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NOTiCE OF DEED RESTRICTIqNS: The undersigned undetgtands:th�t;this.p,�rmif.may.be•subJect to"deed"restrlctians" ' , -_
<br /> whicfi may be.mor.e�rest�icttve-�th�n Caunty��reg�latlons:��The`undersigned assumes�responsibiltty for'cbmpliance witti any �
<br /> applicable deed restrtc#ions. ,. � � � � � �
<br /> UNLICENSED GONTRACT�RS AND CQNTRACTqR RESPONSlBIi:IT1ES: �if the owner�has hired a con#racfar or
<br /> cantractors ta undertake work, they may.be cequlred::to=be;llcensed In.acct��rdaotce.wtttt state.and�iacal regulatton�. if the �
<br /> contractor Is not licensed as�required"by law; both the owner'and"contractor�may be=clted�for�a��misdemeanor vlolatlon
<br /> under sta#e law. �f the owner or intended contractor are•uncertaln as ta what Iicensing.requirements 'may apply.�far the � °
<br /> inteniled work,they are advised to confaat the.Pasco County Bultding inspectlon'Divlston--Llcensing Sec#lon at 72T-847-
<br /> 8009. Furthermore, if the owner has hlred a cantrac#o� or contractors, he is advised to have the contractor(s) sign
<br /> portions af the "contractvr B1ock" of this agpllca#ton for_whlch they w!!t.be.respoc,tslbie. tf yau� as.#he owiier`sigi��as the
<br /> cont�actor, that may be an Indicatlan that he Is noY.properly licensed and'(s noY entikled to permittin� privlleges In Pasco
<br /> County. � ,` � . , � �
<br /> TRANSPORTATtON IMPACTIUTILITiES rMPAC7 ANb-RESOURCE RECt�VERY PEES:�The undersigned understands
<br /> that Tf�nspo�tation Impact Fees and Recourse Recove.ry:.Fees may`appiy�-to��the consfruc�on of new buitdings,�change�of � � '
<br /> use In existfng bufldings; or ezpartslo�`�of-��iii"stiii�`�6ulCtfings, as specifled fn Pasct� County Ordinanae number 89-07' and
<br /> 90-07, as amended. �'he undersigned also.understands; tha�-such fees,:as�may be•.due;;wlit..be identified at the`time afi �
<br /> permikting. It Is furttie�understaod that Transpartation.ImpacC Fees and�Resource Recovsry'Fees must be pald prlor to �
<br /> recelving a "cert�icate of occupancy" ar ilnal-paw�r�release. :If�the proJect does not involve�a certifloate of occupancy or
<br /> final pawer retease, the fees must be paid prlor to permit Issuance. Fu�thermore;�if.Pasco County 1Nater/Sewe�•Impact.
<br /> fees are due,they must be�paid,prior to permlt-Issuanee-fn accord"ance witFr appiicabte Pasco�County ordinances.
<br /> CONS`CltUCTlQN L.fEN LAW(Ghapte�715, Elorlda Sta�tutes,as amended): if vatuallon of wark Is$Z,500.00 or more; 1
<br /> certify that I, !he epplic�nt, have been provtded wlth a copy of the�"Florfda Construction� Llen Lav�--Hameawner's
<br /> Prot�ction Gu(de" pre�ared by the Florida Departmenf of Agr[c.ulture and ConsumerAffairs. If the app!lcant is someone
<br /> ather than the"owner", i certify that I have.obtained�a copy.of the.above.des.cribed docurr�ent°and.pr�mise(n.good faith.to .
<br /> deliver it to the°ownec"�prior to•commencement: � ' .
<br /> ' CONTR�►CTt�R'SiC?WNER'S AFFIDAVIT: 1 ce�ttty.ti�at.ait tfie�.inf.ormatian in this application is accur�te and that ati wark
<br /> wi!!'be done in compllance with a!! applicable lawa regulating consttucUon� zoning and�land developt�rent. Applica#tan is
<br /> hereby made to obta(n .a permit #o do work.��,and insta!laklon as !nd[ceted.� '! certify that no work=or Enstailation has
<br /> � commenced prior to issuance of a permit and that.all�work wili be perFormed ta meet standards of a!I laws regulating°
<br /> � construatian, County and City codes, zoning �egulations, and land develapment regulations�in the jwrisdiction. I al'so
<br /> certify tha# 1 unde�s#and that tFte regulations of;other govemment agencies may apply�ta the intended work, and that it is
<br /> my respas�s#bflity to irlentify�wha#.actians 1 must take.to be;tn:.cotttpltance: Such agenctes incfude but are.not iimited ta:
<br /> - Depar4ment of Er�vironmental Protectiori=Cypress.Bayheads� Vitetland Areas and Environmentally Sensitive
<br /> Lands}WaterlWastewater Treatment. . � ' �
<br /> - Southwest Florida Water W9anagement �tistrlct-Wells� Gypress.� Bayheads�� Wetlanai Areas, Altering
<br /> Watercaurses.
<br /> - Army Corps of Engineers-Seawalls,;Docks,Navigabie Waterways.
