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i � _ .; _. ,� <br /> ' Y � tn:i�_..� .:,...� <br /> NOTICE OF DEED RESTRICTIONS: The underslgned;undergtands;.th�t,this�p�rmi�,.may.be..subJect toz,deedr,restrictlons_,._° :___,,,.�. , <br /> which may be�more-r.estHotivertth�n��Gounty'reg�latlons:'The�under`slgned��assumes-�esporisllitltty�for`complian'ce=with any' � "�, �" ' <br /> appflcable deed rest�ictions. , � � � . "�� ��� � ' <br /> .::.w..;--;,,,�;..� ,..��- ' : � _ . :...-._..r �.. , . , <br /> UNUCENSED-�CONTRACTORS -AND•CONTRACTOR.RE�PONSIBILITIES:��� If}�he owner has��hired��a�-contractor or <br /> cont�actors to undertake work, they may�:be�r�qulr�ed.tto:�be;Ilcensed In.accordance.with.state�:and,local regulations. ;;If.the�> �� °� -_� �= <br /> �ontracto� is not��Ucensed.�as��requlred'�tiy law, both�the owner and�contracto��may�be�•aited�fior�a°ml'sdemeanor violatlon <br /> under state law. If•the owner or intended�;cantcac{tor,�are:uncertaln as to what Ilcenaing,requirements4may�,apply:��for�:.the -..-���= ;��= _ <br /> intended work;they are advised to contact tFie�.Pasco County,Bullding Inspection,Diyislon=Licensing~Section at 727-847- <br /> , _�.�.. <br /> 8009. Furthermore, If the ovmer has"hired a conhacto�or confractors, he is advlsed to heve the contractor(s),.sign , <br /> .,�.,.�. _ �..�.,.. <br /> .� ,-; .�.,-�, <br /> oortlons of the "contractor Block°_of.this,application for;which,they..will.be.responsible.-.:If.you,,.as-fhe_own'er sign as�the�' �� `- ' <br /> �ontractor, tfiat maybe an Indication`'that'he�Is not properly�licensed-and�'is not�entitled"to per'mfffi'ng prlulleges In Pasco: _ � <br /> County. • .. ,:;•_ . _.. <br /> . , : -. - - - <br /> - � ..,..._ _.. � - - <br /> TRANSPORTATION•IMPACTIUTILIT�ES�IMPAC'I��ANb�RESOU�tCE RECOVERY�FEES:��T�he��unde7signed understands <br /> lhat Transportation Impact Fees:and.Reco.urse.Recove.ry.�ees maysapply.;tv�the construction of,new,bulidings�.;change=of-- " � <br /> use in existing buildings, or�expansien�'of�ezlslin�g�6uildings,"as spectfied.in Pascv County Ordinance number 8g-O7 and <br /> e0-O7, as amended..:,_The_undersigned also-utiderstands� thait:�such fees;-as}may�;�,e�:;due;:,will��be identlfied at the`time��of-,�� �= � � - <br /> permitting. It is iu�tlier'understood that Tra�spo�tatlon Impact`Fees and=Resource.Recovery�=Fees mu�t be pald prtor to <br /> receEving.a"certiflcate=of occupancy" or flnal-.power�:release. :If•the proj�cf,does:not involve�;a=.certiflcafe;of occupancy�'o�_=�' �=�� �- <br />' final power release;;the;.fees�mu�t�be paid p�ior:,to permit Issuance. Ft��thermore;�If,Pasco�County�VNater/Sewec.Impact; - .. � <br /> Fees are due,they.�_must.be-pald::pMor to.permit�lssuance:�n,accord'.ance..wlEF�applicable Pasco'-County ordinances. <br /> CONSTRUCTION LIEN"LAW�(Ctiapte�'T13� Florlda Statutea�as amended); �f valuation of work is$2,500.00;or more,;I. ••.. � . ,_ <br /> oertify that I, �he-applicsnt,.,have-been _prov.ided,-wlth-a-copy-�vf�•the ":Florida�-Construction._Llen_Lavir—Homeowne�'s <br /> Protection Guide" prepared by,the Flo�ida Department�of Agric,ulture and Consumer.Af_fairs. if the applicant is someone-- - � _ __ <br /> :� .. ,:,�.;�. <br /> � �, <br /> other than the`owner", I certifjr..that.l�h�ve,obtained%a��copy,of,the above:�escrlaed��locur�ent;and,:pr.omisetn-,good:.faith�to:. , : . .�_. <br /> : � .�.,_.: -� <br /> deliver it to the:`owne�'-p�ior-to;;comme�ce�inent:�'..���,y: :.. . .. - - . _ - . . , <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tifj►;;th;ataall�the.,Informallon in,this�application is accurate and that all work ' - <br /> will'be done in compliance with all�applicable laws.regulating constructlon� zoning and��land•development. Application is <br /> hereby made to .obtain :a .permit„to,,do.;woi`14.