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<br /> � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"'
<br /> whieh may be mare restric#ive than County regutations. The undersignecf assumes responsibili#y for comptiance with any
<br /> applicable deed restrictions. • - .
<br /> UNLlCENSED CONTR�4CTORS AND CCINTRACTOR RESPOPISiBlt�1T'IES: !f the owner has hsred a contractor or
<br /> contractors to underfake work, they may be required ta be ticensed in accordance with state,anci local reguiations. tf the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state {aw. If the owner ar intended contractor are uncertain as to what licensing.requirements may apply far the ,
<br /> intended work, they are advised to contack the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractar or contractocs, he is advised to have the contractor(s} sign
<br /> portians of the "contractor Black° of this applica#ion far which they will be responsible. If you, as the awner sign as the
<br /> cantracEor, that may be an indication that he is not properly licensed and is na# entitled to permitting pcivileges in Pasco
<br /> County.
<br /> 'fRANSPORTATION IMPAC`TIUTIUTIES IMPA�T la►ND RESOURCE R�COVERY FEES: The undersigned understands
<br /> #hat Transportation Impacf Fees and�Recourse Recavery Fees may agply tv the canstruction of nevtr builciings, change of
<br /> use in existing buildings, or expansion of existing buiidings, as specified in Pasco County Ordinance number 89-Q7 and
<br /> 90-47, as amended. The undersigned aiso understands, that such fees, as�may be due, wii! be identified at the time of
<br /> permitking. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "ce�ti�cate af occupancy" or final power release. If the project does not invotve a certificate of occupancy or
<br /> finai power release, the fees must be�paid prior ta permit issuance. Furfhermore, if Pasco County WaterlSewer Impact
<br /> fees are due, they mus#be paid prior to permit issuance in accordance with applicabie Fasco County ordinances.
<br /> CONSTRUCTION LIEN 1_AVIt{Ghapter 713, g�or�da Statutes, as arr�encled}; !f valuation of work is$2,5Q0.00 or more, !
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Canstruction Lien Law—Homeovvner's
<br /> Protection Guide"- prepared by the Fiarida Department of Agriculture and Consumer Affairs. If#he applicant is someane
<br /> other fhan fhe°owner", I certify#hat I have obtained a copy of the above described document and promise in good faifh ta
<br /> deliver it ta the"owner"prior ta commencement. = ,
<br /> CQtVTRACTOR'SJOi�t�1ER'S AFFI�AVIT: t certify fhat alt the informa#ion iri,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 instailat9on as indicated. i certify that no wark oc instatiation-has
<br /> commenced prior to issuance of a permit and that all work w►ill be pe►formed to meef standards of all faws regulating
<br /> construction, County and City codes, zaning regulatians, and land development regulations in the jur9sdiction. 1 also
<br /> certify thaf t understand fhaf the reguiatians of other government agencies may apply to the infended wark, and that it is
<br /> my responsibility#a identify what actions I must take ta be in compliance. Such agencies include but are.not limited to:
<br /> - � Deparfinent af Environmental Protection-Cypress �ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterMlastewater Treatment.
<br /> - Sou#hwest Fiorida Water Martagement Distric#-Wells; Cypress Bayheads, Wetland P►reas, Alterin�
<br /> Watercourses. _ �
<br /> - . Atmy Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - � Deparkment af Hea{th & Rehabilitafive Services/Environmental Heatth k7nit-Wells, Was#ewater Treafinent,
<br /> Septic.Tanks. -� _ � " ° - � - - - - - -
<br /> - 11S Environmental Protection Agency-Asbestos aba#ement. ' , .
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understa�►d that the follawing restrictians apply ta the use af fiU:� -
<br /> - Use of fill is nof allowed in Ftood Zone"V"unless�expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> °compensating valume" will be subtnitted at #ime of permifting which is prepared by a prvfessionaf engineer
<br /> licensed by the State of Florida.,
<br /> - If fhe fill material is to be used in F'lood Zone "A" in connectian wi#h„a permitfed building using stem wall
<br /> cons#ruction, I certify tha#fill will be used anly to fill the area within the stem wall. -
<br /> - If fill materia! is #o be used in any area, I cer#ify that use of such ftll wil! not adversely affect adjacent
<br /> properkies. If use of fill is found to adversely affect adjacent proper#ies, the owner may be cited for violating
<br /> the canditians .of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fitl, an engineered drainage plan is required.
<br /> If I am the�►GENT FOR THE OInIN�R, I promise in gaad faith to inform #he owner of the permitting conditions set forth in
<br /> fhis affidavit prior to commencing construction F unders#and that a separate permit may be required for electcicat work,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or ofher installations not specificaily inctuded in the applicatian. A
<br /> perm9t issued shall be cons#rued to be a license to praceed v►rith the wark and not as authority to.violate, cancel, alter, or
<br /> set aside any provisions of the technica! codes, nor shall issuance of a permit preven#the Building Official from thereafter
<br /> requiring a correction of errors in plans, canstruction or violations of any cades. Every permit issued shall become invalid
<br /> unEess the work aufhorized by such permit is commenced within six months af permit issuance, or if wark authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension _
<br /> may be requested, in writing, from the Buildsng C}fficia! for a period not to exceed ninety {90) days and wil! demonstrate
<br /> justifiable cause far the extension. If work ceases for ninefy(90}consecu#ive cfays, the job.is considered abandoned.
<br /> WARNING TO CIWNER: YOUR FAtLURE TO REC{�RD A NQTICE QF C{�MNIENCE�VIENT MAY R(E3U�.T IN YtJUFt
<br /> PAYING 'TVVICE �OR InAPROVEMENTS TO YOUR PFZOPEFZTY: IF YOU INTEND TO OBTAINI FINAfNCING, CONSLILI'
<br /> �ll7H.YOl1R LEM�tER_C)R a4N.AT_T'CaRNEY Q�F�6�E-�2�GC}��tNG_YQUR NOT-�G€:�F—�+�8����NC��lIE�-l':--- _'_ — ._ �_.
<br /> FLORIDA JURAT(F.S. 117.Q3)
<br /> OWN�F2 012 A�ENT `' CONTRACTOR.�!� ��'i� �C� �
<br /> Subscrtbed and swom to(or affirmed)before me this S bs ,bg�and sw r to ar.affir ed)bef re e this
<br /> �y / by �-- G�._
<br /> Who islare personally known ta me or haslhave produced Who.3slar�.persana y}cr�awn to me or haslhave produced
<br /> as 1denUfica6on. • ��� r�i'.t��S (.lC�-� as identification.
<br /> Nolary Public GG2 I� � Notary Public
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<br /> Commission No. C m sio N ��,"�ry�II���
<br /> =*: '��: Commission#EE 040520
<br /> :� :�: Ex
<br /> Name af Notary typed,printed or stamped Name of Naka �;;� te@bro�elanapaai�eoa3asao�s
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