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NOTiCE O�QEED RESTRlCTlONS: The und�rsigned under.�tands that.thls.��cmlt.may-be�subjeat ta"deed"restriations"
<br /> which may be�more.restrictive.than County-regalationa. �The undersigned assumes responsibiilty far campliance with any
<br /> applicable deed restrlctlons.
<br /> UNL.ICENSED CONTRACTtSRS ANQ CflNTR.ACTC}R RESPONSIBEI:ITIES: If the owner has ht�ed a contractor or
<br /> coMractors to undertake work, they may be.requtr�d,.ta be;:ltcensed In accordance.wlkh state.and•local regulatians. If the
<br /> contracto� Is not ilcensed as requlred'by law, botP� the owner and contractor-may be cfted foc a m#sdemeat�or vfalation
<br /> under state law. If the owner or Intendedr eontractor are-uncertaln as to wha# licensing.requtrexnents may appiy�ar the
<br /> intended work, they are advised to contact the Pasco County Buliding Inspection Divislon--Licenstng Sectlon at 727-847-
<br /> 8009. Fu�ihermore, 1# the owr�er has hlred a contractar or contractots, he Is advised to have the contrac#or(s) sign
<br /> portians of the"cantractor Block° of this application far which they wilt be respo�sible. If you, as.the awner slgn as the
<br /> co�ttactor, that tnay be an Indioa#ian tha# he ts not.properly (icensed ar►d ts nvt entlkled to pecmitting privileges fn Pasco __._
<br /> County. _ __ _. �___�-�. _w-- -
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<br /> ---,°��i����rR�-b�`i��i.ill��l�CTIUTILifilES IMPACT ANC1 RESOURCE RECOVERY��FEE3: The undersigned understands
<br /> that Transportatlan Impact Fees.and.Recour�e Recove.ry.Eees retay�apply#o the construc�an of new buildings, ehange of
<br /> use in existing build(ngs, or.expansion.of�existirig:buildings, as spe�clfled.in Pasco Caunty Ordlnance number 89-0? and
<br /> 90-07, as amended. The underslgned alsa under�tands, that-such fees,.as�may.•be�due, wlll:be ldentiftsd at the time of
<br /> permitting. it is further understood that Trafispartation lmpact Fees and Resowrce Fteco�ery=Fees mus#be paid prior to
<br /> recetving a"certificate of occupanay" or final power. release. :If the project does not Involve�a cettificate of occupancy or
<br /> final power release, the fees mu�t be pald prbr tm permit issuance. F�rthermore--i#Pasco County VllaterlSewer Impact
<br /> fees are due, they must be-paid prior to permit-Issuance-In aacordance with�applicable Pasca'County ordinances.
<br /> CONSTRUCTION LlEN LAW{Ghapter 713.Ftorlda Statutes�as�amended): If valuatlon of work 1s$2�500.00.or more, !
<br /> certify that i, the. appiicant, have�been provided with a copy� of the °Florida Construction Lien Law—Homeowner's
<br /> Pro#ection Guide° prepared by the Florida Departme�f of Agriculture and Consumer Affairs. tf the agpllcant is someone
<br /> a#her than#he"avmer", 1 certify tFtat I have obtained a copy;of the above..de5cribed�doaument°and.promise in,goad faith to
<br /> delive�it to the"awne�"�prior to•commencement:
<br /> CONTRACTOR'SlOWNER'S APFIDAYIT: !ceit(fy thak aii the informatlon�In�this applica#on is accurate and that a14 work
<br /> will�be done in compiiance with all.appflcable laws regulating construction, zoning and�land development. Appltcation ts
<br /> hereby made to obkain .a permit ta do work and ins#allatlon as indtcafed:= 1 certify that no wortc ar instaitation has
<br /> commenced prior ta issuance of a permlt and that atl work witl be perFormed to meet standards of all laws reguiating-
<br /> construction, County and City codes, zoning regulatians, and land developm�nt cegulatlans•in the ju�Isd(ction. ( also
<br /> ce�#ify tha# 1 ur�derstand thaf the regula#ians of oth�r government agencE�s may appty�ta#he intended work� and that it is
<br /> my responsibility to identify�what.actions I must tak�.to be,in<.cortlpUance. S.uch agencles.include bwt are.not Ilmited ta:
<br /> - Department of E�vfronmentai Proteotion-Cypress.�Bayhead�; Wetland Areas and Envlronmentally Sensitive
<br /> Lands,Wat�arlWa�tewa#er Treatment.
