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<br /> NOTICE O� DEED RESTRICTIONS: The underslgned under.stands�that thls:��rm(t:may.be.subJect to"deed"resVtctCons°
<br /> whiah may be:more restricttveythan County regc�lstfans. 'The undersigned assurries responsibiiify for comptiance witfi any
<br /> applicable deed rest�ictions.
<br /> UNl.#CENSED CClNTRACTORS AND C�NTRACTOR RESPONS1Bti.ITtES: if tt�e awner has hired a cor�trac#or or
<br /> contractors to undertake work, they ranay be requlred..ta:be_ilcensed In accardance.with state.and�lacal regulations, If the
<br /> contracto� is not licensed..as required-by law, bath the owner and contraator tnay be cited for a ntlsdemeanar vtola#on
<br /> under state iaw, if the awner ar intended�cor�tra�tor are uncertain es ta what ilcenatng.requireRnents may appiy�for the
<br /> intended work, they are advised to cantact the.Pasco Caunty Buliding Inspection Divlsian—L.Icenstng Seation at 727-847-
<br /> 8009. Furthe�mare, tf the awner has htred a contractor or contractors, he Is advlsec! to have the contractar{s) stgn
<br /> portic�ns of the "aontractar Block° of thls applicatlan for which they wlll ba responslble. If yau, as.the owner sign as the
<br /> contractor� that may be an indicatlon that he is not.properly Ucensed anc! (s not entfNed to permlEting privl}eges In Pasco
<br /> County.
<br /> TRANSPORTA710N IMPACTIUTILITIES IMPACT ANd RESOURCE RECOVERY FEE3: The undersigned understands
<br /> ihat Transportatton Impaat Fee�.and.Recourse Recave.ry�Feea maY�apply to-the consUuctlon of new bulld�ngs, change af
<br /> use 1n existing bulldings, or expansian�.of:existin,g'buildings, as specifled in Pasco County Ctrdinance number 89-07 and
<br /> 9Q-OT, as amended. The undersigned also understands, that such fees, as,may°be�due,.wiii be Identffied at the time �f
<br /> permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prlar to
<br /> receiving a "certifiaate of occupanay" or flnal power. release. :If the proJeck:does not Involve a certiflcate c�f occupancy or
<br /> ftna! pawer release, the fees must be patd-prto�to petmtt Issuance. Fu�thermare, if Pasco Caunty V1later/Sewer.impact
<br /> fees are due, they must be�pald prlor to permit issuance-In accordance with appltaable Pasca'County ordinances.
<br /> CQNSTRUGTf�N LIEN LAW(Ch�pter 713, Fiorlda Stateate�i a�amsnded): !f vs�tua�on of'wark is$2,500.40 or more, 1
<br /> certifiy that i, #he appilcant, have•been provided with a capy of the�°Florida Constructlan� Lien Law—Homeowne�'s
<br /> ProtecQion Guide" prepared by the Flartda Qepartment af Agric.ulture and GonsumerAffairs. !#the appltcant is someone
<br /> other than#he"ow�er", !certlfy that 1 have.obtainsd a copy;of.the abave..described�acurrient°and p,camise in.gaod faith to
<br /> deliver It to khe"owner"p�ior to•commencement.
<br /> GflNTItAtC'C+QR'SlOWNER'S A�PIDAYlT: 1 cet�tify that a{I the Ir�focmatton�In�this applEcatton�s accurate and that a11 work
<br /> wiil'be done in campllance with all applicabie laws �egulating constructlon, zoning and land develapment. Applicatian is
<br /> hereby made to obtain .a permit fa do work..and installatlan as Indtcated.� '1 certity that no wark oc installatton has
<br /> commenced prior #a Issuance of a permit and #hat.alt work wi11 be perFarm�d to meet standards of aH taws regutattng
<br /> constructian, County and City codes, zoning �egulatia.ns, and land development regulaUons-in the jurisdictian. ( also
<br /> certify th�t 1 uc�derstand that the regulattons o€other government agencles may�apply�ta the lntended wartc, and that�t is
<br /> my responsibility#o identify�whet actfans I must take:to be�in:.corrlpliance. Such agencle�.include but are not Ilmited ta:
<br /> - Qepartment of Er�vtronmental Protecttan-Cypress. Bayheads, Wetiand Areas and Environmentaily Sensit�ve
<br /> Lands�WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management. :District-WeAs� Cypress Bay.heads; Wetland .Areas, Altering
<br /> Watercourses.
