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<br /> NOTICE OF DEED RESTRICTIONS: The undersignedunderstands that-this permit-may be subject to"deed"restrictions"
<br /> which may--be..more.restrictive-than._County.regulations. The undersignedrassumes-°responsibility for`compllallpq.with,,any -
<br /> applicable deed restrictions.
<br /> UNLICENSED:,.CONTRACTORS -AND CONTRACTOR" RESP'CtNS1Blt:11'IES"' if`the'awrier has`fiired'a contractor or
<br /> contractors to undertake work,ahey may.be.required,to be licensed in;accordance'wth:state`,and.local,regulations::°If the
<br /> .contractoras_not-=licensed'as required by law, both thee-owner and cohtte ctor°may`be.cited_'for'a:misdemeanor violation
<br /> under state law. if the owner or,.intended.contcactor are uncertain.as„to what:licansing.'requirerrients:mayapply>for the
<br /> intended.-works-theyare•advised to contact the Pasco-County.Building lnspeotlon`Division=Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner..has,;:hired-;a,�contractor or`contractors,=heis'4dAsed .to have the contractor(s) sign
<br /> .portions,of the "contractor Block",of this:application for which-they wil[be,.rpsponsible. If you, as the-owner sign as the
<br /> contractor', that maybe an indication that he is,not properly licensed and is not entitled.-to permitting-privileges in Pasco
<br /> County,.,
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT.AND:RESOURC E.
<br /> COVERY'PEES: °The uMersigned..understands
<br /> that Transportation•impact.,Fees and�Recour•se--Recovery.-Fees:�may,,apply to;the-construction ofnew buildings, change of
<br /> use irr existing'buildings,-or-expansion-of ex stinb:buildings, as specifitfln Pasco County Ordinance-number 89-07 and
<br /> 90-07, as amended. .The undersigned.also_understands`;•:that,}such fees,as_"may.be-dtie;••willbe identified�at°tlie`�t!Me of
<br /> permitting. It is:-further�understood that`T�ansportation.Impact Fees and Resource Recovery Fees must be.paid.prior to
<br /> receiving:. ,-"certificate of.occupancy" or flha'ldpower.release.�-,i1f�:tfte project;does-.=riot�invoive:;a certifrcate'+of'�oect7pancy or
<br /> final_power release, the fees.must be paid prior to permit issuance. ''Furthermore`.If PascorCounty Water/Sewer impact
<br /> fees are'due;they.must-be" to.Jermit:issuance in accordance,with applicable:Pasco.Countyordinances:
<br /> orida Statutes.1-as;ame'ftdo t):'-1f vaCuatlori`of work=is�$2;600:OO,or-:more, I
<br /> CONSTRUCTIt'}N'=LIEN-L'AW{Chapter:T�.-�;,;;;FI
<br /> certify that: the applicant,,have 4&gnhprovided with.,a copy of.-the- "Florida=Construction.Lien Law—Homeowner's
<br /> Protection Guide"prepared by the FIbridai:Department of Agriculteire and:Consumer Affairs..:If-the,,appiicanti4s isomeone
<br /> -other than-the-''owner";-.1..certifythafa have obtaihed a copy:of=the'above-tlesc�`itie f ocument,and,-promise'in good faith to
<br /> deliver It to the"owner".-prior to commencement i'
<br /> CONTRACTOR'S/taiWNER':S AFFID'AVIT'.,t certify,,thatball;;fhe;ii fo mat ori,,jn:this.,applic t ori.is..accurate�and.that.all•:work
<br /> +.—.... ..:a•4•Ive i,a' 9�.�,k:e4,,.•,y,7 N•tl,..•„r,• -v.i:n. - .r �, .,. .. ..
<br /> willbe done in corrtpliaii•ce with all applicable laws regulating construction,.-zonirtg and°-land::development:;F:Application is
<br /> hereby made to -obtain a permit to a'rid.ihstatiaflon�'as1ndlcated. 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..i-County and-'Vity 66d6 ;`:zoning,.regulations, .arid%'`land!development regulations in the jurisdictlon: .1,also
<br /> certify that I understand that the regulations of other;government agencies may,applyto-.the intended work, and.that it is
<br /> my responsibility,to identify.what actions.] must take to`be,in compliance. Such-agencies include but aremot.]fmited.to:
<br /> Department of Environmental-Protection-Cypress Bayheads, Wetland-Areas,andl Environmentally Sensitive
<br /> Lands,Water/Wastewater Treattrierit.
