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<br /> i�C1TiCE OF DEED RESTRfCT10NS; The undersigned understands that this permit may be subject to"deed" res#rictions"
<br /> which may be mare restrictive than County regulations The unc3ersignec3 assumes respansibility for compiiance with any
<br /> applicable deed restrictians. '
<br /> UfVLICElVSED COiVTl�CTORS A�1D CONTI2ACT�R RESPONSlB(�l71ES: ff the owner has hired a contractor or
<br /> contractars to undertake work, they may be required ta be licensed in accordance with state and loca! regulatians If the
<br /> contractor is nat licensed as required by law, bpth the owner and contractor may be cited for a misdemeanor violation
<br /> uncler state (aw. tf the owner or intended contractar are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are acivised to contact the Pasco County Building Inspection Division—Licensing Section af 727-847-
<br /> 8009 Furthermore, if the ov+,rner has hired a contractar or cantractors, he is advised ta have the contractor{s} sign
<br /> portions of the "contractar Block" of this application for which they wiN be responsible. !f you, as the awner sign as #he
<br /> contractar, tha# may be an indication that he is not praperly licensed and is nafi entifiled to permitting privileges in Pasco
<br /> COUII�y. �
<br /> TRANSPORTATIDN IMPACT/UTiLITiE� iMPACT AND RESOURGE R�COVERY FEES: The undersigned understands
<br /> that Transpo�#ation lmpact Fees and Recourse Recavery Fees may appiy ta the construetion af new buildings, change af
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Gounty C}t-dinance number 89-07 and
<br /> 90-07, as amended. The undersigned alsa understands, that such fees, as may be due, wi!! be identified at the time of
<br /> permitting. It is further undersfiood that Transportation Impact Fees and Resource Recavery F'ees musfi be paid prior to
<br /> receiving a "certificate of occupancy" or�nai power release. If fihe project does not involve a certificate of occupancy or
<br /> fina( pawer release, the fees must be paid prior ta permit issuance. �urthermare, if Pasco County Wa#er/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with appiicable Pasco Caunky ardinances.
<br /> ' CO�lS7RUC7lt?[� LtLN LAW (Ghapter 713, Florida Statutes, as atnended}, If valuation af work is$2,500.00 or mare, f
<br /> certify that I, the applicant, have been provided with a capy af rhe "F{orida Canstructian Lien Law—Homeowner's
<br /> , Protection Guide" prepared by the Florida Department af Agriculture and Cansumer Affairs. lf the applicant is someone
<br /> I ather than the"awner", I certify #hat I have obtained a capy of the above described document and promise in good faith to
<br /> Ideliver it ta the"owner" prior to commencement.
<br /> CONTRACTOR'Sl�VifNER'S AFFtDAVIT: i certify that all the information in this app(ication is accurate and that all work
<br /> will be done in compliance with alf applicable lavus regulating construction, zaning and (and deve(opment. Appiication is
<br /> hereUy made to abtain a permit to do work and installation as indicated. I ce�tify that no work or instaNation�has
<br /> commenced pric�r to issuance of a permit and that al! wark wiU be perfarmed to meet standards of al! laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ! also
<br /> certify fhat I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> , ��ny responsibi{ity to identify what actions i musfi take#o be in campiiance. Such agencies inc(ude but are not limited to:
<br /> ' - Departrnent of Environmental Protection-Cypress 8ayheads, Wetfar�d Ar�as and Environmentally Sensitive
<br /> Lands, WaterlWasfiewater Treatment.
<br /> - Southwest Florida Water 1Vianagement District-We!!s, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks,
<br /> - US Enviranmental Pratection Agency-Asbestos abatement.
<br /> ' � Federa!Aviation Autharity-Runways.
<br /> I ! understand that the fa!lowing restrictions apply to the use o€f!!:
<br /> - Use of fill is nat allawed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understaod that a drainage plan addressing a
<br /> "compensating voiume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - !f the fill material is ta be used in Flood Zone "A" in cannecfiian with a permitted building using stem waii
<br /> canstruction, I certify that fill uvi}I be used only to fi11 the area within the stem waEl.
<br /> - !f fill materia! is to Yae used in any area, ! certify that use of such fi11 will not adversely affect adjacent
<br /> properkies. If use of fill is found ta adversely affect adjacent properties, the owner may be cited far violating
<br /> the condi#ions of the building permit issued under the attached permit application, for lots less than one (1�
<br /> acre which are elevated by fil(, an engineered drainage plan is required.
<br /> If i am th�AGENT FOR TH� OWNEi2, t promise in good faith to inform the owner afi the permitting conditions set forth in
<br /> � this affidavit prior to cammencing construction. I understand thafi a separate permit may be required for electrical work,
<br /> plurnbing, signs, wells, pools, air conditioning, gas, ar ather installations nat specific�(Ey included in the application. A
<br /> permit issued shaU be construed ta be a license to pracee�i with the work �nd not as authority to violate, cancel, alter, ar
<br /> set aside �ny provisions af the technical codes, nor shall issuance of a permit prevent the Building Official from thereaftsr
<br /> ;equiring a carrection of errors in plans, construction or violations of any cades. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permifi is suspended ar abandoned for a period of six(6} months after the time tfi�ie work is cammenced. An extension
<br /> may be requested, in writing, from the Suiiding Officiai for a period no# to exceed ninety (90} days and wiil demonstrate
<br /> _ justiFable cause.far the extensian. !f work ceases for ninety {90) cc�nsect�ti�.re uw�r�, tha;�h is 4c^�s�ered abar�oneti.
<br /> WARNING TO OWNER: YOUR FAILURE TO R�CORD ,A N0710E OF �O�IIMENCEMEN7' II!!AY F2E�UL,T !N YOUR
<br /> � PAYING T9N(CE FOR IMPROVEIUIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONS4JLT
<br /> USJp�"i�Yt?l.��t_E!�?rl��t,r�t2 e S�! t�rr�a7*�c�r r�ccn�nc s�*.:�n.�,�.�.A....,....;� .�.,-,P.r.- .,C ,
<br /> .��� w+ r...+ v .c. .�.�vVr.:wo�v�3 i Viio a'c'v�.r tl d'l+�lli" �1Ji411iiIC1'V �i IC�I
<br /> GLORI(�11.11-.If:.4'��{i-:S 3�7 03)••. • — - -- ��:�%'��r`�
<br /> dWNER aR AGENT �/ CONTRACTOR ��`""
<br /> i Subscribed and s r�n, to or �rmed)?� fare me Ehis Subscribed and sworn to(r�(a tr ed}before me#his
<br /> �I i� by�..L)OI.Vi�_ f� Ft��Q �`�!��!",�bv _ali(;� P �"���Q
<br /> Who is9are e onally known to me r haslhave produced Wha is/ r�p rsonally known to"l�ie or has/have produced
<br /> as identifica#ian. —�-�- as identification.
<br /> --�������2r� Notary Public � '" otary Fublic
<br /> Olivia A.Lovett �' . —�-oi�a�`.�oa��
<br /> Commission No Commission Na,
<br /> o : u �c, e a o . ,
<br /> t�y Cammission Eacpires August 19,2016
<br /> Name of Nota , i ' Name of h1o#ary,typed,printed or s[amped COm.{�Q. ��$�$12�
<br /> • m. 0. �129
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