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NOTiCE OF DEED RESTRICTIONS: The undersigned understands that this pemdt rrray be subjecf to°deed'restrid'ans"
<br /> which may be more restrictive llran CouMy regulations. The undersigned assumes responsibility(or compliarxe with any
<br /> applicable deed restridions.
<br /> UMLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIlR1E3: If the owner has hired a cor►trador or
<br /> contractors to undertake work,Uiey may be requKed to be licensed in aocordance with shate and bcal reguhations. If the
<br /> oonUac:tor is rat licensed as iequired by lavr, both the owner 8nd contraCtor maY be cated for a misdemearwr vioiation
<br /> under state law tf the owner or intended contractor are u�certain as to what licensing requiremeMs may apply for Uie
<br /> intended work,they are advised to contact Me Pasco Couniy Building Inspectio�Divisiort--Lioensing Seqion at 727-847-
<br /> 8009. Furthermore, 'rf the owner has hired a contrador or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Blodc'ot this application for whid►they wiN be responsible. H you,as U�e owner sign as the
<br /> contractor,that may be an indication that he is rrot properfy licc�nnsed and is not entitled to pemiiiting privileges in Pasco
<br /> County
<br /> TRANSPORTAT1Wi IMPACTN7ILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportati�Impa�t Fees and Reoourse Reoovery Fees may apply to the cor►struction of new build'mgs,change of
<br /> use m existing buildinps,or expansion of e�tisting buildings,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amerxled. The undersigned also understands,that such fees,a5 may be due,wiN be identified at the time of
<br /> pertnitbng. tt is turther understood Uiat Trar�sportatlon Impact Fees and Resouroe Reco�ery Fees must be paid prior to
<br /> receivxxig a"certificate of oa:upancy'or final power release. H U�e projed does rat involve a certificate of occupancy or
<br /> final power release,the fees rtwst be peid prior to pertnit issuance. FuRhertnore, if Pasoo Counly VVaterlSewer Impad
<br /> fees are due,ttiey must be paid prior to permit issuance in a000rdance with applicable Pasco Cour►ty ordinar►c�s.
<br /> CONSTRUCTION LIEN LAW(Chapber 713,Fiorida Statutes,as amen�d): ff vahrabon of wortc is 52,500.00 or more,I
<br /> certihr that I, the applicarn, have been provided with a copy of the "Florida Constnictan Lien Law—I-bmeowmer's
<br /> Protection Guide'prepared by the Florida Departrnent of Agriculture and C�sumer Affairs. H the applicant is someone
<br /> other than the"owner,i certiTy that 1 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'S/OWNER'S AFFIDAVIT• I oertify that aA the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construd'an,zoning and land development. Application is
<br /> hereby made to obtain a pertnit to do work and insta9ation as indicated. I certify that ra warlc or instaRation has
<br /> commerx�ed prior to issuance of a pertnit and that all work wiil be perforrried to meet standards of aN la�vs regulating
<br /> construction, CouMy and City codes, zoning regulations, and land development regulations in the jurisdic�iai. I atso
<br /> cerdiy that 1 u�derstand that the regulations of other govemmer�t agencies may appy to the intended work,and that it is
<br /> my responsibiHry to identify what ac�iortis I must take ta be in compliar►ce. Such agencies indude but are not limited to:
<br /> - Department of Ernrironmental Protedion-Gypress Bayheads, Wetland Areas and Environmentaly Senskive
<br /> Lands,VHater/VVastewater Treatment.
<br /> - Soe�thwest Fbrida Wa�er N4anagement DisUict-Wells, Cypress Bayheads, UVetland Areas, Altering
<br /> VNatercourses.
<br /> - Pumy Cotps of Engineers-Seawalls,Dodcs,Navigable Waterways.
<br /> - Deparhnent of Health & Rehabilitative Services/EnvironmerKal Health Unit-Weils, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectan Aeency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I urtderstand that the followir►g restrictions apply to the use of fill:
<br /> - Use of fiR is rat aliowed in Flood Zone"V"unless expressy pertnitted.
<br /> - If the fill material is to be used in Flood Zone "A°, k is understood that a drainage plan addressing a
<br /> "compensating volume'will be submitted at time of pem►itting which is prepared by a professional engineer
<br /> licensed by the State of Fbrida.
<br /> - If the fiN material is to be used in Fiood Zone°A" in connecfion with a pertnitted building using stem wall
<br /> �truction,I certify tliat fiN wiU be used ony to fill tt►e ar�within the s�em wali.
<br /> - If fiH material is to be used in arry area, I certiTy that use of such fill wiN rat adversey affect adjacent
<br /> ProPert�s. If use of fiN is found to adversey affed adjacent properdea,U►e owner may be ciled for violating
<br /> the condidons of the building pertnit issued under the attached permit application,for bts less fhan one(1)
<br /> acxe which are elevated by fiN,an engineered drainage phan is required.
<br /> If 1 am the AGENT FOR THE OWNER,I promise in good faith to infortn the owner of the permining condiGons set forth in
<br /> this affidavit prior to commenang construction. I undersEand that a separate Permit maY be required for eledrical work,
<br /> plumbi�. signs.wells, pools. air condi6oning, gas,or other installations not s
<br /> pertnit issued shall be cor►stn�ed to be a license to ��������applipdon. A
<br /> set aside an Pr«'.eec1 wdh the work and not as authonty to vrolate,cancel,atter,or
<br /> y{xov�sions of the technical oodes,nor shall issuance of a pertnR preveM the Building Official from thereafter
<br /> requiring a correccti�on of emors in plans.corutnx;tion w violations of�y codes. Every pertrut issued sha11 bec;ome invalid
<br /> unless the work authorized by such permit�s commenoed within six mor�ths of permit issuance,or if woric auttwrized by
<br /> the pemiit is suspended or abandoned for a period of six(6)months after U�e time the work is c�mmenced. qn extension
<br /> may be requested.in writing,from the Building Off'iciai for a period not to exoeed ninety(90)days and wd1 demonstrate
<br /> justifiable cause for the e�ctension. If work ceases for ninety(90)consec;utive days.the job is considered abandoned.
<br /> WARNING TO OYYNER: YOUR FAIIURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING 7YYICE FOR IMP'ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WfCH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
<br /> FIORIDA JUR4T(F.S.117 03)
<br /> G� ��
<br /> OWNER OR�RGENT CONTRACTOR` �o �
<br /> Subsaibed and swam to(or affimied)before me this Subscribed aA�swom to( afiirtneC)befpre me this
<br /> by by
<br /> Wfio islare personalty knovm to me or hasThave produoed Who is/are person�ly known ro me or hasfhave produced
<br /> as identification. _ as identifica0on.
<br /> ��P��� � !�,�" PubliC
<br /> ' � B
<br /> Commissioo No. Com i on N =�' � �jt+=. � 4UEL�NE
<br /> � �� �� 040520
<br /> Name of Notary typed,printed or stamped Name�Notary ryped,p �
<br /> �mN�K�I�nce 8043BS7018
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