<br /> - Army Gorps of Engineers-Seawalls, Dacks, Navigable Waterways.
<br /> - Department af Health � Ret�abilitative Setvtce�/Envirortrrtental Nealth Unit Weil.s, Wastevfrater ?teatmenf,
<br /> Septtc Tanks. ,
<br /> - US Environmental Protectlon Agency-Asbestos abatement,
<br /> Federal.Avtatlon Author�ty-Runways.
<br /> I understand that the following.•restrictions apply ta the use of flll:
<br /> - Use of fltl is not aliowed in Flood Zane"V"unless e�rsssly permttted. -
<br /> - if the fill materia) is to be used in Fiood Zone "A", tt Is understaod that a drainage pian address(ng a
<br /> '"compe�sating valume" will be submltted at time Qf permitting whtch is prepared by a professional engineer
<br /> tiaensed by the State�af Ftorlda.
<br /> - If the fill material is�to be used in Flood �one "A" in�connec#ion�with.a�permitted building using stem wall
<br /> � construction, l certtfy tt�at filt:wlit:be used only_to.�111 the area w!#hin the�stem wall.
<br /> - If flll materlal Is ta be�used in any area, 1 certify that .use. of such flll wfll na►t adversely affect adjacent
<br /> properties, If use of fill is.found to advers�ly:affect adjacent pro�e�ties�_the owner may be clted for vlolat{ng
<br /> the condifions of the building.permit issued under the aHached�permit appi�catian� for.lots tess than one (1}
<br /> acre wh[ch are elevated by flil,an engineered dralnage.plan Is required. �
<br /> If 1 am fhe AGENT FOR THE OWNER, 1�promise tn good faith to E�form the awner of�#he permitt€ng ccnd�ttons set forth In
<br /> this affidavit�prtor to commencing constructlon. I understand #hat a�separate permlt may be required for electrical wark,
<br /> plurnbing, slgnst weils, poois; air conditlaning�.g�s, or other !ns#alE�tfons not spec►fically inciuded in.the applfcation. �A
<br /> permit issued shalt be canstrued to be a iicense to pmceed with the work and not_as-authortty to.vloiate,cancet, aiter, or
<br /> set aside any provis[ons of the technlcal cades; nor shall Issuance-af a permlt.prevent the Bulldfrig O#flcial from thereafter
<br /> requiring a corraction.nf erro�s#n.p3ans��constru�#iort or vialations of any codes. Every p�rmit Issued shail become invaljd
<br /> uniess the work authorized.by such permit°Is.commenced�within sGc mon#hs of permit Issuance, or if wo�k authorized by
<br /> the perrntf ts suspended or_abandoned#or a pertad of siac{Sj manths after the time the wark is commenced. An extensian
<br /> may be requested, in wrlting, from the Building,Clfficial for a perlod.not ta exceed-nlnety�(90) days and•wfli demonstrate
<br /> justifiable cause for the extension; (f work cease�.for nlnety�90j cansecutive day.s�..the job�is.considered aba�daned.
<br /> WARNING TO OWNEFt: YC1UR.FAILURE�TO.,RECCIRD A NOTMGE.O� COMMENCEMENT MAY RESUlT IN YOUR
<br /> PAYING TW10E.Ft)1��IMPRCtVEMEPt�'S T��fQUR�:PRO�ERTY. I�YOU�lN'FENI�`TQ�Q&TA�N•�[MANGING;'CQNSUl.T
<br /> WIT U L . TTO N OR � CO � � OU " A � C : � E '�
<br /> FLORlPA JURA�"CF.�u, 7ZA3� • .. __�_._-- --_- — . _____.__ _ - --- ---- --_____.._�. �--
<br /> _OV�ONER OR ACiENT -_— Y_--Y — — - -— - --- ONTRACTOR
<br /> Subscribed and swom to or aHirmed)b ore e this Subsaibed and'swom to(or affirmed),before me tlit�
<br /> � Y "
<br /> Who Is/ e personally knovm me or hasR�ave produced Who Islere p.ersonally known ta me or has/h Ide dflcatlon.
<br /> es Identlflcatlon. , ,
<br /> �.�.Jt.1Gt� Notety Pabllc Ptotacy Publia
<br /> Co sslo Nl ' Comntrlsslon.No.
<br /> ��: �':�:: Cammission#FF 150422
<br /> Name ot N . ., , ,��'p nld�r�l���e eooaes-iois Name of Notary typed,Printed or stamped ,
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