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NOTICE OF DEED RESTRICT1pp�5: The undersigned understands that this perrnit rr�ay pe��to-deed•resvictio�S-
<br /> which may be mae restria'rve than County regulations. The undersigned assumes rasPonsibiliy far oompliance wNh any
<br /> applicable deed restrictions.
<br /> UNIICENSED CpNTRqCTORS AND CONTRACTpR RESPONSIBII.ITIES: If ttie own� F� hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and 1oca�regula6ons, If the
<br /> contractor is not licensed as required py Iaw, both fhe owner and contractor may be cited for a misdemganor vidation
<br /> under state law. If the owner or intehded contractor are uncertain as to what�icensi�9�qU���maY apply for the
<br /> intended wo►k,they are advised to oontact the Pasoo County guilding Inspedion Divisio�t--Licensing Sectfon at 727-847-
<br /> 8009. Furthermore, rf the owner has hired a contractor or contractas, he is advised to have the contrador(s) sign
<br /> portions of the'c�ontraUpr g�ock-of this applicaGon for which they wilt be resppnsible. If you, as the owner sign as the
<br /> contrac(or,that may be an i�dicstion that he is not propery Iicensed and is not entided to permitting privi�eges in Pascp
<br /> County,
<br /> TRANSPORTATION IIIIpACTIU?'1L,117E3 INPACT AND RE$OURCE RECOVERY FEEg: 1'►�e�nd�yy��understands
<br /> that Transportation Impact Fees and Recowse Recavery Fee�may apply to the conspt,ictiori a(���� �ange of
<br /> use in existing buildings, o►e�a�ion pf e�cis6ng buildings,as specified in Pasco County p►dinance number gg-p7 and
<br /> 90-07,as amended. The undersigned also understa�ds,that such fees,as may be due,will be iden�ed at the time of
<br /> permitting. It is turther understood that Transportation Irripact Fees and Resource(2ecovery Fees muyK be paid prior to
<br /> receiving a"certificate of occupancy'or final power release. If the project does not invol�a certificate ot occupancy or
<br /> final power release, the fees must be paid prior to permrt i�uance. Furthernrore, if pasco Cou�ty yyater/Sewer Impad
<br /> fees are due,they must be paid prior to permit issuance in accordance,�h app��pae p�����ry����c�.
<br /> CONSTRUCTION IJEN�qyy(Chap�7�3,Florida 3fatutes,as aMended): If valuation of y�ork is E2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a copy of the °Florida Constniction Lien Larv—Flarrieowner's
<br /> ?rotection Guide"prepared by the Florida Department af�y�c�lture and Consumer Affairs, ff me epp�ic�nt is someone
<br /> other than the"ownei",I certify tha��hav����n�a copy of the above described document and promise in good faich to
<br /> deliver it to the"pwner"pria�to commencement.
<br /> CONTRACTOR'$�pyyry��g�FIDAVIT_ 1 aeeti(y that all the information in this application is accurate and that all woric
<br /> will be done in comp6ance with all applicable laws reguladng construdion,zoning and land development. Application is
<br /> hereby made to obtain a permit to do worlc and instaNation as indicated. I certihr that no woric or installaUon has
<br /> commenced prior to issuance of a perrnft and that all work wip be perform��m�t standards of all Iaws regulating
<br /> construction, County and Ciry codes, zoning regulations, and land developmeM regulations in the jurisdiction, � a�so
<br /> ce►tify that I understa�d that the regulations of other govemment agencies may apply to�intended work,and that it is
<br /> my responsibility to identify what actip�s�must take to be in cornpliance. Such agenaes indude but are not limited to:
<br /> - Department of Environmental pr�e«ion-Gyp� g�y��dg Wetland Areas and Environmentally Sensilive
<br /> La�ds,Water/Wastewater Treatrnent.
<br /> - Southwest Florida Water Management Distrid-Wells, Gypress Bayheads, Wetland Areas, qltermy
<br /> Wateroourses,
<br /> - Army Corps of Engineers-Seewaps,Docks,Navigable Waterways,
<br /> - Department of Health & Rehabilitative $eryices/Environmenta� Heakh Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US En�ironmental Protection Agency-qsbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the tollowing restrictions appty to the use d fill:
<br /> - Use of fill is not albwed in Flood Zone-y^un��e�pressy pe►mitted.
<br /> - If the fitl matariat is to be used in Flood 2one "A°, it is understood that a drainage plan addressing a
<br /> "campensating volume"will be submitted at time of pertnitting which is prepared by a pro{essional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A"in connection with a permitted ��� using stem wall
<br /> constnx:tion,l certify that fill will be used only to fill the area within the stem wall.
<br /> If fifl material is to be used in any area, I ceitify fhat use of such fill will not adversely afled adjacent
<br /> Pr°Pe►ties. If use of fill is found to adversely affect adjacent properties,the owner may be ated for vidating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one(1)
<br /> acre which are elevated by fill,an enginee�ed drainage plan is required.
<br /> ff 1 am the AGENT FOR THE pWNER,I promise in good faRh to inform the owner of the permitting condttrons s�t forth in
<br /> this affidavit prior to commencing constrvction. I uncferstand that a separate permit may be required for e►ecUica�yroHc
<br /> plumbing, signs, wells, poots, air canditioning, gas, or other installations not specifica��y jnduded in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the techmca�c�s,nor shall issuance of a permit prevoent the Building Officia�from thereafter
<br /> requiring a correction of errprs in plans,const►uction a vi�ati�s of any tbdes. Every pe�it issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance,ar if wpk authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months alter the time the work is commenced. qn extension
<br /> may be requested, in writing,from the Building p}rypa���a p�not to exceed ninety(80)days and wi11 demonstrate
<br /> �ustifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OINNER: YOUR FAILURE TO RECOQD A NOTICE OF COM�IENCEMENT MAY RF.SULT IN YOIJR
<br /> PAYING TWICE FOR tMPROVEIMENTS TO YOUR PROpERTy, IF YOU INTEND TO OBTAIN FINAtrCING,CONSULT
<br /> iMTH YOUR N ER pR AN ATTORNEI/B F CO IN Y p
<br /> FLORI�A JURAT(F ,�� , � C T.
<br /> ONMER OR AGENT
<br /> a swom ur affir� g� y� CONTRACTOR
<br /> bY L f�1�J"f(�{--�d �/�� }�p�
<br /> i� rsmally known to me or hasMaye r �.jc��{/
<br /> P uduced r.
<br /> as itlendfiraDOn. W110 ISlal9�iSOn6�ny'—'���m••�'��
<br /> as itlentilication,
<br /> n �ry Pu61k
<br /> C:omrtussion No. N��Y Public
<br /> Cammission No.
<br /> Na
<br /> �'��iljyt ' ��R ��(� Nameof printed H��p
<br /> �'•c ��',+� MY COMbN3Si0N f ff W2365 +� ,. MY COAMN3310N N FF 0723g6
<br /> �� pe daP'fh�iu�N�o�ry��'tlne.1n wi• �� , gcn�eexy���1,2018
<br /> �^�ten
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