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<br /> NOT[GE OF DEED RESTRICTIONS: The undersigned unde�stands thaf this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any _
<br /> applicable deed restrictions. � � • �
<br /> UNLtCENSED CONTRACTORS AiVD CONi'RACTOR RESPONSlBiLIT1ES: tf the owner has hi�ed a confractor or
<br /> contractors to undertake work,they may be rc:quired to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractar may be cited for a misdemeanor violation
<br /> under state law. 1f the owner or icrtended coritractor are uncerfain as to what licensing requirerrtents may apply#or the _
<br /> iMended work,they are advised to contact th�Pasca County Building Inspectio�Divisfon—Licensing Section at 727-847-
<br /> 8009. Furthermore, lf the owner has hired a contractor or contractars, he is advlsed fo have the contractor{s) sign
<br /> port3ons o#the"contrador Btock"of th�s application for wt�ich they will be responsible. If yau,as#he awner sEgn as the
<br /> coMractor,that may be an indication that he is not properly Ilcensed and is not entftled to permitting privileges in Pasco
<br /> Count�.
<br /> 7'[tA►NSPO[2TATION INlPACTlUTILITtE31MPACT AND RESOURCE REG4YERY FEES: The undarsigned understands
<br /> that Transparta6on impact Fess and Recourse Recavery fees may apply to the const►uction of new buildings,change of
<br /> use in existing buildings, or expansian of existing buiidings,as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-0?,as amended. The undersigned atso understands,that snch fees,as may be due,witt be'�cier�#ified at the time af
<br /> permitEing. tt is further understood thet Transportatian Impact Fees and f2esource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release. If the praject daes not involve a certificate of occupancy ar
<br /> finai power release,the fees must be pafd prtor ta petmit issuattce. Furihermare,#Pasca Courtty WatertSewer Ir»pack
<br /> fees are due,they must be paid prior to permit issuance in accardance with applicabie Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuadon of wark is$2,500.00 or more,l
<br /> certit'y that i, the applicant, have been provided wiUz a copy of the "Florida Construction LPen Lau�Homeowner's
<br /> Protec6on Guide"prepared by fhe Ftorida Deparfinent of Agricu(ture and Consumer Affairs. tf the appticant Is someane
<br /> other than the"owner",I certify that I have obtained a capy of the abave described document and promise in good faith to
<br /> deliver it to ttze"owner"prior to commencemeni
<br /> COIVTRACTOR'SrOWNER'S AFFtDAVIT: i certify that att the infarmaGon in this apptice�on is accurate and that att work
<br /> will be done in compliance with all applicable laws regulating canstruction,zaning and land development Application is
<br /> hereby made tn obtain a permit to do work and insta!lation as indicated, [ ceriify that no work qr iRstaElaBon has �
<br /> comsnenced prior ta issuance of a permit and Ehaf att work wlil be performed to meet sfandards of ait taws regutating
<br /> construction, Gounty and City codes, zoning regulatlons, and land development regulations in the jurisdicUon. 1 also
<br /> certify that!understand that the regulations af other govemment agencies may apply to the infended work,and that'st is
<br /> my responsibitity to identify what actions 1 mus#take ta be 3n compliance. Such agendes inclade bu#ate not lrmited to:
<br /> - Departrnent of Environmental Protecdon-Cypress Bayheads, Wetland Areas and Environmentally Sensikive
<br /> Lands,WateNWastewater Treatment.
<br /> - Snuthwest Flortda Water Management Disttic#-We11s, Cypress Bayheads, WeUand Areas, Alteting
<br /> _ Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigabie Waterways.
<br /> - Department of Health & Rehabilitative Se:vicestEnvironmenfat Neaith Unit WeIJs, Wastewater Treatment,
<br /> Septic Tanks. ' •
<br /> - US Environmental Protection Agency-Asbestos abatemen�.
<br /> - Federat Avia#ion Auttiority-Runways.
<br /> i understand that the following rsstrictions appty to the use of fi(i:
<br /> - Use of fill is not allowed in Flood Zone N"unless eicpressly permitted.
<br /> - !f the fit! materiai is ta be.used in Flood Zone A", it is understoad that a drainage plan addressing a
<br /> "campensating vofume"wiil be submitted at flme of permitting which is prepared by a professional engineer
<br /> . ticensed by the State of Flarida.
<br /> - tf the fill materia! ls to be used in Flaod Zane"A"in connectian with a petmiifed buitding us€ng stem wett
<br /> constructlon,t certify that�ti wit!be used onty#a fiti the area within the stem wall.
<br /> - If fill material is ta be used in any area, I certify that use of such fill will not adversely affect adjace�tt ,
<br /> properties. tf use of fill is found to adversety aftect adjacerrt properties,the awner may be cited for violafing
<br /> the conditians of the bu!lding petmt#issued under#he affached permit applicafion,for lots less tFtan one(1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,l promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affrdavit prior to commencing�nstruction. !understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, welis, poois, air conditioning,gas,or other instailatians not specifically induded in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set asfde any provistons of the techn�cat c�des,nar shail issuance of a permii prevent the Buitding Off3c�a!from thereaRer
<br /> requinng a correction of errors in pians,constructlon or violaHons of any oodes. Every permit issued.shall become invalid
<br /> unless the work authonzed by such permit is commenced withtn six manths of permit issuance,or if work authorized by
<br /> the permit is suspended or abandonetl for a periaf of six(6}months after fhe time the wark is commenced. An extensia»
<br /> may be requested,in writing,from the Bulding Officiei for a period not to exceed ninety(90)days and wiit demonstrate
<br /> justifiable cause for the extension. if work ceases for ntnety(90)consecutive days,the jab is considered abandoned.
<br /> WARNiNG TO OWNER: Y011R FAtLURE TO RECORD A NOTiCE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING T1MCE FOR IMPROVEMENTS TO Y47UR PRQPERTY. IF YOU INTEND TO 46TAIN FINANCING,CONSULT
<br /> WlTH YOUR LENDER C?R AN ATTORNEY�EFORE REGORDING N077GE OF C MENGEMENT.
<br /> FLOl2tDA JURAT(F. . 03} � --""'
<br /> G--" ,,Lu ,� �
<br /> OWNER OR AGENT ,�,N,.L.v/wGCONTRAGTO G�"�Z� ��,�L_/
<br /> S_gb���. ,� r affimse )b ce me his � Sy 'bEd d � o or affrt[t d)�f th�s r;,.
<br /> j b t '-
<br /> Who is/are rsaneily known to e or has/have produced Who is/ rsonall me or has/have produced
<br /> as identification. as ider�tiflcatian.
<br /> � r
<br /> � otary Public Notary F'ublic
<br /> Co �ssion No. Ca ian N „'a'",,,,,�
<br /> ��r'=.� + •'���': NotaryPublic-Stateo '
<br /> �e ;'*t,,„��� P�4Ctl111mis�ion# Name of No � ' �5 Q[ mtssiotl#GG 2 i293q
<br /> �� �� ��S�tate of Florida �'�•:��� �� +�Y fiomm.Expires 1ui 79,2q27
<br /> 9 ��. r�OF F4����
<br /> ' GG112939 '+�� �" BondedthroughNaNnnalNotaryAssn.
<br /> -`"�* s My Comm,Expires Ju119,2021 � -
<br /> �'•fE'OFtL�+ - - ..
<br /> "�+r�+�++ tSandedthroughNaQonaiNotazyAssn.
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