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, � � � '°+`,-' ' '` '�� • _ • ..,. ' ' �„ <br /> r ' - <br /> . � I � <br /> i <br /> NUTiCE tJF DEED RES RiCTit�NS: The undersigned unders#ands that this permit may be subject'to"deed°testrictions" <br /> whlch may be more resfr�cfive fh�an County reguiations: The undersigned assumes responsibitity for campliance witii any <br /> applicable deed restnct�o�s. ' <br /> UNLiCENSEC► CCtNTR/�CTORS AND CQNTRACTOR RESPONSlBlLITIES: If the owner has hired a conti�actor qr <br /> contractors#o undertake wotk, they may be required ta be iicensed in accordance with sfate and 4�cal regulations, tf the <br /> contractor is not ticense� as re�uired by law, bofh fhe awner and contracfor may be cited for a misdemeanor violatFon <br /> under state law. !f the owner aF lntended conh�ator are uncerfain as ta what liaensing recjuiremenfs may apply for the <br /> intended wark� they are i dvisedi ta contact#he Pasca Couniy Building lnspection Division—Licens��ng Section at 727-847- <br /> 8008. Furthermore, if t�e owner has hired a conttactor or cantraaEors, he is advised to hav� the con#ractor(s} sign <br /> portions of fhe "contract¢r Btock" of this appticatian for whieh fhey witi be responsibie. If you, as the awner sign as the <br /> cantractor; that.may be an indidafion fhat he is not property iicetised and is nat entifled ta permitEing privileges in Pasco <br /> County. ��. , � . <br /> TRANSP+DRTATION IM ACTIUTILITlES iMPACT AND RESClURCE REC�VERY FEES: The undersEgned understands <br /> that TransporEaEion tmp c#�Fees and Recaurse Recovery Fees may appiy to the construCtit�n of neW buil8ings, change o€ <br /> use in existing buildings or expansion of ex�sfing buitdings, as specifieci in Pasco Counfy Ordinaerce number 89-07 and <br /> 90-Q7, as amended. T e undersigned also understands, that such fees, as may be.due, will be idenfified at the fime af <br /> permitEing. 1t is further nderstood that Transpartatian Impact Fees and Resource Recovery Fees must be paid prior�to <br /> receiving � °certificate of occupancy" or final power release. ff the praject does nat involve a certifca�e a#occupancy or <br /> final power release, the�fees musf be paid prior ta permit issuance. Furthermore, if Pasco Caunfy WaterJSewer tmpact <br /> fees are due,fhey must be paid prior#in permit issuance in accordance with applica6le Pasco Caunfy ordinances: • <br /> CONSl'�UCTi�N E.i�N LAW tGhapter 713, Flarida Statu�es,as am�nd�d)`. !f va�lua#ion of vuork is$2,SOO.qO or rnore, 1 • <br /> certify fhaE 1, the appfi anf, have been prawided with�a copy c�f the °Fiarida Constructian Li�n Law Homeowner's <br /> Protect9on Gufde" prep red by'the Fiorida Department af Agricuiture and Cansumer Afifarrs. if tho appiicant is someane <br /> ather�than th�°ovtiner", certify�#hat�I�have abtained a copy of the above described dacument and promise in good�faifh to <br /> deliver it fo the"owner" rior ta commencement. � . <br /> CONTRACTOR'SI�W ER'S AFF1DAVtT. I certifjr#hat all th�informaffon in ihis application fis accurate and that afi work <br /> wil! be done in camplia�ce wltii alt appticable laws regula#ing consfructian, zoning and iand devetapment. Apptication is <br /> hereby made to obtain a perinit to do work and installation as indicated. 1 cerfify that no wark or instatlation has <br /> cammenced prior to issuance�of a permiE and that a!I work wiN be pertormed to mee# starrdards of all laws regulating <br /> construction, County a'd City!cades� zoning regutafians, and land development regutat9ans in the jur9sdiction, ! af'so <br /> certify tha# I undersfan�fhat#Fie regutafions �f ofher gvvernmenf agencies may apply fo the intended woric, and fhat it is <br /> my cespanslbil4ty ta ider�iEi€y what actions !must take�to be:in compliance, Such agencies inctude buE are not[imited fo: <br /> - Deparfinent af Environmentai Pratection-Cypress Baylieads� Wetland Areas and Env9ronmer�ta!!y Sensit�ve � <br /> Lands,V11a erlWastewater Treatrrtent: , <br /> - Southwest �Flarida Water- Management District Wells, 'Cypress Bayheads, Weftand Areas, Aitering <br /> Watercour�es. ` ` ' � - , <br /> � - Army Corps of.Engineers-Seawafls.,Docks.