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<br /> NOTICE OF DEED RESTRICTION�: The undersigned understands.;th�t�this,'.p�rmit,may.be,sub)e.ct.to,"deed,",restrictlons°: . F^-
<br /> which may tie,more.restflctive�th��t County-�negr�latfons:'�The�unde'rsigned�nassumes'responsibiltty'for coinpUance'with any' `-�
<br /> applicable deed=resMctions. ,.-. ,, :: _ •-- �- ._ � . _. - `' " �
<br /> UNLICENSED�-CONTRACTORS AND CONTRACTOR RESPONSI�ILITIES: =1f-the owner'has hired' a contractvr or
<br /> cont�actors to undertake work, they m�ay:be.r,equired::to.:be;llcensed ln�accordance:with state:and�local:.i�gulations: �If°the•.� ' •- �
<br /> contractor�is-noE licensed,as�requlred'6y law, both the owner and�oontracto���may�be��clted�for a�misd�smeanor violatlon
<br /> under state law. If the owner or Intended;;contra�or�are,uncertain as to what Iicensing.requireRnents.�Qnay�epply ior:�the - -
<br /> intended"work�tliey are advised to iiontact tFie-Pasco County Bullding`InsPeatton,Dlvision-l:icensing�Soction at 727-847-
<br /> 8009. Furthermore� If the owner'has'Filred a cont�acto� or contractors, he is advlsed to have �the �contractor(s),,sign
<br /> ..:. ,,�...�_. ,_.-,,,. , . .
<br /> portfons of the "contractor Block" of..this application for which.,they.will,�be-.responslble. =If.you; as:the owner sign�as°'the '
<br /> cont�actor, that tnay�be an indicatfon that'he�1s noY"properly licensed'�and"is not�entiNed to pemiitting paivlleges in Pasco
<br /> County. - - n,,,..R,
<br /> TRANSPORTATION•IMPACTIUTILITIES�I�IIPAC7��AI�b RESOUItCE.RECOVERY�FEES:�The undersigned uhderstands �
<br /> that Transportation Impact Feas�and.Reco.urse Recove.ry.Fees may�-applyv-to�ti�e_constructlon,of new buildtngs�Jchange''of"- ` •� �
<br /> use in existing buiidings; or�ezpar�slon��-of��ezisfin��buildings, as speclfled.in Pesco County O�dinance number 89-07 and ;
<br /> e0-O7, as amended.,,..The undersigned also.understands, thait�such fees;;as,may__�e�::due;�will��tie.fdentilled at the�time�ofi a =°� �
<br /> permitting. It Is fu"rtlier understood that Tra�sp�ortation Impacf Fees and�Resource;Recovery;Fees,.must be paid prior to �
<br /> receivtng-a 'certiflcate��_of occupancy"�or��flnai•�power;release.�:lf�the project;does�:not involve�a�.certfficata of occupancy�or��=���`�' ''
<br /> flnal power release;__the fees mu�t tie paid,p�ior to,permit Issuan�ce. Ftikthermore;ff:Pasco.,County`1N�terlSewer:lmpact :• . . ;
<br /> fees are due�.they.must:be,,paid-prior�o.permit-lssuance;�n.accordance wltF�appllcatile.Pasco'_County�o�dinances. •
<br /> COtdSTItUCTIOId"LIEN'LAW�(Chaptar 713� FlorJda Statut�s�as amended): If valuaHon of work is$2,500.00;or•more;.I� „
<br /> certify that I, .�he.-applicant,. have„been ,provided•�with a=copy�of the�"Florida� �onstruction� Lien °Law—Homeowner's
<br /> Protection Guide" prepared by,the Flori'da Department of Agrfcultqre and Consum�r;Aifairs. if the appeicant Is someone , -,
<br /> . „
<br /> other than the°owner", I certifjr that l,;have.obtained�a'°copy.of the;abovs.desc�ib"ed`tlocuri�ent�and.ptoml��;ln;good failh.to _:;
<br /> deliver it to=ihe'owrie�"':p�ior to�commencemenE:" "� ` '� � � - � �
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I.ce�tity;,tti�t-all..th�,information,in°thi�applicatlon is accurat�.and that all work '
<br /> will'be done in compli�nce with all applicable laws regulating construction, zoning and�land developme�nt. Appltcation Is
<br /> hereby made to obtain .a .pecmit;,Co-,do..:_w,..o�lc,;and�installatlon as indl�afed:-�:-�1� certify that no work�or Installation has
<br /> commenced prior to I'ssuance of'a perrriif"and that.all work will be pertormed�to meet standards of all laws regulating-
<br /> constructton, County and City codes� zoning regulatians� and land development cegulations�in the:juPlsdtction.� I al'so
<br /> certify that I understand that the regulations of othe��government agencies may�apply�to the_Intended work, and that it is
<br /> my responsibility to identifjr•what.actions I must�take:to be,in�comp�lar�cs., S.uch agencles include but�are.not Iimited to: � ;
