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<br /> NOTICE OF DEEQ R�STRICT40NS: The undersRgned understands that this permlk m y b�i subJect to "de4jd" rest�ictions"
<br /> whfch may be more ces.trlsklve #han Caunty cegulations: The undersigned assumes re ��►c�n:�ibility for compli�ince wlth any `
<br /> applicable deed restric#lons. � � �
<br /> UNL.IGENSED CONTRACT�RS AND CONTRACTOR RE�PONStBIUTiE.�: if the owrIier has hired �� c;ontractor or
<br /> contraotors fo undertak� work, Ehey may be requi,�ed to be Ilcensed 1n accard�nce wit sfafe and laca4 regui��tions. If the
<br /> canttactor is not licensed as requlred by law, both t�e owner and contractor may be c�fte4� for a mfsdems�anar violatlon
<br /> under state }aw, !f the owner nr intended contr�ctor are uncerkaln as to wh��t Ilcensi g r�aquirements m�iy �pply for the
<br /> intended work, 4tiey are advised to contact the Pasoo Caunty Building Inspection Divisi�n—�Licensing Seetlon at 727-84T-
<br /> 8009, Furtherrnore, if the awner has hfred a cantractor or contr�ctars,� he� (s advis�d t'o have the cor�fr�c#or(s} sign
<br /> portions of the "contractor Block" of thls appi(cation for which they wili be resspc�hsible� If you, as fhe o..wne�r sign as the
<br /> contractor, that may be an indication fha# he is nof praperly ilcensed and�is tiaf entitl ci ta�permitting prlv�foc�es fn Pasco
<br /> Counfy, ' ' '
<br /> TRANSPC3R'CAT(ON IMPAGTtUT1�.iT1ES IMPACT AND RESC?URCE RECOWERY FE i.�; �The underslgn�st! understands
<br /> that Transportatfon irripact Fee� and Recourse Recovery Fees may apply'to �he canst ucti+�n of new buildlrigs, change of
<br /> use in exlsting buildings, or ax�ansion of exlsting bufldings, as specifled in F'asco Co�nty�Ordfnanee nurnk»r f3y=07 and
<br /> 90-07, as amended. The undersfgned also understands, thaf such fees, as may be u�s, Ii�1ll be Idenfified �it the time af
<br /> permitting. It (u further understood that Transportatian Impact Fee,� and Re,�ource R r,�v+�ry Fees must bE3 paid prior tb
<br /> receiving a "aei�tificafe of occupancy� or final pawer relaase, if the project dt�es ncit i vc�lv�e a aerti#�cafe ctf tyccupancy or
<br /> fina) pnwar relaase, the fees must be paid prior to permft issuance, Furthermore, !f asc�o County iNaterl�ewer Impack
<br /> fees are due, they musf be p.ald prior to permit Cssuance In accordance�w(tli a��plfcable �sc�a County ordinar�ces.
<br /> CONSTRUCTIClN I.IEN�LAW(Chapter T13, Plorlda Statutes, as amend,'ed�: !f valu tlun�of wark is $2,50a.00 or more, I
<br /> certify that !, the applicant, have been provlded with a copy of the "�lorida Gon truc�tfon Lien Law•—Fiomeowner's
<br /> Protectlon Guide" prepared by the Florlda Department of Agriculture and�Consumer ff�i�s� If the appliaant is someone
<br /> ather than the"awner", ( certify fhaf I have obtained a capy of the ahove d�seribed do�ume+nt and promise iii gaod faith to
<br /> deliver ft fa the"awner"prbr to oommencement, �
<br /> CONTRACTOR'SIOWNER'S �iFFlDAVIT: 1 ce�#ify that a!i the infar.mation In this appl r.tEtl�>rt Is accurate �fn� that aN wark
<br /> wii4'be done !n compffance wltf� af! applicable laws regulating conslructlon, zoning an lar�d development. ,4pplicatlon is
<br /> hereby made to obtain a permft to do work and lnstallatlon as Indlcated. I certl that no work or Iri:;tallation has
<br /> commenced priorXo I.ssuance of a permit•and that ail wark wfli b�� pertormed to meE3t s�tandards of aIi Isiws regulating
<br /> oonstruction, County�awd�;E.�ty,codes, zani�i�'yregulations, and land deveiopment re ��ia#ons in #he juri;sdlcf(on. i also
<br /> certify that I undersfand thaf t�e.,,regulations of`o�ti�er govetnment agenaies may app{y Qo f ie infended work, and fhaf it is
<br /> my responsibiiity to idenfify wl.��t actians 1 must take ta be in compliance, Sut�h agenci s irialude buf are nat limlted to:
<br /> - DepartmenE of Environmental Prote�tfan-Gypress Bayt�eads,,V�letland A e�s fand EnvlronrrtE:nt�lly Sensltive
<br /> Lands, WaterlWastewate�Treatment.
