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<br /> NOTiC@ OF DEED RESTRICTIOIdS: The undecsigned understands�:th�t4this,���rm[�,may;be,subJect,to"deed"_restrictlon`s"_ _._ ,` ..�;
<br /> which may�be<more=resulctive th�rt County�r9egr�lat(ons.�The underslgned�assumea responsitillttji�for'compllance�with any"
<br /> applicable.deed_reshictions. - ,.: ,., �•. = - • _ , .. .. -. `� � � �
<br /> UNL.ICENSED� CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:� =°If-the owner'has �hi�re�d��a �contractcr or
<br /> contractors to undertake work, they may:be�.requiredt.to;�be;licensed;ln.:accordance.with state:and:local,regulatlon.s: -1f�the� =
<br /> .............:....,.;:_
<br /> contractor is not l(aens�ed as requlred`tiy law, both�`the�owner and�contractor°may be�cited for�a�misdeme�nor viotation
<br /> under state law. If the owner or intended,�contractor:;ere.;�uncertaln as to what Ilcensing:requlremenCs;may-�apply���forrthe -- _� ^ '
<br /> Intended uiork,they are advised to contact_tFie Pasco County..Bullding:Inspection Divislon--l:Icensing�S�actton at 727-847-
<br /> 8009. Fu�thermore, ff the owrier has�Fiired a conNactor or contractors, he Is advised to have the r�ntractor(s)„sfgn;
<br /> ,,,;-., _ ,. _ .�.: .
<br /> portions of the °contractor Block" of this:appilcation.for_which.they-will be_r,esponslble: If...you,:as-.fhe e»wrier-sign``as'the' �
<br /> contractor; that�may�be an indication that'Fie`=1s not.properiy�licensed antl'is"not entiNed to pemiifting p�iileges in Pasco
<br /> County. • , s;�. .,,.,:. � �
<br /> TRANSPORTATlON=1AAPACTIUTILITIES�rMRAC'�AN�RESOU�tCE RECOVERY�FEES:�The undersic�ned understands
<br /> that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may.�-apply�to�the;constructlon of new bulldtngs�Uchange''of"� - `'� '=
<br /> use in exi$tin g buildin gs, oc.,expansi�n�of�ezistin�g�bulldings, as speclfled.in Pasco County Ordinance na�mber 89-07 and
<br /> 90-07� as amended....,�he. under�igned also�understands, thait`such fees;.-as,mayrbe��dne;�wlll.�be ideritified at the'time°'of�� •�� -
<br /> permitting. It is iurttier understood that Trensportation Impaat Fees and�Resource Recovery�Fees.mu�t be pald prior to
<br /> rece6vtng a 'cerfi�cate of occupancy" or flnal-�powe,r...release: :If�the proJect;does�.not involve.a-.certificaf� of occupancy=or=�����='=�" �"
<br /> final power:release;the fees mu�t�tie"paid.;p��or to,.permit Issuance. F�l�thermore;`if:Pascc�:,County�Vllater/Sewer•,Impact - . ,�- ;
<br /> fees are due, they.must.be-pald..prior#o..permit_.Iss4ance'In.accordance with appllcable:Pasco��County�-o�danances. •
<br /> CONSTRUCTION�LIEN�LAW�(Cliapter 713� Florlda Statutes�aa amended): If valuation of work is$2,500.00�,or-more,.I :� - .
<br /> certify that I,-ihe<applicant;�-have._been proylded•�with-�a copy of_the �"Florida� �onstruction� Llen :Law—Homeowne�'s
<br /> Protection Guide" prepared by the Flo�ida Department of Agricultnre and Consumer;.�kffairs. If the applicant Is someone , �. -
<br /> other than the"owner", I certffy>that l have.obtained�a'�copy,of:the:above�.riescribed-�locuii�ent°and.promi�ie`in,good:;faith.to >
<br /> deliver It to.the'owne�'�p�ior'to�corrimencement:''" - ' �� " ' - ' .
<br /> CONTRACTOR'SlOWNER'S AFFIDAVIT: I.cectify;:that-.all�the�Jnf.ormallon.:i��thi� application is accurate.and that all work
<br /> will'be done in compliance with all.applicable�laws regulating constructlon, zoning and:land°�development. Applicatlon Is
<br /> hereby made,to obtatn.:a permit.:to;.do��w�rk:�and�installatlon as indl�afed:.�.-:1. cerlffyr that no work"o� Installafton has
<br /> commenced p�lor to issuance of a�permif"and that.all work will be pertormed�to meet standards of aBl laws regulating-
<br /> construction, County and City codes, �oning regulatians, and land development tegulations�in the .jurisdict(on:- F al'so ,
<br /> certify that I understand that the regulations of other government agencles may�apply�to the,intended w�nrk, and that it (s ,
<br /> my responsibility to identify�what.actlons I must•take:to be,in>corr�pllancs. S.uch agencies include but are.mot Iimited to:.,
<br /> - Department of E�vironmental�Protection-Cjrpress.�Bayh'eads, Wetland Areas and Environ►ruentally Sensitive �
<br /> Lands,Water/Wastewater Treatment. '
<br /> r. ...
