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<br /> NOTiCE OF DEED.RE$TRICTIONS: -The undersigned:undergtands�-,th�t:ihi�.;p�rmif.may,be.sub)e.ct to_a"deed"cestrictions°_�._�_,,��,�'�
<br /> which may:be�more:r.estticttve=th�n County"�regr�lattons: �The und':erslgned�assumes�re"spon'sfbiltty for`com'"pliance`withJ�any` �
<br />' applicable deed_restrictions. - _. � � - . :_ ,_• . �� �- � � -
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<br /> UNLICENSED�CONTRACTORS AND CONTRACTOR RESPONSI@ILITIES: �If-�the��owner=has�`hir�d'�a�conffactar or
<br /> contractors to undertake work, they may,be;requlred:to;be•:Iicensed.in accordance.:with•state.and;local_regulations: If�the� �� � ��
<br /> contractor ts-not�Itcensed as'required'�tiy�lew, both�the owner and:contiactor=rriay be�cited��for'a�mfs�emeanor violatton
<br /> under state law. If the owner ar Inten'ded:�contractorare,uncertaln as to what iicensing.,requlrements;mayhepply<icr>the ��• - �
<br /> i intended work,"they are advised to contact tlie�:Pasco�Counly Building.7nspectlon Divlslon:-Llcensing�Section at 727-847-
<br /> 8009. FurtFiermore, If the ovmer has"�hlr�d'a�cohVactor a�contractors, he is advised to have the contractor(s),.sign ,
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<br />, portions of the °contrectoc Block" of thls_application.for,which they will.�be:r.esponslble. if:you,�as-.fhe.owner'stgn'�'as'the' ` � �
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<br /> co�tractor; that�may'be an indlcation that�'Fie is'not:p�operly-flcensed�and°�is�not�entftled to permitting privlleges tn Pasco
<br /> County. , ' . . ..:_ .,. .,.�' :.�;._:::. ,.
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<br /> TRANSPORTATION�IMPl4 � � .
<br /> CTIUTILITIES=rMPAC7�ANb�RESOUItCE RECOYERX�FEES: °The undersigned understands
<br /> that Transportetio� Impact Fees:and.Reco.urse Recove.ry_.Fees may::apply:�ta tf�e.construction_of new buildtngs�?change~of"������_ ''•
<br /> � .
<br /> use In existing bulidi�gs, or:expar�sl�irof�ezlstin��buildings, a§ specffied.in P�sco County Ordinance number 89-07 and •
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<br />� 90-07, as amended.,�;The.undereigned also,understands, thait:•such fe.es;:,as,may:_be�sdue;.wlll:�be ident�ted at the�time;of'�� �- � �`
<br /> permitting. it Is furtFie�understood that Tra�sportation Impact Fees and Resource:Reco�ery�Fees.mu�t be pald prior to
<br /> rece4vtng�a "certiflcate-of�occupancy" or flnal�power-Release. :If�the project..does.not.Involve�a�certiflcate of occupancy�o����'�-'"• '�'
<br /> flnal powec release,.ihe=fees mu�t be paid,p�ior to,permit tssuance. Ft��thermore;if:Pascv>County�°W�ter/$ewer�:lmpact . � .
<br /> fees are due,,they_must be-,pald:.prior to.permit::iss,4ance=ln�accord_ance.wltFi�gpplfcable_Pasco'��Gounty ordinances. •
<br /> CONSTRUCTION�LIEN'LAYII Clia te�713 Flor�da Statuteg e a • - �
<br /> ( p �, ��s am nd d). If valuatlon of work is$�,500.00.or-more�-I� : �,:�
<br />' certify that.1, the �applicant,. have�been .provided��wtth=a �copy of the��"Florida� Constructton� Lien �L�v�—Homeowner's
<br /> Protection Guide" prepared by.the Flo�ida-Departme�t of Ag�iculture.and,ConsumerAffairs. if the applicant is someone: ,.. 4_; <
<br /> other than the`owner", I certiry►;.that,l�.h�ve�.obtained�a copy.of the',abQve.rf�scribed document-and,prom�se`Jn,good_:faith-.to .
<br /> deliver It to.the�`owner";p�ior'to�cornmencement:` � ' ' ' - = � � ' ,_
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certity,:that�_all�,the�lnf.ormation.lnuthl�appllc�tion is accurate.and that all work
<br /> will'be done in com liance with all.a �Iicable laws re ulatin constructlon zontn and�la °
<br /> P PP 9 9 � . g ., nd developm�nt. Applicatlon,is
<br /> hereby made to obtain .a permit�:to�do.._�or`k�,and�installation as indlcated:-y.•.I-ceitffy that no work�5or Installation�has
<br /> commenced prior to issuance of a permif"and that:all work will be pertormed�to meet-standards-of�all laws regulating�
<br />� construction, County and City codes, zoning regulatians, and land development tegulatlons�in the Jurisdlct(on:� I�al'so�
<br />� ce�ify that i uadersl�nd-that the regulations of other government agencies may�apply�to the.intended�rork, and that it ts
<br />', my responsibllity to identif�'rJwhat.acttons I mu�t•teke;to be�in�compllance;_.Such,agencles include-but�are.not Ilmited to:,-
<br /> - Depa�tment of E�ivironmental�Protection-Gyp�ess.�Bayh'ead�; WeNand Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment. '
<br /> ,�.r
<br />' - Southwest Florlda Water Management .District Wells, Cypress. �ayheads;- Wetland Areas, Altering
<br /> Watercourses. - �
<br /> - Army Corps of Eng(neers-Seawalls, Docks, Navigable Waterways.