<br /> - Sou#hwest Florida Waker Management Dist�(ct-WeUs, Cypress Ba�h�a�s, Wetland ,ArEaas, Altering
<br /> Wakercaurses. ,
<br /> - Army Corps of Engineers-Seawa((s, Docks, Navigable Watarway�s. �
<br /> - Department of Health & Rehabilltative ServicesJEnvlranmental Health � nit-��l1lells, Wasfewat�r �'reatm�nt,
<br /> SePtic Tanks, � �
<br /> - US Environmen#ai Pratection Agenoy-Asbestos abatemen#. ; .
<br /> Federal Aviatlan Authority-Runways. �
<br /> ! understand that khe following restrlctfons apply to the use af ffll; �
<br /> - Use of fill is not allowed in Flood Zone "V" unless expressiy perml#ted, � `
<br /> - ff fhe fl(I material is ta be used in F{ood Zone "A", it is understood �i��t 'a drainage pian addressint� a
<br /> "oompensafing valume° wi(3 be subml#ted at tEm� of permifting which is p.re�ared by a profe,>si�ma! er►gineer
<br /> ficensed by Ehe State of Fiorida. �
<br /> - If th� fiii materlai is to be used !n Flood Zone "A" in connectic�n with a i�a�rr,�altted bullding u>ing stem wall
<br /> constructlon, I cettlfy that flll will be used only to fUl the<�rea within the ster� w�ll.
<br /> - If flll material is to be used In any area, I certify #hat use; of such fil( will; not adverse(y eiifect adjacenf
<br /> properties, if use of fill is found to adverseiy affect adJacent;prc�perties, t�e �wner may be citf�d for violating:
<br /> fhe conditions of the buiiding permit issued under the attached permit a pf#catiort, far lots le►ss th�n one {9}
<br /> acre whioh are eievated by fill, an englneered drainage plan fs requlred.
<br /> if 1 am �he AGENT FOR THE C�WNER, i promise !n good faith to Infarm the�wner of I�� ��ermitting condltl��ns set fortl� !n
<br /> this a�fldavit prlar to commencing cons#ruction. i understand that a separata permit �t�ay�be required for E�lectrfcal wc�rk,
<br /> plurnb(ng, signs, weiis, paols, aIr conditioning, gas, or other Installation� nut specifibally(included in the� ,�pplica#ion. A
<br /> permit issued shall be construed to be a Ifcense to proce�d with the work and noE as(�utF',tori#y fo,ufoiafe, cancel, ait�r, or
<br /> set aside any provisions af the technioal codes, nar shali issuance of a permit preven�therBuildirig Official i'rom fhereafter
<br /> requiring a correction of errors in plans, consfructlan or v€ola#3ons af any cod�s. �very pet;mlt issued:shaN t��come InvaNd
<br /> unless the work eufhorized by such permif is cammenced within s!x month�� of perm�t i�s;uance, or �f wo�k�u#horized by
<br /> the permlt Is suspertded-or ab�ndoned for a period of s!x(8) months afterthaa time the wot�k is commenced. An extenslon
<br /> may be requested; In writing;"fram fhe Building�Offlcial for-a�perfod not to-exceed=ni��ty>I(90)-days-and will�_domonsttate_____-
<br /> Justffiable cause for the extenslon, If work ceases for ninery(90) consecutive�days, th )c�b;is considered�ibandoned.
<br /> WARNING TO OWNERc YOl7R FAiLURE Tp RECORd /� NOTiCE OF t:C)MMENt�f���1ENT MAY R55�Dl.3 IN YOUR
<br /> PAYiM.t'a TWlCE F{�R IiVIF?ROVEMENTS TO�Yt�UR PRt1PERTY. DF Yt711 lNTEND 1' �13TAlN FlN�NC4�l�, �ONS!!LT
<br /> WlTH YOUR,LEND�R�R A�ATTQRNEY BEF.ORE RECt�RDlN(�YOUR`NQTICE F I�OMM�N��MENl:;
<br /> FLORlDA JURAT(F.S. 117.03) • _� �
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<br /> OWNER OR AGENT CONTftACTO �,r� ��
<br /> Subscrlbad and sworn to{or afflrmedj before me thls Subscribed and orn ta(or afllrme�)�befpre me this .
<br /> by . by s��3_�.�� �<° _.__,.
<br /> Who islare personally known fo me ar haslt�ave produced Who islare personally known to me�t�ha�thave produeed
<br /> as Icientlflcadan. i �s identificatlon.
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<br /> . Notary Publtc _IVofary Pub(Ic
<br /> Commisslon Na. Commission No, ��,�� ,__
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<br /> Name of Notary typed,ptinted or stamped Name of Notary typed,printed or st m ecl ~
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