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� NOTtCE OF DEED RESTRICTiONS: The undersignert understands that this permit may be subject to"deed'r+estrictions"
<br /> • wfi(ch may be more restrictive than County regulations. The undersigned assumes responsibiliry for camplianc:e with any
<br /> applicable deed resUictians. ,
<br /> UtdLICENS�D CONTRACTORS AND CON7RACTOR RESPONStBILtTiEB: if the owner has fiired a contractor ar
<br /> contractors to undertake work,they may be required ta tre licensed in accordance with state and local regula6ons. If the
<br /> contractor is nut ficensed as eequired by laur, boih the oamer and contractor rnay be ated for a misdemeanor viQ!ation
<br /> under state taw. Ef the owner or'sntended contractar are uncsrtain as to what ticens'sng requirements may appty far#Fre
<br /> intended work,they are advised to contact the Pascro Gounty Building Inspectian Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the o�.vner has hired a contraator or contractors, he is advised to have ihe contractor(s} sign
<br /> partians af tt�e°con#ractar Block"af thEs app€ication far which they witi be responsible. if you, as fhe awner sign as the
<br /> contractor,that may be an indication that he is noY prnpe�ly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRAN3PORTA7'lOI+S 111tiPACT1R!'1'1�ITlES tNIPAC'i A�b RES4I3RCE FLECOtfERY FE�S: The undersigned understand$
<br /> that TransportaUon Impact Fees and Recourse Recovery Fees may apply to ihe consUuction of new buildings,change of
<br /> use in existing buildings,or e�ansion of existing 6uildings,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undetsigned also undersEands,that such fees,as may bs due,wilE be'sdentified at fhe time pf
<br /> permitting. lt is further undersiood that Transpottation lmpact Fees and Resource Recavery Fees must be paid prior to
<br /> receiving a"certificate of occupancy°or final power release. If the project does not involve a cerkificate of occupancy or
<br /> final power release,lhe fees must be pa'sd prit�r to perm(E�ssuaRce. Furiltermora,if Pasco County WaterfSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with appticable Pasco County ordiaances. I
<br /> CONSTRUCTION UEN LAW(Ghapter 713,F�artda Staattutes,as amendedj: If valuation of work is$2,500.00 or more,1
<br /> certify that #, the applicanE, have been provided with a copy of the "Florida Ganstn�cf"son Lien E.aw—Horneawner's
<br /> ProtecGon Guide"prepared by the Florida Departrnent of Agrict�iture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certify that I have obtained a capy of the above described dooument and prom(se in good faith to
<br /> deEiver it to the"owner"prinr to cammencement.
<br /> CONTftACTOFi'S/OWNER'S,A�FIOAViI': I certify that a(i the informatian in this application is accurate and that all work
<br /> will be done in compliance with ail applicable laws regulating canstruction,zoning and land development. Application is
<br /> hereby made to ab#ain a permit to da vrark and iostallatson as 'sndicated. i certify thst na wa�tc or 3ns#attation has
<br /> commenced prior to issuance of a permit and that a0 work witi be pertormed to meet standards of ail laws regulaUng
<br /> constructian, Caunty and City aodes, zoning regulations, and land develo�ment regulations in the jurisdiciibn. 1 alsa
<br /> certifyr that f understartd thaE the regulat'sons of other govemment agencies maY aFP�Y to the intended work,aad that it is
<br /> my responsibifity to identify what acfions i musf faSce to be in campiiance. 8uch agencies inGude but are not iimited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmental�y Sensitive
<br /> Lands,WaterMlastewaier Treatment.
<br /> - Southwest Fiorida Water Managemsnt District WeAs, Cypress Bayheads, Wetiand Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-SeawaNs,Dgcks,Navigable Waterways.
<br /> - Departmenk of Heaith 8 FtehabiEitative ServicestEntironmen#at Heaith Unik-Wetis, Wastewater TreatmenE,
<br /> Septic Tanks.
<br /> - US Envi�onttterttal Protsction Agency-Asbestos abatemenL
<br /> - Federal AviaGon AuthoriEy-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> ' - Use of fill is not allowed in Flood Zane"V"unless express(y pennitted.
