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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 tharf County,regulations. The undersigned.assumes r ppprisibiHty fon compliance;with any. .
<br /> applicable deed,.restrictions. ` '. '
<br /> -UNLICENSED, CONTRACTORS AND CONTRACTOR RESPQN'S' ll LITIES; If,the .owner, has hired a contractor or
<br /> contractors''to:unde6rfaice work;alley may be'required`to be licen`s'ed'in.accorttance with`s'ta#e-arid" -regulations:-�If the
<br /> contractor is not licensed as required by law, both the owner and contractor rr)ay_be,cited-,for a:.misd6meyanor violation
<br /> understate law. If-the owner or intended'contractorare.uncertain as--to.-what licensirfd-regrjitements�may.apply,for the
<br /> intended work, they are advised-to contact the Pasco County Building Inspection Division-Licensing Section at.727-847-
<br /> 8009. Furthermore, if the owner has -hired'a contractor or contractors,. he.is.advised to .have the contractors)"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 properly licensed and is not entitled to permitting,:privileges,jn=Pasco -.
<br /> County. - - -
<br /> TRANSPORTATION IMPACTNTILITIES-IMPACTgND;RE$OURCE`RECOVERY SEES:`The t{ndersigned understands
<br /> that Transportation Impact Fees and Recourse-Recovery Fees may apply to the construction of new buildings, change-of
<br /> use in existing buildings,cpr eXpansion',Qf.ekisting-•buildings,.as specified in Pasco-Colinty Ordinapcg number 89-07-and-.
<br /> 90-07, as amended. The undersigned.also understands, that such fees, as may be=due, wiVbeidentifred at thetime_of
<br /> permitting. It is further understood that-Transportation impact Fees and Resource Recovery Fees must be.paid prior:to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a:,certificate of occupancy--or
<br /> final power release, the fees must.be paid prior.to permit issuance. Furthermore,if Pasco County Water/Sewer`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$2,500.00 or,more, I
<br /> certify that.;I, the;'applicant;_have.been provided. with a copy_of the "Florida Construction Lien Law—Homeowner's
<br /> Protection' Guide" plrepared by"'the Flonda Depci ment.of=}�giicUlture*and:Corrsgmer Affairs'.-=:If:•tfie applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CONTRACTOR'SLOWNER'S-AFFIDAVIT::-1 certify that.all the information in.this sapplication is.accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning-*and land development. Application is
<br /> hereby made to obtain a permit to do work-and installation as indicated. .I certify that�no work or installation has
<br /> commenced prior to,issuance,:of.:a permit and that all work will;be.performed to meet standards of all laws,regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in--the jurisdiction. f also
<br /> certify that I understand that the regulations of other government agencies may apply.to.the'intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such'agencies include but are not limited to:
<br /> Department of Environmental Protection-Cypress Bayheads, Wetland Areas-and Environmentally Sensitive
<br /> L"ands,WaterM/astewater Treatment.
<br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, . Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, Docks,"Navigable Waterways.
<br /> Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental Pretection:Agericy-Asbestos abatement:
<br /> ?; .:,,. Federal�AViatignrAuthorit$:Runways..
<br /> understand that the following restrictions apply;,to the use of fill:
<br /> Use of.fill_is not.all6`wed,inflood�o e�V"'.unless'exp`ressI permitted.
<br /> If the fill material is to,,.be..used:pin :Flood-. ori'e "A";'It ls`:r;understood.,tkiali`a:drainage;planaddressng a
<br /> "compensating-volume°. ill-be.submitteid.,at:time,of permitting which-is.prepared by a professional end,neer
<br /> licensed by the State of Florida.
<br /> If the fill material:is.-to-be used,in',.Flood Zone,;"A",,in:connection with a permitted building using stem.wall
<br /> construction; I certify;that fill will be used only to till.the-area within the.stem wall. i
<br /> If fill material is to be used.,in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill-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 lots less than one (1)
<br /> acre Which,-are elevated by fill, an,:erigineered drainage,plan is required.
<br /> If I am the AGENT-FOR THE OWNER, I pro misidln 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!the work and not as authority to violate, cancel, alter,:or
<br /> set aside any provisions of the technical codes,.nor'shall issuance.of a permit prevent,the Building Official from thereafter
<br /> requiring a correction-of errors in plans, construction or,violations of any codes. Every permit issued shall become invalid
<br /> unless the.work.authorized by_such permit is commenced within six months.of permit issuance, or if.work_authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the work is�commenced. An extension
<br /> may be requested, in writing, from the.Building Official for a,period not;to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)`consecutive days,the 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, CONSULT
<br /> WITH_YOUR R:OUR LEND OR:AN ATTORNEY BEFORE RECORDING YOUR.. TICE OF • EN.CEMENT.
<br /> FLORIDA JURAT(F.S.1/7�.�03�)�/j
<br /> OWNER OR AGEN W W"-"l CONTRACally
<br /> Subscribed and sw t' .(or affirmed before me 'is Subscribedrn (or affirmed before me this
<br /> 12�/7 /2 by L L"top e- 0 Z-/T Af '
<br /> Who is/are personally known to me or as/have p oduced Who is/are known to
<br /> orhas/have produced
<br /> as dentification. as identification.
<br /> Notary Public JNotary Public
<br /> Commission No.Ef C1 I&to-,—e Commission No. r 2�
<br /> Name of Note rinttt2ry�u�r�3'fate of Florida Name of Note e n
<br /> ° 00 Notary Public State of Florida
<br /> ? Linda Ann Krumholtz +° Linda Ann Krumholtz .
<br /> to My Commission FF 916028 e
<br /> 't��yr Expires 09/07/2019 c ' My Commission FF 916028
<br /> Expires 09/07/2019
<br />
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