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HOTICE OF OEED RESTRiGTIONS� The undersigned understands that Ehis permit may be subject to"'deed"restrictions"
<br /> u�hich may be mor@ restrfctive fhan County regulations. The undersigned assumes responsibi(ity tar compiiartce wiih any
<br /> appiicabie deed re5tricUons.
<br /> UNi.ICENSED CONT#2qCTORS AMD CON'fRAC7pR RESPdNSE6lUTlES: H fhe owner has hrred a coniractor or
<br /> contrectors to undeRake work,they may be required to be ticensed in accordance wllh stale and local rer�ulafions. If the
<br /> contractor is not licensed as requfred by law,bolh the owner and coniractor may be cited for a misdemeanor violation
<br /> txtder state►aw. Et!he owner or intsnded conErac3or are uncertain as!o ufiai licensing requfremenls may appty for!he
<br /> intended work,they are advised to conlact fhe pesco County Building lnspecEion Divis�on--E.icensing Section at 727-847_
<br /> 8009. Furtt�ermore, If the owner has h'ued a contractor or contractors, he is advised fo have the contraelor(s) sign
<br /> porf3ons of the"eoniracktu Block"of Ehis eppficaUan for whicti they wilt be responsibfe. tf you, as the ow�er sign as the
<br /> cantractor,that may be an indicat�n that he�s no1 properly licensed and is no1 entitied to permilEing privileges in Pasco
<br /> County
<br /> TRANSPORTAT#ON IMFAC7/UTIU7lE81MPACT AND R�SdURCE RECOV�RY FEES; The undersigned undersiands
<br /> ihaf 7ransppriation lmpacE Fees and Recourse ReCOVery Fees may appfy to the conslructlon of new buiidings,change of
<br /> use in exisiing buildings,or expanslon qf existing buildings,ss specified in Pasco County Ordinanco number 89-Q7 and
<br /> 90-07,as amended. ThQ undersigned atso understands,that sueh tees,as may be due,�vlli be identifiQd at the time of
<br /> perrnitting, It is further untierstood thai Transpor{atfon fmpact Fees and Resouroe Recovery Fees must be paid prior to
<br /> receiving a"certiflcate af bccupaney'or final pnwer release, ff 2he project tlaes not invalve a cerfificate af occupancy or
<br /> finai powsr release,the fees must be paid pr�pr to permit issuance. Furthermare,ii Pasca County Waterl8ewer impact
<br /> fees are due,they must be paid pri�to permit issuance in accordance with applicable Pasco Couniy ordinances,
<br /> C4NgTi2UCTION LIEN lAW{Chapter 713,Ftorida 5tatutus,as amended), tf valuatian of work is$2,500.00 or more,I
<br /> ceAify that I, the applicant, have been pravided with a copy of the "Florida Gonstruction f.1en Law—yomeowner's
<br /> Protection Guide"prepared by the Florlda Deparkmeni of Agriculture and Consumer Affairs. If the applicant is someone
<br /> ather than the"owner",t rzriifyr that i have obtained a copy ot the above�escribed dacument and promise in good falth io
<br /> deliver ii to the"owne�'pric�r;p commencemont.
<br /> C�MTRAG7dR'3/OWNER'S AFFIOAYIT: I certify that atl the Enfwmation in this application is accurete and lhat all wark
<br /> urill be done(n compliance with afi applicable laws regutating construc6on,zoning and land development. Appllcation is
<br /> hereby made ta obtain a perrt�( to do work and insiallation as indicafed. f certify that na worlc or instafiat€on has
<br /> commenced pripr tq issuanCe of a permii and that a!I work will be performed to mse! standards of a11 iaws regulating
<br /> construcfion, County and City codes, zoning regulalions, and land development regulations in the jurisdlcfian. i aisa
<br /> ceRify that I understand lhat the regulations of other govemment agencies may appty ta the intended work, arul that it ts
<br /> my respansibility to identi[y w�at acNpns i must take to be in compifance. Sach agencies inctude trut are not firt�ited tn.
<br /> - Department oi�nviranme�fai Protection-Cypress Bayheads, Wetland Areas and Envirortmentally Sensitive
<br /> l.ands,WaterlWastewater Treatrnent.
<br /> - Sarthwest Flotida Water Management Dfstrict-Weffs, Cypress 8ayheads, W�tland Areas, Attering
<br /> Watercnurses.
<br /> ° Army Carps of�ngineers-Seawalls,Docks,Na�igable Waterways.
<br /> - Departmerrt of Health & Rehabiiitative ServicesiEnvirnn+r�ental HeaNh Unit-Welfs, Wastewater Treatment,
<br /> Septic 7anks.
