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' � t � �J, <br /> NOTIGE QF DEED RESTRICTIONS: The understgned understands�th�t this.per•mIt may.be.subJect to"deed",restrtctlons" <br /> whlch may be;more�r.estcictive:thaln Counky-regulatton§: �The�undersigned�assuines responsitiitlty for�campiianc€►"with any ` <br /> applicable deed restrlctions. � _ � ` ' � ' <br /> UNLICENSED G�NTRACTORS A�D CONTRACTOR RESPC�NSIBl1�1TIES: If�the awner has hired�a�cantraator or <br /> contractars to undertake work, they may.be required<:to be�ltcensed In aaccordance.with etate.and•local,cegulatlons.. �If the <br /> contractor is not licensed as requlted=by law, botii the owner and conUactor=may be�ctted for a�misdemeanorviofation <br /> � under state law. �if fhe owner or fntended>contraetvr are uncertaln as to wha# IicensingArequire�nent� may appiy.�for ttie - <br /> inkended wark, they are advised ta contact the Pasco Cour►ty Building Inspectlon Diviston--Licensing Sectton;at 727-847- , <br /> 8409. Furthermore, 4t the owr�er has hifed a contracfar or caritrac#oss. he is adv3sed to have the;:contractot(s}, stgn <br /> portions of the °contractor Block" af this application for which they will be res�ponsible. If you,:as:the owrier'sign'as the <br /> cantrae#or, that may be an Indlcation that he is not.properly licensed and !s not entitied to permEtting pr�vlieges in Pasco � <br /> County. ' ' <br /> ; TRANSPC?RTATION IMPACTIUTILITIES lMPAC�'ANb-RESOURCE RECOVERY FEES: �The undersigned understands <br /> that Transportation impact Fees and.Recourse Recave.ry.Fees may`appfy to:the constructton of new bultdings,:change of <br /> use in existing buildings, or�.expansibn.af�exfstirig'�tiuildings, as specifled.in Pasco Counky Ordinance number 89-07 and <br /> 90-07, as amended. The undetslgned also understands, that.such fees,.as�may�be�dueR.:wil!.be tdentifled at thejtiirie af � t <br /> permitting. It Is further understood that Transportatbn Impact Fees and Resource Recovery�Fees_mu�t be pald prtor to � <br /> recetving a °cer#ificate of occupancy"or flnal power.:release. :!f the project does not involve a certificate of occupancy.or <br /> finai power retease, the fees must be paid prior to permit i�suance. Furthermore;if:Pasco Caunty�WaterlSewer�lmpact <br /> fees are due, they�must.be.pald prior to permit-Issuance-in accordance with appllcable.Pasco County ardinances, <br /> CONSTRUCTtt?N LiEN!AW{Chapter 713, FlaNda Sta#u#es,as amended}; !f valuat�on of work 1s$2�500.00 or mare, 1 <br /> cerkiry that I, �he applicant, have.been provi.ded with a copy of the "Florida Construction L(en L;aw=.Homeowner's <br /> ProtectEon Gulde" prepared by the Etor�lda Depa�tmenf of Agricutture and Cansumer�Aff�irs. tf the app!lcant ts someone <br /> other than the"owner", I cer#ify that I have�obtained a copy;of,the:above..described dacurr�ent°and.promtse in,good falth to <br /> deliver it to the"owner"prior to�cammencement. ._ �", <br /> CONTRACTOR'SlQWNER'S AF�IDAYtT: 1 cectity tliat all the informatton In thls appttcatton is accut�ate and that a1!wark <br /> will'be dnne in compliance with ail applicable laws regulating construction, xoning and�land development. Application is <br /> hereby made to obtain .a permit ta do woric and installatian as lndicafed:� :i certify that no work .or Mstailatton� has <br /> cammenced prior to issuance of a permit and that.ali work wlil be pertormed to meet standards of alt taws regulating� <br /> construclion, County and City cades, xoning regulations, and land development r.egulations-in the Jur(sdta#lon. I si'so <br /> eertify that I understand that the regulattons of other government agencies may�apply�to the intended work, and that it is <br /> my responsibility to identify�what.act(ons I must take to be,in:.corr�pliance. Such agencles Include but are..not Ilmlted