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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may tie subject to°deed'restrictions'
<br /> which may be more restrictive then County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable dead 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. N the
<br /> contractor Is not licensed as required by law,both the owner and contractor may be cited for a misderrleanor violation
<br /> udder state law. tf the owner or Intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Fusco County Building Inspection Olvialon--l-Icensing Sedan at 727.847•
<br /> 8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the mritractor(s) sign
<br /> portions of the"contractor Block*of this application for which they will be responsible. If you,as the owner sign as the
<br /> contractor,that may be an Indication that he Is not property licensed and Is not entitled to permitting privileges In Pasco
<br /> TTR NGPORTAT18H 1111PAL"01`11L1T11i1A IMPA81f AN5 M8URO9 lgaflVERV I•PAfll: TM undersigned understands
<br /> nisi Trans m a an imoan Fella and Recourse Recwery Fe,ea may anniv to the conetructIon of now buildings.ohano of
<br /> use In existing buildings,or expansion of existing blllidings,as specitled in Pasco County ordinance number ow and
<br /> e0.07,as amended. The undersigned also understands,that such fees,as may be due,will be Identilled at the throe of
<br /> Permitting, it ta fucaedcjperiresheoetosFees caUm paid prior retof oiupanWor final owleae. If t Fees
<br /> de not Involve Recovery carttte occupancy or
<br /> final power retries,the fees must be paid prior to permit Issuance. Furthermore,If Pasco County Water/8rwer Impact
<br /> fees are due,they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,50D.00 or more,I
<br /> oerft that 1, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeewnees
<br /> Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is Samoans
<br /> other then the"owner°,I certify that I have obtained a copy of the above described document and promise In good faith to
<br /> deliver it to the"owner prior to commencement.
<br /> CONTRACTOR'SIOWNF-R'S AFFIDAVIT: I certify that all the information In this application Is accurate and that all Work
<br /> will be done In compliance with all applicable Iowa 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 /> commented 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 lend development regulations In the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work,and that it Is
<br /> my responsibility to Identity what actions t must take to be in c ompllanc:e. Such agendas Include but are not limited to:
<br /> Department of Environmental Protection-Cypress Beyheads,Wetland Areas and Emrironmentatiy,6ensttive
<br /> Lands,WaterAMastawater Treatment.
<br /> Southwest Florida Water Management District Wetis, Cypress Bayheads, Welland Areas, Aft"
<br /> Watercourses.
<br /> Ashy Corps of Enginears-SeawaAa,Docks,Navigable Waterways.
<br /> Department of Health & Rehabilitative SenrlcSelEm"IrImental Health UnlWVeils, Wastewater Treatment,
<br /> Septic Tanks,
<br /> US Environmental Protection Agency-Asbestos abatement.
<br /> I understand tt the foit�ngrestrictionsre apply to the use of fill:
<br /> • Use of fill is not allowed In Flood Zone W unless expressly permitted.
<br /> - If the fill matedai is to be used In Flood Zone"A°, It Is understood that a drsInage plan addresatag 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 material Is to be used In Flood Zone"A°in connedon with a permitted building using stem wan
<br /> construction,I oertify that fill will be used only to flit the area within the Stem wall.
<br /> If Oil material is to be used in any area, i certify that use of such fill will not adversely atrect adjacent
<br /> the Properties.nditions of the building
<br /> permitfoun to adverselyissued affect adjacent properties,the owner may be cited for violating
<br /> acre which are elevated by fill,a engineered drainage r the plan Ids requirreed apptteetian,far tots less than one(1)
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the pam*dng conditions set fotth in
<br /> this affidavit prior to commencing construction. t understand that a separate permit may be required for electrical work,
<br /> plumbing, signs,wells, pools, air conditioning,gas,or other Installations not srsedficalty Included in the
<br /> parmft Issued shall be conatruad to ba 9 Iicensa to Procavd with the work and not as autho?I vtelato. '_
<br /> sec same any p oono or the tcrilrntcah codes,nor Snail issuance or a pimrilt pfey8nt tits SEtltdiAi relate. #(tint 1.at$8_
<br /> requiring a t ire: lcn of errors In plena,cOnatruCtiOn or ablations of any codes. Every permit Issued shall become invo
<br /> unless the work authorized by Such permit is commenced within six months of permit lsauanoe#or K work authorized by,
<br /> the permit Is suspended or abandoned for a period of six(a)months after the time the work is commenced.authorized
<br /> extension
<br /> )days and will demonstrate
<br /> j�IO cause for the exte requested,In writing,
<br /> OW Irom f the
<br /> Building
<br /> ceasges for al for a Periodninety(90)consscutiva daya�,the job Is not to exceed ninety consideredabandoned. .
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT I
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY..IF YOU INTEND TO OBTAIN FINARESUL N YOUR
<br /> CONSULT
<br /> FLON E}A Tt & t 03
<br /> �-} OWNER OR Ata %V Lro, CONTRAC
<br /> to �d } i s d rArmed) —r
<br /> V11ho known 3Te or ruWhaw produced o la(a p reo known m Or haMttVa produced as IdarnfAatlOn, ---....,��aerdentllls�on.
<br /> 0 Pubic
<br /> COmnrLsiOn N Diary Public
<br /> Cornmtsstcn No
<br /> ACKCistSON-
<br /> •• MV COMNtIs lb l t 63675 items ar d,pilrtr MV11i AC
<br /> EXPIRES February 23.2020 •; MY COMMISSION x FF963675
<br /> 130i at3ES4t53 r'toridaHoaY •cv+ce.can• z.�. <,
<br /> '-.* 3�' EXPIRES February 23.2020
<br /> rfwid7Notay$�Kv,cacar
<br /> ,�L•i�39B-pt 53
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