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<br /> Nt3TICE UF DEED RES + 1CTICIMS: The undersigned u�derstands that this p�rrrtit may be subject to"deed°i�estrictEons°
<br /> wh(ch may�e more resf'r cfive ff��an Coifntj►regutations: The under'sig�ed assumes respon�ibitity for comptiance viritFi any
<br /> �PRlicable deed testrteE�o�s. � • `
<br /> UNl.tCENSED CQNT CTUR$ AND CC?NTRACT�R RESPONS1Bil1TlES: tf the owner has .hired a cant�actor or
<br /> contractors to undertak��ark, they may 6e required to be ficensed in accordance with state anc4 focai regulations, if the
<br /> canfractor is not ticense� as re�uired by iaw, boih fhe awrrer and contracEor may be ciEed for a misdemeanor violation
<br /> under state Iaw. If the 'wner o'r intended conhaetor are uncertain as fo what ficensing requiremenfs may appiy for tf�e
<br /> intended wark,they are�dvisedito cantact fhe Pasco Counfy Building Inspection Division--Licensing Section at 727-847-
<br /> 8009.;�Furthermor�, �f E e owner h.as hired.a contractor or conlraatars, he is advtsed to have the contractor(s} sign
<br /> portions of fhe °contract�r Siook" of this appiiaation for which they wit! be,responsfbte. ff.you, as the owner sign �s #he
<br /> cantractor; that:may.;be an indi�afion fha�he is riot property iicetised and is nof entiftet) to permitfing priviteges in Pa'sca
<br /> County. ' . j _ ,�-� .. . .. • . .
<br /> TRANSPK}RTATION IM{ ACT/UTILlTIES IMPACT AND RESCIURCE RECOVERY�FEES; 'The undersigned understands
<br /> that TransporEation imp ct�Fees and Reeourse Recovery�ees may appfy�a the cat�struction of new buildings, chang�of
<br /> use in existu�g buildings or expansPon af existing buildings, as spec�ed in Pasca County t7rdinance number 89-07 and
<br /> 90-07, as amended. T e undersigned atso understands, fhat such fees, as may be.due, witt be idenfified at fhe fime of
<br /> permtEting. !t is further nderstood that Transporkation tmpact Fees and Resource R,ecovery Fees must be'paid privr�to
<br /> receiv�ng � °eertificate of occupancy" or final power release. If the ptcrject does not involve a certi�cate of occupancy or
<br /> final power�release, the�fees.must be paici prior ta"permit issuance. Fu�fhermore, if Pasco Caunty Wat�riSewer Impact
<br /> fees are due,they must`be paid prior fo permit issuance iri accardance�wiEh appiica6fe•Pasco�Coanfy ardinances: •
<br /> CQN5TRUGTlClN LIEN LAW tChapter 713,Florida Statu��*s,as amended}; if vatuation of work is$2,500.00 or more, I
<br /> certify #hat i, the appli ant, have been provided with�a copy pf the "Florida Constructi4n Lien Lav�r—Home+�wner's
<br /> Protection Guide" prep red by'fhe Fiorida Deparfinen#af Agriculture and.Consumer Affasrs. !f the appiicant#s someone
<br /> oth�r�than the°ovfiner", cerfify�thaE•1.have abtained a copy ofi the above des.cribed dacument and promise in good'faifh fo
<br /> deliver it tv the"owner° rior to commencement. � � . .
<br /> CUNTRACTt1R'SiC1Wf�ER'S AF�fDAVIT: i certify that al!the informa#ion in this applicatian is accurate and that a!1 work
<br /> witt be done in camptia�nce wi#h ali applicabie taws regufating constrvetian, zan}ng and land devefapment. Applfeation is
<br /> hereby made #o obtair� a p�r�rrif to do work and insfailafion as indicafed. 1 certify that nc► wark or instailation has
<br /> comrrienced prior to issuance�of a permit and fhat alI waPk witl be pertor.med to meet sfandards of ati laws regutafing
<br /> canstruction, County a�d Ciky;codes, zoning regulatians, and land development regulations in the jurisdictian. i a!"so
<br /> certify that i undersfan�#hat tiie regnlations of other gvvemment agencies may apply to#he fitendec!work, and #ha#it is
<br /> my responsibtllty to ide tify what acfions 1 must take�to be:in cc�mpiiance. Sucfr agencPes inctude bu#are not timiked fo:
<br /> - Deparkmen� of Environmental Profecfion-Cypress Bayfieads, VNettand Areas and Eriviranmentatty Sensifive �
<br /> Lands,Vtta erNVastewater Treatment: , .
<br /> - Soufhwest Ftorida Water; Management District Wetls, `Cypress Bayheads, Wetland AreasT Altertng
<br /> , Wat�rcour�es. i � - ,
<br /> ' - - Army�Corp af.Engineer�-Seawalls,Docks,�Navigabte VVaferways.
