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<br /> NOTICE: OF DEEM RESTRICTIONS: Th ) un ersigned understands that this perrnit: may be subject to "drrredt' restrictions"
<br /> vvhich rr)ray be more restrictive than Counnty reNJUIsltions, 'rhe undersigned as;iurnes respomilblllty for compliance vvilh any
<br /> applicable deed restrictions, i
<br /> UNLICENSED CONTRACTORS AND ,:ZaM RACTOR RESPONSIBILITIE,':i: If the owner has hired a :contractor or
<br /> contractors to ur dertake work, they may ae r qulred to be licensed In accordance with state and local regulations. If the
<br /> contractor is not. licensed as required b, I law, both tho owner and contractor may be cited for a misderner4l-ror violation
<br /> under state law. If the owner or Intended contractor are uncertain as to what licensing requirements rriray!apply for the
<br /> intended work, they are advlse)d to conta t the Pasco County Building Inspection Dlvislon—•Licensing Section at 7274347-
<br /> 8009, Furthermore, if the owner has hired a contractor or contractors, he Is advised to have .the contractor(s) sign
<br /> portions of the "contrEictor Mock" of this appllbation for which they will be'rosporisible, If you, as the owner sign ;as the
<br /> contractor, that may be an indication tha he �s not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County,
<br /> TRANSPORTATION IMPACTIUTII_I'1'IIE' IMI?,ACT AND RESOURCE RE:C04/I=RY FEES: The undersigrar3dgs'a.lnder,,,,ta:rnds
<br /> ,that Transportat'i,,On Impact Fees and Re rmArs Recovery Fees may apply to the construction of new buildin ,, changer of
<br /> use In existing buildings, or expanslon a exl,tln'g buildings, as specified In Pasco County Ordinance nulrlb`er 139.07 sand
<br /> y0-07', as ,amended, 'the undersigned a so a dorstands, that such fees, as may be due, will be Identified fat the tirrie of
<br /> permitting, It is furtheir understood that 'ran portatlon Impact Fees and Resot.arce Recovery Fees must: bei Laid prior to
<br /> receiving a "certificate of occupancy" or final ower release; If the project doers not involve) a certificate of Occupancy or .
<br /> final power release, the fees must be p Id pr or to permit Issuance. Furthermore , if Pasco County Water/ lepwer Inipact
<br /> fees are due, they must be paid prior to pcarrral Issuance In accordance with appllcaable Pasco County ordinran�cos.
<br /> CON8TRUCTION LIEN LAW (Chapter 1 '13, Florida Statutes, as amended): If valuation of work Is $2,600100 or rywre, I
<br /> certify that I, the applicant, have been pro Ylded with a copy of the "Florida Construction Lien Law•--•HomeO1Nr•l0r's
<br /> Protection Guide" prepared by the Florld a Department of Agriculture and Consumer Affairs, If the applicrartt is sorneone
<br /> other than the "owner", I certify that I hav r ob•alned a copy of the above described document and promise In'rood faith to
<br /> deliver it to the"owner" prior to commenc In"1011t. I
<br /> QONTRACTOR'SIOWNER'S AFF9DAVIl ': I yertify that all the Information In this application Is accurate Eand that all work
<br /> will be done In compliance with all aijpli able laws regulating construction, :zoning and land development. �ppiicatlon is
<br /> :hereby made to obtain Ei permit to do workand InsUillatlon as Indicated, I certify that no work or Ina'atallation has
<br /> ;cominenced prior to Issuance of a pert It a d that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, z�nin regulations, and land development regulations in the jurisdi,ctian. I also
<br /> certify that I understand that the regulations c f other government•agencles may apply to the Intended work,l ,and that it is
<br /> my r(.:rsponsibility to Identify what actions must take to be In compliance, Such agencies Include but are not limited to:
<br /> Department of Environmental Pr tection-cypress Brayheads, Wetland Areas ,and Environmentrlly Sensitive
<br /> Lands, Waterf Wastewater Treratrnlent,
<br /> Southwest Florida Water iVla age anent District-Wells, Cypress E3,ayheads, Wetland Aria,is, Altering
<br /> Watercourses,
<br /> Army Corps of Engineer <awai s, Docks, Navigable Waterways.
<br /> Department of Health & R habl Itative Services/Environmental Health Unit-Wells, Wastewater Tmatnnent,
<br /> Septic)Tanks.