<br /> - Southwest Florida Water Management .District Wells, Cypress. Bayheads, Wefland Areas, AlterEng
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigatile Waterways.
<br /> - Qepartment af Heaith � Ret�abilita�tiv� ServiceslEnv�ronmenfal Ne$Ith Unit Wells, Wastewater Treatment,
<br /> Sep#ic TanKs. ,
<br /> - US Environmental Protectlon Agency-A�bestos aba#ement.
<br /> - Federal Av3etton Authority-Runways.
<br /> i understand tha#the faliowing;restrictions apply ta the use of flll:•
<br /> - Use of#ii#!s no#ailowed in Flaad Zone"V"ur�less expressEy petmitted.
<br /> - if the fill material is ta be used in �Fivad Zone "A", It is understood that a drainage pla� address(ng a
<br /> "cvmpansating volume" will be subr�[tt�d at time of permEfting whlch is prepared by a professional engfneer
<br /> ttcensed by#he State of Florida.
<br /> - If th� fill material.is to be used in Ftood Zone "A° iny connect(on�wlth.a�permltted building using stem wall
<br /> construct�on, l cer#ifiy that fill.w�11-b.e used only.to#il1 the area wlfi�ln#he�stem�uat1.
<br /> • If flll materlal Is ta be used in any area, I certify that .use. of such'fll) will not adversely affect adjacent
<br /> properties. !f use of fli! is foctnd to adversely.�ffect adjaEent�prapert9es,.the owner may be cifed far vloCating
<br /> fhe conditions of the buitding.permit issued under the attached permit appiica#lan, far-�lots less than one (1)
<br /> acre which are elevated by ilil,an engtneered dralnage plan Is requlred.
<br /> tf 1 am the AGENT�OR THE t}1NNER, t,�promise tn good faith ta Ictfarm the owner of=the permitting canditians set forth in
<br /> this a�davft�prior to cammencing construction. 1 ur�derstarid that a�-separate permit may be requtred for electrical wark,
<br /> plurrabing� si�ns, welts� poofs, a1r conditianing�.gas� or other EnstaEl�tlons nat spec�fically included�tn.#he appllcatian. .A
<br /> permit Issued shait be construed tabe�a'Iicense to�p�oceed w(th the'work and not as.authority to,vlolate� cancel; alter, or
<br /> set aslde any provis(ons of-the technical cades; nor shal!issuancs�of a.permlt.pcevent the Bu!ldtng Oiilcla!from thereafter
<br /> requiring a corfection.af er�ors in.plans, canstruation or vlolations of any codes. Every permit issued shaiF become invaiid
<br /> unless the work autho�tzed.by such perm(t�ts-comm�nced wlthln.sGc months of permit issuance; or if work authorized by
<br /> the perrr�it is suspended or.abandoned for.a.perEad of s�C{8�montEis.after the#ime the�work Is commen�ed. An extension
<br /> may be requested, in writing; from #he Building,Official for a period;not to exceed ninety�(90}days and will demons#rate
<br /> Juskifiabls cause for.the extenslan: !f work ceases:for nlnety(9Q)cons.ecutive_days,_th��ob=is considered abandoned.
<br /> WARNING TO OWNER: YQUR.FAILURE�TO,REC.O�tD A�.NOTIGE:OF�COMMENCEMEMT.MAY�RESUlT IN YOUR
<br /> RAYtNG TWICE.�'OR IMPROVEMENTS�TO�tC1.UR=:PRt�PERTY I��YOU�INTEND:TQ:OBTAIN�FIfiFAN�iNG;'C�NSULT
<br /> WIT U :O AN A7T0 N �B OR���. � CO �- � OU = O �C 'O � �' E T
<br /> FLORlDA JURA�(F.S.1.17.03j _ ` � _��'�
<br /> OWNEI2 OR ACiENT CON'1`RACTO ��`°�
<br /> Subscclbed and swom to(or afllmied)betore me this 3 s e s - (o flirme+d� e� me'ttif�
<br /> ����.� y Q�m. ar has/he � �
<br /> by y� �c�,t�1. .
<br /> Vtfio islare personally known to.me or•haslhaya produced Wh�/are„perso�II k�n ve produced •�
<br /> as Identl@cadcn. ��}rza (,r�� as iden8flcation.
<br /> , ti '" .
<br /> Notary Fublic . jLck- �I Notary Publfc'
<br /> Commisslon No. Co sion.
<br /> Name ot Notary typed,printed or stamped Name of Notary typed,pdnted ar stamped -
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