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' NOTI�E�OF DEED RESTRICTIONS: The undersigned understsnds that this pertnit may be subjed to'deed'restrictions' <br /> � which may be mae reatrktive than CouMy rogulations. The undersigned assumes responsibility for compliance with any <br /> applicable dsed restrictlons. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a c�ntractor or <br /> contractors to undertake work,thay may be required to be licensed in accordance with state and local regulations. If the <br /> oontrac�or is not licbnsed es roquired by law, both the owner and contractor mey be dted for a misdemeanor violatlon <br /> under state law. If the owner or intended contractor are unc�rtain as to what Ucensing requirements may apply for the <br /> intended work,they are advised W c�ontact the Pasco County Building Inspecdon DNision�..icensing Section at 727-847- <br /> 8008. Furthertnore, it the ownor has hired a coMrac�ar contractors, he is edvised to have the contradw(s) sign <br /> portions of the'oontractor Block'of this applicatlon fa�which they will be responsible. H you,as the owner sign as the <br /> contractor,that may be an indicatlon thffi he is not properly iicensad and is not entltled to pertnitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACTN71L117E3 IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that TrensportaUon Impad Fees and Recourse Recovery Fees may apply to the c�nnstruction of new buildings,change of <br /> usa in e�dstlng buildings,or expansion of epsting buildings,as specHiad in Pasoo County Ordinance number 88-07 end <br /> 90-07,as amendad. Tha undersigned also understands,that such fees,as may be due,will be identlfled at the tlme of <br /> permitting. It is further understood that Trenaportatlon Impect Fees and Resource Reoovery Fees must be paid prior to <br /> recsiving a'certlflcate oi occupancy'or flnal power release. If the project does not invdve a cartlflcate of oa;upancy or <br /> final power release,the feas must be paid prior to parmft issuance. Furthertnore,if Pasco County WatedSewer Impact <br /> fees aro due,they must be paid prior to permit issuance in axordance wtth appticable Pasco County ordinanc�s. <br /> CONSTRUCTION LIEN LAW(Chapter 713,FMrida Stabit�s.as amsnd�d): If valuatlon of work is 52,500.00 or more.I <br /> certlty tl►at I, tl�a applicant, have been provided wlth a copy of the 'Florida ConsVuctlon Lien Law--Fiomeowner's <br /> Protedion Guide'prepered by the Fbrida Department of Agriculture and Consumer Alfairs. If the applicant is someone <br /> other than the"owner",i certify that I have obtained a copy of the above described document and promise in good faith to <br /> deliver it to the`ovmer prior to commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT• I certity that all the information in this application is accurate and that all woric <br /> will be done in compliance with ail applicable laws regulating�nsWctfon,zoning and land development Application is <br /> hereby made to obtain a pertnit to do wak and installation as indicated. I certlty that no work or dnstallstfon has <br /> commenced prior to issuance of a pertnit and that all worlc will be pertormed to meet atandards ot all laws regulatlng <br /> constructlon, County and City codes, zoning regulatlons, and land davelopment regulaUons in the juriadicNon. I also <br /> oertliy that I understand that the regulations af other govemmeM agencies mey apply to the intended work,and that it is <br /> my responsibility to idantHy what acUons I must take to be in compliance. Such agencies indude but are not limited to: <br /> - Department of EnvironmaMel Protedion-Cypress Bayheads, WeUand Aroas and Environmentally Sensitive <br /> Lands,WateNWastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> wacarcourses. <br /> - Artny Corps of Engineers-Seawalis,Docks,Navigable Waterways. <br /> - DepaRme�t of Heatth 8 Rehabilitative ServiceslEnvironmantal Heaith Unk-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protectlon Agency-Asbestos abatement. <br /> - Federal Aviation Authority-RumNays. <br /> I understand that the following reatridions apply to the use of fill: <br /> - Use of fill is not allowed in Flood Zone"V'unless e�cpressly permitted. <br /> - Ii the fill matarial is to be used in Flood Zone 'A', ft is understood that a drainage plan addressing a <br /> 'compensatlng volume'will be submitted at tlme of permitting which is prepared by a professional engineer <br /> licensed by tha Stata of Florida. <br /> - If the flll material is to be used in Flood 2one "A' in connec�lon with a permitted building using stem wall <br /> construction,I certify that fl1►witl be used onry to flll the area within the stem wa11. <br /> - If ftll material is to be used in any area, I ceRify that use of such fill will not adversely affect adjacent <br /> properties. If use of fill is found to adversely a�adjacent propertles,the owner may be dted for vidatlng <br /> the conditlons of the building pertnit iasued under d�e attsched pertnit app8catlan,for lots less than one(1) <br /> acxe which are elevated by fill,an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER,I promiae in good faifh to inform the owner of the pertnilting conditions set forth in <br /> this atfidavit prior to commenang c:onstruction. I understand that a separate permit may be roquirad for electricai work, <br /> plumbing, signs, wells, pools, air conditloning, gaa, or other installatlons not speciflcally Induded in the appHcation. A <br /> perm(t issued shall be construed to be a license to proceed wlth fhe work and not as autl�to violate,cencel,alter,or <br /> set asida any provisions of the technical codes,nor shall issuance of a pertnit preverH the Building Oflidal from y�ereafter <br /> requiring a cortgction of errors in plana,construdion or violatfons of any codes. Every permR issued shall become invalid <br /> unless the work authorized by such permit is commenoed within six months ot pertnit issuance,or if work authorized by <br /> the permit is suspended or abandoned for a pe►iod of six(6)moMhs after the time the wa�k is commenc�d. M extension <br /> may be requested, in writing,Trom the Buflding Oflicial for a period not to exceed ninety(90)days and will demonstrate <br /> justifiable cauae for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. <br /> WARNIN(i TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANGNO,CONSULT <br /> FLORIDA JURAT(F.S.117.03) <br /> OWNER OR AOEMT CONTRACT <br /> Subwibsd�swom to(or alllm�d)bsfors ms this Su�sd and to or alMrmsd) msy�y,., <br /> /a— by _ �1.�Je G 1 5 <br /> Wlw Wero psrsonsly knov�m to ms«haNhaw produced who wars ps�onel�r Ivwrrn ro me a hr�meve praeucsd — <br /> es identlfleafiai. es Idantllitxtlon. <br /> Notsry Public / �/�-G.✓j � �1 iotsry Pudic <br /> Commiaaion No. Commission No. <br /> Name oi Nokary tYPed�PAMed or tlamP� N�Nofary`sd,prtntsd a dartpsd � <br /> �v�� Notary Public State of Florida <br /> Mary V Stewart <br /> My Commission EE 216630 <br /> �q�.� Expiros 07/18/2016 <br />