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<br /> NOTICE OR DEED RESTR1CTiONS: The undersigned under�tands�tii�t this.p�txnif may.be.subjeat to"deed"restrictions°
<br /> which may be.mare�r.est�ictive-than Gounky regulations. 'The underslgned assurries responsiblltty for compliance with any
<br /> appllcable deed testrlcttons. � �
<br /> UNLICEN$EO CI�NTRACTORS AND CQNTRACTOR RESPONSIBILITIES: If the owner has hired a conkractnr or
<br /> contractors to undertake work, they may be requ�ired.ta be:{tcensed tn accordance.wtkh state.and•local regulattons. If the
<br /> contractar is nat Ilaensed as required by taw, bath the owner and contractor may be cited for a misdemeanar violation
<br /> under state law. If the mwner ar Intendedtcontractor�are uncertain as to what ticensing.requlrements may apply�or the
<br /> In#ended wartc,they are advisecf to contact the P�sca Counfy Buildirtg[nspection D�tlslon—l.lcensing Sectlon aE 727-847-
<br /> 8009. Furkhermare, If the owner has hlred a cont�actor or contractors, he Is advised to have the contracto�(s) slgn
<br /> portions of the "contractor Block" of this appllcatta� for whlch they wlll be xespanslble. If you, as.the ovuner s(gn as the
<br /> co�tfiac#or, that tnay be an indica#ian that he Is not.properly licensed and €s not entitied tv permitEing prtvileges in Pasca
<br /> County.
<br /> TRANSPORTAT#QN tMPACTIU�'i#:i'�IES-IMRAC7 AN�i RESOURCE REGOVERY�EES: The underslgned understands
<br /> that Transpartetfon Impect Fees and.Recourse Recove.ry.Fees may�apply tv the constructlon of new bulidings, change of
<br /> use in existing buildings, ar expanstofl of eXlstirig`�kiuildEngs, as speclfled.in Pasc� County Ordinance number 89-47 and
<br /> 90-OT, as amended. The undersigned atso understands, tha�t such fees�.as�rnay be�due,,wNl:be identified at the time af
<br /> permitting. It Is further understood that T�anspottatlon Impaat Fees and Resour+ce Recovery�Fees must be pafd priar to
<br /> recelving a °ce�f{�icate of occupancy" ar final power�elease. :If the project.does not tnvolve a certificate of occupancy,ar
<br /> final power release, the fees must be paid prior to permR issuance. Furkhermore;if:Pasco County 1Nater/Sewer Impact
<br /> fees are due,they�must be-pald pr�or to permiE-issuance•!n accordance wtth appticable Pasco'County ordEnances»
<br /> CONSTRUCTiON LIEN LAW(Chapter 713� Flor�da Statutes�aa amendedj; If valua�on of work is$2,500.00 or mare, 1
<br /> certify that I, the applicant, have:been provided with a copy vf the "Florida� Construction tien Law--Homeowner's
<br /> Proteatian GuEde" prepared by the Flor�da Department�of Agrtcutture and Cor�samerAffairs.. It the sppltcant is someane
<br /> other ihan the"owner", I certNy that 1 have,abtained a copy.of,#he abovedes.cribed�docurr�ent°and.promise in:gaad faith to
<br /> deliver 4t ta the`owner"priar to-commencetnent; .
<br /> CONTRACTOR'310WNER'S AFFiDAViT: i.certtfy that ail thec Inf.ormatlon In this applicatlon is accurate and that all work
<br /> will'be done in camptiance with all applicable laws regulating consttuction� zontng and land development. Applicatian is
<br /> hereby made ta obtetn .a permlt ta do work,and instatlation as tndC�efed.�. 1 certiiy that no work or tnstalla#ion has
<br /> commenced prior to Issuance of a permit and that all work will be performed�to meet standards of all laws regulating�
<br /> consUuction, Gounty and City cod�s, zoning regula#ions� and lanc# devetopment cegalatlans-In the J�risdlction, 1 also
<br /> certify that i understand that the regulatlons of other government agencies may�apply�to the intended work, and thak it is
<br /> my responsibility to identlfy�what,acttons I m�st t�ke to be,ln:.compllance, 5.uch agencles include-bu#are.not timikec!to:
<br /> - Depattment o# Environmentai Protection-Cyptess Bayheads, Wettand Areas and Environmentally Sensitive
<br /> L.ar1d8� WatedWastewa#er Treatment.
<br /> - Southwest Flor�da Water Management� .I�is#tic#-Wells, CYPress. B�y.heads� {Netland Areas, Altaring
<br /> Watercourses.
