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NOTlCE OF DEED RESTRICTIONS: 7he under�igned understands lhat tttis permit may be sUlajeCt to"deed"festriCGons" <br /> 4vhich may be more reskr�ctive than County regulatians. The undersignsd assumes respt�nsibility for comptiance with any <br /> •apPlica�3e deed restrictians. <br /> � UNLICENSED CON'fRACTORS AND CQAITRA.GTOR RESPI�N51BI�fT1ES: If the avmer has hired a aontractor or <br /> contractors fo undertake work,they may be required to tse iicensed tn accc3rdance�rrith state and loca3 r�gutafsons. If the <br /> cantractor is not iscensed as r�qvired by lav�, bath #he owner and contractor may be cited for a misdemeanor violation <br /> under state lav�. lF tt�e owner or intended contractor are uncertain as to�vhat Gcensing requirements ma}�appfy far tfie <br /> intended work,ihey are advised to conEact ihe Pasco County Buitding Inspection Division—Licansing Sectian at 7�7-847- <br /> 8009. Furtiiermore, if the owner has hired a cantractor or contractors, he is advised to have the contractor(s) sign <br /> portians of the "contracfor Block"af this �pplicaEian (or which they wili be responsibfe. If you, as the ovmer sign 25 the <br /> contracior,that may be an indication tl�at he is not properly licensad and is not entiiled to permitting privileges in Pasco <br /> County. <br /> 7RAR15POR1'AT10N IMPACTlUTIL171ES IFdPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> lhat Tra��partatian lmpact Fees and Recaurse Rec�very Fees may appiy to the c�nsfructinn of ne,°r bu'sidings,change of <br /> use in existinc�buildings, or expansion of existing buildings,as specified in Pasco Counry Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned also understands, thaf such fees,as may be due, tivill be identified.ak the tim�of <br /> pe�nitting. It is further understoad that Transportatic�n Ernpact Fees and Resowce Recovery Fees musf be paid prior to <br /> receiving a"certificate of occupancy"or finai power release. If the project does not invofve a certificate of occupancy or <br /> final power ralease, the fees must be paid prior ta permit issuance. Furthermore, if Pasco County Wafsr/Sewer lmp�ct <br /> f�es are due,they must be pa�d prior t�permit'sssuar�ce in accordance trith applicabfe Pasco Caunfy ordinances. <br /> CONSTRUG710N LIEN LAW(Chapter 713,Fiorida Statutes,as amended): if valuation oFwark is 52,500.OQ or rnore,I <br /> certify that I, the applicant, have bean provided with a copy of the "Florida Construcfion Lie� La4•t—Hpmeawners <br /> Pratection Cuide"prepared by the Ftorida Department of Agsicut#ur�and Consumer AfFairs. if ihe applicani is someone <br /> other than the"owner",i certify that i have obtained a copy of"the above described document and promise in good failh to <br /> deliver it to the"owner�priar to comrnencemQnt <br /> Ct?NTRACTflR*S/C}VttNER'S AFEIDAVIT: E certity that�fl fhe information in this applicatiar►is accvrate and#hat alI vrork <br /> will be done in compliance with afl applicable laws regulating construction, zoning and land development. Applir.atipn is <br /> hereby made t� obtain a permit to do work and insiaflation as indicated. i Ca�tif`y that no work ar ins.#aRation has ' <br /> carr�menced prior ta issuance of a permii and that alt work witi �e performed to meet standards of al( laws regufating <br /> construction, County and Cify codes, zoning regulations, and land devetopment regulations in the jurisdictian. I also <br /> certify that!undersland that tne regufations of other govemrnent agencies may appfy to the intanded worfc,and fhak ii is <br /> my responsibifity fo identify what actions I must take to be in camp{iance. Such agencies include but are not iimited ta: <br /> - Qepartment of Environmental Protection-Cypress Bayheads, Wetland A�eas and Environmentaily SensiGve <br /> Lands,WaterlWastewa#er Treatment. <br /> - Southwest F{orida Water Managernent Qistrict-Wells, Cypress Bayheads, Wetiand Areas, Altering <br /> Watercaurses. - <br /> - Army Gorps of Enginesrs-Seaevalts,Docks,Navic�abJe Wetenvays. <br /> - Department af Heaith & E2ehabi(ita[ive Services/Environrr�entai Heaith Unit-Welfs, Waste�vater Treatment, <br /> Septic Tanks. <br /> - US EnvitonmenG�l Pra2ecGan Agency-Asbestas aba#ernent, i <br /> - �ederat Aviation AuEhoriFy-Runways. i <br /> I understand that the folfawing restricGons apply tti the use of fiiL- <br /> , - Use of fill is not allanved in Flood Zone"V"un3ess expressty perr�Itted. <br /> - IF the fil► material is ta he used in Flood Zane "A", it is understood ihat a drainage plan addressing a <br /> . "compensating voiume"will be submitted at kime of permitting which is prepared by a professinna!engineer <br /> ticensed by tl�e State af Ftorida. <br /> - IP the fill m��rial is to be used in Fiood Zone "A" in connection with a permitfed bui(ding using stem wall <br /> constructi;di�,.l�certify.that fiA wiil he used only to filt the�rea tivithin the stem wal1� <br /> - If fit! ma��rial.,i$ to be'��used in any area, 1 certify that use of such fi11 wi31 nat advecsely affect adjacent <br /> praperti�s;"f�".Use of�II:is found to advet�sely�fiect adjacent properties, the oEvner may be cited for vioiating <br /> the coc5dij'sons cif the huilding.peimik issued under#he attached {�ermit agpiicaEion, for 3ois less than ona(i) <br /> acre which�re,,�levafe�i`b�r fil{,aci.en�in�ered drainage ptan is required_ <br /> if I am the AGEi�T FOR TN�''�uV?JER;�promise.in gc�iid faith to inform the owner of the permitting condiUons set forth in_ <br /> - this afftdavit prior tfl commencing�or�.Stsuction,.�l'.t�nderst�nd lhat a segarate per7nit may be required for etectrica3 Vrflrk, <br /> piumbsng, signs, weps, poals, air condiEioflzng; gas��or otf�er instatiations nat specifical(y inctuded in the appiication. A <br /> permit issued shall tie construed to be a licens��tp�proce�d with the work and not as auth�riry to violate,cancel,alter,or <br /> set aside any pravisions af the technical codes,nor sha11 issuancs of a perm'sE pravent the Building Oifcial trorn thereafter <br /> reguiring a conection of enars in ptens,canstructlan or vioSations oF any co8es. Every permit issued shap became invalid <br /> unfess the work authorized by such permik is commenced�vithin six months of parmit issuance,or if tvork authorized by <br /> the permit is suspended or abaadoned#or a period af s'sx(8}rnon#hs after tE�e 6me the vrark is commenced. An extension <br /> may be requested,in writing,from the Suilding O(iicial for a periad not to exceed ninety(90}days and will demonstrate <br /> 'istifiable cause for th�extension. IEwor}c csases far ninety(SO)cansecutive days,the jnb is considered abandoned. <br /> O �yls'�R��`•,' <br /> � �1 • � �t' � <br /> � p�1 ARN[NG TO OWNER: YOUR FA LUFiE TO RECORb A NbTICE OF COMMEI�CEMENT MAY RESULT IN YOUR <br /> °�� ��',< AYING TWICE F012 IMPRbVEMENTS TO YOUR PROPERTY. IF YOII E T'O OBTAIPJ PINANCING,CONSUI.T <br /> 4:, ,• <br /> � �°;%M, . o�`'�t JRH YOI3R LEIVDER OR Afi!ATt'OR�4EY'BEFOl2�RECC}RD1NG YQL3 ' ! COMMENCEMEt33. <br /> •^•• �ORtDa JURA7(F.S.117.03j <br /> Y rn � i�'����7 �,/j����?�il�'GGd�""�CONTRACT � ; � N "�''� <br /> X { � WNER pR AGENT_ <br /> � " � n � s rlib a swom�a or�t5msed}6efam me this Sa scn�Esed and swo n tn(or affirme efo�is <br /> � � fl � c�by_Z5 �4'S s5� �l'L*�h Il7 r5r,v� ��/S"��bY � �.�e!" <br /> m �j � = V'ho s/bee personally'kna��n to ma or as nave produr„�d Who islare rsonal{ o me or haSR�avo produced <br /> o �. tn p as idcntiFication. as identifrcatian. <br /> m SU tn ^ <br /> � � O � <br /> z w Z Z' <br /> , `�° '? T f=i - �- --- - NofaryPnhlta � ' 93'nr��.itd'sa.v,r�vs�..,rd.y <br /> � � m m mmission t���_�_���i �qmmission No�_�������_ �'`�y�`� S I�IIA JINI�NE2 � <br /> � � .,� -.� � •��' MY CQhiMiSSIOi�I k FF}99252 <br /> .� � C�-�— �=�----�! `_•`?r.��_..•����.��,..�.��_ ��y�z,zoi9 <br /> ,•�-.-- Name ot htotary typed,pnnted or stampeT— Namo of Nalary typed,printed pr s�amped °F�` <br />