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<br /> NC}TICE OF DEED RESTRiCT10NS: The undersfigned understands that this permit may be s�tb)ect to"deed"restriotions"
<br /> whlch may:be.more,resUictive than.County regulations. The understgned assumes:cesponsibliity.far compliance with any
<br /> appllcable deed restrlcttons. '
<br /> UNLICENSED CONTRAGTORS AND CONTRACTOR RESPON�IBILITIES: If the awner has hlred a cantractor or
<br /> contractars to undertake work, they may be requPred to be licensed in accordance with stafe and tocat reguiafions. if fhe
<br /> contractor is not licansed as required by law, both the owner and contractor may be cited�for a misdemeanor vtolatidn
<br /> under state law. if the awner or intended contractot ace trncertain as to what licensing requirements may appty fiar the
<br /> intended work;they are advised ta contact Ehe Pasco County Building Inspection D'nrlsEon—L:icensing Seotlon at 727-84?-
<br /> 80Q9. Furthermare, If the owner has h(red a corit�actor or contractors, he is advised �to have the contractor(s) sign
<br /> portians of the "contrackor Block° of this application for which they wiq be responslble. (f you, as the awner sfgn.as the
<br /> cantractor, that may be an indication that he is not properiy Rcensed�and is not entided to permitting privileges.in Pasco
<br /> County.
<br /> TRANSPORTATtON IMPACTiUTIL-ITlES IMPAGT AND RESQURCE REGQVERY FEES: The understgnec!understands
<br /> that Transpartation impack Fees and Recaurse Reaovery Fees may apply to the canstruction of new buildings, change of
<br /> use in existing buildtngs, ar expansian of exlsting buildings, as specifled fn Pasco County Ordinance number'89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may 6e due, will be identified at the time of
<br /> permitting. it is further understood fhat Transpo�tation Impact Fees and.Resource Recavery Fees,must be paid priar to
<br /> receiving a "cert�fcate af occupancy" or final power.ceiease. If-#he projeat does not�invoive a certificate of occupancy or
<br /> finai power release, #he fees must be pafd prior ta permit issuance. Furthermore, if Pasca County WaterlSewer Impact
<br /> fees are due,they must be pald priar to permlt issuance�in accordance witFi appllcable Pasco'Caunty ardinances.
<br /> CGINSTRUCTION LIEN LAW(Chapte�713, Florida Statutes�as amendedj: If valuation of work is$2;500.00 or more, I
<br /> certify that I� #he applicant, have been prov(ded with a copy of the °Fiorida Consfructlon Lien Law--Homeowner`s
<br /> Protectton Guide° prepared by the Florida�D.epartment of Agricultur� and Cansumer Affairs. If the appiicant is someone
<br /> other than the"owner�, 1 certify that 1 have abtained a copy of the above desci�ibed document and promise In good fal#h to
<br /> deliver it ta�#he"owne�"priar to commencement.
<br /> CONTRACT4R'S/4WNER'S APPIDAVIT: ! certify that a!I the-tnformatton in thPs application is accurate and that all work
<br /> will'be done In campliance with all appllcable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do. work and installatian as indlcated. 1 certify #hat no work or insfaila#ion has
<br /> commenced prior to issuance of a permit and that alt work will be performed to meet standards af ali laws regulating
<br /> canstruction, County and City cades, zaning regu4ations, and land develapment regulatians in the jurlsdictlan. 1 also
<br /> cert�yr that 1 understand that the �egulations of attier government agencles may apply to the intended wark, and'that it is
<br /> my responsibility to tdentify what actlons!must take to be in compliance. Such agencles include but are not limited to:
<br /> - Department of Environmental Protectian-Cypress Bayheads, �Wetland Areas and Environmentally Sensifive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Sauthwes� Ftorida Watet Management District-Wells,. Cypress Bayheads, Wetland Areas, Altering .
<br /> Watercourses.
<br /> - Army Corps af Engineers-SeawaltsT Docks, Navlgable Vifa#erways,
<br /> - Department of Health � Rehab!lita#ive. Services/Envira�nmental Health Unit-Wells, Wastewater Treatment�
<br /> Septia Tanks.
