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NO'�'ICE O�DEED RESTRICTIONS: The und�esigned�.und��ta�ds;.tt�t�this;;��r:.mit;maybe:subJect.to„"deed"restrictions"
<br /> which may��b��more��rest�tctiv�:�th�n�Gounty�regulatfol�s:�T�e�und'erslgned'�a§`sumes�responsitiility for�connpitence�iith any
<br /> appilcable deed:restrictlons. . . •
<br /> UNl.ICENSE� .CQNTRACTORS �AN� _COId`Pf3ACTOR �ESPONSIBILITIES: ��:If�the owner°has�-hired�°a contr�ctor or
<br /> contractors 4o.undertake work, they may.;b�:.r;equired�to��be:licensed In.accordance.with state.and•local.reg�lations. lf�the
<br /> contractor.is.n�t.:licens�d as�required"by law; both the owner and�conQeacto��iney be--clted-for a��misdemeanor vtolatlon
<br /> under:�tale law. ,IF the owrner or intended„�ntea�tor,•:are,�uncertaln a� to what Ilcensing;requirements maysapply--for. the
<br /> intended worlc, they are advised to contact`tFie';F'asco.County Building:`Inspection Dlvlsion—L•Icensi�g Section at 727-847-
<br /> 8009. Furthermore,-If the owner has #�I�ed°� 'coritracto� o� cantracQors, he ls advised to have the contractor(s). sign
<br /> portions of the "conlractor Block° of this apRltcation for.whlch Yhey v�lll'be,.r.�9ponsible. If.,you, as...tF:re owrie��s6gn�as the
<br /> cont�actor, th�tmay be-an intlicat(on fhat��he�ts not�:properly licensed �nd�is nof entitled:fo perrriiftle�g prtvileges in Pasco
<br /> County. '
<br /> TRAN�POR7AT10FI�IMPi4CTlUTILi'FIE�.<IMI�AGY�A(�b-t���OFJltCE RECOVERY�FEE�: The und�rsigned�understands
<br /> that TransporCation Impact Fees and.Reco.urse Recove.ry.Fees mey�epply:.tc:the:construction.of new_buildings,.„change�of
<br /> � use irr existing buildings;�or-.:expansion�:of.-�iilsti�i�:�builaiings�"as speclfled.in Pesco County Ordinance number 89-07 and
<br /> � 90;07, as am�nd�d.,,m;Th�.und�rsigned also4understa�ds, t.h�t:-suoh.fees;:,as:inay���e::.due;�w.ilh;be Identlfied at the�.time�-of
<br /> , , . ,. ,.�,
<br /> permitt(ng. It Is`fuMFier unders4aod that Transportatlon Impact Fees and>>Ftesoucce Recouery=�Fees.must b� pald prlor to
<br /> receFving a "cerEiflcate..of�-occup�ncy" or flnaG°.powerPele�se. :If the proJ�ct_;.does:not involve�:a..certHlcaCe of occupanay-or
<br /> final power refease;,,the-.fees,;mu�t,'b�paid pcior to.permit Issuance. .F��thermor;`e;;�ff:Pascd,;County��llVater/Sewer,,lmpact
<br /> ! fees:are due.tt��y::must:be�paid;�pNor to peemit�iss4ance�.in:accordanc�witfi:appllcatite:.Pasco'County ordinances.
<br /> CONSTRUCTION'LIEN'lAVV'(Ciiapter T73. Florltla Statutes��s amend��); tf valuation of w+ork is$2,500.00�or more; I.
<br /> certify that I, ,the,;applicant,.-har►.e=•been��.provided��wilh a�copy� of �the�"Florida� Constructiot�`Llen.:Lavu�Homeowrne�'s
<br /> Protection Gulde" prePared by the Floi�ida Departme�t�of Agrlc.ultur� and CvnsramerAtfair�. If the appllcant�Is someone
<br /> other than the"owne�",.I certify.,.that.l�h�ve.obt�ined}arcopy,of.the:above.�ies,crit�etl��doruri�ent�and:promise�`in,good�faith to
<br /> - - deliver it tathe.'own�c"prior:toticornm�ncement: �. A '
<br /> CONTFtACTOR'S101MNER'�AFFIDAVIT: E.ce'rtt[y.;tk�a�alt;ttS�=lnf.or:matlon;;i�i�thi� appllcatlon:is accur�te.and that all work I
<br /> will'be done in.compllance vtiritfi all:applicable'I�ws regulating construction, zonin8 and��land developnnent. Appitcation is
<br /> hereby made to, obtain .a permit.to .do.,watk,:.and. Inst�llatlon as indiceted:��, `I certify that no work�:or installatton has
<br /> commenced p�lor�to�lssuance of a pennit'and that:all wvek will be pertormed to meet,standaeds of all laws regulating- �
<br /> construction, Couraty and City cod�s, zoning regulatians, and land development eegulatlo�s-In the�jurisdlct(on. I:also ,
<br /> certl�y that I ua�derstand that the regulations of other�government agenctes may�apply�to the:,intended.work, and that it is
<br /> my r�sponsibilitjv.to id�ntify�what:act(ons I mu�t�tak�:to b�dn:.cortlpliance..,S,uch agenc(es�include but-are.not Ilmlted to.: I
<br /> - Department of E�vironmental��tection=Cypre�s:�Bayfiead�; Wetland:Areas and Envlronmentaily 8ensltive
<br /> ' Lands,W�terMlast�water Treatment.
