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NOTICE OF DE�D RESTRiCTtOfdS: The undersigned understand that this permit may be subjecl to"deed"restrictions'
<br /> whicti may be mo�e restrictive than County regulations. The under igned assumes responsibility for compifance with any
<br /> applicabie deed restr(ctions.
<br /> UNLICENS�D CONTFiACTORS AND CONTRACTOR f2E3PON IBILITIES. If the owner has hired a contractor or
<br /> contraotors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br />� contractor is not Iicensed as required by law, both the owner and contractor may 6e c(ted for a misdemeanor violation
<br /> un8er state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended.work,they are advised to contact the Pasco County Buildi g Inspe�tion Division—Licensing Section at 727-847-
<br /> 8009. Furthemtore, ff the owner has hired a contractor or coni ciors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application for whioh they wiii 6e responsible. if you,as the owner sign as the
<br /> contractor,thaf may be an indication ihaf he fs not propetiy licens d and is not entitled io permitting privileges In Pasco
<br /> County.
<br /> TRAPlSPORTA710ht tMPACTIUTILITIES IWIPACT ANQ RESOUR E RECOVERY FEES: The undersigned understands
<br /> that Transporlation impact Faes and Recaurse Recovery Fees ma apply to the construction of new buildings,change of
<br /> use in existing bufldings, or expanslon of existing buildings, as sp ��ed in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that suc fees, as may be due,will be identified al the t(me ot
<br /> permitting. Il is furlher understood thai Transportation Impact Fee and Resource Racovery Fees must be paid prior to
<br /> receiving a°ceriificate of oocupancy"or ilnal power release. li the project does not involve a certificate of o�cupancy or
<br /> final power release, the fees must ba paid prior to permit issuan� . Furthermore, ff Pasco County Water/Sewe�Impact
<br /> fees are due,they must be paid prtor to parmlt issuance in aacorda ce with appUcable Pasca County ordinances.
<br /> COEdSTRUCTION LlEPJ LAW(Chapter 713,Florida Statutes,as mended): If valuation of work is 52,500.0�vr more,I
<br /> certffy that I, the applicani, have been provided wilh a copy o the "Florida Construction Lien Law—Homeowner's
<br /> Protectian Guide°prepared 6y the Florida Department of Agricultu and Consumer Affairs. if the applicant is someone
<br /> other than the"owner",I certify that I have o6talned a copy of ihe a ave described document and promise in good faith to
<br /> deliver it ta the"owner"prior to commencement.
<br /> COMTRACTOR'SlOWi�ER'S AFFIDAVI'f: I certify that all the Info ation in this application is accurate and Ehat all work
<br /> will be done in compiiance wHh ali appiicable laws regulating cons ruction,zonfng and land development. Application is
<br /> hereby made io obtain a permit to do work and installatfon as ndicated. I cert'rfy that no work or installatfon has
<br /> commenced prior to issuance of a permit and that ail work will b performed to meet standards of all laws reguiating
<br /> construction, Gounty and City codes, zoning regulations, and lan development regulations in the jurisdictio�. I also
<br /> certify that I understand ihat the regulations of other government a encies may apply to the intended work,and that it is
<br /> my responslbiifty io identify what actions I must iake to be in compli noe. 5uch agencies include but are not limited to:
<br /> - pepartment of Environmental Protection-Cypress Bay eads, 1Netland Arees and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest �lorida Water Management District-W Is, Cypress Bayheads, Weiland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawails,Docks,Navigable atenvays.
<br /> - Depa�tment of Health 8� Rehabilitative ServiceslEnvi nmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protecllon Agency-Asbestos abatem nt.
<br /> - Federal Aviation Authority-Runways.
<br /> i understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not ailowed in Fiood Zone°V"unless expre sly permltted.
<br /> - if tne flll materiai is to be used in Flood Zone "A", it is understood thai a drainage plan addressing a
<br /> "compensating volume"witl be submitted at time of pa itting which is prepared by a professional engineer
<br /> Iicensed by the State of Florida.
<br /> - If the fiil material is to be used in Flood Zone "A" in onnection with a permi4ted building using stem wall
<br /> construction,1 cerfify that flll will be used only to fill the rea withfn the stem wall.
<br /> - If ifll material is to be used in any area, 1 certlfy th t use of such fill will nof adversely effeci adjacent
<br /> properties. If use of fill is found to adversely aftect adj cent propertles,the owner may be ciied for violating
<br /> the conditions of the building peRnit Issued under the ttached permit application,tot lots less ihan one(1)
<br /> acre whfch are efevated by flil,an engineered drainage fan is required.
<br /> If I am the AGENT FOR THE OdYAtER,I promise i�good faifh to in orm the owner of the permiNing conditions set forth In
<br /> ihis affldavit prior to commencing construction. I understand that separate permit may be required for electrical work,
<br /> plumbing, signs,welis, pools, alr conditioning, gas, or other instal ations not speoiiiqlly incfuded in the application. A
<br /> permit issued shali be oonsWed to be a license to proceed wlth th work and not as authortty fo violate,cancel,alier,or
<br /> set aside any provisions of the technlql codes,nor shail issuance f a permlt prevent the Suiidirig Officiai irom thereafter
<br /> requiring a correction of errors in plans,construction or violations any codes. Every permit issued shall become invalid
<br /> unfess the work authorized by such peRnit is commenced withln s months of permli issuence,or It work authorized by
<br /> the permit Is suspended or abandoned for a period of six(6)month after the time ihe work is commenced. An extenslon
<br /> may be requested,ln writing,irom the Buiiding Ofticial for a perio not to exceed ninety{90)days and wili demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)co secutive days,the job is cansidered abandoned.
<br /> WARAlIfVG TO OWNER: YOUR FAILURE TO RECORD A NOT CE OF CORHMENCENtfPlT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR tMPROVEMENTS TO YOUR PRdPERTY. YOU INTEND TO OBTAIN FIfdANCIMG,CONSULT
<br /> YdITH YOU lEPlD R OR N TTOF2RIEY gEFO E RECORDIN YOUR�d0 C OF CO{1RRfiENCEMEtdT.
<br /> � FLORIDA JURAT(F5.!17.03)
<br /> � OWNERORAGENT CONTRACT R '�'`�'t^"� ��
<br /> Subscrlbed and swom to(or afflrtnedj betore me Ihls Subsaibad e d swom o r a�irtned)before me Ihl
<br /> 6y �_ �
<br /> Who IsJare personaAy known to me or has/have produced Who Isle p rsonaily kno � to� e or has/have pro uced
<br /> as idend6p5on, as identlficdtlon.
<br /> �� �c c� �
<br /> Notary Public - Nofary Public
<br /> Commission No. Co Ission o. T� _ v � --
<br /> ���, l�� �-
<br /> Name oi Notery typed,printed or siamped Name of tJO ry tYped,printed or sta
<br /> , _,�;�Y'ry�,; MARIA M.SCAGLIONE
<br /> ��..__ Commission#FF a66647
<br /> �a: Expires November 11,2017
<br /> �!�PF�°:`�, Bonded ThN T�oy Fain Insurenca BW.85-7019
<br />
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