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. S � <br /> NOTICE QF DEED RESTRICTlONS: The unde�stgned under�tands°th�t this_p�rmlt.may.be.subJect to"deed"restrictions" , <br /> which may be�more.r.estcict{ve�th�n County reguiations. �TFie uridersigned"assumes responsibitity far°campiiaiice with�any � <br /> appUcable deed restrictions. ' <br /> UNLICENSED CONTRACTQRS AND CONTRACTOR RESPaNSIBIt�ITiES: If the owner has hired a cantrac#or or <br /> contractors to undertake work, they may be requfred.#o be:ilcensed In accordance.with state.and•local cegulation�. =If�the <br /> cant�actar is not !lcensed as required'by law. both the awner and contractor�may be�cfted-for a�misdemeanor violatlon <br /> under state law. If the owner or tntended contractor:are uncertaln as to what ticensing.requirements.may appiy�far�the <br /> intended work; they are advised to contact the Pasco County Bullding (nspection Dlvislon--Licensing Sectian at 727-847- <br /> 8009. Furthermore� tf the owner has hlfed a contfac#or or cotafractots. he Es advised to have the conUac#ar(s}, sign <br /> portions of the "contractor Blockp of thls application for which they will be.responsibie. If you, as.the owrier sign as the <br /> contrac#or, tha#may be an lndicatlon that�fie Is not.properly Hcensed and ls not entltlsd to per�ciltttng privileges !n Pasco � <br /> Counry. ' ' <br /> TRANSPORTATION IMPACT/UTIUTIES IMPAC�'�ANb RESOURCE RECOYERY°FEES: �The underslgned understands <br /> that Transportation impact Fees and.Recourse Recove.ry.Fees may�apply:ta°ths'canstruction of new bu{IdEngs,.;change of ; <br /> use in existing buildings, or-.expansion•.of-�ezis#iri,g'�6uildings, as speclfled.in Rascv County Ordinance number 89-07 and <br /> 90-07. as amended '�he undersigned aiso understands, thaE.such fees.:as;may��e�due,.wlll�be tdentified at the�time of . � <br /> permitting. It fs furtfier understood that Transportatton Impacf Fees and Resource Recovery�Fees must be paid prior to <br /> �eceiving a "certiflcate of occupanay"_or flna! pawer.release. :If the project daes not Involue a:certfflcate of accupa�cy.o� <br /> finat power release, the fees must be-paid priar ta permit issuance. Fu�thermore;�i#Pasco County£WaterlSewer Impact- • <br /> fees are due�they�must be.paid prior to permit�lssuance�in accordance with applicable Pasco County ardinances. <br /> CONSTRtlCTtCtN LIEN LAW(Chapter 713R �larida Statutes�a�amended); !€valua�on of work ls$2}504.00.ar more� 1 <br /> certify that I, �he applicant, have been provided with a copy of the °Florida-Construct(on Lien.L'aw—Homeawner's <br /> Protect(on Gu(de" prepared by the Ftorlda Department of Agricuikure and Consum�r Affatrs. If the app!lcant{s someone <br /> other than the"owner", 1 certify that i t��ve,obtained a copy;of the.above.descrlbed documettt�and.pcomise in,good fa�h ta <br /> del�ver ft to the"owner".prior to�commencement: ' � . <br /> GCINTRACTOR'SIQWNER'S AFFIDAVlT: 1 certifjr ttiat all#he;lnf.ormatlon in this.applicatlon is accurate and that alf wock <br /> will�be done in compliance with all applicabla laws regulating canstruction, aoning and land development. Application is <br /> hereby made to obtaln .a pe�mit to c!o wat�k and {nstalfatlon as ittdl�ated.� 1 cerilfjr that no work .or Instailattan has <br /> cammenced prtor ta (ssuance of a perm(t and that.al( work wtll be performed to meet standaTds af aN laws regutating- <br /> c�nstruction, Caunty and City cades, xoning regulations� and land development regulations-in the jurlsdtction. 1 al'so <br /> cer#ify that i understand that the regulafians af oti�er government agencies may apply�ta tFte intended wortc, and that it is <br /> my responsibility to identify�what,actions I must take.to be,in<.corr�plianae. S.uch agencies include but are.not Iimited to: <br /> - Deparkmen# of E�vironmental Protec#ton=Gyptess.