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NOTICE QF DEED f2ESTRiG'fiONS: The under igned understands that this permit may be subject to"'deed"restrictions° <br /> which may be more restrictive than County regul tians. The undersigned assumes responsibility for compliance with any <br /> - appiicabie deed restrictions. <br /> � UNGiCENSED GQNTRAGTQRS AND CON CTOR RESPONSlBlUTlES: If the owner has hired a contractor or <br /> confractars to undertake work,they may be raqu red ta be licensed in accordance with state and local regulations. If#he <br /> coniractor is not licensed as required by law, b th the owner and contractor may be cited for a misdemeanor violation <br /> - under state law. !#the owner or inkended contr ctar are uncertain as to what licensing requirements may appiy for#he <br /> intended work,they are advised to contact the P sco County Building Inspection Division—�icensing Section at 727-847- <br /> 8409. Furthermore, if the owner has hired a ontractar or contractors, he is advised to have the contractor(s} sign <br /> portions of the"contractar Black"of this applica on for which they witl be responsibie. If you, as the owner sign as fhe <br /> contractor,that may be an indication that he is ot properly licensed and is not entifted to perrnitting priviieges in Pasco <br /> County <br /> TRANSPORTATION 1MPACTIUTILITIES IMPA T AND RESOURCE RECOVERY FEES: Tfie undersigned understands <br /> that Transportatian Impact Fees and Recourse ecovery Fees may appiy fo the construction of new buildings,change of <br /> use in existing buildings,or expansion of existi g buitdings,as specified in Rasco County Ordinance number 89-07 anci <br /> 90-07,as amended. The undersigned alsa und rstands,that such fees,as may be due,witl be identified at the time of <br /> permitting. it is further understood that 7ransp rtafion Impact Fees and Resource Recavery Fees must be paid prior to <br /> receiving a"certificate of occupancy°or finai po er release. if the project does not invaive a certificaEe af occupancy or <br /> final power release,the fees musf be paid prio fo permit issuance. Furthermore,if Pasco County WatertSewer lmpact <br /> fees are due,they must be paid priar to permit i uance in accordance with appticable Pasco County ardinances. <br /> CONSTRUCTiON L1EN LAW(Chapter 713,F} rida Sta#utes,as amended}: if vaivatian of wark is$2,544.04 or mare,1 <br /> certify thaf I, ffie appiicant, have been provi ed with a copy of the "Ftorida Constructian Lien Law—Homeawr�er's <br /> Protection Guide"prepared by the F(orida�ep rtment of Agriculture and Consumer Affairs. If the.applicant is someone <br /> other#han fhe"owner",1 certify that I have obtai ed a copy of the abave described documsnt and promise in good faith to <br /> deliver it to the"owne�'prior ta commencement. <br /> CONTRACTOR'S/4WNER'S AFFIDAVlT: 1 ce ify that aff the infarmation in this application is accurate and that all work <br /> wi8 be done in compliance with ail applicable 1 ws regutating constn�ction,zaning and land development. Application is <br /> hereby made to obfain a psrrr�'st ta do work nd 'snstallation as indicated. I certity that no wark or installation hes <br /> commenced prior to issuance of a permit and that ail work wi{f be perFormed to meet standards of all laws regulating <br /> constructian, Gounty snd Cily codes, zor�ing gulatlons, and land develaprnent regulations in the jurisdiction. I alsa <br /> certify that 1 understand that the regufations of 2her government agencies may apply ta the intended work,and that it is <br /> my respansibi{ity to identif}t what actions 1 must ake fo be in compliance. Such agencies include but are no#limited to: <br /> - Department of Environmenta! Prot ctian-Gypress Bayheads,WeUand Areas and Environmentally Sensifive <br /> Lands,WaterNllastewater