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<br /> NOTICE OF QEEQ RESTRICTIONS: 'fhe undersigned understands that th(s perm(t m y bei subject to yd��ed"r�'�frictions"
<br /> whlch may be more res#rlc#Ive than CQUnty cegulatlons. The underslgnedlassumes ce �on€3lbfUty for compliance wlth any
<br /> applicabie deed resfrictions. �
<br /> UNUGENSED CONTRACTORS AND CONTRAC70R RESPONSIBILITIE;�: If the �owrItier has hired a contractor or
<br /> cantrac#ors fo undertake work, they may be required ta be IEcensed In ac�ordance wit �fat:e and�local re�ula#lons. lf th�
<br /> cantractar is not Iicensed as required by law, both the owner and contr�ctor may be rite�� far a misderne�no� vlolatlan
<br /> under state law. 1f fhe owner c�r intended contr�ctar are uncsr#a!n as ta;wh{�t !lcensl r� r�:qGlrem�nts may apply for th�
<br /> intended work, they are advised #o contact the Pasco Counfy Building (ns�ec#ton Divisi�n—ELfcensing Ser�tion at 727-847••
<br /> 8009, Furthermore, (f the owner has hlred a contractor or contr�ctors�, he� (s advis�d t'o have tho cc>ntracttrr(s) sign
<br /> porf(ons of the "contractor B(ock" of fh4s applicatian for which they wiEl be re;aponsEble� If ou, as the a�t�nE�r slgn as th�
<br /> contractor, that may be an indication that he is not properly ilcensed and Is not entitl cl to�permitting pr(vileges in Pascu
<br /> County. � ' '
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RE80URCE RECQWERY FE 'S: �The undersigned understand;;
<br /> that Transportat3on lmpact Fees and Recourse Recovery Fees may appl�! to Qhe const ��ctl�n of new builtiings, changf; of
<br /> use in existing bu(Idings, ar exnans(on of exisfing buildings, as specified iln F'asco Co �rfy�C��dinance number 89=07 �nd
<br /> 90-47, as amended. The undersigned also understands, that such fees,a as may be t�e, 4vill be ldentifiEjd at fhe timH of
<br /> permiffing. if (s further undersfood that Transpo�tation impacf �ee;; and IReF�ource R r,ov�ry Fses rnust b� pald priar ta
<br /> receiving a "certiflcale of oocupancy" or flnal power release, If the proJect d��es not i volv�e a certificate of occupancy or
<br /> final power release, the fees must be pald prlor fo permlt.issuance. Fu�hermore, If �sc�o County V11at;�rl�swer Smpact
<br /> fees are due, they must be p.ald prior to permit Issuance In aecordance with appticable �sc�o County ardinanees.
<br /> CONSTRUCTION LIEN.E.AW.�.Gh�pter 713, Florlda 3tatutes, as amended�: Rf valu tlan�af work!s$2,5QQ.00 or more, I i
<br /> certify that I, the appl(canf, fiave� �een provided wifh a copy of the �Flarida Con truc�ftion Lien Law Homeown�r';� ,'
<br /> Protection Gulde" prepared by the Florida Depa�tment of Agricultur_e and. Consumer A�'ai�s. if the appli��ant Is someono
<br /> other than fhe°owner", ! certify that i have obtalned a capy of fhe-abave descrlbed do�ilm�?nt and promista Ir� gr�od faEfli to
<br /> deliver it to�the�"owner" priar to cammencement. i �
<br /> CQNTRACTOF2'S101t1jNER'S �FFIDAVIT: I certlfy#hat all the Informatlo#� In thls app!t:afk�n 3s accurate�nr� that all wark
<br /> will�be c�ane In compliarice witf� ali applicable (aws regulating canstructloh, zoning an lar�d development, Appl(cation i�
<br /> hereby made to obta4r� a permlt to do work and lnstailatian as !ndlcated. I cert! that rto work or (nstallatfon ha�
<br /> commenced prior fo issuance of a permit and that a11 work wi(( b� performed to mee�t standards of a(i laws regu(ating
<br /> cans#ructlon, County and Clty codes, zoning regulations, and land devela��ment re�ulat ons in the jurlsdictfon. I also
<br /> certify that_I understand that #he regulatians of ot�ier gavernmenf agenc3es may appip Qo f�e lnfended wc7rk, and thaf tt is
<br /> my responsibflity to fdentffy what actions I must take to be In compli�inoe, �Suc;h agenc�,� i�jclude but are riat limited to;
<br /> - Depar�ment of Envlronmental Prote�tlan-Cypress Bayt�eads; Vi/efland A e�as�and Envlronm�n�ally Sensit3v�
<br /> Lands, Vllater/Wastewater Treatment. ; ' �
<br /> - Southwest Florida Water Management Distric#-Wells, Cypc�sss Ba�hea�is, Wetland Arsas, A!#erin�
<br /> Wafercourses. � �
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Wa#erwayi>, �
<br /> - Departmen# of Hea}th � Rehabi?It$tl.ve Serv}ceslEnvlronmenlal Hea3th ni#-�1Ve11s, Wa�tev�lat�sr Treatment,
<br /> Septic Tanks. I -� ;
<br /> - US Envlronmental°Prbtectlan Agency-Asbestos abatemenf. � _�
<br /> Federal Aviatian.Aufharfty-Runways. �
<br /> i und�rstand khat khe followfng rastrlctlons apply to the usa of ffll: ; �
<br /> - Use of fili is not allovtred in Flood Zane"V"uniess express(y permitted. � '
<br /> - If the flll material-�i�s to be used in Flood �ane NA", .it is �nderstoad �h�t 'a drafnage pl�in addressing ��
<br /> "compensating va�Ume" will be subm#tted at tlme of pe�m€ttlr�g wh3ch is p.tepared by a prafesslonal engineer
<br /> � Ilcensed by the�Sfate of Flor(da. �' � ;
<br /> - If fh� fl!I material Is ta be used In Fload Zor�e "A" in conne:'ctian wlth a �er�itted bulidfng us�ng stem wal#
<br /> construction, I certify that fill wfil be used only fo fill the ��rea w,'Ithfn the ste w�ll.
