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<br /> NC)TIC� O!F DEED REST641CTIONS: The undersigned understands that this permi#may be subject�o"d��:d" restric:tions'°
<br /> whicto m�y be more restrictive than County regulatians. The undersigned asstames r.espansib(lity for aom�liance with any
<br /> applic:able deed restrictions,� � � '
<br /> UNI.i�G��d�ED CQNTRAt�T�RS P►N� C�NTRACTQR RESPONS1BIl.IT1ES; If the owner has hlred a cvntrac.tor or
<br /> contr�ctars fo undertake wark, fhey may be required to be Ifcensed in accordance with sfate'and local rec�ufations. (f the
<br /> contr<actor is not licensed as requlred by law, both the owner and contrackor may be cited for a misdemeanor vic�latian
<br /> under� sta#e law. ff fhe owner or infend�d contracfar are uncertain as t� wha# iicensing requiremenfs m�y apply f'or the
<br /> intenc�ed work, they are advised to cont�cQ the Pasco County Building Inspection Div{sion—Licensing Sec,tian at 72'�-847-
<br /> 8009. Fur#hermore, if th� owner has hired a contrac#or or confractar�, he is advlsed ta have the contractor(s} sign
<br /> porkions of the "contractor Block" of this application far which they will be responsible. If you, as the owner sign �s the
<br /> contr�ctar,:that may be ar� indication that he is nat properiy licensed anci.Es rto� entf�led to peEmfkking priv!leg�s !n �'asco
<br /> Caunty.
<br /> TaAP�SF�ORTATlON.IMPr4CT/UTILITIE� INlPACT AND RESOIJRCE RE;CCIVERY FEES: The undersign�d under:�tands
<br /> that 1'ranspartation ImpacQ Fees and Ftecaurse Recovery Fees may apply to #hEs consfrucfion of new buildings, change of
<br /> use iii existing buildings, �r expansion crf exis#ing buildings, as specified in Pa:aco County Ordinance number 89-Q7 and �
<br /> 90-0?', as amended. The unders�gned also understands, that such fees, as may 6e due, will be Idenfified a#the time of
<br /> permutting. it is further understood that Transportatian Impact Fees and Resource F2ecovery Fees must be paid prior to
<br /> recei��inc� a °certificate o#occupancy° ar�r�ai power release. !f the project doey not involvs a certificate of occupancy or
<br /> finai power release, the fees must be paid priar fo permit issuance. Furfhermore, if Pasco Caunty Water/Se�wer Impact
<br /> fe�s�are due, they musk bE:paid prior to 4��rmit lssuance in accordance with applicabie Pasco County ardin��nces.
<br /> Ct3NSTtZUCT10N LIEN LAW(Ch�pt�r'7•i3, Floritla Statettes, as�a`merided}:' �f valuation of work is$2,;i00.00 or more, !
<br /> certify that I, the applicant, have been provfded with a copy of the uFlorida Ganstruction Lien Law—Hc�meawner's
<br /> Protection Gutde" prepar�d by the Florida Department of Agrlcuiture and Consumer Affairs. Ef the applicant is sarneone
<br /> other than the"owner", I certify that I have obtained a copy af the above ciescribed dc�cument and promise in c�ood faith to
<br /> defiv�r(t to the"owner"prior to commenz,ement. ,
<br /> Ct7N'TR�►�TOR'SIOWNER'S AFFBDAVBT: i eerfify that all the information in this apnlication'is�accurate and that a�l work
<br /> will be done in complianc� with all applicable laws regulating construckian, zoning and land developmerit. Application is
<br /> herekry made fo abtain �s permit to do� work and Installat#on as indlca#ed. 1 cer�ify fhat na work or installation has
<br /> comrnenced priar to issuance of a perrnit and that all work will be perl`ormed to meet standards of all laws regulating
<br /> consfirucfion, Counfy and City codes, zorting regulatlons, and land deveiopmenE r�gulafions In the Jurlsdicfion. E also
<br /> certify that I understand that the regulations of ather government agencies may apply to the infended work, �ind that if is
<br /> my r��sponslbility ta Identify what actions 1 must take to be in compliance. Such agsncfes (nclude but are nc�t lirnited to:
<br /> - Departmenf of Environmental Profection-Cypress �ayheads, V1lefiand Areas and Environmentally Sensifive
<br /> Lands, WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management Distric#-Wells, Cypress ��y�,�aas, Wetland Are�s, Altering �
<br /> Watercourses.
<br /> - Army Gorps af Englrie�rs-Seawalls, Dacks, Navlgable Waterways.
