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I OR BK 9006 p� $34
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"de d"restrictions"i
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility tor compliance with any
<br /> applicable deed restrictions.
<br /> � UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILI7IES: If the owner has hired a conbactor or
<br /> contractors to undertake work,they may be required to be Iicensed in aCcordance with state and local regulations. If the
<br /> conVactor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violatlon
<br /> , under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, ff the owner has hired a contractor or contractors, he is advised to have the co�tractor(s) sign
<br /> portions of the"contractor Block"of ihis application for which they ovfll be responsiWe. If you,as the owner sign as the
<br /> contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the consVuction of new buildings,change of
<br /> use in existing buildings,or expansion of existlng buildings,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identiTied at the time of
<br /> permitting. It is further understood that TransportaUon Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
<br /> ffnal power release,the fees must be pafd prior to permit issuance. Furthermore,if Pasco Counry WatedSewer Impact
<br /> fees are due,they must be paid prior to permR issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,FloHda Stetutes,as amende�: If valuation of work is$2,500.00 or more,I
<br /> � certify that I, the applicant, have been provided with a copy of the "Fiorida Const►uction Lien Law—Homeowner's
<br /> ! Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> I other ihan the"owner",I certify that 1 have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> ! will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installatlon as indicated. I certity that no work,or insffiIladon has
<br /> commenced prior to issuance of a permft and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the Jurisdiction. I also
<br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that ft is
<br /> my�esponsibility to identity what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> Department of Environmental Protection-Cypress Bayheads, Wetiand Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wedand Areas, Altering
<br /> Watercourses. .
<br /> - Army Corps of Engineers-Seawalls,Oocks,Navigable Waterways.
<br /> - Department of Health 8, Rehabilitative Services/Environmental Heatth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> - Federal Aviatlon Authoriry-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> • If the Till material is to be used in Flood Zone "A", it is understood that a dralnage plan addressing a
<br /> "compensadng volume"will be submitted at time of permitting which is prepared by a professlonal engineer
<br /> licensed by the State of Florida.
<br /> - If the fill materfal is to be used fn Flood Zone "A"in connection with a permitted buiiding using stem wall
<br /> construction,1 certify that fill will be used only to fill the area wfthin the stem wa1i.
<br /> If fiil material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violaUng
<br /> . the conditlons of the buildfng permft issued under the attached permit application,for lots less than one (1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> I� If I am the AGENT FOR THE OWNER,I promise tn good faith ta inform the owner of 1he permitting conditans set forth in
<br /> � this affidavit prior to commencing construction. I understand that a se rate
<br /> plumbing, signs, wells, pools, air conditionin � P�^tt�ry be required for electricai work,
<br /> permit issued shall be construed to be a lice se to proce dewith the work and no as authority oeviola ee ancleleal�ter,or
<br /> set aside any provisions of the technical codes,nor shall issuance oi a permit prevent the Building Official trom thereaker
<br /> requiring a correctlon of errors in plans,construction or violations of any codes. Eve
<br /> unless the work authorized by such permit is commenced wkhin six monfhs of permit ss aince,or�H wprk aut orzed by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An eMension
<br /> I may be requested,in writing,from the Building Official for a period not to exceed nfnety(9p)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the Job is considered abandoned.
<br /> WApNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY qESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FlNANCING,CONSULT
<br /> E
<br /> FLORIDA JURAT( :S.1 .03) ���
<br /> OWNER OR AOENT �
<br /> ��� crib and swor t or elfirme� 4ore ��� CONTAACTO
<br /> by Su nbed a r o(a affi m efore this
<br /> WAo is/a�per neny knovm to me a hasJhave produced by� .
<br /> as ideritiHcation. �� �ep�rsonnpy known to me a hea e produced
<br /> rvidA IY�ys ) 'f gqq ay bentification.
<br /> Notary pudic �
<br /> CamrNssion No. Notary PubNc
<br /> Cammission No. �F�//� lle n
<br /> N ..�u ��rtEa�
<br /> Name of atery
<br /> �ti�`�; BRENDATORRES ..•,������•
<br /> �: r_ MY�SSIdV 1 FF038592 �.io`�"�P �4,F's NANCY 1NNKfl
<br /> �` '" EXPIRES:July 22,2p�7 e,. � Notaryr Public-Stu�d flodd�
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<br /> •�f�•� �d n""N�t�y Pub�ic uMen�rMers zw My Comm.Expinf Oct 1 S,2017
<br /> ��°%'„�o��n�.•'�` Comml�tlon�FF 085160
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