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<br /> NOTICE OF DEED RESTRICTiO�IS: The unde�rslgned under.�tands that this.p�r,mit.may be subject to"deed"restrictlons"
<br /> which tnay#�e�moce cestrictEve th�n Courity fegctletlatis. The underslgned assurries�esponsibtlity for compElance with any
<br /> applicable deed restric#(ons.
<br /> UNLICENSED CC?NTRACTQRS AND CQNTRACTC?R RESPONSlBlLITIES: !f the owner has hlred a cantractor or
<br /> cantractors to undertake work, they may be required.ta be:ttcensed in accordance.with state.and•tacal regulatlans. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be clted for a misdemeanar vlolation
<br />� under state law. ff the awrner or In#ended contractor are uncertaln as to what licensing.requtrements rrtay appty�for the
<br /> intended work, they are advised to contact the.Pasco County Butlding Inspectlan D(vislon—L.icensing Seatton at 727-847-
<br /> 80U9. Furthetmore, If the awner has hlred a contractor or contractors, he is advised to have the confrac#or{s) sign
<br /> portions of the °contractor Block° af this apptication far which they wfN be responsible. tf you, as.the owner sign as the
<br /> contractor, that may be an indication that he is not.praperly licensed and is not entitled to permitting ptivlleges in Pasco_
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<br /> TRANSPQRTATIDN,IMPAC'TIUTIL.ITIES IMPACT AND RE�SOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpartation Impact Fees and Recourse Recave.ry.Fees majr apply to the construc#Ion af new bulldings, change of
<br /> use in existing buildings, or;expansion•of existing':buildings, as specifled in P�sco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands,.that suah fees. as�may�be•due;,wlll.be identified at the time of
<br />� perm�tting. 1# is further undersfood #ha#Transportation impact Fees and Resour�e Recovery�Fees must be paid prior to
<br />' receiving a "certificate af occupancy" or flnal pawer. release. :If the,project,.does not involve a.certificate of occupancy, or
<br /> finai power retease, the fees mus# be paid prlo�to permit Issuance. Furthermore;�f=Pasco-County 1NaterlSewer Impact
<br /> fees are due, they must be-pald prior to perrr�it issuance-in accordance with appllcable Pasca County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter T13, Elorlda Statutes,as arnended}: !f vaivation of work is$2,50Q.00 or more, t
<br /> cert9fjr that 1, #he applicar�t, have been provEded with a capy-of the, "Florida� Canstruction Lien Law Hameowner's
<br /> Pro#ection Guide" prepared by the Florida Department of Agric.ulkure and Consumer Affairs.; If the applicant is someone
<br /> other thart the"owne�', !certify#hat i have,.obtaic�ed a capY:af ths above descrlbed'clocumen#and pcomis,e in.goad�faith to
<br /> deliver it to the"awne�"prior-to=commencementr � " �
<br /> CONTR,4CTOR'SlOWNER'S AFPIDAYIT: { cectify-tbat aU;the lnformation In thls appiicatton is accurate and tha#ai!wark
<br /> wili�be done in compliance with ail apptiaable.laws reguiating constructian, zoning and tand deveiopment. Applicatton is
<br /> hereby made to obtain .a permit.to do work.,and installation as Indic,ated. °I ce�tffy that no wark ar tnstallation has
<br /> commenced priar to Issuance of a permit and that.all work vulll be performed ta meet standards af..al) laws regulating�
<br /> conslruction, County and City codes, zoning regulations, and land development regulat(ons�in�the jurisdiction. .) also
<br /> certify that I u�derstand that the tegulatians �f other gavernment agencles may appty to the in#ended work, and that it Is
<br /> my responsibiiity to iden#ify what.actions (must take.ta be,in..compllance. Such agencles include but are not limited ta:
<br /> - Department of Er�vironmental Protection-Cypress Bayheads, Wetfand Areas and Envlranmentally Sensit9ve
<br /> Lands,lNaterlWastewater Treatment.
<br /> - Southwest Florida Water Management, District-Wells, Cypres$. Bay.heads; Wetland Areas, Altering
<br /> Watercaurses.
<br /> - Army Corps of Engineers�Seawalls, Docks, Navigable Watenivays.
