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<br /> , � ` NOTtCE OF AEED R�STRICTIOPIS: The unde signed understands that this permit may be subject to°deed"restrictions"
<br /> which may be more restrictive than County regu ations. The undersigned assumes respansibility for compliance with any
<br /> applicable deed restrictions. .
<br /> UNLICENSED CQN7RACTORS AND CON7 GTOR RESPQNSiBI�i7tES: lf fhe owner has hired a contracfor or
<br /> contractors to undertake work,they may be req ired to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, pth the owner and contractor mey be cited for a misdemeanor violation �
<br /> under staEe law. If the owner or infended con#actor are uncertain as#o whaf licensing requirements may apply for the
<br /> intended work,they are advised to contact the asco Caunty Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s� sign
<br /> portions of the"cantractor Biack"of this applica ion far which they wi![be responsihie. tf you,as the owner sign as the I
<br /> contractor, tha#may be an indication that he is ot properi i licensed and is not entitled to permitting privileges in Pasco
<br /> Counry
<br /> TRANSPQRTATiQN IMPACTlUTlLITlES lMPA T AKD RESOURGE RECQVERY FEES: The undersigned unde�stands
<br /> that Transpartatian impact Fees and Recourse ecovery Fees may appiy to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of existi g buildings( as specified in Pasco County Ordinance number 89-07 and
<br /> 9Q-07,as amended. The undersigned alsa un rstands,ttiat such fees,as may be due,wi!!be idenfified at the tirne af
<br /> permitting. !t is further understood thaf Transp rtation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final pp er release: If the project does not invalve a certificate of occupancy or
<br /> final power release,the fees must be paid prio ta permif issuance. Furthermore, if Pasco Gounty WatertSewer lmpacf
<br /> fees are due,they musf be paid prior to p�rmit is uance in accardance with appiicabte Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,FI rida Statutes,as amended)� If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provid d wifh a copy of the "Florida CanstrucUon Lien Law--Nomeowner's
<br /> Protectian Guide"prepared by the Flarida Depa errt of Agriculture and Consumer Affairs. tf the appticant is someone
<br /> other than the"owner",I certify-that I have obtai ed a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to cammencement. �
<br /> ' GOhtTRAGTOR'S10�11l�dER'S AFFIDAVIT i ce ity that a31 the irifo[mation in this application is accurafe and that a!(work
<br /> will be done in compliance with all applicable la s regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work nd installation as indicated. I certify that no work ar insta!lation has
<br /> commenced prior to issuance of a permit and haf ali work wiii be perfprmed to meet standards of ail laws reguiafing
<br /> construcfion, Gounty and City codes, zaning r guiations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of her government agencies may apply to the intended work,and that it is
<br /> ' my responsibility fo identify what actians I musf t ke to be in icompliance. Such agenciss include but are not timifed to:
<br /> - Department of Environmentai Prote tion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatmen.
<br /> - Southwest Florida Water Manag ment Dis�rict-Wetls, Cypress 8ayheads, Wefland Areas, Aitering
<br /> Watercourses. "
<br /> - Army Corps of Engineers-Seawalls, ocks,Navigable Waterways.
<br /> Departmen2 of tiealth & Rehabilita ive ServiceslEnviranmental Health tlnit-Wells, Wastewater Treatmsnt,
<br /> I Septic Tanks. I
<br /> - US Environmental Protection Agenc -Asbestos abatement.
<br /> Federa!Aviafion Authority-Runways. �
<br /> ,_>.---�f<unders�and>that�the-fa!l,qwing restrictions appty the use o�filY���,.�s.�,�,�.�,.���z,�-„�.A>.�,,�r
<br /> , - Use of fll�is not-allowed in Flood Zon "V"unless expr'essly permitted. `��'�-
<br /> - ff the fi!!materia! is to be used in Flood Zane"A", it is understaod that a drainage plan addressing a
<br /> "compensating volume"will be sub itted.at time o(permitting which is prepared by a professional engineer
<br /> licensed by the State of Floride.
<br /> - !f the fill maierial is to be used in lood Zone"A" in connection�with-a-pefmitted building using s2em waA
<br /> construcfion,i certity that fi(1 wi(I be u ed only ta 61I the area within�the stem wall.
<br /> - If fill material is to be used in an area, I ce�rtify that use of'such.fill will not adversely affect adjacent
<br /> Iproperties. If use of fill is found to dversely affect acljacent propeRies,the owner may ae cited for viola5ng
<br /> • the conditions of the building permit Issued under the attached permit applicatian,for Iots less fhan one(1}
<br /> acre which are elevated by fill,an en ineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promis i�good faith to inform the owner af Yhe permitting conditians set forth in
<br /> this affidavit prior to commencing canstructiorr. understancl that a separate permit may be required for eiectrical work,
<br /> p(umbing, signs, weiis, poois, air conditioning, as, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license o proceed�with the work and not as authority to violate,cancel,alter,or
<br /> sei asids any provisions of the technical codes, or sha11 issuance of a permit prevent the Building tJfficial fram fheresfter
<br /> requiring a correction of errors in pians,construc ion or violations af any codes. Every permit issued shall become invalid I
<br /> unless the work authorized by such permit is co menced within six months of permit issuance,or if work authorized by �
<br /> the permii is suspended or abandaned far a peri d af six(6}(months after the time the work is commenced. An extensian
<br /> � may be requested,+n writing,from the Building fficial for a period not ta exceed ninety(90}days and wiil demonstrate i
<br /> justifiable cause for the extension. If work cease for ninety(90)cansecutive days,the job is considered abandoned. �
<br /> WARN(NG TO dWNER: Y.dUR FAIi.URE TO ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR - �
<br /> PAYING TWICE FOR IMPROVEMENTS TO YO R PROPHRTY. IF YOU INTEND TO OB7AIN FINANCING,CONSULT ,
<br /> WITH YOUR LENDER OR AN ATfORNEY.BEF RE RECORDlHG Y011ft NOT(GE QF COIVtMENCEMENT. f
<br /> FCORIDA JURAT(F.S.117.03) t/" /� i
<br /> OWNER OR AGENT � CO ITRACTOR �dl.��( C 1 `� / l� ��G/��I O1� ��• I
<br /> Subscribed ar�d swom io(or affirmed}before me this ' Subscribed and swom to(or a�rmed)before me this�— �
<br /> by ( . hy
<br /> Who is/are personaliy known to me or has/have produced Wholis/are personaliy known to me or has/have produced
<br /> as idendfication. '
<br /> � i *y�+y`�`�`�;rif% .{ E .B {�N I
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<br /> Notary Publi '*� tary Public
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<br /> Commission No. Cominiss n t3'bR:�:R�`�, ed'ItwimyFanins�ance&�6�3857019
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<br /> Name of Notary iyped,printed or stamped Name of Notary typed, nied or stamAed c
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