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<br /> NOT'ICE O�DEED RESTRICTIOMS: The underslgned understands:th�t.thls.permlt,may be�subjeat to"deed"restrtctions" �
<br /> which may be�more-resti�ictive°than County regula#lons. �The undersigned�assumes responsi6iiity far compiiance�wilh ariy
<br /> appficabfe deed restrict{ons. _
<br /> UNLICEMSED C+C�NTRACTORS�AND CClNTRACTOR RESPONStBIL-1TIES�: -If the awner�has� h3red a-cantractor ar
<br /> aoniraotors to undertake work, they may.be:r�qulred.:to be lfcensed In accordance.with state.and•la�cal regulations. �If the
<br /> cont�actor is not Ilcensed as requlred'=by law, both the owner and confr�ctat-may be�ctted fo� a misdemeanor violation
<br /> under state law. If the awner or Intended°contraetor are:unce�tain as to what Ilcensing.requirements may appiy�fior the
<br /> intended wark,they are advised to contact the Pasco County Building-Inspection Dlirislan—Llcensing Sectlon at 727-847-
<br /> 8009. Furthermore, tf the owner has hired a conh�actor ur contractars, he is advlsed ta have the aantractor{s) sign
<br /> portians of the "cantractor Blaak" of this appllca#ton for which they will be responsible. _ if you, as.the owner slgn as"the
<br /> G con#ractar, that-may be an Ind�cation th�t he is-not.properfy Ilcensed and is nat enfitled'to permitting privfleges 3n Pasc�
<br />' County.
<br />� TRAMSPORTATtt?N�IMPACTlUTtLlTlES�IMPAC7 ANb RESOURGE RECOVERY�FEE3: The�underslgned understands
<br /> that Transpartation Impact Fees and Reco.urse Recove.ry.Feas may.:appty�to the consbuc#ion af new buiidings, change of
<br /> use in existing buildings, or.expansio��•of-�existin�g`�buildings, as specified in Pascv County Ordinance number 89-07 and
<br /> 90-07, as amended. The unciers�gned atso understands, that-such fees,.as�ma}rbe�.due;,wlll:,be ldenti�ed at ti1e�#ime=af -
<br /> permitting. It is further understood that Transportation Impacf Fees and�Resource Recovery"Fees must be paid priar to
<br />, rece�ving a pcert�tcate of occupancy" ar flnal power-release. ;{f-the projsct daes no�involve a aert�icate of accupancy.or
<br /> final power reiease, the.fees must b� paid prior#o permft Issuance. Ft�Hhermote;if:Pasco County�iNaterlSewer-�Impact
<br />�' fees are due,they�must be�pald prior to permit-Issuancedn accordance with applicable.l?asca'County o�dinances.
<br /> i CONSTRUCTIaN�.fEN I.AVI►(Ghaptsr 713� Flo:�da S#atutes�as amended): If vaEvatian of work Is�2,500.00 or r�ore, 1
<br /> certify that I, �he applicant, have-been provided with a copy- of the "Florida Construction� Lien..Law.—.Homeowne�'s
<br />�� Protectlan Gu1de° prep�red by the Florlda Depantnent of Agrta.ult�fe and Consumer�Affairs. !f the appffcant is someone
<br /> I other than#he'owner"� i certify that i�have,obt�ained a capy;of the above described tlocui�ent�and p,comise in,gaad falth to .
<br />�, deliver!t to the°owne�"prier ta=commencement: ' .
<br />� CflNTRACTOR'StOWNER'S APftDAV1T: 1 cerfify th�t all the inf.ormatton ln thls applicatlon is accurate and that a0i work
<br /> will'be done in compliance with all_applicable laws regulating construction, zoning and:land development, Applicatian is
<br />; hereby rnade to obtaln .a permit,Ca da watic.,,and ins#allation as tndE�eted:= '1 ce�tify #ha# no work �ar Instatlatton has
<br /> commenced prior to issuance"of a permif�and that all work will be perFormed to meet standards of all laws regutating-
<br /> I� conslruction, County and C�ty codes* zonfng regulatians* and land d$velopmerit regulatlons�ln #he jurlsdictlon. ! also
<br /> i certify that 1 understand #hat the regul�tions of other gavemment agencies may�appiy�#o the intended work, and that it is
<br /> �� my responsibility#a Identlfy�what.actions I must take:to be,in:.compliance: Such agencies include but are.nat Ilmited to:
<br /> , - Depar#men# af Er�vironmentat-Protecfton-Cypress.�Bayhead�, Wetland Areas and Environmen#ally Se�sitive
<br /> l.ands,WaterMlastewa#er Treatment.