<br /> - Southwest Florida Water Management .l�tstNct-NVells, �Cypress.i��Bay�ieads, Welland Are�so Altering
<br /> �llatercourses. � ,
<br /> - Army Corps of Engineers-5eawalls, Docks, Navtgatite Wate�►ays.
<br /> - D�par�ment of Health� 8,_ ReF��bllltativ.ewServices/Env6ronmen#�I .�lealth L➢nit:Well.s, Waste.wrater��Tre�tr�rent,
<br /> Septic Taniig. � � � .
<br /> - !JS Environmental Protection Agency-Asbesto��abateme�t.
<br />' - Fede�l:Avlatlon Au�hority-Runwaya.� .
<br /> t understand that the following�cestricUons apply`to the t�se of flll:�
<br /> - Use of flll is not allowred in F,lood Zone"V"unless expr�ssly pecmitted.
<br /> - if the.:flll'material �I� to .be used:�In �Flood Zone. "A°, IE°is understood 4hat a drainage plan addressing a
<br /> "compensating;volume" will be submitted at time of p�rmifting wtiich ts prep�red by a professional engineer
<br /> Ifcensed by�-#he�St�te of Florida: � ' r .. ',
<br /> - If ih� flll materlaf:I���to be uged In Flood Zone °l�" in5 connectlon�with:����rmltted building using stem wall '�
<br /> ' constructton, I cert(fy.that fUl:wlll.b.�used only�to#ill the area:w(thtn�the.stem wall: �
<br /> - � If flll mate�ial-ls to'be used�in any area,'I�certif�r t#�at .use. of: suati'flll wlll�rtot adversely affect ad)acent
<br /> ' properties. if use�of.fill,is-faund::to adversely..�f��ct`adJaEent��properties,,the ov�ner may be clted for viofating
<br /> the condlfions of fhe�buildtng�;p�rmit issued:under the atfacfied�ermit:,appl(cation,,for�lots less than.one (1)
<br /> . �acre wF�ich are elev�ted�by,:flll,�rtengineered dralnag�plan ls required. •
<br /> If i am the.AGEPO7",F.OR TH��OWlNER;'I;:�iromise In good falth to Inforfn the�ownerof�_fhe.permitting condRlons set�orth In
<br /> this affidavit`prior to commencing constructlon. 'I�understand that a�aepaeate permit may be requtred for elect�ica! work,
<br /> . . _,y:a,.;.
<br /> plumbing, signs,.wells�,_pools;:,air..conditloning;,gas,_or othec install"a tons no�:spec�fieally included-in.th��application. �A
<br /> permft�Essued'shalf be..construed to�be-a'Iicei�se�to�pr:oceed with the wrork a,n'd.not;�as�auttiodty.to:�vlolate; cancel, alter, or
<br /> set aside any provistons of th�technical:cod�s;�nor shall issuence%of a:permlt.pcevent.th�Bulldirig-OSiclal from thereafter
<br /> requiring:�cocr�ctlon;nf erroc�<_In.;plans;_consfruction or vilolat(ons�of�any�codes::�E�ery�permit�lssued�shall become invalid
<br /> unles� the wo�k authorized�by such permlt:��s.co�nmenced�v►+ithin sUc m.onth�s of�permit I�suance, or,.tF work authorized by
<br /> the pertnit ts.suspended:_or,:abar�doned�for�:a�::period;of;six:(BD monttis:aRer.the:tirn�the�work�s commen�ed. An extension
<br /> may be-requested;_In w+�iting;;,f�om'the�Building;Offlcial°for a period::not�to.�xceed�htnetyr(90)��days a�d wili`demonstrate
<br /> justifiable caus�for the exfe�sion•. If work,cea�es,.foe nineqr(90)eons.�eutive:day.s,..the job�Ps�considee�d a4andoned.
<br /> lA1ARNING�'fA-OWNER:`"YOUR::FAILIIRE=.Tt1.,;R�CaO�Q.,A:,�NOTIGE:,O�;COMMEMEEMEN'T.MAY?RESULT�IId�1fOUR
<br /> PAYING TWICE�;�OR�;IAAP_M�tOYEMEN�;3;'CO,'.YO.UR:P��P�I�TY.�;I��;YO.E1rIN�'�E�D�'�•�:�BTAINuFIN�1i�1�1NG;..C.ONSULY
<br /> --'N!�'�+:� �l4= �� . :, , ,A 'A _` : O � �� FO'. + O G:,. .p . ;C ;: • ' _
<br /> FLORIDA JURAT�.(F:S:,:1.1:7: . ` _ .� � `�- ' _ � � -- - — -
<br /> / r
<br /> OWNER',O�/\OENT.� . . � .. . CONTR0IGTOFt�.��`�r
<br /> -3ubsalbed and swom ta(or aRirmed)b�foro m�-this Subsalbed and'swarn=b_(ot.afflrmed)`before me�thl�
<br />� by --- . � .:, _ ... .t. .. •�..;.__, .
<br /> � dViio is/are personelly knowrn to�me oe:haslheve.produced VNho:is/are; e otially_ own;to,me;orhas/heve�produced- •
<br /> � =� " as'IdenBflcatlpn:" � � ` es identl�catlon.
<br /> �
<br /> „ � - �
<br /> � Notery Public . � �% Notary Public
<br /> Commisston No: . � � .� Ccm on �'��':°'�•. .
<br /> . - ;.: GES
<br /> _ - ':k`-_ Commission#FF 15 `
<br /> Name of fdotary lyped,pdnted ar atemped - Name of N ;' ;p� ,12,2018
<br /> n+Troy Fain Incurance 800.38$.7018
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