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<br /> NOTICE Ol�QEED RESTRICTIONS: The underslgned unders#ands�.th�t#hls:��rmlt:may:be�subJec##o�deed"restcictions" .
<br /> which may.be:more=rest�rictive�th�n County��regulatlons. �Tfiewundersigned'�assuines�resp�nsibility�for cbinpNanc�"with�any
<br /> appHcable deed restrtctions. __ . � � �
<br /> UNLICEN�ED GONTRACTORS .AND -Ct1NTRACTOR RESPON�iBtLITtES: if the owner has-hiced°�a_contrac#ar or
<br /> contractors to und�rtake work, they may be;r.equired::to.be.,Ilaensed In accordance.�nrith state.and:locai regulatians: �,lf�the � �
<br /> con#rac#or is not lic:�ensed as°requlred�by latnr, bath the owner arii3�conf�actoT�tiiay tae�clfed--fot-a��misdemeanor vioiatlan
<br /> under state law. If the owner or Intended'contr�ctor�are�uncertain as ta what Mlcensing.requirements,may:-apply-��for:.the -
<br /> . __._
<br /> intended wark, they are advised to coritacf the Pasco County Buiiding in"spectlon Dtvlslon--l.Icensing Section at 727-847-
<br /> 8009. Furthermore, i�' the awner has hired a contractoT or.conUactors, he is advtsed to have the contractor(s), sign
<br /> portians of the "contractor Blaok" of this application far which they will be tespo�sible. If.yau.-as-.the owner""sign�a�i the
<br /> conto�ac#or, tFiat rrray be an Iridication that�Fie is:not.properly�l3censed and�is no#entitled to permttking prhrileges in Pasca
<br /> County. � ` '
<br /> TRANSPaRTATtQN,IMPAGTIUTI�ITIES=IMRAC7'ANb RES@URCE RECQVERY�FEES: The undersigned understands
<br /> that Transpartatlon impact Fees and Recaurse Recove.ry-Fees may..��apply�;to�the consUuction of new buildtngs,,�change of - `
<br /> use in existing buildings,�or.expansionfof•�ezistirig�buildings, as spect8ed.ln Pasco Cai�nty Ordinance number 89-07 and
<br /> 90-0?', as amended.,,The undecsigned also:wnderstands, th2it such fees�-,.as=may_be�dt�e;;:will-:be identifleci at the-,time�of �
<br /> permitting. It Is fui�tfier understood that Transpartatian Impact Fees and�Ftesource Recovery'Fees:mus# be paid prior to
<br /> rece�vireg a°ce�fi�icate ot occupancy"or�inal-power.-release. �:1#-Ehe proj�ct,,does not involve-a�.certl#�i:ate of occupancy�or
<br /> finai power-release;'the-fees�must��be paid prior#o permit issuance. F��thermoce;ff Pasco•County�INater/Sewer��ln►p�ct T
<br /> fees are due,they.must be-paid prlor to permit=lssuance-ln accordance wlth�appltaabte Pasao�County oi�c3inances.
<br /> CONSTRUCTION'L"IEN�LAW(Ctiapter�T13� Flor�da Statut�s�as amendedj: if valuation.ofEnrork is$2,500.Oq�or more, 1 -- �
<br /> certify that I, the appHcant,_ have�been proVided with� a-copy of the °Florida�Constructlan Lien..L'aw—Hameowner's
<br /> Protectlan Gulde° prepared by,the Fio�ida Depa�tment af Agrlcutteare and Consumer Affairs. tf the appltcant 1� someone � .
<br /> other than the"owner", I certify;that� have,obtain�d�a copy.af.the.above..described-�acuri�enk°and.promise�in,gaod.faith to ,
<br /> deliver it ta..the�°owner".pr�or•M�commencement; ' = " . �
<br /> CONTRACT01t'�lOWNER'S�►FFtD1�ViT: 1.ce�ki�y that ail the-.Inf.ormatlon�.ln thls appllaatlar�is accurate�nd that atl work
<br /> will'be done in camptiance with all appltcable laws regulating cons#ructian, zoning and:�lancl�d�velopment. Appltcatlon is
<br /> hereby made to obtain :a permit.to do..work.,and �Installa#inn as i�dlceted:� `I certiCy that n� uvoric=or insta!{atiart has
<br /> commenced prior to issuance"of`a permif and that.all work will be performed to meet standards of all laws regula�ing�
<br /> constructlon, County and Gity codes, zoning regutattons, and land devetopment regulaUans�in the �urlsdtcfion. 1 al'so
<br /> certlFy that 1 understand that#he regulations of other gavernment a�enc(es may�apply to the intended work, and that it is
<br /> my responslbility to Identtfy.what,actlon�#must t�ke.to be.ln:.compllance:, S.uch agencies-includs but�are.nat fim{ted to:
<br /> - Department of Er�viconmentat•Protection-Cypress��Bayhead�, Wef�and Areas and Environmentatty Sensitive
<br /> Lands,Water/Wastewater Treatment. ,_
<br /> - Southwest Florida Vltater Management� .D�strict V1te11s� Cypress.� Bay.head"s, Wefland Areas� Attering
<br /> Watercourses. �
<br /> - Army Gorp�of Englnee�s-Seawatls,Docks,�lavigabie Waterways.
