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<br /> NOTlCE�F DEED RESTRICTIONS: The undersigned understands that#his permit may be subject to"deed"restrictions"
<br /> which may be more restric#ive than Caunty regutatians. The unders4gned assumes responsibility far compliance with aciy
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTR�lCTC1RS ANO CONTI�ICT�R RESPON51�lLITIES: If the owner has hirsd a contractor or
<br /> cont�actors to undertake work, they may be required.to be iicensed in accordance with state and local regulations. If the
<br /> contractor is no# licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
<br /> Under state law. if fhe owner or in#ended contractar are uncerfain as to whaf I�censirtg requiremenfs may apply far the
<br /> intended work, they are advised to cantact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Fu�thermore, if the awner has hired a contractor or cont�actars, he is advised ta have the contractar(s) sign
<br /> portivns of the "contrackor Black" of this application for which they witl be respansible. If you, as the awner sign as fhe
<br /> contractar, thak r►tay be an indication tha# he is not prqperly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPAGT ls►ND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transportation Impact �ees and Recourse Recavery Fees may apply to the constructian of new buildings, change of
<br /> use in_existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-0? and
<br /> 90-07, as amended. The undersigned also unc4erstands, Ehat such fees, as may be due, wi1! be identifisd at the tims o#
<br /> permi##ing. it is further understood that Transpartafion 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 /> finai power release, the fees must be paid prior to permit issuance. Furtherrrtore, if Pasca County WaterlSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION �.1EN I..P►W(Chapter 793, Elartcla Statutesf as amended}; if valuation of work is$2,�00.00 or mare, 1
<br /> certify tha# I, the applicant,_ have been provided with a copy of the "Florida Construction Lien Law—Hameowner's
<br /> Protection Guide" prepared by the Florida Depa�kment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> ofher than the"owner", 1 certify that I have obtained a copy of the above described document and promise in good faith ta
<br /> deliver it to#he"owner"p�ior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFlDAVIT: 1 certify that a11 fhe infarmation in this applicatian is accurafe and fhat a11 work
<br /> will�be done in campliance with all applicable laws regulating constructian, zoning and land development. Application is
<br /> hereby made to obtain a permit to c4o woric ancf installation as indicated. 1 certify that no work ar instailation has
<br /> commenced prior to issuance of a permit and that all work will be perFprmed #o meet s#andarcls of all laws regulating
<br /> construction, County a�d City codes, zoning regulations, and land developmenk regulations in the jurisdiction. I also
<br /> certiiy that 1 understand that fhe regulations a€o#her gavernment agencies may apply ta the intended work, and that it is
<br /> my responsibility to iden#ify what actions I must take ta be in complfance. Such agencies include but are not limited to:
<br /> - Departmen# of Envirortmenta! Protection-Cypress Sayheads, Wetland Areas and �nviranmentalty Sensitive
<br /> Lands, WateNWastewater Treatmenk.
<br /> - Southwest Florida Water 1ltlanagement District-We!!s, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Depa�#ment of HealtFt & Rehabi[itafive ServiceslEnviranmental Nealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectian Agency-Asbestos abaEement.
<br /> - Federal Aviation Autho�ity-Runways.
<br /> I understand that the follawing restrictions apply ta the use of�R;� �
<br /> - Use af fil(is not allowed in Flood Zone"V"uniess expressiy permitted. .
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "campensating voiume" wRll be submitted a# time of permifting which is prepared by a prafessional engineer
<br /> licensed by#he State of Florida.
<br /> - If fhe fill material is to be used in Flood Zdne '"A" in connecfion with a permitted buiiding using stem wal)
<br /> construction, I certify that fill wilf be used onfy fo�II the area wifhin#he stem wali.
<br /> - If fi!! material is to be used In any area, I cer#ify that use of such �II will not adversely affect ad}acent
<br /> prope�ties. 1f use of fill is fotand to adverseiy affect adjacent properties, the owner may be cited for vialating
<br /> the canditions of the building permit issued under the attached permit application, far Iots less than one (1)
<br /> acre which are elevated by fill,an engineered drainag�plan is required.
<br /> If I am the AGEN'T FOR YHE OWNER, I promise in good faith to inform the owrner of the permitting conditions set farth in
<br /> this afFidavit priar ta commencing construction. I understand that a sepa�ate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ofher insfallations not specificaily included in the appiication. A
<br /> permit issued shall be construed to be a license#o proceed with the work and not as authatity to,violate, cancel, alter, or
<br /> set aside any provisions of the#echnical codes, nar shall issuance af a permif prevent fhe Buiiding Q�cial from thereafter
<br /> requiring a correction of errors in plans, construction or violations af any codes. Every permit issued shall become invalid
<br /> unless the work aufhorized by such permit is commenced within si�c months af permit issuance, or if work authocized by
<br /> the permit is suspended ar abandoned for a period of six(6) months after the time the work is commenced. Nn extension
<br /> may be requested, in writing, from the Building O�cial for a period not to exceed ninety {9Q) days and wil! demanstrafe
<br /> justifiable cause for the extension. If work ceases for ninety(90}cansecutive days, the jab is considered abandoned.
<br /> WARNING TO CIWNER: YOUR �AILURE TU RECORD A NQTlCE OF CONfMENCEMENT MAY RESU�.T EN YOUR
<br /> PAYING TWICE FOR IMPROVEM�NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAPICING, CONSLILT
<br /> WITH YQUR tENDER OR AN ATTORNEY BEl=C1RE_RECORDING YOUR NQTICE C�F COMMENCE[it6ENT. _ _
<br /> FLORIDA JURAT(F.S.1 03)
<br /> OWNER OR AGENT���itL��v�`— CQNTRACT{}R a���/ �
<br /> Subscrlbed and swom to(or affirmed)before me thfs Subscribed and swom to(o�affirmedj before me this
<br /> by by
<br /> Who isJare personatly knawn to rne or hasthave prodsaced Wha 4slare personally known to me or has/have produced
<br /> as idenUfication. as identtFca6on.
<br /> INotary Public ��' � �- Notary Publlc
<br />� °„Y P.., ACQUEl1NE�4GE
<br /> Commisslon No. Commi '
<br /> :►d
<br /> � _Q�: F�pires December 12,2014
<br /> Name of Notary typed,printed or stamped Name of
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