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tdOT1C@ OF D�ED RESTf81CT'IONS: The undersigned.unde�tarrds�;tli�t�tt�l�;;p��mlt.rmay.be.subJ�ct;to,"deedp,resWctlons"
<br /> which may.be��more�r.est�ictive��th�Fl-Gounty���regulat(o�tis:'�TFie�un'der�lgn�'d'`a's'sume��re§ponslbil(�y for�compliance witti any
<br /> appllcable deed:r�sMctlons. � . _ •
<br /> UNLIC@NSED�,CQNT�C�ORS�.AND -CONYRAC7'OR RESPONSIBILITIES: -I€�the owner-has°�hired�a contr�ctor or
<br /> contractors to undertake work, they may:be.:required<.tv��be:ilcensed In..�ccor¢lanc�.wi�h��t�te.and•oocal regulations. Ifthe
<br /> coMractor�ts, not::licensed as-requleed'�tiy law; botFi the owner and-contiracto�inay�be•�clted-•for�a�misdemeanor violatlon
<br /> under state law. If..tFre owe�er or Intend�d.7 conQcactorz are.,�uncert�ln a� to what Ilcensing.require�nent�mays:apply��fior•the
<br /> tntended work, they are advlsed to contact ttie';Pasco.County Building.°Inepectlon:Dlvislon—L•Icen�ing Sectlon at 727-847-
<br /> 8009. Furthermore,-If the ov+rner�has til�ed a coritr�cto� or contractors, he Is advised to have the contractor(s). sign
<br /> port6ons oi the "con4ractor �lock" of this appl8c�tiora for�.+hich they ty!!!`.��r��F��aslbl�. if.yau, as...the owne��s(gw as the
<br /> co�tractor, that inay be��n Indication�tliat�;he ts:not.proper�y licensed and�is nbti entltl�d to perinitting p�lvileges In Pasco
<br /> County. �
<br /> TRAN�PORT�TION,-lAAPieCC'flU,Y1L1'fiI�S{IMF�AC7�A(�D•�RESOURCE RECOVERY•FEES: The und�rsigned�understands
<br /> that Transportation Impact Pees•:and.R�co.urge Recovery:Fees m�y4epply..to;tF►e construction of.n�w.buildings�.�.change�of
<br /> use in existing�buildings;Tor-:expansl�i�ii�{;of.-��ei;xisti�i,g:'buildings,"�s speclfled:(n Pasco�County Ordin�nc� number �9-07 and
<br /> 90-07,.as �mended._;The undersigned also.,understands, thait:�suoh fees;-.as:treay���e�::due;,wiU�,be Identlfied at the time�.of �
<br /> permitting. It I"s�furtFie�under�taod that Transportation Impact Fees and`�Resource,Recovery�Fees_must be paid prlor Qo
<br /> � recetving a "c�r.fl�cate.-of�occupancy" or flna4�.power.=�elease. :I��:the proj�ct.;.does:not Involve:a::certiflcafe of oacupancy�or
<br /> ' final powe� releas�;.the�.;f.e�s:mu$t_be p�ld•prlor to:p�rmit Issuance. -.Ft��thermor',e;:•ff:-:PascoJCounty 1Nater/Sewer��impact
<br /> ' fees are,du�,tFiey.mu�t:be:.�paid.:pMor to:permlt��lssyance-.in.accordance vri+Itfi:appllcabte.Pasco�County ordinances.
<br /> COIVSTRUCTIOM`LIEN'I.AVII'(Ciiapter 713� Flot�ela Statutea��s a�rtende�): ff valuation of work is_$2�500.00:or more, I
<br /> ; certiPy that I, the:�applicant,_�.have-been-provi.ded with. a �copy� of th� 'Florida•�Construction-Llen: Law=Homeowner's
<br /> � Protection Guide" prep�red by the Florida Departmenf of Agric.ultur� and ConsumerAffa(rs. If the applicant Is someo�e
<br /> other 9han th�"owner"; I ceettFy.,that.I.�have.obta�ined���copy;of.the:abQve..rles,crlaed'�docu�ent�and:p..r.omis�in,good faith to
<br /> � deliver tt to�the,mownec"�prio�:to�cotnmencemerit: . � ' : " ` � ,
<br /> , CONTRAC�'OR'�IOt�EIt'8 AFFIDAVIT: I.certify;tki�t.alt�;the`:Info�m�tlor:iai�i;:thls�ppl0catlon is accurate.and that all work
<br /> will'be done in compilance with all:applicable laws regulating construction� zonfng and�land developrn�nt. Application (s
<br /> hereb� mad� to, obtain .a p�ronit.to :d�;wQfk,:.and installatlon as indiceted:.� ;I certify�that no work:or Installatlon �has
<br /> commenc�d p�(or to�issuaroce of a pemait'and that:all work will be pertormed�to m�et standatds of all laws e�gul�ting-
<br /> construction, County and City codes, zoning regulati�ns,,and land development eegulations�in the�jurisdlctton: I :�Iso
<br /> certify Qh�t I u�dePst�nd that the eegulatlons of o�hee goveenment ag�neles may�apply�Qo the.int�nded:work, and that it is
<br /> my responsibility to identffy�cwha4.actions f must•take:to b��i�:.corr�pllance:.Such ag�rricies include but-are.not Ilmtted to:
<br /> - Depa�tment of �rlvlronment�I��Protection=Cjrpress'��ayhead�;'WetO�nd.�re�s and Envlronmentally �ensittve
<br /> Lands, INatedlMastewater Treatment.
