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<br /> i NOTlCE k�F DEED RESTRlGTl�?NS: The undersigned understands that thls permit may be sublect to°deed"rest,rictions°
<br /> which tnay be more restrletive than C unty cegula#ions, The underslgned a'ssumes responsibility foc compliance wifh any
<br /> appllcable deed restrictlons.
<br /> UN�IGENSED CQNTRACTORS AN CONTRACTOR RESPONS1BiLITiES: (f fhe owner has hired a contractor or
<br /> contractors to underEake worlc, they ay be required #a be IEcensed !n accordance wlth s`tate and local regulatlons. !f the
<br /> contrac#or is not licensed as required bjr law, both the owner and contractor may be cfted for a misdemeanor vlolattan
<br /> under state law. If fhe�owner or inte ded confractor are uncertain as to what licensing requirements may appiy for the
<br /> intended wark, they are,�advlsed to co tact the Pasco County BuUding Inspection Division--Licensing Section at 727-84�-
<br /> 8009, Furthermore, if the owner ha hlred a cantractor or contractars, he is advfsed #o have the can#ractar(s) sign
<br /> po�tions of the "cantractor Block" of# is appficafion for which they wiii be responsibfe. if you, as the owner slgn as the
<br /> contractor, that may be an indication hat he is not praperly licensed and is not entifled to permitting priviieges in Pasco
<br /> CaunEy. � �
<br /> TRANSPtJRTATinN IMPACT/UTILi ES iMPACT AND R�SC?URCE RECOVERY.FEES: The undersfgned understands
<br /> that Transportation Impact Fees and ecourse Recovery Fees may appiy to#he constructian of new bui(dfngs, change af
<br /> use fn existfng buildings; or expansio of exist�ng buildings, as specifJed in Pasco Counfy Ord(nance number 89=07"and
<br /> 90-07, as amended. The underslgne also understands, tha# such fees, as may �e dus, will be identified a#the time of
<br /> permitting� If is further unders#aod t t Transportatian lmpact Fees and Resource Reco�ery Fees must be paid prlor to
<br /> receiving a Geertificate of occupancy" or ftnal power release. If the project does not involve a eertifiicate of occupancy ar
<br /> flnal pawer release, the fees must b pa{d prior ta permlt issuance. Fu�thermore, if Pasca Caunfy Water/Sewer Impact
<br /> fees are due, fhey musf be paid prfor o permit issuance#n accordance•with applicable Pasco Gounky ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapt r 713, Flortda S#atu#es, as amended): if valuatlon of work is$2,500.00 or mare, 1
<br /> cerkify that I, the appllcant, have b en pravlded wtfh a copy of the "Ftorida Construction Lien Law-=Wameownerzs
<br /> Protection Gulde" prepared by the FI rlda Deparkrnent of Agrlculture and Consumer Affafrs. !f the applicant is someone
<br /> other than the°owner°, i cer�ify that i ave obtained a copy of the abave descrlbed docwment and promise!n gaod falth to
<br /> de(iver it to the"owner"prior to-comm ncement. �
<br /> GON7RACTOR'9IOWNER'S AFFID VIT: ( certify that all the Informa�ion in fhis applicafion is accu�ate and that aiF work
<br /> wilf�be done In compliance wlth a!! a plicable laws regulating construction, zoning and land developm�nt. Appllcation is
<br /> hereby made to obtain a permit to do work and installation as indlcated. i certify that no wark ar instal4ation has
<br /> commenced priar�to,.issuance of a ermit and that all work wiN be performed to meet standards of aH iaws regulating
<br /> construekian, Gounty �nd City code , zoning regula#ions, and land devetopmen# reguiations In the jur(sdlcfion. I also
<br /> cer#ify that i understand'that�the reg latlons af otlier government agencles may apply to the interided work, and�that It 1s
<br /> my respons(bility to idenfify what acti ns I must take to be in compliance. Such agencies include buf are not flmi#ed ta:
<br /> - Department of Enviromm �tal Protecfton-Cypress Bayheads, Vl/et(and Areas and Envirvnmentafiy Sensitive
<br /> Lands,Water/Wastewate Treatment,
<br /> - Sou#hwesE Fiorida Wa er Management Qis#rlct-Wells,� Gyprsss Bayheads, Wetland Areas, Altering
<br /> Wa#ercourses. _
<br /> - Army Carps of Engineers Seawalls, Docks, Navigable Waterways.
