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i t <br /> , i . <br /> .. I' • <br /> �' <br /> NO'i'iCE OE DEED RES3R#�TSt?NS: T'he�e�dersigr�ed under�tands°th�t#his.p�rm1#.rz�ay be.subject ta"iieed"resUlctians° <br /> which m�y be�more�rest�(ctive-th�n County.reg�lations: �TFie•und"erslgned assuines resp�nsltiiitty for coii�pilanc�witli ariy <br /> appltcable deed cesnlctions. I. � <br /> LINI.IC�NSED CON'TRAGTORS AND .CONTRACTOR RESPC1NSt�It:1T1�S: tf Qhe awrte� h�s hlred a contractor ar <br /> �ontractors to und�rtake wark, th�ay may be.requlred.to be�ltcensed In accordance.with st�te.and•loeai regulation�, If khe <br /> �ontractor fs not Ilce»sed as requlred'-by law, both the awner and contcaa#or�may be�cfted-for a�-misdemeanar utolation ' <br /> under state law. If the owner or Intended cantrac.kar�are_wncertaln as to what iicensing.requlrement�`may apply��iorthe <br /> intended work,lhey are advised ta coritact the Pasco Couttty Buliding Inspectlon Dtvlslon--Ucensing�Sectlon a#727-847- <br /> �009. Furti�ermare, if the owner has hired a contractar oT contractors, he ts advlsed to have the cantrac#ar(s} sign <br /> portions of the "contrector Block° �f this appllcatlon for whtch they will be r.esponsible. .If you, as.the owner sign as the <br /> contra�tor, that may be an 1nd�eat�on that�he is not.properly�Itcensed �nd ts not eMitled to per�iit#ing pri�6leges in Pasca <br /> County. � <br /> TRANSPORTA710N IMPA�CTIUTIlITIES!l�IPAC7 AND-RESOURCE RECOVERY-FE@S�: The underalgned understands , <br /> that Transportation Impact.Fees and.Recourse�Recave.ry.Fees`i�ay�•applyta�the cansttvation of new buiidings,.•change�df , <br /> use in existing buildings, a�r.exparas(on�-of��ezistirig;��6uildin�s, as speclfled.in Pasco County Ordlnance number 89-07 and ' � <br />� 90-07, as ame�tded. The undersigned also understancls, thaE-such fees,;.as;may��e�dae; wltl�1�e 1denQ3fed at the�tirne�of� � <br />�, permitting. It is furtlier understaod that TrensportaHon Impact Fees and Resource Recavery"Fees.must be pald prior to ', <br /> k rece�ving a°cerf�icate of s�ccupan�y"'n�r fina! power.-release. :If 4he pro��ct does not#nvo4ve�a.certi#ic�te af occupancy vr <br /> final power reieass, the fees mu�t be pald prior t'o permi# Issuance. F�t.thermore;LL ff Pasco_Caunty iNateriSewer Impact <br /> fees are due,they must.be,pald pr9or to perml!-i�suance�in accordance with appUcable Pasao County ordinances. � <br /> �ONSTRUCTiON LlEN'LAiIV{Gh�apter 793� Flar�tla Statutes,�s amended): if vatuation of work 1s$2,500.00 ar more, 1 <br /> aertify that I, the appiicant, hav��been provl.ded with. a copy� of the "Florida Construation.Lien..L"av�-Homeowner's �! <br /> Protectton Guide" prepared by the Florida �epa�tmenE�of Agricutt�re a�nd �onsumer Affairs. If th�appli�ant t�someone i <br /> other tha�the"owner", I certlfy.that i have.obt�inetl�a copy of the above:.described tiocument and.pramise ln.good faith to � <br /> deliver ik to the°owner"priorto�cammencement. ; , � <br /> �ONTRACTCIR'S/CtWNER'S AFFIDAVIT: I ce�tify that alt the informatlon in this application is accurate and that ali work <br /> witl'be done in compliance with aIB applicable laws regulating constn�ction, zoning and land development. Appltcation is <br /> heceby made to ob#aln .a.perrctit to do. work:ani! installatlon as tndt�atedr `I ceri,ify that no work or tnstal[ation has <br /> commenced prior ta issuance:of,�,�permit and that:all work will be pertormed ta meet standards of all laws regula�ing- <br /> consUuctlon, Coun#y and City�aatl'e9, xa�ting r�g'�laXions, and land development regalation��in the �urisdiction. { al'so <br /> certify that I uaders#and that the regula#tons of otNer'gouetn;inent agencies may��pply�to the intended work, and that it ls � <br /> my respansibility to identify•what.act(ons I must tak�e;to beeln:.compliance. S.uch agencles Include but are.not Iimited to: � <br /> - Depar#men# of