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<br /> (VOTICE OF DEED RE�TRICTIOIVS: The und�rsigned under�tands°.that thi�:.permit.may.be.subJect to'"deed"restrictions"
<br /> which may be,more t�stcictive 4h�n�ounty-�regulatlons. �The'und�rsigned assumes responsibil(ty for-ccmaiplianoe witfi any
<br /> appllcable deed restrictions. �
<br /> 11NLICENSED CONTRACTORS AND CONTf�iCTOEt RESPARISI�ILITIES: �If the owner has hiri:d a contractor or
<br /> coe�tractors to undertake work, they may be requir;ed.to be-ltcensed in accordance.writh state.and•locat regulations. If the
<br /> con4ractor ts not licensed as requlred=by law, both the owner and�contractor may b� cited for a�misdemeanor violation
<br /> under state law. if the owner or intended=contractor are uncertaln as to what Iicenstng.requir�ments.may apply�:for the
<br /> intended work, they are advised to contact the Pasco County Buildfng-Inspectlon Divislon--Licensing S�ection at 727-847-
<br /> 8009. Furtherrnore, If the owrner has hired a contracto� or contractors, he is advised to have th� contractor(s). sign
<br /> portions of the "contractor Block" of this application for which they wilo be .responsible. I�you, as.th� owner sign as 4he
<br /> contractor, that may be an ind'ocation that he is not.properly Hcensed and is not entltied to perinitting ��rEdileges in Pasco
<br /> County. ' '
<br /> TR�INSPORTATION.IAAPACY/IITILI'TIES rMPAC1'AND-RE�OURCE RECO'�ERY��PEE3:_ The undersigned understand�
<br /> that Trensportatlon Irropact�Fees and Recourse Recove.ry.Fees may�apply�to:the construcQion of new bi�iidings,�change of
<br /> use in existing buildings, or:expansion-,of-�existin�'�6uildings, as speclfl�d.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also.understands, that such fees,.as=may�be�due,;wlll�be idenl:ified at the•time-of
<br /> permitting. It is furthe� understood th�t Transportation Impact Fees an.d Resource Recovery'Fees_micst be paid prior 40
<br /> receiving � °certifc�te of occupancy" or flnal�powe.r-release. :If�he project do�s not involv�_a.certific�Q� of occupancy or
<br /> final power release, tE�e fees must be pa(d ptior to permit Issuance. Furthermore;•�if Pascq County Vil'ater/�ewer-Impact
<br /> fees are due, they.must.be�paid prior to permit�lssuance-in accordance with applicable Pasco County ordinances. �
<br /> CON�TItUCT10Pi O.IEM ii.AV11(Ch�ptec 713� �loa#cla St�tut��o�s �mended): If valuatton of wor,k➢s$;z,500.00.or more, I
<br /> certify Qhat I, th� applican4, have been provided with a copy� of the "Florida Constructlon Lien. L�aw=Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Ag�fc.ulture and ConsumerAffairs. If the ap�pl(cant i� someone
<br /> othar than the"owner", I cerfify tha�I have,obtained�a copy of.the above..described document�and.pror�ulse in,good faith to ,
<br /> deliver It fo the"owner"p�ioc to•commenceQnent: '• `
<br /> CONTF3�ACTOR'S/OWNER'3 AFFIDAVIT: I certify.that•ail.the,information In this application is accurate and that all work
<br /> will'be done in compliance with all appltcable lawrs regulating construction, zoning and land development. Applica�tion is
<br /> hereby rroade to obtain .a permit to do wotk :and installatlon as indicated. .,1 certlfy that no work or Installat(on has
<br /> commenced prior to fssuance of�a perm(C and�that.all work will be pertormed to meet standards of ali laws �egulating�
<br /> construction, County and City codes, zoning regulations, �nd land developmenQ tegulations�9n the jurisdiction. ( al'so
<br /> certify th�t I understand that the regulations of o�he�government agencles m�y�apply�to the intended work, and that it is
<br /> my responsibility to identify�what.actdons I must t�ke to be,ln:_conlpliance. S.uch agencles-include but ar�3.not Iimited to:
<br /> - Depa�tment of E�vironroiental Protection-Cypress.Bayhead�, IOVetland Areas and Envlrorumentally Sensitive
<br /> Lands,WateNWastewater Treatment. �
<br /> - Sou4hwes@ Fiorida Vliater Management .District-Wells, Cypress. Bey.heads; Wetlancl Areas, Alter3ng
<br /> Watercourses.
