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' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"resfictions" <br /> which may be more resUictive than CouMy regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL171ES: if the owner has hired a corttrador or <br /> contractors to undertake wo�ic,they may be required to be licensed in accordance with state and local regulations. if the <br /> contractor is not ticensed as required by law, bath the owner and contractor may be cited for a misdemeanor viWation <br /> under state law If the owner or intended conVador are uncertain as to what licensing requirements may apply for the <br /> intended work,they are advised to contact the Pasco County Building Inspedion Division—Licensing Secxion at 727-847- <br /> 8009 Furthertnore, if the owner has hired a t�ttractor or cor�tracxors, he is advised to have tfie contractor(s) sign <br /> portions of the"corrtractor Block"ot this applicatfon fw which they will be responsible. If you,as the owner sign as the <br /> co�tractor,that may be an indicatfo�that he is not properly licensed and is not entitled to pertnitting privileges in Pasco <br /> County <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEE8: The undersigned urtderstands <br /> that TransportaUon lmpact Fees and Recaurse Recavery Fees may apply to the construc�fon of n�.w buitdings,change of <br /> use in existing buifdings,or expansion of existing buildirx,�s,as speafied in Pasco County Ordinance number 89-07 and <br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be icferrtified at the time of <br /> permitting. It is further urrcisrstood that Transpatation Impad Fees and Resource Recovery Fees must be paid prror to <br /> reoeiving a"oertificate of ocxupancy"or final power releaae. Ii the projad does not involve a certificate of occupancy or <br /> final power release,the fees must be paid prior to pertrdt issuan�. Furthertnore, 'rf Pasco Cowdy Water/��ieNre�Impact <br /> fees are due,they must be paid prior to pertrrit issuance in accordance with appqqble Pasco Couaty ortiinances. <br /> CON3TRUCTION LIEN LAW(Chapter 713,Florfda Statut�s,as amended): H waluation of work is$2,500.00 or more,I <br /> certity.that I, the applicaM, have been provided with a copy of the "Florida Construction Lien Law—HOmeovmefs <br /> Protection Guide"prepared by the Flwida Department of Agrlcutture and Consumer Aftairs. H the appticant is someone <br /> other than the"omier",1 certily that 1 have obtained a copy of the above described document arxi promise in good faith to <br /> deliver ft to the"owner"prior to carrnencement. <br /> CONTRACTOR'3/OWNER'S AFFlOAVIT I ceAify that all the ir�formation in Uris application is aocxxate and that atl worlc <br /> will be done in compliance wiTh a0 appliCffiNe Faws regulating construc�ion,zoning arxf land developmeM. Application is <br /> herehy made to obtain a pemat to do wro�lc and insteBation as indicated. I certify that no vyork or i�taNation has <br /> commenced prior to issuance of a pertnit and fhat all work will be perfomied to meet standartis of all laws regulating <br /> construction, County and City codes, zoning regulatians, and land developrt�ent regulations in the jurisdidion. I also <br /> certify Mat I understarx!that the regulations of othe�govemmerrt agencies may apply to the iMended work,ar�i that ft is <br /> my responsibility to identify vvl�t adions f must take to be in compliarxe. Such agencies inGude but are not limited to: <br /> - Departrnent of Erniroror�ental ProtecFion-Cypress Bayheads, Wetland Areas and Environmentatly Sen.sitive <br /> Landa,WaterMtastewater Treatrt�ent. <br /> - SoutFm�est Florida Water Managernent