<br /> - Depa�Ement of Health Rehab!litatl.ve ServlaeslEnvironr�ental Heafth Unit-Weils, Wastewate� Treafinent,
<br /> Septic Tanks. '
<br /> - US Envlronmental Prote tion Agency-Asbestos abatement.
<br /> - Federal AuEatlon Authari -Runways.
<br /> I'undacstand that the following restric lons apply to the use of flll:�
<br /> - Use of flil is nat at(awed i Fiood Zone"V"unfess expressly permi##ed.
<br /> - !f the flIl material is to e used in Fiaod Zane °A°, it is understoad that a dralnage pian addressing a
<br /> "compensa#Ing volume" ill be submitted aE t(me of permitfing which is prepared by a professional engineer
<br /> iicensed by the State af lorida.
<br /> - If fhe fiil material is ta used in Fiood Zone "A" in canneatlon wfth a perm�tted building using stem waN
<br /> construction, I certify tha fill wlll be used only fa fili fhe area within the sfem wali. �
<br /> - if fiii material !s to be sed in any area, 1 certlfy that use of such fill w1ll not adversely affect adjacenf
<br /> properties. ff use of flli i found ta adversely affect��adJacent propetties, the owner may be cited for viola#ing:
<br /> fhe condltions of fhe bui ding permit issued under the at#ached permft applicatian, for lots less than one (1.)
<br /> acre which are elevated y f(U,an englneered drainage plan is required.
<br /> If I am th�AGENT FOR THE•QWht . , I pramise En good faith to Inforrii 11�e owner of the permltting.eond(tions sef forth tn
<br /> fhis affidavit prlar„to commencing co structfan. i tanderstand that�a.separate-pe�mit may be requirred far eleatrical work,
<br /> plumbing, signs, wells, poois;`air"co:ditioning, gas, or other instaflations no# specificaily inciuded in the appliaatlon: A
<br /> permit issusd shall be construed ta e a Acense to proceed w(#h fhe wo�k andPnot�as authority to.uiolate, cancel, alt+er, or
<br /> set aside any provisians of the techn cal cades, nor shaN issuance af a permit prevent the Bullding Officia(from thereafter
<br /> reyuiring a correction of errors in pla s, construction ar violatians af any codes. Every permit issued�shall become�Iiivaltd
<br /> unless the wark authorized by such erm(t is commenced within six months of permit issuance, or if work autharized by
<br /> the permit is suspended or abandon d far a pertod of six(6) months after the time the work is commenced. An extensiorn �
<br /> may be requesfed, in writing, fram f e Buiiding,t�fficfaf far a perlod not to exceed ninety (90) days.and wIA demanstrate
<br /> justiflable cause for the extension, lf ork ceases for ninefy(90}eonsecutive days, th�)ob Is consldered abandaned.
<br /> _ WARNING TO �WNER; YQUR �, ILURE TQ RECORD A NOTlCE OF COMMENCEMENT MAY RESULT 1N YDUR
<br /> PAYiNG TWICE FOFZ iiV�PRt3i��MF:�� �'C3=�Y�J!!�.!?�C36?EP�T'1(. !�YC?U lNTENn_TC?QBTAIN FINANGING, GONSUL.T �
<br /> WITH YOUR��LE DE, -Ci N TT RNEY.BEFURE RECt3RDING C!U ° O CE C!P GiM �NCEM T.
<br /> FLORIDA JURAT"(F.S.147.0 _ `
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<br /> OWNER OR AGENT - -�— CONTRACTOR' fl�t1��; �
<br /> Subscdbed and swa o or affirrned)before e hts Subscribed and om o(or afllFmed}-before me thfs
<br /> bY_._ bY
<br /> Who Islare personally known to me or haslha e produced Who(s/are�personally known to•me or hasfiave producad
<br /> as(denBBca on. as iden�8ca�on.
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<br /> ,, �;�;"'�•, JOEL B ,QN
<br /> N ry Pub(tc �'"': ..,,,. , :�: .�.,� Natary Public
<br /> '*' .`�= Expires June 29,2018 ` ,';�. .�'= Comm(ssio .
<br /> Com is e:�,�,,,s�n�a� ,�s•�o,� Commissic�:*• ' ,
<br /> "�'�°"" �RF.��� OoueedThiut �
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<br /> Na of Notary typed,pdnted or stamped Name of N ry fyped,:prinfed'or stamped
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