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<br />�I NO'1"iCE OF DEED RESTitlCTEORIS: The undersigned undersQa�ds th�t this:permif.may:be,subject to"deed"._restrictions"
<br /> which may be�more.r.estr(cttve=tha�n Gounty regulattons. THe undersigned'assume� re§ponsObfllty for compliance wit9i`any
<br /> applicable deed restrlctions. �
<br /> UNLICENSED CONTRACTOPtS AND CONTf�IACT'OR ItESPONSi�IL-ITIES: If#he owner has �hlcecl a contractor or
<br /> contractors io undeetake work, th�y may be,required..to be Iicensed In accordance.wtth state.and•local regulations: If the
<br /> contractor is not Itcensed as requ9red'by law, both the ovvner and contr`aotor�may be�cited for-a-misdem�anor violatton
<br />� under s2�te law. If the owner or Intended°contPactor are.�unc�rtain as to what flcensing.requlrements may-apply.�fon�the
<br /> intended work, th�y are advised to contact the Pasco County�ullding Inspection Division—Licensing S�ction at 727-847-
<br /> 8009. Furtherenore, If the owner has hired a contractor or oontractors, he is advlsed to have the contractor(s) sfgn
<br /> po�tions of the "contractor Block" of�hls application for which they wili be responsible. If.you,-.as.the ovb�er�sig� a's fhe
<br /> co�tractor, that may be an indication that�he is not.properly licensed and Is not entitled"to perrriitting privileges in Pasco
<br /> County. '
<br />� TItANSPARTATION"IMPACTfUTILITIES iMPAC7l4ND RESOURCE RECOd�RY�FE�3;�The undersigned understands
<br /> 4hat Transportation Impact Fees and.Reco.urse R�cove.ry.�e�s m�y�apply to�the construction of new buildings, change of �
<br /> use in existing buildings, or expansion..of�ezistiri�'-buildings, as specified in Pasco�Coun4y Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also:understands, that�uch fees,-,as:may be.due;--wlll:�be identi�ied at the time of
<br /> permitting. It is further understood that Transportation Impacf Fees and�Resource Recovery�Fees mu'st be paid prior 40
<br /> receivin a "ceetiflcate.of occu anc " or flnal owrec�.release. :If th� ro�ct does not indolve a.certificate of occu anc or
<br /> 9 P Y p P J P Y
<br /> final power release;,the fees mu�t be paid prior to permit Issuance. FuHhermore;-�6f:Pasco Counly�WatedSewer-Impact
<br /> fees are due,they must be�paid prior to p�rmil�issuance-in accordance witfi applicable P�sca�County ordinances.
<br /> COMS'TRUCTION LIERI LAW(Cli�pter 713� Florlda 3tatutes,�amendec9): if valuation of work is$2,500.00 or more, I ,
<br /> certify that I, the applicant,_ have been provided with a copy of the "Florida Construction� Lien L'a�nr—Homeowne�'s
<br /> Protection Guide" prepared by the Florida Depa�tmenf of Agric.ulture and ConsumerAffairs. If the appltcant is someone
<br />� other than the°owner", I certify that.I have.obtained�a copy of trhe above riescribed documenY and.prorr�ise in,good_fadth_to
<br /> deliver it to the°owner"prio�to•commencement: ' '
<br /> CONTISACTOR'SlOWNER'3 AFFI�AdIT: I certify tha4 all the information in this application is accurate�nd that all wrork
<br /> will�be done in compllance with al9 applicable lawrs regulating construction, zoning and land developm�nt. Application is
<br /> hereby enade to obtain .a permit to do. work and installation as Indlcafed: I cer�ify that no work oP (nstallatfon has
<br />' commenced pr(or to issuance of � pe[mlt and that.all work will be pe�formed to meet standards of all laws regulating�
<br /> construction, County and City codes, zoning r�gulations, and land development regulatEons�in the jurisdiction. I also
<br />, certify that I understand that�he regulations of other government agencies may�apply�to the intended work, and that it is
<br /> my responsibili�yr to identify•what.actions I must t�ke to be,in:.corr�pliance: Such agencles include but are.not Iimited to:
<br />� - De artmenY of �nvironmental Protection-� ress. B� heads, lflletland Areas and Environmentall Sensitive
<br /> P CYP Y Y
<br /> Lands, W�QerNVastewater Treatment. ,_
<br /> -� Southwest FloPida V19ater Management Dis4ric@-Wells, Cypress. Bay.heads; 1lVetland Areas, Alter3ng
<br /> Watercourses.