<br /> - Southwest Florida Water Management: :DtsUict Wells, Cypress• Bayheads, 'Wetland' Areas, Alte�ng }
<br /> Watercourses. ' ' •
<br /> - Army Corps of Engineers-Seawalls� Docks, IVavigable Waterways.
<br /> - Depart,ment of.Health�'.8, .Rehabilitative. Setvices/Environmenfal Health Unit Well.s�.Wastevitaater�Treatment, '
<br /> Septic Tanks: � -
<br /> - US Environmentai Protection Agency-Asbestos abatement. :
<br /> Federal Avlatlon:Aulhority=Rurnvays,. '
<br /> I understand.that the follouiiing.�restrictl'ons apply to'th'e use of flIL•• �
<br /> - Use of flil is not allowed In;Flood Zone"V"unless expressly permitted. :
<br /> - If the fiil matecial-�Is to be-usetl:�In:�Flood Zone. "A", (t is understood �that a drainage pls�n addresstng a •
<br /> "compensating volume" will be submitted at time of;permitttng which is prepared by a profess(onal engineer ;
<br /> Iicensed by the State of'Florida: ��� - ° - �
<br /> - if ihe flll materiai�ts�to be used in Flood Zone 'A" irn connection�with�a�•�ermitted building using stem wall
<br /> ' constructton, I certif�r that flll:wall:b.e�used only.to fill the area wlthin�the�stem�nrall:
<br /> - If flll mate�lal Is to be used in anjr area� I��certffy that .use. of such flll wlll not adversely affect ad)acent ,
<br /> properties. If use of flll Is found to advereely.�ffect adJaeent�properties�.the owner may be cited for vtolating '
<br /> the condl#Pons of the b�ilding.permit.issued�under the attacfied�ermtt �ppllcatlon, for:lots lass�than.one (1)
<br /> acre whlch are elevated�tiy.flll,acr engineered dralnage�plan is requlred.
<br /> If I am the AGENT FOR THE OWNER, I;.promise In,good fafth to Inform the�owner of•the permitting conditlons set forth in
<br /> this affidavtt`prior to commer�cing constructlon. I understand thet_a�separate permlt may be required foU elecMcal work, � , ,
<br /> q�.: ....
<br /> plumbing,_Signs, wells,.pools;. alr cond(tioning,-.g�s,�;or otF�er. Install�tlon"s noE,speclflcally included�tn.the�application. .A
<br /> permit issued shall be co'nstrued to be a-llcense'to proceed with'the work and not-as:authoNty.to.violate,��cancel� alter, or
<br /> set aside any provistons of the technlcal codes;�nor shall issuance�of a.permit.prevent the Bulldirig Oiftct�l from thereafter
<br /> �equlring a correction af eRors in�,plans°; constFuctlon or violatlons of�any�codes. Every p�ermit�issued"stiall become invalid
<br /> unless the work aufhorized.by such permit:�s-commenced�withfn siX months of permit issuance, or if work authorized by
<br /> the pe�mit is suspended or.aba�doned•for:a;period.of�six_f8)�montti`s.:after the time the�wo�k�is commenced. An extension
<br /> may be requested, in writing, from the�Building,Officiai for a perlod-not to exceed�nineqr�(90) days a�d•ry►iill demonstrate
<br /> justifiable`cause for.�the extenslor�. If work ceas�s:tor ninety.(90)consecutive:days...th�job�is conside�ed aba�doned:
<br /> WARNIIdG TO OWNER: YOUR.EAILURE�T�.,REC.OEtD:A.MOTIGE;OF:•COMMENCEMEMT MAY RESULT IN YOUR
<br /> PAYING TWICE:FOR-IMPROVEMENTS�TO.XOUR;PR�PERTY:-�I��YO.U�I�V�F�ID:Ta�'OBTAIN��FINANEING;'CON3ULT
<br /> WITH YOUR CENDER�OR API A�TORNEY�tFO'R�LR�ORf71�If�YOUR'N01'ICE'QF�CdNAN1ENCE�I�NT' _
<br /> —FLORIDA J�1RA�(F.S:t97:03). -- • --- ~�--- ' - --- ------ - - --- - -- — — --
<br /> OWMER OR AOENT CONTRACTO �
<br /> Subsarlbed and awo to a(fl ed be re me}�Is Subscrlbed and' t aRirmed� re m 'ttit$-
<br /> b � — "f"v •bY� r
<br /> y ' ./ d��� � �' �
<br /> Who Islare personaliy knovm b.me or haslhave produced Who.le/are p.ersonaliyacnown�tc.me.or has/have-produced • �
<br /> " as IdentlBcatlqn. � as IdentlRcatlon.
<br /> Notery Public . Notary Publlc
<br /> Commisslon No`:'` Commisslon�No._ _ _ _ _ _
<br /> Name oi Notary typed,printed ar stamped Name of Notary typed,pdnted or atamped
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