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NOTICE OF D�E�RE�TRICTCONS: The undecsigned.under.�tands�;.th��t:this;;��rmit;may,be.subJect,to"deed"restrtct,lons°�
<br /> which may�b�.�more�>rest�tcthre.�thsl�t•Gounty���eg�latfons."�The•underslgned''assuines°r'esponslbility`for�coiiFipitance with any
<br /> applicable deed.restrictlons. .
<br /> UNLICEN�ED�:CO@1T�ACTORS �AND -CONTF�AC`TOIt �RESPONSIBIL171E5: �If�tiie •owner�has��hlr�d� a contractor or
<br /> contractors 4o undertake wrork, th�y m�y,;be.required��to��be;llcensed�ln..accordance.wlth�state.and�lacal.r�gulatlons. If-the
<br /> contractor Is,not::licens�d as required`6y law; tioth�the owne� and.�conUacto�-en�y�be�cited�f�r a�misdemeanor vtolatlon
<br /> under st�te law. If.the..owner or inter�ded�contrsictor�ere.uncertaln as to what Iicensing.require�nentg may,.apply.:�for'the
<br /> intended work, they are advised to con4act'th'e';�asco.County�ulldtng."Inspectlon Divlsion—Llcensing Section,at 727-847-
<br /> 8009. Furthermore, (f`the`"ov+iner has fil�ed'� confr�cto�'o�"c�ntractors, he is advised to heve the contractor�s). sign
<br /> portions of the "contr�ctor �lock° of this appllcatlon for.wrhigh they wrlil°.be.r.esponslbl�. If.you; as...the oiivner stgn as the
<br /> contractor, that�rnay be-an intlication=fhat�h��ls;not�.properly Hc�nsed �nd�is not'entltled�fo permifting prtvileges fn Pasco
<br /> County. '
<br /> � YRANSPORTA710N IMPACTIUTILI'FIES<IMRAC7ANb•RESOURCE RECOVERY:�FEES:�'fh�under�igned'�understands
<br /> that T�ansportation Impact Fee�:�nd.Reco.uree Recovery:Fees mey.�apply,;.#o:tt�e constructlon of new buildings,;chan�e•of
<br /> � use in exisNng�buildings;-�or:�.expansi�n�r:of.-�ei�i�ti�;g>,bi�ildfngs;�a�`sp�clfled.in.P�sco Co�nty Ordinanc� number 89-07 and
<br /> � 90-07, as am�nde,d:r:Tt�e undersigned also.�understsnds, that�suoh fe�s;�,�sttnay����::.due;Jwill.,be (denllfl�d at the=Qime�of�
<br /> permitting. It Is furtfier=undeesfood thaf Trac�`sporfatlon:Impact Fe�s �nd°�F��sourc� Recovsry��F��s._must be pald prior to
<br /> receiving a "cee�i�icate.�of-occupancy" or flnat>.powerrel�aso. :I��the project,.does:not involve:acertiflcafe of occupancy or
<br /> ' final power release;,the:.fees-:mu�t be_p�id pcior to perrtsit is�uance. .Ft��th.ermore;;if:�.Pascv;;County�{Nater/Sewec:lrropact
<br /> � f�es are:du�,tFiey..must;be-.paid;�pMor to permit•las4ance-�n.accordance wltFi_appllcabfe Pasco'County ordinances.
<br /> '. COPISTRUCTION`LlEN`LA1fV'(Chapt�r 713� FlorJda St�tute�,�amended); If valuation of work.is$2,500.00.,or more, I
<br /> , certi�y that I, th�. .applicant,�-have�-ti.eer9�,:provid�d-with a�copy�,of Qhe �"Fiorida•�Construction-Ll�n. Lavu�—hlomeowner's
<br /> Protectfon Guide" prepared by the Florida Department�of Agric.ulture and Consum�rAffairs. If the applicant is someone
<br /> other 9han the�'owner",-I certifji that•I�have.obtained>a�copy;of.the above.�9e�,cribetl��ocu'r`i�ent�and,:promis�'in,good�faith to
<br /> � deliver it to�the,'owne�.prior.to�cornmencement� " � .
<br /> � CONTRACTOR'S/OW�IER'�AFFIDAVIT: I.certify;#k�at alt',the_Informatlon�i�i=thl� application is accurate and that all work
<br /> will'be done in compliance vuitFi all.appllcabl�'laws reguls�ting eonstruction, zoning�and��land developrrient. Appllcation is
<br /> hereby made to, obtatn .a permit.to..d�:,woi`I��,and Installation as indiceted:��. I certify�that no work:or Installatton has
<br /> commenced p�lor:to Issuance of a permit'and`th�t:all work will be perFormed�to meet standards of-�II laws regulaking�
<br /> corosteuction, Countgr �nd City codes, zoning regulatiQn�, and tand development tegulatlons-in th��jurisdlction. I .also
<br /> certify lh�t I u�derstand tha�the regulations;of other gov�rnmen4 agencies may�apply�to the.intended-work, and 4hat it Is
<br /> my responslbility.to identNy�w►hat.actions I inust•take:�o bedn:.compllaroce,.Such ager�cies include but-are.not Ilmited to:
<br /> - D�pa�tment of Eo�vironment�l�°Piotection=Cyp'r�ss`9ayfiead�;'Wetl�nd_Areas and Envlronmentally �ensttive�
<br /> Land�,Water/Wastewater Yreatment.