<br /> - Army Corps of Engin�ers=Seawalls, Docks, N�vigable Waterways.
<br /> - Department of Health'8 ReMabllitative Services/Environment�l Health Unit-NVells, Wast��water Treatment,
<br /> Septtc Tanks. ,
<br /> - US Environmental Protectfon Agency-Asbestos abatement.
<br /> - Federal AviationAuthority-Runways.
<br /> I understand that the following.restrictions'apply to the use of flll:�
<br /> � - Use of fill is not allowed in Flood Zone"V"unless expressiy permlQted.
<br /> - If the fiil material is #o be used,.in. Flood Zone "A", IQ is under§tood Qhat a drainag� �plan addressing a
<br /> °compensating volume" will be subm(tted at time of permift(ng �vhich is peepared by a pr�fessiona) engineer
<br /> licensed by#he StaQe of Florida.
<br /> - If the fll material Is to be used In Ftood Zone �A" in4 connection �uith�a permitted buildir�g using sQem wall
<br /> � construction., I certify that fill.wall�=be used only.to.flil the area wlthin the stem wall.
<br /> - If ffll material is to b� us�d in any area, I certlfy that use. of such fill wfll not adversE3ly affect adjacent
<br /> properties. If use of flll Is found to adver�ely.�ffect ad)aEent properties,.the owner may bE� clted for violating
<br /> the condi#ions of the building:p�rmit issued�under the_attached perm(t appiication, for lots; less than one (1)
<br /> acre which are elevated by fllt, �n englneered dralnage plan i�required. .
<br /> If i am the AGENT FOR THE OWNEIt, I,�promise in good faith to Inform the o�rner of the permitting conditions set forth In
<br /> this a�davit prior to commencing construction. E understand that a�separate peronit may be requtred for electrical work,
<br /> plumbing, signs, w�l6s, poois; air conditioning,.gas, or othec installat(ons not.specifically included�in ilhe application. .A
<br /> permlE issued shall be constcued to be a Iicense to-proceed uvith tlie vvork arad not as.authority to..viol�Re,cancel, altee, or
<br /> set aside any provislons of tfie techraical codes; nor shaii issuance�of a.perrr�lt.prevent the Bulldtrig Offii�Qal from thereafter
<br /> requ6ring a correction af errors in.plans; construction or violations of any codes. Every permit issued sFiall become invalid
<br /> unless the work authorized by such permtt:�s.commenced�withfn sfX months of permit issuance, or if udork authorized by
<br /> the permit ds suspended or.abandoned for a period of six(6)Pnonths.after the tim�the work t�commenced. An extensfon
<br /> may be requested, in writing, from the Building,Officfal for a perlod.�not to_�xceed nfnety(90) days and�_will demonstrate _
<br /> justifiable cause�Tor.Qhe exfension. If work ceases fo�nln�ty(JO)cons.ecutive days,.th�)ob�6s consider���aba�doned.
<br /> VIlARNING TO Oli�NiER: YOUR.FAILUItE TO RECARD �► IVOI'IG� OF COMMEMCEMENT IVtAY �E�SIJLT IN YOUR
<br /> PAVIfVG TWICE FOR iMPROVEN!@NTS TO YOU�PROP�RTV. IF YO.U�IfVTEMD�'7'O O�T�11N�FIId�APiCING,�COR1Sl1LT
<br /> WITH YOUR LENDER�OR AN�4TTORNIEY BfFORE-RECAR��ING YOUR IdOTICE�OF COIVIAAENCE��EWT: '
<br /> FLORIDA JURAT(F.S.1.17.03) � �
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<br /> Od11NER OR AGENT C"' ��"�� CONTRACTOR--�-1�G,f,��`'—
<br /> Subscrtbed an b�wom to(or a(fl ed)before me this Subscri�d ar�'.sdvs to(or afftrmedpbefore me tfiis
<br /> _/� % • Y
<br /> Who islare personally knowm to-me or haslhave produced Who Is/are erson known M me or haslhave produced
<br /> as IdenUflc�tlon, as Idendficaflon.
<br /> Notary Public _ ���X�'�-- _Notary Publlc
<br /> Commisslon No': Comml�s on No
<br /> ;:o�x�;'i n��:�''., F1 l . � •
<br /> :: �k= C%G'T1�t�ssio!���. FF 150422
<br /> Name of Motary typed,printed or stamped Name of Idotary ,,�� l�il cr�►S� �'�°���� �
<br /> '�qi e„'�� "ouoderi .u1;nyF.inlnsurareBC0.385d019
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