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<br /> NOT'ICE QF DEED RIESTRlCTIO�tB: The understgraed understands:ttt�t#hls,p.�rmft.may be.subject,tov"deed"t�es#rictions"� • ._�,
<br /> which may be�more�rest�icttve=tfial�Counkjr"regulations:�The`underslgned�esstimes responsltiiltty�forycompitance'witFi any "
<br /> appNcable deed resMctlons.
<br /> UNl.ICENSED CONTRACTORS�AND .CONTRACTOR RESP8NSt81l:iTiES. 1f the awner-has hired a contracfor or
<br /> contractars to undert�ke work, they may be:r�qutred._to be,Ilcensed In accordance.with state.and•Iocal regulatlons, ylf the ' "
<br /> con#cactor is nat:ltcensed:as`requlred"by law, bat#� #he owner and.cont�ctor�may tie-cltad-for a��r»Is�femeanar vlola�on
<br /> under state law. If the owner or Intended'.contractor;;are,�uncerta(n as M what Iicensing.requlrements:may�=applya:�Far,the -
<br /> 9ntended"work,they are advlsed to contact the.Pasco Gounty Bulliling'Inspectlon D!v#slon—t.icensing�ectlon at 727-847-
<br /> 8009. Furthermore, tf-the owner has hi�ed a cantractor ci��oonfractors, he is advised to have the contractor(s), sign.
<br /> porkions af the °aontractor 81ock" af thl� appllcation for which they will be.r.esponsible. .If you, as,the awiier sign�a's the ' '
<br /> contractor, that rnay be an Indication that�he is naY.properljr licensed and Is nat enti�ei3 to pemtitt�ng privlleges in Pasca
<br /> County. �
<br /> TRANSPtJRTATION-IMPACTNTlL.ITIES lMPAC'C�ANb RESOURGE RECOVERY�FEES;�The undersigned understands
<br /> that Transporta#ion Impact Fees and.Recourse Recove.ry.Fees may':appty;ta�tfie construction of new bt�ilding�,.change of` � �
<br /> use in existing buildings� or.exparrsion of:iexis#in,g`buildings� as specifled.in PascQ Caunty Ordlnance �umber 89-07 and
<br /> 9U-07, as amended.. The understgned atsa;understands, #hait:-such fees,,as;may:be�due,;w111.;6e identif�ed at f�e{tirrie•of•` � .
<br /> permitting. It Is furtiier understood that Transportatian Impact Fees and Resource Recovery�Fees must be paid pr(or to
<br /> rece6v�ng a °ce�#I�cate-of=occupanay"oc finaf power=Eelease. :4fthe pro��ct,,does_not invoive a cettificake of accupancy or� � .
<br /> finai power retease;,the�.fees,must be paid prior to permit Issuance. Ft�tthermore;ff:Pasco County�lNater/Sewer•.Impact �
<br /> fees are due,fhey:.mu�t.be�pald..priar to,permit-lssuaric�-In accordance with appltcable.Pasco�County o�¢llnances.
<br /> �ONSTRUCTtCtN LIEN"1.AW(ChapteT 713, FtaMda Statutes,as arr�ended�; if vatuation of wark is$2,500.00-or more;I ,
<br /> cerkify that I, lhe applicant, have.been provided `with a copy af the "Florida Canstruction� Lien L�w—Homeowner's
<br /> Protectian Guide" prepared by ttie Fiorlda Department of Agrlcuttt�re and Consumer Affalrs. If the appllcant is someone , �
<br /> other than the"awner", i cerkify,that I have.obtained�a copy.of.the.above..described document°and promise in,good fefth to ...
<br /> deliver it ta.the_°owner�.pdo�korcommenaemerit: .
<br /> CCINTRACTOR"StBWNER'3 AFFIDAVIT: 1 cerEify fFiat all#he{nformatit�n in thi�appticatian is aacura#�and that all work Y
<br /> will'be done in compllance with all applicable'laws regulating construction� zantng and=land developm�nt. Applicatlon is
<br /> hereby made tn obtain .a.permit Co do work,and tnstallation as �ndlcatedl `# certi�y that no wor�C'ar tnstallation has
<br /> commenced prlo� to Issuanae of a permit1'antl that.aU work will be pertormed to meet st�ndards of �II laws regulating�
<br /> constructlon, County and City codes, zanfng regulattnns, and land devetopment cegulattons�in the �urtsdictlon. 1�also•
<br /> cerEify that t understand that the regu(atians of other govemment agencies may�appiy�to tfie lntended wrork, and that it is
<br /> my responsibility to identify�vuhat,acttons I musk take:to be�ln:,compllance. S.uch agencles include but-ar�.not Iirnited.ta:
<br /> - �epartmen# of Et�viranmental�Protection-Cypress.Bayheads, Vlte�and Areas and Environmentally Sensitive
<br /> Lands,WaterMlastewa#er Treatment.
