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NOTICE OF DEEd RESTRICTION3: The undersigned understands that this permit may be subject ta"deed"rest�ctions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictipns.
<br /> tJNLIGENSED CONTRACTORS AND CONTRAGTOR RESPONS[Bt�.ITIES: If the awner has hired a contractor or
<br /> contractors to undertake worlc,they may be required 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 contractor may be cited for a misdemeanor violation
<br /> under state law. If the awner or intended contractar are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> partions of the"can#rac#or Biock"o#this application for which they wiR be responsible. tfi you,as the owner sign as fhe
<br /> contrac#or,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPAC7IUTIL[TIES lMPACT AND RESOUE2CE RECOVEE2Y FEES: The unders3gned unders#ands
<br /> that Transportation tmpact Fees and Recourse Recovery Fees may appiy to the construction of new buildings,change of
<br /> use in existing buildings,or expansion of exisUng buildings,as specified in Pasco County Ordinance number 89-07 and
<br /> 94-07,as amencled. 'Fhe undersigned also understands,that such feas,as may be due,witl be identified at the time of
<br /> permitting. tt is further understood that'fransportation Impact Fees and i2esource f2ecovery Fees must be paid prior ta
<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,the fees must be paid prior ta permit issuance. Furthermare,if Pasca Gounty WaterlSewer Impact
<br /> fees are due,fhey mus#be paid prior to permit issuance in accordance with appticable Pasco Counfy ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that 1, the appiicant, have been provided with a copy of the "Fforida Ganstructian Lien Law--Nomeowner's
<br /> Pratection Guide"prepared by#he Florida Department of Agriculture and Consumer Affairs. (f the appticant is someone
<br /> other than the"owne►",I certify#hat I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the°owner"priar to commencement.
<br /> CdNTf2AGTOR'StOWNER'S AFFIDAVIT: I certify that all the information in fhis apptication is accurate and fhat ail work
<br /> will be dane in compliance with all applicable laws regulating canstruction,zoning and land development. Application is
<br /> hereby made to otrtain a permit Yo do work and installation as indicated. I certity thai no work or installatian has
<br /> commenced prior to issuance of a permit and that all work will be performed ta meet standards of alt laws regulaffng
<br /> construction, Caunry and City cades, zoning regulations, and land development regulations in the jurisdiction: I also
<br /> certity that 1 understand that the regulations of other govemment agencies may apply to the intended wark,and that ii is
<br /> my responsibility ta idettfify what acfians 1 musT take ta be in compliance. Such agencies include but are no#[imited ta:
<br /> - Department af Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Soufhwest Florida Water Nlanagement Disfrict-Wells, Cypress 8ayheads, Wetland Areas, Alfering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watetways.
<br /> - Department of Health & Rehabifitative ServiceslEnvironmental Heaith Unit-Wells, Wastewater Treafinent,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestas abatement.
<br /> - Federal Aviation Aufharity-Runways.
<br /> t understand that the foliawing restrictions app�y ta the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly parmitted.
<br /> - If the fcll material is ta be used in Flaod Zone "A", it is understood tha# a drainage ptan addressiag 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.
<br /> - if the fl!! materiat is ta be used in Flood Zone°A" in connectian with a permitted bcailding ttsing stem waA
<br /> construction,i certify thaf fill wili be used only to fiti the area within the stem wall.
<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. !f use of fl!!is faund to adversely affect adjacent properties,the owner may be cited for violating
<br /> the condi6ons of the buiiding permit issued under fhe attached permit application, for iots less fhan one(1}
<br /> acre which are elevated by ftll,an engineered drainage plan is required.
<br /> If(am the AGENT FOFt THE OWNER,1 promise in good faith ta infarm the owner of the permit#ing conditions set forth in
<br /> this affdavit prior to commencing canstrucfion. t understand ffiat a separate permit may be required for elecEricai wark,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be canstrued to be a license to proceed with the work aad not as authority to violate,cancel,alter,or
<br /> set aside any provisions af the technical codes,nor shal2 issuance of a pecmi#prevent the 8uiiding Officiai from thereafter
<br /> requiring a correction of errors in plans,construation or vialations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permik issuance,or if work authorized by
<br /> the perrttif is suspended or abandoned for a period of six{6}months after the time the waric is cammenced. An e�ctension
<br /> may be requested, in wriking,from the Building Official for a periad not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the e�ctension. (f work ceases for ninety(90)consecutive days,the job is considered abandoned_
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE QF COMMENCEMENT Y RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND 1 INANCING,CONSULJ
<br /> W[TH YOUR LENDER OR AAI ATTOE2NEY BEF012E f2ECQRDING YOilR Ai CO AIGENlENT.
<br /> FLOR(DA JURAT(F.S.'I 17.03)
<br /> OWNER OR AGENT GOlJTRAGTOR
<br /> Subscribed and swom to{or affirmed)before me this Subscribet!an m ffi efore me ihis
<br /> by
<br /> Who is/are personally known to me or has/have produced Who is/are rsonal known to me or has/have produced
<br /> as identitication. as idenlification.
<br /> t.
<br /> Notary Public Notary Pubtic
<br /> Gommission No. Com 'ssi ^'�T='�^
<br /> ;,=o�„�''a;-, ����CQUELINE 80GES
<br /> Name of Noiary typed,prioted or stamped Name o(tVo ' ed:pnnted t{
<br /> � ��.,a;�E� �Xp�Qs ecember 12,2018
<br /> f'?�,�d'k,�;', Bcndad Thru Troy Faln Inc:uenoe 8003g5.7ptg
<br /> ' GJ..f ,
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