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<br /> NOTiCE OF DEED RESTROCTIONS:,T'h�undersigned.und�rstends�;th�t;thl�:�.p;�r:mtt:may,be.subJect to,"deed"rest[icttons" �"
<br /> which may�be more-rest�ictive�th�ri�CounEyi'iegulatlons. �The undecslgned'assumes�'resp�nsibiliry3fo�compliance`vvitli�any � "
<br />' aPPUcable deed reshictions. � �� ..,,,-:�.. ,t,;r,�;;;;:_:•,•. •, ' ' ' - , - ": _ _ _
<br /> UNLICENSED CONTRACTORS :AND CONTRACTOR�.RESPONSIBILITIES: �If the oininer�has��-hiread a �contractor or
<br /> contractors to undertake work, they may,be;r�qi��fFed::to:.be,licensed�in.accordance.with state.and•Iocal,-regulation5; .lf:,the� �
<br /> contractor fs not itcensedr.as�eequlred°tiy law, tioth°the owner and:�aontr"actor°mey be�clted-for��misdemeanor vtofation
<br /> under state law. If the owner or Intended:•contracto�:are,,;uncertain as to what Itcensing.requirements�may--applyffor<tlie-�-- � �
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<br /> intended work, they are advised to contact'the.Pasco County_Bulidtng�lnspectlon_Dlvlsiorr-L•Icensing�S�ction at 727-84T-
<br />' 8009. Furthermore, tf the owner h`as hi�ed a"conl�acto��or�contractors. he�is advlsed to have the contractor(s),.sign
<br /> portions of the "contractor Block°.of.this.applicatton for which„they.._will..be,.responsible.. .If.you�-as-.the �vimer`�sign°as'"the� � A
<br /> contractor, tFiat�may be an indication that�he Is-not':{�roperly'licen�ed�a�id�is"not entitied to permitting���ivileges In Pasco
<br /> County. � _ ' '
<br /> TItANSPO1tTAT10N IMPACT/UTI�ITIES=IMPAC'y'�ANb RESOlJ�BCE RECOVERY FEE3:�The undersigned understands
<br /> that Tran�por4�tion Impact Fees�nd.Recaurse Recobe.ry.Fees m�y.:apply:to the construction of new b�alldings�._change°of � ��
<br /> use in exisNng buildings, or..expansi�n�of�ezlstin���buildings, �s specified in Pasco County Ordinance iaumber 89-07 and
<br /> 90-07, as amended.,,v,The undetsigned also:understands, that!`such fees;,:as�may�:be:�due;;will:tbe identGfied at the`time"°of� '
<br /> permitting. It Is furtlier understood that Transportation Impacf Fees and��Resource.Reco�ery'Fees:.must be pald prior to
<br /> receiving a "certificate.of-occupancy" or�flnal.power:release. :If�th�proj�ct�..does�no�involve�a�certiflcatb of occupancy or-� -
<br /> final power.release; the:fees mu�t�be paid.prior�to.permit issuance. Ft��thermore,�,if:Pascm Countyr'W�terlSewer:Impact '
<br /> fees are due, they:must:be-pald.prior#o.permit�Issuance�In accoed�nce.wlth applicable.Pasco County o"r"dinances.
<br /> CONSTRUCTION'LIEN�LAW(Chapter 773�Flmrld�Ststute���a�e�nded): If valuation of avork is��,500.00:;or more, I .
<br /> certify that I, �he applicant, have�been provided-with �a copy-of the °Florida�Constructlon�.Lien.:L`�w Homeowner's
<br />' Protection Guide" prepared by the Flo�ida Depa�tment of Agriculture and ConsumerAffa(rs. If the ap�licant Is someone
<br /> other ihan the°owne�" I cert that.l:have,obtained`�a�`co .of..the above.rlescriti'ed docur�ent�and: r.o.m9s�in, ood"faith_to ,
<br /> � KY PY. . .. 4 P. .,._ . , 9.. ._ . . .
<br /> deliver it�to the"owner�`_prior�to�commencemerit:;:"" -� �� . ..
<br />� COMTRACTOR'S10WNER'S AFFIDAVIT: 1 certify.,that:all the.information in�thl�application is accurat�and that all work
<br /> will�be done in compliance with all.applicable la�n►s regulating construction� zoning and:land�devetopm�nt. Appltcation is_
<br /> hereby made to obtain:a permit.,:to,-:do.�;w�tk;.and�installatlon a� IndiCated:-� `I cenify 'that no work°��r instaliatton~lias
<br /> commenced p�lor to Issuance of a permiC and that`:all work wlll �e pertormed to meet.-standards of �II laws regula�ing�
<br /> construction, Caunty and City codes, zoning �egulatfQns, and land development cegulatlons-in the�Jurisdiction: �I al'so
<br />, certify that I understand that the regulations of other government �gencies may�apply�to the intended work, and that it is
<br /> my responsib(lity to identify�what.actions I must take to berin:_cotr�pllance,. S.u�hagencles include but are�.not Itm(ted ta:
<br /> - Department of Envlronmentat�-Protection=G�ipress.'B�yhead�; WeNand�Areas and Envtronmentaily 5ensitfve
<br />� Lands,WatedWastewater Treatment. f,
<br /> - Southwest Florida Water Mlanagementw..District-VlYells, Cypress.. Bay.heads,- Wetland e4reas� Altering
<br /> Watercourses. �
<br /> - Army Corps of Engineers-Seawalis,+Docks, Navigable 1Materways.