<br /> • Southwest Ffarlda Water Management ,Dtstrict Vltetts, Cypress.� Bay�ieads; Vitefland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks,Navigable Waterways,
<br /> - Department of Health 8 ReF�abiti#aflve Services/Ernironmentat Nealth Uitit WeEts� Wastewater�Treatment,
<br /> Septic Tanks. .
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federai Avlatlon Authority=Runways. ,
<br /> I understand that the fo!lowing.restcictlons appfy to the use af flik•
<br /> - Use of fiA is not aqawed in F1aod Zane"V"unless expressly permitte�d.
<br /> - If the flll material is to be used�in :Fload Zone "A", It. ts understood�tliat a drainage pBan addressing a
<br /> "compensating valume°wltt bs submit#ed a#tlme of petm�tting which �s prepared by a prof�sslonal englneer
<br /> Iicensed by the State-af Florida. . �
<br /> - !f th� flfl materlal !s.to be used fn Plood Zone °A° tn�connec�ion�w�th.a pecmltted balidir�g using stem wali
<br /> � conatruction, I certify that fiit:wili:b.e:used anly.to,fill the area within#he�stem waii.
<br /> - if ffll material is to tie used in any area, 1-�cettify that .use. of such flll wlll not adversely affect adJacent
<br /> properties. ff use af fiti is fot�nd�to advet�sely.��f�ect ad�acent��pr�per#ie�, the awner may be cited far violating
<br /> the conditions of the biailding:permit issued�under the attached permit application, for lots Bess than one (1)
<br /> acre whlch are elevated=by fll�,an engineered dralnage pian is regufred. . .
<br /> If I am the AGENT FOR THE OWNER, l�promise In good faith to Inform the�owner of�the permitting conditlons set farth In
<br /> this affidavtt�priar to commer�Ging consfruction. funderstand that a.separate permit may be requlred fer electrtaal work,
<br /> plumbing, signs� welfs, paols;, air condi#ioning, .gas;'ar ather Instatlations not.spec�ically included-in.the apptication. .A ..
<br /> permit issued "shall be conshued to be_a Ilcense to_proceed with khe work and not as:authority ta,violate,cancel, alter, or. ' '
<br /> set as3de any provisEans of the techntcai codes; nor shalt lssuance�of a.permit.pceven#the 8ulldlrig O#flci�lfrom the�eafter
<br /> req�airing a conection af eITors in.pla�s, constn�ction or violations of any codes. Every permlt Issued shall became invalid
<br /> unless the work authorized.by such permlt�ls-ca�nmencedwithln sUc�nonths of�permit issuanceJ or if wurk authorized by
<br /> the permit is suspended or.abactda�ted for a:period of s�C(8}mont#�s`after the time the�wa�'1c is commenc�d. An extension
<br /> may be requested, in writing, from the Building,Offlcia) for a period�no#tc� exceed ninety(90) days a�d will demonstrate
<br /> ' }us#Ifiable cause fior.the e�ertslan:�tf work cease�:for nlnety(90}consecutive days,..#he job��s consldefied�ba�doned.
<br /> WARNlNG TO OWNER: YOUR.�AlLURE-TO.,RE.C.QRD,A.NOTIGE;QF•COMMENGEMEI�tT-MAY=R�SURT 1N YQtlR �
<br /> PAYING 7WICE,FOR�IMPROVEMEN�'S TO Yt�UR<.PROPERTY. IF�YOU�iN�'END"T�'OBTAIN��FiNtARiCING;'CONSULT
<br /> WIT U DE � AN ATTORN � O. �� ECOR�D ��� OU '� ��C :°f�F' � � CE T�
<br /> - -FLORIQA,lURA�-{F.S.117.03}� �. __ - � - --- ' _ -- .__ __ _ ._. __ - -- -- --_---- -- -_�_.--�-
<br /> ���
<br /> OWNER OR AOEN1' CONTRACTO � '
<br /> Setbscribed arsd swom to(or etftrmed}before me this Subscrlbed'and' ;to•{t�`c�a�r��befors�1� t---_
<br /> by L 2G-�d ,�bY .,,,—c-- �cr •hc-�._-i �
<br /> Who is/are personaliy known to.me or has/have produced Wh (S/a Hrson Ily own�to me or hasAt&ve produced
<br /> as tdentlBcaUqn. I-�'�.•`b�1�cT�tL.ass . as tdenti�catlon.
<br /> � NotaryPubtic . G��C..i� NotaryPubilc
<br /> Commisslan Na � Com sion. �i:r'"'•�., JAGQUEI.lNE. ES ~
<br /> I :.: ':.= ommission
<br /> :�• �o: Ex ires December 12,2018
<br /> NaRte ot Ptotaty typed,Fdntet!or stamped Name af Not " °'�idnEll��t"tslklifi�Y�d'��1Ce��'�o�s
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