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NOTtCE OF D�ED RESTRICTiONS: The tandersigned understands#hat thls permlE m y b�i subJect to"de�3d"res#riotlans"
<br /> whioh may be more resfr(ct(ve fhan Caunry regulations. The undersigned assumes re �c�rr�lbility for compii��t�ce wlth'any
<br /> applicabRe deed restrictlons. � •
<br /> UNLICENSED GI�NTRACTQRS AND CONTRACI"OR RE�PC?NSIBlLlTlE�,: If the awr}ier has hir�d �� r,ontracfor or
<br /> contractors to underfak� work, they may be required ta ba licensed fn accprd�nce wit stal:e and local regul��tlons, !f the
<br /> contractor fs not Iloensed as r.equlred by (aw, both ttie owner and �ontracfor may be rite�i for a mfsdeme�nor vfolation
<br /> under state faw. If the owner or Intended contr�ckor are uncertaln as ta wh��t 1(censi y r��quiremenfs msiy �ppiy for the
<br /> intended work, #hey are advlsed to cantact the Pasco County Building Insp,ection Dlvisl�n—ELlcensing Seatlon at 727-847-
<br /> 8009, Fur#herrnore, if the owner has hired a contracEar ar contractors,. he� !s advisad t'o have the car�tr�c#or(s) sign
<br /> portlons af the °contractor Block" of thls appl(oat(on for which they wiii be re:aponsib{e� If , ou, as the awne�r slqn as the
<br /> cantracEar, tha# may be an IndEcatEan that he Is not properly ilcensed and,is nat entifled Eo�permifting privllocaes in Pasco
<br /> Gounfy. ' �
<br /> TRANSPORTATION IMPAC7IUTILiTiES iMPACT AND RESOURCE REGOWERY FE ::`r: �The undersign�ed understands
<br /> that Transporkatlon lmpact Fee� and Recourse Recovery �ees may apply to �he canst ucti�n of new builciings, change of
<br /> use in existing buNdings, ar expansion af existing bufldings, as speclfled In F'asco Co�nty,Ord(nanee nurnt���r t3��07 and
<br /> 90-07, as amended, The undersigned aiso understands, that such fees, as may be �lr�, will be identified ��t tho time of
<br /> permiktfng. It lu turther undersfood that Transpo�tation impacf Fee.� and ReF�aurce Ft c;c�v+�ry Faes must bF} pa{ii priar to
<br /> receivfng a °cer�tiflcate of occupancy" or flnal power release. if fhe projecf does not I volve a certiflcate of occupancy or
<br /> final pawer raioase, the fees must be pald prlor to permft.fssuance. Furthermare, If aso�o Caunty Water/�aewor Imp�ct
<br /> fees are due, they must be paid prior to permit issuanee in acoordance with a�3pHcabie� �sc�o Caunty ard4nar�ees.
<br /> CC?NSTRUGTI�?N LlEN�L.AW(Ghapter 713, Flbrlda Statutes, as amend`edy: lf vaiu tian(of work is $2,5�)0.00 or mora3, I
<br /> certify that i, the appHcant, have been pravlded with a aopy of the "�'lorida Can t�u�'tion L(en Law•—Fiomeowner's
<br /> Protection-Guide° prepared by the Fiarlda Department of Agrfcuiture and.Cansumer ff�l�s. {f the applica�lk 4s someone
<br /> other than the uowner", I certify fhat 1 have obtain�ed a copy of tha above des�ribed do ��ment and promfse Iti go�d falth to
<br /> deliver ft to the"owner" prlar to commencement. �
<br /> CCtNTRAC'fOR'SJ�WNER'S tiFFiDAViT; i ce�tlfy that a!I the infarmatlan !n #his app!t.�tic�n (s accurate <<nd that al) wvrk
<br /> will�be done (n compliance with all appiicabie (aws reguiating canstructian, zvning an !a 'd develapmeni. Appllcat(on !s�
<br /> hersby made to obtain a permit to da work and installation as indicated. I certi th t no wark or in,taliatian has
<br /> camrnenced pria� to fssuance of a permlt and that all work wlll b�3 performed to m f3t s andards af a(i IEiws regulating
<br /> construction, Cocinty,and Cify codes, zoning regulatians, and land development re���lat ons {n the jurl:�clict(an. I a!'so
<br /> certify that ! unders�and that fhe regulations of otFier government agencies may appiy tc► t ie Interided work, anci thaf !t is
<br /> my respans4bl14ty to Identify�what actlons ! must take to be In compU�ince. 8uc;h agenci s (r�clude but are not limited to:
<br /> - Department of Environmenta! Protectian-Gypress Bayt�eads,,Vlletland Ar,eas�and EnvlronmE3nf�ily Sensitive
<br /> Lands, WaferNVastewater Treafinent.
<br /> - Southwest Florida Water Managemen# District-Wells, Gyp��ess Ba�h�a�s, Wetiand ,Are�as, Aitering
<br /> Watercaurses. � �
<br /> - Army Corps af Engfneers-Seawaiis, Docks, Navigable Waterway�s.