<br /> - Southwest Florida Water Man�gem�nt :.I�tstrict-Wells, °Cypress.`��ayheads� Wetland Areas, Altering
<br /> Wat�rcourses. -
<br /> - Army Corps of Engineers-Seawalls, Docks� tV�vigabl�Wat�nivays.
<br /> - Depa�trrrent o� lieal�h� �. Reh�bllitafiv.euServlcesLEnvironmenfal::Flealth Unit-Wells� Wastewater,�Treatment,
<br /> Septic Tanks. - � .
<br /> - US Environmental Protection Agency-Asbestos abatement�.
<br /> - Federal Aviation Authorlty-Runways. - .
<br /> I unders4and�that.the.following.�cestricflons�apply to the t�se of flll:•
<br /> - Use of flll is not�Ilmwred�in Flood Zone"V"unless expeessly.perrri.itted.
<br /> - If the:-flll':materl�l.ls to.be us�d::in-�Flood'Zone. "A', It'is understood that a�drainag� plan addressing a
<br /> "compen�ating volume" will be submitted at tim� of p�rm6fting�ihich Is prepared by a profess6onal engineer
<br /> Iicensed by��the�State-of�Florida: ` ' � � _ ..
<br /> - If th� flll rn�t�riai�i� to be used In Flood �one °A" (n�connec�lon�with:a��permitted building using stem wall
<br /> � conatructlo�, I c�rt(fy.•th�!#Ill:wlll�b.�used only.Qo:fill the acea.wtthln�the-stem•�wail:
<br /> - If flll materlai is to�be used-in any area,'E �certffy t#�at .use. of such'flll will.r�ot adversely affect adJacent
<br /> properlles. If use of fill is found to adver�ely..�ff�cfi�adJacent��propertles,.the owner may be cited for viofa4ing
<br /> th� corrdl�ions`of fhe�buiid(ng�;permit Issu�d�under the atf�cfied-permit�:appUcation, for:lots less than.one (1)
<br /> �cre.which aPe�elevaCeii�tiy�flll,�rt.engineered dralnage pla�ls required. .
<br /> If I am the:AGEN7°.FOR YHE-OYilNER;I�roiiri'se In good faith to-Inform 4he ownerof>_the<per.mitting_conditlons set forth In
<br /> this effidavit`prtor to commer.acing constrt�ctlon. '1"understand th�t �;separate permff may be requtred for electrical work,
<br /> plumbing,�signs, wells,.._pool�;._�ir condl8oning,':gas;-.orother„Installallons not�spec�fically included-dn.the�application. .A
<br /> permit Issued shalf be__consteued to be a'llcense,to�pcoceed wltfi tFie wo�k an`d not�•as�authority.to.:vtolate,�cancei, alter, or
<br /> set aside any�-provisions of tfie tecfin(cal codes;�nor shall issuance•of a:permlt.prevent.the��ulldirig.Of�icial from th�reafter
<br /> requlrin.g;a�ccection..nf._ecrot��,in;plans;�.con�fruction orviolatlons�of��ny�codes..�Ev�.ry.=permlt�issued�'shall become invalid
<br /> unless the�io�k autho�tzed�by siach permit:��.co�nmenced�within sGc m.onths;of_permlt la�uance, or.lf work authoriz�d by
<br /> the pe�mft.(s suspQnd�d:,or.abandoned for.�:a�:per�od of-si�c:�f�e)montFis,::aft�r the.time the�wotk�i� commen,cesi. An ext�nston.
<br /> may be requested, In:writing;�from`the�Building,Officlal°for a pe�lod::not�.to.�xc��d�rir�ty�"(90)'�days�and�-wlll`demonstrate
<br /> Justifiable_cause for�the exten�ion�. If work ceas�s:for nlneqi'�(90)cons.ecutive:day.�,..the job�Ps consldered a4andoned.
<br /> ,-. . .�;.,,. .�. ..,.,.�.��� �.:
<br /> :: . •� -,;�.�-�•::.. _. ,,
<br /> WARPIING'TA�OWNER:'�`�1COUR;:FApLtJRE;Ttl.;;R�CORQ.A:,�N.OTIGE:,OF:COMMEMEEIIAENT:I�fAY<RESULT IN 1fOlIR
<br /> PAYIPIG TWICE:FOR:IIIAPROVEIWEN�3;?CO;-YOIJR:;P�ORE�t'tY.�-1��.YQ.U�I���ID"T��.��fiAIN=FINf�Afi1E1PIG;..C.ONSULY
<br /> 9iilf�o �i : �'� �,L. " � .� OR �. �A D G::a � ' ;C .,E -
<br /> FLORiDA JURA��(F:$:t1.1:7c03)- . . -. • .. • • ' - � -- -- � . ... - -
<br /> . OWWER.OR A(�ENT.,_,. ; . � .� .� ,> , CON7`R�iCTO : .
<br /> Subscrlbed and awom to•(or afNrmed).betare m�ihis � Sub�crlbed'and's (ot. rmed)`b' �e�-tHlg ,
<br /> by - - — - - ,:by; _ .
<br /> IMio Islare personelly knrnm to.me,orha�aye.produced Who�.is/are Rersonellyknown:to:me orhae_ ave-produced.
<br /> = - � as`�Identlfli�tlpn: � � � � as Identlflcatlon.
<br /> i
<br /> ' - Notery Publtc . - Notary Public
<br /> Commisslon No: - � Ccmr�Isslon.No.
<br /> Name oF Notery typed,.printed ar stampod � N�m�ot Plolery Yyped,printed or atamped
<br /> �
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