<br /> - Department uf Health & Rehabilitafive ServiceslEnvironmen#al Health Unit-Welis, Wastevvater Treatmen#, ,
<br /> Septic Tanks. � , � � � '
<br /> - US Environm+sntai Protection Agency-Asbestos abatement. •
<br /> - Federal Aviation Authoriry-Runways.
<br /> 1 understand that ffie fttllowing restrictions apply to the use of fi1E:� - - � . ' .
<br /> - Use of fill is not allowed in Flaod Zane"V" unless expressly permitted. '
<br /> - lf fhe tfil maLsrial Is to be �ased in Flood Zone "A", it ls under�tood that a dralnage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a prof�ssianai engineer
<br /> licensed by the State of Florida,
<br /> - 1f the �II mat�rial is to be t�sed in Flood Zone "A" in conn�ctian wifh a Rerrnitted building ctsing stem wali
<br /> construction, I certify that fill will be used only to fill the area within tlie stam wali.
<br /> - !f ftli material is to be used in any area, E certlfy that us� of such fill will nat adversely affect ae!}acent '
<br /> properties, If use of fill is fcrund ta adversely affect adjacenk properties, the owner may be cited for violating �
<br /> fhe condifian.� of the building permi# issued under the atEacl�ed perrr�9t ��ppiication, for fots less than c�ne (9)
<br /> acre which are elevated by fill, an engineered drainago plan is required.
<br /> If 1 ait�tl�e AG�NT Pf1R 1CHE OWNER, I promise in good faith to inform Qhe owner of the permitting condifiion:> set 1'orth in
<br /> this ��ffidavit priar to commencing construction. 1 understand that a separate �ermEt may be required for elecfrical wo�k,
<br /> plumbing, signs,,wells, pools, air condilioning, gas, or other fnstallations not �pecifically included in the application. A
<br /> p�;rmit i5sued shal! be cansfrusd to be � license to procsed w�th the work and not as authori#y ta vlalate, cancel, aEter, or
<br /> sE:t aside �ny pravisions of the teahnical codes, nor shall issuance of a permit prevent the Buildirig Official fram thereafter
<br /> reqttir4ng a correctlon of errars In plans, construc#ion or vialatlons of any codes. Every permit issued shal! bes;ome invalid
<br /> unle.�s the work authorizE:d by such permit is commenced wifhin six months af permit issuance, or if work authori�ed by
<br /> the permit is suspended c►r abandaned for a perfvd of s9x{6) months after the time the work is cammenced. �n extension
<br /> may be requested, in writing, from fhe �uiiding Offrcia! for a period ncrt to exceed n3nety {9Q} days and will �emanstrate
<br /> justlfiable cause for the e�ctension. If work ceases for ninety(90)consecutive days, thetjob is considered abandone�.
<br /> "WAFtNiNC�TO C?WNER: YOS1R FAILUC�E TO RECORD A NOYICE_OF C.OMMENCEMENT MAY RE=:�UL.T W YOUR
<br /> P1�YtN{�TWICE FOR tM{PRC}VENIEN'F�T{}YUUR PROPERTI�. 1F YC?U INTI�ND'f0 OBTAlN FlNAN�9NG,COtJSULT
<br /> WITIH YOl1R L�NDER O�AN AT'I'ORNEcIf BEFORE RECORI)ING YOtJ}�NOTiC� OF COMMENCEM1=iNT.
<br /> Fl.ORlDA JURAT(F.S.197.Q3) . �
<br /> UWNIER rJR AGENT CONTFSACTOR ---�"'''Ft� �".—
<br /> Subsc;ribed and swarn to(or afflrmed)befo�e me ihis Subscribed and orn to(or affirmed)before me k (s
<br />----... __ _ tsy by�so N 1�-'4 t�vt C�
<br />, — � �...—_�.__._ - —_�_._ _ _ , �_-
<br /> Who islare personally known to me or haslhave produced Who Is/ e p r a�i to m�s or has/have produoed " "�
<br /> � _as ldentlficatlon� ,..,,.� as identification. �
<br /> Notary Public Notary Public �
<br /> ,,,, �,,,.
<br /> Commisslon No. Commi n o�t',,,,"'°�';��,,,JACQUELINE BQGES _,_„ ._
<br /> _�: :._ �;omm�ss�on 5 1. 3
<br /> :�= a .-a�: Expires December 12.?�)18 `
<br /> ., —
<br /> Namci of Notary typed,printed or stamped Name of Na � ri T���q�p�^°eaco•�s•�o ti
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