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<br /> PlOT10E OF DEED RESTRICTIONS: The undersigned under.gtands�.that this.p�rmit.ma be,subJect to"d�ed"restrictions"
<br /> which may be:more r.estrictive=th�n County regulatfons. �The undersigned assumea Pes �nsibild#y for compliance with any
<br /> applicabl�deed reshictions. �
<br /> UNLICEtdSED CONTRACTORS AND CONTRACTOR RESPOfdSIBiLITIES: If t�e wner has hired a contractor or
<br /> contractors to undertake work, they may be required:to be=llcensed In.accordance.with tate.and•local regulatlons. If the
<br /> contractor fs not Itcensed as required by law, both the ovbner �n� cont�actor rroay be_ Ited for a misdemeanor vtolation
<br /> under state law. If the owner or intended�contractor are uncertain �s to what Ilcensin .requlrements may appiy=for the
<br /> intended wark, they are advised to contact the Pasco County�ulldOng In�pectlon Divislo L•icensing Section at 727-847-
<br /> 8U09. Fu�the�more, If the owner has hired a,cont�actor or contractors. he Is advis d to have the contractor(s) sign
<br /> portions of the "contrector Block" of this appllcation for whfch they will be responsible. If you, as.the owner sign as the '
<br /> contractor, th�t may be an indicatfon that he Is not.p�operly Hcensed and is not �ntitie to permitting privilegas in Pasco
<br /> County.
<br /> 7RANSPOR�ATiON IMPACTIUTILITIES�IMPAC7 ANb RE�OURC� RECOVERY�FE �: The undersigned understands
<br /> that Transportation Impact Fees:and.Reco.urse Recove.ry.Fees may�apply�to:the cons ctlon of new buildings, change of
<br /> use in existOng buildings, or expansion�of;ezistiri�g�buildfngs, as speclfl�d.in Pasco Cou ty Ord(nance number 69-07 and
<br /> 90-07, as amended. The undersigned also unders4ands, thait:such fees�-as�may�b��.d e, wilF.b� identified a4 the time of
<br /> permitting. It Is further understood that Transportatlon Impact Fees and.Resource Re very�Fees must be pald prior 40
<br /> recetving a °certl�cate of�occupancy" or flnal powec release. :If the proJect.does not�inv Ive a certfflcate of occupancy. or
<br />---�inal power releas�� the fees tryu�t b� pald-priorto-permit Issuanc�. ���fhermore;if P sco County VVater/Sewer Impact
<br /> f�es�re due, they�must be pald prfvr to permit Issuance•tn accordance wrlth appllc�bte P sco�County ordinances,
<br /> CoNSTRUCTION LfEN LAW(Chapter 71�� Florlda�tatute��as�mended): If valuatf, n of work Is$2,500.00 or more, I
<br /> cer4ify that I, the applicant, have been provided wlth a copy of the °Florida Cons ction Llen La�Homeowner's
<br /> Protection Guide" prepared by the Florida Departm�nf of Agriculture and Consuta�erA irs. 1f the appllcant Is someone
<br /> other than the"owrne�', I certify that I�hav�.ob�ained�a copy,of.the abt�ve..described docu ent�and.pror�ise in,good falth to I
<br /> deliver it to the"owner"•prior M•commencerr�ent. ,
<br /> CONTRACTOR'SIOY6INER'�AFFIDAVIT: I certify�that all the Information in thl.s applt tlon is accurate and that ali wrork
<br /> will�be done in compliance with all applicable laws regulating construction. zoning and and developrnent. Application is
<br /> hereby made to obt�in .a p�rmit to do weofk,and Installatlon as Indlcefed. I certlfy that no work or installatton has
<br /> commenced prior to Issuance of a permit and that.all work will be pertormed to mee standards of all laws �egulaking-
<br /> construction, County and City cod�s, zoning regulations, and land development c�gu atlons�in the jurtsdiction. I also
<br /> certify that I uaderstand that the regulatlons of other government agencies may�app0y�t the intended work, and that it is
<br /> rroy responsibilily to identify•what,�cQtons I must take.to be�in:.co�pll�nce: Such agencie .fnclud�but are..not Ilmtted to:
<br /> - Depar6ment of Environmental Protection-Cypress.�ayheads, Wetland Are s and Envlronmentally Sensitfve
<br /> Lands, WatedWastewater Treatment.
<br /> - Southwest Florid� Water 11Aanagement .I�Istrict-Wells, Cypress. �ay.h ads�, Wetland Areas, Altering
<br /> ilNatercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable 11oVVatennrays.
