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<br /> NOTiGE QF DEED R�STRICT#QNS: The underslgned understands#hat tt�is permit m y be� subJect to"deE;d" restrictions"
<br /> which may be moce restrletive than Caun'ty regulations: The undar•signed assumes re pon�ibflity for campl(��nce wlth any
<br /> appl4cable deed restrictions. � �
<br /> UNLIGENSED CONT�t�4CTORS AND CONTRACTf.3R RE�PONSi81LiTiE;>: If the �wr�Ier has hired o� t;ontractor or
<br /> contrac#brs to underfake work, fhey may be required ta be I(censed In accardance wif sfal:e and�foca4 regu#�tions. !f the
<br /> confracfor is not ficensed as requ3red by law, both the owrter and contractor may be rlte� #or a mfsderne,�nar vlolatlon
<br /> under state law, !f the owner nr intended contractor are uncerkaln as to wh��t liosnsi � r�iquirem�nts meay �pply for the
<br /> intended work, �hey are advised to contaot the Pasco County Building Insp.ectlon Dfvisi�n--�Licensing Seatlon at 727-847-
<br /> 8009, Furtherrnore, if the owne� has hired a contractor or contracfors,. hei Is advlsbd t�o have fhe confracEor(s) sign
<br /> po�tlons of the °contractor Black" of this app((caffon for wh(ch they wili be:re;aponslble� If yau, as the ownE3r sign as the '
<br /> cantractor, fhat may be an (ndication that he is no# properiy lieensed and ls not enti#I d to�permitting prfv)i��aes in Pasca
<br /> County, � ' '
<br /> TRANSPOR'TA'TtON iMPACTlI�T#LfT1ES IMPACT AND RESQURCE RECQWERY FE ;:i: lThe underslgn�ed understands
<br /> that 7ransportatlon lmpact Fee� at�d Recourse Recovery Fees may apply;to the const ��ct3�n of new bulldfngs, change af
<br /> use Ir� exfsting build{ngs, or expanslon of existing bulldings, as specifled in F�asco Co�nty�Ordinanee nurnt��r l39-p7 and
<br /> 90-07, as amended, The underslgned also understands, that such fees, as may be tae, �il( be idenfified G�t the fime of
<br /> permitting, It i:� furkher understaod that Transpo�tation (mpact Feee� and Re.rource R r,ov+�ry Fees must bfa paid prior to
<br /> receiving a "ceitiflcate of occupancy" or final pawer release, if fhe pro}ecE dtaes nat i voiv�e a certificate crf cyccupancy or
<br /> i finai power reiease, the fees mast be pald prlar fo perml# Issuance, Further�more, it as�o County Waterl�ew4r lmpact
<br /> fees are due, thay must be paici prior to permlt lssuance In accordance�wlth applicable asc#o Counky ordlnar�ces.
<br /> CONSTRUCTI�N L.IEN�LAW�ChapteF 713r Florlda Statutes, as amend'edy: !f valu tlon Cof wnrk is $2,51�0,00 or mor�,, I
<br /> ; cerkify that I, the applicant, have been provlded with a oopy of the u�lorida Can�truc�tlon Lien Law�—Fiomeowner`s
<br /> ; Proteot(on Guide" prepared by the Florida Department of Agriculture and�Consumer ff�ir�s. If fhe applloaiit Is someone
<br /> other than the"owner", ( certify that I have obfain�ed a copy of the above described do um�?nt and promise in goc�d faith to
<br /> ; deliver it fa fhe Nawner" prior to commencement. '
<br /> ; CONTRACTOR'S1aV1INER'S 1lFFtDAVlT: f certlfy that ali the informafiori In thfs appi c�ltic;�n Is accurate ��nd that a!f work
<br /> wili�be done in compiiance witt� a41 appllcabfe laws regula#ing constructlon, zaning an lar�d develapment. ,AppAcat(on (s
<br /> � hereby made to abtaln a permlt to do work and lnstallatlon as .Endlcated. I cert! that no work or In:staUation has
<br /> commenced prior to lssuance of a permlt and that all work will b�3 pertormed to m ��t s�tandards of all I�iws regulating
<br /> canstruction, County and City codes, zaning regulafions, and land development re �ialat�ons in fhe juri;sd(cflan. i also
<br /> certify that I understand that the regulatians of otiier government agencies may apply Qa f(�te inferided work, and thaf it is
<br /> my responsibC(ity fo identify what actions i must take ta be in compll�nce, Such agenci s iriclude buf are no#limited to:
<br /> - Depar#ment of Environmental Pratection-Cypress Bayl�eads,,Wetiand Ar,eas�and Environmean#�Ily Sens!#!ve
<br /> Lands, WaterNVastewater Treatmsnt.
