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<br /> NOTICE OF DEED,RESTRlCTtt)NS: The undersigned unde stancis that this permit may be subject to"deed"restrictions°
<br /> which m�y be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any
<br /> �pplicable deed cestrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: If the owner has hired a contractor ar
<br /> contractors to undertake work, #hey may be required to be fi nsed in accordance with state and local regulations. !f the
<br /> contractor is not licensed as required by law, both the own r and contractar may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractar are un ertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection pivision—Eicensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor o contractars, he is advised to have the con#ractor(s) sign
<br /> po�tians of the "contr�tor Biock" of this application far whic they wili be respansible. If you, as the ownsr sign as the
<br /> contractor, that may be an indication that he is not properly 1 censed and is not entitled to permitting privileges in Pasca
<br /> County.
<br /> TRANSPORTATI4N IMPACTNTILITIES iMPACT AND RE URCE RECQVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recavery F inay apply ta the construction of new buitdings, change af
<br /> use in exis#ing buildings, ar e�ansion of existing buildings, s specified in Pasco Caunty {)rdinance number 88-47 and
<br /> 90-07, as amended. The undersigned also understands, tha such fees, as may be due, will be identified at the time of
<br /> permitiing. It is further understood that Transportatian lmpa Fees and Resource Recovery Fees must be paid priar to
<br /> re�eiving a "certificate of accupancy� ar final power reiease. If the praject does nat invalve a certificate of occupancy crr
<br /> final power release, the fees must be paid priar to permit iss ance. Furthermore, if Pasco Caunty Water/5ewer Impact
<br /> fees are due,they must be paid priar to permit issuance in a rdance with appEicable Pasco County ordinances.
<br />�g CONSTRUCTION LIEN LAW(Chapter 713, Florida Statute ,as amended). If valuation of wark is$2,500.00 or more, I
<br /> �� certify that 1, the applicant, have l�en provided with a py af the "Florida Canstruction Lien �aw—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Ag culture and Consumer Affairs. If the applicant is someone
<br />�Cti�5 other than the"owner", ! certify that I have obtained a copy of he above describec!document and promise in goaf faith to
<br /> ,.� deliver it to the"owner" prior to cammencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all th information in this application is accurate and that all wark
<br /> will be dane in comptiance with aff applicable laws regu(ating constructian, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installatio as indicated, I c,�rtify that na work or installation has
<br /> cammenced prior to issuance of a permit and tha# alf work i!1 be perfarmec! to meet standards of a!I laws regulating
<br /> canstruction, County and City codes, zoning regulations, a land deveiopment reguiations in the jurisdiction. i also
<br /> certify that I understand that the regulations af other govem ent agencies may apply to the intended work, and that it is
<br /> my responsibility ta identify what actians 1 must take ta be in c mpliance. Such agencies include but are nat limited to:
<br /> - Department of Environmental Protectian-Cypres Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewa#er Treatment.
<br /> - Sauthwest Flarida Water Management Distri t-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses,
<br /> - Army Carps af Engineers-SeawaHs, Docks, Navig b1e Waterways.
<br /> - Department of Health 8 Rehabilitative Services Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Enviranmental Protectian Agency-Asbestos a atement.
<br /> - Federa!Rviatior�Authari#y-Runways.
<br /> I unders#and that the foiiowing restrictions apply to the use of II:
<br /> - Use of fill is not allowed in �'lood Zone"V" unless xpressly permitted.
<br /> - If the fill material is ta be used in Flood Zone "A", it is understood #hat a drainage plan addressing a
<br /> "compensating volume" will be submitted at time f permitting which is prepared by a professional engineer
<br /> licensed by the State of Flo�ida.
<br /> - If the fill material is to be used in Flood Zone " '" in connection with a permitted building using stem wall
<br /> COCIS��UCtIQC1, 1 eertify that fitl will be used only to fil the area wi#hin the stem wall.
<br /> - If fiii material is #o be used in any area, t cert that use af such fill will not adversely affect adjacent
<br /> praperties. If use of fill is found to adversely aff t adjacent properties, the awner may be cited for violating
<br /> the canditions of the building permit issued unde the attached permit application, for tots {ess than one {1}
<br /> acre which are elevated by flll, an engineered drai age plan is required.
<br /> lf 1 am the AGENT FQR THE QWNER, I pramise in good fait to in#om�the owner o#the permitting conditions set farth in
<br /> this affidavit prior to commencing constructian. I understand that a separate permit may be required for electrical work,
<br /> plurr�bing, signs, wells, poals, air conditioning, gas, or other nstallations nat specifically included in the application. A
<br /> permit issued shali be construed to be a license to praceed th the work and nat as authority to violate, cancei, alter, or
<br /> set aside any provisians of the technical codes, nor shall issu nce of a permit prevent the Building Official from thereafter
<br /> requicing a correction of errors in plans, construction ar violati ns of any caies. Every�rmit issued shall become invalid
<br /> unless the work authorized by such permit is commenced wit in six months of permit issuanr.e, or if work autharized by
<br /> the permit is suspended or abandoned far a period of six(6} onths after the fime the work is commenced. An extension
<br /> may be requested, in writing, from the Buiiding Officiai far a riod nat ta exceed ninety (90} days and wili demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety (9 )consecutive days, the job is cansidered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A OTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWiCE EOR iMPROVEMENTS TO Y4UR PROPER . lE YOU INTEND TO QBTAiN FINANCtNG,CCINSU�T
<br /> WiTH YOUR�ENDER OR AN ATTORNEY BEFORE REGO DING YQUR NOTICE OF COMMENCEMENT.
<br /> FLlaRIDAJURAT(F.S.117.03) ���.�+ ���5 ��
<br /> OWNER QR AG�N�,a��;�_�, � CQNT CTO
<br /> Subscribed and swor to(or affimr before me th' Su sc bed d s o (or a ),be me this
<br /> by ��P.�-1-- t a tIf't�.�' ' - `! by_ �- 2�
<br /> Who is/ re persQnal)y_k e w�n to me or ave produced Wh ' ar rsanall k own to me or has/have pr d�ct�u a
<br /> �.,,�'j'JPl`S �A(� S as idenkification. c as identificatian,
<br /> Notary Public �-- Notary Public
<br /> Commiss o. �����Z- Co on N .
<br /> (�tp :���� Commission#EE 040520
<br /> Name Notary typed,printed or stamped Name f Notary �
<br /> �� � ,p�i�i"4` BordfldTtruTtqFaktM�nren0e8Q6-385-1t}t9
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<br /> �'� •`z MY CQMMISb10N M EE 846262
<br /> , EXPIftE8 4ctobe�r 23.2016
<br /> �01)�01� F odm
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