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<br /> NOTICE OF DEED RE$TRICTIONS: he undersigned understands that this permit may be subject ta"deed°restrlctlons"
<br /> which rnay be more res.frictive than Co nty cegulations. The unders(gned assumes responsibtlity far compliance wffh any
<br /> appiicable deed restrictlbns,
<br /> � UNLiGENSED GONTRACTORS AN CdNTRACTOR RESPONSIBILlTlES: !f the awner has hired a c�ntractor or
<br /> contractors to undertake work, they m y be requlred to be licensed in accordance with state and Iocal regu(atlons. tf fhe
<br /> � contractor is not-licensed as required by law, both the owner and confractar may be cited for.a misdemeanor vioiativn
<br /> under state law. If the f owner or inten .ed contractor are unaerfain as to whaf ticensing requirements may apply for the
<br /> intended work, they are,advised to con act tha Pasco Counfy Suild3ng Inspecfion Dlvision--Lficensing Section at 727-847-
<br /> 8009. Furthermore, if the owner tia hired a confrac#ar ar contractors, he is advEsed to have the corttractor(s) sign
<br /> port3ons of the °can#ractor Block" of th s appllcation for which they wlll be responslble. If you, as the owner sign as the
<br /> contracEor, that may be an indlcation t at he is not properly Ilcensed>and is not entitled to permitting privileges in Rasco
<br /> County. � '
<br /> TRANSPORTATION IMPACTIUTILITI S IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and ecourse Recovery Fees may apply to the canstructian af new buildings, change of
<br /> use in existing bulidings, or expansia. of existing buildfigs, as speciz"ied in�Pasco Caunfy �7rdinance ntr�tber 89=07`aci�!
<br /> 90-07, as amended. The undersigne aiso understands, that such fees, as may be due, wA! be �den#11�ed a# the kims o#
<br /> permitting. It Is further understaod th t Transportatlon lmpact Fees and Resource Recovery Fees must be patd pridr to
<br /> �ecefving a °certiflca#e of occupancy" r flnal power release. �f the project does not invalve a certificate of occupancy or
<br /> fina! power release, the fees must be paid prior to permft issuance. �Furthermore, if Pasca County Water/Sewer impacf
<br /> fees are due,.they must be p.ald prior t perm(t issuance in accordance wifh ap,plicable Pasca Coun#y ordinances.
<br /> CONSTRUCTI4N LiEN LAW(Chapt r 7�i3, Florida Statutes, as amentied): if va(uation af work is$2,50pA0 or more, 1
<br /> certify that I, the applicant, have b n pravided wi#h a copy of fhe °Florida Constructian Lien Law--Homeov+rr�er's
<br /> Pratection Guide" prepared by the FI Ida Department o#Agriculture and Gonsumer Affalrs. !#'the applicant is someone
<br /> other than the uawner°, I certify that! ve abtalned a copy of the above described document and promfse in good falth to
<br /> deliver It to#he"owner"�prlor to comm ncement. _ ,
<br /> CONTRACTOR'SIOWNER'S AFFID IT: f cer#ify thaf all fhe information (n this appiicafion is accurate and that ail wark
<br /> wiil�be done in compliance with all ap (icabie laws regulating canstruatian, zoning and iand_deveiopment. Appiicatian is
<br /> hereby made fo-abfain a permit to o work and installatian as indicated. 1 cert3fy that no wark or installatlon has
<br /> commenced priar ta issuance af a p rmit and that a!1 work wli! be performed to meet standards of ai! laws regulating
<br /> construction, Gounty and C�ty codes, zoning regulafions, and land development regulatians in the jurisd(ctCon. ( also
<br /> cerkify that I understand that the regu! tions of otiier gavemment agencies may apply to the interided work, and�tliat it is
<br /> my responsibfllty to(dentffy what actia s I must take to be in compliance. Suah agencfes include but are not limited to:
<br /> - Department of Enviromm �tai protection-Cypress Bayheads, Wetland Areas and Environmenfal)y Sensitive
<br /> Lands,WaferlWasfewater Trea#menf,
<br /> - Southwest Florida Wat r Managemenf Distrlct-Weiis, Cypress Bayheads, iti►et{and Areas, Aitering
<br /> Watercourses. w �
<br /> - Arrny Gorps of Engineers eawa!!s, Docks, Navigable Waterways. '
<br /> - Depa�tment of Health & Rehabilitative Services/Environmental Health Unit-Wells', Wastewater Treatmenf,
<br /> Septic Tanks. , -
<br /> - US EnvironmenEal Profea on Agency-Asbestos�abatement.
