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<br /> . NOTICE QF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"'deed"restrictions"
<br /> • which may be mare restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSEQ CONTRACTORS AND CONTRACTOR RESPONSIBILTTIES: If the owner has hired a contractor or
<br /> contractars to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not ficensed as required by taw, both ths pwner and contracfor rrray be c'sted for a misdemeanor vioiation
<br /> under state Iaw If the owner or intended conteactor are uncertain as to what(icensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-547-
<br /> 8049. Furthermore, if the awner has hEred a contractor or contractors, he is advised to have the cantrackor(s� s+gn
<br /> portions of tfie"contractor Black"of tfiis applicatio�for which they wiii be responsibie. If you, as the owner sign as the
<br /> contractor,that may be an indication tha#he is not properiy licensed and is not entiUed to permitting privileges in Pasco
<br /> County
<br /> TRAN5P4RTATtON tMPACTtUTILtTIES 1MPACT AND RESOURCE REC4VERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Reoourse Recovery Fees may apply to the constructipn of new buildings,change of
<br /> use in existing buildings,or expension of ex'ssting buildings,as specified in Pasco Cou�ty Ordinance number 89-07 and
<br /> 94-07,as amended. The undersigned alsa understands,that such fees,as may be due,will be iden#ified at the time of
<br /> permitting. It is further understaad that Transportation Impact Fees and Resource Recovery Fees must be paid prior ta
<br /> receiving a"cerkificate of occupancy"or final pawer release. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to perrrtit issuance. Furtfiermore,if Pasco Gounty WaterlSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> GONSTRUCTION LIEN LAW(Chapter 713,Flarida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that i, the appt'scant, have been pravided with a copy of the "�larida Gonstruction �ien law--Homeowner's
<br /> Protection Guide"prepared by the Fiorida Department nf Agricuiture and Consumer Affairs. if the applicant is sameone
<br /> ather than the"owne�',I certify that I 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'SIOWNER'S AFFIDAVIT I certify that all the informatian in this appiication is accurate and fhat all woek
<br /> will be done in compliance with all applicable laws regulating constructinn,zoning and land development. Application is
<br /> hereby made to obtain a permit ta do work and installation as indicated. 1 certiiy that no warEc or instailation has
<br /> commenced pripr to issuance of a permit and that aii work wiil be perfortned to meet standards of ait laws regulating
<br /> construotion, Cou�ty and City codes, zoning regulaGons, and land development regulations in the jurisdiction. I also
<br /> certify that i understand that the regulatia�s of other government agencies may appiy to the intended wortc,and that it is
<br /> my responsibitity to identity what actions t must take to be in compliance. Such agencies include but are not timited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/UVastewater Treatment.
<br /> - Southwe�t F{orida Water Management District-WeIIs, Cypress Sayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Anny Corps of Engineers-Seawalls,Docks,Navigabls Waterways.
<br /> - Department of Health & Rehabilitative 8erviceslEnviranmental Health l)nit-Weils, Wastewater Treaiment,
<br /> Septic Tanks.
<br /> - US E�vironmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviatian Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flaod Zone"V"unless expressly pertnitted.
<br /> - if the fili material is to be used in Flood Zone "A", it is understood that a drainage pfan addressing a
<br /> "compensating volume"wiii be submitted at time of permitting whieh is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fili materiai is ta be used in Fload Zane"A" in connectlan with a permitted buiiding using stem waii
<br /> construction,1 certify that fill wiii be used only to fiii the area within the stem wall.
<br /> - If fill material is ta be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> propertiss, if use of fiii is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit applicatioR,for Iots less than one(i}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If 1 am the AGENT FOR Tt1E OWNEl2,1 p�omise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. 1 understand that a separate permit may be required far electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installatians not specifically included in the application. A
<br /> permit issusd shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nar shall issuance af a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is cammenced within six months of permit issuance,or if work authorized by
<br /> the petmi#is suspended ar abandoned for s period of six(6}months after the fime the wotk is oommenced. An extension
<br /> may be requested,in writing,from the Building Officia�far a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extensian. If wark ceases for ninety(90)consecuGve days,the jab is considered abandoned.
<br /> WARNING TQ OWNER: YOUR FAILURE TO RECQRD A N0710E OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WI7H YQUR�ENDEl2 C}R AN A7TORNEY BEFQRE REGflRDING YQUR NOTICE 4F COMMENCEMENT,
<br /> FLORiDA JURAT(F.S.117.03} ��
<br /> pWNER OR AGENT CONTRACTOR ���
<br /> Subscribed and swom to{or atfirmed}before me this cn d swom or rmed bef ineJ��s �,�/
<br /> bY �G�j�����Y ����[ll� �. F�Q�!`--
<br /> Who is/are personally known to me or has/have produced o i are personally known to me or has/have produced
<br /> as identification. as identification.
<br /> Notary Public " `�Notary Public
<br /> Commission No. Co mission No. `{
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<br /> M1iame of Notary typed,printed or stamped Name o{No ry typed,prinjed gjsta,�pe,�
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<br /> �: Com,,..� r :c 00996
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