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<br /> Y
<br /> NOTICE OF DEEp RE$TRICTiONS, he undersigned understands that this permit may be subject to"deed� restrictlonsn �'
<br /> which rnay be•more res.trictive than Ca nfy regulatians, The underslgned assumes cesponsibifity for compEiance wifh ar�y
<br /> appficable deed restrlctfons. �
<br /> UNLlGENSED-CONTRACTORS AN CONTRACTOR RESPONSlBILITlES: If the awner has .hlced a cc�ntractor or
<br /> , contractots to undertake wark, they m,y be required to be licensed in accordance with state antl�local regulations. If the
<br /> contractor ls not licensed as required�6y law; both the owner and contractor may be cited fo,r;a misdemeanar vioiation
<br /> under state law. If the�owner or inten ed confractar are uncer#ain as to what licensing requirements may apply far the
<br /> infended work, they are advised to con act#he�Pasco Counfy BuElding Inspeation Division—�icensing Sectiorr at 727-847-
<br /> 8009. Furthermore, if the awner ha hired a cantracta� ar contractors, he Es advised to have Ehe contractor{s} sign
<br /> portions of the "contracttir BEock" of th s applicatlon for wh(ch they wll! be responsible. !f you, as #he owner sign as the
<br /> contractor, that may be an indlcation t at he Is not properly Ilcensed and is nat entitled to permitting prlvileges in Pasco
<br /> County. � '
<br /> TRANSPORTATION IMPAC7IUTILITI S IMP!•lGT AND RESDURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and ecourse Recovery Fees may apply to#he canstruction of new buifdings, change af
<br /> use in existing bulldings; o� expansio. of existing buildings, as specified in Pasco Caunty Ordinance number 89=07`'artd�
<br /> 90-07, as amended. The underslgne aiso understands, that such fees, as may be due, wil! b,e identified at the time af
<br /> perm3tting. It Is further tanderstoad th t Transparkatlon lmpact Fees and Resource Recovety Fees must be pald prior to
<br /> �eceiving a "cerkifica#e of ocaupancy" r flnal power release. If the proJect does not invalve a certificate of occupancy or
<br /> fina! powe� release, the fees must be paid prior to permit.issuance. FurEhermore, if Pasca County WaterlSewer impact
<br /> fees are�due,-they must be.pald priar t permit Issuance in accordance�with applicable Pasco County ordinances.
<br /> CONSTRUCTiON LtEN LAW(Chapt r 7�i3, Florida Statutes, as amended): if valuation of work is$2,500.00 or more, !
<br /> certify that I, the appliaan#, have b n provided with a copy of the "Fiocida Constructian Lien �aw-Harr�eowner�s
<br /> Protectian Guide° prepared by�the Fl ida Depactment af Agriculture and Consumer Affairs. If�the applicant is someone
<br /> other than the�ouvner", I certify tHat I, ve abtained a copy of the above described document and promise in good_f.alth.to
<br /> deliver lt ko the Nowner"�prlor to comm ncement. � ,
<br /> CONTRACTOR'SIOWNER'S AFFID IT: I certify that all the informafion (n fhis applica#ion is accurafe and thaf all work
<br /> wil)�be done in compiiance wifh all ap (icabie laws regulating consfruction, zqning and land development. Applicafton is
<br /> hereby made to abtain a. permit to o work and instailatian as Indica#ed. 1 cer#ify that no work or Instafiation has
<br /> commenced privc ta�issctance of a p rmlt and #hat ail work wili be performed to meet standards of all laws regulaEEr►g
<br /> cons#ruction, Gounty and Gity aodes, zaning regulatians, and land development regulatlans !n the }urlsdiction. I also
<br /> certify that.l unders#and that #he regu! tions of otlier government agencles may apply to the intended work, and tfiat it is
<br /> my responsibilfty to ldentify what actio s I must take to be in compfiance. Such agencies Inctude but are not Iimlted to:
<br /> - Department of Enviromm �tal Protection-Cypress Rayheads, Wet(and Areas and Enviranmenfally Sensitive
<br /> Lands, WaferlWastewater Treafinent.
<br /> - Southwest Florida Wat r Management District-We!!s, Cypress Bayheads, Vi►ettand Areas, Altering
<br /> Watercourses.