<br /> - Federal Aviafion Authority Runways.
<br /> I undacstand fhat the foilawing restrlct3 ris apply ta the use of fiN.�
<br /> - Use of fiil is not allowed in Flaod Zone"V"unless sxpressly permftted.
<br /> - � If the fll! materla! is to 'e used in Flaod Zone "A", (t is understood that a drainage plan addressing a
<br /> °compensating volume" ill be submitted at tf'me of permi#ting which is prepared by a professionai enginaer
<br /> licensed by the State of F rida. `
<br /> - (f the fill material is to b used in Fload Zone "`A" in connection wi#h a perinitted buiiding using stem walf
<br /> � constructfon, t certify tliaf tll wifl b�used anly ta fil!the area within#he stem wail.
<br /> - 1f fil! material is ta be u ed 3n any area, { ,certify that use o.f such fil! wlll not �adversely affect adjacent
<br /> properkles, tf use.of fill i found to adversely'afifect�adjacent propertles, the owner may be cited for violating:
<br /> the cond!#lons of khe buii ing permft lssued under�the attached permit application,_far (ots less fhan one (1.}
<br /> acre which are elevated b �II, an englneered drainage pian is required. �
<br /> If i am the AGENT FOR THE OWNE , 1 promise tn good fai#h fo inform the awner af the permif#ing eandltions set for#h in
<br /> fhis affidavit prior to commencing co struction. 1 understand fhat a separate:permiE t�ray-�be required for eleatr(cal work,
<br /> piumbing, signs, welis, pools, air co.ditioning, gas, or other Insta!lations not speci�cally included in the appRcatlan: A
<br /> permit issued shaif be construed to b a Ifce�se tv proceed wi#h the work and not as author(ty;to.utolate; cancel, alt�r;�or '
<br /> set aside any provisions of Ehe techni a) codes, nor shall Issuance of a permit preven#the Buildirig Official from thereafter
<br /> requfring a correctlon of�rrors in pla , construction or violations of any codes. Every permit (ssued•shali become invalid
<br /> unless the work authari�ed by such ermit is commenced within six mon#hs of permi# issuanae, or if wark autharized by
<br /> the permit Is suspended or abandone for a per(ad of six(6) months affer fhe time the work is commenced. An extenslon
<br /> may be requested, in writing, from th Building,Offlciai for a petEad not to exceed n9nety {90) days:and.wlll demonstrate
<br /> )ustifiable cause#or the extension. If ark ceases for ninety{90)consecutive days, th�Job is considered abandoned.
<br /> WARNlNG TQ OWNER:. YO.UR FA LURE 7'O RECORD A NOTICE OF COMMENCEMENT MAY RESULT tN Y,OUR
<br /> PAYIIVG'fWICE FUR IIViPROVEME '�� �"L=YOCl13 6"���'ER-'�'°�'. t�1lOU:tN�'�ND TO O�TAiN FtNANCiN�, CONSU�T
<br /> WITH Y� UR��LENDE, .t�R: N A O NEY.BEFf3 E � ORD NG YC1U OTIC OF C MMENC�M NT.
<br /> FLORIt7R Jt9i2AT(F.S;1'{7:03} � �
<br /> OWNEtt oR AGHNT CONTRACT.OR __1�f l,�_{?�
<br /> Subscribed and swam fo(or afflrmed)before e thls � Subscrlbed and sw to{ar afftrmed)bafore me thls ,
<br /> by bY
<br /> Who fs/are personally known tb me or haslhav' produced Who islar - onally known'to me or haslhave.jprodueed
<br /> as idendfica8 n. � as ldent#flcatipn.
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<br /> • Notary Public ""'"°'� E�' ' Notary Public�
<br /> �M. �k= .
<br /> Commission No. Commisstan �°�• '�_ �Pires June 29,2018
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<br /> Name of I3otary typed,prin#ed or stamped tJama af N typed,pdnted ar stamped ,
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