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NOTiCE OF DEED RESTRICTIONS: The undersigned understands Uiat this permit may be subjed to"deed'restrictions"
<br /> which may be more restrictive than CourKy regWations. The undersigned assumes responsibiliry tor compliance with any
<br /> , applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI&LITIES: If the owner has hired a contrador or
<br /> contractors to urWertake wwk,they may be required to be Ncensed in accoMance with state arM bcal regulations. If the
<br /> corrtractor is not lioensed as required by iaw, both the owner and c�ntractor may be c�ted for a misdemearwr violation
<br /> under state law. ff the owner or irdended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work.they are advised to contad the Pasoo County Building InspeCtion Division--Lioensing Sedion at 727-847-
<br /> 8009. FuAhemane, if fhe owner has hired a contrac�or or oontracta�s, he is advised to have the oontracta(s) sign
<br /> porUor►s of the"cor►trador Blodc'of this applic�.ation for which they wiN be responsible. If you,as U�e owner sign as the
<br /> c�ntractor,thffi may be an indication that he is rrot propery ticensed and is not entitled to permitting privilege.s in Pasco
<br /> County
<br /> TRANSPORTATtON IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The urxiersigned understands
<br /> that Trartsportation Impact Fees and Recourse Recovery Fees may appy to tne construction of new buildings,change of
<br /> use in existing buiid'mgs,or expansion ot ex'sting buildings,as specified in Pasco CouMy Ordinance number 89-07 and
<br /> 90-07,2s emended. The undersfgned elso understands,that such fees,as may be due,wiq be identified at Uie time of
<br /> permitting. It is iuMier understood that Transportation Impact Fees and Resouroe Recovery Fees must be paid prior to
<br /> receiving a"certificate of oocupancy'or final power release. If Uie project does not involve a ceRificate of axupancy or
<br /> final power rele�e,ttte fees must be paid prior to pertnit issuance. Furthertnore.N Pasoo County WatedSewer Irnpact
<br /> fees are due,theY rtwst be paid prior to permit issuanoe in acoordance with appFcable Pasco CouMy ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapler 713,Fiorida Sfatutes,as smended): tf wdluation of wwk is a2,500.00 or more,I
<br /> certiTy thaf 1, the appkcar►t, t►ave been provided with a copy of the "Fbrida Constnxtior► Lien Law--FbmeowneYs
<br /> Protection Guide°prepared by the Fbrida Department of Agric:utture and Consumer AfFairs. H the applicant is someone
<br /> othe�than the"owner',I certif�r that I have obtained a copy of the above descxibed document and promise in good faiUi to
<br /> deliver it to the"owner"pricx to comme�cement.
<br /> CONTRACTOR'S/OWNER'S AFFlDAVIT: I certihr that all the ir►fortnation in this application is accurate and Urat aN wak
<br /> will be done in c�ompliance with all applicable laws regulating consUudion,zoning and{and devebpment. Application is
<br /> hereby made to obtain a pem►it to do work and installation � indicated. I certify that rw work or instaNatan has
<br /> commenced priar to issuance of a pertnit and that ali wak will be periortned to rr�et standards of aq laws regulating
<br /> construction. Count�r and City codes,za�g regulations, and land developrrient regulations in the jurisdkxion. I also
<br /> certify that I understand that the regulations of other govemmerrt a9��Y aPPh 6o the intended worlc,and that it is
<br /> my responsibil�ity to identify what actions I must take to De ir�complianCe. Such agenaes fidude but are rat limited to:
<br /> - Department of Environmental P►otec6on-Cypress Bayheads, Wetlarxi Areas and Enviror►mentaly Sensitive
<br /> Lands.WateNWestewaterTreatment.
<br /> - Southwest Florida Waler Management Dishict-WeRs, Cypress Bayheads, Wetland Areas, Altering
<br /> VUatercourses.
<br /> - ArtnY Corps of Engineers-Seawalls.Docks.Navipable Waterways.
<br /> - Departrr�ent of Heafth 8 RehabiNtative Services/Environmental Heaah Unit-W�ells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Env�or►merrtal Protect�ion l�ency-Asbestos abatement.
<br /> - Federdl Aviation Atrthorily-Rum�wdys.
<br /> I understand that the following restrictions appy to the use of fill:
<br /> - Use of fiN is not aqowed in Flood 2one"V'unless expressly permitted.
<br /> - If the fiN material is to be used in Flood Zone "A', it is understood that a drainage plan addressing a
<br /> "oompensating volume'wili be submitted at time of pertnitting which is prepared by a professional engir�er
<br /> licensed by the State of Fbrida.
<br /> - If Uie flN materiai is to be used in Flood Zone "A'in c�nnection with a pertnitted building using stem wall
<br /> construction,l certity that fitl wiY be used ony to filt the area within Uie stem wall.
<br /> - If flN material is to be used in arry area, i certify that use ot such fill wiN not adversely afEect adjacent
<br /> properties. Ff use of fiN is found to adversey affect adjacent properties,the owner may be ciEed for violating
<br /> tl�e condiGons of the building pertnit issued under the attached pertnit application,for bts less than one(1}
<br /> acxe which are elevated by fiN,an engineered d►ainage plan is requ'aed.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting condibons set forth in
<br /> this atfidavit p�io�to commer�cing oonstruction. I understand that a separate Pen►iit maY be required for electricaf work,
<br /> plumbing, signs,wells. Pools, air conditior►ing, 9as,or other instaNations r�specificaly included 'm the application. A
<br /> perm�issued shau be constnied to be a license to proceed with the wak and not as authority to violate,cancel,aRer,w
<br /> set aside any provisions of the technical codes,nor shali issuance of a permd preveM the Buiirding Official from thereafter
<br /> requiring a carecxion of errors in plans.c�onstruction or valations of any cades. Every pertnit issued shaN bec�mme invalid
<br /> unfess the work auUwrized by such permit is commenced withi�six months ot pertnit issuarx:e,or if work authorued by
<br /> the pertnk is suspended or abandoned for a period of suc(6)monMs afler the time the work is cwnmenoed. An extension
<br /> may be requested, in writing.irom the Buiiding CXflciaf f�or a period not to exoeed nir�ty(90)days and w�i demonstrate
<br /> justifiable cause for the extension. If worlc oeases for ninetY(90)consecutive daYs,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING T1MCE FOR IMPROVEIUENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FlNANCING,CONSULT
<br /> R NA B C R C
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT Cp� --� i��
<br /> Subsuibed�tl swom ro(or afryrtned)pe(ore me this SuDSCribed swom to a afirtned)bePore me this
<br /> by py
<br /> Who ia/are personally known to me or hayhave produced Who is/are personaly knowrti to me or has/have produced
<br /> as identfication. .�--� as. .fication.
<br /> T
<br /> �
<br /> Nolary Public �
<br /> Commission No. � �"''• JAC UE E B E.S
<br /> C i on No. •`+R�• s
<br /> ": :� 12 2014
<br /> Nmne a Notary tYP�,P�Med or stamPed Name a Notary ty •
<br /> ���� 11wu Troy Feln Innrance 80D385-7019
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