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NCITICE t3F DEED RESTRiCTIt1NS: The undersigned ctnderstands that#his permiE may be sub�ect to"deecE°restric#ions"
<br /> which may be more restrictive than County regulations. The undersigned assumes respansibility for compl�ance with any
<br /> applicable deed restrictfons. '
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIUTiES: if the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accardance with state and loca! regulations. If the
<br /> cont�acEor is no# ficensed as required by law, both the owner and con#ractar may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended cantractor are uncertain as to what licensing requirements may apply for the
<br /> intersded work, they are advised to con#act the Pasco County Building tnspect9on Divis�on—Licensing Section a#727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or cantractors, he is advised to have the conkractor(s) sign
<br /> portions of the °cantractar 8lack" of this application for which they will be responsEbte. If you, as the owne� sign as the
<br /> contracfor, fhat may be an indication that he is not properly iicensed and is nat entitled to permitfing priviieges in Pasco
<br /> , County.
<br /> TRANSPCIRTATtON iMPACTlUTI�ITIES iMPACT AND RE50URCE RECOVERY FEES: The undetsigned unclerstands
<br /> tha#T�ansportation Impact Fees and Recourse Recovery Fees may apply to the construction af new buiidings, ahange of
<br /> use in existing bulldit�gs, or expansion of exis#ing buildings, as specif�ed in Pasca County Ordinance number 89-Q7 and
<br /> 90-07, as.amended. The undersigned aiso understands, that such fees, as may be due, will be identified at the time af
<br /> permitking. !t is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "ce�tificate of occupancy" ar final power release. !f#he praject does not involve a aertificafe of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are dus, they must be pald prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> COMSTRUCTION LIEN LAW(Chapter 713, Plorida Statutes� as amended): If valuation of work is $2,500.00 ar more, I
<br /> cer#ify that 1, the appiicant, have been pravfded with a copy of the °Flarida Construction Lien �aw—Hameowner's
<br /> Protection Guide" prepared by the Florida Depa�tment of Agriculture and Consurrrer Affairs. If the appticant is someone
<br /> okher than the"owner", I certify that! have obtained a copy of the above described document and promise in goad faith to
<br /> deliver it to the°owrne�'prior to cammencement.
<br /> CQNTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> wiH'be done in compliance with al) applicable taws regulating constructian, zaning and land developrt3ent. Apptication is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior tb issuance of a permit and that all work wil! be performed to meet standards af all laws regulating
<br /> construction, Caunfy and Cify eodes, zoning regulations, and land develapment reguta#ions in the jurisdiction. t aiso
<br /> certify that I understand that the regula#ions of other government agencies may apply to the intended work, and that it is
<br /> my responsibitity to fidenfify whaE actions 1 must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Pratection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> �ands,WaterMfasEewater Trea#ment,
<br /> - Southwest Florida Water Management District-Wetts, Cypress Bayheads, Wetiand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmen#al Protection Agency-Asbestas abatement. '
<br /> - F�de�a!Aviation Authority-Runways.
<br /> I understand that fhe folfowing restrictions apply to fhe use of fr11:�
<br /> - Use of fill is not allowed in Flood Zane"V"unless expressly permitted.
<br /> - if the fli mate�ial is to be used in Flood Zvne "A", it Is understoad that a drainage plan addressing a
<br /> "campensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Ftorida.
<br /> - If the fill material is to be used in Fload Zone °A" in connec#ian with a permitted buifding using stem wali
<br /> � cot�structio�, I certity tha#fili will be used only to f�l!the area within the stem wall.
<br /> - If filt material is fo be used in any area, 1 certify thaf use of such fill wili not adversely affect adjacent
<br /> properties. !f use of fill is found to adversely affect adjacent praperties, the owner may be cited for violating
<br /> fhe condi#ions of the building permit issued under the aftached permit applicatior�, for lots less than ane (1}
<br /> acre which are elevated by�II, an engineered drainage plan is required.
<br /> tf 1 arn the AGENT FOR THE OWidER, } promise in good faittt to inform the owr�er of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand thaE a separa#e permit may be required for etectrioal wark,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other instatlations not specifically included in the application. A
<br /> permit issued shalt be cons#rued to be a license to proceed v�rith the work and not as authority to,viaiafe, cancel, alter, or
<br /> set aside any provisians of the technical codes, nor 5hall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in ptans, construction or violatiorts af any codes. Euery permit issued shali become invaiid
<br />, unless the work au#horized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6�months after the time the work is cammenced. An extension
<br /> may be requested, in writing, from the Building Official far a period not to exceed ninety (90) days and wiil demonstra#e
<br /> justifiable cause for the extension. !f work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> 1�lARNING TQ OWNER: YOUIt FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IFI YOUR
<br /> PAYING T1�tiCE FOR l�iPRQVEIiIiENTS TO YQUR PROPERTY. 1F YOU INTEND TO CiBTA1N FINANClNG, CtJNSU�T
<br /> !!�'ITH YOUR-LEIdD�E�OR,AR!ATTORR9EY BEFORE EtECORDING YOUR NOTICE O�-COMMENCEMENT. - _-.
<br /> Ft�ORIDA JURAT(F.S.117.03)
<br /> IOINNEROFtAGENT�i1! F 1_ r_..c�l`l`�.`(`�1C��Ir:.,�..t'v�-1L CONTRACTOR��a �r+�'� `�-��'`�� ���/�
<br />, bscdbed and swo �o.-(�Qr a�ffirm�ed)before m lhls � Subsc bed and s�wor,P to(pr�rrr�edi before me s
<br /> _t•_3 by �� � t�L � 7�3 Y lh� � rc1 �7 MG
<br /> Who Is/are ersonafly known to me or has/have produced Whorarep�rsonally k own to me or haslhave produced
<br /> �=!, �t 4r2, �t t�.� as(denUflca@on, �f�,�_Y'�1�.'.r���C`Dn.� as idenBficakion.
<br /> '�2 d`�'� ---Notary Public P �{�'`� Notary Public
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<br /> :�. Commission#�E Q40520 :; .� Expires December 92,2014
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<br /> Name of 1Vot ' `I �, �ao�a;anis Name of Notary ' ed ��"� a�es.o�s
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