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iVOT10E OF DEED RES'TRICTIOAIS: The undersigned under.�tands that this.p�cmit.may-be.sub)ect to"deed" restrictions"
<br /> which may be;more rest�ictive than County regula�lons. 'The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTOftS AIVD CONTR�4�CTOR RESPONSI�ILITIES: If the own�r has hired a contractor or
<br /> contractors to undertake work, they may be required.to be.:licensed In accordance with state.and•local regulations. If the
<br /> contractor Is not I�censed as requlred by Eavv, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the ovvner or Intended�contractor are uncertaln as to wh�t Iicensing.requlrements may apply�or the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Sectton at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block° of this applicatia�n for which they wilt ba responsible. If you, as.Yhe owner stgn as the
<br /> contractor, that may be an indication that he ts n�t.properly licens�d and is not entitled to permitting privileges In Pasco
<br />-- C�unty_-
<br /> TItA1VSPORT'ATION IMPACTNYICITIESINIPAC7°A�iD R�SOUR�� it�C��p�����E3: T4ae u�nder�lr�ned unde�stands _
<br /> that Transportation Impact Fees and.Recourse Recove.ry.Fee� may, appiy to the construction of nevv buildtngs, change of
<br /> use in existing buildings, or expansion.of existing'buildings, as specifled-in Pasco County Ord(nance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as rnay be�du�, wili be identified at the time of
<br /> permitting. tt Is further unders400d that Transport�tion Impact Fees and Resource Recov.ery Fees must be paid prior 40
<br /> receiving a "certificate of occupancy" or flnal power release. .If the project does not Involve.�.certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit Issuance. Ft�rtherrr�ore,-if Pasco County Water/Sewer Impact
<br /> fees are due, they�must be-paid prior to permit-Isst�ance-In accordance with app9lcable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, FlorlaJa Statutes,as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the. applicant, have.been providecl �nrith a copy� of the "Florida Constructfon Llen Law—Homeowne�'s
<br /> Protection Guide" prepared by the Florida Department of Agrie.ulture and ConsumerAffairs. If the applicant Is someone
<br /> other than#h�"owner", I cerfify that I have.obtained a copy of the above.described document�and promise in,good faith to
<br /> deliver it to the°owner"prior to•commenc�ment.
<br /> CONTRACTOR'S/OWN�R'8 AFFIDAVIT: I certify.that all the inf.ormation In this application is accurate and that all work
<br /> will�be done in compliance with all appl(cable laws regulating cons4ruction, zoning and land development. Appllcation is
<br /> hereby made to obtain .a permit to do wotk.and installation as Indicafed. 'I certify that no work or Installatton h�s
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating-
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulatlons of other governm�nt agencies may�apply�to the intended work, and that it is
<br /> my respon�ibflity to identify�what actions I must tak�e.to be,in:.corrlpliance: Such agencies include bwt are.not limited to:
<br /> - Department of Environmentai Protection-Cypress Bayheads, Wefland Areas and Envlronmentally Sensitive
<br /> Lands, WaterNVastewater Treatment.
<br /> - Southwest Fiorida Water Management .District-Wells, Cypress. Bay.heads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - DepartmenQ of Health & Rehabilitative Serv(ces/Environmental Health Unit-Wells, Wastewater�Treatment,
<br /> Septtc Tanks. _
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation.Authority-Runways.
<br /> I understand that the following restrictions apply to the use of flll:�
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permttted.
<br /> - If the fiil materfal Is to be used in Flood Zone. "A", It is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitBed at time of permitting which is prepared by a professional engfneer
<br /> licensed by the State of Flor(da.
<br /> - If ihe fill materlal is to be used in Flmod Zone "A" in>connection with.a permitted building using stem wall
<br /> construction, I certiry that fill.will:be used only.to flll the area w(thin the stem wall.
<br /> - If fill material is to be used in any r�rea, I certify that use of such fill will noQ adversely affect adjacent
<br /> properties. If use of flll is found to adversely_affect adJacent��properties,.the owner may be cited for viofating
<br /> the conditions of the buiiding:permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by flll, an engineered drainage plan is required.
<br /> If I am the AGENT FOR 1°HE OYVNER, I;promise in good faith to inform the owner of-the permitting conditions set forth In
<br /> this a�davit prior to commencing const�uctlon. I understand that a separate permtt may be required for electrical work,
<br /> plumbing, signs, wells, pools; afr conditioning, .gav, or other tnstallatlons not specifically included in the application. �A
<br /> permit lssued shall be constcued to be�a Iicense to p�oceed wfth the work and not as authority to,violate,cancel, alter, or
<br /> set aside�ny provisions of the technical codes; nor shall Issuance�of a.permit.prevent the�ulldfng Oificlal from thereafter
<br /> requfring a correction af errors in.plans, construction or violations of�ny codes. Every permit issued shall become invalid
<br /> unless the work authorized.by such perml4.�s-commenced�with(n s6x months of permit issuance, or iF wrork authorized by
<br /> the permit is suspended or.abandoned for a period of six(8)months.after the time the�work ts commenced. An extension
<br /> may be requested, In wciQing; from the Building Ofticial for a p�riod�not to exceed.nlnety (90) days and wrill demonstrate
<br /> justifiable cause for.the extension. If work ceases for ninety(90)cons.ecutive days,..th�job�is.considered abandoned.
<br /> WARNING TO OWNER: YOUR.FAILURE�TO,R�C.ORD A I�OTICE OF�COMM�NCEMENT NFAY RESULT IN YOUR
<br /> PAYING TWOCE,FOR IMPROVEMEIVTS TO YOUit-:PR�OPER!TY. �F YO.0 INTEND�TQ OBTAIN�FIPIANCING,'CONSULT
<br /> WIT Y UR E. D O AN°ATTOR EY� FOFtE� ECOR� G� OU �° O �CE�"OF �' E CE NT
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR A(iENT ,�����bl , • CONTRAICTO �
<br /> Subscribed and swrom to(or aflirmed)before me this Subscribed and'swom to(or aflirmedpbefore me fhts
<br /> by �by
<br /> YYho Islare pe►sonally knovm to.me or has/hav�produced Who Is/are p.�rsonally knowm•to me or has/have•produced
<br /> ��,`��[ i�,c��2 �s IdenBflcadon, nC��.rp� (.&�z�r'�C�. as identlficatlon.
<br /> N`otary Public C " �� �D(C� � ----__ Notary Public
<br /> Commisslon No��\�C��� Commission No��� t��.�L�� )
<br /> Name af Nola ed rinted or stam d Name of Nola ed odnt_ e_d���+�
<br /> :�o�°PT°"°�'� EDITH A MAI-9ANEY :�o�°p�°°°�•= EDITH A MAHANEY
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<br /> �• � •:.rJdIYCOMMISSION#FF186580 ="i � :': MYCOMMISSION#FF186580
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<br /> 'y9�e•'•�•oP� EXPIRES January 1,2019 `'-'�F����•oa� EXPIRES January 1,2019
<br /> '...�OF FL�...+ '...,Oi f�•,
<br /> - � (407)398•0153 FloridallotlryService.com �ao�)39e•o153 FloridallotaryService.com
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