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iVOTICE OF[1EED RESTRlCTI�NS: The undersigned understands that this permit may be subject to"desd"restnckions"
<br /> which may be mwe res4rictive Ihen Caunty regu�ations. The undersigned assumes responsibility for compliartc�with any
<br /> applicable deed restrictians.
<br /> UNLICENSED CONTRACTORS AND CONFRACTQR RESPONSIBILITIE5: lt the owner has htted a cantractor or
<br /> conuactars to undertake work,they may be required to be licensed in accordar�ce wlfh state anrl Iocai regulatlons. !f the
<br /> ContraCtor is nat licensed as required by law, bath the owner and contractor may be cited far a misdemeanor violation
<br /> under state law. II the owner or intended Contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advisBd to contact the RasCa CounEy Buiiding Inspecfian D�vislon---Licensing Section at 727-&37-
<br /> 8Q49. Furtharmore, it fhe owner fias hEred a aon#ractor or contractors, tte is adv(sed to have ihe canfractar{s) s+gn
<br /> portians af the"contractor Blodc"of ihis appflcation for wh�ch fhey wilf be responsible. If you,as the awner sign as the
<br /> cqntractor,that may be an�ndicaiion ihat he is not properly licensed and is not entiiled to perrnit8ng priv€leges in Pasco
<br /> Caunty.
<br /> TEtANSPORTATIdN IMPACTlUTtIITIES lMPACT AN[3 RL8pURCE REGOVERY�EE$. The undersigned undersfands
<br /> thet Transpartation Impact fees and Recourse Ftecovery Fees may apply to the cor�struction o1 new buildings,change of
<br /> use in existing buifdings,or expansian of existing buildEngs,as specified in pasco County Ordmance number 89-07 and
<br /> 90-07,as amended. The unt�rs)gned alsa understands,that such fees,as may be due,witl be identified af the time of
<br /> permitting. tt is turlher undersfood that Transportation fmpact Fees and Resource Recavery Fees must Be paisi prior ta
<br /> receiving a"certificate of occupancy"or(inal power release. It the proJect does not involve a certificate of occupancy or
<br /> fina!power�elease,fhe fees must be paid prior to permit issuance, Furtherrnore,if pasca Couniy WaterlSewer lmpact
<br /> fees are due,they must be paki prior ta permit issuance in accwdance with applicable Pasco Couniy ordinances.
<br /> COW&TRUCTIOM L16N WW{Chapter T13,Ftorida Statufes,as ameaded): If valuation of work is$2,500.00 or more,I
<br /> certlfy that 1, the applicant, have been provided with a copy of lhe "Flarida Construction Lien Law�—Homeowner's
<br /> Pratection Guide"prepared by the Fiorida Deparirnent of AgriCUlture and Cansumer Affairs, lt the applicant is someone
<br /> other than the'bwner",1 certiTy tha!I have obtained a copy of the above described tlocument and promise in goad faith to
<br /> deliver it ta the"owr�er"prior to commencement.
<br /> C4N7RACTQR'S/OWlVER'S AFPIDAVIT. I certity that all the informaiiprt in this applicaiion is accuraie and that aIl work
<br /> wifl bs done in compfianee wifh alI applicable kaws regulaking construction,zoni�g and iand develnpment Application is
<br /> hereby made ta obtain a permit to da work and installation as indicated. I eeriify that no wo€k or installatian has
<br /> comrnenced prior ta issuance of a permit and that al!wark witl be per#�rmed to meet standards of all laws requlating
<br /> consiructia�, County and City codes, zoning regulations, and lend development regulations in the jurisdiction. I also
<br /> certify fhat I understand that the regulations ot other government agencies may apply to the intended work,and that it is
<br /> my responsibility to ideniify what ac#ions i must take 10 be�n compliance. Such agencies include but are nok limited to:
<br /> - [7epartment af Envirorunenlal Protection•Cypress Bayheads, Wetland Areas and Environmenkally Sensifive
<br /> Lands,Wa#er/Westewater Treatment.
<br /> - Souihwest Florida Water Mana�err�nt Districi-Wells. Cypress Bayheads, Weiland Areas, Altering
<br /> Watercourses. �
<br /> - Army Corps of Engineers-Sea�valls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative 5erviceslEnvironmental Health Unft-WeUs, Wastawater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Rgency-Aspestos abete�nent.
