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NOTICE OF C7EED ft�S1'Ft�CTIONS: The undersfgned understands that this permi{may be subject to"desd"resfrictions" <br /> which may be more restrictive than County regutations. The undersigned assumes responsibility for cvmpliance with any <br /> applicable deed resfrictions. <br /> UNLIC�NSED CQNTRAGTOiiS AND COfVTRACTOFt RESPONSIBILITIES: li fhe owner has htred a cantractor or <br /> cantraotors to undeRake wark,they may be requ�red to 6e licensed in accordance,,+rifh state arttl local regulations. If the <br /> contractor is not licensed as repuired by law, bath the owner and contractor may be cited for a r�risdemeanor vioiation <br /> under state law. If the owner or intended coniractor are unceRain as to what licensing requfrements may apply for the <br /> intended work,they are advisetf to contact the PasCO Cour�ty Building Inspecfion pivisfon---Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner fias hired a coniraCkor ar contractors, rie is �vised lo have the contractor(s) sign <br /> portians af tlte"CUt1tf8CfOf BIOCk"of this appticalion for which they wilf be responsib�e. If you,as the owner sign as the <br /> contractor,that may be an indicaiion that he{s not prnperly licensed and is not entitled Eo permitiing privileges in Pasco <br /> Couniy. <br /> TRAMSPORTATlON IMPACTIUTILITIES IMPACT AND R�SqURCE RECaVERY FEES, The undersigned underst8nds <br /> that TransportaGan Impact Pees and Recourse Recavery Fees may apply to the construction of new buildings,change of <br /> use in existing buildtngg, pr expansion of existing buildings, as specified in Pasco County Ordinance number 89-D7 and <br /> 9fl-07, as arr�ended. The undersigned a(sa undersiands,thaf such fees,as may be due.wifl be identified a#tY�time of <br /> permikting. It is furiher undersfood that Transportation impact Fees and Resource Recovery Fees musi Be paid pnor ta <br /> receiving a"ceriiFicate of occupancy"or�inal power release. If the proJect does not involve a certificate of oecupancy or <br /> finai prnrrer release,the tees must be paid prior to permit issuance. Furthermore,if pasco County WatertSewer impaCt <br /> fees a�e due,they must be patd priar ta permit�ssuance in accordance with applicable Pasco Caunly ordinances. <br /> CpNSTRUGTION LtEN LAW(Chapter 713,FCorida Statuies,as amended): If valuatian a#wark is$2,5U0.00 or more,I <br /> certify that I, the appliCant, have been provided with a copy of the "Florids Construction Lien Lacv--Homeowner's <br /> Protectfon Guide"prepared by the Florida Department of Agricuiture and Cansumer Affairs. Ii ihe applicant is someone <br /> other than lhe"rnrrner",J certify that I have obtained a copy af the above described document and�romise in good faith to <br /> detiver i!Eo the"owner"priorlu commencemeni. <br /> CONTRACTqR'S/OWN�R'S AFF'IDAWT. !certify thal all the informalion in this application is accurate and that ail vmrk <br /> wifl be done in comptiance with ali applicable Caws regulating consEruction,zaning and land development. Application is <br /> hereby made to obfain a permit to da work and installation as indicaied. I ce�iify that no work or installaiion has <br /> commeneed prior ta issuance oF a permit ar�d that aq work witf be periormed in meeE standards ot ail taws regulating <br /> construction, Caunty and City co8es, zoning regulations, and land development regulations in the jurisdiction. I also <br /> certify that I understand that the regulations ot other governmenl agencies may appiy to the intended wortc,and that il is <br /> my responsibility to identify what actlons i must take to be in con�pliance. Such agencies include but are nat limited to: <br /> ' OeAa�nteni of Environmental Protection-Cypress Bayheads, Wetiand Areas and Enviranmentally Sensitive <br /> Lands,Wa#er/Wastewater T�eatment. <br /> - Southwest