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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that 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 /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner 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,both the owner and contractor may be cited for a misdemeanor violation
<br /> under stale lavvs If the,owner or Intended contractor.are uncertain as to what licensing requirements may apply for the
<br /> intended worki fhey:.are advised to cant act.the Pitsco County'Building Inspection Division--Licensing Section at 727-847-
<br /> 8000, Fuftheimorei If.the.owrier has ftifed a coniiactof or,contractors, he Is advised to.have the contracior(s),sign
<br /> portions of the'contiactor*Block"of tills application for which they will be,responsl5le. If you,as the owner,sign as the
<br /> contractor,that maytiaan indication tliaf fie js not-propefiylkcensed and Is not e.nliliedao permitting privileges In Pasco
<br /> County,
<br /> TRANSPORTATION IMPACT/UTILITIES.IMPACT AND RESOURCE RECOVERY FEES:.The undersigned understands
<br /> lhat.T'ansporta"on Impact Fees and.Receurse Rae ery Faes may apply to lha.conslrucIlan of new buildings,change.of
<br /> us.a nexisting bu(idings,or expari tan of exjsting buildings,as spacinad In Pasco.County Ordinance number 89.07 and t
<br /> 90 07,es amended. The understgned also understands,that such foes,as may be.due,vrilLfse Identified at the time of
<br /> permitting, It
<br /> Is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°cart
<br /> ificato of occupancy'or final power release, If the.project doas.not Involve a,certificate of occupancy or
<br /> final power release;the fees.must.be.paid prior to;permlt Issuance. Furthermore,_lf Pasco.County Water/Sewer impact
<br /> tees are due,they must be paid pdor.to permfl issuance In accordance with appiicabie Pasco County ordinances,
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutos,as amended):If valuation of work Is.$0,60.0,00 or more,I
<br /> certify that.1,the applicant, have been provided willi a copy of the "Florlda Construction.Lion Law—Homeowner's.
<br /> Protection Guide prepared by ths.Fforlda:Deparlmant-of Agriculture and Consumer Affairs. If Ihe.applicant Is someone
<br /> other then lho.'owner','Lcertify thatl have obtained a copy of the above descrlbed document and promise In good faith to
<br /> deliver It to the'owner"prior to'commencement,
<br /> CONTRACTOR`SIOWNERsS AFFIDAVIT: I certify that all the information In this application is accurate and that ail 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 Installation as Indicated. I certify that no work or Installation has
<br /> commenced prior to Issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction,County and City codes,zoning regulations,and land development regulations In the jurisdiction, t also
<br /> certify that I understand that tiie regulations of other govemrnent agencies may apply to the Intended work,and that it is
<br /> my responsibility to Identify what actions.I must take to be In compliance. Such agencies Include but are not limited to:
<br /> Department of Environmental Protection-Cypreas Bsyheads,Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Tfealm6nt.
<br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Weiland Areas, Alledng
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls,Docks,Navjgakia Waterways,
<br /> Department of Health & Rehabllitalive Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US,Envirdnmental Protectlorl Agency-Asbestos abatement:
<br /> Fdd6r.ai Aviation AuthodiyAunways,
<br /> I understand that_the;fpllowing Yeslrlcllons:apply to,ihe usbpf fill:
<br /> Use of:fillls not allow-ed.ln:FloodZon,p`V'unless.expressly permitted.
<br /> If the fill material is to.,be used in Flood Zone.°A',It is.understood that a drainage plan addressing a
<br /> "compensating volume"will.,00 submitted at time of permitting which Is prepared by a professional engineer
<br /> licensed by Stale of Florida.
<br /> if. nil material Is to be used in Flood Zone'A".In connection with a permitted building using stem wait
<br /> constructions.I certify that fill waif be used only to fill the.areawithin the stem wall.
<br /> If fill material Is to be used In any area. I certify that use of such iill will not adversely affect adjacent
<br /> properties, If use of rill Is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit Issued under the attached permit application,for tots less than one(1)
<br /> acre which are:elevated by 011,an engineered drainage plan is,required.
<br /> If I am the AGENT.FOR THE OWNER,I promise In good faith to Inform the owner of the permitting conditions set forth In
<br /> this affidavit prior to commencing construction. I 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 file work and not as alllliodly to violate,cancel,after,or
<br /> set aside any provisions of the-technical codes,nor shall Issuance of a permit prevent(lie Building Official from thereafter
<br /> requiring a.correction of errors In plans,construction or violations of any°codes,:Every permit issued shelf become Invalid
<br /> unless(he work authorized by such permit Is commenced within six months of permit issuance;or if work authorized-by
<br /> Ilia permit is suspended or abandoned for a perkod'of six(6)months after the.Ilme lhe.work Is commenced; An extension
<br /> may be requested,In writing,from the Building Official fora period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. if work ceases for ninety(90)consecutive days,Ilia job Is considered abandoned,
<br /> WARNING TO.OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR:PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CO,RSU.LT
<br /> WITH YOUR LENDEit OR AN ATTOl2tEY BEFORE t?ECORDiNG YOUR NOTICE OF COMMENCEMENT
<br /> FLORIDAJURAT(F.S.117.03)
<br /> OWNER OR'AGENT CONTRACTOR —
<br /> Subscribed end s%u6(n to(or affirmed)before me this Sob abed r swum tt{epr (fir d)b l u rre th
<br /> Ml rGr LCs sr
<br /> wno Isfaro Pat onalyknown to rho or hasfiavo produced J o Word personal koavm to me or has/have produced
<br /> asIdonillicaVon, �yyaassiidenlificalion.
<br /> Notary Public ��C:(.IX.,K.C. /�r/� Notary Public
<br /> Commission No. Commission No. s't T t I
<br /> Name of Nolery typed,pdoled or stamped Name of Notary typed,printed or stomped i
<br /> COMMONWEALTH OF PENNSYLVANIA
<br /> NOTARIAL SEAL
<br /> Marsha Lee LeFebvre, Notary Public
<br /> Union Twp., Lawrence County
<br /> My Cornmission Expires May 1, 2020
<br /> MEMBER, PENNSYLVANIA ASSOCIATION OF NOTARIES
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