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<br /> NOTICE! OF DEEM RE STRIC1rIONS: Th ► un erslgned understands that this perrytli; may be subject to "d6ed?' rostrictions"
<br /> which may be more restrIctive than County reuiations. 'File undersigned assurne►s respon;sibility for compliance vvith any
<br /> applloable deed restrictlons, I
<br /> UNLICENSED CONTRACTORS AND GONMACTOR RESPONSIBILITiE,83: If the owner has hired la c;ontrractor or
<br /> contractors to undertake work, they may �e r qu.lred to be licensed In accordance, with state and local regulations, If the
<br /> contractor is not; licensed as required b law'I both this owner and contractor may be olted for a misde�.neanor violation
<br /> under, state law,; If the owner or Irrterrde J contractor are uncertain as to what licensing requirements rnray bpply for the
<br /> intended work, they are advised to contact thoi Pasco County Bullding'Inspecf;lon Olvislon—••Lirens(ng Sef;tlon at 727••E3�17-
<br /> f1009. Furthermore, If the owner hat, Ired la contractor or contractors, Ire) Is advised to have the c;antrs:actor(s} sign
<br /> portlans of the "contractor Block" of this appll6atlon for which they will be responsible. If you, as the oivner� sign ,,as the
<br /> contractor, that may be an indloatlon tha he �s not properly Ilcensed and Is not entitled to permitting privile, es In Pasco
<br /> County, I
<br /> TRANSPORTATION IMPACTIUTII_ITVE' IM121ACT AND RESOURCE.REiCOVER'Y FETES: The undersigi'arad!underste:u7ds
<br /> that Transportatlori Impact Dees and Re ours Recovery Dees may apply to the constructlon of new bul�ding , change of
<br /> use in existing bulldings, car expansion o exi�tIn*g buildings, as specifled In Fiasco County Ordinance numbF►r 139-07 and
<br /> 0-07, as ,amended. The undersigned a so u derstand:s, that such fees, as nl ay be due, will be Identlfle.d at the time; of
<br /> permitting, It Is jfurther understood that 'ran portatlon Impact Fees and Rwml.irc,e Recovery Fees rnusl: be'paid prior to
<br /> receiving a "certificate of occupancy" or trial over release: If the project elves not Involve a certificatel of gccupancy or
<br /> final power release, the fees must bes p id pr or to permit issuance. Furthermore), If Pasco County Wee►r/�leswer Impact
<br /> fees are due, they must be paid prior to perml Issuance In accordance with applicrable Pasco County ordlrtanCDIS I ,
<br /> CON'3TRUCTiQN LIEN LAW (Chaptor rl''13, l:lorlda Statutes, as amended): If valtiatlon of work Is $2,600:00 or more, I
<br /> certify that I, the applicant, have been provided wll;h a copy of the Florida Construction Lien Lawr•• •Homeowrler s
<br /> Protection Gulde" prepared by the Flurld a Department of Agriculture and Consurner Affairs, If the applicant Is sorne:.one
<br /> other than the "owner", I certify that I haws ob atried a copy of the above desscribed document and promisa In!'good faith to
<br /> dellvcsr It to the"owner" prior to oorrimencimel it, .
<br /> CON•T"RACTOR'S10VWNER'S AFF11DAVI ': ( certify that all the Information In this application is accuratelyand;that all work
<br /> will*be done In compliance with all appy cable laws regulating construction, zoning and land development. Application is
<br /> [lore icy made to obtaln a permit to do wor° and Installation as Indicated, i certify that no work of Itl;tallation has
<br /> tomrmenced prior to issuaance of a pert It a d that all work will be performed to meet standards of all haws regulating
<br /> constructlon, County and City codes, zoning regulations, and land development regulations In the ju�t.rdii.tlon. I also
<br /> certify that I understand thEit the regulations cf other government:agencies may ,.apply to the intended work,.and that it is
<br /> rimy r(:.sponsibility to Identify what actions nlw t take to be In compliance, Such agencies Include but are not limited to:
<br /> Department of Environment I Pr tertian-Cypress Bayheads, Wetland Areas and Environ i entaliy Sensitive
<br /> Lands, Water/Wastewater Tr 1atrnent.