<br /> - D�partment of Health� & Rehabilftative Services/Enviroremental Health U�. t-Well.s, WastevKater Treatment,
<br /> Septic Tanks. � , ,
<br /> - US Environmenta�l Protectlor�Agency-Asbestos abatement.
<br /> - Federal Aviation AuthoNty-Runways. '
<br /> I understand that the following restrlctions apply to the use of flll:�
<br /> - Use of fill is not allowed in Flood Zone"V"unleas expre�sly p�rmitted.
<br /> - 6f the fili materlal is tm be us�d in �Flood Zone °A", It. is understood th a drainage plan addressing a
<br /> °compeFl�ating volume" wiil be submitted at tirne of permitting w6ich �s pre�ared by a professional engineer
<br /> Iicensed by the State-of Florida.
<br /> - If the fill materia) is to be used in Flood �one °A" in>connec�lon�with.a �p rmitted building using stem wall
<br /> construction, I certify that fiil�:wlll:b.e used only.to#111 the area within the�stem� all. ', '�� ,
<br /> - 9f flll materlal !s to be used-in any area, I certify 4hat .use. of such flll 111 not adversely�affect adjacent
<br /> propertles. If use of flil is found to adversely:affect adJaEent properties,.the owner may be clted for a�lolating ,
<br /> the condi#ions of the"b�ilding:permit issued under the at�ached permit appl catlon, for lots less than one (1)
<br /> acre whOch are elevated�by flel, an englneered dralnage plan is required. .
<br /> If I�m the AGENT FOR THE OWNER, I;;promise In good falth to in�orrn the owner of�th pem�eitting conditlons set forth tn �
<br /> this affidavtt prfor to commencing construction. I understand that a=separate permlt ma be requtred for electrical work,
<br /> plumbing, signs, welis, pools; air condltioning, .gas, or othec Instaill�tlon� no!•spec�icall included-in.the application. .A
<br /> permit issued shall be constcued to be-a�license�to proceed with ttie'w►ork and not as:au hority to,violate,cancel, alter, or
<br /> set aside any provisions of the#echnical codes;�nor shall issuance�of a.permit.p�event th Bulldf�ig Official ftom thereafter
<br /> requlring�conection af ercors In•plans, cons4ruction or violat(on�of any codes. Every p rmlt Issued shall becom�invalid
<br /> unless the work authorized.by such permit:�is-comm�nced•within sfX months of�permit is uance, or if work authorized by
<br /> the permit is suspended or.aba�don�d for a.perfod of�slx(6)mont�s:after the tirne the�w tk��is commenced. An extensio�
<br /> may be requested, in writing, from the Building,Officiai�for a perlod:not•to.exceed'nine �(90) days and�will demonstrate
<br /> justifiable cause for the extensior�. If work ceases:for ninety(90)cons.ecutive:days�..th�Jo �is considered aba�doned.
<br /> lMARfVEfVG TO OWNER: YOUR.FAILURE,TO.,R�EC.O�tD..A Ia10TICE OF-COMRflENCE EN'T MAY RESULT IN YOUR
<br /> 6�AYING TWiCE.FOR IMPROl/EMENTS Tfl;.YDUI��PR'OPE�TY. �IfF�YO.EJrII�'�END`T���B-TAIId��FI1d�ANCIWG,'CORISULT
<br /> IPVIT UR D O. AN� TTORN �� FOR�� , =OR�F7 �:� �-U ' �C °� ° •� E �N �
<br /> FLORIDA JURA�(F.S.t1 .03) � ' • ' 1
<br /> OWNER OR�1OENT ��=P�����. CONTRAICT� �
<br /> Subscrlbed and ewom ta(or affinned)before me thia Subscxibed and'surom-to(or afflrmed)'b re me'ttils
<br /> by �by , ,
<br /> 1Nho Is/are ersonally knovm b.me or has/have produced VNho ls/are personallyknomm to me.or ha /heve produced
<br /> as Identlflcatlon. as tdend8caflon.
<br /> � I
<br /> Notary Pubilc . � Not�ry Publtc
<br /> Comml I No. ,,,,�,,, Com.
<br /> =��''� ';= Commission#FF 137073 �=R'���'f;= Commission#FF 1370 3 '
<br /> _.: °.:
<br /> Name ol Nofary typ ;' .+3r� �y Fain Imws�e B00�385-7019 Name ''e
<br /> „oF i�.• ��G�Q 385•7019
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