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<br /> KOTIGE OF DEEO RESTRICTIONS: The undersigned undetstands tha#this pemiit may be sabject to"deed"restiictions"
<br /> which may be more restriclive lhan County regutatians. The undersigned assumes responsibility fo�camptianca with any
<br /> applicatile deed restrictions. ,
<br /> UNLIGENSED GONTRACTOEtS AND CQTITRAC"fOR RESPON81BiL1'[IES: 1f the �wner has hired a coritractor ar
<br /> contractors to undertake work,they may be required to be.ticensed in accordance witfi state and iocal regpla6ons. if tfie
<br /> contractor is not Iicensad as required by law;boUi the owner and contractor may be cited for a misdemeanar violaGon
<br /> under state law. if khe awner or inteniied centrac}pF are unceriain as to what ficensing requirements may apgty far the
<br /> inkended work,they are advised ta coniact the Pasco Cautity Buitdfng inspection Division-=ticensing Section at 727-8d1-
<br /> 8009. FurtHermore, if the ovmer fias hiretl a contractor or contraclors, he is advised to have the conlractor(s) sign
<br /> porfions of tEse"cantractor Bkack'of lhis appkicatian for which they wil{be responsible. !f you,as_the owrter sign as the
<br /> contiactor,that may be an indication that he is not propedy licensed and is noi erititled to permitiing pri»'leges in Pasco
<br /> County.
<br /> TftANSPQRTAT{ON!MlPACTIUTII.RIES IMPACTAND.RESOURCE RECOVERY FEES: 'fhe.undersigned understands
<br /> thet'Tiansportation tmpact Fees and Fiecaurse Recovary Fees may agply to,the consfruction of new buildirigs,change o(
<br /> use in existing buildings,or expansion of ewsting buildings,as specifled in Pasco Caunty t?rdihance number$9-07 and
<br /> 9U-07,as amended. The undersigned also underskands;'thal such fees,as may be due,wip be idenUfied al.tfie lime of
<br /> permitting. li is further understaad that Transpnrketion lmpa�t Fees anii Resaurce ftecovery Fees tnust be pald ptior to
<br /> receiving a°certificate of occupancy"or finai power retease. If the project does ndt involve a certificate of ocaupancy ar
<br /> final power release,the tees musl be paid prior lo perrtiit issuance. Fu�thertnore;if Pa§co County WaterlSewer Impact
<br /> fees are due,lhey must be pa'sd pEior 1o_Qecm(t issuance in accardance urith appiicabie Pasco_County atdnances.
<br /> CONS7RUCTiON LTEN tAW jChapter 713,Florida Statutes,as amended): tf vatuation of work is 52,500.00 or more,1
<br /> ce�tify lhat I, lhe applicanl, have been piovided with a copy of the "Flarida ConstFuctiori Lien Law—Hameownet's
<br /> Protection Gufde"prepared by the Ftarida Deparfinent of Agricuiture arid Consumer Affairs. !f the appficaht!.s sameone
<br /> other than fhe"awne�',!cerii{y that 1 haue bbfained a capy oF the above deseribed documeM and promise in goad taEth ta
<br /> deliver il tn the"owner"pri4r lo commencemenL
<br /> COHTRACTOR'SlOWNER'S AFFIDAVCC: 1 certity that al!tbe information in this applicaGon is accurate and that all work
<br /> wilt be darie in compliance wiEh atl applicahle Iaws tegula4ng costshuction,zoning and land developmenf. A¢plicatioT►is
<br /> heretiy made to obtain � permit lo do work and installallon as indiqted. I cePCrfy that no worfc or installalion has
<br /> commenced prior to issuance of a Permit and lhel,ail wodi will be performed to meet standards of all laws reguleting
<br /> consfsuetion,Counip and Gi#p�des, zoning regulations,and land devefoprnent reyulations in the_Jurisdiction. i atso
<br /> certify that 1 und'erstand ihat the regulatians of other govemment agencies may apply to the intended woric,and that it is
<br /> my respansibility to identify what aclions I must take lo be 1n compliance. Such agenaes include but are nol limited to:
<br /> - Department of Environmentai Profectia;rCypress Bayheads,WeUand Areas and Environmentatfy Sensitive
<br /> Lands,WaierJWastewaterTreatrnenf.
<br /> - Southwesl ,Florida Waler Management District-Wells, Cypress Bayheads, Wedand Areas, Aflering
<br /> Watercburses.
