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� } � Y <br /> NC►TiCE QF QEED RESTRlGTIO�IS: The underslgned under�tands�Eh�t.this.�pptmi#.may:be,subjecfi,to,"deed",restrictions" ' ;`. <br /> whict�may be.:more_;resti:lct4vetth��r Countyr�+egulatlons:"TFie�:underslgned assumes resPorisikiHity�for�somplianae'witfi�'any <br /> appNcable deed restrictians. . • _ � <br /> UNLICENSED :GONTRACTORS ,AND CONTRACTOR RESPONSIBILlT1ES:� tf-the owner-hsa���litred-�a;contractor ar <br /> contracfars to undertake wark, they may.be;cequlred:to;;be.iicensed in accardance:wlth,.state.and�local regulatfans, If-the; � <br /> contractor is not !#censed as�required'by'taw, bo#ti=the aumer anii conUactor'�rinay be��cifed-for�a��misdemeanar violation <br /> under state law. If the ownec ar l�tterided.contractor<are:wncertatn as to what licensing;requiremanfs.;may appljr.��>for�the � <br /> intended work, they are advised ta�contact t�Fie Pasco County Bulii!!ng"�lrispectlon Dlvlslon-Licertsing Section at 727-847- <br /> 8009. Furthermore, If the owner'has,hired a contracto�o��'confractors, he�is advised to have #he cantractar(s), slgn <br /> portions af the "cantr�actor 81ock" of fhis,applicatton for whtch they wtli be.r,esponsible._If.you,.as-:the owner`slgn�as tfie - <br /> contrac#or� that inay be an irtdication that�he-Is not°.properiy licensed and'is�not en8tied�ta permitting privlleges in Pasca <br /> County. � y <br /> TRANSPORTA7IClN�IMPAGTIUTIl11'IES�IMPAC7 AI�C!RES�?URCE RECOYERY FEES;--The underslgt�ed understands <br /> that Transpartation Impact Fees.and.Recourse Recovery Fees may_apply�:to°the construckion of new__bulldings.!change�of <br /> use in existing buildings, or`:expansion•.of�exis#in�g�buildings, as speclfled.ln Pasco Counfy Ordinance number 89-07 and <br /> SO-07, as amended.,, The undersigned alsatunderstands,,thait:such fees�-as�may��be:due;,rw0l:,be identified at the�time�of` - <br /> permltting. li is tu�ttier understoad that Transparkafion impact'Faes ancf Resource Recorrery`Fees,must be paid prior to <br /> reaelving a"certiflcate of occupancy" ar#inat-power-.�eiease. :4��the pro)ect.does not involve.a::carti�cafe of accupancy.or. <br /> fina! power release;=the�.fees mu�#�b�► pald prior to.permlt isst�ance. Fu�thermore;•�1�Pasco-.C,oanty�ttVaterlSewer-�tmpac#. <br /> fees are due,..they�must.be-paid.prior to permiE•Issuance�in accarda�ce wlth appAcable Pasco�Coanty.ardinances. <br /> CONSTRUCTi�N�CIEN i,AW(Ghapte�713� FloNda Statutes�as amendedl: If valuation of work is$2t500.00.or more, I <br /> cer#ify that 1, #he appilcan#, have�been .provided with. a-copy� of the "Florida Co�struction l.len.L�w=-Homeowne�'s <br /> Pcotection Guide° preparec! by the Fiotit�a Departrnenf of Agrfc.uiture and Consumer Affairs.-. tf#he appiicant ts someone � <br /> other than th�"owner", !certify that idhave:obt�alned�a`copy,of.#he:above.,des.cribed tlocuiiaent:and.promise in,good�faith to . <br /> deliver It to.the."ownec?.prlor.to>+commencement:��`•� � . - , � „ <br /> CONTRACTOR'S/OWNER'S AF�IDAVIT: I.certify:;that>all the�,lnf.ormation:.ln thl�app!lcation is accura#e a�nd that a!!work <br /> will be done in aomptiance with aN.appiicable laws regulating construction, zoning and��land development. Appltcation ts <br /> hereby�made to obtain .a.permit.ta do. wark:.,and lnsfaqa#ion as indi�afed:-� .1 cectify"that no work'.or installatton has <br /> commenced p�tor to issuance of�'a permlt"and that'�al1 work wilt be pertormed ta meet s#andards of. all laws regutating� <br /> construction, County and City codes, zoning regulatlans, and land development rc�gaiatlons-in�the�jurisdiction., t ai'so <br /> certify that I understand that the regulatlons o#other government agencles may-apply�to the Intended wark, and that i# is <br /> my responsibility ta identify�whak.acttons I must�t�ke.to be�in:.cort�pliance, Such agencies Include