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• � �\ <br /> NOTICE QF DEED RESTRICTIONS: The undetsEgned under•s�fands�:th�t#hts;p�rmtf may{6e�subject;to"deed"restrlctions° " <br /> whioh maybe-more�r.estfict(ve�than'County��regulatlons:�The undersignetl�assumes �esponsitiflttyfo��compliance`Vi+itli`any ' �� <br /> appAcable deed restrlcttons. � _ ° <br /> UNl.10ENSED C�NTRACTCIRS .AND CC►NTRACTCIR RESPONSt81LIT1ES: -If the awner-has fiired s conhac#c�r or <br /> contractors to undertake work, they may be,r�qulred.:ta be Ilcensed In accordance:with state.and�local,cegulations. :If�the� � <br /> contractor is not Itcensed as�requlred�6y I�w, bo#h #he own+et and contraiictor•irtay b�-clfecl for-a�misilemeanor violafion <br /> under state law. !f the owner or Intended�cantractor;ere�unce�taln as to whak Itceneing.requirements may�.apply.��farr=the ��_ - <br /> Entended work,they are advlsed to contact the Pasco County BuNding lnspectian Qlvlslorr=l:.icensing Seatlon at 727-847- <br /> 8009. Fur#hermore, if the owner has titred a caritracfor or contractor`s� he is adviseci ta have the confractor(s) ,sign <br /> portions of the °contractor Block" of thls appllcatlon far whlah they wlll b.e tesponslble. If.you�-as.the ovirner slgn�as the ' <br /> contractor, that mey be an indlca#iorr that�he Es not:properly licensed and�ts noti enti�ed`to petmlt#Ing ptiulleges In Pasco <br /> Counky. - �' <br /> TRANSPQRTATIQN.-IMRACTNTIl.ITlES CMRAC�'ANb-RE�C?URCE RECQVEltY�FEES:-The�undersigned understands <br /> that Transpartatian impact Fees and.Recaurse Recove.ry.Fees may�appty�to�the constructian of new_bulld3ngs�.:chan�e�of' �'^ ' <br /> use In existing bulldings, or�expanslan�of��existi�ig`buildings, as specified.In Pasco County Ord(nance number 89-07 and <br /> 90-07. as amended. The.unde�slgned atso.uaderstands. that such fees,-.as�may_�e�.due;:wili..be ident�ied at theFtime'of�� , , <br /> permitting. It is furthe�understood that T�ansportatlon Impacf Fees and Resource Reco�ery'Fees_mus# be pald prlor to <br /> receFvfng a "cecf!lflcate-ot'occupancy".or flnal�power.retease. :I�the pro�ect,does nat tnvofve:a.cert�ic�te of occupancy of� :� <br /> final power release;the:fees must be paid prtor to permlt Issuance. Ft�Mhermore,�If:Pasco County�INater/Sewerlmpact _ � <br /> fees are due,they must.be-pald.prlor to perrnit-I�suance°in accardance wlth app!lcable Pasco County aEdtnsnces, <br /> CONSTRUCTIflN'L�EN�LAW(Cfiapter 713� F#or�da.Stalut�s�as amended}; if�atuation af woric is$2,500.QO�or more, 1. . <br /> certify that I, the appllcant,. have-been provlded wl#h.a copy� of the "Flarida Constructla� :Uen Law=-Homeowner's <br /> Protectlan Gulde" prepared 6y the FEorlda Depat�tmenf of Agrtc.ttlture ancf Gonsumer-Affairs. If the applicant is someone <br /> other than the"owner", I certlfy that I�have,abtalned�a copy;of.the above.descrlbed docu�ent°and.promise ln;gaad:faith to <br /> deliver!t to the-"owner"�.prior•.to commencement:� � " ' . , <br /> CONTRACTOR'S/OWNER'8 AFFIDAViT: i cerkify that.atl the,information in�this application is accurate and that alf work <br /> will�be done in complfance with all-appllcable laws regulating constructlan, zoning and�land develapment. AppUcatlon (s <br /> hereby made to ob#a!n .a permit to do. work,tand Instaila#ian as indt�eted: 1 certify that no woric ar ins#attation has <br /> commenced prlor to Issuance of"a permlt and that.all work will be performed to meet standards of all laws regulating� <br /> construaElon, County and City codes, zoNng reguiattc�ns, artd tand developmerit regula#�ons-in the jucisdiction. 1 al'so <br /> certify that I u�derstand that#fie regulatlons of ather government agencles may�apply�#o the lntended work, and that it is <br /> my responsibility to(den#Ify-what actions 1 must t�ke:M berin:,corr�pllance. S.uch agencles lnclude but are:nat lim{ted to: <br /> - Dep�rkment of E�vironmental�Protectivn-Cypress.Bayheads, Wetland Areas and Environmentafiy Sensitive <br /> Lands, WakedWastewater Treatment. <br /> - Sauthwest Ftorida Wa#er Management Dls#rict WeIIsF Cypress.