed a contractor or contractors, he is-advised�to have'tfie cont�actor(s)�sign
<br /> partions of the °cont�actor Black" af this application for which they will be responsi6le: If you, as the owner sign as #he ,
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting�privileges'in Pasco�=
<br /> Gounty. �
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT APJD RESOURCE RECOVERY FEES: The undersigned understands �
<br /> that Transportation Impact Fees-and Recourse Recovery Fees may apply to the construction of ne�nr buildings, change of
<br /> use in existing buildings, ar expansion 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 tie due, will"be identified at the time4of
<br /> permitting. tt is further undersfood that Transpartation Impact Fees and Resource Recovery°Fees must be paid�priar-;ta,.
<br /> receiving a "certificate of occupancy" ar final power release. If the�project does not involve a certificate af occupancy or
<br /> final power release, the fees must be paid prEor to permit issuance, Furthermore, if Pasco Caur�ty WaterlSewer-Irrtpact
<br /> fees-are�due, they must be paid prior to permit issuance in accardance with applicable Pasco:,County ordinances.'�
<br /> GONSTRUC710N LIEN LA1N(Chapter 71-3, Floricla Statutes, as amended}: If valuation of work is$2,500:40 or m'ore, f
<br /> certify #hat 1, the applicant, have�been pravided with a copy of ttie "Fiarida .Canstruction "Lien Law Homeovmer's.
<br /> Protection Guide" prepared by the Flarida Department of Agriculture and Consumer Affairs.- -If.the applicant is�someone
<br /> other than the"owrte�', 1 certify that 1'have obtained a copy of the abave described documenfand-promise in good faith to
<br /> deliver it to the"owne�' prior to commencernent. �
<br /> CONTRACTOR'SlQWNER'S AFFIDAVFT: I certify thaYall the inforrnation in this application is accurate arid that ail�work
<br /> wiH be done in compliance with ait applicable taws regulating constcuction, zoning 'and land development: Applieation:is
<br /> hereby made to abtain a permit to do wbrk and installation as indicated. ! certify that na work or installation has
<br /> cammenced priar ta issuance cif;.a permit and that a(I work wilt be performed to meet standards af aH (aws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that 1 understand that#he regulations of ofher governrnent agencies may apply to the intended wark,,:and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include bu#are nat limited to:
<br /> -, Department of Environmental Protectian-Cypress Bayheads, Wetland Areas and :Ernironmentally Serisitive
<br /> Lands,lNaterM/astewafe"r Treatment.
<br /> - Southwest F'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, AI#ering
<br /> Wa#ercourses.
<br /> - Army Corps of Engineers-�eawalls, Docks, Navigable Waterways. �
<br /> - Department of Heaith & Rehabilitative ServiceslEnvirortmental Health Unit Wells, 1Nastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federa{Aviation Autharity-Runways. ;
<br /> I understand that the following restrictions apply to the use of fill: p,
<br /> = Use af fi11 is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a
<br /> "compensating volume° will be submitted at time of permitting �nrhich is prepared by a professional engineer
<br /> licensed by the State of Flarida. , i
<br /> - If the fill material is to be used in Flaod Zane "A" in connectian with a permitted building using sterri wa!!
<br /> constrtictian, 1 ce�tify thaf fill will be used only#o fill the area within#he stem walL ;
<br /> - If fill material is to be used in any area, I certify that use af such fill will not adversely �ffect adjacent
<br /> properties. If use of 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 a#tached permit application, for lats less than one (1)
<br /> . acre which are elevated by fi!!,an engineered drainage plan is required. �
<br /> If!am #he AGENT FOR THE OWNER, ( promise in good faith to inform the owner af the permitting conditions set forth in
<br /> #his affidavit prior to commencing constructian. I t�nderstand that a separate permit may be r�quired for electrical work,
<br /> plumbing, signs, wells,.poots, air conditioning, gas, or other installations not specifically included in the applicatian. A
<br /> permit issued shall be construed to be a license to proceed wi#h the work and not as au#hority to vialate, cancel,"alter, or
<br /> set aside any pcovisions of the technical codes, nor shatl issuance of a permit prevent the BuiEding Official from thereafter
<br /> requiring a carrection of errors in plans, construction or violations of any codes. Every permit issued�shall become invalid
<br /> unless the wark authorized by such permit is commenced within six�months of permit issuance, or if work authorized by
<br /> the perrrtit is suspended ar abandoned fara period of six(6)months after the tirne the work is,�commenced. An e�c#ensian
<br /> may be requested, in writing, from,the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extensian. If work ceases far ninety{90}consecutive days, the job is considered abandoned=
<br /> WARNING TO OWNER: YOUF2 FAILURE TO RECORD A NOTlCE OF C�?MMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWtCE Ft3R IMPROVEMENTS TO YOUR PROPERTY. tF YtJU INTEND TO OBTAiN FINANCiNG,CQNSULT
<br /> -►JJI!lTH-�dJlJ1�-I.END�R_�R.AIV_ TTORNEY BEF.ORE RECORDING YOUR N TICE O �COMMENCEMENT. '
<br /> F�i3RIDA JURAT(F.S.117. ) — - --
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<br /> 4WNER OR AGENT CONTRACTOR "�
<br /> Subscxibed and swom to(or affirmed)before me this Subscribed and sworrt ta{or affirmed}before rrie th�s
<br /> bY 'I?` ~- �
<br /> Who is/are personally known to me or has/have produced Who is/ar rsona �T nown to me or has/have produced ,
<br /> as iden�flcation. as identification.
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<br /> Notary Pubtic G� Natary Public
<br /> Commissiort No. Comm s ' Mo.
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<br /> Name of Notary typed,printed or stamped - Name af Notary typ �tf:kpt;s�gt� Si����F 15ti�+l:-
<br /> -" �.* `. = c.� ecember 12, ;n�
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