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, i I _ � __ -- � <br /> � ( <br /> i <br /> NQTICE OF DEED R�STRlCTIONS: The undersigned unders4ands�that this permit m y 6�i subjecf to"deed"restrietions" <br /> which may be more res.tric#ive than Cot�nty--regulations: The unders�gne'd�assumes ce pons�ibiiity for:..compliance vvifii ariy <br /> 'applicable deed restrictfons. I , , � <br /> . ;UNLiGENSED-CONTRACTORS AND CONTRACTCIR R�SPQNSIBIl.IT1E:�: lf the owt�er`has hired a contractor or <br /> �contractors to undertake work, they m�y be requlred to be licensed in accordance wlt sta�e and local regulations. If the <br /> �contractor is not licensed as required �y law, both the awner and cantractor may be cited for a misdemeanor vioiafion <br /> ;under state law. If the owner nr intended contr�ctor are uncertain{as to wfi�t licensi g�quirements�may appiy for the <br /> iintended work, they are advised to con�act fFte Pasao County Bu`rlding Inspection Divisi�s �L�censing Sec#ion at 727-847- <br /> j8409. Furthermnre, if the owner has hired a contractor ar confracfors, h� is advi ed o have the contractar{s) sfgn <br /> �portions of the "cantraetor Block" of th�s appl3cation €ar which they will be re�ponslbls !f ou, as the owner sfgn as the <br /> !contractar, that may be an indlcatlan t at he (s not properly Ilcensed and is ��ot entitl d to permitting privileges in Pasco <br /> i County. ` • <br /> , ;7'RANSPORTATIQN IMPACTIUTILITI� S IMPACT AND R@SOURCE RECOWERY RE S: �The undersigned undersfands <br /> ,'that Transportation Impact Fees and t�ecourse Recovery Fees may apply to�he const uctir�n of new bui(cSings, change af <br /> �use in existing buildings,.ar expansion of existing.buiidings, as specified in F�asca Go nty)Ordinanee number 89-07 and <br /> �90-07, as amended, The undersigne� also understands, tha# such,fees, as may be ue, 1�tirili be fdentifted at the time o# <br /> permitting. It is further understood that Transpo�katlon 4mpact Fees and Resaurce R cav+�ry Fees must be paid�pr4or to <br /> � receiving a "certificate of occupancy" or final power release, !f the,project dues not i volve a certificate af occupancy or <br /> ; I final power relsase, the fess must be paid prior;to permit issuance. Furthermore, If asc�o County Water/Sewer Impact <br /> : fees are due,they must be.p.afd prior to permit Issuance In accardance°with auplicable asc;o County,ordinances. <br /> I ' CONSTRUCTION LIEN LAW(ChapE�r 713, Fiarida Statutes, as amended�: if valu tlon of work#s $2,500.00 or more, 1 <br /> ; certify that I, the applicant, have been provided wifh a capy af the "Flarida Con t�u tion �ien Law--Hameotnrraer's <br /> ' ; Protection Guide" prepared by the Flo�rida Department af Agrlcuiture ar�d Consumer ffai s. 4f the applicant is someone <br /> ; � other than tha°awner", 1 certify that 4 �ave obtalned a copy of the abave described do um nt and pramise In goad-faith to <br /> ; ,' deliver#t to the"owner"�prior to corrim�ncement. ` � <br /> ; CONTRACTOR'S/tiWNER'S AFFlDAVIT: I certify that all the infarrnation (n this appl catic�n is aocurate and that all work <br /> ; will be done In campliance with all ap�licable laws regulating consfruction, zoning an la d deve}opment. Application is <br /> � � hereby -made fo ob#ain a permit to do work and insta(la#ion as �indicated. I certi th t no wa�k or installation ttas <br /> � cammenced prior to issuance af a p�rmit ancf that ali work will bo perfarmed to m et s andarcls ofi alf laws regulating <br /> canstructian, Counfy and City codes, zaning regulatians, and fand development re ulak ons {n the jurisdlct(on. ( also <br /> ; cert�fy that i understand tha#the regulatEons of otKer gavernment agencies may apply ta t�e fntended work, and'thaf 1t is <br /> E my responsibllEty to ident(fy wha#act3ons ! must take ta be In compliance, Such agenci s i clude but are not limited to: <br /> ; • Department of Environm�ntai Prote�tion-Cyp�ess