<br /> - Southwest FlocPda Water M�nagement Qistrict Wells, Cypress. Bay.heacfs; Wetiand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Eng(neers-Seawa!!s� Docksy Navigable Waterwa�rs.
<br /> - Department of Health� & Retaabllltative ServEceslErnironmen#at Health Unit Wells, VUastewater Trea#ment,
<br /> Septtc Tanks: � � .
<br /> - US Environmental Protection Agency-Asbestos aba#ement.
<br /> - Federal Aviatton Authority-Rurtuvays.
<br /> I understand that the following,resfrictions apply to the use of flll:•
<br /> - Use af fill is not allowed in Flood�Zone"V"unless expressty permitted.
<br /> - If the fill material is to be used.�in- �lood Zone. "A", It. Is understaod that a drainage plan addressing a
<br /> "cornpensating volume°will be submttted at#ime of permitttng w61ch is prepared by � professional engineer
<br /> Iicensed by�he State-of Flor(da.
<br /> - }f the fl!I material ts to be used In filood Zone "A° in�connec�ion�wlkh.a�permitted buliding asing stem waH ,
<br /> � construction, t ce�tify tha#fiH virllt.be used only.to fili the a�ea within the stem wal{.
<br /> - If fill material is to be used In any area� I certify that .use. af such flll will not adversely affect�adJacent
<br /> propertles. If use of fill is fot�nd to adverseEy�ffect ad�acent�properties,,the awner may be cifed for�rio�ating �
<br /> the conditions of the buliding,permit Issued under the attached permit applicatlan, for Iots less than.one (1)
<br /> acre whtch ar�e elevated�by flil,an engineered drainage plan fs required.
<br /> If i am the AGENT FOR THE 011VNER, i,:promise in goad falth to l�farm the owner of�#he permitting conditions set forth in
<br /> this af'fidavit°prior to commencing construction. f understand that a�-separate permlt may be requtred for elecMcal work,
<br /> plumbing, signs, wells, pools,, air condit�oning, .gas� or o#�ec Installattbns nol,spec�tcaily included�in.#he applEcation. _A
<br /> permit Issued shall be constcued to be a license to proceed wlth the work and nat as�authority to.violate, aancel, aYter, or
<br /> set aslde any provlstons of the.techatcal.cod+�s; nor shaii tssuance�of a.permit.pr.event tb�BuiEdirig Ofilclal from thereafter
<br /> requlring a correc#ion af errors in�p{ans, construction or vioiatlons of any codes. Every perm(t Issued shall become invalid
<br /> unless the work authorized.by such permit°Is.co�nmenced�withln sfit months of�perml# issuanae, ar !f wark authorized by
<br /> the permlf is suspended or.abandoned far a°perlod af�six{8}montfis.after the tit�te ths�wartk ts commenced. An extension
<br /> may be requested, in writing; from the Building.Official for a per(od�not to exceed nfnety�(90) days and will demonstrate
<br /> Just1#iable cause fw the extens�on: If work ceases.for nir�efy{90}consecutive:day.s�..the Job�is.aonsfdered aba�doned.
<br /> WARNING TO OVYNER: YOUR.�AlLURE�TO.,REC.OEtD.A NOTIGE OF�COMMENCE NT�NtAY RESE!!T IN YQUR
<br /> PAYING TWlCE FOR IMPROVElVIENTS TO.YOUR�PR't�PER'f'Y. IF�Y�U�iFI�'�END�� ' � IN�fiNtANC1NG,�CONSULT
<br /> WIT OU N E O AN TTO N �B F R� CO � G�' OU ' E NT�
<br /> -- FL4RIDA_Jt1RAL jF.S.t'f Z.03} __ - _ - ________ .��___--
<br /> OWNEFL OR AOENT CON?RACTp .� �
<br /> Subscribed and swom M(or afllrmedj befare me thls Stibscriba,d_a,I',x_!'swo (o at�rmed}� efo'��ne thls
<br /> �Y .�..�_1�� .bY .�.B2��t_r!L rc�iG��..��„ _
<br /> Who Is/are personally known to.me or.has�ave produced Who I��re�pally kno •ttr me or has/have produced
<br /> as tdentlflr.a8on. _� r it�l�-S�C:ou�-a as iden�f�caUon.
<br /> - Natery Pablic ����"'� � Notary Pubt(c
<br /> •''���••'��., JACQUELINE B S
<br /> Cammisston Na. Com I r� �-.
<br /> _.:
<br /> :;; .Q;: Expires December 12,2018
<br /> IVame ot Notary typed,ptlnted er stamped IVame at ' t� 7419
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