<br /> - Depar,tment.of Health�:8 RehabilitaHve,.Sen+lces/Environmen#al. Nealth UFlit-Wells� .Wastowater�Treatment,
<br /> Sepfic Tanks. � . - � �� . - -
<br /> - US Environmental Protection Agency-Asbestos aba�ement. �
<br /> - Federal Aviation Authority_-Runways! ..
<br /> I understand that the,following,restrictlons apply to�the use of flil:
<br /> - Use of flll is not allov+red In:Flood Zone"V"unless expressly�permltted.
<br /> - If the fllf matenal is to be us'ed�:=1n.:Flood�Zone. "A", It. is understood that a drainage plan adiiresstng a
<br /> °compensating volume"-will be submttted at time of permiftJng wPiich ts prepared by a prot�essional engineer
<br /> licensed by the State-of Florida. � -
<br /> - If th� flll material is to be used'in Flood Zone 'A" (n�connec�ion�with`'a �permltted buildin� using stem wall
<br /> � cons4ruction, I certify that fill�:will:b.e;used only.to#ill the area wtthin�the�stem v�rall. .
<br /> - If fill material is to be used in any,�area, I-�certify that .use of such flll will not adversely affect adJacent
<br /> p�operties, If use of flll is found to adverseEy.�ffect adJaeent��properties,.the o.wner may be'cited for violating
<br /> the condl#ions of.the building��:permit issi�ed•<.under th�>at�acFied�permit.application, for�lots less than.one (1)
<br /> acre whicfi�are elevated�by flll;art en�ineered dralnag�plan is requlred. .
<br /> If I am the AGENT FOR THE OWIdER, I,:promtse In goo,d fatth to le�form the�owner-of�the.permitting corudlt{ons set forth tn
<br /> this affidavit�prior to commencing constructlon. FI und"erstand thet a-separate permlt may be requtred for electricai work,
<br /> plumbing, signs, welis� pools; alr cvndttioning, .g�s� vr�other Installatlons no!•speclflcally Included�in.tP�e application. .A
<br /> permit issued shail be construed to be a Hcense;to��p�oceed with'the work and-not as.author.ity to,violahe,cancel; alter, or .
<br /> set aside any provisions of the technical.c�des; nor shall Issu�nce�of a permlt.pcevent the Bulidirig Oificial from thereafter
<br /> requiring�correction nf errors In:plans,:constructlon or vlolatlons of any codes. Every permit Issued=shall-become invalid
<br /> unless the Hrork authorized.by such permlt�is-coinmenced•within sGc„months of�permlt lssuance, or if Heork authorized by
<br /> the permit is suspended or.abar�doned for.a:pertod of�six(8)montfis.after.the tirne the�work ts commenced. An extenston
<br /> may be requested, In writing,.frorr9 the Buflding,Officlal for a period:not to exceed ninety�(90) days a�d wlll demonstrate _
<br /> justifiable cause ior.the extension�. If work ceases:for ninety(90)cons.ecutive:day.s�..the)ob�Ps consideredl aba�doned.
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<br /> IAIARNING TO OWNER: YOUR.FAILURE�TO..EREC.ORD.A:At0'TIGE.OF•COMMENCEMEMT�NtAY�RESUlT IN YOUR
<br /> PAYING TWICE,-FOR:IMPROVEMEN�S:TO.YOUE�:PROPER'tY. �IF�YO.U=IN�'FE�ID�:T��iOBTA1N••FIPtANE11UG;'CONSULT
<br /> WITH UR D AI��1TT0 N �B ORE��:,, O D �='YO � D �� 'OF`CA�MNIIENC�1l1fII�t�T: ----- --- —
<br /> FLORIDA.Jl7RA�.(F.S._,1 .0.} - -,--�-- - --=,--.--��:_�__-- -- - -- - -- - . `
<br /> OWNER OR AOENT ONTRAC'9'O
<br /> Subsalbed and swam lo aiflrtned)before e this ; . Subscrlbed� ' or afflrtne -before me U�Is
<br /> by � .- ..
<br /> Wlio is/are personaliy nown to.me or haslhave produced ; Who 1 e personally �to:rtte or has/have-prnduced •
<br /> as Identlflcatlon. � � as Identl�caUon.
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<br /> Notery Public '� � ,i�%�- t� Notary Publlc
<br /> Commisslon No. ' Co slon
<br /> ; :�ti�*.:y�`� FF 150422
<br /> :: Commission#
<br /> Name oI Notary typed,printed or stamped ; Name of Not - �YI �@1r�6 '
<br /> '•'�p;F.�.�` 6andad Tnm T�Y Fe�n Insurence 8003A3•7ot9
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