E�tvironmental-Protectlon-Cypress.Bayheads, Wetland Areas and Environrnentally Sensi#ive <br /> Lands,WatedWastew�ter Treatment. ; � <br /> - Sauthwest F4or�da Water iulanagement E�istrfct Welfs, Cypress. Bay_hea�is; Wetland Ateas� Alfering � <br /> Watercaurses, �" ' <br /> - Army Corps of Engineers-Seawalls,Docks�Navigable Waterways. ' <br /> - Department of Heaith�8 Re�tabltltafh+e ServlaeslEnvitanmentai FIea1#h UhiRVtlell.s� Wastewater Treatmen#, � <br /> Septic Tank`s. ; _ <br /> - US Envlronmen#al Protection Agency Asbestos aba#ement. <br /> - Federal Avlatlon.Authority-Runways. ; � <br /> I understand that the following_res#rlEtlons apply to the use of flll.� <br /> - Use af fill is no#attowed in F{ood Zone j V"un{ess eXpressly permltted. <br /> - If the fiil material is to be used.:�in �Flood Zone "A", ft. is understoad that a drainage plan addressing a <br /> "compensating volume*w111 bs submltted at#ime af perm�tttng wli�ch ts prepared by a prafesslonal engineer <br /> Iicensed by the.State of Florida: � <br /> - !# the fill materia! is to be used In Flood �one °A" in�connectfon�w3Eh.a�=germEtted building ustng stem waii <br /> � � conatruction., I ce�tify that fltl:wili�bs�used only.to filt the area within the s#em vu�all. <br /> - If flll material is to be used in any area� 1 .c�rtify that .use. af such flA will not adversely affect adjacent <br /> prope�ties. ff use of fill is fonnd�to adversely:�#Fec#ad)acent�prdperties,.the owner may be cited for uiolating <br /> the condltions of the building,permit Issued under the attached permit application, for lats less than.one (1) <br /> acre whfch are elevate��by flll,an engineered drainage plan is requ#red. . <br /> If I am the AGENT�OR THE OWIVER, I;:promise in good faith#a i�form the awner of the permitttng aondittans set forth in <br /> this af#idavtt�prlor to commencing consttuction. I undersfand that a�separate permlt may be requtred for elecMcaf work, � <br /> piumbing, signs, wells,.poots, air condi#ioning, .gas,.or o#her Instatt�tions nal�spec�tcatty included-in the apptication. .A <br /> permit Issued shall be constcued to be a'Iicense to'�proceed with the wark and not as authority to.vialate,cancel, alte�, ar � <br /> set aslde any prov#sions of the teahnlcal cod�s; noc sha�1 issuance�of a permit prevent fhe Buildirig O#�c1a1 i�om thereafter ; <br /> requiring a correction.af enrars In plans, constructlon or violations of any codes. Every permit Issued shall become invalid <br /> unless the work authorized by suoh permit.�is-co�menced�withln s�c months of perrnit tssuanae, or if work ac�thorized by <br /> the permit is suspended or abandoned for a:period,of§ix f8)monti�s:af�er the tir�re the�wo�rk ts commenced. An extensian <br /> may be requested� in wrlting, fram the Suilding,Offlcfal far a perlod not to exceed ninety��(� day_s a�d�wJlLdemonsSca�te��____ __ ' <br /> justltiable cause fioz the extens�on: If work ceases for nlnety��90)i»onsecutive days,..#Ft�jab�is considered aba�doned... <br /> IAtARNiNG TQ QWNER: Y R.EAILURE.TQ..REC.ORD A-Mt?TIGE OF-CQ ENGEMEMI`�MAY��RESULT IN YOUR <br /> PAYiN�TWiGE FCiR tMP VEMENTS YOUR PROPERTY. �iF�YO.U�tN'� - : �OBTAIN•FIPtANEiNG;'CONSULT <br /> WI7H UR ND O N 'fiT0 �8 FORE� ECOR�1 G:�YOUR' 'O "� •'M E EN ' <br /> F�t?RlDA,lURA�'(F.S.11T.Q _ <br /> � � <br /> DWNER OR AOENT� r � CONTRAGTO � <br /> Sub _21�'a swo e )b fo �r�s�/G'S I S s bed'and'swo � (a� ed�b ` � � • U-�;-.5' <br /> JVho is/are rsonally k rnm to.me or ha ave produced � Who Is/are pe� ally ko me or haslhave�produced • <br /> as Iden�flcatlan. i as ide»��cation. <br /> � <br /> _ , <br /> ubtic � . 1 Notary Pubilc <br /> �"".e'' JACQUEL <br /> :o is on ,•.,Y�,•,,, ,fACQUEL4 BqGES ; Com '�': missian# 154422 <br /> ;*. ;;� Comm sst qer 12 2�18 � ;�• :a: Expires Decem e � � <br /> tK` Ex ires Decem � 9 � ',', 'q.` Ba�ded tIw TmY F�n Insuienu 800�3&5d019 <br /> �tame at Nota � te��+� ; Name of , mpe <br /> � <br /> V <br />