�and :InsCallatlon as indi�aEed:�•:�4 certffy"th'at no w;ork:or, installatlon'has <br /> commenced p�lor to Issuance of�a�pe�mlf"and that`:all�work will be perFormed�to meet standards.of all laws regulating- <br /> construction, County and City codes, zoning regulatians, and land development cegulations•In the Jurisdictlon: I::al'so� <br /> certlfy that 1 understand that the regulatlons of other�govetmment agencies may�appty�to the intended,work, and that it is <br /> my responsibllity to identify�what.acttons I must.take:to bedn:.compllar�cs:;S,uch agencles=lnclude but�are::not Iimited to: , - <br /> - Departfient of E�lvironmental-Profection=Cypress:'Baylieads; 1111etland Areas and Environmentally Sensittve <br /> Lands,WaterlWastewater Treatment. <br /> - Southwest Fiorida Water Management '.:I�istrict-Wells� Cypress. �ay.k�eads; Wetland Areas, Aitering <br /> Watercourses. <br /> - Army Corps of Engineers=Seawalis, Docks, Navigatile Waterways. <br /> - Department of Health�'8 Ref�abilitative Servtces/EnviFonmental Health Unit:Well.s� Wastewater Treatment, <br /> Septic Tanks�. � ' , <br /> - US Environmental Protectlon Agency-Asbestos abatement. � <br /> Federal Aviatton:Authorl Runways. • <br /> tI!-. ., n <br /> I understand that the following=rest�icflons'apply to°the use of flll: <br /> - Use offill Is not�allowed in Flood;�Zone"V"unless expressly permitted. <br /> - If the fili matehal is �to_�b,e'�u`sed�'1'n �Flood Zone. "A", It. is understood that a drainage plan addressing a <br /> "compensating volume"will be submitted�at time of permifttng whlch ts prepared by a professional engineer <br /> Iicensed by the:;State of=Florida: <br /> - If th� flll maferlal::is.to be.��used in Fiood Zone 'A" in5 connecfion�wlth.a•�pecmitted building using stem wall <br /> ' constructfon., I certifjr that flll wali=b.e;used only.to.fill the area within�the=stem�wall. ' <br /> - If flll materlal Is to�tie used In any-area, I �certify that .use. of such flll will not adversely affect adJacent <br /> ' properties. If�Ise of flll Is found to adversely_�ffect adJacent'propertles,.the owner may be cited for violating - <br /> the cond�ions of the bullding;permit issi�ed•under the-at�ached permit applicatlon,•for�lots less.than.one (1) <br /> acre which are elevated by f111,a�englneered drainage plan fs required. • . <br /> If I am the AGENT.FOR THE-OIMNER, I�promise In good faith to I�form the�owner of-the:permitting condft{ons set forth in � <br /> lhis atfidavtt'�prtor to commencing construction. "I'understand that a=s�parate permit may be requtred for elecMcal work, - <br /> olumbing, signs, wells, pools; alr conditioNng,.gas, or otMer Insfal at ons��not•speciflcally included-in.the application. .A . <br /> �ermit issued "shall be construed to tie a°Ilcense to proceed with tFie'�work and not-as:authoNty to,violate,�cancel, aite�, or , � <br /> set aside any provislons of tFie.technical:codes;�nor shall issuance�of a permit.prevent the Bulldirig Official from the�eafter <br /> �equiring a.correction af errors in.plans;const[uctlon orvlolatlons of any codes.-�Every p'ermlt Issued shall become•invalid <br /> rnless the work authorized:by such permit:�s.coEnmenced�withln sGc months of permit issuance� or if work authorized by <br /> ,,..�... <br /> ihe permtt ts suspended or:.abac�doned�for a:perioc�of�six:(6)montlas�.aRer;the time the�work��is commenced.-.An extenston <br /> �nay be requested� in writing��from the;Building.Offi�i�l for a period.;nof�to exceed�nlnet��(90}days a�d�will demonstrate <br /> ustifiable cause for.�the extensior�. If work,cease�:for ninety(90)consecutive:day.s...the job�is.cons(dered aba�doned:' <br /> NARNING TO OWNER: YOUR.FAILURE,TO.,:RE.CO�tQ�A„NOTIGE�OF;•COMMEMCEME(�T�MAYtRESULT IN-YOUR <br /> �AYING TWICE,FO,R;IM..P.,ROVEMEN�S-Tfl YO.UIZ>�PROPERTYr:�IF�.YO.tl�l�l�E�D�`T���OBTAIN��FIN�ANCING;'C.ONSULT <br />�,UITH YOUR LE�VDER:OR AN�ATTORNEY�fFORE��R�ECOR��IwC:=�YOUf�'NO��C-� ! � �,OMII�IENCEtV1EN�._�-- = - -- _ -_-- <br />" �LOF:i^uR3ii�3'�(F:S.-9`iT:03)`--__ _. _ - .. _ ,. .-. . <br /> )WNER OR AOEN7 :.CONTRACTO ` <br /> I, iubscrlbed and swam M(or a�irmed)before me Ihls ' Subscxibed'and'swo (or aflirme re me:tht� <br /> by •by� ' <br />� Nho Islare personally knovm to.me oc has/have produced 1Mio`Is/are p.etsone own� me or_heslhave�prodi�ced • <br /> as Identlflcatlon. as identlflcadon. <br /> _ , <br /> I . <br /> Notery Publlc �:2 Notary Publlc <br />� :ommisslon No. �' Commla on . �wV��"'�-� JACQUELIN OGES <br /> .;; •:�;� omm ss on � � <br /> ;N: :o<: Ex ires becem6er 12,2018 <br /> Jame of Notary typed,printed or stamped Nan're of No ' °p1�In�d��i���i '�"0' ' ''' <br />