�tav3gable V1laterways. <br /> - Departme t of Nealtii�`Reiiai�ilitafive ServiceslErivironmentai Nealth Unit Wells, 1Nastewater._Treatment. <br /> � Septic Tan s. � • _ <br /> - US�Envir+� mental��Protection Agency-Asbestas abatemen#. <br /> - Federai A ia#ion Authority-Rarnvays. <br /> I undersfand that the f�8owing�resfricfions apply ta the use af fiii: � <br /> - Use af fiA i� not allawec!i►i Flood Zone°V"unless expressiy permitted. <br /> - if #he fif) matetial 4s to be used in Flood Zone °A", it is understood thaE a drainage pian addressing a <br /> ".compens�ting vayume" wifi be subm�tted at�#€me of pert�riitt�ng which is pregared by a professiona!`engineer <br /> ticensed b�fh�St� te of Florida. ` � � � ' <br /> - !f the fii! ate�ial�is to be used in Flood Zone "A° in conriection wiEfi a permitted building using,s#em waii <br /> constructi�n, !cert#fy that fi!!vui!!be used only to filf the area within the stem wall. <br /> - lf.flil materiai is tcr be used in any a'rea, 1 certify that use of such fill viril! not adversely affect.adjacent <br /> � properties� if-use of flt is found to adversety aifect adjacent properties,the owner may be c�ted€oc violat�ng <br /> , the candit�ons•of Efhe building permit issued under the af#aaheii pecmif appiication, f�r lat� less than one ('f) <br /> acre which are elevated by fill,an engineered drainage-plan is required. <br /> If i am the AGENT F�R THE�OWNER, i promfse in good fai#fi#o inform the owner of the permitfing conditions set forth in <br /> this af�idavit prior to cammencing constructian. i unders#and that a separate permit may be required far electrica! work, <br /> piumbing, signs, welfs�, pools; atr conditioning, gas, or ofher�instailations not spec3ficaily 'rnciuded in the applicatiori. A <br /> permit issaed shali bet canst►ved to be a licer�se to proceed with the work and not as aufhority to.vioiafe, cancei, aifer, or <br /> set aside any provisio�s of fhe technicai codes, nvr shali issuance af a permit prevent the Building Official fram fhereafter i <br /> �equiring..a:.correation:�af..errors.in.:pla�ts,:.cons#rucfion.oT violaf�ans of any cocles. �ve.ry permft issued shall,:beco�rte�iraYalid- -- <br /> unless the work aukhorized by such permit is aommenced within six months of permit issuance, ar if work acithor�zed by <br /> the permit is suspended or abandanec!far a periad of six(6)months after ftie fime the work is commenced. An extension <br /> may be�requested, fin�writing� fram the Buildtng C)ff'tcia! for,a-period no't to sxceed ntnety.(90) d�ys and witl demonstra�e <br /> jusfifiabte cause for#h�e extension. if wot'ic Ceases for ninet}!{90}consecutive days,the,�job is cans�deced abandoned. , <br /> �- �iil'ARNIN�TE'D (J1NN�l�:_.Y_QUR �AlLURE TO RECCIRD A NOTiCE UF CUMMENCEMENT itAAY�RESULT tN YOUR • <br /> RAYiNG'`fWlCE_F<OR1MP_.R�VEMEN ST `T'O Yt?ftf�t•P�?.ClPEl:-T-1(.-l�.YOU INTEND�TO.UBT141N FII�fANCtNG�,CONSULT <br /> WiTH'1fOUR LENDER t3R,AN:ATTCiRNE " EF'QRE�R�C(?RQlNG YOOR<NOTICE�C)F�G(9�f1i1��iY�E�4'IEP33'.-` -__.._.__ <br /> FLOR(QA Jt1RAT(F.�) .� � ., . , , <br /> %_ � " <br /> OWNER.OR AGE � r CONTRAC7'O!2 ��./'. ,� „ <br /> Subscri ed and swam fo(br TT��Ij before_�Ne thts ' � Snbscribed and swam to r aHirmed fore me this <br /> �4 /T by � �`-/i'�'G//'P./CC,.7`Cr'tiP .L_2-�.��Y_.._._r�''1�iC"��e.�eri ts+-`�-P <br /> Wfto i5/afe persoitatiy knowr�t to me or has/have produced Who Islar�personally knawn to me or has/have produced <br /> ; as�tdenti�ication. as identiiicaUon. <br /> �. i � � . .' .. . <br /> / I � Notary Pubiic � i - Nofary Public <br /> ��,��._,-'. . . . <br /> Commission IJo. ' t►� �„��� Commtssfion No. 4�r�g, ' <br /> �' �+' � .�;•••;�o p00G Bl1i�LE1�` <br /> ,� * MYCQMN{l3510N#��93535,4 <br /> Name of Notary typed,printed � d�o�,�� 8trem r ,2019 htame of Natary typed.printed ar stampe�t , �` c:Xpj�E�;Novembet 11,�2�0 9 <br /> '� � �N°��� `� �4t � <br /> ��fl,oP Bar,drJThnfBu�gMNotarySeryirea <br />