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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictions"
<br /> which may be more restrictive than County regulations. The unders9gned assumes responsibility for campl�ance wifh any
<br /> appiicabie deed resVictions.
<br /> UNLIGENSED CONTRACT4RS AND CON7RACTOR RESPONSIBILITIES: If the owner has hired a wntractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regutations. !f the
<br /> canUactor is not licensed as required by taw, both the owner and contractor may be cited for a misdemeanar viola6lan
<br /> under state law. If the owner ar intended contractor are uncertain as to what licerising requirements may apply for the
<br /> intended work,they are advised ta corrtact the Pasca County Buiiding inspection Divisiort—Licensing 3ection at 727-84?-
<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"contractor Block"of this application for which they wiii be responsible. If you,as the owner sign as the
<br /> cantractor,ihat may be an indication that he is not properiy licensed and fs naf entitled to permitting pr3vlieges in Pasco
<br /> Caunty.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation tmpact Fees and i2ecourse Recovery Fees may apply to the construction of new buiidings,change of
<br /> use�n existing buitdings,or e�ensian of existing buitdings,as specified in Pas�County Ordinance.number 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 af
<br /> permitting. It is further understaod that Transpartation lmpack Fees and Resource Recovery Fees must be paid prior to
<br /> receivirtg a"certificate of occupanc}�`or final power release. If the prajec#does not 3nvoive a certificate ot ocxupancy or
<br /> final pawer release,the fees must be paid prior to permit issuance. Furthermare,if Pasco Caunty WatedSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accardance with applicable Pasco County ordinances.
<br /> GQNSTRUGTION LIEN LAW{Chapter 713,Ftor�da Statu#es,as amended): If vatua#ion of wartc is$2,500.00 or mare,1
<br /> certify that I, the appiicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protec�on Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the°owner",1�rtity that 1 have abtalned a copy of the abave described document and promise in good faith ta
<br /> deliver it to the°owner�prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the infortnation in this application is accurate and that all work
<br /> wifl be done in compliance with all applicable taws regulating construction,zan3ng and land devetopmeni. Application is
<br /> hereby made to obtain a perrnit to da work and instal�ation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> cansWcfian, Couniy and City codes, zoning regulatians, and tand devetopmeni regufa6ons in the jurisdicction. i a(so
<br /> certify that 1 understand that tFre regulatlons of other gavemment agencies triay apply to the intended work,and that it is
<br /> my responsibility to identliy what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Qepartment of Envlronmental Protection-Cypress Bayheads,WeUand Areas and EnvEronmenta8y 5ensitive
<br /> �ands,Water/WastewaterTreatrnent. -
<br /> - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Gorps of Engineers-SeawaE)s,Docks,Navtgabte Waternrays.
<br /> - Departrnent of Health & Rehabilitakive Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US�nvitanmental Pratection Agency Asbestas abatement
<br /> Federal AviaUon Authority-F2unways. t
<br /> I understand that the following restrictions apply ta the use of fili: �
<br /> - Use of fi1t is�ot allowed in F1oad Zone"V"unless expressty petrttitted. `
<br /> - if the fiil material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a
<br /> "compensating volume"will be submltted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Flor3da. ,
<br /> - if the fill materiat is to be used in Flood Zone A°in connection with a permitted building using stem wall
<br /> construction,I certify that fill w111 be used only to fill the area wlthin the stem wall.
<br /> - ff fiii materia! is to be used in any area, t certify that use of such fill will not adverse(y affect adjacent
<br /> properties. If use of fiii is faund to adverseiy affect adjacent properties,the owner may be cited for vioiating
<br /> the conditians of the building permit issued under tfie attached permit application,for lots less than one(1)
<br /> acre which are etevated by frfi,an engineered drainage pfan is required.
<br /> tf t am the AGENT FOR TFIE OWNER,I promfse in good faifh to inform the awner of the permitting conditions set forth in
<br /> this affidavif prior to commencing consVuction. I understand that a separate permit may be required for electrical work,
<br /> plumbfng, signs,welfs, pools,air cortditioning, gas, or other instailations noi specificaliy included in the application. A
<br /> permit issued shatl be construed to be a iicense to proceed with the work and not as authority to violate,cancet,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Bullding Official from thereafter
<br /> requiring a correction of errors in plans,construction or violaGons of any codes. Every permit Rssned sha8 becorae invalid
<br /> untess the work authorized by such permit is commenced within six months af permit issuance,ar if work aathorized by
<br /> the permit is suspended ar abandoned for a pedad of six(6)months after the time the wark is commenced. An extension
<br /> may be requested,in wrlting,from the Building Official for a period not to exceed ninety{90)days artd wiU demonstraEe
<br /> justifiable cause for the extensian. If waric ceases for ninety{90}consecutive days,the job is cansidered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT!N YOUR
<br /> PAYING TWlCE FOR IMPRdVEMENTS 70 YOUR PROPERTY. IF YOU INTEND TO OBTAiN FlNANCING,CONSULT
<br /> WiTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
<br /> FLORIDA JURAT(F.3.117. 3)
<br /> OWt+tER OR AGENT_�'�.+P CONTRACTOR �,[t'�--"
<br /> 1 S�qs���and swom tq(or affi e(1)before me th(s Subscribe�nd sworn to ffi )bef re me this
<br /> `� by L4UP..�i (���� 1�19-i5 by �
<br /> Who is/arq, ersonal�known 4 me or hasthave produced Nfio islare ersonait me or hasfiave produced
<br /> as ldentfication. as identificatfon.
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<br /> �� E ,rC-�Er'° ~r Notary Public 1. ���.1°"`i'� �� Notary Pubtic
<br /> Commission No. Commissio
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<br /> ,, ,,'t*hY�••'., CRAI�CANT
<br /> � • ro� EXpit@S Jue9". Name ot N _ t ptir6 All#FF 130253
<br /> Name � s���e FF 130253 :,.a, ; i
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<br /> 8,2018 � E�ires June 8,2018 �
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