<br /> - L!S Environmen4a!Protection Agency-Asbesios abatement.
<br /> - �ederal Aviation Authwi#y-Runways.
<br /> �understand that the faltowing restrlc#ians apply ta the use ot filt:
<br /> - Use of fitl is nof a]Iowed in Flood Zone`V"unless expressiy p�mitted.
<br /> - tt the fi11 material ls to be used in Flood Zone "A', it is understaod itiaf a drainage plan addressing a
<br /> 'compensating volume"wi�l be submitted at time of permitEing which is prepared by a professional engineer.
<br /> licensed by the Siale of Floric#a.
<br /> - If the fill malerial is ta be used (n F[ood zone"A"in connection uvilh a permiited buifding using siem wall
<br /> construction,t certify tha#fitl will be userl onty!a fifl the area within the stem wall,
<br /> � if fitt matetfal is ko be used ir� any area, i certify ihat use ot such fill wi11 not adverseiy atfect adjacent
<br /> Properfles, If use of fill is fo4md to adversely affect adjacenl propertles,the owner may be cited for violafing
<br /> ihe condltfons of the building permi! 'rssued under the ai#ached permit a�plication, for lots fess than one(7)
<br /> If t am the AC3EN��R THE EiWNER Itp om�se in�good fa fh to n olrm theownea ot the permitiing condilions set forttti in
<br /> tMs affida�ff prior to commencing eonst�ucfion. I understand that a separaie perrr�t may be required tor elecErical work,
<br /> plumbing,sigrts,wel[s, poofs, air cbndilioning, gas, or other instaltations not specifica[ly induded in the appi;cation. A
<br /> petmit lssued shall be construed to be a ticense to proceed with ttte wprk and noi as authorify!o violate,cancel,alter,or
<br /> sei aside any pravisians of the technital codes,nor shail issuancs of a permit prevent the Building Offreiat from thereafter
<br /> requG�ing a correction af errors in ptans,consiruciion or violations of any codes. Every permit issued shall becprne invafid
<br /> unless tite vvork authorized by guch permil is commenced within six months of permit issuance, ar if work eulhorized by
<br /> Ihe permit is suspended or abandoried for a pe€iocf of sfx(6)morrihs after the time the work is commenced. An extension
<br /> may 6s requested,in writing,frarn fhe Building p(ficiai fvr a period naf to e ceed ninety(g0}days and w1U demanstrate
<br /> justCt�able cause for the extensian. If wark ceases for ninety(90)consecuti ays,the joh is considered abandoned.
<br /> WARNlNG TO OWNER: YOUR FAILtJR�t0 RECORD A QTt E O N(ENCEMENT MAY RESULT lN YOUR
<br /> PAYING TWIGE FOR IMPROVEMENTS 70 YQUR PFtOPERTY. I Y END 70 06TAIN FINpNCING,CONSULT
<br /> UVITH YOUR L NDER OR AN ATTO N Y BEFO E RECORDIN
<br /> �-�, fL6RIpA JURA7(F.3.117.03) OF CrdMMENCEMEN7.
<br /> f JC J QWNERORAG�IVT �h �.1/�//`j CON7RRCTOR
<br /> `� S " ed and 5xro b(p, d)beto r y�th SubscribeE and t n t d r d}b (ore Ihis
<br /> ey C v� 10-af.�1'� ny _.._
<br /> � �� o mb r hnsJhave produced yyha{�ere _._
<br /> es�enGfication. n known 10 me or hasRisve produced
<br /> _e as iaentirECatiort.
<br /> �
<br /> , ,_Natary puhGc Natary Putrllc
<br /> m�aslon NO.���s ._y �` OQd_.M` .._..�,.y.
<br /> � P Comrru sion No. !. O� ,J
<br /> �J�C��V nf{rr�n Sb►!\o�t A� � ~
<br /> eme of Notary lyped,pmtad ur sfarnped Mame at No1 s
<br /> sry Typed,pnnied or stampecf
<br /> zos"a�.``.'b<< SANDRAERRINGTON
<br /> Commonwe��th of p���Sy������ � * MY COMMISSION#EE 068451
<br /> NOTARIAL SEAL * EXPIRES April28,2015
<br />,���'��LQ� � , RANDI SMENKMAN,NpTARY P�g��C `�r9T P°P Bonded Thru Budget Notary Services
<br /> ' P�Q� Lower Merion Townshf ,Mont ome FOF F��
<br /> M Commission Ez ires A�il e,Z0�5ounty
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