<br /> - Federal Avlation quihorily-Runways.
<br /> 1 understand that the following restric6ons apply to the use of fi4:
<br /> - Use af fiil is nnt allowed in Ftood Zqr�e"V"unless expressly permi#Eed.
<br /> - !f the fi�l material fs to be used in Flood 2one "A", if is understaod that a drainage plan eddressing a
<br /> "compensating volume"will be submltted at time oi permit[ir�g which is prepared by a professionaE engineer
<br /> licensed by the State of Flarida.
<br /> - !i fhe fflf material is #o be used in Flood Zone"A"in conneciion with a permiffed building using stem wal!
<br /> conatruction,I certify that fill will be used only io fiH the area within the stem wall.
<br /> - if fill material fs to be used in any area, I certi�y thaf use of such fill will npt adversely affec( adjacenk
<br /> properties. If use of fill ig found lo adverse)y afFect adJar,ent prope�ties,the owner may be cited for violating
<br /> the cpndiUons of fh6 buikting permit iss�red tmder the attached permit a�plication, far tots less than ane(1)
<br /> acre v�fch are elevated 6y fiIl,an engineered drainage plan is requfred.
<br /> kf I am the AGENT Ft7R THE OWNER,1 promise in good falth to Jnfo�m the owner of ihe permltting conditions set#orth In
<br /> this a�davit prior to commencing consiruction. I understand that a separate permit may be required fpC efeciriC81 worlc,
<br /> pVumbing, signs,welfs, pools,air cortditioning, gas, ar other installations nof specifical{y inGuded i�the application. A
<br /> psrmit issued shall be consfrued to be a license to proceed with the work and not as auihoriry to violate,cancel,aller,or
<br /> set aside any provislo�u of the iechnical codes,nor shaA issuance of a permil prevent the Buifding O�cia!from ihereafler
<br /> requrring a correction o#errors in plans.ConstruCtiarf or violations of any codes. Every permii issued shall become invalid
<br /> unless the work aulhorized by such permlt is commenced within six months of permit issuance, or if work auEhorized by
<br /> the permit is suspended or abandoned for a period o(six{6)mortths after the time fhe work Is commenced. An exlension
<br /> mey 08 requested,in writirx,�,from the Bui{ding Officiat Por a petiod nnf to exceed ninety(9d)days and will demonsirate
<br /> justifiabte cause for Ihe exfension. ff wark ceases for ninety(90)consecut� e days,fhe job is considere@ abandor�d.
<br /> WARNING TQ QWNEft: YDUR FAILURH TO RECORD A OA9MENCEMENT MAY R6SULT IN Y�UR
<br /> PAYING TWtCE FOR IMPROVEMENTS TO YOUR PROP TY. TO QBTAIN FINANCING,CON8ULT
<br /> WITH YO R C.END AN ATT RNEY BEPdRE REC RDIN NOTtC F COMMENCEMENT
<br /> ,�^. FLORIOA JURAT(F.S<11?'.03)
<br /> [ X/ OWNEtt OIt AGENTC�� 'N��� CONTRACTOR
<br /> �"'� 5u an b�wom r r ad�ore I pI SuDsuihed and s or aff ed)be o me fs
<br /> � �o`�b^�a bY �
<br /> o are per m h sqwye produced NRw isrnre ersanatl knorm lo me or ave produced
<br /> as idenGficqfion, ___ ___ ___as idenpfia�pdn,
<br /> -- �
<br /> -�iy��k�~����NOtary Public � olary PuE�Nc
<br /> p� u
<br /> C fn�sslan No. � Ll� Comrn;ssi n Na. �� � y S'
<br /> � �lYY'l/1 �TYI/�CS(� L r[',n0'1_
<br /> N otery�yped,printed or iemped Naume ot Nota
<br /> ry typod,pnnied or stampe
<br /> � OSPkV.PLB( SANDfiA ERRINGTON
<br /> r �. .,`�
<br /> Commonwealth of Penns Ivanla * MY COMMISSION N EE 088451
<br /> NOTARIAL SEAI '` EXPIRES April28,2015
<br />'i�$��(�� ' � RANDI SkENKMAN,NOTARY PUBLIC `�9, e°` Bonded Thru Budget Notary Services
<br /> P� Lower Merion Township,Montgomery County FOF F��
<br /> M Commission Ex lres A dl 8,2015
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