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<br /> N0710E OF DEm RESTRICTIONS: The undersigned tmdersterlds that this pertnit may be subJed to'deed'restrictions'
<br /> which may be more restrictive than County regutetlons. The undersfgned assumes responsibillty tor compnance wiih arry
<br /> applicable deed restrictions. �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPOkSIBIL111ES: If the owner has hfred e contractor or
<br /> contraciors to undertake work,they may be requUed to be U�ensed in axordance with state and local regulatfons. If the
<br /> contractor is not licensed as required by law, both the owner and cont�actor may be cited for a misdemeanor vlolatlon
<br /> under state law. If the owner or intend�d contractor are uncertain as to what Iicansfng requfremerrts may apply ivr the
<br /> intended work,they are advised to corrtecl the Pasco County BuUding Inspection Divlsfon—Ucensing SecNon at 727-847-
<br /> 8009. Furthermore, it the owner has hired a cor�tractor or coMractors, he is advised to have the conVactor(s) aign
<br />� portiorts of the'contractor Black'of tfiis appllcaUon for which they will be respor�sible. Ii you,es the owner sign as the
<br /> contraclor,that may be an irxilcaUon that he is not propeAy licensed and is not enUtled to permitNng privileges tn Pasco
<br /> Couniy.
<br /> TRANSPORTATION IMPAC71UT1UTIES IMPACT AND RE90URCE RECOVERY FEES: The undersigr�ed understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees mey apply to the conslructlon of new bufid'mge,change of
<br /> use in exis6ng buildings,or expanslon of extsting buildings,as specifified in Pesco County Ordinanoe num6er B9-07 and
<br /> 9o-07,as amended. The�dersigned also imderstands,thel such fees,as may be due,will be tdentiTied at the time of
<br /> permkting. It Is further understood that Transportation Impact Fces and Resoivae Reoov�ery Fees must be paid prior to
<br /> recetving a"certificate ot occupanc�'or final power retease. If the project does not Involve a certiflcate af oxupancy or
<br /> final pow�er reiease,the fees must be paid prior to permit fssuance. Furthertnore,ff Pasco County WateHSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in acxordance with applk:able Pasco County ardinarn�es.
<br /> CONSTRUC710N LIEN LAW(Chaptgr 713,Florlda Statutas,�s unende�: If valuation of work is 52,500.00 ot more,I
<br /> certify thet I, the applicant, have been provided with e copy of the "Flodda ConshucNon Lien Law�Homeowners
<br /> Protection Guide'prepared by ihe Florida Qepartment oi Agriailhue and Consumer Aftafrs. If the applicant Is someone
<br /> other than the`owner,I certify that I have obtained a capy oithe above desaibed docume�t and promfse in good falth to
<br /> deliver ft to the"owner'pdor to commencement.
<br /> CONTRACTQR'SIOYYNER'S AFFIDAVIT: I certify that all the infartnetion in this applicadon Is ecuuate and that alt work
<br /> witl be done in compllance with all appApbie Isws regulating cor�struction,zonfng end land development. Applfcatlon Is
<br /> hereby made to obtain a permit to do work end instailatlon as Ind[cated. I ceriity that no woric or i�tallallon has
<br /> commenced prior to issuance of a�it and that all work wiA be perfom�ed io meet startdards oi all laws regulaUng
<br /> consUutMion, County and City codes, zoning regulations, and land de�elopment regulations in the jurisdicdon. I eiso
<br /> certify that I understand that the regutatfons o#other govemment agenctes may apply to the intended work,and that It is
<br /> my responsibility to identify what actions I must teke to be in compliance. 8uch agenaes incEude but are noi limited to:
<br /> - DepartrtseM of Ernironmental Protection-Cypress Bayheads,Wetland Areas and Ernironmentally Sens�ive
<br />', Lands,WatedlNastewater TreatmenL
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlend Areas, Alterfng
<br /> Watercourses.
<br /> - Amry Corps oi Engineers-Seawalls,Docks,Navigable Watervvays.
