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<br /> NOTiCE OF aEE� RESTR1CT10tVS. The�undersigned understands thaf this permit may be subject to"deeci" restrictians"
<br /> which may be more restricfive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> l7NLICE�4SER C�RlTRt�CTORS AND GC'��dTRAGTO iR FaESPOM�lBlLITIES: !f the owner has hired a contractor or
<br /> contractors ta undertake work, they may be required to ba ficensed in accordance with state and loca! regulations. {f the
<br /> confractar is not licensed as required by iaw, both the owner and contractor may be cited far a misdemeanos v'so4ation
<br /> under state law. If the owner or intended contractar are uncerEain as fo what iicensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Sectian at 727-847-
<br /> 8009. E'urthesmore, if the owner nas hired a contractor or cantractors, he is advised to have the contracfior(s) sign
<br /> po�tions of the "contractar Bioclt" of this application fo�wl�ich'they wil! be responsible. If you, as the owner sigr� as the
<br /> contractor, that may be an indicatian that he 'ss nat properiy 4icensed and is nat entitled to permitting privileges in Pasco
<br /> County
<br /> TFFANSPORTATIpN IMPACTIUTILITIES IMPACT AN�L1 RESOURCE R�COVERY F�E�: The undersigned understands
<br /> that Transporfiation lmpact �ees and Recourse Recovery Fees may apply to fhe construction of new buiidings, change of
<br /> use in existing buildings, or expansion af existing builciings, as specified in Aasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The tindersigned a4sa understar�ds, fihat such fees, as may be due, will be identified at the time of
<br /> � permitting. It is further understood that Transportatian }mpact Fees and Resource Recovery Fees must be paid priar to
<br /> receiving a 'certificate of occupancy" or final.power r�lease. If the prajecf does not invoive a certificate af accupancy or
<br /> final power release, the fees must be pa.id priar fo peErmit issuance. Furthermore, if Pasco County WaterlSewer lmpact
<br /> fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasca County ordinances.
<br /> CORiSTRUCT'IOi� LIEtV �A�,W(Chapter 713, Florida Sfiat�ates, as am�nded}: If valuation of work is $2,500.00 or more, I
<br /> certify that i, the appiicant, have been pravided w�th a copy of the "Florida Construction Lien Law—Nomeowner's
<br /> Protecfion Guide" prepared by the Florida Deparfinenfi of Agricuiture and Consumer Affairs. {f the applicant is someone
<br /> other than the"owner", I certify that I have obtained a�copy of the above described document and pramise in gaod faith to
<br /> def'sver it to the"owner" prior to.cammencement.
<br /> �OI�TF�A�CTUR'S/OW�4ER'S AFFlC�AVIT: I certify tl�at all the information in this application is accurate and that all work
<br /> wiii be done in compliance with ai! appiicabie laws regulating construction, zoning and land development. Application is
<br /> hereby made fo obtain a permit to do waric and i�stallation as indicated ! certify that na work or installation nas
<br /> cornmenced prior to issuance of a permif and thaf all work wiii be performeci to meet standards_of aif laws regulating
<br /> construction, County and City codes, zoning regula�ions, and (and developmen# regulations in �fhe jurisdiction. { alsa
<br /> cert'sfy that 1 understand that the regulations of other`government agencies may apply fo fhe intended work, and thaf it is
<br /> my responsibiiity#o identify what actions i must take t�7 be ii1 compliance. Such agencies include but are not limited ta
<br /> - Department of �nvironmental Protectio �-Cypress Sayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wasfewafer Treafinenf.
<br /> - Southwest Florida Water Manageme t District-Wells, Cypress Bayheads, Wetfand f�reas, Ritering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Doc s, Navigable Waterways
<br /> - Departmenk af Nealth & Rehab's{itative ServiceslEnvironmenta4 Hea(th Unit-Wells, Wastewater Treatmenf,
<br /> Septic 7anks.
<br /> , - US.Environmental Protection Agency-A�bestos abafement.
<br /> Federa!Aviation Author'sty-Runways.
<br /> 1 understand that the foiiowing restrictions apply to the use af fi!!.
<br /> - Use of fill is not allowed in Ffood Zone"V" unless expressly permitted.
<br /> - If the fill iraterial is to be used in Ffood Zone "A", it is understood that a drainage plan addressing a
<br /> °campensating volume" will be submitt�d af time of permitting which is prepared by a professional engineer
<br /> !'scanssd by ihe State of Florida.
<br /> - if the fifi materia{ is ta be used "sn Flood Zone "A" in connectian with a permifted buiiding using stem wa11
<br /> construction, 1 certify tha#fif4 wi!! be used only ta fill the area within the stem wall.
<br /> - If fi11 material is to be used in any area, { certify that use of such #ill wil! not adversely affect adjacent
<br /> properties. If use of fi(I is found to ad�ersely affect adjacent propertses, the owner may be cited for violating
<br /> the canditions of tk�e building permit issu�d urider the attached permit applicat'san, for lots 4ess thai� one {1)
<br /> acre whicl7 are elevated by#ill, an engmeered clrainage plan is required.
<br /> if I am the AGEN�' FCDF��t�E (31sV�6ER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior fa commencing cons#ruction. f �nderstand tiiat a separate permit may be required fior elecfrica( wark,
<br /> plumbing, signs, wells, pools, air conditioning, ga�, or other insta4lations not specificaf4y included in the application. A
<br /> permst issued shall be construed to be a license to proceed with the wor}c and not as authority to violate, caneel, alter, ar
<br /> set aside any provis'sans af the technica! cades, no�r shall issuance of a permit prevent the Buiiding Offiicial from thereafter
<br /> requiring a carrection of errors in pfans, construction ar violations of any codes. Every permit issued shall become invaiid
<br /> � unless the wor{c authorized by such permit is corr�menced within six months of permit issuance, or if work authorized by
<br /> the perrnit is suspended or abandoned far a period� af six(6} rr�onths after the time the work is cammencecl. An extension
<br /> may be requested, in wr+ting, from the Building Officiai for a period not #o exceed ninety (90} days and w'sA demonstrate
<br /> justifiable cause#or the extensian. (f work ceases far ninety {90) consecutive days, the jab is considered al�andaned.
<br /> WARNING TO �Vi11�E�:. YCDUR F�6LURE Tt� R�C04�D A I�OTlCE OF COMIVIEI�C�MEN'T MAY 6�ESU�,T IN YGUR
<br /> PAYING TWICE FJ°111fiPROVEtI+lENTS TO YOUR FROPERTY. tF YOU I�lTET�D TO U�TAIN FII�AR9CING, GONSUL,T
<br /> lf4/!7H Y011R LENDER OR P,N/�,TTOF?i�EY B�FORE REGORDiNG YC}UR�dQTtGE t�F CtiN7MEt�10E�1lIEPdT.
<br /> FtC1RiDA JURAT(F.S 117 03)
<br /> OWNER OR R,GE[d7 CONTRAGTC}R �'�h�.���G y� �.��n���� ��`
<br /> Subscribed and sworn to(or affirmed)before me fhis Subscribed and sworn to(or affirmed)before this
<br /> by bY
<br /> Who islare personally Icnown to me or has/have produced Wha istare personal{y known to me or has/have produced
<br /> as identification. as identification.
<br /> Natary!'ubl�c Nota.ry PubVic
<br /> Commission No. Cammission No.
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<br /> Name af Notary.typed,pri�ted or stamped Name of Plotary typed,printed or stamped
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