to: <br /> - �epa�tment of E�vironmental Pro#ection-Cypress.Bayhead$, �Vtetland Areas and Env[ronrnentalEy Sensitiue <br /> Lands,WatedWastewater 7reatment. .. <br /> - Southwest Fiarida Water Management Dtstrtct-Weiis, Cypress. Bey_heads; We#land Rreas, Aiterfng <br /> Watercourses. <br /> � - Army Corps of Engineers-Seawalls, Docks, Nav(gable Watetways. <br /> � - Department of Health & Rel�abili#ative Servtces/Ernrironmental Nealth Uni#-Weils. Vltastewater�Trea#ment� <br /> Septfc Tanks. _ <br /> - US Environmentai Protectlon.Agency-AsbesEos abatement. <br /> ' Federal Aviat[on Authority Runways. <br /> I I understand that the following:restrictlons apply to the use af flll: <br /> { _ Use of fil!Is not attowed in F1ood Zone"V"untass expressly permi#ted. <br /> � If the fiil materfal is to be used. in �Flood Zone. "A", ft. is understood that a drainage plan addressing a <br /> i °compensating volume" will be submltted at time af permifting wliich Is prepared by a professional engineer <br /> licensed by the State-of Florida: <br /> � - !f the fill maEerla!ls to be used fn �lood Zone �A" tn>cannection�wlth.a �ermlkted building using stem wall <br /> I _ canstruc#ion, i certify that fiii�wlit=be used oniy.to fill the area within the s#em�waii. <br /> If fill material is to be used ln any area; I certify #hat use. of such fill will not adversely affect adjacent <br /> propertles. #f use of filf is fonnd to adversely:�ffect adja�ent properties�.the owner may be clted for vlolating <br /> the condilions af the building:permlt Issued under the attached permit applicatfon, for�lots less lhan one (1) <br /> acre which are elevated by fltt,an engineered dralnage plan is regutred. . <br /> if i am the AGENT FC1R THE OWNER, I,�promtse In good faith ta inform the awner af fhe permitting conditions set forth in <br /> thfs a�davtt�prlor to commeacing construction. I understand that a-s�parate permit may be requtred for electrical work, <br /> plumbing, signs, weNs� paats; air conditloning,.gas� t�r other 3nstallatlons not�spec�ica#ly inctuded-in the appSication. .A <br /> permit issued shail be construed to be a Iicense to p�oceed wfth khe wark and not as authority to.violate, cel, alte�, or <br /> set aslde any prov�sions of#he technicai.code�s; nor shali tssuance�of a permlt prevent the Bul#dirig c al fro .thereafter <br />� requlring a co�rectio� af error s, cons#ructlon or violations of a�y codes. Every petmtt 1 ed shafl.b ome invalid <br /> unless the work authariz y su `permit•is.commenced�withln sfx months of permit lss ce� or if�►!or. authorized by <br /> the permit is suspen or.aba oned�for a'period af slx{8)�montF�s.after the time tfie� Is commen d:�`An_e7ctensibn <br /> may be requeste n writing, om the Building.Offlcial for a period not to exceed ni � tyr(90) days d will demanstrate <br /> �ustifiable caus or the exte lon: If wotk ceases_for nlnety(90}consecutive�ay.s,.. .e�ab;is cansl red a#iandoned. <br /> :„• , , , <br /> WARNlNG T OWNEl�• YOUR.FAIl.URE�TQ,REC.ORD A NC?TfGE.OF CC? ME MAY RESClkT !N YOUR <br /> PAYING TW E.FOR 1 PROVEMENTS TO YOUR�PROPERTY. 1�°: � � . D�T �8=�AiN�FtN-ANCiNG;'CCINSU�T <br /> WIT Y U ND �O� AN A OR EY�B FO ��-REGO �� :� OU ` 70 � E N ' <br /> F1.ORIDA Jt1 Y{ . 1_ .03} . <br />_�.-_ - — -- --- ___ �___.----�- -------- - - -_.__ _ .y.__ _ _ _ —..__ J <br /> OWNER tiE�17 CONTRACTO <br /> Subscrib d d o( )betore m s Subscr�bed and'swo (or re me ttits - <br /> y �by <br /> Who I rson y knavm to re s/have produced Who is/are p.erso knpwn� or has/have' <br /> idendi�catlqn. n�ficatlon. <br /> �- Natery Public _ ` � �'� r`�" Noiary Publfc <br /> Commiss4on No. Commis lon / <br /> ;;'� r�':= Commission#FF 150422 <br /> Name af Notary typed,pflnted or stamped Name of Not ", �ri ���ss.�o,s <br /> +,P,i:.`••'' 0 a htu roy t� <br /> i <br /> .. .�.4. <br />