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<br /> NO"CICE OF DEED RESTRICTIONS: The undersigned understands that this permik may be subject to °deed" tes��ictioris''
<br /> which may be more restrictive than Gounty regulatians. The iandersigned assumes respons9bil9t}+fo�compllarice�iviEti aiiy
<br /> applicable deed resfric#ions. .
<br /> UNL.ICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI�S: !f the owner has hired a conlracto� o�
<br /> contracfors to undertake work, fhey may be required ta be licensed in accordance rivith sfate and fiocal regiatations. If the
<br /> contractor is not licensed as �equired by law; both the owner and con#ractar may be cited for a misdemeano� 'violation
<br /> under state law. If#he awner or Intended contractor are uncertain as to irvhat licensing Cequ9rements rmay apply�o� �he
<br /> intended work, #hey are advised to contact the Pasca County �uilding Inspection Division—Licensing Section at 727-8�7=
<br /> 8409. Fu�thermore, if the owne'r has hired a contractor or contrac�ars, he.is advised to have the coiitractor(s) sig�i
<br /> por#ions of fhe "contracfor Biock" of fhis applicafion for rivhich fifi�ey wili �ie responsib(e. If yot1; as �he bwne"r sigri a's {iie
<br /> contractor, that may be an indica#ion that he is not properly licensed and is not entitled ta permitting privileges iri Pascii
<br /> Gounty. �
<br /> TRANSPORTATION IMPACT/UTILITI�S IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Tsansportation tmpac� Fees and Recourse Recovery Fess may appty to the canstruction of new buildings, change of
<br /> use in existing buitdings, or expansion af existing buildings, as specified in Pasca Counfy Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fee's; as may be due; will be identified at tlie time of
<br /> permitting. It is further understood that Transpor�ation lmpac� Fees and Resource Recovery Fees rrtust be pai� p�io� to
<br /> ' receiving a "certificate of occupancy" or�nal power release. If the praject daes not involve a ce�ti�icate of occupancy o�
<br /> fnal power re{ease, fhe fees must be paid prior to perfia:�it iss�ance. Furthei-rnore, i� Pasco Coiinty VltateflSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accardance virith applicable Pasco County ordinances.
<br /> CONSTRUCTlC?N LIEN LAW(Chapter?13, Florida Statutes, as amended): !f valuation of v+rork fs$2,500.00 or more, !
<br /> certify that I, the applicanf, have 6een provided with a copy of the "Fiorida Construction Lien Law—Homeawner's
<br /> Pratection Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant is sameone
<br /> other fhan the"owner°, t certify that 1 have obtained a copy of the above described doc�tment and protnise in goad faifh ta
<br /> deliver it ko the"owner" prior to commencement.
<br /> CQNTRAGTOR°S/OWNER'S AFFIQAVIT: 1 certify that ai) ths RnformaEion in thRs application is accurate arid that a�l inrork
<br /> wili be done in compliance with all applicable laws �egulatirig cohstruction, zoning and land devetopment.. Applica�iori is
<br /> � hereby made to abtain a permit to do work and installation as indicated. I ce�tify that no work o� 9nsta!la�toii li�'s'
<br /> cammenced prior to.issuance of a permit and that all wor�C wili be perfar►nec� to meet stan�a'rds af all faws �egu�a�ing
<br /> constructian, County ia�d�•�City cades, zaning regulations, and land development regulations in the jurisdiction. I also
<br /> cerfify tha# E understand fFtat'fhe regulations af othe'r govetnment agencies rrtay apply�o the inten�ed iivork, ant� �Fiat iE is �
<br /> my responsibility to identify wliat actions I must take to be in compliance; Such agencies include 6ut are not limited to:
<br /> - Department of Environmental Protectian-Cypress Bayheads; Wetland Area's and Environinentat!}� Sensiti've
<br /> Lands, WateriWasfewate�Treatment. '
<br /> - Southwest Florida Water Management District-Weils; Cypress Bayheads, 'INetland A�eas; Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable V1laterway's.
