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i � . <br /> NOTICE{3E DEED RESTRICTIANS: The undersigned under�tands that this.p�r,mtt.may.be subJect to"deed"restriations" <br /> which may be�more restcictive.than County�regutatlons. �Ttie undersigned assumes responslbillty for campliance with any <br /> applicable deed rest�Ictions. <br /> UNL.lCENSED CQNTRACTOR� AND CC►NTRACTOR RESPONSlBII.ITlES: !f the owner has hired a cantracfor or <br /> cankractors to undertake work, they may be required.to be;ifcensed in accordance.with sta#e.and•local regulatlans. if the <br /> contractor is no# licensed as required�by i�w, both the owne� and cantractor may be clted for a misdemeanar vlolatlan <br /> under state law. if#he owner or (ntended contractor are:uncertain as tQ wh�t IlcsRSing.requlrements may apply�for the <br /> intended wark,they are advised to contaot the-Pasco County Bulldi�g lnspectfon Dlvlsion-Licensing Section at 727-847- <br /> 8009, �urthermore, 1t the owrner has hf�ed a contracto� or contractors, he is advised fa have the confractor(s) sign <br /> portions of�the "contractor Bfock° af fhfs appiicatian far whiah they witl be responsibte. If yau, as,the ovuner sign as the <br /> contractar, that rnay be an indicatian that he is not.properly iicensed and Is not entltled to permitting privlleges ln Pasco_ <br /> _ _--______��c���.t�tl�� - ______.�w.-- — _ -- -- . � _.._- ------ -- - - �. -_ __—- - ., _.�._ _. __.-__ <br /> TRANSPORTATI�N IMPAGTIUTIL:ITIES!IWlPACT ANQ RESOURCE RECCIVERY�FEES:�The undersigned unde�sfands <br /> that Transportation lmpact Fees.and Reco.tarse Recave.ry Fees may�appiy to the constructian of new buildings, change of <br /> use in existing buiidings, or sxpansion:of`existing';builiiings, as speaifled in Pascp Counky Ordlnance number 89-07 and <br /> 90-07, as amended. The,undersigned als� understands}:that:such fees,-_as-.may�be�duef,.wl1l.be ldentified at#he time of <br /> permitt(ng. It ls further understoad thak Transportation�lmpact Fees and Resource Recauery�Fees must be paid prior to <br /> eece�v�ng a °certlficate of accupancy" or fina! power,celease. :{f the.projec,#Ydaes not invalve a.cettificafe of occupancy. ar <br /> finai power release;the fees mast be paid prior#o permit issuance. Furthermore;ifi�Pasco-County VlfaterlSewer Impact <br /> fees are due,they must be paid prior to permiE",lssuan'ce�in aacordance wlth appliaable Pasco.County ardinances. <br /> CONSTRUCTION LIEN LAW(Chapter T1S, Elorlda Statutes,as amend�dj: tf vatuatfon of work is$2,500.00 or more, 1 <br /> certify that !, the applic�nt, have been provided with a c�py--of the "Florida �Construction Lien Law:.Hameowner's <br /> Protectfon Guide" prepared by tlie Fiorida t7epartmenf of Agric.ulture and Consumer Affair.s.: If the applicant is someone <br /> ather than the"owner", 1 certify that I have,abtalned a capy;of#he above,descrl�ed document and ptomise in.good faith to <br /> delive�it ta the�°awner°prior-to�cammencemenk:� • � , <br /> CONTRACTOR'SlOWPlER'S AFFIDAYlT; 1 cerfify�:that a{E;the Inf,ormation in.this applicatlon is accurate and that aii work <br /> will�be done in compl�artce w9th.at! applicabie.:taws regulafing constructian, zoning and land deveiopment. Application Is <br /> hereby made ta obtain .a permit,to do w�rk..and instaliation as indicated. �I certify that no wark or tnstallat{on has <br /> cammenced priar to issuance of a permit �nd that.all work will be performed to meet standards of ali laws regutating- <br /> constructian, Caunty and City codes, zor�ir�g regulatlons, and #and devetopment cagulations{in fhe�jurisdiction. .) also <br /> certify that { understand #hat#he r�gutations of other govemment agencies may apply�#o tfie intended work, and thak it is <br /> my responsibility to identify�what.actions I must take to be.ln..compliance. Such agenales include but ace.not#imited to: . <br /> - Department of Environmenta! Protection-Cypress.Bayfieads, Wetland