Bayheads, V'Vefland A as and Environmenfally Sensitive <br /> ' � Lands, Wa#erl'Wastewater�Treatment. <br /> � • Southwest Fiorida Wat i r Managemen# G}istr�et-Wells, Cypress Ba hea s, Wetland Areas, Aitering <br /> ; Wafercourses. <br /> � - Army Carps of Engfneers-Seawalis, Dacks, Navigable V4la#erways. <br /> ! - Deparkment of Nealth � Rehabllitative ServiceslErniconmenta! Nealth nit-� ells, Wastewater Treatment, <br /> Septic Tanks. I � <br /> U5 Environmental Protec ion Agency-Asbestos abatement. � <br /> � - Federal Aviatian Author�tyCRunways. _ � <br /> I understand thaf#he following restrictions apply fo fhe use of fill:- . � <br /> - Use of fill is nat aliawed ir� Fiaad Zone"V"uniess�expressly�perm�tted. <br /> - If the fliE materia4 is to be used in Fload Zone "A",' Et !s understaod � at �a drainage plan� addressing a <br /> � "aampensating volume" will be submlkted at time of permitting whlch is prepa,f,red by a professional engineer <br /> ' licensed by the S#ate of Flarida � <br /> ; - If th� flll material is to be used in Flaod Zone "A" fn cannection wi#fi a�per�#nitted building using stem�wal# <br /> ' canstruction, 1 certify ffiaf�iil will be used anly to fili the area withir�the stem w�li. <br /> i - if ftH materiai is to be used in any area, I aertlfy that use of such fifl wllf not adversely a#fec# adjacent <br /> i properties. if use af�II is found #o adversely affect�adjacent pruperties, t�e �wner may be cited for v(olating: <br /> ; the concl3flons of the bufl�ling permit issued under the attached perm(t a�plic�tion, for lots less than ane (1) <br /> acre which are elevated by fill, an engineered drainage plan 1s required. <br /> i If I am the AGENT FOR THE OWNER, I promise (n good faifh to (nform the�owner of he �ermifting.conditions set forth 3n <br /> } this affidavit prior to commencing cor�struction. � undersfand fhat a separate permit ay�be required for efec#rical wark, <br /> plumbing, s'rgns, weifs, pc�ats, air canditioning, gas, ar other ins#ailations not specif� ally �ncluded in the application. A <br /> , permif issued shall be construed to be a license to proceed wlth the work and not as aut �orlEy ta vlolate, cancel, alt�r, or <br /> set aside any prov�sions of the technE�al codes, no�shaN issuance of a permit preven the�8uilding OfFicia)from thereafter <br /> i requlring a correatfon of errors In plans, aanstruction ar violations of any cod�s. Eve pei mit issued�shall become Invalid <br /> ; Unless khe wark authorized by such permit (s commenced wifhin six month� of perm t iss�tance, or ff work authorized by <br /> ; the permit is suspended or abandoned for a period of six (6) months affer the tlme th wo k is comrnenced. An extensior,t <br /> � may be requested, in writing, from the Buildfng Offlciai for a period not to exeeed ni �afy (90) days�and.will demonstrafe <br /> ijustifiable cause far fhe exfension. If i ork ceases for n�nety(90)consecutiv�days, th job�is considered abandoned. <br /> � WARN4NG TO OWNER: YC?UR FAILURE TO REC�RD A`NOTICE OF (.OMME �E�I ENT�MAY RESULT IN Y.OUR <br /> PAYIN�TWICE FOR IMPROVEMEI�TS 70 YOUR PROPERT'Y. OF YOU INT�ND Tb 013TAIN FtNANCtIVG� CONSULT <br /> -;-�INITH VOUR��L�NDIER OR AN ATTO�dMEY BEF�RE RECQRDIN�YOU�h1t�TiCE F G�OMMENCEMENT. <br /> , Fr.o��aA Ju�a�rtF.s. �fii:o�� _ . � � - - -- - - - - <br /> ` � �.� <br /> OWNER OR AGENT I CONTRACTO � <br /> Subscribed and swom fo(or afflrmedj before me thls 5ubscribed� swom o{pr af$rme )befare me this <br /> �y I av 1 <br /> Who Islare personally known to me or Fiaslha"v�produced Who'Is/are personally Known to me �r hay/have produeed <br /> as idenBfica�on. �s idenBBcation. ' <br /> � i <br /> �' <br /> � Natary Pubila � Notary Publlc <br /> i <br /> ' Commisslan No, � Comm(ssfon No, I <br /> ' � <br /> 'i Name of�Notary typed,printed or sfamped i Name of No#ary fyped,•prtnted'or st mped � <br /> ? � � <br /> I � <br /> I � � <br /> i � j ' <br /> � i <br /> - <br /> _. -- � <br />