<br /> - Department of Health & Retaabilitative Setvices/Enviranmenta! Heaith Un�t Vifelis, Wastewater Treatment,
<br /> Septic Tanks� _ _
<br /> - US Environmental Protectior�Agency-Asbestos abatement. ,
<br /> ' - Federat..Avla#lon Autho�ty-Runuvays.
<br /> � I unde�stand tha#the following;restrictions apply to the use of flll:�
<br /> I - Use of fillls not allowed in Fiood�one"V"uMess expressly pe�mitted.
<br /> ', - tf the fili matecial is to. be used In •Fioad Zone "A", it is understood that a drainage plan addressing a
<br /> ' "compensating volume" will be submitted at�ime of permitting which is prepared by a professional engineer
<br /> E Ilcensed by the State-of�lorlda: �
<br /> - If the fill material is'to �e used in Flood 2one pA° in�connection�wlth.a permitted building using stem wall
<br /> ', canstruction, l certf�jr#hat fill�wlit.:be.used oniy.#o.ft11 ti�e area wlthin.the stem.wall.
<br /> - If"fll materiai is to •be� used in any area, 1 certify that use. of such flll will r�at adversely affect adjacent
<br /> propertiss, If Use of fi!! is found to adversely afFeat adjacent pr�perties,_the owner may be alted for violatirtg
<br /> the canditions of�'the buitding.permi# i§sued under the�attacfied permit-application, for iots iess than one (1)
<br /> acre which are elevated�by flil�an engtneered drainage.plan is required. .
<br /> If 1 am the AGENT�OR THE OWNEtt, f,ipromise.In good faith to inform the�awner of#he.permltt�ng.cocfdi#ions se#forth in
<br /> this affidavik prior to commencing construation. I'understand that a;separate permit nnay be required for electrical wark,
<br /> plurrxbing, signs, weits, poots,, afr_conditioning,.gas,_or other..fnsta!lations�naE:spec�fic�ily inolu�ed-in #he applicatian. .A
<br /> permit issued shatl be constcued:to be'�a�license#o praceed with the work and not�as;�author.ity:to:�iolate;cancel;.alter, or
<br /> set aside any provisions of"the��techn(cal codes; nar shail issuance�af a permit prevent the BuUc![rig nfflcia!from thereafter
<br /> requiring a caneatian nf eccars in.plans;-consfructian or viotations of any codes., Every-per+nit issued shalt beccirrie invaiid
<br /> unless the.work authorized.by such permit,�is-commenced�within s�C,months of permit issuance, or if work authorized by
<br /> the permit is.suspended-or.abandoned-for a period of siac{6)�months after.:the tlt;t�e tha wark is cammencecf. An extensian
<br /> may be requested, in.writing; from the`Building,Official for�a perlodWnot.to exceed�ninetjr'(9p)days and°will••demonstrate
<br /> Justifiable cause for the extension.,If work ceases,for ninety(8Q}consecutive day�,-.the job�ts consid.e,red ab.andoned. �
<br /> WARNING TO ClWNERc� YOUR:,FAILURE•TO,,RECORD A�NOTICE�:OF•:•COMMENCEMENT�:MAY�RESULT IN YOUR
<br /> PAYING"FWICE,�t}R,_IMPROVEM�NTS TO Y4UR�P.ROPERTY.:,I��YOU�INTEND'Tp�OBTAIN�:FIIVANClNG,�CONSULT
<br /> WITI,�,YOU�t LE�IDER OR AN A�T'ORNEY BEFORE RECOR�DING:YOUR`NDTiCE�O�'COMMENCEME�IT:
<br /> FLQftlRA',lUFtAT(F.8.;,117:03j - � , . '.� - ,, ,.
<br /> OWNER"OR AI3ENT CONTRACTOR ' - '
<br /> Subscxfbed and swom M(or afflrmedj before me thls Subscrtbed gnd swam to(or aflirmed)'beforei'me this:
<br /> by _ :by,- +, - F :�.� - _
<br /> Who islare personally known,to.me,or.hasJhava,produced, Who ts/are personally knovm-ta me•on-has/have produced' � rv
<br /> ' " as fdeiiUtCceUon. as tdan@fication.
<br /> Notaty Public Notary Publla
<br /> Commissibn No. Comr�isslon.No.
<br /> tVame o/fVotary typed,printed or stamped tVame oE Notary typed,pdnted or stamped
<br /> y t (�
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