<br /> - Artny Carps af�SSgineers-Seawatts,Dacks,Navigable Waterways.
<br /> - Departmenl of Health & Rehabilitative,Services/Environmentel Health Unit-Wells, Wastewater Treatrnent,
<br /> Sepkic Tanks.
<br /> - US Environmental Proiection Agency-Asbestns abafement.
<br /> - Federal Av�alion Authority-Runways.
<br /> I understanil Ihat the following restricdons apply to lhe use oifill:
<br /> - Use oFf�l1'ss c►�t a#lowed fi Flood Zone"V"unless expressly perml#led.
<br /> - if ihe fili material fs to he used in Fiood Zone 'A", iE is understoad that a drainage ptan addressing e
<br /> "compensaUng volume"will be submiried al time of permiriing which is prepared by a professional engineer
<br /> iicen§ed by the Stake of flotida.
<br /> - if ihe fiit maferiai is to be used in Flood Zone`A`in connection wlth a permitted building ustng stem wall
<br /> consUuction,I certify that fitl will be used only la fill the area within the stem wall.
<br /> - !f fill materia! is lo be used in any area, 1 ce�iify tha! use of such fill will nal adversely atfect adjacent
<br /> graperties. !f use-af fi1!is[aund ta ailversety,affect adjacent properEies,the awner may be cite+d ior v�olatirsg
<br /> the conditions of tha building pertnk issued urider the attacheil permit appliqUon,for lots less than one(1)
<br /> acre which are elevaled by fill,an enginee�ed drainage plan ls required.
<br /> If 1 am!he AGENT FOR THE_OWHER,t promise iri gooci ialth to inform tt�e amier of!he permitting conditions set fot#h in
<br /> this aFfidavil priar lo aommencing construcGon. 1 unde"rstand that a separate parrnit maq be.required for etectricat work,
<br /> plumbing, signs, wells, pools,alr conditioning, gas;oP other installadons nal speaifically included'in the applicalion. A
<br /> permii 3ssued sh8li.be canstrusd to be a(iCeirse to proceed with ttie work and noi.as authotity io violete,cancet,alier,or
<br /> sei aside any provisions of!fie technicat codes,.nor shaN issuance ofa.permit pravent the Building Offcial ftom ttiereafter
<br /> requiring a correction of errors in plans,consliucUori or viblatlons af any cades. Eyety permit issued shall become invalfd
<br /> unEess the work autliotized by such permit is-commenced withln slx months of permit issuance,or.if work authadzed by
<br /> #he permit is susPended ar abandoned tar a period.oE siic,(8}manEhs after the Eime the wark.is cammenced M extension
<br /> may be requested,in writing,(ram lhe Building Of(icial for a.period not to exceed ninety(80)days and will demonsUale
<br /> just�able cause for the eactension. lFwork ceasas(or nineky(90)cpnsecutive days,#he job(s considered abandoned.
<br /> WARNING TO 4WNER: YOUR FAILURE TO.RECORD A NOTICE OF COMMENCEMENT MAY RESUL.T IN YOUR
<br /> PAYING TVIIIC�FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENp TO OBYAIN FINANCING,CONSULT
<br /> WITH YOUi2 CENDER OR At+t ATTO[2NEY SEFdRE RECORDIidG YflllF2 4tOTICE QF Ct?M,ME C EHT.
<br /> FLORIOA JURAT(F.S.1 t7.03) � ,
<br /> / � . / _—
<br /> OWHER OR AGENT CdNTRACTOR ��
<br /> Subscnbed and swam ta(or affirmed}pefore me ihts Subsrnbad ac�d swam to or aft ed}bcaf re el���,��,
<br /> bY bY
<br /> Who islare personally known 1a ma or haslhave,produced Who9slare personally know t m r hasfhave produaed
<br /> as ideMiflcation. as identificadan.
<br /> (Q /yy���/�,� 1�� �� � ',0.�� //�{/�� /
<br /> Notary Publia P���"`�^ �'v l �^'�`��✓ `��" ` N��
<br /> Commiasipn No. Gommission No.
<br /> Name ot Natary typai,printad or stamped Name oE Notary ryped,printed a 18� Y,.�. W(a j�j�j�t�(�jj}jy j�{�
<br /> ;*; 'a: MY COMMISSfQN#�EE i82865
<br /> '%� 4= EXPIRES:July 26,2016
<br /> �;o�f�y°°p� Bon4edThruNataryPuhticUndemriters
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