<br /> - Southwest FloPida Wat�r Management :.I�tstrict-We113� ;�/��eSS.`���y6108d3�� W�tland Area�, Altering
<br /> Watercouesas.
<br /> - Army Corps of Engineers-Seawalls, Docks, �lavigabte VVaterw�ys.
<br /> - Department of liealth� b.,Ret�abllitattv.��.Services/Environm�ntal �Flealth Unit=Well.s� Waste.water�TreaYment,
<br /> Septtc Tank§: � � .
<br /> - U3 EnvironmenQal Protectton Agency-Asbestos abatertr�ent.
<br /> - Federal Avl�tl�n•Auihorit�c-Runuvays. _
<br /> I understand that:the.following,�cestricflons apply'to the t�se of flIL•�
<br /> - Use of flll is not�Ilowred�in Flood:Zone"V"unless expressly peernitted.
<br /> - If the�:flll�m�ter6al is to.be used;�in flood Zone. "A°, (t is understoodpthat a`dr�inag� pl�n addre�sing a
<br /> "compensating volume"wlll b� subm(tted at.tlme of p�rmiftJng wFiich Is prepared by a profes�(onal �ngineer
<br />� Ilcensed by��he�atate�of�Florida. ' ' � �
<br /> - If ih� flll maferl�l:is to be used fn Flood Zone 'A� in�connecdion�with.�a"�ermltt�d building using stem wall
<br /> conatructlon., l c�rt(ty_that fili�:wJll�b.e used oniy.to.fill fhe arQa.uvlthin�the�s#e�-vu�il.
<br /> - If flll matecial I��to�be used-�ln any area, i �certify lhat .use. of such''flll Yvvill rjot �dv��sely affect adJacent
<br /> prope�les. If u�e.of flll is found�to adversely.��ffect�ad)aEent��propertl�s,.the owner may be'cited for violating
<br /> the condltigns-of�fhe"�b�liding:permit is�u�d under the�atEached,permlt;,applicatlon, for�lots less than.one (1)
<br /> ._ acre which are elevated�tiy flll;��t engtne�red dralnage plan ls required. •
<br /> If I arn the:AG@NT,FOR_YH�_OIMRIER; I;promi'se In good f�Rh to inform th�-owne,r,�of�the.p�rmitting'condftlons set forth In
<br /> this affidav(t prtor to commencing const�ctlon. �1 understand that ��separate permlt m�y be required for elect�ic�l �ruork,
<br /> plumbing, signs,,well��_pools;,,aie:_condtdontng,.gas,�..or. othec InstalPa`�lons nol:spec�fically included�ira.the�applicatlon. .A
<br /> pecmit�issued''�hall be..constru�d to<�be•��'Iicense.�-to:,pr.`oceed with'the wborV�an.'d not�•as;�utho�ity to:.vtoi�te;��cancel, �Iter, or
<br /> set asid�any provtstons of t�e"teclinical.c�de�;•nor sh�ll issuance�of a:permit.pcevent.the Bulldtrig.Official from thereafter �
<br /> requtring a cocc�ction:.nf..�ROPs-in:;{�lans;:construction or-violatlons-of�any codes.:�E�e-ry.-pi�rriilt�issued�shall become invalid
<br /> unless the_work authortzed.by such permit:�s-a�mmenc�d withln_�Uc months�of�permlt I�suance. or If work authorized by
<br /> the.permft..is suspended:_or.abandoned for a�.:period;of��lsc�(�)montFasyafter the:time the�wo�k��s comme��esi. An extension
<br /> may_be requested, ln;wcitirrg;..fr�m`th���Bulldi�g,.Offlclal~fo�a period�not,to.exc�ed`lilr�ty�(90)�days��nd�wlli`demonstrate
<br /> justifiable cause for�the exfer�sion. If wioeR ceas�s:far�i���y.-(90)cons.ec�±6rre:day.s...the job�ts�consider�d a4a�don�d.
<br /> .. _ _ ,,x r.; •
<br /> WAItNING'1'O�OWNER:``YOUR.FAlILURE=TC1.,;R�E.C.Ot2Q.:A,-M.O.TIG.E•:A�:;COMMENEEIV�EPt'T:MAY�RESULT IN��YOUR
<br /> P/AY�NG TWICE:FOR;IMPROVEMEW�3;T-0.YOUR::PRDRERTY.:�;1��YO.U�It�F�EKID"TO�:�OB?fA1N=FINAi�EM1G;'C.ONSULT
<br />- �IE�y Y�l9R-L:�R���:���`.L"��" � �OE�.Rl�Y j��lFOF���E��CO�DIPt�w<�d�'R�'�'C':'�-' ����f-�ti'!'��L',�€:,�°: ":'�:
<br /> FLOFtIDA JURA�.,(F:S:;,1:17.03} - - • , .. . . ' .
<br /> � OInIN�R,OR AOEPdT.�. ��� -- Y � ` - COPITRAGTOR� �. .
<br /> Su.bscrlbed and�wom to(o�a�irmed)bePore me fhls Subsalbed end'suwm=fio.(or.afflrtned)`befor�°me�ffil� ,
<br /> by -- � ::by: - - '
<br /> Vlfio is/are personelly known to.me or.:ha�/heve.produced INho:le/are:Rerson�llyknown'tito;m�_or hasThave-prnduced-
<br /> - - - '-� as IdentlBcatlon:" � ' a�(denBBcadon.
<br /> i
<br /> --�� Note.ry Public . ' � � Nofary Publlc
<br /> Commisslon tJo:' � Commleslon.No.
<br /> II Name of Notary typed;.printed or�atamped Name of Notary lyped,printed or.st�mped
<br />
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