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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned under�tands�:.th�t this.��r:m�tmay.be.subJect to"deed"restrictlons"
<br /> which may be:more�r.esttictive tha��t County r+agulatlons. 'The underslgned assurries responsibility for compltance with any
<br /> applicable deed restrictions. �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITiES: If the owner has htred a contractor or
<br /> contractors to undertake work, they may be�required�to be:licensed In accordance.wlth state.and•local regulatlons. If the
<br /> contractor is not Iicensed as required by law, both the owner and contractor may be clted for a misdemeanor violation �
<br /> under state Iaw. IF the owner or Intend�d�wntractor�are�uncertaln as to what Ilcensing.requlre�nents may apply��for the
<br /> intended work, they are advised to contact the Pasco County Bullding Inspectlon Divislon—Licensing Section at 727-847-
<br /> 8008. Furthermore, If the owner has hired a cont�actor or contractors, he is adv(sed to have the contractor(s) sfgn
<br /> portions of the "contractor Block° of thls appllcatlon for which they wlll be responsible. If you, as.tha owner sign as the
<br /> contractor� that may be an indication that he Is not.properly flcensed and is not entltled to permittfng privlleges fn Pasco
<br /> County.
<br /> T!�l��PORTATION-1lIAP-i�CT/diTLLITi@S IMPACT AP�D-R@SOUitCE RECOVERY FEES:=The-underslgned-understands- -
<br /> lhat Transportation Impact Fees:and.Reco.urse Recove.ry.Fees may;:apply to:the construcBon of new buiidings, change of
<br /> use In existing buildings, or,expansi�n��of•sxtstin�g:ibulldtngs� as specffied.(n Pasco,County__Ordtnance number 89-07.and
<br /> 90-07, as amended. '�he undersigned also understands� thait�such,fees�.as��tnay.�be�:dne,:wlll��tie Identlfied at the time of
<br /> permitting. It is further understood that Transportatlon�.lmpact Fees�ar�d�Resourae�Reco�ery��Fees must be paid prfor to
<br /> recei�ing a "certiflcate of occupancy" or flnal�ower..Gelease. :I��the project does not�Involve`a certfficate of occupancy or
<br /> final power release, the fees must be paid prior to permtt Issuance. F�rthermore;if.Pasco County 1Nafer/Sewer Impact
<br /> fees are due,they�must be-pald prior to permit-iss�gance�in accordance wlth�appllcable.Pasco�County ordinances. !
<br /> CONSTRUCTION LIEN LAW(Chapter 713� Florlala Statute��as amended): If valuatlon of work Is�2�500.00 or more, I
<br /> certify that I, the applicant, have-been provl.ded with a copy of the�"Florida� Construction� LIen.Law—Fiomeowner's
<br /> Protection Guide° prepared by the Florida DepartmenC of Agric.ulture and Consumer,Affairs. If the appi(cant is someone
<br /> other than the"owner", I certify that I�have.obtained�a copy.of.the above..des,cribed docurt�ent�and.ptomise in.good faith to
<br /> deliver tt to the°owne�'prior to•commencement. •
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certity tfi�t all the Inf.ormation.in this applicatlon is accurate.�nd that all work
<br /> w111�be done in compliance with all�appllcabte laws regulating constructlon, zoning and=land-devetopment. Appltcatlon is
<br /> hereby made to obtain .a permit Co do wor`k.and installation as indicefed:- `I certity that no work or Installatlon has
<br /> commenced prior to Issuance of a permit and that.ali work will be pertormed�to meet.standards of all laws regulating
<br /> construction, County and City codes� zoning regulatiQns� and land development regulattons-in the�jurisdiction. I al'so
<br /> certify that I understand that the regulat(ons of other government agencles may�apply�to the intended work� and that it is
<br /> my responsibility to ident(fy.what.actions I muat take.to beYln�corr�pliancs: Such agencles include but-are.not Ilmtted to: '
<br /> - Department of E�1v(ronment�l Protection-Cypress.�B�yhead�; Wetland Areas and Envtronmentally Sensitive ��
<br /> Lands,WatedWastewater Treatment. ' '
<br /> - Southwest Florida Water Management .District IlVells, Cypress. Bay�eads�, Wetland Areas, Altering
<br /> Watercourses. �
<br /> - Army Corps of Engineers-Seawalls�Docks, Navlgatile Waterways.