Florida Wate� Management Disiricl-Wells. Cypress Bayheads, Weitand Areas, Altering <br /> Waterc:ouraes. <br /> - Army Corps of Engineerx•Seawatis,Docks,Navigable Walerways. <br /> - Department o#Health & Rehabilitatfve ServiceslEnvironmental Heaith Unit-Wetls, Wastewafer Treatmerit, <br /> Septic Tanks. <br /> - L!S Envi�onmentaE Proteciion Agency-Asbesios abatement. <br /> � Federai Aviation Authority-Runways. <br /> I understand thai the foltowing resUictians apply#o Ehe use of tfll: <br /> - Use of fill is not allowed in Ftood Zone"V"untess expressty permitted. <br /> - !f the fl11 material is to be used in Flopd Zone "A", it is urtderstood khat a drainage plan addressing a <br /> "compensatIng votume"will be submitted ai time of permitking which is prepared by a professionat engineer <br /> licensed by ihe State of Fiorlda. <br /> - !f the fill material is to be used in Fload Zone "A"in co�nection with a permiited building using stem wail <br /> cons{ruction,i certii'y that filf will be used only io fifl ihe area within the stem wail. <br /> - {f ti11 material is to be used in any area, I certify that use of such fil! will not edversely afFect adjacent <br /> praperties. If use of filf is fqund io�dversety aff�cl adjaoent properties,fhe owner rnay be ci#ed for violating <br /> the cpndltions oi the building permit isstreri under fY�attached perm;t appl�eation, for tots less Ihan o�(1j <br /> acre whlch are eievated by fltl,an engineered drafnage plan is repuired, <br /> tf I am th�AGENT Ft7R THE OWNER,1 promise in good falfh io lnforrn the owner of the permfiting condRions set forth!n <br /> this affidavit prior ia cnmmencing construclion. I understand that a separate permit may be required far efectricaf work, <br /> plumbing, slgns,wells, poois, air conditipning, gas, or oiher installations no#specifically inGuded rc�the application. A <br /> permit issued shall be constr�ed#o be a license to proceed with the wark and not as aulhority to viotate,car►cel,aller,or <br /> se1 aside any provisions pf the teclmical codes,nar shail issuance ot a permit p�event fhe Buitding Official frorn ihereafter <br /> requir(ng a correctbrt of errors in plans,construction or violations af any cades. �very pem�ii issued shall becorr�e invalid <br /> uNess the work authorized by such permit Es commenced within six months of permit issuance, or ii work authorized by <br /> lhe permit is suspended ar abandoned for a period of six{6)months after ihe tl the work is commenced. An extension <br /> m�y be reques#ed,in writing,from the Building O�cial#or a petiod nnE tn exc ed ninety{g0}days and wiil demanstrate <br /> justifiable cause for the sxiension. IF wark Ceases tpr ninely{gp}co u i s,Ehe job is considered abandoned. <br /> WARNING TO flWNER: YOUR FAILURH TO RECORD A NOTICE F O ENCEMENT MAY 3tESUlT IN YOUR <br /> PAYtNG TWtCE FOR IMPROVEMEN`fS TO YOUR PROPERTY. IF Y TAIN FINANCING,CONSULT <br /> WITH YOUR END R R N ATTORN Y B��ORB RECORDING Y NO i OMMENC N7 <br /> � FLORIDAJURAT(p.S.11�.03) <br /> J( owaeRatnG�Nr��C�I'�nLP�/ic� cor�rrrnero� <br /> Sub 'bed an b�vrom b{o�afti d�fprC(�e Sub5Ui6Cd and s E A � a(orC lh / <br /> CJ �o��b-�3. by t <br /> aaMave ptotluced 4t4w isJnr ersnne l�nawn Io me or hesthave protluced <br /> siden'td'ication, _ --- -- *sidentdicalior�. <br /> r <br /> Waa�y r��ni�a <br /> � issianNO. � O� ��� ,.. , olarypublic <br /> Comen;ss n No. <br /> r � <br /> n A � <br /> me oE lary ryped,priMed or stamped Name of Notary typod,printed a stam e <br /> ��"RY`0"� SANDRA ERRINGTON <br /> � ;••••.%� <br /> * MY COMMISSION#EE 088451 <br /> Commonweaith of Penns Ivanla * EXPIRES'Aptil28,2015 <br /> ��A��� � ���1��P�.�j'� NOTARIAL SEAL <br /> RANDI SHENKMAN,NOTARY PUBLIC �°TF,F FLC�� 8onded Thm Budget Notary Services <br /> lower Merion Township,Montgomery County, <br /> M Comm7ssion Ex ires q g,2Q�5 <br />