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<br /> Nt?TICE QF DEED RESTRICTlC11dS: The undersigaed under�tands°.#h�t this.,p�tmlf.may,be�sub)ect to„°deed".restricttons"
<br /> whlch may besmore�r.est�ictive'.th2in Gbunty regulatlons.�A7he underslgned`assumesjrespcinslblllty'for`c+ampNance wlth`aiiy �•
<br /> applicable deed restrict(ons. . .. , . - � �
<br /> tINLtCENSED CONTRACTORS AND CCiNTRAGT�R RESPCINSIBILITiES�: If tFie�ouvnerhas��fiired a contracta� or � �
<br /> cantractors°to undertake work, they may be:c±�qu'fred:.to be;ficensed in accordance.with state.and•iacal regulatians: -If�the:
<br /> contractor is not ftcensed.as�requlced'by law, botti the avmer and=�contcactor°may be cited-for a��misclemeanor utoiatton
<br /> �nder state law. !f the owner or lntended?.contractor:are.uncertaln as to wha#ffcertsing.requlre�nenis may appiy�:far:the
<br /> �ntended wark, they are advised to contact the�Pasco�County Building Inspectton Dlvislon--Licensing Section at 727-847-
<br /> �....�.
<br /> 3009, Furthermore,`tf the owner has til�ed a contractor�o`r`contrac#ors, he is advised to have the cantractor(s), sign
<br /> portians af the "cantractor Btoak" of this appllcation far which they will be.respansibte. .if yau� as.the ovirner sign'a� the
<br /> ron#ractor, that may be an indication that�tis-is nat.prope�ly-licensed and�is naC en#ified #a periiiit#ing privilages in Pasca
<br /> County. � ` '
<br /> �RANSPORTATiON�IMPACTIUTIUTIES IMRAC'1'-ANa RESOU�tCE REGOVE�LY FEES: �The e�nderaigned understands
<br /> that Transportatton Impact Fees and Recaurse Recove.ry.Fees may..�apply;to�the canstructlon of new bulidings,.=change of � � ,
<br /> use in existing buildings, or�expansio►r��of:exi"sting;6uitdings, as sp�cifled.in Pasco�County O�dinance number 89-Q7 and {
<br /> 90•07, as amended., T,he undersfgn�d also-understands, fhat.-such fees,-.as smay_be:due„wiii�be identified at#he�time�of ;
<br /> permitting, !t (s furkher understood thaE Transportatkon.Impacf Fees and Resource Recouery Fees.must ba paid priar to
<br /> rece4ving a °ce�Fificake of occ��pancy"�or flna!-pewer release. -4f�the project does:nc►t fnvoive a.:certiftcate of occupancy,or
<br /> final power,release;the:fees mu�t,be paid prtor to permit (ssuance. Furthermare,r lf Pasco;County�Vlfater/Sewerrlmpact
<br /> Fees are due, they��must.be�pald prior to permit-Issuance��n accordance witFi�gpplfaabie.Pa�co Counky ordlnances.
<br /> CONSTRUCTIt3N L`IEN LAW(Ci�apter T1�,Fiorrda Statutes�as amend�d); If vatuatlon of work is$2,500AO,�or mare, I
<br /> certify that t, �he .�ppllaent, have�been provlded with a capy� of the�"Florida-Construction; Lien�.L;aw=Homeowne�'s
<br /> Proteatfor� Gulde" prepared by the'Ftbriila Departmenf of Agrlc.ulture and Consumer Atfairs. If#he appticant is sameona
<br /> other than the"owner"t I certify that 1 ttave,obtained�a capy;of.the above descrlbed�docur�ent°and.promise In.gaod fa�th-to
<br /> deliver it to the."ownec"�prior-to�commencement: '�, � ' � ,
<br /> CaNTRACTOR'S/OWNER'S AFFIDAVIT: i ce�lfy,,#tiat,aq•the�,lnf.ormation in�thl.s appllaatlon is accurate and that all work
<br /> wiit'be dvne in compliance with ali appltcable�laws i�egulating construc#ion� zontng and land�deveiapment. Applicatian is
<br /> hereby made to abtaln .a permit ta do..wark..and =fnstaflation as Indt+cated:;� ;1 certify�thaf no work`or instaliation has
<br /> commenced prior to issuance of'a�permlt'aiitl�#liat�:a!!�wark wftl be��performed to meet standards of att laws �agutating-
<br /> constructfon, County and City codes, zoning regulatl�ns, and land developmet�k r.egulatlons•fn the�jurlsdtctlan. 1 aiso
<br /> certify that I understand that the regulations of othe�gavernment agencies may�apply�ko the intended wark, and that it is
<br /> my responsibflity to identlfy:wH�t:actions I must take,to bedn:.corr�pliance; S.uch agencles Include but�are..not(Imited.to:
<br /> - Department of Environme�i#a1 1�rotection=Cypress.'Bayhea��; Wetland Areas and Environmentally Sensitive �_
<br /> i�ands,VitaterlVitastewa#er Trea#ment. � •
<br /> - Southwest Florida Water Management: .DisUtct Weiis, Cypress. Bayheads, Weffand Areas, Attering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navig�ble Waterways. �
<br /> - Deparkment of Health`� ReMabilitative Servlces/Environmental Fle�lth Unit-VVell.s, Wastewater-Treatment, .
