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NOTICE OF DEED RESTRICTIONS: The undersigr�ed understands that this Qertnit may be subjec� �"deed" resfidions°
<br /> ' which maY be more restrictive than CouMy re9�dations. The undersigned ass�tmes responsibility tor compliar�ce with any
<br /> applicable deed restrictions.
<br /> UNCICENSED COMTRACTORS AND CONTRACTOR RESPONSIBIUTiES: If the owner has hired a contrador or
<br /> contractors to underfake woric, they may be requ�ed to be ticensed 'm aocbrdanoe wHh state and local regulations. If the
<br /> c�ontrada is not licensed as req�red by law. both the owner and contrac�or may be cited �or a misdemeanor violation
<br /> under state la�nr. N the owner or intended cor�ac�or are unoertain � to what licensing requirements rna�r apply for the
<br /> ir►�ended work, they are advised to oorrMdct Me Pasoo County Building Inspection Division--Licensing Section at 727�47-
<br /> 8009. Furthermore, if the owner has twed a oorriractor or contrado�s, he is advised to have ttie contra�tor(s) sign
<br /> portior►5 of the "contrat�or Block' of this app6cation i�or which tFiey wiN be responsible. If you. as ttte ovmer sign as ihe
<br /> contractor, that may be an indication that he is rat property licensed and is not entitled to pertrritting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACTM1LCnE3 IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Reoourse Reoovery Fces may appy to the consUuction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco CouMy Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, wiq be identified at Uie tirr�e of
<br /> pemiitta�g. k is furtl�er understood that Transportation Impa�t Fees and Resaurce Recovery Fees must be paid prior to
<br /> receiving a`oeAificate of occupancy' or fmat power release. H the project does not involve a certificate of occupancy or
<br /> final power releage, the fees must be p8id prior to permit issuarroe. Furthertnore, if Pasco County WatedSewer Impact
<br /> fees are due, they must be paid piior to perrtNt issuance in accordance with appNcable Pasc�o County ordinances.
<br /> CONStRUCT10N LIEN LAW (Chapler 713, Florida StatuEes, as amerMed): If valuation of work is 52,500.00 or more, I
<br /> certify that I, the applicant, have bean provided with a oopy of the 'Ftorida Constn�cdon Lien Law--Fbmeowner's
<br /> Pro�ection Guide' prepared by the Florida Departrner►t of Aericulture a�d Consumer Affairs. If the applicant is someone
<br /> other Uian the `owne�'. I certify Mat I have obtained a copy of the above described document and promise in good taith to
<br /> deliver it to me °owner pricx to p�nr�rienoemenc.
<br /> CON7RACTOR'S/OWNER'S AFFlDAVIT: I �ertiry that aN the infortnation in this application is aoauate and that au work
<br /> wi11 be done in comphance witl� all applicable laws regulating oonstrudio�, zoning and land developmerrt. Application is
<br /> hereby made to obtain a permit to do wak and irutaNation as indicated. I oertiy that no work or ir�staNatio� has
<br /> cortxnenced prior to issuance of a pem�it and that all work wdl be perfortned to meet standards of aN laws regulating
<br /> construction, Cotmty and Ciry codes, zoning regulations, a� land devebpment regulations in the jurisdiction. I also
<br /> certiy that I undershar►d that tt�e regulations of oTher govemmeM agenctiees may appy to the i�nded work, and that it is
<br /> my respo�sibility to ideritify what adions I must take to be in complrance. Such ager�ies indude but are not limited to:
<br /> - Departrtient of Environmental ProtecUon-Gypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Vlhastewater Treetrrient.
<br /> - SoutMNest Fbrida Water Management District-WeNs, Cypress Bayheads, VNetland Areas. Altering
<br /> NVaterCOU[sES.
<br /> - A►niY Corps of Engineers-Seawalls. Docks, Navigable WatervwaYs.
<br /> - Department of Health 8 ReAabilifative ServioeslEnrironmental Health Unrt-W�ells, Wastewater TreaUnent,
<br /> Septic Tanks.
<br /> - US Env'ronmental Protection Agency-Asbestos abatement.
<br /> - Federdl Aviation Authorily-Rurnvays.
<br /> I understand that the following restrictions apphr to the use of fill:
<br /> - Use of fiN is not aNOwed 'm Flood Zone "V' unless expressly pemWtted.
<br /> - H the fiB material is to be used in Flood Zone "A°. it is understood that a drainage plan addre,SSing a
<br /> "compensating volume' will be submitted at fime of pertnitUng which is prepared by a professional engi�er
<br /> lioensed by the State of Ftaida.
<br /> - N the fiq material is to be used in Flood Zor� "A' in oonnection with a permitted building using stem waN
<br /> oonstrucxior►, i c�rery mat �a wia ee used ony ro r�i �ne area wimin me scem wax.
<br /> - If fiN material is to be used in arry a�, I certify that use of such fill wiM rrot adversely affect adjacent
<br /> Properties. If use of fiN � found to adverseh affect ad�acent properties, the owner may be ci6ed �r valating
<br /> the c�ditions of the 6uiiding permit issued under ttie attached pertnit appRcaGon, for lots less than one (1)
<br /> acxe which are eleva�d by fiH, an engineered drainage plan is requ'red.
<br /> If 1 am the AGENT FOR THE OYMMER, I promise in good faith to infonn the owner of the pemiitEing conditions set forth in
<br /> this affidavit prior to commerx�g construction. I widerstand that a sepa�e Perr►�it maY be re4uined for electric:al work,
<br /> plumbing. si9ns, wells, Pools, ah oondi6oning, 8as, or other inshdNations not specificaly induded 'm the application. A
<br /> pertnit issued shall be «bnnstnied to be a license to prnceed with the wark �d not as auUiority to vidate, cancel, alter, or
<br /> set aside any provisans M the technical codes, nor shall issuance of a permit prevern the Bu�ng Offiaal from thereafter
<br /> requiring a corredion of errors � plans. oonstruction or violations of �y cocJes. Every permit issued shall become invalid
<br /> unless the work autlarized by such pertnit � commenoed within six months of pertnit issuance. or if worlc authorized by
<br /> the permit is suspended or abandoned for a period of six (8) months at�r the time the worlc is cbmmenced. An extension
<br /> �Y de �4�. ��9, � the Building Official for a period not to exoeed ninety (90) days and will demonstrate
<br /> justfiable cause for the ex6ension. If work ceases for nineb (90) oonsecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TYYICE FOR iMPROVEMENT3 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCtNG, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUEt NOTICE OF COI�ENCEMENT
<br /> FLORIDA JURAT (F.S. 117.03 � .� ' /
<br /> �Y_ ,�... J� /
<br /> OWNER OR AGENT � CONTRACTd� G�� �
<br /> SuDacribed antl to (or aJR ed) betore me this � Subscribad aASswom to (orafirtned) before me this
<br /> by yy
<br /> Who is/are peraonally known to me or hasTheve produced Who islare per �Iv known to me or hasrtiiave produced
<br /> as identification. idenUflcation.
<br /> Notary P�lic ��
<br /> PuWic
<br /> commissbn No. c K. ' ES
<br /> '�``,�, �`• Gommission # EE
<br /> N�ne af Notary tYP�, P�nted or stamped Name a/ N � � �
<br /> r i �� =:`�'::' �3nm1cdl rr,n� ttay Falh Inswant� 7019
<br /> a ^; �
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