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<br /> NOTICE O�DEED RESTRICTIONS: The undersigned under.�tands#hat this,p�r,mit.may be-subject to"deed"restrictians"
<br /> wh�ch may be.more restr.tctive than Gounty regula#lons. �The undersEgned assumes responslbEtity foc campiiance wlth any
<br /> applicabie deed restrictions. •
<br /> UNLICENSED CQNTRACT4RS ANQ CONTRACTOR RESPONSlBlLlTIES: !f the owner has hlred a contractor or
<br /> contractors to undertake work, they may be r�quired.ta be:ticensed tn accardance.with state.and�loaai regulatians. If the
<br /> cont�actor is not Itcensed.as required by law, bath the owne� and contraator may be clted for a misdemeanar violation
<br /> under state law. If the owner or lntencled con#ractor are uncer#atn as to what ticensing.requlrements may appty.�for�the
<br /> intended wark, they are advised to cantact the.Pasco County Building Inspectton Divisian—Licensing Seatton at 727-847-
<br /> 8009. Furthermore, If the owner has hired a contractor or contractors. he fs advfsed ta have the cantractor(s) sign
<br /> portions af�the "contractvr Btock° of this appiica#ion for which they witt be responstble. If you,.-as.the owner sign as the
<br /> contractor, that may be an indiaation that fie is not.praperly Iicensed and is not entitled to permitking privNeges in Pasco
<br /> Gounky. -
<br /> TRANSPORTATION IMpACTIUTILITIES IMPACT AND RESCIURCE RECOVERY�FEES: The undersigned understands
<br /> that Transpa�tation Impact Fees and Reao.urse Recove.ry.Fees may agpiy to.the construction af new buildings, change of
<br /> use in existing buitdings, or expansian:of existiri,g`�buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended.. The�undersigned also understands;.that such fees�.as.may:be�due,,_wNl,be identi�ed at the time of
<br /> permit#ing. It Is furkher understood that T�ansportation�impact_Eees..and:Resoucce-Recovet-y�Fees reiu�t°5e-paid-priar-4a- -
<br /> - -- -_.���_
<br /> receiving a "certificate of occupancy" or final power-releese. :If the,projeck,does not involve a cerk�icate of occupancy or
<br /> final power release, the fees must.be patd prior to permft Issuance. Furthermare; if�Pasca County VYater/Sewer Impact
<br /> fees are due, they�must be-pald prior to permit.issuance-in accordance witli applicable I?asco�County ordinances.
<br /> CO(dS7RUCT10N_LIEN LAW_�4Ghap�tec-7_43,-.€lor[sla S��tutes;a�-a¢aae�d��9}: !f valuation-of workls�2,500.00 or more, 1�"
<br /> certify that 1, #he appticant, have been pravidei! with a copy-af �the "Florida- Constructian: Lien. Law Homeowner`s
<br /> Protection Guide" preparsd by the Florida Deparkment af Agric.ultu�e and Consumer Affairs. If the applicant is someone.
<br /> othe�than the"owner", 1 certifjr that 1 bave.obtained a copy of the above des.crlbed documen#and p.romise in;gaod falth ta
<br /> deliver lt to the"owner"�prior torcommencement:� -� � - �
<br /> CONTRACTOR'S/qWNER'S AFFIDAV4T: f cer,tify that all.the lnf.armatton.ln this appllcatlon 1s accurate and that a11 wark
<br /> will�be dane in compliance with ail appitcabie laws reguiating cons#ruction, zoning and land�deveiapment. Application is
<br /> hereby made to obtain :a permit,to do work and installati�n as indicafed. I -certlfy ttiat no wark or installatton has
<br /> G commenced prlor to fssuance af'a permit and that.all work will be perFormed to meef,standards of. atl laws regutating-
<br /> construction, County and City codes, zoning regulatians, and land development regulations-tn #he jurisdictfan. I also
<br /> certify that I uc�derstand that the regulations afi other gavernment agencles may appty'to the intended wark, and that it is
<br /> my responsibiiity to identify�what actions I must take to be=ln..carrlpliance. S:uch agencles.include but are nat limited to:
<br /> - Depanment of Env(ronmental Protection-Cypress�Bayheads, Wetland Areas and EnvEronmentaNy 8ensitive �
<br /> E.ands,WaterlWastewa#er Trea#ment. •
<br /> - Southwest Florida Water Management :Distrlct-Wells, Cypress. Bayheads; Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers�Seawalls, Docks, Navigable Waterinrays.
<br /> - Department of Health & Ret�abflitative SenilceslEnyironmentai Health Uitit Welis, Wastewater ?reatment�
<br /> Septfc�Tanks.. _ � ,
<br /> - US Environmentai Protectior�Agency-Asbestos abatement.