<br /> - US Environmental Protectlan Agency-Asbesfos abafement.
<br /> - Federai Aviatlon Authority-Runways.
<br /> 1 unders#and that the following restriations apply ta the usa af flll;�
<br /> - Use af fi41 is not aliowed in Fiood<Zone"V"unless expressly perm9tted.
<br /> - !€ the flN matecial is ta be used in Flood Zone "A", it fs understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> Itcensed by the State of Flortda.
<br /> - If#he fitl material is to be used in Flood Zone "A" in connectian with a permitted bu�iding using stem wal!
<br /> � consfruction, 1 certify tha#�fi0 wi8 be used only to f�N the area with[n the stem wall.
<br /> - if fill materia4 is to be used fn any area, 1 certtfy that use of�such fil! wl!! not adversely affect adjacent
<br /> propertles. I#use of fill-Is found to adversely affect adJacent prapertles, the owner may be cited for violating
<br /> the conditio�s of the buiiding permit Issued under the attacfied permit application,#or lofs less than one (1}
<br /> aare which are elevated by fltl, an engtneered drainage pian is required.
<br /> If I am the AGENT ROR THE OWNER,-1 promise in gaod.fisith ta inform the owner of khe pem�itting conditions set forth in
<br /> thls affidavit prior to commencing construatian. 1 understand that a separate perm4k may be required for elect�ical work,
<br /> plumbing, signs, weits, poots, air conditianing, gas, or other installations not speci�aally inciuded in the application. A
<br /> perm{t issued shat! be canstrued to be a license to proceed with the work and not.as authority to.violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance e�f a permit preven#fhe 8uitdirig Officiai ftam theres#ter
<br /> requiring a•correction of errors in plans, construction or violafions of any codes. Every pernitt issued shali become invalid
<br /> uniess #he work authorized by such permi# is cammenced within=s�C months of permit Issuance, or�work autharized by
<br /> the permit is suspended or abandoned-for a periad of..slx{6)months afke�the time the work is commenced. An extensian
<br /> may be requested� in writing, from the Building �ffialal for a perlod not to exceed ninety (90) days and will demonstrate
<br /> just#fiabie cause for the extension. If work ceases far ninety(90)consecutive.days,.th�Job is considered abandoned.
<br /> WARNING TQ OWNER: YOUR.FAIL.URE TO�RECt?RD�A`Nf3TICE t?F COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TINiGE ROR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IPITEND TO 08TAIN FINANCING,CONSUl.T
<br /> �"IT ,11i3UR LENDER OR AN A1TC?RNEY BEPQRE RECORDlNG YOUR NOTICE l�F COMMENCEMENT
<br /> F�.ORlDA JURAT{F.S.'117.Q3} �J
<br /> -..� ��.�.�_�__..�_ ..__ __' _.�// ` �y -_.'---__.�..._ _.._.-.-- _ .. __._`"__.__ ... _'__
<br /> OWINER QR AGENT�f���'e�'_" CONTRACTOR,
<br /> Subsccibed artd swom to(or affirmedj before me thls Subsalbed and b�om to(or afflrmedj,befare ms thts
<br /> by
<br /> Who(s/are personaily knawn to me or haslhave produced Wha Istare personally lcrtown to me ar haslhave produced
<br /> as IdentlBcaUon. as IdentlficaBon.
<br /> ,,,�, ,, EL � N
<br /> ";"' JO otary Public �". ' ' #FF ' Nokacy Publlc
<br /> ��,�1 Y :a; Expites June 29,
<br /> =«: �..: mmESS on 37073 - � �,�.�g
<br /> Cammf Ar ExpiresJune29,2U18 Commiss b� �••�"•' W7hruTarfFeintnaue�+
<br /> ��i�N P N �OYFB�IIII1311f8RC0BIX,�BS��Of9
<br /> Name af Natary typed,printed ar stamped Name of No¢ary typed,printed or stamped
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