<br />� - Department of, Health::;8 Ret�ablNtative;.Services/Environmen#aI;.Heaith Unit Weli.s; Wastewater�•?reatment, �
<br /> Septic Tanks. ' � . _ ,
<br /> - US Environmental Protection Agency-Asbestos abatement...
<br />� Federal Aviativn_AutMority-.Runways�� ,,'
<br /> I understand.that the.foilowing;:"restrl`ctlons apply�to tlie use of fliL••
<br /> - Use of ftll is not allowed in.Flood:Zone"V"unless expressly permitted,
<br /> - If the�:fill mat"e�lal=ls to--b.e used:`In��Flood 2one. "A", tt is understood that a drainage plan addresstng a
<br /> "compensating volume"will be submilted at time of=permift)ng wh(ch ts prepared by a prof�ss(onal engineer
<br /> Iicensed by#he�tate of Flottda:� �"' � � �
<br /> - If th� flll-mate�lal�ts to�be�used In Flood Zone 'A" in�connection�with:a�permitted building using stem wall
<br /> construction, I certifjr.th.at flil�:wall=be-used only.to ilil the area within the�stem�wall:
<br /> - if flll material Is to be used in any area; I �certify that .use of such flll will not adversely affect adjacent
<br /> praperties., If use of fill.is found_to.adversely,�ffect ad)aEent�pcoperties�.the owner may be clted for violating.
<br /> the condlilons_.of.the b�ilding;permit issued-under tlie.`atEached,.permit appllcatlon� for:lots�.less:.ihan.one (1)
<br /> acre wfiicFi are elevated�by illl;a�r engineersd dralnage plan is requtred. �
<br /> If I am the.AGENT FOR THE OWNEIt; I;.promise,In good fatth to Inform the owner of�•the permitting condtttons set forth In
<br /> this affidaVtt'prior to�commencing consbvction. I understend thet a�separate permit may be requlred for electricel work, ,
<br /> plumbing, signs, wells,.pools; air condtdoning,.-:gsls, or otMe� InstatlAttons not,spec�ically Included�tn.tFae�application. .A .
<br /> permit issued shall be consfived to b'e�a°license to�p�oceed with�the work and not-as:authoHty to.violat�,'cancel, alter, or
<br /> set aside any provistons of the.teclinical codes;�nar shall issuance�of a.permlt.pcevent the Bulldirig Officla!from thereafter �
<br /> requirin a conection af ercors in- lans; const`riictlon.or violatlons of�an codes. Eve
<br /> 9 . . P y ry permit=lssued sfi�ll�become invalid
<br /> unless the work authortzed.by such permit:�ls.commenced•wtthtn sUc m.onths of�permit Issuance� or if�nrerk authorfzed by
<br /> ihe permit is suspended�or:abandoned;for-a�:pertod of�six-;�)montiis aRer the tirt�e the�work�ts commenaed, An extension
<br /> may be requested, tn writing,__from the Building,Offlclal for a period•�notzto.exceed�ninety(90) days a�d�will demonstrate
<br /> Justifiable cause for.�ihe extensior�. If work ceases:for ninety(90)cons.ecutive:day.s...th�job�is.considered abandoned:
<br /> IMARNING TO OWNER: YOUIt..FAILWRE�TO,REC.ORD,A::.NOTIGE:OF:�COMMENCEMENT,MAY-RESULT IN YOUR
<br /> PAYING TWICE;I=OR�IMPROVEMENTS�TO.YOUR��:PR(�RER-TY:�°I�°.YO.UaIIV��E1zID'T���68TAIN��FINiI�C1�1�1NG;�C.ONSULT
<br />_y WITH YOUR LENDER:OR AI1FA'�TORNEI��$EFORB�RECOR�Ip���YOUR'NOTIC�"OF�'�dMA�IEN�E�IM�Nl':__ '� _ _
<br /> FLORIDA JURA�;(F.S:1.17.03) ._ _ . .... - - -- -_
<br /> OWNER OR.AOENT 1:�.c�X Gn� ��e�. _. �,� CONTRACTOR �r�•,��� .Q u�u�, l�. ,c n on �
<br /> Subsarlbed and swom to(or affl ed)betore me thls Subscribed and'swom•to(ot a��efore me�ft119
<br /> by .by
<br /> 1lVho Islare personally known to.me ar hasihave produced Who.ls/are:p.ersonallyknoinm•tu me orhas/t►av.eproduced� �
<br /> as IdenUficatl4n. as Identl8ca0on.
<br /> i..___.M_ , //
<br /> ubllc _ � Nofary Publlc
<br /> Commis •;�'�+`�°v;�., JOEL E.BACON
<br /> . Com lon. . ,�,�,,,,
<br /> :�; ;.: .
<br /> �: :o;: Expires June 29,2018 ::`� :�. Commission#FF 137073
<br /> Name of Nota � , n Name of Nota - ' n
<br /> •,,p����, _ a�de ce 8003857019
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