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<br /> NOTiCE OR DEED RESTFiiGTiANB: The undersigned under�tands�:.that�his,p�r�mit.may be.subjeat to"deed"res#rictions"
<br /> whlch may be.more�rest�ictive than County cegulattons. �The underslgned assumes responsi6fiity for campiiance with any
<br /> applicable deed rest�ictlon�. - '
<br /> UNLICENSED CONTRA�TOR3 AND CONTRACTOR RESPONSl81LITIES: !f the owner h�s hired a cantractor or
<br /> cantractors to undertake work, they may be required�ta be:ltcensed In accordance.with state.and�locaf regulatlons. If the
<br /> cantrector is not licen�ed �§ required�by law, both the owner and cant�actor may be cited for a mis�iemeanar viotation
<br /> under state iaw. if the owrner or Intended�con#rac.tor �re uncertaln as to what ticensing.requiretvien#s may appiy�far the
<br /> inke�ded wark, they are advfsed to contact the Pasco County Building inspect#on Dlvislon—i�fcensing Section at 727-847-
<br /> 8009. Funhermoret If thea owner has hired a contractar or contractors. he ls �advlsed to have the cantractor(s) sign
<br /> portions of the °contractor Black° of thls appilca#lon far whlch they wfll be responsible. If you, as.the owner sign as the
<br /> contrac#or, that may be an indieation that he is not.proparly iicensed and is not entftted to permitting privileges tn Pasco
<br /> Cour�ty. i
<br /> 7RANSPORTATION IMPi�CTIUTIl.lTIES-lMPAC7 ANl�RESOURCE RECOVERYfEES: 'fhe underslgned understands
<br /> that Transportatian lmpact Fees and.Recourse Reaove.ry.Fees may,'�apply to°the construction of new buqdings,.change of
<br /> use in existing butldfngs, ar.expansion.of��exi'stin,g`6uildings, as specifled.in Pasco Caunty Ordinance num�er 89-07 and
<br /> 90-07, as amended. The Fandersigned also understands, that.such fees, as�may`��.be due,.w111;be idenilfied at the time of
<br /> permitting. It is f+urther understaod that T�ranspartation impact Fees and°Resource Recovery`Fees must be paid prior to
<br /> rece�ving a "csrtlficate of�o��cupanay" o�#inal pawer celease. :4f the pro�ect.does 'not invoive a cer4i�cate af occupancy ar � _
<br /> --fana4-��wer-�s�{�asa;the;fe�s=must-be-pald-grior-to-pe�rmlt Issuance:v�t�ttF�e�more;if.�Pasco-Goun�iNaEe�lS�wer Impact
<br /> fees are due,they must be-paid prior ta permit lssuance-In acaordance with appllcable Pasco Caun#y ordlnances.
<br /> CONSTRUCTION LIEN�L!'�W(Chapter 713� Flarlda Statutes, as amended): If valuadan af work is$2,500.00 or more, I
<br /> certify that t, #he appllcarut, have-been pravided wi#h a copy of the "Florida Constructton Lien Law—Hameowner's
<br /> Pratectio� Guide" preparec] tsy the Fiorlda Departrrtent of Agricultu�e and Consumer.Affairs. if the appiicant is sameone
<br /> other than the"owne�', I certify that i have..obtafned=a coPY:of the a�bQVe..rlescrlbed�document°and.promise in,good faith to
<br /> deliver it ta the°owne�"�pri�r to�comme�cement; .
<br /> CONTRACTOR'S/OWNE�'S A�FIDAViT: I ce'rtify that all the Informatidn.in this applicat(on is aacurate and that all work
<br /> will�be do�e in compliance with atl.appticabie laws �eguiating constructiah; zoning and land development. Application is
<br /> hereby macfe ta obtain .a parmit.to da work.and instatlation as indtceted:. `t certify that no work .ar instaNation has
<br /> cornmenced prior to issuance of a permEt and that.all work wiil be performed to meet standards af all iaws regulating�
<br /> construction, County and Ciky codes, zoning �egulationst and land development cegulattans°in the �urisdictlort. ! ai'so
<br /> certlfy that I understand th�t the regulations of ather government agencles may�apply�:ta#he intended work, and#hat ik is
<br /> my responsibllity to identify•what.actions I must take.to berin:.cartlPlia�nce: Such ag'enctes include bwt are.not Ilmited to:
<br /> - Departmenf of Er�vironmental Protection-Cypress.�8ayheads, Wetland Areas and Envtranmentally Sensitive
<br /> Lands,WateNV4tastewa#er Treatment. i
<br /> - 3authwest Fi�rida WaEer Management .�tistrlct Welis, �Cypress. Bay.heads;- Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Carps of�ngineers-Seawaqs, Docks, Navlgable Waterways.