<br /> - Department af Health & Rehabiiitative 8ervicesiEnvironmentai Heaith �lnit-�llfells, Wastewat�r �'reatm�nt,
<br /> Sepkic Tanks. � � ;
<br /> - US Enviranmenta! Protection Agenoy-Asbestos abatement. , ` �
<br /> - Federal Aviatian Authority•Runways, � � � � � � . . _
<br /> ! unders#and that the following restrlctions appiy to the use of fill:� � � '
<br /> - Use of fl4! is nat allowed in Flood Zone "V" unless expressiy permitted, � `
<br /> - if the flif materla4 Is to be used #n Fload Zone uA", it Is understood �hat 'a dralnage .plan adc�ressinca a
<br /> '�compensafing voiume° wiii be submitted at tima af permfttlr�g wnlch �s prepared by a profe;as4s�na! engineer '
<br /> Ncensed by the St�ite of Flor(da. ' ' �
<br /> - If th� f111 mater4al Es to be used In Flood Zone "A" (n connectic►n with a�n�rr;riitted building us3ing stem waii
<br /> construcfion, i certify that tiil wIN be used oniy ta fill the��rea wlth4n tt3e ster�w�l1.
<br /> - If fill material ls to be used (n any area, I certify fhaf use; af such fiil, wil1; not adversely �1#'fect ad)acent
<br /> properties. !f use of f11! Is found to adversely affect ad�acent°prcrperties, th� owner may be citE;d for vioiating:
<br /> the candltions of the buf(ding permlt issued under the attach,ed perm[t a�p((c�tion, for (ofs iE►ss fh�n one (1)
<br /> acre which are elevated by ffil, an engineered drainaga plan is requlred. '
<br /> If 1 am the AGENT FOR THE OWNER, I pramise (n gaod faith fa infarm fhe a�wner af th� E�ermitting cvnditians set fortl� !n
<br /> thfs affldavit prlor Eo commencing c.onstructfon. I understand thaf a separate permit �rtay;be required far�e�1ec#ricai w�rk,
<br /> plumbing, signs, weNs, paais, afr condltioning, gas, or other Installatians nc�t specifl allyi included in the� ,appiicafion. A
<br /> perm(t issued shall be construed ta be a ficense to proce�d wlth the work ar�d not as �titl'tority #o,ulolate,.canc�l, alter, or ,
<br /> set aside any provlsions af the #echnical codes, nor shali issuance of a permit preven ttre�Bufidirig O�fclal�from thereaftsr
<br /> requMrfng a correction of errara in p#ans, canstructlon or vlolaf[ons af any cades. Every pei;mif Issuad�shaii t��came invalid
<br /> uniess the work aufharized by such permit Is commenced w{thin six morith�� of perm{t iss;uance, or if wark�uthor(zed by
<br /> the perm(t(s suspended or ab�ndoned for a period of s}x (6) months after th�s time the warlk ls commenced. An extenslon
<br /> may be requested, In writing, from the 8uilding Offic(ai for a period not #o exceed nir�oty I(90) days and wifi demanstrate
<br /> }ustifiabia cause far the ex#enslon. If work ceases for nfnety(90) consecutive�days, th Jc�b#is cansidered �ibandoned.
<br /> WARNING TO OWNER: YC1UR FAtLURE TO RECORCt � NOfiICE 4F t;ClMMENt;1�MENT MAY RE3�DLT !N YqUR
<br /> PAYIN±G TWlCE FC?R IM!?ROVEMENTS T��YOUR PRUPERTY. OF YOU tt+ITEND T`� �I�TAiN FiN,ANCtN�G, �ONSt!!,T
<br /> WITN YC}.UR�LENDE}2 QR AN ATTiJ�t+lE�' 3�FC3�E nECa�Cl�(�Y�C��!l�dJ?'l����,�Q�.+I�Jl��ir�lylE�11; _ _ _ _._ _._ _
<br /> FE.ORIDA JURAi'{F.B. 197.03) �,,- � __ ._
<br /> OWN�R OR AGENT G4NTRACTQR �! q1� ► 1 � �
<br /> Subscribed and sworn to{or affirmed}bafore me thls Subscribed and s orn ta(or affirme�)�bef,are me this
<br /> by . c f.k�.�IC� �______
<br /> Who Is/are perspnaiiy known to ma or hasihave produced Who Islare p onally��to me�r ha�Jhave produeed
<br /> as identlfica�an, i �s ldentificatlon.
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<br /> . Natary Publlc � 'G' _lVotary Publlc
<br /> Commisslon No, Comm{s�,g No. __
<br /> o;*�::i;b�•,. JACQl�EI.IN�BO�ES
<br /> =.�. �,.=
<br /> �.;
<br /> Name of Nofary typed,printed or stamped Name af Natary ,fp,�`q�cE�pi ��ber 12,2018
<br /> BondedS Troyfeinlnsarancegpp.9gg.70i9
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