<br /> Southwest Florida Water Management District-Wells, Cypress ._Bayheads, Wetland Areas; Altering
<br /> Watercourses.
<br /> Army Corps-of Engineers-Sea loans :Docks,:Navigable'Waterways.
<br /> Department of,-,Health.-,,&�'.'Re#iti ilitative,.Services/.Environment4 Health Unit=Wells;'Wastewater:Treatment, .
<br /> US ErWiranmentaF:Protectidn,A j en
<br /> Septic Tanks.
<br /> - g cy.-Asbestos abatement
<br /> FederaPAVlation Authdfitq=F7unways':
<br /> i understand#hat_thefollowing;restr ctions4apply,,,to:the-use,6f-filI:
<br /> Use of:fili 1;s' nof.ilkweij irr Fiooai Zone"V"-uRtess expressly,permitted:
<br /> -If the fill.'ntaterial;is, to..be used in Flood Zone "A'.', it is understood that a drainage plan addressing a
<br /> "compensating,volume"4111.,4 ,,*pbmitted at time°of-permitting,which--is:;prepared�,by°a'professional'engineer
<br /> licensed by the State of'Florida. m
<br /> If the fill.material.Is;.to:,be.,usedrin,,'Flood Zone'"A'"'in-connection with a permitted building using stem..wall.
<br /> _-z.
<br /> construction, (.certify t(iat fill wilt tie,used orif 'fit the;area.,ithfn.,,the stom>walI
<br /> If-fiilmaterial is to,.be used in-any area, I certify•that use.of such'.fill will not adversely affect..;adjacent
<br /> properties. If use of filC:is'faund to adverselyaffeet adjacertfipropertiesf.tlieoinrner-may.;be cited for violating
<br /> the conditions of the buildirig permit issued under,,:the attached permit application, for lots-less than:one;,.(l)
<br /> acre which ace-elevated�byfili;anengineered dr. ln'*ge plan'is required,
<br /> If I am the AGENT FOR.THeOW ER, l promise in good faith:to.informahe°owner ofthe::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-condltioning;,-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;:,aiter..;;or,:,
<br /> set,6side any-provisions-of the:technical:codes.,nor shall:issuance of-a permit prevent the Buliding 4fficlal.from-thereafter,
<br /> requiring a-correction of�errors-in plans, construction or violations-of any codes. Every:perrr ft issued'shall`become invalid
<br /> unless the work.authorized by such,.permit is commenced within six months of-permit_issuance,,or.if work,authori�e`d,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,_Officlal for°.],period not to exceed ninety (90) days and will demonstiate`
<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•=COMMENCEMEN:T;.MAY-RESULT•iN YOUR -
<br /> PAYING-"TWiCE-FOR°IMPROVEMENTS TO;YOUR'PROPERTY :`.1F YO.U;iN7 NhJ TQ 3 TAIN FINAN.CING,:CONSULT
<br /> WITH-YOUR.LENDER-'OR;AN;:A'-I'TORNEY:BEFORE'REd,ib' IN.G.'YOUR NOTICE'•'.OF'COMMENCEM.ENT.
<br /> FLORiDA`JURAT'(F:S:1'17.'03)
<br /> OWNEROR AGENT - -:CONTRACTOR. --- -- - — - -- _
<br /> Subscribed and--sworhAa(oraffirmed)>befbie me-this Su cri .d and sworn r 'ffi if, ee Ime thi LL r�
<br /> Who istare personally known to me or has/have produced Who Is/ a versonally known to me or has/have"produced
<br /> as identification. "as4dentilleatiori.
<br /> Notary Public Notry
<br /> .. e .Public.:,
<br /> ublic
<br /> Commission No. Co mi ion �+":`'' JA
<br /> :: Commission#GG M457
<br /> �a
<br /> Name of Notary typed,printed or stamped Name of-Votary: e",.',, ; ,.gym Fairs rnsurance 848 385 70l9
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