<br /> - SouthwesE F#orfda Waker Management Dist�ict-Wells, Cypress Ba Ert�a�s, Wetland ,Al�Eaas, Altering
<br /> , Watercourses. � ,
<br /> - Army Corps of Engineers-Seawa(Is, Docks, Navigable Waferway�3, i
<br /> - Department of Healfh & Rehabiiitafive Services/Environmental Health nit-,�JIlells, Wastewat�r �"reatmenf,
<br /> Septic Tanks. � j
<br /> - L1S Environmentai Pratectfon Agency-Asbestos abatement.
<br /> ' • Federai.Avla#ion Aukhorlty-Runways. � •
<br /> 4 understar�d that the fo4lowing restrictlons apply to the use of flll:� i
<br /> - Use of fill Is nat allowed in Flood Zone "V" unless expressly permitted, � `
<br /> - If the flfl material �s to be used In Flood Zone "A", it is understood �hat 'a drainage plan addressinca a
<br /> "compensa#ing vo(ume" wiil be submltted af fimo of permifting which is p�rep�red by a profe;isls�nal engineer
<br /> iiaensed by the State of Florida.
<br /> - if th� fili materEal is ta be used fn Fiood Zane "A" !n connectic►n with a ��;rr;�iitted buliding u�aCng stem wal!
<br /> canstruction, I certi#y that fl!!wlll be used only to flll the s�rea wlkh(n the ste wa�ll.
<br /> • If fill materlal !s to be used !n any area, l certify that use; oi` such flll w(II; nat adverse(y aifect adjacenf
<br /> properties. !f use of ffll is found to adversely affecf adjacent'prc�pert(es, t�� �wner may be'c(fe:d for violating.
<br /> the oondltlons of fhe bu(Iding permit issued unde� the attaahed permit a�plic�fian, for lots leESS fFran one {1}
<br /> acre whlch are elevated by fiil, an engineered drainage plan is cequEred. �
<br /> If I am the AGENT FQR TWE OWNER, ! pram3se in good fa(fh to Infarm the�wner of tl�� ���erm►tting eonditicros set forth In
<br /> this afiidavit prlor to commenc(ng canstructlon. I understand that a separate permit ��ay;be requlred for e�lectrlcal wark,
<br /> plumb#ng, slgns, wells, pools, alr conditioning, gas, or other installations n�t specifi allyi included in the� ,�ppiication. A
<br /> permik issued shal! be construed to be a Ilcense to proceed wifh the work and nat as �ufi'iority to,vio(afe, cancel, alter, or
<br /> set aside any provisions of the fechnical codes, nar shail issuance of a permif prevan the�Buliding Officiai 1`rom thereafter
<br /> requlring a correction of errors in plans, consfruction or violations af any cod�s. Every pet;mif issued�sheli t>�come invalld
<br /> unless the wark aufhorized by such permit is cammenced wlthln slx month� ofi perm�t I�s,uanc�, ar tf work�utharfzed by
<br /> the permlt is suspended or ab�ndoned for a period of slx{8) months afterth9� time #he worEk is commenced. An Qxtenslon
<br /> may be requssted, !n writing, fro►n the Building.Offlcla! for a perlosi not to exceed nihety I(9q) days and wlll demonstrate
<br /> lustifiable cause far the extension, If work ceases for ninety(90)consecutive days, th Jc�b!is cons(dered �ibandaned.
<br /> WARNING TO OUVNER: Yt3UR �AiLURE TU RECORD A NOTICE OF f:C1MMENt.i�{�iENT MAY RES�LT iN YQUR
<br /> PA�'ING'i'WiCE FOR fMF'RmVEMEMTS TO Y�UR PRpPERTY. PF YOU !�'�END T �1�3TAIN;FtNAN6EN�, �ONSE!!T
<br />� WITN YOUR t�ENDER t�R AN A7TQRNEY BEFOR� REGL1RDfNt�YQUR�I+It7T{GE� F 40MM�NG�[VIENIY-
<br />! Fl.ORIDA JURAT(F.S,117.03} '
<br /> OWNER OR AG�Nfi. CONTRACTOR � � ,,,__.�._,
<br /> ���� ,'�" � .�'
<br /> Subscribed and sworn to(or af�rmedj before ma th{s Subscrlbed and arn o(or affi�me�)befare me s -
<br /> by , by I __,.._.,,
<br /> Who islare personally known fo me ar haslhave produced Wha Islare personaliy known to me ��•ha�stttave prodtrced
<br /> as kisn8flcadon. ; �s Identiflcatlon,
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<br /> �_ No#ary Publfc _ _(Vofary Pubiic
<br /> Cammisslan Na. Cammisslon No. ���_,_. _
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<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed'ar st mpe�l �
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