<br /> Southwest Florida Water Ma agement District-Wells, Cypress Bayheads, Wetland i.Ar(�as, Altering
<br /> Watercourses,
<br /> ArrO Corps of'Engine ors-Se,awal s, Docks, N avlgable Waterways.
<br /> Department of Health & R habl Itative Servloes/EEnvironmental Health Unit-Wells, Waste vrater Treatment,
<br /> Septic;Tanks.
<br /> US,Environmontal Protec;tla Agency-Acsbestos abatement, j
<br /> Federal Aviation Authority-R nways,
<br /> 1: understand that the following restriction - apfly to the use of fill;'
<br /> Use of fill is not allowed In FI )od • one "V" unless expressly permitted.
<br /> If the:fill material Is to be busec In Flood "Lone "A", It Is understood that ar drainage plan addressing a
<br /> "compensating volume" will .)e s bmltted at time of permitting which is prepared by a profeyssional engineer
<br /> Ilcehsed by the State of Floril]a,
<br /> If the fill material is to be t ssed n Flood Zone "A" in connection with ra permitted building using stern wall
<br /> constructlon, i certify that fill will be used only to fill the area within the stem wall,
<br /> If fill material Is to .be use J in ny area, I certify that use of such fill will not adversely raffcict radj,acent
<br /> properties. If use of fill Is fc and o adversely affect adjacent properties, the owner may belolted for violating
<br /> the'condltlones of the bulidin: pea mit Issued tinder the attached permit application, for lots�ies than one (1}
<br /> acre which are elevated by f II, al englneered drainage plan is required,
<br /> If I aryl the AGl N'.T' FOR THE OWNER, 1:7ror Ise in good faith to Inform the owner of the permittint con'ditio;ns set forth in
<br /> this ,affidavit prior to commencing coast uctIJA I understand that a separate permlt may be required foroicsct:rical work,
<br /> plumbing, signs, wells, pools, air condl loninifg, gas, or other Installations riot ;specifically included in tie Eli:►plicratior7. A
<br /> pe,rrnit [,)sued shall bra construed to be , IicE)llse to proceod with the work and not as authority to,violate, concel, alter, or
<br /> set;3iside any provisions of the technical cod s, nor shall Issuance of a permit prevent the I3uildlrig Offialal from thereafter
<br /> requiring a correction of errors In plans, conw) ructicn or�riolations of any codes, Every permit issued shall become invalid
<br /> unlass the worlt authorized by such per nit_ I commencers within Bix months of permlt Issuance, or If v�f�rk;authorize^d by
<br /> d ' A
<br /> the hermit Is suspended or abandoned f ir a�ierlod of six (6) months,after tires time the work Is commenced. •rl extension
<br /> F
<br /> may be requested, In writing, from the f uIld ng.Offlclal for a period not to exceed ninety (90) days an6 wl,l demomstrate
<br /> justtflabli�cause for the extension, If wok ce:s ses for ninety{90) cunsecutives days, the fob (s cvrrsidered erbarsdone.l.
<br /> WARNING z TO OWNER, YOUR FAIL R-E TO RFwCORD A NOTICE OF COMMENCEMENT MAY Rli"st3lJl„T' IN YOUR
<br /> PA`(ING% 'FWIC'F FOFZ IMPROVEMENTS TO YOUR PROPERTY, iF YOU M,n--_N[}'r0 OBTAIN FINAN,I�IMG, COM! ULT
<br /> V g_I YC1tJR LIBNDE t�OI�A�!�1"TOR E;Y EF�F2E FtE CORDJNG YOl RA40—MG—R OF COIVIMF:�iCEMi
<br /> RORMA JURAT(F.S. 117,
<br /> t)wrvrE?R OR �GEN7� _ _ CONTRACTOR,,,_..__...._—__..__Subscrbed ano(or a rmad)before me is Subscribed and sworn to(or affirmed)before ma this
<br /> by
<br /> _
<br /> Whet islare personally known to me or hasthava p oduc d Who is/are personally known to ms)er haslhave pror�ucedl
<br /> adentafrcaflon.l
<br /> as Identification,
<br /> Notary Public __. _— ._._—_. _ —___-- ,_, Notary Public
<br /> Cornrnlsslon No, _ _ �._ _ _�� -— — Commission
<br /> Name of Notary typed,printed))(7rtamped x— _-
<br />
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