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<br /> ; NC1TiCE OF t�EED RESTRICTIQNS: The underslgned.ynder�tands°;th�tzihi5�:���rnit may;be.sub�ect.to?deed"cestrlctlon`s" '..
<br /> which may tie�more°r.est�r(ct(ve=thef�County°i�ig�ilatfons:=The underslgned�-assumea'resp�insitiillty for''compitance with any ' � x ,
<br /> appNcable.deed=restrlctlons. '- '. ' .. ��,. . : �,. . _
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<br /> UNltCENSED� CONTRAGTflRS A�1D CONTRA�TOR RESPONSIBIGITIES:° =fi� tt�e owner�has °hir+�c3���s�`confractor or
<br /> contractors to undertake work, thery may.be:rc�qulred.=to=be,licen�ed In�ccordance.v�aiith state.and:local regulatlo_nss��lf the�- =� ~
<br /> con#ractor-#s nat�ttcensed`as�reqalred'by law; boEhi�the owner aridreont�ai;tor=�riiay�tie��clted�foc���misdemeanar violatton
<br /> under state law. If the owner or intended.>Gcontr;a�tvr,�ere„un�ertatn.as to wha# Ilcensing,�equtreRneMs;`may=appiy=�#or-3the' � �
<br /> Intended'i�ork� they arey advlsed to contact the.Pasca�County Bulliling`Inepei:ttonaDlvislqn--Ll'censing�Sectlon at 727-84T- .
<br /> 8009. Fu�thermore, i# the awner fias�liireii'�a can#facfor o� coritraatots. he is advtsed ta have the cantractar(s}.,slgn
<br /> 7,..,.�. , . �_�.,,,... .,
<br /> portlons of the "contc�ctor �lockp of this�.applicatlon..for�whlch.they:will.be:responslble.- If,you;.as:the owner'"sfgn°as`the' '
<br /> cantrac#or, thatirtay�be an lndicatlon that Fie'ts nat properly 1lcatiseif�aintf�ls°"not`erititleil tb permitttng priulieges In Pasco
<br /> County. .::,:� . -_
<br /> TRANSPORTAT10N=1MPACTIUTILITIES CMPAC'�AN!?-RESOU1tCE RECOV'ERY�FEES:�The underslgned�understands
<br /> that Tra�sporta#ion tmpact Fees and.Recour�se Recave.ry.Fees mey�-apply�to:Nte$constructian_of new.butidings,�change�;of�'��� `=�� '��� �
<br /> use In existing buildings, or.expar�sion�of°�ezistin�.�buildings, a§ speclfled.in Pascv County Ordtnance number 89-07 and ;,
<br /> 90-Uz, as amended,:..'�he undec�lgned slso:,understands, tha[t:salcf�fees;�;as,ma�r�e�;due,�w1R4.:be�den+tltled at ti�e=`ttme�`oF, ,�;. ; �
<br /> permitting. It Is funher understood that Transportatlon ImpactFees.and=Resource..Recdr►ery4Fees..mu'st be paid prior ta
<br /> receivtng a°ce�cate:ot occupancy"-•ar flnai��power.release: :If�the.praJect_does;not invalve:a>.certi�cate of occupancy-or,�•-'�� ' ,
<br /> flnat power ralease;,the,fees mu�t tie paid:pc�or to permit Isspance. Ftr�thermore,�if.Pa�cv_Cpunfy`VllaterlSewer��,lmpaa# � .�
<br /> fees are due�,tF►ey must:be>pald.p�ior#o permit_riss4ance=ln.,�accord':ance witF��appllcatiha_Pasco'.County-ardinances. • `
<br /> CONSTRUCTltiN�C1EN`LAW(Ciiapter 713��IoNda.Statut���as emended): if v�aluation af work is$2�500.00:or mare�-1{ =� ��.s�.
<br /> certify that I, �he :epplicant,. have•been .provided�-�with- a=copy�of the�".Florida�-�arstruction� Lien :Law—•Homeowner's
<br /> Protection Gvlde" prepared by-tlie Flotlda Department�of Agric.ulture and Cansr�mec��Affatrs. If the appltcant ts sameone; . � ; ,
<br /> ather than the"owner", I cerkifjr;-th�t I;have,ob,ta�.tned�a=copy,of..the,above.described,docuri�ent-and_.p.r.omise�.tn,good:�falth to :.,
<br /> deliver It to:tkie:`.owner"•�p�ior:tcs�commencement:' � , , - -
<br /> CONTRACTOR'S/GYVNER'S AFFIDAVIT: I.ceit[fy<�tt.iat�all-the7information in thi�appitcatton�s accurate and that aA work
<br /> will�be done in compliance with all.appllcable laws regulating constructlon, zoning and:land�development. Application (s
<br /> hereby macfe to obtain�.a�:perrnit�;ta..do:worl�:::and�iitsEallatian as lndl�ated:< �1� cer#ify'fha# na work�{or MsEallation has
<br /> aommenced prio� ta Issuance of'a'perniit�"an� that`.all�work will be pertormed�to meet standards-of all laws regulating-
<br /> cons#ructlont Co�nty and City cades,.�oMng regulatlons, and lan�J devefapment r.eg�lations•In the jurlsd(ction. ! al'so
<br /> certify that t uc�de�stand ttiat the reguiations of otF�er government agencles may�apply�to the Intended work, and that it is ;
<br /> my responsibility to identify�what.actions I must take:M be4ln�corrlpllar�ce. S.uch.agencles�lnclude but�are.not Ilm(ted to: �
<br /> - Dapartment of Ertvtronmental=Rrii#eetton=Cypress.`Bayfieati�,�1�leflend Aress and Envlrcnmentally Sensitive
<br /> Lands,WatedWastewater Treatment. , � �
<br /> - Sauthwest 'F1or�da W�ter Managerr►ent: .Distrlct Weils? Cypress. 8sy�ieads�, Wetiand Areas, Aitering
<br /> Watercaurses. � � ' ;_
<br /> - Army Ca�ps of Englneers-Seawalls�Docks,Navlgatile Waterways. -
<br /> - Depar#ment of Health;:8 .Re�iabtlltativ.e:5eniiceslEnviFanmen#a!-Nealth Unit:Vllell.s� VlFasteuuater�Trea#ment,
<br /> Septla Tanks:, _ ,
<br /> - US Envirot�men#a1 Protectlon Agency-Asbestos�batemen�. _ ,
<br /> Federa)Aviatiqn_Authority-Runways. ;
<br /> i understand.that the.foAowfng-restrlctiqns apply to the use of flA:
<br /> - Use of fill Is not aliowed in:Flood�Zone"V"unless ezpressiy permitted.