<br /> - Army Corp§of Engineers-Seawalls, Doeks, Navigable Waterways.
<br /> - Department of Health � Rehabil(Qative Services/Environmentai Flealth Unit Welis, Wast�water Tre�trnent,
<br /> Septic Tanks. . -
<br />, - 11S Environmental Protection Agency-Asbestos abatement.
<br /> - Fede�al Aviation.Authority-Runways.
<br /> I understand that Qhe following,restrict�ons apply to the use of f611:�
<br /> - Use of fill is not allow�d in Flood Zone°V"unless�xpressly permitted.
<br /> - If the fill material i� to be used_in Fiood Zone "A", It. is understood that a drainage plan addressi�g a
<br />'� "compensating volumeW will be submitted at time of permitting which is prepared by a prof�ssfonal engineer
<br /> Iicensed by the State-of Florida:
<br />' - If !he fll material_is..to:be used in Flood �one °A" in�connection�wlth:a perr�itted buiiding using stem wall
<br /> construction, i certify that fi9l:wlll=be us�d only.to.flll 4he ar�a wlthin the stem•wall.
<br /> - If fill material is to be used in any area, I cer�ify that .use. of such flll wlll not adversely a�fect adJacent
<br /> properties. If use of flll is found to adversely.affect adJacerit properties, the owner may be ctted for vlofating
<br /> the conditions of the-bu6lding:permit issued under the attached permit application, for lots less than one (1)
<br /> acrs which are elevated by flll, an engineered drainage plan Is required. ,
<br /> If I am the�lGENT FOR 7'HE OIP41N�6t, I,�promise In good faith to inform th�ovvner of�the perm(tting condittons set forth in
<br /> this affidavit�prfor to commencing construction. I under�tand that�a separate permlt may be required for electrica,l work,
<br /> plueeabing, signs, wells, pools; air coraditioning, gas, or othec instaliations not•specifically included in.tMe application. .A
<br /> permit issued shall be construed to be a license to-proceed writh th�work and not as authoritN to.violate, cancel, alter, or
<br /> seQ aside any provisions of the technical.cod�s; nor shall (ssuance�of a perm6f.prevent th��ulldirig Otficial from thereafter
<br /> �equiring a correction of errors In plans, construction or violations of any codes. Every permit Essued shall become invalid
<br /> unless the work authorized by such permit�Is.corair�ienced•t�lthin sfx m.qnths of permlt issuance, or if work authorized by
<br /> the permit is suspended or.abandoned for a:period of six(8)rraonths.after the time the�inrork�ts commenced. An extension
<br /> may be requested, On writing, from th� Build6ng.Official for a p�rlod not to exceed ninety(90) days and will demonstrate
<br /> justi�iable cause for.the extension�. B3 work ceases.for ninety(90)consecutive:days�..th�job�is.cons(dered aba�doned.
<br /> IR,IARNSNG TO OWNER: YOUR.�AILUR@�TO.,R�C.ORD A-NOT16E O��COMMEIdCE14�ENT ARAv i�ESULT IRl YOUR
<br /> PAIPIPIG TVHICE.FOR IMPROVEMEN.TS Tfl YOUR.PROPER7Y,-.I�°YO.U�INTEAID�'�TO-��TA�N�•FIRFiec�lCiNG�'CONSULT
<br /> �ITli= �L�R- DE ��30 �,I��3?O���Y� FO��:���:9R� d��'�0��' � C :Ol�'-�":' �� �� !€S4T� -
<br /> FLORIDA JURAT(F.S.117.0� � ; ��
<br /> OWNER OR i1f3EN�- : _� CONTRACYOR�T, �-. '/�
<br /> Subscribed and swom�to( aRirmed efore me this Subscribed and'sWo (of affirme�� "efore me ttit�
<br /> by •by
<br /> bVho Is/are personally knowm to me or has/have produced Who Is/are personally known tts me or haslheve�produced
<br /> as Identlflcatlon. as IdendflcaUon.
<br /> � Notery Public � Notary Publlc
<br /> Com slon No: Com sslon No.
<br /> ;,�,�hq�er���, JOEL E.BACON
<br /> :..
<br /> Name of Mota ' ,� t � F 137073 Name ot Molary ,� oP; ��i r� 9 2018
<br /> *' �R P,°;;F� BaMad Thm Tro Fain Ins
<br /> ;�• �o: Expires June 29,2018 � r ����7019
<br /> �'%„oF�r��°P'� Banded ThN Troy Fan Inswance 800�38&7019
<br /> I
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