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<br /> � NOTICE O� DEED R��'TRICTIOfV�: The undersigned understands that this permit may be subject to°deed"restriction�"
<br /> which may be mare restrictive than County regutatians. The undersigned assumes respons'shitity for campliance with any
<br /> appiicable deed restrictions. •
<br /> ' Uidl.IC�NSIE� CCINTRA��OF�� AND CCtNT�C'��'1ft R��PON�l�tL!'TOE�: tf the owner has hired a �ontraatar or
<br /> i contractors to underfake work, they may be required to be licensed in accordance with state and Iocal,reguiations. If the
<br /> ; cont�actor is not licensed as required,by law, both the.owner and contractor may be cited for a misdemeanor violation
<br /> under sfate law. if the ov�rner a� intended contractor are uncer#ain as #o what licensing requirements may apply for the
<br /> � intended wrark, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> � 84Q9. Furthermore, if the owner tias hired a contractar or contractors, he is advised to have the cantractor(s) sign
<br /> portians of the "contractor Black" of this applica#ion for which they wili be responsibie. If you, as the awner sign as th�
<br /> contractor, khat may be an indication that he is not praperly licensed and is not entitled to permit#ing privileges in Pasco
<br /> County. '
<br /> TRI�IVSPORYATIfJN IMF'AC'TIUYILI'fIE� IIIfl�AC'�Af��► R��OIJ�.CE RECOV�RY�EES: The undersigned understands
<br /> that Transportation Impact F�es and Re�aurse f2ecavery Fees may apply ta the construction ofnew buildings, change of
<br /> use in existing buiidings, or expansion of existing buildings, as specifled in Pasco County Ordinance number 89-Q7 and
<br /> 94-07, as amended. The undersigned also understands, that such fees, as may be due, wil! be identified at the time of
<br /> permitting. It is further understood that Transportation lmpact �ees and Resource Recovery Fees musf be paid priar to
<br /> receiving a "certificate of occupancy" or fina! power release. If the project does not involve a certificate of occupancy or
<br /> frnal power release, the fees must be paid prior ta permit issuance. Furtherrnore, if Pasco County WaterlSevuer impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION L.11EN L#iW{Ch��pter T93, �I�rid�Stat�t��, �s am�nd�d): Ef valuation of work is$2,50Q.00 or more, !
<br /> certify that I, the applicant, have been provided wi#h a copy of the °Florida Canstruction Lien Law—Hameowner's
<br /> Protection Guide" prepared by the Flarida Department of Agriculture and Consumer Affairs. !f#he applicant is someone
<br /> other than fhe"owner", I certify fhat i have obtain�d a copy af the above described document and promise in gaad faifh to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRAC'TOR'SlOViINEE�'S A��IDAVIT: 1 certify that atl the infarmation in this applicatian is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating constructian, zaning and land development. Application is
<br /> hereby made to obtain a permit ta da wrark and installatian as indicated. I certify that no work or ansta4lation has
<br /> commenced prior #o issuance of a permit and that aii work will be performed to meet standards of all laws regutating
<br /> constructian, County and City codes, zaning regulations, and land development regulations in the jurisdickion. I also
<br /> certify that 1 understand that the regulations of other gavernment agencies may app4y to the intended work, and that it is
<br /> my responsibility to identify what actians I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Departmenf of Environmental Profection-Cypress �ayheads, Wetland Areas and Environmentally Sensit9ve
<br /> Lands, WaterNllastewater Treatment.
<br /> - Sauthwrest Fiarida WaEer Manage�nent Qistrict-We11s, Cypress Bayheads, Wetland �reas, Altertng
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watennrays.
<br /> - Depar#ment of Health. � Rehabiiitative Servicesl�nviranmental Flealth Unit-Wells, Was#euvater Treatment,
<br /> Septic Tanks.
<br /> - US Environmenfai Pratectia�Agency-P►sbestas abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions appfy to the use of fill:�
<br /> - Use of fill is not alioweci in Fioad Zone"V"unless expressiy permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" wiil be subrnitted at time of permitting v�rhich is prepared t�y a prafessional engineer
<br /> licensed by the State of Florida.
<br /> - 1# fhe fill ma#erial is to be used in Fiood Zone "A° in connection with a permitted buitding using stem wa11
<br /> construction, I certify that fill will be used only to fill the area wi#hin the stem wall.
<br /> - if fill material is to be used in any area, ! ce�tify that use of such fil! will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect atijacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre v�rhich are elevated by fi11, an engineered drainage plan is�egulred.
<br /> If I am the AGENT FOR THIE OWIIV�R, I promise in gaod faith to inform the owner of#he permitting conditions set foith in
<br /> this affidavit priar to cammencing constructian. 1 understand that a separate permit may be required for etect�ical vuark,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or ofher installafions not specifically included in the application. A
<br /> permit issued shal! be canstrued to be a license to proceed vuith the work and not as authority to.violate, cancel, alfer, or
<br /> set aside any provisions of the technical codes, nar shall issuance of a permit prevenf tite 8uilding Officia!from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the wark aufhorized by such permit is commenced wifhin six manths af permif issuance, or if work autharized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> tnay be requested, in writing, from the Building Oificial for a period nat to exceed ninety (90) days and uvill demanstrate
<br /> justifiable cause for the exfension. If work ceases for ninety(90}consecutive days, the job is considered abandoned.
<br /> - - - - - -- - -- ---- -- - - - - ._� __ _�
<br /> 1A►ARNING Ta QWNi�12: YUUR (FAtLUf2� TQ R�CCtR� �, NO'TIC� C)� CCIIVIt1�ENCE��NT �IlAY E2ESULT IN YOIJ�t
<br /> F'NYING TWICE FOR IMVIPR01/EII�i�IVTS Y'O YC)lJR�I�Ot�ERYY. I�YC)U IN'�END 1'O OBTAIN FIW�INCING, COfV�ULT
<br /> V1tI7H YOUR LEND�R OR�lN�►T7'fJ�l��Y�E�QRE RECQ(��INC Y_OUR�A'TIGE C}F C4l�14�E�dCIE#YlENT.
<br /> FLORIpAJURf\T-(F .`�-17.03)--. � - - - .
<br /> OV1t(�1EC2 OR AGEF]T .�, � /i�./�2.f-�,CCtNTRJ4CT0l�
<br /> Subscribed and sw o(or a�rmed)before me this Subscribed and swom to(ar affirmed)before me fhis
<br /> by by
<br /> Who islare personalty known to me or hasthave produced Wha{slare persanally known fa me or haslhave produced
<br /> _ ,_as IdendficaBon. as idenUfication.
<br /> �+'! -., 0
<br /> ON Not ry Public Notary Pubtic
<br /> =*• :._ mm ssEOn FF 137073
<br /> Com Is o � �xpires June 29,2018 Commission tVo.
<br /> �R;;�.��idT n��Fain�nci,a�,c.eoa.3ps�o+e
<br /> fVame of Notary typed,prfnted or stamped Name of Notary typed,printed or stamped
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