<br /> Septic Tanlis. � .
<br /> - US Envlsonmentai Protectlon Agency Asbestas abatement.
<br /> - Federal AviationAuthorlty-Runways.
<br /> I understand that the foAowing:restrictlons apply to the use of flll:
<br /> - Use of fili ls not aiiawed in Flood Zane"V"unies�s expressly pe�mitted.
<br /> - if #he fifl materiat is to be used.�in �Ftood Zone °A°, it. is understood that a drainage plan addressing a
<br /> °compensafing voiume"wili be submitted at tinne af permitttng wF�ich is prepared by a professionai engineer
<br /> #icensed by��he State-af�Florfda. �
<br /> - If #he fl!I rnateria!_is to be used fn Flood Zone °A° ir�>c�nnec�fon�vulth.a �ermftted bnlidfng using stem wali
<br /> � construction, i certify that fiU�.wlll„b.e us�d only.to.fll!the area wlthln the stem�wall.
<br /> - If fill materlal is to tie used in any area� I �certi�+ that .use. of such fill will not adversely affect adJacent
<br /> prope�#ies. If use of fili ts found ta adversely,�ffecE adjacent��propertles,.the owner may be cited for violating
<br /> t6�e condit3ans of the,buitding.permit issued�under the_at�ached permit applicatian� for tots�less than one ('I) ,
<br /> acre whfch are elevsted by il!!,an engineered drafnage pian is requlred. •
<br /> � f!am the AGENT FOR THE OWNER, l,��romtse!n good falth to inform#he owner of�the permitttng condl#fans seE fotth!n
<br /> his affidavit prior to commencing construction. I understand that a°separate permit may be requtred for electrica# work, ;
<br /> �lumbing, signs, wells, poois; air conditioning,.g�s, or other install�itions noE�speciflcally Included�in.the application. A :
<br /> ��tmit Issued sFtalf be canshued ta be a license to proceed with tfie'virork�nd nat as:authvriiy ta.violate..�cancet, alter, or . 4'
<br /> �et aslde�ny prov�stons of the technical codes; nor shaii issuance�of a permit.prevent the Buildirig Otitciai from thereafter ;-;
<br /> •equirtng a cor�ectlon+�f erro�s!n plans-�constniction or vlolat�ons of any codes. Every permft fssued shail become�nvalid �;
<br /> anless the work authorized.by such permit is-commanced�wlkhin sfx months af permlt lssuancer or If work authorized by
<br /> he permit is suspended or.abandoned for a.period of�sUc(6)months after the time the�work ts commenaed. An extension `-'
<br /> nay be requested, tn writing; from the Buildtng.{3f�iciat for a periad.not to exceed ninety(90) days and will�demonstrate ''
<br /> _ustifiable cause for.the extension:,_If wark ceases.for ninety�90}cons_.ecuti_v_e�days,th�jo��is:,considered_aba�doned.=— a'
<br /> . • ��;
<br /> NARNlNG TO OWNER; YOUR.FAILURE-TO.=REC.Q�tQ,A NOTIGE.Q�°COMMBNCEMEMT !IPlAY=RESURT!N YOUR Y�'
<br /> �AYING 71MICE.FOR IMPROVEMEN,T9�TO YOUR.PRGIPER°f'Y. :1F°YO.U�Mt�I��"ENQ�`TO OBTAlN�FI(�tANE1NG,'CONSULT i �
<br /> MTH R ND �O N.ATTO NEY�B OR�� C�R�3 G� OU � � E �E E T �
<br /> °LORlDA,lURA'�(F.S.1.17.if3) - ; , �
<br /> )WNER OR AQENT CdNTRACTO �"�' ^ ��
<br /> iubscribed a�swam fo(or ai8nned)beiore me th(s Subscxlbed and'swam to(or aNirmed efore me Uitc
<br /> bY � ��Y
<br /> Vho is/are personaily known to.me or has/h�ve produced Who Is/are p.ersonaliyknowm tn me ar has/have�praduced. •
<br /> as IdenU�CC�Bbn. ' as iden8flcation.
<br /> Notery Publ(c � � Notary Publlc
<br /> :ommisslon IVo. Commis .
<br /> ,,.�Y y�«= Camm'sssion#FF 137073
<br /> lame oC Notary typed,printed or stamped Name ' , @�!
<br /> � '%��pd��.,°.•�`"� 9pndedThm7royFainlnsurance840-385•T019
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