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<br /> � ' � NOTICE OF D�ED RESTRICTI NS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which rrf'iay be more restrictive th n County�egulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UIdLICENSED CONTRACTOR AND CO TRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,th y may belrequired to be Iicensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as req Ired by law, both the owner and contractor may be cited#or a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised o contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the own r has�hired a contractor or contractors, he is advfsed to have the contractor(s) sign
<br /> portions of the"contractor Block of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indic tion tiat hi is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRAfVSPORTATION IMPACTIU ILITIES IIIAPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees nd Recou�se Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings, or exp nsion!of ezisting buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The under igned;�also�understands,that such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understo d that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupa cy"o�r final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees mu t be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid p ior to�permit issuance in accordance with appl(cable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LA1N(Chapter T13�,Fiorida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, ha�e been provfded with a copy of the "Florida Canstruction Lien Law—Homeowner's
<br /> Protection Guide"prepared by th Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certify th t I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to c mmencement.
<br /> CONTRACTOR'S/OWNER'S AF IDAVIT: I certify that all the information in this applfcation is accurate and that all work
<br /> will be done in compliance with II applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permi to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a per,mit and that all work will be pe�formed to meet standards of all laws regulating
<br /> construction, County and City c des, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the egulations�of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what ctions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Envir nmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WalerlWaste ater Treatment.
<br /> - Southwest Florida ater� Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engin ers-S�eawalls,Docks,Navigable Waterways.
<br /> - Department of Healt R Rehabilitative Services/Environmehtal Health Unit-Weiis, Wastewater Treatment,
<br /> Septic Tanks.
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<br /> - US Environmental Pr�tection Agency-Asbestos abatement.
<br /> - Federal Aviation Auth rity-Runways.
<br /> I understand that the following res rictions apply to the use of flll:�
<br /> - Use of fill is not allow d in FloodlZone"V"unless expressly permitted.
<br /> - If the fill material is to be; used in Flood Zone "A", it is 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 /> licensed by the State�f Flo�ida.
<br /> - If the fill material is to be used in Fiood Zone "A" in connection with a permitted building using stem wall
<br /> construction,I certify hat fill wlll be used only to fill the area within the stem wall.
<br /> - If fill material is to e used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of ill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the uilding permit issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevat d by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE O ER,I pro�mise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing consfruction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specificaily included in the application. A
<br /> permit issued shall be construed o be a license to proceed with the work and not as authority to.violate,cancel,alter,or
<br /> set aside any provisions of the te�hnical codes,nor shall issuance of a permit prevent the Buildirig Official from thereafter
<br /> requiring a correction of errors in lans,iconstruction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by su h permit is commenced within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or aband ned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,fro the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If woik ce'ases for ninety(90)consecutive days,th�job is considered abandoned.
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<br /> WARIdING TO OWNER: YOUR FAILURE TO i2ECORD A NOTICE OF COMAAENCEMEPIT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR 17NPROVE ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LEPIDER OR AN A ORfVEY 8EF RE RECORDING YOUR NOTICE OF COM ENCEME .
<br /> FLORIDA JURAT(F . . 3) !
<br /> OWNER OR AGE CONTRACTOR �
<br /> Subs bed and swa (or rmed)bef e fs � Subscribed d to rtnedZ e
<br /> zf �/� by ' j L-3o—/ 2�5
<br /> �pq�o is/�re personally kno o me or has ave produce'd WhA Is/ar ersonally known to me or has/have produced
<br /> 'f'(_� ,Uf�IIQ-r U�C.eY.SI� as IdenB cadon.l I �(.� �Ri�G�t2�.�Sn-- as identification.
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<br /> ' L�K)Gt� Notary Public �.�.R Notary Public
<br /> Co ssl �����3 Commis fon o.
<br /> :�� , ' Commisslon#FF 150 22 i ;,.••.:o:i:%�f,,, JACQUELINE BOGES
<br /> Name of I o. �d, ��� 7019 I Name of Notary p�d, r�d P mber 12,2018
<br /> I '%'I„'p'd n4p`� Bad�d nw Troy F:m inaivanca eo63e5ao19
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