`'Bay�eads; VYefland Areas, AI#e�ing <br /> Watercourses. <br /> - Army Gorps af Enginesrs-Seawalls, Docks�ldavigable Vlfaterways. <br /> - Department of Health� & Ref�abiiita#ive Services/Ernironmen�al Health Unit Wells, VNastevwtater Treatment, <br /> 5eptic Tanks. � . <br /> - US Environmental�Prb#ection Agency-Asbestos abatemen�. � <br /> - Federal Avlatton:Authorlty-Runways. -- - ' <br /> f understand that the following:restrlctlans apply to the use of flll: <br /> - Use of fiil is not allowed in F1oad Zone"V"unless expressiy permitted. <br /> - If the fill materlal fs to be used;'In_�Flood Zone. "A", It. is understood #hat a drainage plan addressing a <br /> "compensating volume"will be submltted at##me af permltting which Is prepared by a professfonai engineer <br /> Ilcensed by�he St�te of Florlda. <br /> - 1f th� fill materlal.Es to be used In Ftoad Zone �A" In�conneclEon�uv1Eh.a permitted bu�td€ng usfng stem wal! <br /> � construction, I certify that fill�.wlq:b.e used only�to.flll the area wlthln the stem�wall. <br /> - !f fll! materla! Is to be used In any area, I certlfy that .use. of such fll! wlll not adversely a#fect ad�acent <br /> properties. If use a#fill is fonnd to adversely:�ifect adjacent�propartie$�.the owner may be cited for vioCating <br /> the condltions of the building,permit Issued under the.attached�pertnit applicatlon, for lots less than one (1) <br /> acr$whlch ace elevated�by flll���t englneer�d dralnage plan Es required. . <br /> If I am the AGENT FOR THE OIMNER, I�promise In gaod fatth to Infa�m the ownerof�the permltting condlttons set forth tn <br /> thls affidavlt�prlor te commer�cing constructlon. 1 understand that a�separate permlt may be requtred for efectrical work, <br /> plumbing, signs, wetls, pools, air candifiaNng, .gas� or atMer instalt�tions not spec�ficatty inctuded�in.tMe appiication. �A . <br /> permit Issued shalf be conshued to be a�Ilcense.ko praceed wlth tNe work and nat as:authority to.violate� cancel, alter, or ' <br /> se#aslde any provisians of the technEcal.cades;�nor shall issuance=of a permlt.prevent the Bulldlrig O#�tcial from there�fte� <br /> requlring a correction af errors In plans, constructlon or vlolatlons of any codes. Every perm(t Issued shall become invalid <br /> unless the work authorizecl.by such permit��ls.co�nmenced�wlthfn s�C�onttts o#permft fssuance, or tf work authorized by <br /> the permit is suspended or.abandoned for a periad ofsix��8}mont�is.after#he tirne#he�work is commenced. An extension <br /> may be requested. In writing, from the Bullding,Offlclal for a perlod not to exceed nlnety(90) days a�id wlll demonstrate <br /> justi�abte cause for.the extension: tf work ceases:for nlnety(90}cons.ecutiwe day.s...th��ab fis considered aba�doned. <br /> 1NARNING TQ QWNER; YOUR.�AILURE-TO..RECCIRD.A�NQ'�3GE OF•G4MMENCEMEMT,MAY=RESU�T!N YC►UR <br /> PAYING TWICE:�OR IMPROVEMENTS TO YOUR�:PR�PER''IY.,1F�YO.U��Ifii'�END''TQ�OBTAIN��FINANCING��GONSULT <br /> W!T YOU�R LENDER�,C?R AN�TTORNEI���EFClR��i�ECOttDING�YOII '�ND'T:��,C! _� O E N�1'�__-. - .- µ <br /> - ��.��yo�avw�;�F.s��.�7.0��� - <br /> OWN�R OR AOEN _'-���'�G�� COMTRAGTO � <br /> Subsafbed and swo or af�rmed}beiare me thls Subsr.rlbed and`s to at fllnned)�betoce me ttiEs ��/f�, <br /> by ��,� /YI�/1ZLlG�Z�t� •by�'�� 1'r3 �J7�/�'LGr/�'�+4.� <br /> Who Is/are persona y �own to.me or has/have produced Who.ls/are p.ersanel own ttx me ar haslhave produoed • <br /> as Identlfica8qn. as tdentJflcaBon. <br /> � <br /> otary Publla . � Nofary Publlc <br /> „���;, ,,,�,�,,,,. <br /> Cammiss r��"°�°ic, JACQUELINE BOGES Commisslo h,t�'�:.=v,g•.. JAGQUELINE BOGE <br /> =.. .��0����� _'� :+e omm ssion FF 150422 ' <br /> ;�': a Expires December 12,201$ �;�;, ;a; Expires December 12 <br /> 1 %� QT <br /> Name of No ' Nams of N '����aoo.3�ao,� <br />