<br /> - Army Corps of Englneers-Seawalls}Dacks�N�vt���i�e waterways.
<br /> - Department of Heaith i� ReMabilitative ServtceslEnvitonmenfal Neatth Unit Wells, Wastewater Treatment,
<br /> 5epttc Tanks. .
<br /> - US Env�ronmen#a!Protectton Agencar Asbestos abatement.
<br /> - Federal Avlatton Authority-Runways.
<br /> !understand thaE the toilowing.res#rictions appiy to the use of flit.�
<br /> - Use of fili is not atiowed in Ftood Zone"V"uniess expressly permitted.
<br /> - If the flll materlal is to be used in �Flood Zone. "A". It. (s understood that a drainage plan addressing a
<br /> °campe�sat€ng volume"wil! be submitted at#ime of permitting wlilch Is prepared by a professiana) engineer
<br /> I(censed by the State of Florida.
<br /> - 1# the filt materia! is to be used tn Fbod Zone "A" In>connec�ion�wlth.a pe�mltted buitding us�ng stem walE
<br /> � constructton, i ce�tify that fill�:w�ll°b.e used only.to.fill the area within�the stem�wali.
<br /> - If fill materlal Is to be used in any area, I certlfy #he�t use of such �IN wIA not adversely a#fect adjacent
<br /> properties. 1f use of fi11 is found to adversely:�ffect ad)aeent�pr�pertfe�,.the awner may be cited for uioiating
<br /> the conditions of the building:permtt Issued�under the attached�perrnit applicatlon, for:lots less than one (1)
<br /> acr$whEch are elevated by flll�$n engineered drainage plan Is required. .
<br /> If I am the AGENT FOR THE 01MNER, I;�promise In good fatth to infarm the owner of the permitting conditlons set forth in
<br /> this affidavtt`prio�ta commencing constructlon. ( understand that��separate perm[t may be requtred for etecMca# work,
<br /> piumbing, signs, weils, paots, air conditioning, .ga�s, ar other. tnstatl�ttans not.specificalty included�in.the apptication. A
<br /> permit Issued shall be canstcued to be a Iicense ta praceed wlth the work and not as.authoriiy to.vlalate� cancel, alter, or
<br /> set aslde any provisEans of the tectmlcal.codes; nor shall lssuance�of a perm#t preven##h�Bulldlrig Offlcial fram.Ehereafter
<br /> requirtng a correction af eROrs in plan�, constructlan or violatlons of any cades. Every permit I.ssued shall become invalid
<br /> unless ihe work authorized.by such permit�•is-co�ttmenced�wtthln sGc months of permt#lssuance, ot If wark authorized by
<br /> the permit is suspended or.abandoned for a.periad ofs�C{8)months.after the time#he wotk is commenced. An extension
<br /> may be requested, In wrlting, from the Building.Qfficial for a pertod�not to exceed ninetyr(90) days and will demonstrate
<br /> justlfiable cause far:the extenston: If work ceases:for nlnety{9Q)consecutive:days,..the�ab�is.consldered aba�doned.
<br /> WARNlNG TO t?WNER; YCIUR.FAILURE-TO.,RE.C.t?RQ A N4TIGE O��CQMMENGEMENT_MAY RESU[:T IN:Y±C1UR __
<br /> PA�YiNiGTWICE 1FEDR IM�iZ�VENfENT�T�1FOUR PRO�ER'TY: -1�YO.U�INTEI�D^TQ'OBTAIN•�FIN�NCING;'CONSNJLT
<br /> WIT UR D AN ATTO N FORE� ECO � G�� OU " �C °O " �' E f T'
<br /> ��.oR�aA au����. .�s} K � �
<br /> �
<br /> OWNER OR AC�1EN � 11�c�-�'n-�^2-� CONTFtACTOR �
<br /> �abscri e�and swom hY al�rmed} e re me this Subscti6ed snd'swcm hs{or aflinned)�befors cne ffiis
<br /> �by
<br /> Who is/a rsonally own ta•me ot-has/have produced Who Is/are p.ersonally�cnown•tt�me or haslhave•produced •
<br /> as ldentlflcation. as tden��catlon.
<br /> � Notary Pubilc . Nofary Public
<br /> .Com fs r�Q �«,, _ Commissio�.No.
<br /> :?1 %''• GES
<br /> =•; �'%= CommisSion#FF 15042
<br /> .�.
<br /> Name ot " � b� 2018 Name of Natary lyped,pdnted ar s#amped
<br /> �:r,�,�`�, '� ed�7tuuTroyFaininsmance8pp..
<br /> 985.7019
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