<br /> � If fl1! material ls to be used In any area, I certlfy that use o1' such flll wl!! not adversely a�Ffect adjacent
<br /> properfies, if use of fi(I is found ta adversely affect adJacent;prcrpe�fies, t��t �wner may be'c.lfed for violatins�.
<br /> the conditions of the 'buiidfng permit issued under the attactied permit a�plic�tion, for lats I«ss than one (1)
<br /> acre whlch are elevated by flll, an englneered dralnage plan ls requlred. � '
<br /> If I am the AGENY FOR THE OWNER, I promise fn good faith ta Inform t�e �owner of tha j�ermitting conditions set forth in
<br /> this a€fiidavit prior to commencing constructlon. f understar�d #hat a separate permft��ayi be requfred far afec#rical work,
<br /> plumbing,-signs, weils, poals, afr condition(ng, gas, or ofher (nstallations not specifi allyi included in th�3 applir.a#ion. A
<br /> permlt lssusd sha!! be construed fa be a license to proce�d with the work and not as ���atf�ority to,ulolate, c�incel, alter, ar
<br /> sef aside any provisians of the technical codes, nar shall Issuance of a p�rmlt preven the�Buiidirig ��ic�s�l ft�om thereaffer
<br /> requ(ring a correction of errors In plans, construct(on or vlalations of any oodes. Every pei;mit Issued�shall become invalic�
<br /> uniess the wo�k autharized by such permit is commenced wlfhln six morith�� of perm�t lss,uance, or If work atafhorizecf by �
<br /> the permit is suspended or ab�andaned for a period of six (8) months after'th�� time the worik(s commenced, An extenslan �
<br /> � rrtay be requested;Iri writing!fror»�the�Bu}lding-Of€�cla1 for a-perlocf-not-to exoeed=ni�te�y-i(90)-days-and-w1!!-demans#t•ati�--�- —
<br /> justifiable cause for the exfens(on�, 1f work ceases for ninety(90}consecu�(ve� days, th J��b;is cansidered�ibcindoned.
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<br /> WARNiNG TO OlNE{�R: YOUR FAlLURE Tt} RECORi? �► NC}TIC� OF COMMENGI�NIENT MAY RESULT IN YQUFt
<br /> PAYIN� TWICE FOR IMPRO�EMENTS TO YOUR PROPERTY. �F YOU II+�TEND Tb PJ.I3TAIN_FINANCIN�, CqNSUL`Y
<br /> W1TH YO.UR�LEN�E.�.2 t�R AN A'T'TORNEY BEFQRE RECQRDtNt�YdUR'i TIC �F t�4MMENC�MEN1�,
<br /> FLORIDA JURAT(F.S, 117,U3) I �
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<br /> OdYNER OR AGENT CONT'RACTOR
<br /> Subscrlbed and swarn to(or afflrmed)before me this 5ubscrlbed and swo a(or a �me�)�before me th(s� ,
<br /> by bY � ---� --
<br /> Who Islare personally known fa me or haslhave produced Who Islare personally Known to me �r ha�#lhave prodttced
<br /> as identlflcatlon, ,_ � ___,as(denkiflcatlon.
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<br /> _ Notary Public i ' _Notary Pub(ic
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<br /> Commisslon No. _ Commission No. � .,_,_,,,_,1_�; _,_,
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<br /> Name of Natary typed,printed or stamped Name of Notary ryped,printed or st mpecl
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