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<br /> t " ' sVOTICE OF DEED RESTRICTIONS: The undersigned under ands that this permit may be subject to"deed"restrictions" '
<br /> � which may be more restrictive than County regulations. The u dersigned assumes responsibility for compliance with any
<br /> appiicable deed restrictions.
<br /> UNLICERISED CONTRACTOF2S AND CONTRACTOR RES ONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be lic sed in accordance with state and local regulations. If the
<br /> contractos is not licensed as required by law,both the owne, and co:rt�ctor may be cited for a m3sdemeanor vioiation
<br /> under state law. if the owner or intended contractor are unc rtain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County uilding Inspection Division—Licensing Sec6on at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not properly li ensed and is not entitled io permit`ung privileges in Pasco
<br /> County.
<br /> TRANSPORTATIOfd IMPACT/UTILITIES{MPACT AtV9 F2ES URCE RECOVERY EEE�: The undersigned undessta��s
<br /> that Transportation Impact Fees and Recourse Recovery Fe may apply to the construction of new buildings,change of
<br /> use in existing buildings,or expansion of existing buildings, specified in Pasco County Ordinance number 89-07 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 /> petmitting. It is further understood that Transportation lmpac Fees and Resource Recovery Fees must be paid.prior to
<br /> receiving a"certificate of occupanc�'or final power release. f the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to pertnit iss ance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in acc rdance with applicable:Pasco County ordinances.
<br /> CONSTRUCTION LlEPI L/AHV(Chapter 713,Florlda Statute ,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a co y of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Ftorida�Jepartment of Ag culture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�', I certify that I have obtained a copy of he above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'SIOIMNER'S AFFIDAVIT: I certify that all th informa3on in this application is accurate and that all 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 to do work and installatio as indicated. 1 certify thst no work or installation has
<br /> commenced prior to issuance of a permit and that all work ill be pertormed to meet standards of all laws regulating
<br /> construction, Courrty and City codes, zoning regulations, an land developmeni regutations in the jurisdiction. 1 also
<br /> certify that I understand that the regulations of other govern ent agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what acfions I must take to be in c�mpliance. Such agencies include but are nof limited to:
<br /> - Department of Environmental Protection-Cypres Bayheads, Wetland A�eas and Environmentally Sensitive
<br /> Lands,WaterM/astewater Treatment.
<br /> - Southwest Florida Water Management Distri t-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Water�;ourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navig ble Waterways.
<br /> - Department of Health 8� Rehabilitative Services Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Em:ironmental Protection Agency-Asbestos a atement. -
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of II:
<br /> - Use of fill is not allowed in Flood Zone"V"unless xpressly permitted.
<br /> - If the fill material is to be used in Flood Zon "A°, it is understood that a drainage plan addressing a
<br /> "compznsating volume"will be submitted at time of perm'stti�g which is prepared by a professional ergineer
<br /> licensed.by the State of rlorida.
<br /> - If the fill material is to be used in Flood Zone " " in connaction with a permitted building using stem wall
<br /> construction,I certify that fill will be used only to fi I the area within the stem wall.
<br /> - If fill material is to be used in any area, I ce ify that use of such fill will not adversely affect adjacenf
<br /> properties. If use of fill is found to adversely aff ct adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued und r the attached permit application,for lots less than one (1)
<br /> acre which are elevated by fill,an engineered dra age plan is required. '
<br /> lf I am the AGE�JT FOit TFiE OWNER,I promise in good fait to inform the owner of the permitting conditions set for�in
<br /> this affidavit prior to commencing construction. I understancl that a separate permit may be required for elecVical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other instalfations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed ith the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the Eechnical codes,nor shall issu nce of a pertnit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violati ns of any codes. Every permit issued shall become invalid
<br /> untess the work authorized by such permit is commenced wi hin six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) onths after the time the work is commenced. An ex#ension
<br /> may be cequested, in writing, from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work cEases for ninety( 0)consecutive days,the job is considered abandoned.
<br /> WARNING TO 01NIdER: YOUR FAILURE TO RECORD A IdOTICE OF COMMENCEMEMT MAY RESULT IN YOUR
<br /> PAYING�TWICE FOR Ii1PPROVEMENTS TO YOUR PROFE TY. IF YOU INTEND TO OBTAIN FtidANCIP6G,CONSfiLT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO DIPIG YOUR NOTtCE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. 7.03)
<br /> OWNER OR GENT � � � COfd RACTOR ��i� ��¢•'— "' �
<br /> Subscribed a to(or artirmed)before me this Sub bed and swom to(or a�rtned)before me this
<br /> i-t�- x zx ny ncw� �el�✓ i�'= � z��4 by�r;en ke�l�l�e�
<br /> YVho is/are'personally known to me nr has/have praduced V�rh s/are persanally known to me or has/have produced
<br /> �L•17L' pL�1(�p-O(r�t'oD- asidentification. f+-• L•K�CoOU(oS-(ov - O asidentification.
<br /> 3��-D
<br /> (�' �f ��q'� yQ/
<br /> �� � ' `� �Notary Public V � �O `�-�'``� Notary Pubiic
<br /> Commission No. Com ission No.
<br /> N e p�l�typed,pri���t�R� Nam o -�p�gt+��printed c�o�t r�p���ROURKE
<br /> '�� �'' MY COMMIS310N�FF 155720 =.: +- MY COMMISSION�FF 155720
<br /> �°,•;��;*: EXPIRES:August 28,2018 ^:�.'a: EXPIRES•August 28,2018
<br /> "':�;R��yqe�� Bondad Thru Notary Public Undeiwritars '�;pf��;:`�� Bartded Thru Notary Publk Undenvriters
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