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<br /> NOTICE OE DEED RES�'RACYIOMS: The undersign�d under.stands°�that this,permlt.may be,subJect to"d�ed"restrictEons"
<br /> which may be,more.rest�icttve�than County:regulalloros. �"Phe undersigned assumes responsibility for compilance with any
<br /> applicable deed restrictBons. �
<br /> UNLICEM§ED CONTRACYOR� IAND -CONTRI�CTOR RESPONSI�ILITIES': �If the owner has hired a contrac4or or
<br /> contractors to und�rtake work, they may be Pequired to be:licensed in accor�ance.with s�a��.and•Oocal regula4lons. If the
<br /> contractor is not licen�ed as required`by law, both the owner and contractor•�nay be-clted for a��isdemeanor violatton
<br /> under st�te law. If the owner or Intended contractor are_uncertaln as to wh�t Iicensing.requirerrients may �ppiy.�for the ',
<br /> intended uvork, they ar�advised to contact Qhe Pasco County Bullding lnspectlon Dlvlslon—Licensing Section at 727-847- I,
<br /> 8009. Furthermore, If the owner has hired a contractor or contractors, he Es advised to h�ve the contractor(s) sign I,
<br /> portions of the "contr�ctor Block" of thfs a+ppllcation for vvhich they will be .r�sponslble. If you, as.the owner sign as�Qhe
<br /> contractor, that may be an indication that he is not.properly 18censed and ls not entitied to permitting pridileges fn Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTiUTILOTEES IMPAC7 AND-RESOURGE RECOVERY�FEE3:�The undersigned unders#ands
<br /> tha�Transporfiatfon Impact Fees and.Reco.urse Recove.ry Fe�s tr�ay�apply to the construction of new buildings, change of '
<br /> use in existing buildings, or.expansion of ezistiri,g�6uildings, as speclfled in Pa�co County Ordinance number 89-0'P and
<br /> 9�-07, as amended. The undersigned also understands, that such fees, ��;rnay_be�.due, wi19�be identlfied at the time of
<br /> permitting. It is fur�he� understood th�t Tra�sportation Impact Fees �nd Resource Recovery'Fees must be paid prior to
<br /> receiving a °cer�ificat� of occupancy" or flna0 powec release. :If the project does not(nvolve a.eertfficate of occupanc�+ or
<br /> final power release, th�fees mus# be paid prior to permit Issuarece. Ft�tthermore; !f:Pasco County VVater/Seuver Impact
<br /> fees are due, they.must be�pald prior to permit-issuance-in accordance with appllcable.Pasco County ordinances.
<br /> COfVSTRUCTION LI�PI L�11fV(Ch�pt�P 7�93� Florla�a�Statute���s amen�led): Of valuatlon of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have-been provfded with. a copy of the "�lor6da Constructlon Lien 4:av�liomeovvner's
<br /> Protection Guide" prepared by the Florida Depa�teo�ent of Agric.ulture and Consumer Affairs. If the applicant is someone
<br /> other than 4he"ouvner", I certify 4hat I have.obtained a copy of th�above..de�cribed docur�ent�and.promise in.good falth to
<br /> deliver it Qo the"owner�prio��to comrr�encement.
<br /> CORITR�ICTOR'Sl011VNER'� AFFIDQ�VIT: I ce�tify that all the Inf.ormation in this applicatlon is accurate and that all uvork
<br /> will'be done in compl(ance with alE applicable laws r�gulating const►vction, zoning and land development. Applicatton is
<br /> hereby made to obtain .a perrnif to do. work_and instaliat(on as indicafed.� I certify that no work or installatton has
<br /> commenced prior to issuance of a permit a,nd that.all work will be perforrr9ed to m�et sQandards of a�ll laws regulaking�
<br /> construction, County and City codes, zoning regu9ations, and land development regulatlons�in the jurisdtction. I a0'so
<br /> certify that I ur�derstand that the regulations of other governrnent agencies m�y�pply�to the intended work, and that it is
<br /> my responsibility to identify.what.actions I must t�ke to b�,In.cort�p0lanc�.,Such agencles lnclude but are.not Iimited to:
<br /> - Department of Et�vironmental-Protection-Cypress.'Bayheads, VVetland Areas and Environmentally Sensitive
<br /> Land�,WatedVVastewater Treatment.
