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<br /> NOTtC�OF DEED RESTRtGTtQNS_ "Fhe undersigned unde tands that this perrttit may be subject to"deed°restrictions°
<br /> which may be more restrictive than Couniy regulations. The ndersigned assumes responsibility for compliance with any
<br /> , „ applicable deed restrictions.
<br /> ' UNLIGENSED GONTRACT�RS AND CQNTF2ACTOR RE PONSlStL1T1ES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be lic nsed in accordance with state and focal regutations. If the
<br /> contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation
<br /> under sfate taw. If the owner ar intended cantractor are un rtain as to what licenssng requirements may apgty for the
<br /> intended work,they are advised to contact the Pasco Caunty Buitding tnspection Division—Licensing Section at?27-847-
<br /> 8009. Furthermore, 'rf the owner has hired a contractar o contractors, he is advised to have the contractor(s) sign
<br /> podians af the"coatractor B[ock°of this applicafion(or whi they wiSi be responsibie_ if yov,as the owner sign as the
<br /> contractar,that may be an indica6on that he is not properly icensed and is nat entitled to permitting priviteges in Pasea
<br /> Gounty.
<br /> TRAP]SPORTATIQN IMPACTIUTtLET1ES lMPACi'AND RE 4URCE RECOVERY FEES: The undersigned understands
<br /> that Transportation tmpaot Fees and Reaourse Recovery Fe s may appty#o the consiruction of new buiidings,change af
<br /> use in existing buildings, or expansion af existing buildings, s specified in Pasco County Ordinance number 89-07 and
<br /> SQ-d7,as amended. ihe undersigned aiso nnderstands,th t such fees,as may be due,wifi be identified at the time of
<br /> permitting. it is further understood that Transportation Impa f Fees and Resource Recovety Fees must be paid prior to
<br /> receiving a°certificate of occupanc�'or final power release. If the project does not involve a certificate of occupancy or
<br /> finat power release,the fees must be paid prior ta psrmit is uance. Furthermore,if Pasco County WaterlSewer Impact
<br /> fees are due,they musf 0e paid ptiar ta petrnit issuance in a rdance with applicabie Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter T13,Flarida Statut s,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that E, the applicant, have been provided with a py of the "Florida Construction Lien Law—Homeownec's
<br /> Pratection Guide"prepared by the Florida Depar#ment of A riculture and Consumer Affaiss. lf the appficant is sameane
<br /> o#her than the"awner�,I certify that I have obtained a capy o the above described document and promise in good faith ta
<br /> deliver it to the"owner"pnar Yo commencement
<br /> CONTRACTOR'SfOWNER'S AFFIDAVIT: 1 certify that all e informatian in this appi'scafion is accurate and fhaf all wark
<br /> will be done in compliance with all applicable laws regulatin construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installati n as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that aIl wo witt be perfarmed to meet standards af all Eaws regutating
<br /> construction, County and City codes, zoning regulations, nd land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulatians of other govem ent agencies may apply to the intended work,and that it is
<br /> my responsibility to idenEify what actians 1 must take ta be in mpliance. Such agencies include but are not timtted to:
<br /> - Department of Environmental Protection-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management t7is ict-Welts, Cypress Bayheads, 1Ne#and Areas, Altering
<br /> Watercourses,
<br /> - Army Corps of Engineers-Seawalls,Docks,Nav gable Waterways.
<br /> - Department of Fteatfh 8� Rehabititative Servi slEnvironmental Heatth Unit Wetls, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos batement
<br /> - Federal Aviation Aut3zo�sty-Runways.
<br /> 1 understand that the following restrictions apply to the use fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unles expressly permitted.
<br /> - tf the filt materiai is to be used irt Ftoad Zo e "A", 'st is understood that a drainage pian addressing a
<br /> "compensating votume"wilf be submitted at ti e of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fiil material is to he used in Flaod Zan °A° in conneckion with a permitted buitding using stem waU
<br /> construction,1 cerfify thaf fiit wiil be used onty to fiiI the area within the stem wall.
<br /> - If fill material is to be used in any area, I rtify that use of such fill will not adversely affiect adjacent
<br /> propertiss. If use of fif!9s found to adversety a ect adjacent properties,fhe owner may be cited for violating
<br /> the conditions of the building permit issued un er the attached permit appiicatian,for[ots{ess than one{1}
<br /> acre which are elevated by fill,an engineered d ainage plan is required.
<br /> if I am the AGENT FOR THE OWNER,I promise in good ith ta inform the owner of the peRnitting canditions set forth in
<br /> this affidavit prior to commencing constructian. !understa d#hat a separate perm'st mey be reqesired for electrical warlt,
<br /> plumbing, signs,wells, pools, air conditioning, gas, or oth r ins#allations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to procee with the work and nat as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technicat codes,nor shal[is aance of a permit prevent the 8uiid'sng Officiat from thereafter
<br /> requiring a correction of errors in plans,construction or vial tions of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced ithin six months of pertnit issuance,or if work authorized by
<br /> the permif is suspended or abandaned for a period of six{ )manths aBer the fime the work is commeraced. An e�ctension
<br /> may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demanstrate
<br /> justifiable cause for the extension. If work ceases for nine (90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NpTICE OF COMMENCEMENT MAY RESULT(N YOUR
<br /> PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO R�BTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATT4Ri+�EY BfFORE RE QRDlNG YOUR PlOTIGE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.08j
<br /> QWNERpRAGENT C N7RACT0 '�
<br /> Subscribed and swom fa{or affirmed}before me this 5 bscribe� sw a� ore e 's +
<br /> by 30'...... by • L}
<br /> Who is/are personally known to me or haslhave produced W o i�/ar�,personall o,�ne or ha.' iave produced
<br /> as identificaHon. L� �/N�F-+as identifiqtian.
<br /> f
<br /> Nqtary Public '�- Notary Public
<br /> ,�
<br /> Commission No. C mmi ' n
<br /> ,•� .�y�.,� JACQUEt
<br /> �, :�� mmrssion#EE Qqp5�0
<br /> Name of Notary typed,printed ar stamped N me of No2 ��' ed� 'j�
<br /> "� �ol'Fam�' 1��,7019 �
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