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<br /> NOTICE OF DEED RESTRICTIC?NS: The undersigned understands that thls permit may be subject to"desd"restrictions"
<br /> which may be more tesfrictive_than Gounfy regulations. The undersigned assumes responsibiiity far compliance with any
<br /> applicable�deed restrictions. ` . , - � ., �-
<br /> llN!lGENSED CONTRACTORS �4ND CONTRACTOR RESPONSIBI�ITf�S: If the owr�er has hired.a contractor ar
<br /> cantractors to undertake work, they may be required to be licensed,in accordanae with state and iocaf�regulatians. If the
<br /> cont�acfor is not licensed as required by law, both the owner and contra`ctor may be cited for a misdemeanor viota#ian
<br /> under stafe law. If the owner ar intended cantractor are uncertain as to what licensing requirements may apply for the
<br /> in#ended work, they are advised to contact the Pasco County Building Inspection Division—Liaensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractars, he is advised to have the contractor(s} sign -
<br /> portions of the "contractar Block° of this application for which they will be responsible. If ybu, as the owner sign as the
<br /> contrac#or, that may be an indication that he is nat praperly i�censed and �s no# entitl�d'to_permit�ing privileges 3n Pasco
<br /> County. ' - �
<br /> TRANSPORTATION IMPACT/UTILlTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands �
<br /> #hat Transportation impact Fees and Recourse Recovery Fees may apply to the canstruction of nsw buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasca County Ordinance number-89-07 and "
<br /> 90-07, as amencled. The undersigned als.a undersfanc4s, that such fees, as may be due, wilE be_identified at the tirne of
<br /> permitting. It is further understood tha#Transportation Impac# Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or fina# power release. !f the project does not i�tvolve a ce�tsftcate af occttpancy or
<br /> finai power release, #he fees must be paid prior to permit issuance. �'urthermore, if Pasco Gounty Water/Sewer Impact
<br /> fees are due, they must be paid prior ta permit issuance in accardance with applicable Pasco County ordinances.
<br /> CON�TRUGTION I.IEN l.A1N(Ghapter 713, Ftorida Statutes�as annended): �If valuation of wark is$2,500.00 or more, 1
<br /> certify that I, the appiicant,� have been pravided with a copy of the "Florida Construction Lien Law----Homeowner's
<br /> Protectian Guide" prepared by#he Florida Department of P�griculture and Consumer Affairs. If the appl'scant is someane
<br /> other than the Nowner", t certify#haf I have ob#ained a copy of the above described document and promise in goad faith#o
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: i certify that aN the informatian in this application is accurate and that ali wark
<br /> will be done in compliance with ail applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit #a do worlt and installa#ian as indicated. 1 certify that na work or installation has
<br /> commenced prior to issuance af a permit and that all vvork will be performed to meet standards of all laws regula#ing
<br /> construcEion, County and Gity codes, zoning regulations, and land development cegulations in the jur�sdiction. E also
<br /> certify thaf i unders#and fhat the regulations of other government agencies may apply #o the in#ended work, and #hat i# is
<br /> my respansibllity to identify what actions I must take to be in compliance. Such agencies-include but are not limited to:
<br /> - Departmenf af Env9ronmental Profectian-Cypress Bayfieads, Vltetland Areas and Environmentally Sensifive
<br /> Lands, WaterNVastewater Treatment.
<br /> - Sauthwest Florida V1lates Management DEstrict VIle11s, Gypress Bayheads, Wet{and Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Enginesrs-Seawalls, Docks, Navigable Waterways,
<br /> - Departmenf of Health & Rehabilitative ServicesJEnvironmental Heal#h Unit-Wells, Wastewater Treatment,
<br /> Septic,Tanks., , _. ,
<br /> - US Environmenfal Protect�on Agency-Asbestos abatement. ' .=- � 4 _
<br /> - Federal Aviatian Authority-Runways. � � _ � �
<br /> t unders#and that the-#ollowing restrictions apply to the use of fill:� , ; , r ,
<br /> - � Use of fill is not allowed in Flood Zone"V"unless expressly pe�mifted.� �
<br /> - If the fill material is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a
<br /> "compensating votume" witt be submitted at time af permiffing wFtich is prepared by a professiona) engineer
<br /> licensed by the State of Florida.
<br /> - If fhe fill material is ta be used in Flaod Zone "A" in connection uvith a permitted building using stem watl
<br /> construc#ion, I certify that fill will be used only#o fill the area within the stem wall.
<br /> - if fi11 material is to be used in any area, I certify that use of such fill wil! not adversely affect adjacent
<br /> properties. if use af fill is found to adversely affecE adjacent praperties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lats less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to infarm the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construcfion. I understand that a separate permit may be required for etect�icat wock,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations nat specifically included in the app�ication. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to vialate, cancel, alter, or
<br /> se#aside any provisions af the technieai cades, nor shail issuance of a permit prevent the Building{3fficia!fram thereafter
<br /> requiring a correctian of errors in plans, constructian or violations of any codes. Every permit issued shall become invalid
<br /> unless the work autharized by such perrr�it is commenced with�n six months of perrrx[t �ssuance, or �f wark authorized by .
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced., An extensian
<br /> may be requested, in wri#ing, fram the Building C�fftcial fo� a periad not to exceed ninety t90) days and wil! demonstrate
<br /> justifiable cause for the exkension. If wark ceases for ninefy(90)consecufive days, the jab is considered abandoned.
<br /> WARNING TQ OWNER: YOUR FAI�URE TO RECORD A Nt3TICE OF CONiMENCEMENT MAY RESULT IN YOUR
<br /> PAYING.'TVVICE_FOR_IMRROVEMENTS T_O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, GCINSULT __
<br /> WlTH Yt,}UR�ENDER OR AN ATTORNEY BEFORE RECORDING YQUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.0 ,�•�J� –�(:��� `��%%�
<br /> OWNE12 OR AGENi' ��,�'� CONTRACTQR y
<br /> Subscribed and sworn to(or affirmed)he ore me thls Subscrfbed and swom to(or affirmed)before me this
<br /> by bY
<br /> Who istare persanaity known to me or has/have produced Wttio Islare petsonally knawn Eo me ot ttasll�ave produced �
<br /> as IdenUficabon. as tdenbfication. '
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<br /> .•ti".r't% ,, .J B CON .,�, Y""
<br /> tary Public .d�•. •• J � Notary Public
<br /> �� :a E�t ires June 29,2018 *: � i ,`�"?�?�
<br /> Com I p Co i - '�3
<br /> ,P,;.,� �"�,8;:°�. �o;,a�.roie
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<br /> Na e of Notary typed,printed or stamped Name of Notary kyped,printed or stamped
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