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NOTICE OF DEED RESTRtCTIOT�IS: The understgned understands t at this permit may be subject ta"deed"restrictlons"
<br /> which may be more cestrictive than County regulations. The undersfg ed assumes responsibility for compliance with any
<br /> applioable+�eed restricNons.
<br /> UNI.[CENSED CONTRACTQR3 ANi� CON3RACTdR RESPONS[ 1�['fIES: If the owner has fiired a contractor or
<br /> contractors to undertake work,they may be required ta be I(censed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both th�owner and c nUactor may be clted for a misdemeanor violation
<br /> under state law. If fhe owner or intended cantractor are uncettain a to what 1'tcensing requirements may app(y fat the
<br /> intended work,they are advised to contact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, !f the owner has hired e contractor or contra ors, he ls advised to have the cQnkraator(s) sign
<br /> portions of the"cantractor 81ock"of this appl3oatton far whieh they w!be respanstble. If you,as the owner sign as fhe
<br />, contractor,that may be an indication that he is not properly Iice�sed and is not entitled to permitting privileges in Pasco
<br /> County �
<br /> TRANSPQRTATI4N IMFACTltYiiLIT1ES 1MPACT AND ftESOURCE RECOVERY FEES: The unders'sgned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may a ply to the construction af new buiidings,change of
<br /> use in existing buildings, or expansion of existing buildings,as spec ied in Pasco County Ordinance number 89-07 and
<br /> 90-07,as ar�ended. 'ihe unders9gned also understands,fhat such f es,as may be due,witt be identified at the time of
<br /> permitting. It is further understood that Transpo�tation Impact Fees nd Resaurce Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release. If the p aject does not involve a ce�k�cate of occupancy or
<br /> final power release,#he fees must be paid prior to permlt issuance. �urthezmore, �f Pasco County WaferlSewer Impact
<br /> fees are due,they must be paid prior to permit issuance In accordan with applfcable Pasco County prdinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as a ended): If valuatlon of work is$2,500.00 or mo�e,I
<br /> certiiy that 1, the appllcant, have been prov3ded with a copy of t e "Florida Construc�ion Lien E.aw—Homeawner's
<br /> Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applican#is someane
<br /> other than the"owner", I certify that I have obtalned a copy ot the abo e described document and promise in gaod faith to
<br /> deifver it to the"awner"prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: i certify that all the l�form tion in this application is accurate and that all work
<br /> will be done in compliance with all appllcable laws regulating constr ction,zoning and land development. Application is
<br /> hereby macle to obtain a permit ta do wark and �nsta4lation as in icated. i certify that no wark ar 'snstallatian has
<br /> commenced prior to issuance of a permit and that ail work will be ertormed to meet standards of all laws regulating
<br /> construotion, County and City codes, zoning regulations, and land development regulations in the jurisdictian. ( also
<br /> certify tha#I undersfand that fhe regulafions of other govemment ag ncies may apply to the 3ntended work,and thaf if is
<br /> my responsibility to identify what actions I musk take to be In comptian e. Such agenefes include but are not limited to:
<br /> - Department of Environmental Pratection-Cypress Bayh ds, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWas#ewater Treafinent.
<br /> - Sou#hwest Fiorida Water Management Distric#-Weii , Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Gorps of EnglneersSeawaNs,Docks,Navigable W terways.
<br /> - Department oi Health 8 Rehabilitative ServiceslEnviro mentai Health Unit-Wel�s, Wastewater Treatment,
<br /> Septic Tanks. �
<br /> - iiS Er�vironmenta!Protection Agency-Asbestos abafeme t.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of flll:•
<br /> - Use af fiit Is not allowed in Flood Zane"V'unless express y permltted.
<br /> - If the fiil material is to be used in Flood Zone "A", it is understood that a drainage p�an addressing a
<br /> "compensating volume"will be submitted at time of per itting whlah is prepared by a professional engineer
<br /> Ilcensed by the State of Fiorida.
<br /> - If the fill material is to be used in F3ood Zone"A" in nnecfion with a permitted buiiding using stem watl
<br /> construction,I certify that flll will be used oniy to fill the ar a within the stem wall.
<br /> - if fili matetiat fs to be used fn any area, 1 certify that use oF such fill wi11 nat adversely affeot ad}'acent
<br /> �� praperties. ff use of f+ti is found to adversely affec#adja ent properties,the owner may be cited for violating
<br /> ' the condikions of the building permit issued under the a ached permit application,for lots less than one(1)
<br /> acre which are elevated by fiii,an eng3neered dtafnage pt n(s required.
<br /> tf!am#he AGENT FOR THE OWFtER,I promise in good faith#o info m the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a eparate permit may be required for electrical work,
<br /> piumbing, signs,weils, pools, afr canditianing, gas, or other instaila ions nat specifcaily incfttded in the application. A
<br /> permit issued shaA be construed to be a ticense to proceed with the ork and not as authority to viotate,cancel,a(fer,or
<br /> set aside any pravisions of the kechnical codes,nor shall issuance of a permit prevent the Buildirig Official ftom thereafter
<br /> requiring a correcCson of errors fn pians,construction or violations af ny codes. Every permit fssued shafi become inva#id
<br /> un4ess the work authorized by such permit is commenced wifhin six months of permit issuance,ar if work au#horized by
<br /> the permit is suspended or abandoned for a period of six(6)months fter the time the work is cammenced. An exiension
<br /> may be requested,in wri#ing,from the Building Officia!for a perlod ot to exceed ntnety(90)days and wili demonstrate
<br /> justifiable cause for the extension. if work ceases for nEnety{9�j con ecutive days,the job is considered abandoned.
<br /> WARNtNG TO OWNER: YOUft FAILURE TO l�ECORD A NOTIC QF COMMEfdGEMENT MAY F2EStlL.T IN YOtlR
<br /> i PAYtNG TWiCE FOR IMPR4VEMENTS TO YC}UR PROPERTY, 1F OU 1tVTEND TO OBTAtN FtPlANC1NG,CONSULT
<br /> WITH Y UR LENDER OR AN ATTORNEY BEFORE RECORDING O R N0710E OF CO ENC MENT
<br /> FLORIDA JURAT(F.S.117.03)
<br /> j�,/ �-- t"
<br /> OWNER OR AGENT.�/� CONTRACTO
<br /> i Subscribed and swom�f6(or afflrmed)b fore me�^^�.- Subscribed an sw m to(or affirmed)before me this
<br /> by by
<br /> Who lstare personat(y knawri to me or has�ave produced Who Islare pe natly known to me or hasthave praduced
<br /> as IdentlBcaflon. as fdentlfication.
<br /> I
<br /> - Notary Public Nolary Public
<br /> Com si �^:a �" Gam on N . .��'".*:'t"'• J4EL�.BAC4N
<br /> �.:i%,q*�t9€L:€:�li�Eiy�i , �Y{r .,.
<br /> :�` �+�: _.: �.- Commission�Ff 137073
<br /> .; •.- Commisslon#�f 137073 �: .i�� Ex ires June 29 2018
<br /> Name of N t" ��.g�t�.���,��- Name of Nota ed n(�4ed�iMitledF'
<br /> ,�,45�,R�dE�f+lnf�S �IACdte soaaesaota ty �p;' .�ww.�w.eoaaasan�a
<br />
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