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<br /> NOTICE O� 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 campliance with any
<br /> applicable deed restrictions.
<br /> UNl.10ENSED CClNTR�4CTpRS AND GCtNTRACTOR RESPONSIBI�ITlES: !f tfie owner has h9red a contractor or
<br /> cont�acfors #o undertake work, #hey may be required to be Iicensed in accordance with state and local regulations. if fhe
<br /> contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
<br /> under stafe law. if the owner or intended contractor are uncertain as ta wfiat licensing requirernents may apply far the
<br /> intended work, they are advised to cantac#the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8409. Fu�#hermare, if the awner has hired a confractor or contractors, he is advised #o have the canfractor(s} sign
<br /> portions of the "contractor Black" of this application for which they will be respansible. If you, as the ouvner sign as the
<br /> cont�actor, thak may be an indication that he is not properly #icensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> ; 'TRANSPORTATION IMPACTIUTILITIES IMPAC'T AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> #hat Transportstion Impact Fees and Recourse Recovery Fees may spply to the constructian of new buildings, chartge 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 amencfed. The undersigned also ttnderstands, that such fees, as may be due, wi11 be identified at the time of.
<br /> , permit#ing. It is further understood that Transparkation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate af occupancy" or�nal power release. If the project does not involve a certificate of occupancy or
<br /> fina# power release, the fees must be paid prior ta permit issuance. Furthermare, if Pasco County WaterlSewer Impact
<br /> fees are due, they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTl2UCTION �IEIV LA1fV�Ghapter 713, Elarida Statutes, as amended�: Ef valuation of work is$2,500.00 or more, !
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Hameowner's
<br /> � Protection Guide" prepared by the Fiorida Department of Agricuiture and Consumer Rffairs. If the applicant is someone
<br /> other than the°owner", I certify#haf I have abfained a capy of#he above described document and promise in good faith to
<br /> , deliver it to the"owner"prior to commencement.
<br /> � CONTi2AGTOR'S/OWN�R'S AFFIDAVIT': 1 ce�tify that alt the infarmation in this application is accurate and that ai4 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 ta do work and installatian as Indicated. I certitjr that no wvrk or installatian has
<br /> commenced prior #o issuance of a permit and that all work wiit be performed to meet s#andards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify thaf t undersfand that fhe regulations of ather government agencies may apply to the intended wark, and that it is
<br /> my responsibility#o identify what actions I must take to be in campliance. Such agencies include but are not limited to:
<br /> - Depa�tment.af Env9ronmental Profecfion-Cypcess Bayheads, Wefland A�eas and Environmentally Sansitive
<br /> Lands, Water/Wastewater Treatment. �
<br /> - SouthwesE Fiorida Water Management District-Weils, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Depar#ment of Hea}fh & Rehabilitative ServiceslEnviranmenfa! Fleaffh Unit-We11s, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environti�ental Protection Agency-Asbestos abatemen#.
<br /> - Federal Aviation Authority-Runways. .
<br /> i understand that the follawing restrictions appiy to the use of fiil:�
<br /> - Use of fiil is not altawed in Fload 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 /> °compensatfig valume" wi11 be subm�tted at fime of permitting whiah is prepared by a professional engineer
<br /> licensed by the Sta#e of Florida.
<br /> - If the fill material is to be used in Fload Zone "A° in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used oniy to fill the area within the stem wall.
<br />� - ff fi!! material is to be used in any area, I certify that use vf such fll wilC not adversely affect adjacent
<br /> properties. .1f use of f"rli is found fo adversely affecf adjacent properfies, the owner may be cited far violating
<br /> .
<br /> the conditions of the building permit issued under the attached permit applicatian, far Iots less than one (1)
<br /> acre which are elevated by fili, an engineered dra9nage plan is required.
<br /> If I am the AGENT FOR THE OWNEI2, I promise in goad faith to inform the owner of the permitting conditions set farth in
<br /> this affiidavi# prior to commencing constructian. ! understand that a separate permit may be required for elec#rical work,
<br /> plumbing, signs, we(Is, pools, air condifioning, gas, or other installations not specifically included in the applicafion. A
<br /> permik issusd sha!! be construed to be a license ko praceed with the work and not as authority to.violate, cancel, alter, or
<br /> set aside any provisions of fhe technical codes, nor shall issuance of a permit prevent the Buitding Official frorn thereaffer
<br /> requiring a correction of errors in plans, construction or violatians 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 autharized by
<br /> #he permit is suspended or abandoned for a periad of six(6) months after the time the work is commenced. An extension
<br /> may be requssted, in writing, from the Building Officiai for a periad not to exceed ninety (90) days and wil! demonstrate
<br /> _ justifiable cause far the ex#ension. If work ceases for ninety(90)cansecutive days, the job is considered abandaned.
<br /> WARNINC TtJ OWNER: YOUFt FAILURE TO R�CORD A NOTICE C}F CONlMENCEM�NT {VIAY RES�3�.T IN Yt�U�- -
<br /> PAYING TIAIICE FOR IMPROVEMEN'TS TO YOUR PROPERTY. IF YOU INTEND TC1 OBTAIN FINANCING, CON�ULT
<br /> WITH YQUR LENDER t3R AN A ORtdEY BEFORE fZECOF2QINC YQUR NU"C'IGE OF C IUII�tENCE11t1ENT.
<br /> FLORIDA JURAT(F.S.117. �
<br /> p- --�_._.._.
<br /> OWN�R OR AGENT G��2�� GQN7i2�►GTOR ���'C�--�
<br /> Subscribed and swom to( rmed)before me thls Subscribed and swom t r affirmedj before me fhis
<br /> by by
<br /> Who islare persanalty kno to me or haslF�ave produced Wha fslare personaify known fo rne or haslhave produced
<br /> as ldentificakion. as identification.
<br /> ' .�..rrw�w -
<br /> ' "'� L E.BACON
<br /> -�'� ' y ����lota Public ���, Notary Public
<br /> Comm ion �;' ��: Expires June 29,20l8 �'� �:= Commfssion#FF 1370
<br /> Commiss on o. 73
<br /> r„�„ .'���, �r� e«M.e une , 18
<br /> ��** a TtwkoyFentnaranCe8p038S�?Of9
<br /> Name of Notary typed,printed or stamped Name af Notary typed,printed or s ampe
<br />
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