but�are..nat 1lmi#ed ta. <br /> - Department af E�vironmental�Protection-Cypress`Bayliead�, Wetland Areas and Envlronmentally Sensitive <br /> Lancfs,liVateriWasfewater Treatment. <br /> - Sauthwest Fiarida WaEer Management ..i��strir,t-Wells, Cypress. `Bayheads; Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engtneers-Seawalls, Dacks,Navigable Waterways. <br /> - Department of Health'8 Rehabllitative Services/�rnironmental Health Un[t-Weil.s, Wasteu+rater�Treatmen#, <br /> Sep#tc Tarrks. � . <br /> - US Ernironmentai Protection Agency-Asbestas abatement. <br /> - Fecle�!Avl�tton.Authority-fte�nways. <br /> I understand that the follow�ng.�restrictions apply te the use of flll: <br /> - Use of fill is not allowed in Flood Zane"V"unless expressly permitted, <br /> - if the fi11 material Is #a be used:.In �Flood Zone. "A"� If. is understood that a d�ainage plan addressing a <br /> °compensating votume°wiil be submitted at fime af permitting wfiich is prepared by a professfonal engineer <br /> licensed by#he State-of ftorida: � <br /> - !f the f�l! materlai.is to be used En Flaod Zone "A"`im cannec�ion�wfth.a permitted buiiding using stem waH - <br /> � constructinn, !ce�tlfiy thaE fl!l�wJ!l=b.e used only.#o.fl!!the acea wlthln the•stem waH. <br /> - If flll materlal is to be used in ar�y a�ea, I ce�tify that usa of such flll wlll not adversely affect adjacent <br /> propertles. 1f use of flll is found to adversely:�ffect adJaeent propert9es,,the owner may be'clted for violating <br /> the conditions of the`buitding�:permit issued�under the attached pe�mit applicatlon, for lots less-#han.one (1) <br /> acre whfch ar$elevated by f1it,an enginear�ed drainage�ptan is requtred. , <br /> If I am the AGENT FOR THE.QV1tNER, !,'.promise!n good faith to infocm#he awner of the permitting condi�ons set farth in <br /> this a�davlt prtor ta commencing const�uction. 1 untlers#and that a�separate permlt may be requfred for etectrlcel wark, <br /> piumbing, signs, wells, pools, afr condlttoning�.gas,.ar ofhec Install�it(ons not.spec�tcally included-in.tMe applicaHon, .A <br /> permit issued shali be conshued to be a iicense ta proceed with tfie work and not as:authority to..violate�,cancel� alter, ar <br /> set aside any provisfans of the techn�ca)cod+�s, nor shalt issuance�of a.permit.prevent the Bulldirig O#iictai from thereafter <br /> tequ#ring a correctian.a�f.errors tn.plans;cons#ructlan or v#olatlons of any codes. Every petmi#i�sued shaN became invaiid <br /> unless the work authot�ized.tiy such permlt�ls-commenced withln s(X months of permft Issu�nce� or iF wark autharized by <br /> the permit is suspended or.abandoned.for a period of six(6)months.after the time the�work ls commen�ed: An extensfon <br /> may be requested, tn wciting, from the Buliding.Offictal for a periodnot to exceed ninety�(90) days and will demonstrate <br /> justifiabie cause for.#he extensio�r, If work ceas�es.far ninety(90)con�.ecuttve day.s,..the�)ab�is considered abandoned. <br /> WARNlNG TQ t?WNfit: YClUR..FAIL.URE-T4.,RECQl2D A NQTIG�QF•COMME��E�l�7�Y"RESULT IN Y�UR <br /> PAYING TWICE.FOR IMpRQVEM�NT3 TO.YQUR�PI�[�PERT1f, �IF�YO.Uv!lN�� C?'OB�AIN��F! � i NG;�CONSUl.T <br /> WIT LE. D �O� A ° TTOR EY �OR��- ��ECO �CI �� O � D �C -'G � �•' ' E C � <br /> , . . . <br /> FLORIDA 3URA�'�(F:S.11T.03) " —~'—"� ' . . -- - - <br /> , r'd <br /> __ovvra�R_c�������—_ _---____.�.___.:__. ,�- - -coi�►cra`ri . <br /> su6scattred and svmm to(or af�rmed)beiore me#his Subscrlbed and'swom ta(or aflirmed)before me ttil� <br /> - ay .�y . <br /> Who ls/are pe►sonally known to.me or has/have produced Who.is/are personallyknown ta me ar-has/have�prodi�ced <br /> as(deMlflcaBon. as tdend8cadon. <br /> . �•.--.�.. <br /> Notary Pub!!c . Notaty PubRc <br /> Gommissfon No:�. Commisslon•No. <br /> tVame ot Notary typed,pdnted or stamped Name of Notary typed,printed or stamped <br />