<br /> - Department oF Nealth & Rei�abilitative ServlceslEmriranmentat Heafth Unit Weils, Wastewtafer Treatment,
<br /> ' Septic Tanks. ; _ �
<br /> - US Environmental Protection Agency-Asbestas abatement.
<br /> - Federai Aviatian Authority-Runways;.
<br /> 1 understand#ha#the foitowing.restrictions apply to the use of flil: `
<br /> , - llse of fiti 1s not afloweci In Flood Zone"V"unless expressSy permitted.
<br /> - !€ the.fl! matetlal Is ta 6e used:in :Ftaod Zone. °A", it Is understood that-a drafnage �lan addressing a
<br /> °cvmpensating volume"will be submltted at time o#petmltting wti�ch !s prepared by a professiana! englneer
<br /> � Iicensed by the State of�Florlda: � '
<br /> �� - if the fil) materla) is to be used in Fload �one "A" in�connec�fon�with:.a� permitted building using skem wali
<br /> � canstruction, t ce�tify that fiil:w�il.be used only.to.fill the area within�the stem•wali.
<br /> - If fill materlaf ts fo be used in any area, F�certlfy that .usa of'such 'fitl viriil niot adversely affect adjacent
<br /> propertles, ff use of fllf is fo�and to advers�aly:�ffect ad�acent�properties,.the owner may be cited for vioT�ting
<br /> '� the conditions of the buildtng,permit Issued under 4he attactied parmlt applicatlon, far bts less than ane {1}
<br /> � acre which ere elevated�by flil;a�engtneered dralnage plan is required. .
<br /> tf 1 am the AGENT FOR THE OIMNER, I;:promise in good f.aith#a inform the��awner of•the permltttng coradltlnns set forth In
<br /> this affidawit�prfor ta cammencing construction. 't unders#and that a-separa#e permit may be required for electrical work,
<br /> I� plumbing, signs, weils, poots, air conditioning, .gas� flr other. instailatlons not•spea�faaily ineluded-in.the apptication. .A
<br /> permft Issued shall be cocishvec!to be a�!lcense to p�oeeed wlth tlie work and not as authortty to,violat�,;aanael, aiter, ar
<br /> set aside any provistons of the techn(cal codes; nor shall Issuance�of a.permit.prevent the 8ulldirig O#flcla!from the�ea#ker
<br /> requtring a correction.af errors in.pians, construction or vlolatlons�of any codes. Every permit issued she�ll becume [nvalid
<br /> untess #he waric autharized.by such permit.is.coimmenced wlthin sbc months of pemnit issuance, or if work authorized by
<br /> the permit is suspended ar.abandoned for a:period.of s�C�f 8)monf�is.after the#tme fhe�wortc�is commenced. An extension
<br /> may be requssted� In wrlting, f�om the Buflding,t}�#c1a1 far a period�not�to ex�eed nlnety�(90) days and will demonstrate YY�
<br /> _ Justiflable_causs_for_�the_extenslo�. !f work�ce�ses:f�r ninety(90}-cons.e�utiv�:days,;.the j@b�Ys�consldeted^aba�doned.
<br /> � , , . . � - - • ,.�� .. �• ,
<br /> IWARNING TO OWNER: YOUR FAILURE.TO_:RECQRD,A.NOTIGE:OF•�COMMENCEMEMT NtAY RIESULT IN YOUR
<br /> P�iYaNds��'!'V6f1��POR��9R�P!R�dEMEN4S'��,Y�.iUi�<�i�OP�R'PSf.-��1fOt1�iNTEND�'TQ'OBTAttd��FIPtAN�1NG;�CONSUL.T
<br /> WfT U E DE O � AN A7'FQRNEY� FD E E�O � C� OU - � �C :O .° °' E E N '
<br /> ' FLORIDA JURA�'(F.S. 17A � �
<br /> ' OWNERORAfisEN `!�.%�_'��� ,_�. Ct3NTRAGTO `
<br /> Subscribed,�nd swa t 4ar afll ed)betore e ds Subscrlbed antf's � ot a(firmsd�befo me' i�
<br /> q J �y 1 . . a ! (�by l�.t!lit �� ��n1
<br /> Who Is are personally knowrt ta.m c—�ve praduced�� Who istare p.ersonaliylcnawn to me�or asfiave praduced
<br /> as Identlftcatlon. � as IdendficaUon.
<br /> / /Y-%' � �� ' ' �
<br /> ' {: Natary Public� Notary Public
<br /> `. , �
<br /> Cammisslon No. Commissi
<br /> ' ' �
<br /> I
<br /> Name o/Notary typed,print of Notary typed,printed or stamped '
<br /> o•` � ' CHAO S RYM�N CMAD S RYMAN
<br /> ', � p��ry p��C.gpt�ai flotida ' - N�itt�l P�bik-St�te of fioriea
<br /> _' ' COfi�fll��EOtt�►F;F 1819a7 s � CoRN111t�totl�FF 19f 981
<br /> :'� Q� !�{y 6omm.EKpitea Jan 2l,2019 y1., � .�• My Comm.Ezpires Jan 2!.2ot9
<br /> ' 1f�I�"i\�4 �H171{
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