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<br /> NOTIGE{}F QEED RESTRICTIONB: T e unde�r,lgned under�tands°�#h�t this,p�rmlt.maybe,subject to,"deed"iestrlctlons" -
<br /> which may be:more�test�ictive:�than Cou ty�fegulations.-7he�undersigned'assurimes responsibiltty far compliance with any
<br /> appllcable deed restrictlons. �. . , .
<br /> UNLICENSED CONTRACTORS .AND ONTRACTCIR RESPONSIBiLITiES: -If the owner has filretl a cantractor or
<br /> contractors to undertake work, they may be.:required.:to:be<Ilcensed in accordanoe.v�rith state.and�lacal regulations. If the �
<br /> contrac#or ts nat ticensed as required:`b law, botFt the awner and.con#ractor=inay be-clfed�for�a'misdemeanar vialation
<br /> under state law. If the awner or intend �d�contracton:ar.e uncertain as ta wha# Iicensing.requirement9:may apply�fbr-�the "_
<br /> intended work,they are advfsed ta carita�t th�-Pasco County Bufiding tnspection Divislon—l�Icensing�Sectlan at 727-847'-
<br /> 8009. Furthermare, if the owner°has Ired a conhactor or" contractors, he is advlsed, ta have the contractor(s),sign
<br /> portlo�s of the "cantraator Blook" of�this.�application for which they will..be ,responsible, If yau*_as.the owner sign�as the
<br /> contrac#o�, that may be an #ndica#on tha 1ie�ls r�ot.prc�periy licensed and is not enti�ed ta perrriltting-privileges In Pasco
<br /> County. '
<br /> TRANSPORTATI�N.:iMPACT1UT1i:IT1E -lMPAG�AN�}RESQURCE RECQVERY FEES; The unders3gned unders#ands
<br /> that Transportation impact Fees and.Re aurse Recove.ry.Fees may-apply,to�the constructian of new bulldings, change of
<br /> use in existing bulldings, or.expansfon�.o :exi§tin,g`�6ulldings; as specifled.in Pasco County Ordinance number 89-07 and �
<br /> 90-07, as amended. The undersigned a so understands, ti���such fees��..as Finay�be:due;:�wifi.;be identified at fhertiine�of � �
<br /> per►nitting. It is turther underystood that ransportatian Impact Fees and Resource Reco�ery'Fees.mu'st be pald priar to
<br /> receivfng a"cecElficate.of occupancy"ar nal-pawer-release. :1f�the pro�ect::do�s not lnvolve:a-certi�cate of occupan�y or
<br /> final power �elease;,the fees must be p id prior#o permit Issuance. Ft�tthermore;�if Pasco�County�Water/Sewer Impact
<br />, fees are due,they must be�pald prfat�to p rmtt'-lssuance=ln accordance w#th�appllcabie.Pas�o'Cauniy o"r"dinances.
<br />�, CONSTRUCTION'LiEN LAW(Chapter T9S; Fladaa Statute�,as amended): If va(uatton af work is$2,50d.00,or more, I
<br /> certify that I, the applicant, have.beenl provided with a copy af the "Flortda� Constructlan Lien .Lav�—Homeowner's
<br /> Pro#ectlon Guide� prepared by the Flarid �Department of Agricttlture and ConsumerAffa(rs. 1f#he applicac�t ts someane
<br /> other than the"owne�", I cert that I hav ,abtained a ca .ofi.the-above..descrlbed doaumenk�and. comisein. aod aith to �
<br /> �Y _. PY. p g. f
<br /> deliver ft to the°owner"�pr�or.�#orcommenc ment: ' " - �
<br /> i GONTRACTOR'S/OWNER'S AFFiDAVi : i ce�ify.,that atl the.,lnformatian in�thls applicatlan is accurate and that all work �',
<br /> will be done in campliance with all.appU able laws regulating construction, zonfng and:land development. Appiication is
<br />� h�ereby macfe to ob#ain..a.permit #o da work..�rtd Installation as Ittdtcated:-� `) certifjr that no work or installation has
<br /> c,ommenced pr(a� to Issuance of a per Ik'and that�.all work wiil be performed to meet standards of all laws regulaking-
<br /> construction, Cocinty and City codes, z_ ning regulatio�ns, and land development reg�ala#ions-In the�ju�lsdtcffion. 1 also
<br /> certify that i u�derstand that the regulati ns of othe�government agencies may apply�to the intended work, and that it is
<br /> my�esponsibil�ty to Identiflr�what.actions 1 must t�ke to b�=In.cot�p!lat�ce: S,uch agencles inalude bu#:a�e..nat limited to: �
<br /> ; - Departmen# of Er�vironment 1'�Protectiort Gypress�Bayheads; Wetland Areas and Environmentally Sensitive i
<br /> � Lands,Water/Wastewater Tr atment.
<br /> t - Southwest Etorida Water anagement ::District-1Nells, Cypress.''Bay.head�, Wetiand Areas, AI#er�ng
<br /> I Watercourses.
