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<br /> NCITiCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed"restrictians"
<br /> which may be more �estrictive than County regulatians. The undersigned assumes responsibility for complian4e with any
<br /> applicabie deed restrictions. '
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPlr?NSiB;{I�ITI� �f�t#�p-�S. �ne`� s,'"{'�h'ed��,'r�,'contractor or
<br /> s�.f't " r,.i t ���1 C.ti,T'i,�r� -.M..� 'j'.:..: i•-�`v1J
<br /> confractors to unde�take work, they may be required to be lice�n�ed,�r���o ����v r�th st�ts an�loca� regt�tations. If the
<br /> contrac#ar is not licensed as required by law, both #he awneF'ar�"tf c�ti'rrtt�c�or rit�yt����te�'�1�.,r.r44�,�e�n,�,anor violatian
<br /> under state law. !f the owner or intended cantractor are uncertain as to what licensing requiremenks may appiy fQr the
<br /> intended work, fhey are advised to contact the Pasca County Building Inspecfion Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign
<br /> portions of the "contractar 81ack" of this application far which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indicakion that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> Counfy. ;-, -. _:-. ' . E'=, . r =,s--�
<br /> TRANSPORTATION IMPACTNTILITiES IMPACT AND RESOI�RCE R���11�'E"RY fE�,S�`The �nde�signed understands
<br /> that TransPortation Impact Fees and Recour�e,Recover�r Fees may apply ta the con�struction of new b�il�lings, change of
<br /> use':��i:�x�s#in`'�1�1'dirigs�`c�r�e�cpa��ifl�"�f e�sti��.,�.t��lditi�s, as specified in P��d�C.�u�;C}�n.�iii'�'��r,i�tmber 89-07 and
<br /> 90-Q7, as amended. The undersigned also understands, that such fees, as may be d�ue, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />, reaeiving a "certifica#e of accupancy" ar final power release. If the project does nat involve a certificate af occupancy or
<br /> final power release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco County Wa#erlSewer impact
<br /> fees are due, #hey must be paid prior to permit issuance in accordance with appiicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amendedj: If valuatian of v�rork is $2,500.00 or more, !
<br /> certify #hat 1, the applicant, have been pravided with a copy af the "Flarida CQnstrt�r�t�on�Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Fiorida Department of Agriculture and Cansume�Affairs�'I�the applicant is someane
<br /> ather than the"owner°, ! certi#y Ehat 1 have o6tairted a copy of�tP�e-�a�ove described dacument and promise in goad faith to
<br /> deliver it to the"owner" priar to commencement. ''�'`'�`"�"'
<br /> C4NTRACTUR'S/OWNEJ�'S AFFIDAVMT: 1 certify that al! the Enformation in this application is accurate and that all wark
<br /> will be done in compfiance wi[h,�,�j�a�licable laws regulating construction, zoning and iand development. Application is
<br /> hereby made to obtain a permit to .da work and installation as indicated. I certify that no work or instailation has
<br /> commenced prior to issuance af a permit and that alt work will be pertarmed to meet sfandards of a!1 lavus regutating
<br /> canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> cer#ify that l underskand that the regulatians of ather governmenE agencies may apply ta the intended wor4c, and that it is
<br /> my responsibility to identify what actions 1 must take#o be in compliance. Such agencies include but are nat limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> Lands, WaferMlastewater Treatment.
<br /> - Southwest Flarida Water Management Distric#-Wells, Cypress Bayheads, �W.etland Areas, Altering
<br /> � Watercourses. - . �
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health 8� Rehabilitative SenriceslEnvironmenta4 Health Unit-WeOs, Wastewater Treatmen#,
<br /> Septic Tanks.
<br /> - US Enviro�mental Protection Agency-Asbestas abatement.
<br /> - Federal Aviatian Autharity-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of�!1 is i�ot allowed in Flood Zane"V"unfess expressly permitted.
<br /> - If the fill material is to be used in Flaod Zane "A", it is understoad that a drainage plan addressing a
<br /> °compensating volume" will be submitted at tlme of permitting which is prepared by a pro€essional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> constructian, 1 certify that fiil wi11 be used only to fili the area within the stem wa(1.
<br /> = If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. ff use of fill is found to adversely affect adjacent properties, the owner may be cited far via}ating
<br /> the conditions of the bui(ding permit issued under #he attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am #he AGENT�OR TNE flWNER, I promise in good faith#o inform tFte owner of the permitting canditions set forth in
<br /> this affidavit prior to commencing constructian. I understand that a separa#e permit may be required for electrical work,
<br /> plumbing, signs, we11s, pools, air conditianing, gas, or ofher installatians not specifically included in #he application. A
<br /> permit issued 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 provisians of the technical codes, nor shal! issuance of a permit prevent the Builiiing Qfficia!fram thereafter
<br /> requiring a correction of errars in plans, construction or vialations of any codes. Every permit issued shal( become invalid
<br /> unless the work..authar•i�ed,,,by.�u�h p��ni�is co.r�r��►enced within six months of permit issuan�e, or if work autfiorized by
<br /> the permif is su p:er�le�'d�'of�aband�ined�o�F�a{��eriod of six{6}months after#he time.the wur4��is comrn�e�ced�,�An extensian
<br /> may be reques��d, in writing, from the Building Official far a,period nat to exceed ninet (�0) days nd'�will demonstrate
<br /> justifiabE�',.��r�s�.,�ifoc}'t�'�e�tettsibn. #f work ceases for ninef�9t���,c�n's�"�Ct�fi,��r�;���`j��c�ins�dd,����abi�ncfoned.
<br /> •��.�.�:,,�r �;... . . "
<br /> WARNING TQ QWNER: YQUR FAlk,URE TO RECORD A NCITIC� QF CQMMENCEMENT MAY RESULT IN YOUR
<br /> --.—�Alf_at�G.'TVV�.�I�_� _t�liP12C��CE�tEN?'$�TO_Y,OUR PRQPERTY. iF YOU 6 D TO OBTAIN FINANCiNG, CONSULT
<br /> WITH YOUR L DE OR A�1 A'YTORIdEY BEFORE RECORD9�IG YCl NOT ��OF����f�NC�MEIV�'. �� �
<br /> FL0121DA JURAT F.S.117.4 )
<br /> OWNER QR AG N7 �.r---' �' COIdTRACTOR
<br /> S�scrl��1 y�ndbs (or aff'rimed} efare me t is ab c ib cj�nd sY rrt or affi�ne )bef ine is
<br /> . � y - �b 1
<br /> Who i�petsoaaUK.kaa�vn to me or has/have produced Who ls/are erson me or has/have produced
<br /> as Iden�fica�on. as identificafEon.
<br /> � Notary Public Notary Public
<br /> Commission No. Cammisslon No.
<br /> OSFELD
<br /> Name of Rlofary tYRed,prinfed or s r(.►; ��., MY COMM1SStON#FF 072369�Ia of tVotary fyped,printed or sfamped
<br /> =a• 2018
<br /> . ;;:, ;a; EXPIRES:Merch 2i, ,,,,,
<br /> ?;,••..••oe�' BcndedThzu No�ery Pun'�c Undenariters ':�:Y^y�, HEATHER D.HOSFELD
<br /> �a.
<br /> '�;°�,�;;�`' ;k; =t_ MYGOi�ilM1SSlON,�FF072365
<br /> "y,;�q �; EXPIRES:March?.1,2018
<br /> ����;,�' Bonded Thru Nqtary Pubfic UnderwMers
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