<br /> - ti fhe fi[E maYsriat is to be used in Ftood Zone "A", 'st is understoad that a drainage plan addressing a
<br /> "campensating volume'will be submitted at time af permitting which is prepared by a professianal engineer
<br /> licensed by fhe Shate of Florida.
<br /> - #f the fi[€ materia[�s to be iised in Ftood Zaae"A"in �nnectian with a permitted bui[ding using stem wa3t
<br /> construction,I certify that fill wifl be used only to fill the area within the stem wall.
<br /> - ff fill material is tp be used in any area, 1 certify that use of such fi(I wifl not adversefy affect adjace�t
<br /> proger#ies. 1f use of fi(I is found ta adversely a€fect adjacent properties,tl�te owner may be ated for viota6ng
<br /> the conditians of the building pertnit issued under the attached permit application,for lots less than one("i)
<br /> acre which are elevated by fill,an engineered drainage plan is requi�ed.
<br /> If t am the AGENT�OR THE OWt3ER,I�FOi7i1S$IF3�Ofl{I�St�i�4 Iii�OC(1t�F12 ODUtt�i'Ot�t@ j}gTEttIS�1t1�Ct�flt�lUOIlS SB�fOt�FI�n
<br /> this affidavit prior ta commencing construction. I understand that a separate permit may be required for etectrical work,
<br /> plumbing, signs,wells, pools, air conditioning, gas, or ather installatians not specifically included in the application. A
<br /> permit issued shatl be canstrued to be a ticense to psoceed with the work and not as aufhority to viotate,cancei,a�ter,or
<br /> set aside any provisions af the technicat cndes,nor shaN issuance of a permit prevent the 8uiiding dfficial from thereafter
<br /> requiring a correction of enors in plans,construcdon or violations of any codes. Every permit issued shall become invalid
<br /> unless the worEt authorized by such permit is commenced within si�c monihs of permit issuance,ar if woric eutEtorized 6y
<br /> the pertnit is suspended ar abandaned fur a period ofi six(6}months after the time the woric is commenced. Rn extension
<br /> may be requested,in writing,from the Building Official far a period not to exceed ninety(90)days and will dernonstrate
<br /> � justifiable cause for ihe eactension. If work ceases ior ninsty{90)consecutiva days,the job is considered abandoned.
<br /> WARNING TO OWNEFi: YOUFt FAILURE TO RECORD A MOTICE OF COMMEPICEMENT MAV RESULT!PI YOUR
<br /> PAYING TWtCE FOR IMPROVEMENTS TO YOtlR PRQREitTY. t�Y0t3 t[�iTEMD TO OBTAtiJ F1NAt1lC{P3G,COfdSUL'i'
<br /> Wt7'H YOUR CENDER OR AR1 ATTO EY BEFORE f2ECO�Dt1VG YOU NOTtGE OF COMMEidCEME�tT.
<br /> FLORIDA JURAT(F.3.117. 8
<br /> OkVAlER QR AGEN7 � CONTRACTQR_���.P�i.�.� �
<br /> S hscnbed and swam r affirmed},p�tot� e this Sub�at and sti a to or effmned eJorer�e this
<br /> 1 �� by a. l.�Y� '2 1 c•l�S' by �..LC�`f� .l..rt:f"�"
<br /> IMto is/are persanally knovm�t[ta or has/have produced Who is/aro personally known to me or haslhave produced
<br /> as identiTication. __"—`�� as iden6ficatiaa.
<br /> r ��Jl�"Notary Pub&c t^���/t�' ,;,j��.v�!`� iYoEary PubGc
<br /> Commission No. Commission No.
<br /> iVa , 07'S Name of Nofary tYPed.Printed or stamped
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<br /> '•'E o"• �'`` �"s"`–" p�'' EXPIRES CctOber 22. 2018
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<br /> {40�)348-�:, ,______, taa7�ssa-o�s:i Florir.allotaryServ;s:e,r�uy-:��
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