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NOTICG OF DECD RCSTRICTIONS:o�n{��ed ulafigons The undersigned lassumes esponsib Iby for�mpl ance w th any
<br /> which may be more resirictive than C y 9
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR I�ESPONSIBILIT[CS: If the owner has hired a conlrac or or
<br /> contractors to undertake work, they may be required fio be ficensed in accordance with stafie and local regulations. I(the
<br /> contractor is not licensed as required by law, both the owner and confiractor may be cited �For a misdemeanor vifi�lat{he
<br /> under state law. If the owner or iniended confiractor are uncertain as to wlzat licensing requirements may apply
<br /> intended work, fihey are advisecl fio�coniact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furfihermore, if the owner has hired a confiracfior or contractors,
<br /> he is advise.d to have fihe contractor(s) sign
<br /> portions of'the "coniracior Rlocic" o�F this application �for whiclz they will be responsible. IF you, as the owner sign as the
<br /> contractor, that may be an indication that he is riot properly licensed and is noi entitled to permilting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES lMPACT AND RGSOURCC RL-C�o�h�Rconst ucti nllof n webu'�ild ngsnchange of
<br /> that Transportation Impact Fees and f�ecourse Recovery Fees may apply
<br /> use in existing buildings, or expansion of existing buildings, as speci�Fied in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that sucl� �fees, as may be due, will be identified at the fiime of
<br /> f�ermitting. It is �further understood that Transportation Impact Fees and Resource Recovery Fees musi be paid �rior to
<br /> receiving a "certificafie of occupancy" or fiinal power release. If tl�e project does not involve a certificate of occupancy or
<br /> , final power release, the fees must be paid prior i:o �ermifi issuance. Furthermore, if Pasco County WaterlSewer Impaci
<br /> fees are due, ihey must be paid prior fo permifi issuance in accordanc�with applicable P�sco Counly ordinances.
<br /> CONSTRUCTION LICN LAW (Chanter 713, Florida Stafiui:es, as amended): If valuation oF work is $2,500.00 or more, I
<br /> certify lhat I, the applicant, have been provided with a copy oF ihe "Florida Consiruction Lien Law—I-lomeowner's
<br /> Protection Guide" prepared by the Florida Departm�nt of Agriculfiure and Consumer Af�airs. IF the applicant is someone
<br /> other than fihe "owner", I certify thafi I hav�.obtained a copy of ihe above described document and promise in good�Faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AF1=IDAVIT: I certify thafi all the information in this application is accurate and that all woric
<br /> will be done in compliance wifih all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permil to do work and installafion as indicated. I certify thafi no worlc or insfallation has
<br /> commenced prior to issuance of a {�ermil and fih�i all work will be perFormed to meefi standards of all laws regulating
<br /> construction, Counfiy and City codes, zoning regulafiions, and land dev�[opment regulations in the jurisdiction. f also
<br /> certify fihai I understand that the regulations oF other governmei�t agencies may apply fio the intended work, and fihat it is
<br /> my responsibility to identify E,nvi ontmenfal Proteclt on�Cypress l3ayheads SWetfand Areas alnd EnvironmentallytSensitive
<br /> - Departmenfi of
<br /> Lands,Wafier/Wasfiewater Tre�tment. ress Ba heads, Wetland Areas, Altering
<br /> - Southwesi Florida Wafier Management District-Wells, Cyp Y
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Wafierways.
<br /> - Department o( I-lealth & Rehabilitative Services/Environmental I-lealtli Unifi-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> _ US Env.ironmental Profiection Agency-Asbesfios abaiement.
<br /> Federal Aviation Authority-Runways•
<br /> I undersfiand that fihe following restrictions apply i:o�the use o�f fill:'
<br /> Use of fill is not allowed in Flood Zone"V" unless expressly permitied.
<br /> - If the fiil maieri��lume�will be submi ied afizme o`Ap�ermitting wh'cl�is pr pared rby agpro essio nalreng ne r
<br /> "compensating vo
<br /> licensed by the Siate oF Florida.
<br /> If ti�e fill material is to be-used in Floocl Zone "A" in connecfiion with a permitted building using stem wall
<br /> construcfiion, I certify that�fill will be used only to�fill the �rea within fihe sfiem wall.
<br /> If fill mafierial is to be used in any area, I certiFy ihat use of such fill will nofi adversely affecfi adjacent
<br /> properties. If.use of fill is �found to adversely affect adjacent properLies, the owner may be cited for violating
<br /> the conditions of the building permii issued under the attached permit application, �for lofis less than one ('I)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR TI-IE OWNoR�t� p tion!S I 'u de�stanldltl ai a�s parat permifi may Ue requ'�ired forlelectrc I�worlc,
<br /> this affidavit prior to commencing as, or other insfiallations not specifically included in the application. A
<br /> plumbing, signs, wells, pools, air conditioning, g
<br /> permit issued shall be consfrued to bcal codesenorp half ss alnce'of a p'e mi�prevent thehB i ding OFFicial from thereafter
<br /> set aside any provisions of th�fiech
<br /> requiring a correction of errors in plans, con srcotmmenced'wiihin six�monti�eof nerm pssua'nce,uor if work autho�rized by
<br /> unless the work authorized by such permii
<br /> the permit is suspended or ab�ndoned�Buildpn r'Off�ial �o6a per ohd nofi tof xcl edin ne yr(90) d ys andewill demonstrate
<br /> may be r e q u e s t e d, i n w r i t i n g, f r o m i h e 9
<br /> justifiable cause for the exiension. If wor{c ceases�(or ninety (90) consecu fiiv e d a y s, t h e j o b i s c o n s i d e r e d a b a n done .
<br /> WARNING TO OWNER: YOU1� rAILURC YoU���o��R�T��YO1:1 INTEND TO OBTAINM NANCING C'ONSULT
<br /> PAYING TWICG FOR IMPROVEMENTS TO
<br /> WITH YOUR LENDER OR AN ATTORNEY f3EFORE RGCORDtNG YOUR NOTICE OF COMMENCEMENT.
<br /> PLORIDA JURAT(P:S.117.03) `��/ ��� 1 � �l�—
<br /> S�C� CONTRACTOR L��"
<br /> OWNER OR AGENT S bscr bed and sworn to yor affrmed)bef��e me hi��
<br /> SubscJ ibed and swo(f{q(o�l�rmed�fore jne,this � 1`� by ;„1 ;.;^ �
<br /> (t —!—/ bY ��-� !��L��� Who is nally I<nown to me or haslhave prodrlced
<br /> Who is/are personali y I<nown to me or haslhave p oducecJ as identification.
<br /> as identification.
<br /> �
<br /> � � Notary Public
<br /> Notary Public
<br /> COfI111lISSI0f11V�• NOTARV Pi"Rl�( C'i'+�'�L nnnm
<br /> 111fT115S1011 *'�'i'epv nr-nr�r eTn�r .'r)U%aP'7'C 83�11'
<br /> �L17aI1Tle B31'1T � • .'' ' '
<br /> ` �" Name of Notary tYped,printed or sEa , ,:FK�z;,-;,, ,�V 22,2014
<br /> NameofNotarytyPed�'P.,, a ; ti0V22,2014 so*��FCrar .r� �r �.�;��cco,irrc.
<br /> SOSDELTiiRL'-' :. .-'���i\��:.\GCO,INC.
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