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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe subject to"deed"restrictions"
<br /> which-may be more restrictive than County regulations. T a undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR I;SPONMBILITIE:S: "if the owner has hired-a 'contractor or
<br /> contractors to undertake work,they maybe 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 fora misdemeanor violation
<br /> under state law. If the owner or,intended,cdntractor are uncertain,as.to what licensing..requirements may apply for the
<br /> intended Work,they are advised to contact thePasco I Bulldift!�linspectio6 Div1§166 mLibensing Section at 727-847-
<br /> • Cou�tir
<br /> 8009. Furthermore, if the-owner has hired acontractor o contractors, he.Is advised.to have the contractor(s) sign
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<br /> portions of the"contractor Block"of this application for w ich 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:toy permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND R SOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation'Impact Fees and-Recourse Recovery-Ilees,may apply to the.construction of new buildings,`t 6argecf
<br /> use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and.
<br /> 90-07,asamended.- The.undersigned also understands,,ihat gUch'fees,as may be due,will-be identified at th6iime of
<br /> permitting. lt.Is further i'hd6rs't6oa'that TiiIspprtauon Im act-Fees and Resource Recovery Fees must be paid,prior to
<br /> receiving a"certificate of.occupancy"or final'power issuance.releaS . If th6�project does-riot involve a certificate of:c6dupahcy or
<br /> final power release, the fees must be.pald prior to permit Furthermore,I iff`Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to_permlfl ssuance in accordance with applicable Pasco.dounty ordinances.,
<br /> CONSTRUCTION LIEN LAW(Chapter 713,:Florida Statdtes*as,amend6d)r if valuation of work is$2,600.00.1or more,I
<br /> certify that 1, the applicant, have been-,provided with al copy of-the-Flonda,Construction,Lien.Law—Homeowner's
<br /> Protection Guide.prepared by the Florida Department of Agriculture:and.Consumer Affairs. If the apolicant.,Is someone
<br /> other than the"owner",
<br /> 1,1 certify that I-have obtained a cop�,-of the V
<br /> 666'L,de
<br /> scribed 6d documen t and promise I in good faith to
<br /> deliver it to the'owner"prior to commencement.certify-thatal CONTPACTOW.SIOWNEWS:AFFIDAVIT:..L� the information,.h4twapplicatilort Is accurate.andthat all work
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<br /> will be done in compliance with all applicable laws regulating construction,zoning-and-land'-dovelopment; Application Is
<br /> hereby made to obtain a permit to do work and installationinstallationag'indl.cated. I certify that no I work or installation has
<br /> commenced prior to issuance of.a permit.and that all work will be perform6d...16-'-'m-e-6(.sf�i dirds of all laws regulating
<br /> construction, County and City codes, zoning regulations,!and lb'Id' 'd6elopment regulations in the judidfidtl6h."I also
<br /> certify that I understand that the regulations of other government.agencies'rhay-je, .�
<br /> - ppIyJq.-the,1_ntended work,and that it is
<br /> my responsibility to identify what actions-I must take to_be in compliance.*Sudhagerlbies-Incl6cib".but are not limited,to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetiand.Areas.and-Environmentally Sensitive
<br /> •Lands,Water/Wastewater Treatment. . 1� "-,. I. -
<br /> - Southwest Florida Water Management Dstrict ells, Cypeets."Bayheads, Welland "Areas, Altering
<br /> Watercourses.
<br /> - Army Corps ofEngineers-Seawalls,Docks;Navjg66l6V�terwayi.
<br /> - Department of Health &=Reh.a.bilitative SbrvI I cet1Ehvl(6hMeAf;iFH6aIth Unit-Wells, Wastewater Treatment,.
<br /> Septic Tanks,
<br /> - US Eh"Viednm66tal-*Prote6t!on-Agency-Asbettos-abiterheht-.�
<br /> - Federal AvVitvAtion A6tSorItj.RunWiys. I
<br /> I understand,that.the.foliong,restrictions.apply-to the-use,J
<br /> df filfi
<br /> S a Flood- -I*, 26 -V--un 14S-64*esslyYpermitted.
<br /> If the fill material is,to be used in Flood ,
<br /> TWunderitood that a drainage plan addressing a
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<br /> compensating,yphi I a"-will'be-submitted.at It me-of-permitting_which is prepared-by a professional eng
<br /> ineer
<br /> licensed by the State of Florida.
<br /> - If the.fill-material-is;to-be used-.1n,Flood Zo`e"'-A"-"JJrl connection with a permitted building using stem wall
<br /> construction,.I ce*that fill w1II,6e used only 06'16 _aiea within the stem wall.
<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�61`fiifls f6'und-io,advers�lylaffe*ctadjacent propertles-:the.owner may-be.citeld-for 4Gting
<br /> the conditions.of the building permit Issued under the-attached permit application,for lots lest than one(1_)
<br /> acre which are elevated.-by fill;a � I �. .red.
<br /> p-engineere rainagg plan is required.
<br /> If I am-the AGENT FOR THt6WkI1,I"pr6mlie in good'Ififth'to"inform'the owner.of the;permifting 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;w6lii, pools, air conditioning,:gas; or o her irist0ati6fitf-h6t-t06dffi6-aIIV ifichid6d ln,the application. A
<br /> permit issued shall be construed to be a license to.proce d wlIth.,the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the,*techrild6l cones;'nor shall ssuande,of a permit prevent the Building Official from-thdireaftir.
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<br /> requiring a correction-of errors In plans,construction or viplations. -of.any-codes: Every permit issued shall becomeirivalid
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<br /> unless the work authorized by such permit is.commence within SJx months pf.permit issuance,or if work authorizecL by
<br /> the permit Is suspended-or abandolhbd for A period of six P)months aft&r'.th6tIrft4 the,work is commenced. An-extension
<br /> may be requested, In writing,from the Building.0,micial f period not to exceed ninety(90)days and will demonstrate
<br /> 9 r,a,
<br /> justifiable cause for the.extension. Ifwork ceases.for nin ty(90)'dbnsebutive days,the job is considered abandoned.-
<br /> WARNING TO-OWNER: YOUR FAILURE TO-.RECORD,.A NOTICE:-OF COMMENCEMENT MAY.RESULT:IN!YOUIRA.
<br /> . 'Y I ,,�-f
<br /> PAYING TWICE FOR IMPROVEMIgNTS!Tb'YO,UR..IPFtOOtkTY-."�'IF OU"INTEND-TOtOBTAKF1NANCING-?CONSULTj
<br /> WITH-YOUA LENDER-ORAN AT.TOkN OF COMMENCEMENT.
<br /> FLORIDA JURAT(F:S.-117.03)
<br /> OWNER OR GE T PONTRACTOF;Ll" '
<br /> SubscribLidend sworn to(or affirmed)before me this Subscribed and' (cmaffir-med)cbefore me thl
<br /> OYJ
<br /> by by' lkx.1"C-,-r'
<br /> tnwn
<br /> Who islare personally known tg me or hasthave produced IslaTr )n wn to me or has/have produced
<br /> as identification. 100 eriilfl6au6n.
<br /> -------Notary Public Notary Public
<br /> Commission No mmission No.
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<br /> Name of Notary typed,printed or stamped ame of Notary typed.pr,I
<br /> " Ar,ingfinadM OS'MALOONA'D
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<br /> Commission#GG 34627
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<br /> Expires June 18 2023
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