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<br /> NOTiCE 4�DEED RESTRIC710NS: The ut�der�lgned undergtands th�t thls.p�rmtt.may be.sub�ect fa°deed"restricttans"
<br /> which rnay be�mare restcictive-than Gounty regulatlons. �The undersigned assumes responsibflity fa�compliance with any
<br /> applicable deec!resttictions.
<br /> UNUCENSED CONTRACTORS -AND CONTRACTOR RESPONS181LITtES: -If the owner has hired a conkractar or
<br /> cont�aotors to undertake work, they may be:requlred-to be,llcensed in accardance.wlth state.and•local regulations, if the
<br /> cantractar Is nat IEcensed as required by law� both the awner and contractor may !se ctted fiar a misdemeanar violation
<br /> under state law. If the awner or intendedreontraetor are uncertain �as to what (lcensing.requlrements may apply��for the
<br /> intended work,they are advlsed ta contaci the Pasco County Buiiding inspec#lon Divislan—i_icensing Sect#on a#727-847-
<br /> 8009. Furthermore, if the owner has hired a cantractor or contractors, he is advised to have the contractar(s) sign
<br /> portions of the "cantractor Block° of this application for which they will be responsible. If you. as.the owner �Ign as the
<br /> co�t#ractar, that�may be an tndication the# he Is not.prope�y Ilcensed and Is nut entitled to permitting pr�vlleges In Pasca
<br /> County.
<br /> TRANSROR7ATi0N IMFACT/UTII:ITIES IMRAC"C ANb RESC?URCE RECOVERY FEES; T'he underslgned understands
<br /> thatTranspartatlon impact Fees and.Recourse Recove.ry.Fees may�a�pply ta°the oonstruction of new bulldings, change of
<br /> use in existing buqdings, or.expansion�_of existing'�kiuildingst as speclfled in Pasco Caunty 4rdtnance number 89-07 and
<br /> 90-07� as amended. The undetslgned also understands, fhait.such fees,.as�-may:be:due, wifl be ldent�ied at the time af
<br /> permikting. It is further understood that Transportation Impack Fees and Resource Recovery"Fees mus# be paid priar to
<br /> recetuing a"ce�ti�cate of occupancy" or flnal pawer.-Eelease. .If the proj�ct does not invc�tve a certi�cate of occupancy or
<br /> final power release, the fees must ba paid prior to permit Issuance. F�rthermore;if Pasco Couniy Wate�/Sewer Impact
<br /> fees are due,they�must be�paid prlor to permit�-Issuance�ln accordance with appNcable Pasao County ardlnances.
<br /> CONSTRUCTiON�IEN LAW(Chapter 715�Elor�da Statutes�as amend�ed): If valua#ion of work is$2,500.00 or more, 1
<br /> certify�that I,"the `ap�licant, have-been provided with a copy of the "Florida� Constructton Lien Law—Homeowner's
<br /> Protect�on Guide" prepared by the Florida Department of Ag�lc.ultnre and Consamer Affalrs. 1#the appllcant Is someone
<br /> other than the°owner", I certffy that I have,obtained a capy.of the abQVe.described document°and.promise in,good fa(th to
<br /> detiver ft to the°owner"prior to�cornmencement.
<br /> CONTRA„CTOR'S/OWNER'S AFPIDAViT: I cer�ity fhat a1l.the information In thts appliaatlon is accurate and that atl work
<br /> will�be done�in coilnpliance wfth all appUcable laws regulating oonstructlon, zoning and land�development. Applicatian Is
<br /> hereby made to ob#aln.a permit #a do wark.and Installatlon as ind{�ated,• `I certifjt that na waric or InstalEat�an has
<br /> commenced pr(or to Issuance of a permit and that all work will be perFarmed to meet standards of all laws regulating-
<br /> aonstructfvn, Gounty and Gity codes, zontng reguiatians, and tand develapment regula�ons M the jurisdictian. ! aiso
<br /> certify that 1 uader�stand thai fhe�regulatlons of other government agencles may�apply�#o the lntended work, and that it is
<br /> my responsibility toi identifyrwha�.acttons!must t�ke:to be.ln:.corrlpllance: S:uch agencfes includs bwt ace not Ifmitec!to:
<br /> - Depat#�ment.of Er�viranmentai Protecfian-Cypress.Bayheads, 1lVetiand Areas and Enviranmentally Sensitive
<br /> Lands, VVate�IWastewater Treatmenk.
<br /> - Southwest Flor�da Water Management .C13s#tict We#Is; Cypress. Bay.heads; We#land Areas, Atter�ng
<br /> Watercourses.