<br /> _ - Department of�Er�v(ronmental�Protectton-Cypress. Bayfiead�, Wedand Areas and Envtronmentally Sensttive ;
<br /> Lands�WateNlNastewater Treatment. . ,. y �
<br /> - Southwest Florida Water Management :I�tstrict Wells, Cypress. Bayheads; Wetland Areas, Alter�ng �
<br /> �
<br /> Watercourses. ' '
<br /> - Army Corps of Engineers-Seawalls,"Docks, Navigable Waterways. ;
<br /> - Department of,.Health;�8 Ret�abllltative Services/Envttonmen#al.-Health Unit-Wells, WasteuYater-Treatment,
<br /> Septic Tanks:. � � , : '
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal�.Avlatlon:Authority-Runways�� '
<br /> I understand that the folloiwing:�eswlctlons apply'to the use of flil:• �
<br /> - Use of flll Is not allowed In:Flood;Zone"V"unless expressly perm(tted. �
<br /> - If the =flll materlal-"is to'be used_ In �flood Zone. "A", It- is understood that a dralnage pls�n addressing a
<br /> "compensating volume" will be subml.tted at tlme of:petmitt)ng which is prepared by a professional englneer
<br /> Ilcensed by'the State of`Flo�da: , �. �� � . - �
<br /> - �If ihe fill material�is to-be�used In Flood �one 'A" In�connection�with�a�permitted bullding using stem wall
<br /> � construction, I certify that fUl�:w111=b.ePused only.to flll the area within�the stem�wall:
<br /> - � If flll material is to be used In any area; I�6ertify t#�at .use. of such flll wiil not adversely� affect ad)acent
<br /> properties. If use of flll Is.found to adversely:�ffect adJacent�properties�.the owner may be cited for violating
<br /> the condflions._of the building�.perniit.Issued.under the_�attached�ermit �pplicatlon;for lots�.s�ss.than.one (1)
<br /> acre which are elevated�by f111,a�englneered dralnag�plan is�required.
<br /> If I am the/s►GENT FOR THE-0IMNER, I�.promise In.good fatth to Inforra the owner of�the permitting condftlons set forth in
<br /> this aKdavtt'prtor to commencing constructlon. "I understand that_a�separate permlt may be requtred fo�elecMcal'work, �
<br /> _.4....�.�s_
<br /> plumbing,..signs,.wells,.pools;. alr condttioning,-.gqs, or otMec Install�tlons not�spec�ically inclu�ed tn.th� application. .A « �
<br /> permit Issued §hall be construed to be�a�Iicense�to proceed with`tNe_work and�not-as:authocity to..vialate,`cancel. alter, or
<br /> set aside any-provisions of the.techn(cal.codes;�nor shall issuance�of a.permit.prevent the Bulldirig Offici�l from thereafter
<br /> requlring a conection Qf,eRors In.plans;consCruction or violatlons of�any codes. @very��p'ermlt=lssued sfiall�become invalid
<br /> unless the work authorized.by such permit:�ts.commenced•within sf�c months of�permlt issuance� or If wo�k authorized by
<br /> the permit is suspended oc.abar�doned•for.a;period�of�six�)�montf�s.aRer the,time�the�work�is commen�ed. An extension
<br /> may be requested, tn writing, f�om the.�Building,Officlal for a period.�not to exceed=ninety�(90)=�days a�d wrill demonstrate
<br /> justifiable cause for;the extension. If work ceases�for ninety(90)cons.ecutive�days...th�)ob�is consldered aibandoned: -
<br /> WARNING TO OWNER: YO.UR..FAILURE�TCl,R�EC.OltD A.MOTIGE.OF•COMMENCEMEMT NFAY RE�ULT IN�YOUR
<br /> PAYING 7WICE:FOR.IMPROVEMEN�S�TiJ YO.UR::PR�PERTY:��IF°YO.U�I�V�'Et�ID:TO'�OBTAIN��FINAI�EfNG,'CONSULT _ _ _
<br /> WITH YOUR LEL�D�R�OR-e4(V�-ATTORRlEY�BEFOR��13-ECS�R�IN�:;YnU�'L�°�LCE'OFrC°IWI�IEPIC �PIT' �
<br /> FLORIDA JURA�(F:S:1.1 T 3� - � � � ' -
<br /> OWNER OR AOENT CONTRAGTOR
<br /> Subscribed and " M before thls Subsctlbed and'swom�to(ot aftirmed)�before me�ttit$. �
<br /> .by... -
<br /> Who i e pe►sonaliy novm to.me or haa/h�ve produced Who.ls/are persanellyknown•to me or healhave.�prodi�ced • •
<br /> � ae Id'entlBcatl4n. as IdentlflcaUon.
<br /> Notery Publlc . Notary Publlc
<br /> �� .
<br /> Com sl '�.�;-., ,IAC UELINE@ GES CommisslonNo._ _ _. _ . •
<br /> ;;;' �'.;. •:R_ Cc:nmission#FF '
<br /> :�: `�—:r° Fxoires December 12,2018
<br /> Name of ,pNnteid��drs[ari�eieeoa3esaois Name of Nolary typed,prinled or stamped
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