Distrid-Wells, Cypress Bayheads, W�etland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of HeaKh & Rehabilitative Services/ErnrirorxneMal Health Unit-Wetls, Wastewater Treatmerrt, <br /> Septic Tanks. <br /> - US Environrt�enfel Prutection Ap�,y-RSbestos abatemern. <br /> - Federat Aviation Authorily-Runways. <br /> I understand that the following restrictions apply to tFie use of fill: <br /> - Use of fill is not atlwved in Flood Zone"V"unless expressy pertnitted. <br /> - If the fill materiel is to be used in Flood Zone "A", it is understood that a drainage plan addressing a <br /> "oompensatlng volume'wiN be submitted at time of permittirg which is prepared by a professional engineer <br /> licensed by the State of Fbrida. <br /> - If the flll material is to be used 'm Flood Zone"A"in connedion with a permitted buflding usirg stem wall <br /> construdion,I certKy that fi11 witl be u4ed�y to ftll the area withhin the stem wa1l. <br /> - lf fill material is to be used in arry area, 1 oeAify that use of such fill will not adversely affect adjac�ent <br /> ProPe�. ff use of fill is found to adversely afFeG adlacertt Properifes.the owner may be ated tor violatfny <br /> fhe conditi�ons of the 6udding pertrrt issued�the atfaMed pertnit appHcation,for lots iess than one(1) <br /> acre which are elevated by flb,an engir�eered drainage plan is required. <br /> If I am the AGENT FOR THE dYYIlER,I pmmise in good faith to infarm the oMrt�er of the pe�mitting ca�dKior�set forth in <br /> this atftdavit prior to commenchg oorMtn�etion. t underatand that a separate p�errrdt may be required for eleczrical worfc, <br /> plumbing, signs,wells, pools,air conditionir►g,gas, or MAer inatallationa not specifically induded in the applicati�. A <br /> permft issued shall be constn�eci to be a Ih�me to prooeed with the work and not as authority to vldate,canoel,alter,a <br /> set aside any provisions of the tectnik�i codes.rror shaw issu8nce of a pertttit prevent the Buikiing Official from�r <br /> �a�s a cortection of ertexs in pans,oo�truction or vlaaaions or eny oodes. Everr perrt�it isaued sn��become irnralid <br /> unlesa the wotk eutho�d by a�ct►pemlit ia carrxner�ced wHhin six morrths of pertt�it issuanoe,�if work autt�oraed by <br /> the pertnit is suspended or ebandoned far a period of six(6)rttonfhs after the Ume the work is Commenced. An exten.aim <br /> may be requested,in writirg,fian the BuiMing Offidal fa a period not to e�cc�eed rrinetY(90)days and wiN dertronshate <br /> justiNable cause for the extension. N work ceases fa�r�nety(90)cor�secutive days,the job is cans+dered abandoned. <br /> WARNlNl3 TO OYYNER: YOUR FAIWRE TO RECORD A NOTICE OF COMMENCEMENT.�AAY REBULT IN YOUR <br /> PAYING 71MICE FOR NMPROVBALNTS TO YOtlR PROPERTY. IF YOU INTEND TO OBTAIN flNANCINCi,CONSUIT <br /> Y AM RE N Y O�� <br /> FLORtDA JtlHAT(F. <br /> � w <br /> OWNEROFI CONTRItCTVR � `�-� v <br /> S�salbed and to(o b re me is �ed a�d awon (w alRrrt�ed)befare me dds <br /> M �9°y,��-i,�►,�vs�woe��csa <br /> wno is/are aerwnYy law�i w m.«naeniars wno iataie ps o oM,b s <br /> �w�,an�.mw�. y�,.aa�..y✓m as ia�on. \\,,11NN11111//���� <br /> „�.,,,� �'� �, Q�-�-� ���`��� .ARCFN i4��. <br /> F � <br /> � <br /> c«mr ra. , coe.nissfon No. ��;•' �`�O BM�S,Sj 9�� <br /> i <br /> .�a• ��ay.NZ <br /> Nartr ot No�rY tYPsG.pYned or atart�sd Nortie ot NotaiY h�Ped.P��d a stamped � •° • ^�x'Z�' <br /> � m O o�•m_ <br /> ���`� '�`� � o'�!�� <br /> ��4� Notary Public State o/Florida i���y$b. `��, c�. ` <br /> �F Greyory R Weiaer �, . G/� . � <br /> d� My COmmistiOn DD938822 �/�jcPf'��C°/Iy�j:�.����'* `��� <br /> �•o.tief� Expfrea 10/29/2013 '�����OF�OR�OP ����� <br /> ���/It►!fll1111N��� <br />