�Bayheaci�� Wettand Areas and Envlronmental4y Sensitive <br /> Lands,Water/Wastewater 7reatment. <br /> - Sauthwest Florida Water Management .Distrlct Wells, Cypress. 8ay�eads; Wetland Areas, Altering <br /> Watercvurses. <br /> - A�nny Corps of Engineers-Seawalls� Doaks� Navigable Waterways. <br /> - Department af Health�8 RefiablE3tative,ServlceslEnyironmental Health Unit Wells, Wastewater Treatrnen#, <br /> Septic Tanlcs. � . <br /> - US Environmentai Pfotectlan Agency-A�bestos abateme.nt. <br /> - Federal Aviat[on.Authority-fiunways. � <br /> f understand that the following.restricttons apply to the use of flll:� <br /> - tlse af fli1�s not allowed in F4oad Zone"V"unless expressly pe�mltted. <br /> - If the fiil materfal fs to be used, in �Flood Zone "A", ft Is understood that a drainage plan addressing a <br /> "compensaEing volume°w�4t be submltted at time af permttting which Is prepared by a professlona! engineer <br /> Ilcensed by�he State of Flo�ida. <br /> - !f the #ill material.is to be used in Flood Zona °A" In�connec�ian�wlth.a �ermikted building using stem wall <br /> � aonstructio�., 1 certify that fiil�w�it=be used only.ta.fill the area within the�s#em�wai{. <br /> - If ffll material is to be used in any area, I certify that .uee. of such flll will not adversely affect adjacent <br /> prape�ties. tt use of ff11 is fonnd to adversely:�ffec#adjacen#praperties,_the awner may be cited for viatating <br /> the condi#ions of the building:permit issued under the.attached'permit application, for lo#s less than ane (1) <br /> acre whlch are e4evated by i�!!;$�engEneered dralnage plan is requlred. � <br /> if 1 am the AGENT FC3R THE OWNER, I;�promise in good faith to inform the owner nf-the permitting conditions s�t farth in <br /> this affidavit�prior to commencing construction. I unders#and that a:separate permit may be required for electrical work, <br /> plumbing, signs, wetts, poots;. air canditloning,.g�s� ar other Ins#all�tions not.spec�calty inclu�ied In.the applicatEon. .A <br /> permit issued shall be construed to be a�Iicense to p�oceed with the work and not as:authoNty#o_violate,cancel, alter, ar , <br /> set aside any pravislons of the techntca4 codes; nor sha111ssua�ce�of a.permit.prevent the 8u!ldirig U#tTcla!from theteafter <br /> requlring a carrection af errors in ptans, constnuction or vialatlons of any codes. Every permit issued shafl become invaiid <br /> unless the work autho�lzed.by such permit�Is.commenced�within sfx months of permlt issuance� or if work authorized by <br /> the permit is suspended ar.abandoned for a:perEod of siac{�}manfhs.after the time#he�wa�k is commenced. An extens{on <br /> may be requested, In writing, fram the Building,Official for a period not to exceed ninety�(90) days and will demonstrate <br /> justifiable cause for.the extenslon: If work ceases:for nlnety(9Q}conseoutive:dayst..the�ob�is.consEdeted aba�doned. <br /> WARNlNG Tt'y OWNER; YOUR.FAl1.URE�TO,REC.QRD A:NATIGE gF COMMENCEMEMT MAY RESULT IN YOUR <br /> PAYtNG TWiCE.Ft1R iMP VEMEN: S Tt1 YQUR=PRCiPER7Y. IF°YI���tNTE�1D°'TQ�CIBTAIN�F1PtANCtNG,�CONSU�.T <br /> WITH Y U AN A N � O . R COR�F1 G�� �U � - � 'OF� E EN � <br /> F�o��aa.�u�►�r{F. �. � . . . <br /> OWNER OR AGENT ~� - v - -- - - - ---CONTRACTO .�- - — - -- , _ -__..-__ _�_ _-_ <br /> Subscdbed and sw+o to{or af�rmed}before lfiEs .. 6scrib a 'swom to(at afftrmed)� �" e tliis � <br /> by y'__". <br /> Who is/are personally knawn to.me or has ave�"roduced 'o is re personaliy kna M me "r has/have�produced • <br /> as tderttlflcatlon. as IdenBflcaUon. <br /> �- Notary Pubtic . No#ary Pub11c <br /> Commtssion No. Comm st .No. <br /> ,.,�. �'N'';, JACQUELINE BOGES <br /> :�.e�. <br /> Name of Notary typed,printed or stamped Name of IJota �ytp pt,�nt ¢ 150422 <br /> .; 4r; Expires Decembec 12,2018 <br /> '��.,j����`�,`,' Bonded Ttw Troy fain Insittanca 800395-7019 <br />