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NOTICE OF DEED RESTRICTION3: The undersigned understands that this permit may be subject to"deed'restrictions" <br /> which may be more restricWa than Counry regulations. The undersigned asaumes responsibUitY for comP��ance with any <br /> applicable deed restrf�tions. <br /> UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE8: If the owner has hired a contractor or <br /> contractors to undartake work,they may ba required to be licensed in accordanca with state and local regulatlons. If the <br /> cor�tractor is not Ifc�nsed as required by law, bolh the owner and oontracbor may ba dtad for a misdemeanor violatlon <br /> under state law. If the ownx or intended co^tractor are uncertain as to what Ifce�ing requirements may apply for the <br /> intended work,they are advfsed to c�onMact the Pasco CountY Buildfng Inspecdon DNisior�-Licanaing Section et 727-847- <br /> 8009. Furthannore, if the owner has hirod a contractor or contractors, he is advised to have the contractor(s) sign <br /> portfons of the'contractor Blodc'of tl�is application for which they will be responsible. If you,as the owner sig�es the <br /> contractor,thet may be an indfcatlon that he is not property lic�nsad and is rat antltled to pem�itting privileges in Pascb <br /> TRIW8PORTATION IMPACTNTIUIIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportatlon Imped Fees and Recourse Recovery Fees may apply to the construcU�of new bufldings,chanpa of <br /> use in ebsUng buildings,or axpansion of e�dsting buildings,as specified in Pasco County Ordinance numbar 89-07 and <br /> 90-07,as amanded. The undersigned also understands,that such feea,as may be due,will be idenUfled at tha tlme of <br /> permitting. It is further undarstood that Transportation Impact Fees and Resouroe Recovery Fees must be paid prior to <br /> receiving a'certH'icate of occupanc�'or final powar release. If fhe project does not invoNe a certificate of occupancy or <br /> final power releasa,the fees must be paid prior to partnit issuance. Furthertnore,H Pasco CouMy WatedSewer Impact <br /> fees are due,they must be paid prior to permR issuance in accordance with applicable Paaco County ordinances. <br /> CON8TRUCTION LIEN LAW(Chapbr 713,Florida 8taqites,as amend�: If valuatlon of wark is 52,500.00 or more,I <br /> ce►fify that I, the applicant, have been provided with a copy of the 'Florida Constructlon Lien LavM—Homaovmar's <br /> Protection Guide'prepared bY the Florida Department of AgricuNure and Consumer Affairs. 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'owne�"prior to commencement. <br /> CONTRACTOR'S/ONMER'S AFFIDAVIT I certify that all the information in this applicatlon is accurate and that all work <br /> wfll be done in oompliance with all applicable laws regulating construction,zoning and land development ApplfcaHon is <br /> hereby made to obtaln a permit to do work and installation as indicated. I certify that no work or installstlon has <br /> commenced prfo►to issuance of a pertnit and that all work will be performed to meet standards of ail laws regulaUng <br /> construcdon, County and City codes, zoning regulati�s, and land development regulations in the jurisdiction. I alao <br /> certlfy that I understand that the regulations of other govemment agendes may apply to the intended worlc,and that k is <br /> my responsibilfty to iderrtify what acUons I must take to be in compliance. Such agendas induda but are not limited to: <br /> - Department of Environmental Protectfon-Cypress Bayheads, WeUand Aroas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> - Southwest Florida Water Management DisUid-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Wateroourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Wate►weys. <br /> - Department of Health & RehabilitaUve ServiceslEnvironmerrtat Health Unit-Welis, Wastewater Treatment, <br /> SepUc Tanks. <br /> - US Environmental Protectlon Agency-Asbestos abatement. <br /> - Federal Aviatlon Authority-Rurn�rays. <br /> I understand that the following restricti�s apply to the use of fill: <br /> - Use of ftll is not alirnved in Flood Zone'V"unless expressly permitted. <br /> - If the flll material is to be used in Flood Zone "A', it is undarstood that a drainage plan addressing a <br /> 'compensating volume'will be submitted at time of pertnitting whfch is prepared by a professio�al engineer <br /> licensed by the Stata of Florida. <br /> - If the fiil material is to be used in Flood Zone 'A' in connection wffh a permitted building using stem wali <br /> constru�,I certNy that flll will be used only to fill the area within the stem wall. <br /> - If fill material is to be used in any area, I certlfy that usa of such fill will not adversely aflect adjacent <br /> properties. If use of flll Is found to adversely affed adjacent propeities,the owner may be dfed for violating <br /> the conditions of the building pertnit issued under the attached permit applicetlon,for lots less than one(1) <br /> acre which are elevated by fill,an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform fhe owner of the permitting conditions set forth in <br /> this affldavit prior to oommenang c�ns�on. I understand that a separata permR may ba requirod for electrical wak, <br /> plumbing, signs,wells, pools, air conditioning, gas, or other installatlons not spedflcally induded in tha applicatlon. A <br /> permit issued shall be cwnstrued to be a license to proceed with the work and not as aufhority to violate,cencel,alter,or <br /> set asida any provisions of the technical codes,nor shall issuance of a pertnit prevent the Building OfRdal irom thereafter <br /> requiring a corteation of errors in plans,construction or violations of any codes. Every permit issued shall beooma invalid <br /> unleas the work autlwrized by such p�mit is commenc�d wffhin six months of pertnit issuance,or'rf wark authorized by <br /> the permit is suspended or abandoned for a period of six(6)months aftar the Gme the work is commenced. M extension <br /> may be requested, in writing,from the Building Oficial for a period not to exoeed ninety(90)days and will demonsUate <br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered ebandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT NAY RESULT IN YOUR <br /> PAYINO T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANGNO,CON8ULT <br /> FLORI JURAT(F.3.117.03) <br /> OWNBR OR A3ENT CONTRACT <br /> Subsalbsd and swom to(or slfkrn�d)bsforo me tlds and m b ar�fim�ed)be ms fhb <br /> by l� by �l 1� 5�2��- <br /> Who ialaro psraonaly known m me a ha�lhavs produeed Waro psrbnaNy Ivawn to ms a h�lhave produoed <br /> aa identllicatlan. as identllicetlon. <br /> Notary Public ✓ �� � Notary Public <br /> Commfeaian No. Gommission No. � � a/�4 .3`7 <br /> 11�.L At �f S T C'_.....��A,.�C <br /> Neme of Notsry lYped,PAMed u►Nampsd ,printsd or stemped <br /> ��� Notary PuWiC Stete of Florida <br /> Mary V Stewart <br /> � � My Commission EE 216630 <br /> '?a Explros 07l18/2016 <br />