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<br /> NOTICE OF DEED RES7RtCTiONS: The undersigned understands that fhis permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibiliry for compliance with any s
<br /> appiicebie deed restrictions.
<br /> UNLICEIYSED CONi'RACTORB AND COiVTRACTOl2 RESRONS(BILiT1ES: If fhe ownet has hired a contractor or
<br /> contractors to undertake work,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, 6ath the owner and contractar may tae 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 fhe
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8008. Furthermars, if the owner has hired a contractor or cantractors, he is advised to have the contractor(s) sign
<br /> partions of the°cantractor Block"af fhis application for which they will be responsible. If yau,as the owner sign as the
<br /> contractar,that may be an indication that he is not properly licensed and is not entiUed to permitting privileges in Pasco
<br /> Caunty.
<br /> TRANSPORTAT[ON tMF"ACTIUTILtTIES IMPACT AND l2ESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportatian Impact Fees and Recourse Recovery Fees may apply to the canstruction of new buildings,change of
<br /> use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-47,as amended. The undersigned also unders#ands,that such fees,as may be due,wiil t�e ident�ed at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior ta permit issuance. Furthesmare,if Pasco Gaunty WaterlSewer tmpact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN L.AW(Chapter 713,Florida Statutes,as amended): If valuation af work is$2,500.00 or more,I
<br /> certify that (, the applicant, have been pravided with a copy of the "Florida Construction Lien Law—Homeawner's
<br /> Protection Guide"prepared by the Florida Department of Agricuiture and Consumer Affairs. If the appiicant is someone
<br /> ather than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"awne�'priar to commencement
<br /> CONTRACTOR"S/OINNER'S AFFIDAVIT: 1 certify that ali the information in ffiis applicatian is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and instalfatian as Indicated. i certify that no work or insta(lation has
<br /> commenced prior to issuance of a permit and tfiat aIt work wili be pertormed to meet standards of all laws regutafing
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that i understand that the regu}ations af other government agenciss may apply to the intended work,and fhat it is
<br /> my responsibitity to identify what actions I must take to be in compliance. Such agencies include but are nat limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatertVYastewater Treatment.
<br /> - Southwest Fiorida Water Management District-We((s, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps af Engineers-Saawa!!s,Docks,Navigabls WaEervvays.
<br /> - Departmertt ot F[ealth & Rehabilitative ServiceslEnvitonmenta! Heaith Unit-Welis, Was#ewater Treatment,
<br /> Septic Tanks. `
<br /> - U3 Environmenta!Fratection Agency-Asbestos abatemeni.
<br /> - Fedeca{Aviation Aufhority-Runways.
<br /> I understand thak#he following restrictions apply to the use of fill: �
<br /> - Use af fill is not a!lowed in Flood Zone"V"unless expressly permitted.
<br /> - !f the fiIi material is to 6e used in Flood Zane "A", if is understood that a drainage plan addeessing 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 fill matetial is ta be usad in Flaod Zone"A" in connectian w3th a permitted bu3lding easing stem wa[{
<br /> construction,I certify that fill will be used only to fill 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. If use of�II is found to adversely affecf adjacent prape�ies,Ehe owr�er may be cited for vialating
<br /> the conditions of the building permit issued under the attached permit appiication,for lots Iess than one (1}
<br />, acre which are elevated by fill,an engineered drainage plan is required.
<br /> If 1 am the AGENT F4R THE OWNER,1 promise in good fai#h ta infarm the owner of the permitting conditions set farth in
<br /> this affidavit prior to commencing consUvction. 1 understand that a separate permit may be required for electrical work,
<br />� plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as au#hority to vioiafe,cance{,alter,ar
<br /> set aside any provisions af the technicaf codes,nor shall issoance of a permit prevent the Building Official ftom theteafter
<br /> i requiring a correction of errors in plans,canstruction or violations of any codes. Every permit issued.shall become invalid
<br /> un{sss the work autharized by such perrnit is commenced within s�x months af permit issuance,or if wark authorized by
<br /> the permit is suspended or abandoned for a period of six(6}months after#he time#he work is commenced. An extensia�
<br /> may be requested, in wri#ing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. !f work ceases for ninety(84)consecufive days,the job 9s considered abandoned.
<br /> i WARNING TO OWNER: YOUR FAILURE TO RECORD A NQTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> r PAYtNG IWICE FOR tMPROVEMENTS TO Y011R PROPERTY. !F YOU INTEND TO OBTAIN FINANCING,CONSULT
<br />� WtTH YOUI2 LENDER OR AN ATfORNEY BEFORE RECORDIEIG YOUR NOTIGE OF COIUiNiENCEMENT.
<br /> I FLORIDAJURAT(F.$.117.03) � � �4'
<br />� OWNER OR AGENT ���9HTRACTOR
<br /> f Subscrihed,a d swom to(or rmed}before me his Subscribed d s ko{or aflirmed}befar me this
<br /> -a? �G--/�by ' PiYI�l' n"1�J`P�/'! �
<br />� Who islare p na ly know to me or has/have produced Who is/ ! personally kn to me or has/have produced
<br /> as identi@calion. f as identiflcation.
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<br /> `./��� �N+ota Putr1Ec �'L`"`�-''� Notary Putalic
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<br /> C o r�,q... „��� PAA,IDRFI 1 mission Na.
<br /> :�s.�4�Y PUf�(); Notary Pubi+c-State of florida ;�;t�"'°�e;�;. •
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<br /> :;�rq� o�d;: My Comm.Expires Jul 19,2021 • `;N� o�:` My Comm.Expires Jul 19,2021
<br /> .,°Ff�,.�•"� lbndedihroughNalionalNotaryAssn. '•,;�qxfLo?,+
<br /> � ,,, $o�ded2hroughNation�INataryAssn.
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