<br /> - Depa�tment of Health � Rehabllitative ServlcesJEnvironmental Nealth Un1t-Well.s, Wastewater Treatment,
<br /> Septic Tariks. � .
<br /> - US Env�ronmer�tal Protection Aget�ay-Asbestas abaE�ment.
<br /> - Federal Aviatlon Authority-Runways. �
<br /> l understand that the followla�g.restrictions aPply to the use of flU:
<br /> - Use of fill ls nat�aQowed in Fload Zone"V"unless expressly permttted.
<br /> - If the fl1i material is to b.e used in Flood Zone. "A�, it. is understood #hat-a drainage pian addressing a
<br /> "compensa#ing volume" w�i) be submitted at time of pesmitting wfiiah is prepared by a professional engineer
<br /> Ilcensed by the State af Florida.
<br /> - !f the fiq ma#erla! Es`to be used In Ffood Zona "A" (n�s�onneciion�wltFi.a permitted buifding usfng stem walE
<br /> const�uction, !cettify that fill�:wlll�be used only.ta.flli the area wlthtn#he stem�wall.
<br /> - if ffll material I� to be used in any area, I certify th�t .use. of such�'flli will not adversely affect adjacent
<br /> properties. If uae of fill�is found to adversety.�ffect adjacent�properties,.#he owner may be cfted for vlotating
<br /> the condi#ions �f fhe bu3lding°:permit issued under the attached permit appiication, for lo#s less than:one {1)
<br /> aare which ar��fevated by flit,acr engtneered drainage pian is requfred�
<br /> If(am the AGENT FOR THI�OWNER, I;;�romise in good faith to l�form the awneriof-#he:permittfng.condfiions seYfarth in
<br /> this affidavl#�prior to aommencing canstruction. f understand thet a�s�parate permtt may be required for electrical:wrork,
<br /> piumbing, signs, wells, poals, air conditioning, .gas, or other. InstalMattons not.spe�c�ically included-in.the application. �A
<br /> permit issued shatl�be constcued to�be a�liaense to p�oceed with the work and not as.authority to.vioiate, cancei, alt�r, ar
<br /> set asfde any provisfans of t�e technEcat codeis; rtar shalt issuance��f a permit.pr.eve�the Buildlrig Otficiai from tfiereafter
<br /> req�atring a co�rectton a€errors In ptans�corestn�c#ion or vlotations of any codes: Euery petmtt issued shall become invalid
<br /> unlsss the work a�uthorixad.�y suah permit.�is.commenced�w[thln s�C;months of p�rmlt (ssuance, or If wa�k authorized by
<br /> the permlf is suspended or.�bandoned.foc a:period of six(8)months`afte�tthe time.the'wark�ts commenced. An extension
<br /> may be requested, in writinc�,.from the-Building.Offlcla) for a perlod.not to exceed;ntnety�(90) days a�d wDl demonstrate
<br /> justifiable cause for.the extension. If wark ceases-for ni�ety(90)cons.�cutive daysr..l he job�is,considered aba�don�d.
<br /> WARNlNG TO'QWNER; Y�UR.FAILURE.7Q..RECC1�tD.A.NOTICE OF•GC?MMENCEMEN7.M�1Y RESULT IN Yi�UR
<br /> PAYING TWICE;FOR lMPROYEMENTS T;O YOUR.PRQPER`CY.:I�,.YO.U�lN'�END"TQ�L1B-TAIN�-FfNANCING,'GONSUlT
<br /> WITH YC?UR L I�.DE�t�OR A.N A't'TOR • B F E��,ECO �� = .U ' O �.0� `O �` , . CE N '
<br /> ��o���a�u�a����.s.�.��.a�> , I
<br /> OWNER OR AiiENT CONTRACTO �� _I "
<br /> Subscribed and swom (or aHirmedj b e me this Stibscrlbed and's to(or aflirmed)�befio� 1�
<br /> by ,
<br /> Who Is/are personally knovm to me or has/haye produced Who is/are p.e nally knawn��to me or s/have prcduced •
<br /> as°Identlflc�Uon. � as ldendficaBon.
<br /> � �� � � �
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<br /> ' ,,,_,,. Notary Pub!!c _ � No#ary Fu61tc
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<br /> Comm� s an tVa. Comt�tsst�ort No.
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<br /> Name at hlotary hiame o No r�o�s�„+
<br /> ��l�:Y:�B�, J EL . A ON �: �o'p ' . .BACQN �
<br /> , ;,� :°_ Commission#FF 137073 =*� += Commissiqn#F 3
<br /> � �, :�,;,�o�= Expires June 29,2018 :`�` ,o; F 13707
<br /> p� '�,qF .��' Expires June 29,2018
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