<br /> - Department af Health� $ ReF�abilltative Services/Environmental Health Unit Well.s� Wastewater�'�re�tment,
<br />, Septic Tanks. � �
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> I Federal Avlatlon.:Authorlty-Runways.
<br />� I understand that the following,rest�icdons.apply to the use of flll:• �
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the flll material is to b.e used: in �Flood tone.-"A"� �It..Is under�taod�that�a drainage plan addressing a
<br />� °compensating volume"wili be,submitted at time of permitting which is prepared by a profess(onal engineer
<br />; Iicensed by the State of Florida:
<br /> If the fill material is to be used in Flood �one 'A° in�connection�with.a �permitted btailding using stem wall
<br />� � construction, I certiry_.that-�II�wJll:be used only�.to.filf the area wlthin�the�stem�wall.
<br /> - IF flll material is to be used In any area, I certify that .use. of such flli will rlot�adversely affect adJacent
<br />� properties. if use of flll is found to adversely:�ffect adJaeent��properties,.the owne�may be cited for violat(ng
<br />, the condilions of the buflding.permit Is�ued�under the.attached�ermit.applicatlon� for�lots less than one (1)
<br />� acre which are elevated�by flll,a�t engineered drainage plan is-requlred.. . .
<br /> If I am the AGENT FOR THE OWNER, I;:promise In good fatth to Inform the�owner of>the.permitting conditlons set forth tn
<br /> this affidavit'prior to commencing constructlon. I understand that a:separate permlt may be requlred for electrical work,
<br />� plumbing, signs, wells, pools;. air condlttoning,.gas� or,other instaill�tions not.spec�ically included-in.the application. .A
<br /> permit Issued-shall be construed to`be a°lOcense�to�pro�ceed with tNe�work and`not as:autNoriiy to..violate,.cancel, alter, or
<br /> set aside any provistons of�the.techntcal cod�s;�nor shall issuance�of a.permlt.pcevent the Bulldirig Official from thereafter
<br /> requiring a correction.af errors in�plans, construction or violatlons of any codes. Eve ermlt lssued�shall become invalid.
<br /> rY P
<br />� unless the work�uthorized by,such per�lt:�ts:commenced�wlthtn sGc months of permlt Issuance� or tf work authorized by
<br /> the ermit is sus ended or.abandon
<br /> p p ed for a:perfod of>six�(�)montFis.after the time the�work��is commenced. An extension
<br />' may be requested, In writing;.f�om the Building,Official for a period-:not to ex�eed�ntnety�(90) days a�d�will demonstrate
<br />�' justifiable cause for.�the extension: If work ceas�s:for n(nety(90)cons.eeutive:day.s,..the Job�is.considered abandoned.
<br />' WARNING TO OWNER: YOUR-FAIL'.UItE:TQ.REC.O�tQ;A,.NOTlGE OF-COMMEI+ICEMEMT�.MAY-RESULT IN•YOUR .
<br /> PAYING TWIC.E,FOR IMPROVEMEI�I.T.$T;O.YOUR:PROPERTY.�� �.. � �.'�END::TO'OHTAIN•�FINA(�EING;'CONSULT
<br /> WIT • UR D O �1 .ATTO OR�� • CO - f:? : ' O:;� ' ,'� E NT'
<br /> FLOWDA JURA�(F. t � _ ' " � �
<br /> �
<br /> OWNER OR OE
<br /> bs bed an or.afli )be re me this Siibscrib e fFil�
<br /> .� , by - �:l Cc..�- ..
<br /> Who IsJa personelly kno o has/haye'prodqced Who Is/are �owmto me. r�haslheve•produced �
<br /> as Identlflcatlpn. as IdenBNcaflon.
<br /> ��� • Notary Publlc
<br /> Commisslon No. ,r�� Notary Public State of Florida COt1111119s10�•NO. �
<br /> a otary u c tate o on a
<br /> a My Commission FF 184019 $ � Tamm Verdader0
<br /> Name ot Notery e ted Name of Notery typad,pdnted o � y omm ss on
<br /> or Expires 12H612018 I
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