<br /> - If the,filP materlal �is to`be usetl. In.:Flaod Zone. "A", It. is underetood that�a dralnage plan addressing a
<br /> "compensating volume"w�41 be submitted aE#1me of:.perm3ttln�w�iich is prepared by a professlonal engineer �
<br /> Iicensed by the;�tate of�Flotid'a. ; � � � �
<br /> - If thA fiil materlaf is�to be•used En Flood �one 'R° in�cannection�w!#h�a�permitted building ustng stem wa!!
<br /> � construc#ton., t certify that.fili.wfli=t�.erused only.to.fili the area within�the�stem�wall.
<br /> - 1# fl!I make�lal is to be used in any area��l .certify t#�at .use. of such fill wDl not adversely affect �djacent
<br /> ' properties. !f use af fill ls foand to adversely:�ffect�id�acent>properties,,the ownet may be clted for utolating
<br /> the condl#ions,.of the building'.perrriit.issued=under tlie attached„permft appllcation, for:lats�less�.than.one (1)
<br /> acre wMch ere elevateif�by flit,a�t engEneer�d dralnage pEan Is requ{red.
<br /> If I am the AGENT FOR THE�OWNER, I;promtse in..good,fatth to Inform�the owner of the permitting conditions set forth in �
<br /> thfs affidavlt prlor to commeracing constructivn. 1 unclers#and that ra-s�parate permlt may be requtred for elecMcal'work, .. ,
<br /> plurnbing,,signs, wetls,.ponts; alr canditianing�-.g�s�-�or.otMec install�tln►fs no�•spac�tc�atly included-In.#he appticatton. .A
<br /> permit issued shall be cot►shued to be'°�a°Iicense to���proceed with`ttie work and not�as.authoHty,ta.violate;�cancel. alter, ar
<br /> set aslde any provisions of#tie.techn[cal c�d�s;�nor shaS3lssuance•af a.pecmit.pcevent the Buildirig U#flcla!from thereafter
<br /> requiring a correctian af errors in.plans,cons#'ructton or vialaUons of any codes:� �very-p'ermtt=issued stiatl become invalid
<br /> unless the wark aufhor(zed.by such permlt:�ls.co�menced�wtthln sf�c,months of permlt Issuance, or If work authorized by
<br /> the permlt is suspended�or.ebandoned-for:a;period,,nf�s�c;(+B)montiis,:afterthe#ime.#he�wark�ls commenced. An e�ctension
<br /> �nay be requested, in writing,from the.�Building.Offlcial for a period nat.to exreed nfnefy�(90)tdays e�d�wlD�demanstrate
<br /> . �ustlfiabte`cause tor the e�ension�. If work ceases.for nlnety{90}cons.ecutive:days�_th\�ob�is considered aba�tdoned:
<br /> 1NARNlNG TO OWNEi�; YOUR.-FAi1.URE.TO.REwCOltD A:.NClTIGE.OE.�CQMM�MCEMEMT•.MAY�°RESULT lN�YOUR
<br /> PAY(NGTWICE;FOR.IMRE,tOVEME1dT8-TOYOUR:Pitt�PER=7Y: �IF°YO.U�i�F"€E1�1t�:�i'O�C38TAiN��FiNAtF1E1NG;�C.ONSU1.7
<br /> WIT U D �O. AN TTO � � FOR�i. OR� G:' .�U '. . - -
<br /> FLQRIQAJUR1i�':(�:5.1l7.09) _ _ , . .. • � _- --- - - - - -
<br /> OWNER OR A�EtdT`'G"'�"'�"�'='-�"� f�� .. GONTRACTO �-�"--�-- .
<br /> Substxi6ed and swnm to(or ai�rmsd)beiore me thi� Stibscrl6ed arsd'swam- t aflftmed}•befnre m 'tfi
<br /> by"7�i4Y�C'-�� 'O C`2c �"_ �'Y;C�,��-�s'" L'���`
<br /> Who Islare person�lly kn to.me or has/heve produced Wtio.le/at�e p.ersonelty cr�own•ta me,or haslhave;produced •
<br /> ' as IdenU8ce8on. .� as iden8flcatCon.
<br /> Nofary Pubttc . Natary Pnbtic
<br /> Cammisslon No:''' Comr�Gaslon.No,
<br /> CVame af Notary+iypeds(a�ItiFB�I 0�St8R4�8t� Name of Notary typed,pdnted or stamped
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