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<br /> �IVOTICE O� DEED_RESTRICTIONS:��The undersigned understands that this permit may be subject to°deed" restric#ions"'
<br /> which��may be more restricEive than Gounty regulatians. The undersigned assumes responsibility for cari�pliance with any
<br /> applicable deed restrictions. � �
<br /> UNLlC�NSED CCINTRR�IICTORS AND CC?NT[�4CTOft R�SPONSl�I�1TlES: lf the owner has hired a contractor or
<br /> contracfors to underfake work, they may be requ'tred to be iicensed in accordance with state and local regulations. if the
<br /> contractor is not licensed as required by law, path the owner and contractor may be cited for a misdemeanor violakion
<br /> under state iawr. if the owner ar inEended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspectian Divisii5n—Licensing Section at 727-847-
<br /> 8Q09. Furthermore, if the a�wner has h4red a 'contrac#or or cantractars, he fs,acSvised ta have the contractar(s) sigt�
<br /> porfians of #he "contractar Block" of this application for which they will be responsible. If you, as the owner sign as fhe
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting ptivileges in Pasco
<br /> Caunty. �
<br /> TRANSPORTATIQN IMPACT/UTILITIES IMPAC'T AND RESOURCE FtECOVERY FEES: The undersigned understands
<br /> that Transportatian Impact Fees and Recourse Recavery Fees may apply to the constcuctian of new buildings, change of
<br /> use in existing buildings, or expansion of existing 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, wilE be identified at the time of
<br /> permitting. it is further understood.that Transportation Impact Fees and Resaurce Recovery Fees musf be paid prior tv
<br /> receiving a "'certificate af occupancy" or final power release. If the projecf does not involve a cerkificate of occupancy or
<br /> final pawer release, the fees must be paici prior ta permit issuanee. Fu�fhermore, if Pasca County 1NaterlSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance wi#h appli�able Pasco County ordinances. �
<br /> CONSTitUC7'!ON LI�N LAW{Gh�pter 713, Florida Statutes, as amended}; Ef valuaticin of work is$2,500.OQ or more, E
<br /> certify that I, the applicant,�have been provided with a copy of the "Florida Con�truction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Departmenk of Agriculture and Cansumer Affairs. If the applicant is someone
<br /> other than the"owner�, 1 certify that I have obtained a copy af the above described document and promise in good faifh to
<br /> deliver it to the"owner"prior to commencement.
<br /> CQNTftACTOR'SIOWNER'�A�FI�►AVIT: E certify tfiat a11 the informa#ian in th3s applicatian is accurate and tha#all 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 ta da wark and installafion as Indicated. 1 certify that no work or instaltation has
<br /> commenced prior to issuance of a permit and that alt work wilt be performed to meef standards of all laws regulating
<br /> construckion, County and City codes, zoning regulations, and land development regulatians in the jurisdicfion. I also
<br /> cer#ify thaf I understand that the regulations of other government agencies may apply fo the intended work, and that it is
<br /> my responsibility to identify what ac#ions I must take to be in compliance. 5uch agencies include but are not limited to:
<br /> - Department of Environmental ProtectiQn-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterNVastewater Trea#ment.
<br /> - Southwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - . Army Corps of Engineers-Seauvalls, Docks, Navigable Waterways.
<br /> - Department of Health � Rehabilitative ServiceslEnvironmen#al Health Unit-Wells, Wastewater Treatment,
<br /> . Septic Tanks. , ,
<br /> - US Environmental Pratection Agency-Asbestos abafement.
<br /> - Federal Aviakion Authority-Runways.
<br /> !understand that the followsng res#rictions apply to the use of f�ll:�
<br /> - Use of filt is not aliawed in F1oad Zone"V"unless expressly permitted. �
<br /> - If the fill rnaterial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> ,"coinpensating volume" witl be submitted at tima of permifting v�rhich is prepared by a professional engineer
<br /> licensiad by the State of Florida. '
<br /> - �If the �II material is ta be used in Flood Zone "�4" in connection with a pecmitted building using stem wall
<br /> construction, I certify tha#filt will be used only to fill the area within the stem watl. '
<br /> - If fill materia! is ta 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 cifed for violating
<br /> the conditions of the building permi#,issued under the attached permit applica#ion, far lots less #han one (1)
<br /> � acre which are elevated by�11, an englneered drainage plan is required.
<br /> If I am the!#GENT FOR THE OWN�R, I pramise in gaod fai#h to inform the owner of the permitting conditions set forth in
<br /> this affidavif prior to commencing construction. ! understand that a separate permit rttay be required for electrical work,,
<br /> plumbing, signs, wells, pools, air cpnditioning, gas, or other insfallations not specificaliy inc(uded in the application. A`
<br /> permik issued shal! be construed to be a license to proceed with the work and not as authority ta violate, cancel, alter, or
<br /> set aside any provisions af the technical cades, nar shall issuance of a permit prevent fhe�uitding Official from thereafter�
<br /> requiring a correction of errors in plans, construction or violatians of any cades. Every permlt issued shall become invalid,
<br /> unless Ehe work authorized by such permit is commenced within six months of�ermit issuance, or iF work authorized by
<br /> the permit is suspended ar abandoned for a peria;d of six(6) months after the time the work is commenced. An extension
<br /> may be requested, rn writing, from the Building C?fficsal for a period not to exceed ninety (90) days and wi!! demonstrate
<br /> justifiable c�iase for the extensian. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> � � �.
<br /> WARNING TO OWNER: YQUR F�1lLURE TO RECCiRD A NQTICE OF COMNIENCEMENT MAY R�SUC,T IN Y4UE?
<br /> PAYING T1IVICE FtJR INIPROVEMENTS TO YOUR PFtOPERTY. IF YOU INTEND TO OBTAIN FINANCING� CONSUL7'�
<br /> IfVITH YOUR LENC?ER C)R�1N ATTORNEY BEFQRE RECORQlNC YOUR NC}TICE CtF CC1�VtN1ENCEMENT.
<br /> FLORIpA JURAT(F.S. 117.03 _ _ __- �-
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<br /> OWNER O12 AGENT �� �'��� COIVTRACTOR ��"— �
<br /> S�bs �lye y swarn to r affirmed efore me thls Su s ribe bworn to or affirmed b ore me this
<br /> .�. O ny Y
<br /> o sl re ersonafil nown me or haslhave produced sl re me r haslhave producsd ,
<br /> as 1denUfication. as identificafion. .-
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<br /> -Notery Public Notary Public
<br /> Commiss on No. F/� �,;�,���,� Commission,Wo. �� �� j'7' ,���
<br /> Name of Not r s Name of Nokary type r' c •yqp�t,�,,h„�,�,� , V;�
<br /> NoWry Pu61io State oT Florida �►t4, Noter�PubllcSttte W FlOtrd'A`.,:- °+':°��-` �.
<br /> • . NiC01@ YY4dttt18(! •�, _ ,
<br /> My Commissian FF OS1�35 • • N i"����p��a�
<br /> �of p� ExpirOS 0910�/2017 � t N�Y Ccmry1(i�ion FF OS1498 . .
<br /> � �q��� EKpires0910��Oty
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