<br /> I - Army Cotps of Engineers�Se watls�`Docks,Navigabte Waterways.
<br /> ; - Departmenf of Hea{th'& Re,abiiitative.Services/Environmenfal Heatth Unit Wells, Wastewater�Treatment, `
<br /> i Septtc Tanks. ;-_` -
<br /> � - US Envlronmental Protectlan gency-Asbestos abatement._
<br /> i - Federal Aviation.Authorlty-Ru,ways: _ .
<br /> !understand that the following.�restrictlons app�y ta•the,use of flll: , .
<br /> � - Use af filt is not ailowed in flqod Zone°V"unless exprassly permitted. � `
<br /> � - If the fill material is to be �ise.ds'In,.Flood, Zone. "A", it. Is understood that a drainage plan addcessing a
<br /> "compensating votume"wii{ b�e submltted at time of permitttng which is prepared by a professionai engineer '
<br /> ' Iicensed by�he 5tate of Florfd�a: - °° �
<br /> �r ' - If the f�l! material.is to �e us'ed In Ftood Zone °Ap In�cannec�ior� with=:a perrr��tted building using sfem waii
<br /> ' construction, i certify tha#fill�. Ill.:be used oniy.to.fill the area wlthln the stem wail.
<br /> � - 1( fill material ts tca be used tn any area, ( certify that use. of such ffN witl nat adverseiy afEect ad�acent �
<br /> iproperties. if use of iiil is fou d to adverse�y,�ffect adjaeent�prc�perties,.the owner may be aited far vtolating
<br /> i the condi#ions of the building.permit issi�ed�under the'attached permit applicatlan, far lots less�than one (1)
<br /> 1 �c�whlch arE elevated�by f3t an engineered drainag�plan is tequlred. .
<br /> If�I am the AGENT POR THE OWNER, I,� romise In gaod faith�o inform the owner of=�#he permitting condltions set forth(n
<br /> this affidavit'prior to commencing constru tion. r u�a�r�t��a tn�t a�separate perrnit may be requtred far electrtcal�wark,
<br /> plumbing, signs, welis,,poots; air,condifioning, gas, or other. tnstalt�itlons no�,speclficat{y included�in.the application. .A
<br /> permil issued shall be aanstcued to be a I cense to p�aceed with the work and not as.authorlty to,violate�..cancel, alter* or
<br /> set aslde any provislons of the teahnEcal des; nor shall issuance°of a.permit.prevent the Buildirig C}�ic1a1 frum thereafter
<br /> requiring a conection nf errors In.plans, c nstructlon or violatlons of any cades: Every permit I.ssued shail become invalid
<br /> ur�less the work authorized.by such perm t:�is-commenced wtthin s[x,manths of permit Issuance, ar if v�ork authorizecf by
<br /> the permif is suspended or.abandoned for a:period of six f8)moMiis.after the tlrne.the work�s commenced. An extension '
<br /> may be requested� In writing� from the Builiding,Official for a pertod�not#a exceed ntn�ety(90� days and wlll demonstrate
<br /> just�iabl�cause for.the e�ension: If work�Ceases.for ninety{90)cons.�cu#ive.days,..the�ab��s considered abac�doned.
<br /> WARNING TO C►WNfR; YOUR.FAILU E TO.��ECt?�tD A I�OTICE t}��C�MM��ICEMEI�T-MAY=RESUlT IN YQUR
<br /> ' PAYINGTWICE;FORIMPROVEMENT3- fJYOUR�:PR'OPEt�1Y. :IF�YO.U=IN'FEND`TQ'OBTAIN�-FIN�ANCING;'CONSULT
<br /> W17 QUR LE D A A�TO NEY 8 F R�, ECO �t? �:� O ' " �C �`O �` �' � E EN! T�
<br /> PLORlOA,ll1FtAT{F.S�1'lTA3j — -—____ ------ _- :,- - —_ - _ - — — --__�� _._. , ..__ ------ — --- ----'-
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<br /> i�WNER OR AOE[�!T � � CONTRt0.CT0 '" -
<br /> 8utisaibed and swflm to{or aificmed)befare m�this S�bsctibg�and'swcm�#o or aifl }•t�o(�. p ttthts
<br /> I by —Z--/S" �,;b9�_��"jf �r,/�o� r✓
<br /> Wh'o is/are pe�sonally known ta me or haslhave prod ced Who i /a� etson il known trt me ar ha au�roduced �
<br /> a as Iden�ftc��on. �.�� l�e.r��� ' as 1den�flcaUon.
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<br /> � Nota Public . Notary Public
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<br /> Coritmisslon Cda. Com on.Fto. "„':A`•=•
<br /> i, i � �: �:�� Commission#F"F 15042�
<br /> Na�e of IVatary typed,pr#nted or stamped Name af htotary e � � i
<br /> stn Insuranee 800.386.7p1g
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