<br /> - Federal.Av�atlon Authorlty-Rut�ways.
<br /> I understand that the following,:restricfibns apply ta the use of flll:�
<br /> - Uss of filt is not allowed in Flood Zone°V"unless axpressiy permitted.
<br /> - if the filt �material is to be_used in .Flood Zone "A°, i#. is understaod that a drainage pian addressing a
<br /> "compensating volume" will be submitted at time�of.perm[tting which Is prepared by a professional e�gineer
<br /> licensed�by the StateTof Ftorlda. .
<br /> - If the fill material is'to-be used in Fiaod Zone °A" in�connection wlth.a permitted building using stem waH
<br /> construction, (certi#y that fiil:will.be used only ta fil)the area within.the stem walt.
<br /> - If flll materiai ts ta be used in any area, I certify that use. of such�fill will r�at adversely affect adjacent
<br /> propertfes. If use of fl!I is found to adversely,affect adjacent prop��tles�_the owner may be cfted for vioFatlrtg
<br /> � fhe conditions of tt�e building�-.permit is.sued�under the attacfied p��mit�applicatian, for--iots less than one (1)
<br /> ' acre which are elevated�by flll;an engtneered drainage.plan is requirei�:'��i� ,
<br /> If i am.the AGENT�OR THE QWNEIt,.l;:prornlse in good faith to Enform the owner of�the:permitting cancfifions set forth in
<br /> this affidavit prior ta dommencing construction: I'understand that a separate permit.may be requtred for electricaF wark,
<br /> plumtiingt signs, weNs,,poals; alr�conditioning,.gas,..or:other_.#nstaNatfons;not_speci#icaliy �nciu�ed in fhe apptfcation. .A
<br /> permit issued shail be canstrued:to be°a'iicense#a.pr`oceed with theawork,and na#-as autho�ity to.vialate,,cancel, alter, or
<br /> set aside any provisions of ttie technical�cades; nor shall Issuance�of a permit.prevent the Bulldlrig C�fic(a!from thereafter �
<br /> requlrrng a coccection.af-ecrors tn�plans,,-constructlan or violatians af�any cades:- Every.<pefmft�issued sfiatl•�become invalid
<br /> unless the wark authorized�by such perm(t�ts-commenced�witFiln six months of permit i�suance, or if work authorized by
<br /> the permit�s suspended or abandoned#ar-�a�period af s�C�{6)�months after.the tfine the work is aommenced. An exferision
<br /> may be requested, in.writing; from the;Building.Official for a peNod.not to exceed��ninety'(90) daysy and�wiih demons#rate
<br /> Justifiable cause for the extension: If wark ceases,for ninety(90j consecutive days,.tbe Job�is considered abandaned.
<br /> , . .,, _ .. . .
<br /> ' WARNING TO OWNER;� YOUR.;FAILURE.TO,,RECORD A�;NOTIG��:OF.:COMMENCEMENT MAY�RESULT�IN YOUR
<br /> PAYlNG.TWfCE,�'.C►R tMP-.ROVEMENTS�Tt?:YOUR PRCiPERTY.�1�'YO rINTEND=T{'��'OBTAtN�FINANGING,�CONSULT
<br /> WITH YOUR LEN R O AN A OR EY FORE�.R COR�1 NG� U :- � �� C ` ' O� E CE �E� T
<br /> �- FLORIDA JURAT(F. :-, _. . - , . ° ° ,
<br /> . , . s , �
<br /> OWNER"QR AS3ENT ���. ; �CONTRACTO ": : �
<br /> Subscribe �and to ar ffi edj fore e�i Subscribedand�swc af� ed)�b" 'irie' ( '
<br /> G�~y f.��y��������.�'�e�-- ,,,,�,�-i� .�y... �. ,. . �,,.�;:. � t'�'�. '
<br /> Whoy�/�re ersbnally wn.to.me.or.h s/F�aye produced Whals/a e personally known:ka�me or haslhave prod`uced: •
<br /> f�L{,��:%S��IscQ;;'as`ldentlflcatlon. �/� �r�'S5 C/tv.��g� es lden88cation.
<br /> >�P _1� :.'''` Notary Publlc . � G�1� �Y Nofary Public '
<br /> . , �
<br /> om is �r��p,��„}�@OGES ',_ Commiss No. . , -
<br /> _;a1••••�.�. .Cammiss�on#FF 1504�
<br /> _,,: ef 12 }�ti'��rya�; JAC4UELINE'BQGES
<br /> 2018
<br /> Name ot d� �TOfF�F�p4�Jf��'3B5'�� Name of Netary ty - � �c�
<br /> , , � ;,'�R„f;°�`''� eo�aOanwT �tTlberi2,201$
<br /> roy Fain Insurena gpp,3g5 7010
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