<br /> - Department of Hea4th & RehabllRtative Serv�ceslEnvironmental Hsalth Unit-1Ne}Es, 1Nastewate� Ti�eatment,
<br /> Septic Tanks.
<br /> - US Environmenta{ ProEectiori Agency-Asbestos abatement: •
<br /> - Federal Aviation Aufhority-Runways. - '
<br /> 1 underskand that the following�estrictions apply to the use of fill:�
<br /> - Use o€fiil is nat ailowecf in Flood Zone"V�unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understoad �hat .a drainage Plan addressing a
<br /> "cotn�ensating voltime" will be 'submitted at time of permitting whic�i �s prepared by a professional engineer
<br /> licensed by the State of Fiorida.
<br /> - if the fill material is to be !used in Flood Zane "A" in connection with a permitted building using stem wal!
<br /> cansfruction, I certify that fifl wiil be used aniy to fiil the area within the sEem waii.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affec� adjacent
<br /> , properties. If use of�II is found to adversely a�Fect adjacent properkies, the owner may be cited foC 'vlolatii�g
<br /> , the conditions of the building permit issued under the aktached permit application, for lots less lhan.one ('I)
<br /> acre whlch are elevated by fiii, an engineered clrainage plan is required. , i
<br /> If I am the AGENT FOR THE OWNER, t promise in good faifh to info�m the awne`r of 1he permitting condifions `se��o'r�h in
<br /> � this a�fidavit prior to commencing construction. I ianders�and that a separate pe�mit tnay be 'required fot electrical work;
<br /> plumbing, signs, wells, pools, air conditionirig, gas, br other ins#aliations na� specifca4ly ii�cluc�ec� in �he applicatioii: A
<br /> permit issued shall be construed to be a license to proceed with the work and nof as aukho�ity to,violate, cancel; a��e�; ar
<br /> set aside any provisiorts of the�echnical codes, nor shali issuance of a permit prevent�he Suilding C?fficial from 4he�ea��eC
<br /> requiring a correction of errors in plans, constructian or violations of any codes. Every permit issued shall become invalid
<br /> unless the work aufharized by such permit is cominenced within six months of pe'rmit issuance, o� if wofk autliotized by
<br /> the permi#is suspended or abandoned for a period of six(6} manths after fhe time the wa�k is comrrienced. An ex�ension
<br /> may be requested, in writing, from the Building Officiai far a period na� to exceed iiinety (90) days and "will dei�noH'strate
<br /> jus#ifiable cause for the exfension. if worlc ceases for nirtety. �90}consecufive days,Etie jab is consic�e'red 'abaridoiied,
<br /> WARNING TC1 OWNER: Y4UR FAIE.URE TO RECQRD A NQTIGE Q� C4N{MENCEMENT MAY REStl�'C !N YOt1R
<br /> , PAYING 7WICE FOR IMPROVEMEN7'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAMN FiNANCING, CONSULT
<br /> W1TH YC►UR�ENDER OR AN ATTORNEY BEFQRE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> � FLQRiDA JURAT(F:S.'117.d3}
<br /> QWNER OR AGEPIT C4NTRACTQR"'���✓ ��-�'�/./1� �
<br /> 5ubscribed and sworn to(or a�nned)before me thfs u c ib d and swom ta or affittrted)bef re e fh'ss
<br /> by �(,� /I'— by—.____�'l_��J�' �G[L-r�'"0,�,�.�
<br /> Who lslsre persanally knawn to me or haslhave produced W a islare persanaliy kno_ wn to m�.o�haslhave produced
<br /> as identificativn. as idenGficatlan.
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<br /> Notary Public f�otary 1'iiblic
<br /> Commission No. missio a. •����+�°y'`•= � �`
<br /> _'.i ':+= MY COMMISSION N FF 126167 ' ' ` �
<br /> ; ;;, ra; EXPIRES:Ju! 4,2018. �
<br /> Name of Notary typed,printed or skamped N of Not type ,printed o� " "' °t�y "rau°as""�ters� „1
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