<br /> - . Army Corps of Engineers- eawa!!s, t7oaks, Navlgatile Waterways. '
<br /> - Department of Mealth & Rehabilitative Servlces/Environmental Health Unit-Wells, Wastewater Treafinent,
<br /> Septic Tanks. , � ; '
<br /> - US Environmentai Profec on Agency-Asbestos abatement. � '
<br /> - Federai Aviation Authority Runways. '
<br /> I undecstand that=fhe fallowing restrlcti ns apply to the use af flil:
<br /> , - tlse of filR is not allowed i Fload Zone"V"unless expressly permitked.
<br /> - If the fll! materia! is to e used in Flood Zane °A", (t is understood that a drainage plan addressing a
<br /> '"campensating volume" ill be submitted at time of permitfing which is prepared by a professional engineer
<br /> licensed by the State of F r(da.
<br /> - If fhe fili ma#er(al is to b used in Fload Zone �AA In cannection wfith a permi#ted build�ng using stem wall
<br /> construction, i certify that �II wiH be used 4niy#o€iii the area within#he stem wali.
<br /> - if fill materiai is to be u ed in any area, i certlfy that use of such fl!I w(!I not �adversely affeat adjacent
<br /> properties. If use of f#II I found to adversely affect�adjacent properties, the owner may be c(ted for violating,
<br /> #he cond}tlons af ttie bui.a ing permit issued under the attached permit application;�far�(afs less than one (1.).
<br /> ,,...acr.e-wtaich_are.elevated.b fill, an engineered drainage pian,is requ(red.,..._ ._ �
<br /> If I am.fFie AGENT FOR THE OWNE , 1 promise iR goad faith to inform�the owner of#he permifting eanditians set forth 1n
<br /> this-affid�v� prior to corrrmeneing co; strucfion. t unders#and that �separate�perrnl#-may be requiEed far elect�Eca! wark,
<br /> plumbing, signs, welis; paals, air co ditianing, gas, ar other Insta!lations not spec9�cally included in the application: A.
<br /> permit isstted shaif be construed to b a ficense to proceed wftli the work and not as authority�to.violate, cancel, alfer,;ar
<br /> set aside any provlsians af the#echni a! codes, nor shall issuance of a perm(t prevent the Bufldirig Official from thereafter
<br /> cequiring a correctlon of errors in pla , construction or violations of any codes. Every permif issued�shail become invaiid
<br /> unless the work autharized by such erm(t is commenced wi#hin six mon#hs of permit (ssuance, or if work autharized by
<br /> the permit Is suspended or abandone, for a periad:of six(6}months affer fhe time the work is cflmmenced. An extension�
<br /> may be requested, in w�iting, fram th Buiiding,Officiai for a perlod nat to exceed ninety (90.) iiays�and w{II demonstra#e
<br /> justifiable cause for the,extensior�. If ork ceases for n{nety(9Q}consecutive days, #h��ab is considered abandoned.
<br /> WARNlNG TO OWNERe YOUR FA LURE T"O RECORD A NOTICE OF COMMEN�EMENT MAY itESULT IN YOUR
<br /> -- PAYING 'TINICE FOR IMP.ROVEME TS T4 YOUR�PR�PERTY. IF YOU iNTEND TO 08TAiN FINANCINF� CCINSUC.T
<br /> WITH Y UR�LENDE, �IR.AN A Q NE. BEftJ E RECORDi G Y U d °I t}F CO MENC�M NT.
<br /> FLORIE)A JURRT{�.5.14 0$)
<br /> OWNER OR AGENT �- � CONTRACTOI2 ~ � ~ =��
<br /> Subscrlbsd and sw ta(or aiflmred)before e thls Subsc�ibed and om!o(or affirmeda before m� Is .
<br /> by �bY ,
<br /> Who fslare person�lly known to me or has/hav produced Who Islare personaily known to me or has/have�pradueed
<br /> as iden8tica� n. as ldentificatlan.
<br /> , , ,,., Notary PubUc "�' �•. Notary Pubiic
<br /> � i
<br /> :� �;� Commission#FF 137Q73 �+: ;M Commission#FF 137073
<br /> Co 2 _ ' Co !s on i'�.i: ;�. �
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<br /> Name of Notary t}+ped,printed or stamped Name af Notary•typed,-printed or stamped �
<br />
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