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<br /> FVCITICE OF DEED RESTRlCTIQNS: The undersigned understands that this permit may be subject to°deed"restractions"
<br /> which may be more restrictive than Caunty regula#ians. The undersigned assumes responsibiiity for compliance with any
<br /> applicable deed restrictions. �
<br /> UNLICENSED CONTRACTQRS A�fD COP17'RACYOR RESPONStBILITIES: If the owner has hired a confracfor ar
<br /> cont�actors to undertake work, they may be required to be licensed in accardance with state and local regulatians. If the
<br /> cantractar is not ticensed as required by ta�nr, both the vwner and contractar may be cited for a misdemeanor violation
<br /> under state iaw. if#he owner ar intended contrac#or are uncertain as to what licensing requirements may apply for the
<br /> in#ended work, they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
<br /> 80t�9, Fu�fhermore, if the owner has hired a can#ractor or contractors, he is edvised to have #Fre cantractor(s} sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If yau, as the owner sign as the
<br /> cantractor, that may be an indication that he is not prope�ly licensed and is not entitled ta permifting privileges in Pasco
<br /> Caunty. � �
<br /> TRANSPORTATlON IMPACT/U71LlTIES It���►C�'I�ND RESCIURCE RECC?VERY FEES: The undersigned understands
<br /> thaf Transporkatian Impact Fees and Rscourse Recovery Fees may appiy ta the construction af new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-Q7, as amended. The urtdersigned also understands, that such fees, as may be due, will be idsntified at the fime of
<br /> permitting. It is further understoad tha# Transportakion Impact Fees and Resource Recavery Fees must be paid prior to � �
<br /> receiving a °ce�tificate af accupancy" ar final power release. lf the praject does nat Envolve a certificate of occupancy or
<br /> finai power release, #he fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTtfJN �IEN l.AW{Ch�p#eP T13, �lorida Statc�tes; as artne�ded): 1f valuatian of wark is $2,500.00 or more, I
<br /> certify that I, khe applicant, have been provided with a copy of the "Flarida Conskruction Lien Law—Homeowner's
<br /> Protectio� Guide" prepared by the Ftorlda Department of Agriculture and Consumer Affairs. ff the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and pramise in good faith to
<br /> deliver it to the"owner"priar to cammencemenf.
<br /> C�NTRACTOR'S/C►WNER'S A�FIDAViT: i certify that a1i the information in this application is accurate and tha#all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land develvpment. Application is
<br /> hereby made to abtain a permit to do work and insEallation as indicated. t certify that no work or instailation has
<br /> commenced prior ta issuance of a permit and that all work will be pertormed to meet standards of all laws regula#ing
<br /> COt1StfUCtt011, County and City codes, zoning regulations, and land developrnent regulations in the jurisdicfion. 1 also
<br /> certify that I understand that the regu�ations of other government agencies may apply #a the intended work, and that it is
<br /> my responsibility to�id`entify what actions ! must take to be in compliance. Such agencies inclucle but are not limited to:
<br /> - D�partment af Environmental Prot�cfian-Cypress Bayheads, Wetland Areas and Ernironmentatly Sensitive
<br /> Lands, WaterMlastewater Treatment.
<br /> - Sauthwest Florida Water IVlanagement Disf�ic#-We11s, Cypress Bayheads, Wefland Areas, A1#ering
<br /> Watercourses,
<br /> - Army Corps of Engineers-Seawalls, Dacks, Navigable Water�nrays.
<br /> - Department of Meal#h & Rehabilitative Services/Environmental Heaith Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectian Agency-Asbesfos abatement.
<br /> - Federal Aviatian Authority-Runways.
<br /> !understand that the following resfrictions apply to the use of fi11:
<br /> - Use of fill is not allowed in Flood Zone°V"unless expressly permikted.
<br /> - If the fil! material is to ,be used in Flood Zone °A", it is understood that a drainage plan addressing a
<br /> °compensating vaiume" wiil.be submitted 'at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If #he fill material is to be used in Flood Zone "A" in connection with a permitfed building using stem vtirall
<br /> canstruc#ion, I certify that fill will be used only#o fill the area within the skem wall.
<br /> - 1# fi11 material is to be used in at�y arsa, 1 certify that use of such fill will not adversely affect adjacertt
<br /> praperties. If use of fill is faund to adversely affect adjacent properties, the owner may be cited for violating
<br /> the condltions of the building perrnit issuec! under #he attached permit application, for iats less than one (1}
<br /> acre which are efevated by fi(I, an engineered drainage plan is required.
<br /> If I am the AG�NT FOR THE OWNER, I promise in good faith ta inform the awner af the permitting conditions set forth in
<br /> fhis affidavit grior to commencing construction. 1 understand that a separate permit may be required for elec#rical work,
<br /> plumbing, signs, wells, poals, air conditioning, gas, or other installa#ions not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and no#as authority to.violate, cancel, alter, or
<br /> set aside any provisions of the technica) codes, nor shatl issuance of a permit prevent the Building OfFicial from thereafter
<br /> requiring a correction of errors in plans, construction or vialations of any codes. Every permit issued shal! become invalid
<br /> unS�ss the work authorized by such permit is cammenceci within six months of permit issuance, ar if work authorized by
<br /> the permit is suspended or abandoned far a period of six(6) months after the time the work is cammenced. An extension
<br /> may be rsquested, in writEng, from the Building Offrcial for a geriad not ta exceed ninety {90) days and will demanstrate
<br /> jus#ifiable cause for the extension. If work ceases for ninety(90)consecutive days, #he jab is considered abandoned.
<br /> W�,RNIPdG TCt UWN�R: YOUR ��►iLURE TO REC�RD� iVOTICE�OF-COMi�iENC�MEiVT �ifAY"FiiESIDiLT`16� Y�UR" ��� -
<br /> � PA,YING TWICE FOR IMPROVEMENTS TO 1(O.UR PROPER7Y. I�YQU INTEND TO OB7AIN FlNA.NCING, CONSULI"
<br /> {�I1TH YOUd�-L��tDER-�R AN�iTTORN�Y BE�OR�RECQRDING YUUR N{�TICE OF CONfN1ENC�MENT. _._
<br /> FLORIDA JURAT(F.S. 117.Q3) � _ �
<br /> OIWNER 01R AGENT G{)tdTRACTOR �
<br /> Subscribed and swam to(or affirmed)before me this Subscribed and swom ta(or affirmed)befare me this
<br /> b by
<br /> Wha isla�e pe a11y known ta rne ar hasth e produced Who istare persanally!c wn to me or has/haye prodnce �,,,,,/
<br /> as Idenfj tlon. as i enUfi ti�
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<br /> Notary Public .�� �����. / Notary Pubfic
<br /> Com ssion No. :� .:: C missian F 1.37073
<br /> Commissi N
<br /> .,
<br /> :.= Commissian#FF137Q73 �;ti„�°•• eooa�anwT •�������oaoa�.7ois
<br /> Name of Notary c�, � �•0 , Feinlnaurenw8403BS701g Name of Nota ped,printed or stamped
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