<br /> US;Environmental Protectio Agency-Asbestos abatement.
<br /> Federal Aviation Authority-R unw,ys,
<br /> I Understand that the following restriction apply to the use of fill:'
<br /> Use of fill Is not allowed In FI )od 'Zone "V" unless expressly permitted.
<br /> If the fill material Is to be usec In Flood "Lone "A", It Is understood that al drainage plan ;,addressing a
<br /> "compensating velume" will 00 s I bmitted at time of permitting vihich is prepared by a professional engineer
<br /> llcehsed by the State of Florllda,
<br /> If the fill material Is to be used In Flood Zone "A" In connedlon with a permitted building using stern wall
<br /> construction, I certify that fill twill be used only to fill the area within the stem wall.
<br /> If fill material is to .be use In any.area, I certify that use of such fill will not adversely raffcact radj,acent
<br /> properti er•, If rase of fill is fc and �o ,adversely affect adjacent properties, the owner may be clte�l for vlolating
<br /> the:conditions of the i)uildinlq permit Issued under the attached permit application, for lots les9 than one (1)
<br /> acre which are elovaterd by f II, ail engineered drainage plan Is required,
<br /> If I Enn the AGENT FOR Ti1E OWNER, prorYalse In good faith to Inform the owner of the permitting conditions set forth in
<br /> this aaff1davit prior to commencing ocrrtstiuctlo�n, I understand that a separate pernnit may be required for elcactrical work,
<br /> plunnbing, signs, wells, pools, air condi ionlnl91 gas, ar other Installations not specifically included in the al:)plicaation, A
<br /> permit Issued shall bra construed to be a iicelise to proceed with the work and not as authority to.violate, ca�IncrE)I, alter, or
<br /> set aside any provlslcns of the technical ood s, nor shall issuance of a permit pr3vent the 13ulldlrig Official from thereafter
<br /> requiring a correction of errors in plans, c;onE)I ruction or vlolatlons of any codes, Every permit Issued shall b'E)come invalid
<br /> unless the work authorized by such per nit Is commenced within six month,,,, of permit Issuance, or If work 'Earathori;ze d by
<br /> the permit is suspended or abandoned fbir a eriod of six (6) months after then time the work is commenced,i An.extension
<br /> may be requested, In writing, from the Building,Offlclral for a peirlod not to exceed ninety (90) days and wll� domorus.trate
<br /> justifiable cause for the extension, If wo k coases for ninety (90) consecutiver days, th�job is considered abandoned.
<br /> WARNiNG TGOWNERc- YOUR FAIL ri.E TO-Ri':CORD A-NOTICE-UF_t:'POMMENCEMENT MAY RI t3lJl.,T' IN YOUR.
<br /> PA`IING 'iVVICI- FOR IMPROVEMENT '1.0 YOUR PROPERTY, IF YOU IiV'PI?iJC) 'r0 OBTAIN FINAN
<br /> WI' �i)III�(:�, CONSULT'
<br /> fgL YOUR LENDERR IN�01 ATOR E y EFORE RE CORDING 01 r�_N-OTLcE OF QOIVifUIE_NCEMI;_W�Ts
<br /> FLORIDA JURAT(F,S, 117.03)
<br /> I
<br /> OWNER rcft AGENT._• �_..— .. _ CONTRACTOR - - P ---_ T _• --
<br /> �,,ubscribed and sworn,tor or-affl aed ofore m hfs�" - ;=
<br /> Subscribed and sworn to(or afflrmed)before me hls— --_� _
<br /> ---by ____—_.— _.._. _bv _- --- - - --
<br /> Whn Islare personally known to me cr haslhave p oduc d Who Is/are per ally know me or hers/have produced !
<br /> as Identlflcation _ _ —• -as Identiflcatlon,
<br /> Note Publlc _ —_, _,.Natary Public
<br /> C N — --
<br /> Oornrnlsslon No, om slon__.._ — —' JACQ
<br /> r UELINESOGES
<br /> :R,
<br /> _ Namo of Notary typed,I ~�a:s �@r ..-
<br /> Nsrncr of Notary typed,printed car stamped —� OesembW 12,2022
<br /> • Bonded law Troy FUn rneuranap QpO,ggp;�0f0
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