<br /> - �outhwest Florida Water Managem�nt District-Wells, CypP�ss. Bayheads; V1letland Areas, Alt�ring
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, fVavigable Waten�vays.
<br /> - D�partment of Health & Rehabllitative Serv[ces/Environmental Health Unit 1lVelis, Wa�te�ter�Treatmenf,
<br /> Septic Tanks. �
<br /> - f1� Environrnentat�rotec4i�n Rgency-Asbes4�s ab�t��dnt.
<br /> - Federal AviaQlmn AuthoriQyr-Runways.
<br /> I understand that the foElowing:restrictions apply to the use of flll:� -
<br /> - l)se of fill is not allowed in Flood Zone"V"unless expressly perm(tted.
<br /> - Of the fiil material is to be used in Fiood Zone "A", It. is undersQood that a drainage plan addressing a
<br /> °compensating volume" will be submitted at time of p�rmitting which Is prepared by a professional engineer
<br /> Ifcensed by the State qf Flortda.
<br /> - If the fill material is to be used in Flood Zone �A" in�connec�ior��with.a��permitted building using stem wall
<br /> construction, I certi�j+that fill�:will::b.e used only.to�ill th�area wlthin the stem wall.
<br /> - If flll mater0al is to be used in any are�, I c�rtifi�r that use. of such fill�will not adversely affect adjacent
<br /> properties. If use of flll is found to adversely:affect adJaeent properties,.th� owner may be cited for viola4Eng
<br /> the condi#ions of th� bullding_p�rmit Essued under the attached permit application, for lots less than one (1)
<br /> acre vdhich ar�elevated by flll,an engtneered drainage plan is requtred. ,
<br /> If i am the AGEWT FOR TFIE OWMER, I;:prornise in good faith to infoem the owner of the pe�mitting condit(ons set forQh tn
<br /> this a�davit prior to commencing construction. I understand th�fi a separate permtt may be requtred fo� electrical wrork,
<br /> plumbing, signs, wells, pools; air coreditioning, .gas, or other install�tfons not.specifically included in.th� application. .A
<br /> permit issued shall be construed to be a license to proceed wfth the�work arad not as.authoriQy to,violate, cancei, alter, or
<br /> set aside any provisions of the Qechnlcal codes, nor shall issuance�of a.permit.prevent the Buliding O#iicial from thereafter
<br /> requiring a correc4lon a�errors in plaros, con§t�ction or viola4ions of any codes. Every permit issued shall becorv�e invalid
<br /> unEess the work authorized by such permit�Is_coroimenced�wtthin six m.onth� of permit lssuance, or i6 work authorized by
<br /> the permit Is suspended oP abandoned for a period of six f 6)months.after the time_the work is comrnenced.. An extenslon
<br /> may be requested, !n writing, ftom the Building.Official for a perlod not to exceed ninetyr(90) days and will demonstrate
<br /> justifiable cause for:the extension. If work ceases for ninety(90)consecutiva days,.th�job is.considered a,bandoned.
<br /> WARNIfVG TO OWNER: YOUR FAALURE TO,REC.ORD A NOTIGE OF COIlAMENCEMIEMT' IMAY°RESULT IN YOU13
<br /> PAYING TWICE,FOR ENIPROVEMENTS TO XOUEt:PROPERTY. IF°YO.E��IIdT�ID�''TO�OBTaA1N�FIPFdsiNCGWG; C.ONSI➢LT
<br /> _VVITFI vAUR LENDER OR AI1F A�'TORNEY BfFORE�ltE��R�DING YAU '�IVO�'I�E`Q��OIMI�� ��NII��IT' �
<br /> FLORIDA JURA�(F.S.117.03
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<br /> DWN@R OR dGENT � CONTRAC'iOR
<br /> Subscribed and swam to(or affirmed)be4ore this Subscribed and'swom to(or afflrmed)�before me ttiis
<br /> by
<br /> JVlio Is/are personally knovm lo.me ar hasR�ave produced Who.is/�re p.e onally kno to me or has/have produced
<br /> as Idend�catlon, as Identl�cation.
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<br /> Notery Public . ��' Notary Publlc
<br /> �ommisslon No. Com I� �����.. •
<br /> :;' ��:'__ Commission#FF 150422
<br /> Vame of Matary typed,printed ar stamped Mame of N � Be
<br /> �%� 'P_ E� ��r� oo-3asaois
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