<br /> - Departrnent of Heaith & Rehabiliiative ServlceslEnvtronmental Heatth Unft-Weils, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Envlronmental ProtecHon�qency-Asbestas abatement
<br /> - Federal AvlaUon Authority-Runways.
<br /> I unde►stand that the following res�ictlons apply to the use of flll:
<br /> - Use of flll Is not allowed in Flood Zone V unless expressly permitted.
<br /> - If the 811 material is to be used fn Flood Zone 'A', it is understood that a drainage plen address[ng a
<br /> 'compensadng�olume"will be submitted at Ume af permitting which is prepared by a professional engineer
<br /> licensed by the State of Ftorida.
<br />' - Ii the 811 material is to be used fn Flood Zone A in connection with a permitted building using stem wall
<br /> constructlon,I certify that flll wpl be used onryto fill the area within the stem wall.
<br /> - If fill material is to be used in arry area, I certify ihat use ot such fill will not adversely affect adJacent
<br /> propertles. If use of fl0 is found to adversely affec!adjacent propertfes,the owner may be dted for vi�lating
<br /> lhe conditions of the building permlt issued under the altect�ed pemUt appliceBon,for lols less than one(4)
<br /> acre which are elevated by fill,an englneered drainage plan ls required.
<br /> If 1 am the AGENT FOR THE pYYNER,I promise in good faith to irrrform the owner of the permitting conditians set forth in "
<br /> this affidavit prior to commencing constntction. I underetand that a separate pertnit may be requfred for electrical work,
<br /> plumbing, signs, wells, pools, air condidoning, gas,or other inatalletions not speaflcaily induded in the appilcatlon. A
<br /> permit issued shall be construed to be a qcense to proceed wlth the work end not as aufhority lo violate,canoel,atter,or
<br /> set aside arry provisiens of the technical codes,nor shall issuance ef a permit prevent!he 9uilding Offtcial from thereaNer
<br /> requiring a correction of ercors in plans,construction or violations of arry codes, Every pertnit issued shall become invatld
<br /> unless the work authorized by such pertnit fs commenced within s6c months oi pertnR issuance,or if work authodzed by
<br /> the permit ls suspended or abandaned for a period oi slx(8)months after the thne the work Is comrnenced. M extenslon
<br /> may be requested,in writing,from the Buflding Oftidai tor a period not to exceed ninety(90j days and vnll demonstrate
<br /> juslEfieble cause for the extensinn. If work ceases ior ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO itECORD A N0710E OF COMAAENCEMENT MAY RESULT IN YdUR
<br /> PAYINO 1WICE FOR IMPROVEMENT8 TO YOUR PROPERTY. fF YOU INTEND'F'O OBTAIN FlNANCIN�i,CONSULT
<br /> Wt R LEND R N A R BE RE RECORDING O R N0T1C OF C ME
<br /> FLORIDA JURAT(F.S.117,03)
<br /> OWNER OR AGE CONTRACTO
<br /> S saibed nd or� �befae ma thls Subaaibed o or Ed) fOre Lt
<br /> Who iNsre personally knovm to me or hesfiave produwd Who slme known lo me or ha ave pmduced
<br /> as identlfleation. aa IdeMifleeUon.
<br /> � (`�(/ /�
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<br /> v Nolery Public ' �I�lotery PubAc
<br /> Commieslon No. ComiNs+inn No. �
<br /> N of��Qtp �rped,Pdn or em Neme of Nafery tYP�.P�� QC�;,_ l��.pIKER
<br /> :'`p �= �����-' �f��� "�' 'c PAY COMMISSION#FF9906g7
<br /> ;����^ NiY COMNI�SSION#FF99p697 �'-':;�q�,,. EXPIRES January 14.2020
<br />� �.,orin. EXPIRES January i4 2020 i4071�98 0'S3 FloridalloWiySn�vece.corn
<br /> �4C71 soa e•s� Flond�Nute�yServ�Ce.wm
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