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<br /> , ' NOTICE OF DEED RESTRICTIQNS: The under igned understands that this permit may be subject to"deed"restrictions"
<br /> which may be mare restrictive than Gaunty regu! tians. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONT CT4R RESPONStBIL{TtES: lf the owner has hired a contractar or
<br /> contractors to undertake work,#hey may 6e req red to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, b th the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. lf the owner ar intended co�tr ctar are uncertain as ta what licensing raquirements may apply for the
<br /> intended work,they are advised to contact the P sco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a ontractor or contractors, he is advised to have the contractor(s} sign
<br /> portions of the"cantractar Block°of this applica ian for which they wi!!be responsible. If you,as the owner sign as the
<br /> contractor,that may be an indication that he is ot properly licensed and is not entitled to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATlON IMPACTlUTIL{TIES lMPA�T RND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse�tecovery Fees may apply to the construction of new 6uildings,change of
<br /> use in existing buitdings,or expansion of ex�stir�g buiidings,as specified in Pasco County Ordinance numbet 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understaod that Transp rtation Impact Fees and Resource Recovery Faes must be paid prior to
<br /> receiving a"certificate of occupancy"or fina{po er reiease. If the praject doss noY invaive a certificate oF occupancy or
<br /> final power release,the fees must be paid prio to permit issuance. Furthermore, if Pasco County WateNSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicabte Pasco County ordinances. '
<br /> CONSTRUCTtON L.tEN CAW(Chapter?13,Ftotida Statutes,as amended): If valuation of work is$2,500A0 or more,l
<br /> certify that !, the applicant, have been provi ed with a copy of the "Florida Canstruction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the F(orida Dep rtment of Agricuiture and Consumer Affairs. If the applicant is someone
<br /> other than ihe"owne�',!certify that!have obtai ed a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> Ct�NTRACTOR'S/OWNER'S AFFIDAVIT: 1 ce ify tfiat a11 the information in this app(icatian is accurate and thaT all work
<br /> wii)be done in cvmpliance with all applica6le I ws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to da work�nd instailation as indicated. I certify tfiat no wark or installatian has
<br /> cammanced priar to issuance of a permit and thst aii work wi!! be perEormed to mset standards of a{! laws regulating
<br /> construction, County and City codes, zoning guletions, and land development regulations in the jurisdiction. I also •
<br /> certify that I understand that tfie regulations of�ther government agencies may apply to the intended work,and that it is
<br /> my responsibiG#y to identify what actians!must ake to be in comp{iance. Such agencies include but are noi limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally 5ensitive
<br /> Lands,Water/Wastewater Treatme�t.
<br /> - Southwest Florida V4fater !vlana ement District-WeAs, Cypress Bayheads, Wetlend Areas, Altering
<br /> Watercourses.
<br /> - Army Carps of Engineers-SeawaIls Docks,Navigable Waterways. �
<br /> - Department of Health � Rehabili tive Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Enviranmenta{Pratection Agen y-Asbestos abatement.
<br /> - Federal Aviation Authority-Runway .
<br /> 1 understand that the following restrictions apply to tfie use of fill:
<br /> - Use of Fiii is not ailawed in Flaod Zbne"V"unless expressly permitted.
<br /> - If the fill material is to be used ir�Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"wili be sut�mitted at time of permitting which is prepared by a professionai engineer
<br /> licensed by the 5tate of Florida.
<br /> - If the fill material is to be used ir� Fiood Zone "A" in connectiort with a permitted bui(ding using stem wa11
<br /> construcfion,I certify that fill will b used oniy to fi(i the area within the stem wafl.
<br /> - !f fill material is to be used in a y area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. ►f use of fill is found t adverseiy affect adjacent properties,the owner may be cited far vialating
<br /> the canditians of the buiiding per it issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fill,an ngineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I prom se in gaod faith to inform the awner of the permitting conditions set forth in
<br /> this a�davit prior to cammencing constructior�. I understand that a separate permit mey be required for electrical work,
<br /> plumbing, signs, wells, pools, air oonditioning, gas, or other instalfations not specifically included in the application. A
<br /> permit issued shatl be construed ta he a Iicen�e ta proceed with the work and not as autharity to viofate,cancel,alter,or
<br /> set aside any provisions of the tschnical code�,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,constnaction or violations of any codes. Every permit issued sha11 become invaiid
<br /> un{ess the work autharized by such permit is fcommenced within six months af permit issuance,or if work authorized by
<br /> the petmit is suspended or abandoned for a pgriod of six(6)months after the time the work is commenced. An extensian
<br /> may be requested, in writing,from tfie Bui(dir�g Oificial for a period not to exceed ninety(90}days and wiil demonstrate
<br /> jusiifiable cause far the extensian. if wark ce Ises fpr ninety{90)consecutive days,the job is considered abandoned.
<br /> WARNING Td OWNEF2: YOUR FAtLURE'�O RECOFtD A t30TICE OF COMMENGENIENT MAY RESULT tN YOUFt
<br /> PAYtNG TWtGE F IMPRflVEMENTS TO yOUR PROPERTY. IF YOU WT ND TO OB7AIN FINANCING,CONSULT
<br /> WITH YOUR LEN R OR AN ATTORNEY B`EFORE RECORpING VQUR N ICE OF COMMENCEMEN7.
<br /> FLORIDA JURAT{F.S. 7. ))
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<br /> dWNER OR AGENT CONTRACTOR ~ _
<br /> Subs�c'rib��d,a�d swom ( aff m before e t 's Su cn6 aS1d sworn t r ifirm d}befo ,me t '
<br /> —���—bY d y'" ! a- /S by '� !
<br /> W o is/are personelly own to me or ced Who is/a p rsonall R wn to me or has c
<br /> s identifiratipn.
<br /> ,��SPGIV PU6'�.
<br /> �,,
<br /> ..J �r��, �,w UZANNE ALLEN
<br /> �lPnV��@��i � T'S7�'�f�'2-E}�-�Fi{3� * * •.
<br /> „ r,,- ub�;� -.t ic-State of FloNd+� �eu�
<br /> _ „ > ="� +�o m. xpires Oct 25,2015
<br /> -` * s�S�h�o X ii2S Q�t 25,2415 Commi on'P� ,a�`.��
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<br /> �9�'1s�F��OQ�� Commission#EE 131770
<br /> Nam N „ S Name of Notary typed,printed or stampe
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