<br /> - , Depar�ment of Heatth �& ReMabiiitative 5ervices/Envitonmentai Health Unit Wells, Wastewater�Treatment, .
<br /> Sep#Ic Tank�: " � _ _ -- � --- - - ---
<br /> - US-Enviroiimentai~Protectia�Agency-Asbestos abatement, - - ----_._
<br /> Federal Aviatton�Authorit�r-Runways. -
<br /> 1 undecstand that the follawing,-restrictions appiy to the use of fl1E:•
<br /> - Use of fill ls not allowed in Flood"Zone°V"unless expressly permitted.
<br /> - If tlie fill m�terial_�is ta be used:`in,�Flood Zone. "A", It. (s understood #hat-a drainage plan addressing a
<br /> - ' °campensating volume" wiN be submitted at#ime af permitting which Is prepared by a prafessionai engineer
<br /> - � Ilcen�ed by�the,State-of�-Florida:
<br /> - If the fill maEerlal_is>.to be�ased fn Flood �one "A" In�connec�ion�wlth:�a permttted building using stem waH
<br /> � construction, I certify thak fdl�:tidll-be�used only.to.flll the a�ea wlthin the stem�walt.
<br /> - If fi!! materla# Js ta be=used In any area, { certify that _use. of suc�i fll! will not adversely affect adjacent
<br /> � properties. if use of#ili is found to advers�ely:�ffect adjacent•�properties,.the owner may be cited for viorating
<br /> the condl#ians of the 6uilding;permlt Issued under the.at�ached�permit a�pplicaklon, far�lots less than one (1)
<br /> acr$whlch are elevated�by fll�;an engtneered dralnage pla�is required. .
<br /> If I am the AGENT FOR THE OWNER, I;�promise in gaod faith to inform the owner of•the permitting condftions set forth in
<br /> this affidavit prlor ta aommencing constructlan: "i�understand that,a��separate permlt nnay be requtred tar eteatrica! work,
<br /> plumbing, signs, weils, pools;, air canditiuning, .gas, or other install�tions not,spec�ica{ly inciuded�in.tMe apptication. .A
<br /> permit issued 5hall be canstrued to be�a'Iicense to�proceed with the wo�k and not as:authority to,violate� cancel, aiter, or .
<br /> set aside any provisions of the#echnEcal-cod�s; rtor shatt lssuance°of a.permi#.pr.event ttye Bulldlrig O#�tclal from thereafter
<br /> �equiring a aorrection Qf errors In.plans; con�structlon or violatlons af any codes. Every permit Issued shaU become invalid
<br /> uniess the work autho�izad.by such parmit�s_commenced wfthln ai�c months of permlt Isse�ance, o�if work authorized by
<br /> the permit is suspended or.aba�doned for.a;periad of six(�B)montiis�.after the time the�work is commenced. An extension
<br /> may be requested� tn writing� fiom ttie Bulliding,Official for a period.not to exceed ninety(9p) days and�wil! demonstrate
<br /> jetstifiable cause for.�the e�ctensioa: tf wark ceases�for ninety{90)cons.ecutive:day.s,.#he job is considered ab.a�doned.
<br /> iNARNING TQ UWNfR: YClUR.EAILURE-TO,�REC.CaRD A MOTIGE t7►F��C�MMEt�CEME1�tT-MAY RESU!T IN Yt�UR
<br /> PAYING TWICE.�OR IMPROVEMENTS:T�.YCI.UR:;PR�OPERTY.-1�°YO.U�7INTE�D�'TQ�'nBTAiN�FINANC1NG,'CONSULT
<br /> WITN YOU�LENDER t'�R AP�ATTORNEY�B�FORE��ECO��IwC��YOU 'NR QTICE,;;Q�'CaMMENC�EIIM� T'____ Y__ _.
<br /> F[.�R61D�JUF�P►i'(�.S.1 i 7:f}3} - - - - . -
<br /> OWNER OR AOEN A�iC��.,� ��,1.�� CONTR/►GTO���.�.►�� `�+��
<br /> -�S s a swo�M{or aifi�mad}befo m�thls Subscdbed and' �(at aNirmed}•b e'f��ei me tti3�
<br /> by � � G� �5-�-(1[U //�2.S"/s •by Mra.�'CS�1C�—( (,'�ki�f�
<br /> Vvho lslare pe�sonali novm to.me or haslhave p►oduced , Who Is/are petsonel y known�ta me:or has/have�produced �
<br /> as Iden�flca�on. as 1den�ficaQor�.
<br /> .�.. �"l� ( � Nokery Public .� �`���- � Notary Public
<br /> ,.. ��� .,,;�Y:�,,, JACflUEUNE 8 150A22
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<br /> ��' ��«= Commissian#FF 150422 ,,�, :,: �xpires December 12, �o��
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<br /> Name ?� a,n n � .��•ro�s hlame af Notary $ �
<br /> �'' A°4�� Bonded ihru ttoV f'
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