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<br /> �VOTICE OF ��C2� FiES��RICTiCi�iS: The undersigned understantls thatthis perrnit may be subject to "deed" restrictions",
<br /> which may be mare res#rictive than County reguiations. The undersigned assumes responsibility for compliance with any _
<br /> applicable deed restrictions.
<br /> llNLIGEIVS�D CON`fRAC`�ORS AND CONTRACTC?R RESPONSlBtLITIES: !f the owner has hireci a co�tractar or
<br /> contractors to undertake work, they may be required to be licensed in accordancs with state and loca( regulations. ff�the �
<br /> contractar is not (icensed as required by law, both the owner and cantractor may be cited for a misdemeanor violation
<br /> under state law. !f the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> infiended work, they are advised to conCact the Pasea Co�anty Buiiding (nspection Division—Licensing Section at 727-847-
<br /> 8009. Furtf�ermore, if the owner has hired a contractor or contractors, he is advised ta have the cantractarts) sign
<br /> partions of the "cantractor Black" of this application far which they wifl be responsible. 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 Pasco
<br /> Caunty.
<br /> TRANSPORTATt{3t� IiVPPACTJUTtLiT1ES IMPACT AND RESdURCE RECCJVERY FEES: The unders'igned understands
<br /> that Transportation impact Fees and Recaurse Ftecavery Fees may apply to the construction afi new buildings, change of
<br /> use in existing buildings, ar expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 ancf
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may bs due, wi!! be identified at the time of
<br /> permitting. It is further understood that Transpartation Impact Fees and Resource Recovery Fees must be paid prior ta
<br /> receiving a "certificate af occupancy" or final pawer reiease. If the project does not involve a certificate of occupancy or
<br /> finaf pov,rer release, the fees must be paid prior ta permit issuance. Furthermore, ifi Pasco-Gounty Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicabfe Pasco Caunty ordinances.
<br /> CCDNST�UCTQON LlE�9 LAW {Chapter 713, Florida�tatutes, as amended): !f valuation o#�ork is $2,50Q.Q0 or m�re, l
<br /> i certify that I, the applicant, have been provided with a copy of the °Florida Canstruction- Lien Law—Homeowner's
<br /> � Protection Guide" prepared by the Florida Department of Agriculture.and Consumer Affairs. If the applicant is someane
<br /> ather than the "owner", I certify that I have ot�tained a copy af the abave described document and promise in goad falth to
<br /> deliver it ta the°owne�" priar to commencement. .
<br /> CON7RACTOR'�IOWNGR'S AFFIDAUlT. 1 certi#y that a!! Che information in this appiication is accurate and th�t aii wark
<br /> will be done in compliance wiih a!! applicable laws regulating constructian, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. l certify that no wark or installation has
<br /> commenced prior to issuance of a permit and that alI work wi11 be performed to meet standards of all laws regulatin.g
<br /> canstructian, County and City cades, zoning regulations, and land develapment regulations in the jurisdiction. 1 also
<br /> certify that i understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility ta identify what actians I must take to be in compliance. 5�ich agencies include but are not l�imited to:
<br /> I` - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive '
<br /> i Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercaurses. .
<br /> � - Army Corps of Engineers-Seawalls, Dacks, Navigable Waterways. '
<br /> � - Department af Nealth & Flehabilitative Services/Enviranmental hiealth Unit-Wells, Wastewater Treatment,,
<br /> '� Septic Tanks.
<br /> - US-EnviYonmenta� Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways. ,
<br /> , I understand that the follawing res#rictions appi�ta the use of fil1:
<br /> - Use of fill is not allowed in Flood Zane"V" unless expressly permitted.
<br /> , - if the fill material is to be used in Fload Zone "A", it is understaod that a drainage .plan addreesirrg a
<br /> I "compensating volume" will be submitted at time of permitting which is prepared by a prafessional engineer
<br /> ', licensed by the State of Florida.
<br /> � - [f the fili rnaterial is to be used in Flaod Zone "A" in conneckion with a permitfied bui(ding using stem wall
<br /> '� construction, i certify that fiii wi11 be used oniy to fi11 the area withi�the stem wail.
<br /> - If fiN material is ta be used ip any area, 1 certify that use of such fill will not adverseiy affect adjacent
<br /> ' properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for viofatirtg
<br /> � the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are eievated by fill, an engineered drainage plan is required. .
<br /> {f 4 am#he AG�Rl�' F�.1R TFO� C}Wt�EFi, I promise in goad faith to infarm the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing constructian. i understand that a separate permit may be.required for electricai irvork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the applicatian. A
<br /> .permit issued shall be construed to be a license ta proceed with the work and not as authorlty to violafe, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buiiding Official frQm thereafter
<br /> reg�iring a correction o#errors in plans, construction or vialatians of any cbdes. Every permit issued shall became invalid
<br /> unless the work authorized by such permit is cammenced within six manths of permit issuance, ar if wark authorized i�y
<br /> the permit is suspended or abandaned for a period„of six (6) man#hs after the time the work is commenced. An extensian
<br /> may be requested, in writing, from the Building Oificia! for a period not to excead ninety {90) days and wi!! demanstrafie
<br /> � justifiable cause for the extension. If work ceases for ninety (90) consecutive days,the job is considered abandoned. �
<br /> � WARNI�t{,� �'� {�W6��I3: �t0t1R (�AIL:URE TO RECORD A R1t3TiCE OF C(7MMENCEMENT MAY RESULT IN YOUR
<br /> PAYlNG TWlC� Ft3R 1MPROV�.61t1ENTS 7(J YOUR PROPERTY. IF YOU iNTEND T{J dBTA1t�1 FtNAt�fCiiVG, CONSULT
<br /> WITH YOUR LE�IDER OR AN AT70RNEY BEFQRE RECORDING YOE1R NOTICE OF CCINIMENCEtitlEt�lT.
<br /> FLORiDA JURAT(F.S. �177 03)
<br /> OWNEFI OR AG�FIT ����""� CON1'RAGTQR
<br /> ( ���scnh d, d swq,,�n to(or afflrmed}before me this Subscribed and sworn to (or affirmed) before me this
<br /> Y .1.��.�-,r:•.,•�'�,��a.d..:�d-,c_`�.-+.w. by
<br /> I , Who is/are personally known to me or has/have produced. Who isiare personally known to me or has/have ps�oducad
<br /> s identification. as identification.
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<br /> i � � �� '� j�
<br /> y � '1�"� �°' � Notary Pub(Ic Notary Publ(c
<br /> t � t ,r
<br /> ' Commission Na �` - Commisslon No.
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<br /> M11ame of Rlotary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> � �'4/'N"1r�
<br /> ��e� Notary Pab1Ec State of FRorlda _
<br /> � Mfchelie Moyes
<br /> 4 My Commission GG 45732t
<br /> �op�d� Expises 12t21l2020
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