Treatme t. � <br /> - Southwest Flarida Water Mana ement DisUict-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Aany Corps of Engineers-Seawalls Docks,Navigable Waterways. <br /> - Department of Health & Rehabili tive ServiceslEnvironmental Heaith Unit-Wel�s, Wastewater Treatmenf, <br /> Septic Tanks. <br /> - US Environmental Protection Agen y-Asbestos abatement. <br /> - Federal Aviation Authority-Runway . <br /> I understand that the following restrictions appf to the use of fitt: <br /> - Use of fill is not allowed in Flood Z ne"V"unless expressly permifted. <br /> - If the fill materia( is to be used in Plood Zone °A", it is understood that a drainage plan addressing a <br /> "compensafing volume"wil�be su mifted at time of permitting which is prepared by a professionai engineer <br /> licensed by the Stafe of Fiorida. <br /> - If tfie fiIl material is to be used i Flood Zone"A°in cannection with a permitted building using stem wa!! <br /> construction,I certify that fi0 will b used only to fill the area w+thin the stem wali. <br /> - If fifi material is to be used in y area, I certify that nse af such fill will nat adversefy affect adjacent � <br /> properties. If use of fitl is found t adversefy affect adjacent properties,the owner may be cited for violating <br /> the conditions of the building per it issued under the attached perrnit application,#or fots isss than ane(1) <br /> acre which are elevated by fill,an ngineered drainage plan is requised. <br /> If I am the AGENT F4R THE OWNER,1 pro ise in good faith to infarm the owner af the pecmitting conditions set forth in <br /> this affidavit prior to cammencing constructia . 1 understand 2hat a separaYe permit may 6e required for electrical work, <br /> plumbing, signs, weNs, pools, air canditionin , gas, or other instatfations not speciFically included in the application. A <br /> permit issued shaN be construed to be s IPcen e to proceed wifh the wark and not as authority to violate,cancel,alter,or <br /> set aside any provisions oi the technica!code ,nar shall issuance of a permit prevent the Building Official from thereafter <br /> requiring a correctian of errors in plans,canst uction or vialaUons af any cades. Every permit issued shall become invalid <br /> unless the work autharized by such permit is commenced within six months of psrmit issuance,or if work authorized by <br /> the permit is suspendeti or abandaned for a p riod of six{6)months after the time the work is commenced. An extensian <br /> may be requested,in writing,from the Buildi g 4fficial for a period not to exceed ninety(90)days and wifl demonstrate <br /> justifiabke cause for the eactension. !f work ce ses for ninety(90)consecutive days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE 0 RECORD A NOTlCE OF COMMENCEMENT MAY RESULT 1N YOUR <br /> PAYlNG TUVICE FOR IMPROVEMENTS TO OUR PROPERTY. IF YOU INTEND TO OBTAIM FINANC(NG,GONSULT <br /> WITFi YOUR LENDER OR AN Al?ORNEY EFORE RECORDING YOUR N TIC COMMENCEME.7. <br /> FLORIDA JURAT(F.S.117.03) � �^!—L.. -- <br /> OWNER OR AGENT 'GQ(dTRACT012 � "�� <br /> Subscribed and swom to{or a�rmed)before me this Subsc�ib_ed and swom t r f d)b for this <br /> by lj� by <br /> Who is/are personal�y known to me or hasfhave produce Wtro is�perso iI nown t e or h sfiave produced <br /> as iden�artion. _�'� as iden6fication. <br /> �o,.{iY A� <br /> ,,,y�,:��anr•.�t�.�`'4s�,�`��t�A <br /> ,.t.�� .r�-�..,,�.-f�1084834a <br /> Notary ub(ic �t ':�.D, ,r>.p��;�F,,-.,;nix» <br /> otary Public <br /> :.,,�,,--,* h� <br /> Commission No. Commissio`" ;*?� - ; '���2015 <br /> Name of Notary typed,printed or stamped Name of N a ped, ' ed or s ped i�gY p� <br /> �'o•,.••.`'� AN/4GAl.YS VlGOA <br /> d * MY COMMlSSION#EE OB4630 <br /> �,q op EXPlNES;Apr+1 il,20i5 <br /> rFaFf,.a¢` Bonded thrtr Budget Nafary 3ervices <br />