<br /> - Departme t of Healkh &��#�ehakiilifative ServiceslEnvirontm'ental Mleaith Unit 1lVeils,.Wastewater Treatr�ent�
<br /> . Septic Tan s, � . '
<br /> - � US'Enviro k menfat��Profection Agency-Asbes�as�abatement,.. ,
<br /> Federal A`iakion Aufhorify-Runways. ' ` '� ` ° � , ' •- . � , . - ,
<br /> i unders#and tha#the fa!lowing�restrictions apply ta the use�f fll[:� -
<br /> - Use of fiifl is� not ailowed in Fiood Zone"V"unless expressly permf#ted: "
<br /> - If #he fill �nateria� is ta be used in Fioad Zone °A", it is understoad tha� a dra9nage plan address9ng a
<br /> ".compens�ting vo�ume°wi11 be submiffed at•time of permifting which is prepared by a professioriai`engineet'
<br /> llcensed by fhe St te oF Florlda.
<br /> - tf fhe fiil material�fs to be used in Flood Zone "A" in contiec�ion wikh a permitted bUilding usii�g:stem wall
<br /> � consfructi�n,,F certify#hat fi(1 w�fl be used anfy ta fiil'the area within the stem walf.
<br /> - !f.fill mat�rial is fo be used in any aFea, i oertify fhat use of such fiil vi►iif not adversety affect.adjacent
<br /> _ properties lf.us+� of flt! is found #o adversely aifeot adjacent properties, the owner may be cited for viotating
<br /> , the condFtTons•of�the building permit issued under fhe attachecl permit applica$on, for (ofs tess than ane {�i)
<br /> acre which are elevated by fi}t,an engineered drainage plan is requ�red.
<br /> If 1 am fhe AGENT FOR TNE�CiWNER, i promise in gopd•faifFi to inform the awner af the permitting conditions set forth in
<br /> this affidavit prior to commencing consfruction. ( undersfand that a separate permit tnay be required for etecfricai wark,
<br /> piumbing, signs, weli , pools; alr condi#ioning, gas, or oEher'installations not specifiaa0y inctuded in Ehe appticatiori. A
<br /> permit issued shall be�cansfrved ta be a ticense ta proceed with the work and not as a�thority to_viotafe, cancel, alfer, or
<br /> seE aside any provisio�s of fhe technicat codes, nor shati issuance af a permit prevent the Build9ng C?ffic9al from thereafter
<br /> �cequirl�g.a;�orteation:�Qf..eGr:o[s:irt.,pla�s,;.constcucfion.o�'viotafions of any codes.•Every permiE issued shail,become•i��a[id- �--�•.
<br /> untess the work authorized by such permik ts commenced within six months of permit issuance, ar ifi work aUfhorized by
<br /> #he permiE is suspended or at�andaned far a periad of six(6)tnanths after#iie time#he wark is camrnenced. An extension
<br /> ��may be�requested, in�wr.ifing� from fhe 8uitciing C3fficiaf far a�perioci not to excesd nlnety.(9Q} days anc! will demonstrate
<br /> j�st�fabte Gause for t�e extension. tf work ceases fior ninefy�9a}consec��ive�iays,tF�e jo6 js cansidefed abandot�ed. ,
<br /> WARNiNG.TCt-,OWN�R: YOUR FA!l.URE TO RECORD A NQTIC.E OF COMMENCEMENT MAY RESUtT iN YOUR
<br /> -'1PAltatrlG°-T�.NtGEF41�;�M�RC7VEiti1�NTSTQ_YQUR•PRQPE�tTY. IF .Y,OIJ lNT�t+]D,TO.f�BTA1N F!N%s►NCING��CONSULT
<br /> WITH`YOURi.ENDEFtE)R,�AN;ATTCIRNEY"BEFORE�R�CORDIN�'�'°"C�UR��NQTlC��OF�CCIMM�d�,��E�VlE�ITe "
<br /> F�ORIDA JURAT(F:S,91 03) �,�--� " ' � � r
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<br /> OWNER OR AGENT � • <�4�l�=lf CONiRACI'17R� ���
<br /> Subscrlbed and swom 8r a mne before me this ' • SaBscribed and suram {�afFirmed)ti fore me this .
<br /> /!�- �/S— ' fis-..S'�'.�,,,s- bv .2:�i'�_____�iir'''C� �
<br /> Whn Is/ar e onat y na o me r has/have produced Who lstare onativ knov to me or has/have produced
<br /> a idenGfication. as identiftcaBon.
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<br /> Notary Publ�c �- • Notasy Public
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<br /> Cammission No. _,_, CofitfliSSiOn t�t0. �,S�Ni�s�l,�,___._ '
<br /> Natne of 1Votary LyPed4�prf�►ted or st,1,�P„�,a k��'�I�'f������ �ame of Natary typed,printed�of:sEarr�ped -�- -- --- • /
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