<br /> - Army Corps af Engtneers-Seawalls�Docks,Navigable Weterways.
<br /> - Depar#ment of Hea{th � Ret�abltita#ive ServiceslErnlronmenfai Fleafith Unit Welis, Wastewater Trestment,
<br /> Septic Tanks. � .
<br /> - US Erni�onmental Proteatlan Agency-Asbestos abatement,
<br /> - Federal Avlation AuthorN,y-Runways.
<br /> !undetstand that the following.rest�ictions appfy to ths use o#fll#.�
<br /> - Use af fiil is noE atlowed in Fload Zone"V"un{ess expressiy permitted.
<br /> - If the fiil materlal is to be uaed in �Flood Zone. "A", it. is understaod #hat a drainage plan addressing a
<br /> "compe�satir�g votume"will be submttted a##ime o#perm3tttng av6ich is prepared by a prafessianat englneer
<br /> Iicensed by�he S#ate-of F�orida:
<br /> - !f the fl#i materia! Is�to be used In Ftood Zane "A° in�connectian�vul#h.a permitted baiidirtg us�ng stem walt
<br /> � construction, i certifiy tha#fi11-w1t1:6.e�sed only to.flil fhe area wlthin the stem�walt.
<br /> - � If flll materlal is to be used in any area, 1 �cerkify that .use. of such flll wlll not adversely affect adJacent
<br /> propert#es. If use of fitl is fonnd to adversely:affect ad�acent properties�.the owner may be cited for violating ,
<br /> the conditians of the building.perm(k issued�under the attached permit applicatlon, for lots less than one (1)
<br /> acre whlah are elevated by flil,an engineer�ed drainage plan is required. .
<br /> If I am the AGENT POR THE OWNER, I,�promise in good faith to infarm the owner of�the permitting conditlons set forth In
<br /> this att'idavit�prlor tc�cvmmenaing constructlon. I understand that a-separate permlt may be requfred for electrical work,
<br /> plumbing, signs, welfs, paals; sir condit�oning,.g�s, or othet install�tlons not.speo�ficatly Included�in the application. .A
<br /> permit issued shall be canstnued to be a�Iicense ta praceed with the work and not as authority to.vlolate, aancel, alter, or
<br /> set astde any provislons of the technlca!codes;�nor shali issuance°af a.permtt pr.event the 8ultdlrig t�Ic1a1 fram therea#ter
<br /> requir(ng a correction af errors In plana, constructlon or violatlons of any codes. Every permit I.ssued shall become invalid
<br /> unless the work authorized.by such permit��is-commenced�wlth(n si�c months of permlt Issuance, or !f wark authar�zed by
<br /> the petmit is suspended ar.abandoned for a:period of six f8)morrtF�s.after the#ime the�wo�k�is commenced. An extension
<br /> may be requested, In writing, from the Buflding,Officfa) for a perlod not ta exceed_ninety_(90)days._andwwill demonstcate__._—__.___
<br /> _ __jus�lfiable cause�or�the eztenslo�:-tf work cease;�:for nlrtefy{90}cons.ecutive:days:_-the�ob�is.consldered aba�doned.
<br /> WARNING TO OWNfR: YOUR.FAILURE�TO.�REC.OltQ A NQTIGE OF�GOMM�NCEMENT�MAY�RESULT tN YC>UR
<br /> PAYING 1W1 FOR tMPROVE T Tt3 XOUR PRt�PERTY. I��YOU�tI�t'�END�TQ'08TAIN�FtHtAti1C1NG;'CONSULT
<br /> WIT U �O A A FO'RE � CO � G��YOU "° O �CE:O .� �' � E E T'
<br /> fLORlDA JURA'�(F. 1Z.03) �--,� . � .
<br /> .
<br /> OWNER OR Ata� T� ' CONTRACTOR �
<br /> Subscdbed arsd swom M{or afftrmed}beto e me thls Sutisaibed artd"swom to{ot a#�rmsd)�befote me'tfit� �
<br /> bY 'by �
<br /> Who is/are personally known ta.me or has/have produced Who(s/are qer8onelly known tcr me or haslhave•produced •
<br /> as ldenBflcatlon. as tdentification. �
<br /> �
<br /> � Notary Pubtic . Notary Pub�tc '
<br /> Commis Gomsttl�s4an.No.
<br /> ,,,,,, .
<br /> �,;�}:^��Y�: JOEL•E.BACON
<br /> Narr�e o1 No � 'p Nams of Notary typed,pr�nted or starnped
<br /> ,,�. Q, ires une , Ot8
<br /> '�'��p;�°�`'� Bonded ThN Troy Fan InswaneaB00-3B5-7019
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