Areas-and Envfronmentafiy Sensitive <br /> Lands,Water/Wastewa#er Treatment. <br /> - Southwest �lorida Water Management�.District Welis, Cypress. Bayheads; Wetland Areas� Altering <br /> Watercourses. , <br /> - Army Corps ofi Engineers-Seawalls, DQCks, Navlgable Waterways. <br /> - Department of Heakth & Ret�abflitative,Servfces/Enyiranmenfai He�tfh Uni#-Wefis,.Wastewater.Treatment, <br /> Septtc°Tanks� ' _ , <br /> - US Environmentai Pra�tection Agency-Asbestos abatement. , . <br /> Federal.Avfatlon Authorlty-Runways. <br /> 1 understa�d that the following:restrlctions apply to the`use of flll: - <br /> - Use of fiN is not ailowed in Flood�one"V"uniess expressly permitted. <br /> - If the fitl mater,iai-is, to be used in.:Flood Zane "A"} it is understood that a drainage plan addressing a <br /> "compensating votume" wiA be submitted at time of perrnitting which 1s prepared by a prafessiona! engfneer <br /> licensed by the State-of Florlda: � <br /> - !f."the f�fl material.is`to be used in Fiood Zone °A" in�cannection�wi#h.a �ermitted buitding�using stein wali <br /> � construction, i certify#hat fiil_wtll:be used only.to.fill the area within.:the stem.wall. <br /> - if-fiQ material Is�to be� used In�any area, I aertify that use. of such�ffll will riot adversefy affect�adjacent <br /> properties. If use af fil� Is faund to adversely:affect adjacent pcoperties,.the owner may be cited for viaiating <br /> the condttions bf�the;b'i�fiding�.permit issued=under the aftacfied permit application,-for--iots less #han one (1) <br /> acre which are eievated�by'flli� an engineered dralnage.plan.is required. . <br /> ff=1 am the AGENT FOR THE O.WNER, 1;'��romise.°!n good faith to E�form the��awner.of the:.permltttng�.canditions�set iorth 1n <br /> this affidavit prior ta commencing construction. 1 un+ders#and that a.separate permit may be required for etect�icai work, <br /> plumbing, signs�.welis,_poois; air..co._�ditioning,_gas„or,:athec.:ihstaifa#fons,,not spec�fically included in the application. A <br /> permit issued shall be consttued:to be°a'ficen�e to proceed with the�work and,not°as:.authority:to.�v�olate;cancel; alter, or <br /> set aside any provislons of"the�tech�iical"codes; nor shall issuance of a permit prevent the Buildtrig O#flcia!ftom thereafter- <br /> requirfng a corcectio�af.ecrors!n,plans�construction,or vlofations of•any codes:,-Eve-ry-pertnit-i.ssued shaii=become invaHd <br /> un{ess the.work authorized.by suah permit�is-�ommenced•witfiin sG�,months af permit issuanae, or if wa�k authorized by <br /> the.permit is.suspended or abandoned�for�a-periad�of.six(8)=montfis:;after`the tline the�work is commenced. An extensPon <br /> may be requested� in_writing,�#rom the Building.Officia) far�a perlod;°not-fo.excee�=nine#jr�(80)�days a�d•wiff��demonstrate <br /> �uskiflable cause for the extensior►: If wark ceases.for nine.ty{90)consecutive days,..the job�is considered abandaned. <br /> . .,., ._ ___., .. ,,<, . <br /> , ,.; ._. . <br /> WARNING T0�OWNERc� YOUR.;,FAtLURE,T�.RECORD�:A,NOTIGE�OF,�COMMENGEMENT MAYrRESURT�!N �YQUR <br /> PAYING'iWIGE,FOR,_IMPROVEMENTS TO Y011R�_RROPERTY,..l��YOU�INTEND;T{)��QBTAIN�FI[+tANCtNG��CC?NSUl.T <br /> `�WlTH YOUR LE�1�OR AN A'iTOR�B�FORE�RECOR�iNG Yt3URYNQTiCE'C1F�`CQ�ENC�MENT" � <br /> FLQRIOA JRJfiAT(F.S.:417.:Q3) � . ; . - , . � ~ ' - ` . `- <br /> . ; .� , , , s _ . � <br /> _,OWlVElt OR AGENT ` CONITTRAGTOR • ,. ` ` ° , . <br /> Subscrlbed and swrom to(or aft�rmed)6efore ma this 3ubstxibed"and�swom ta(ar affirmadpbefbre tne this, ' " <br /> by ;by; :.,r;r.,, =,z.._:;;•,_::�:�:,.,�:::.,. _ <br /> Who lslare pe�s,onally.knpwm.to me.or-hasthave produced,; � �Who.isl�re p.ersonaliy.linawn-ta-me,or,hasJhave produbed: • ' � <br /> ' ' as lileritlBcatlon. � as tdentification. <br /> Natary Pubtic Notary Public <br /> Gommissto�No. T'� --� Com�ission No. <br /> Name ot Notary lyped,printed or stamped Name of Notary typed,printed or stamped ' : <br /> Y � _I! <br />