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<br /> � ` ' NOTICE OF DEED RESTRICTIONS: The undersigned unders nds Ehat this permit may be subject to°deed°restrictions°
<br /> which may be more resVictive than County regulaGons.'The u dersigned assumes responsibility far compliance with any
<br /> applicable deed restrictions.
<br /> UNLICEIVSED CONTRACTORS AND CONTRACTOR RES QNSISiL11'IES: if the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be lice sed in accordance with state and local regulations. If the
<br /> cantractor is nat{icensed as required by taw, bath the owner and contractor may be c+ted for a misdemeanor vialation
<br /> under state taw. tf the owner or intended contractor are un rfain as to what Iicensing requiremeMs may appty far the
<br /> intended work,they are advised ta contact the Pasco County uilding Inspection Division--Licensing Section at 727-847-
<br /> 8008. Furthermore, if the owner has hired a cantractar or ntractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block°of this appiication far which hey witt be responsibte. tf yau,as the owner sign as the
<br /> contractar,that may be an indication that he is nat properiy li ensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION tMPACTNT3LR3ES tMPAGT AND RES URCE RECOYERY FEES: The nndersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fee may apply to the construction of new buildings,change of
<br /> use in exisUng buildings,or expansion of existing buildings,a specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also undersfands,thaf sudt fees,as may be due,wi11 6e idenC�fied at the time of
<br /> permitting. It is further understoad that Transportatian Impac Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy°or final power release. f the project does not involve a cerkificate af occupancy or
<br /> final power retease,the faes must be paid priar to permit iss ance. Furthermore,if Pasco Gounty WateriSewer tmpact
<br /> fees are due,they must be paid prior to permit issuance in acc rciance with appticabte Pasca County ordinances.
<br /> ' CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute ,as amended): If valuation of work is$2,5q0.00 or more,I
<br /> certify that !, the applicant, have bean provided with a c y of the "Florida Construction Lien Law--Homeowner's
<br /> Protectian Guide°prepared by the Fiorida Department 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 ebove described document and promise in good faith to
<br /> deiiver it ta the"owne�'prior ta commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAViT: I certify that all th informatiean in this application is aceurate and that all work
<br /> will be dane in compliance with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit ta do work and installatio as indicated. f certify that no work or installation has
<br /> commenced prior to issusnce of a permit and that aII work i0 be pertormed to mee#standards af atI Isws regulafing
<br /> construction, County and City cades, zoning regulations, a d land development regulations in the jurisdiction. I also
<br /> certify that t understarsd ttrat the regulatians of other govem ent agenciss may appfy to the intended work,and that it is
<br /> my responsibitity to identify what actions 1 must take to he in mpliance. Such agenaes inctude but are not limited to:
<br /> - Department of Environmental Protection-Cypres Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,llUaterlWastewater TreaUnent.
<br /> - Southwest Florida Water Managemetrt Dist ct Wetls, Gypress Bayi�eads, We#land Areas, A{tering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navig b!e Watervvays.
<br /> - DeparEment of Health & Rehabilitafive Service Environmental Hea[th ilnit-Wells, Was#ewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos a atement.
<br /> - Federal A�iation Authority-Runways.
<br /> I understand that the follawing restrictions apply to the use of dl:
<br /> - Use of fill is nat allowed in Flaod Zone"V"unless xpressly permitted.
<br /> - If the fill materiat is to be used in Ftood Zon °A°, it is understood that a drainage plan addressing a
<br /> "compensating volume°will be submit#ed at tim of pertnitting which is prepared by a professionat engineer
<br /> licensed by the State of Florida.
<br /> - If fhe fili material is to be used in Ftood Zone " in cannectiorr with a permitted buitding using stem wa41
<br /> construction,1 certify that fiIi will be used only to II the area within the stem watt.
<br /> - If fill material is to be used in any a�rea, I ce ify that use of such fill will not adversely affect adjacent
<br /> progerties. lf use of fi11 is found to adversely aff ct adjacent properties,the owner may be cited for violating
<br /> the canditions of the building pertnit issued und r the aftached permit application,for tots less than one(1}
<br /> acre which are elevated by fill,an engineered dr inage plan is required.
<br /> If 1 am the AGENT FOR 7HE OWNER,f promise in good fai h to infoRn the owner of the pertnitting condit'sons set forth in
<br /> this affidavit prior to commencing construction. 1 understan that a separate permif may be required for electrical work,
<br /> plumbing, signs,wells, pools, air conditioning, gas, or othe installations not specifically included in the application. A
<br /> permit issued shatt be construed to be a license to proceed ith the work and not as suthority to violate,cancel,alter,or
<br /> set aside any pravisio�s of the technical cades,nor shall iss ance of a permit prevent the Buitding Oificial fram thereafter
<br /> requiring a correction of errors in plans,construction or viola ions af any codes. 6very permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced 'thin six months of permit issuance,or if work authorized by
<br /> the permi#is suspended or abandoned for a period af siac(6} anfhs after ttse 6me the work is cammenced. An extension
<br /> may be requested,in writing,fram the Building Official for period not ta exceed ninety(90)days and will demonstrate
<br /> justifiabte cause for the e�dension. !f work ceases for ninety 0)consecutive days,the job is considered abandoned.
<br /> WARNIPIG TO OWNER: YOUR FAILURE TO RECORD NQTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE TY. IF YOU INTEND TO OBTAIN FINANCING,CONSUL7
<br /> WITH YOUR�.ENDER OR AN ATTORNEY SEFORE REC RDING Y011R NOTt OF CC}MM CEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CO TRACTOR
<br /> Subscri68d an bswom ta(or aR'irmed}6etore me th[s �u d b o {ar� e re me thi¢i„
<br /> •'t-Y t
<br /> Who is/are persanally known to me or hasRiave produced Wh is/ personally Imown ta me or has/have produced
<br /> as idenUficatian, as i enGflration.
<br /> Notary Pubtic Notary Public
<br /> Commission No. Ca mi Ion o.
<br /> NameafNotarytyped,printedorstamped Na e No�t�c�} eprintedotsASHLVNACKERMAN
<br /> ;'i°� ��c�'z
<br /> . __ Notary Public-State ot flarida
<br /> `"-;a,' 8�;My Comm.Expires It+lar 12,2018
<br /> '�;�o���o;:° Commission #FF 100496
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