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, l <br /> t� _�,� <br /> NOTICE OF DEED RESTRiCT10NS: The understgned understands that lhls permil;may be subject to"deed°restrictions" <br /> which°may�be more resttiotive than Caunty regulation's. The undersigned assumes resporislbliity fiar compllance with any <br /> applicatiig,deed restricttons. > , . . ., r ,. ; <br /> UNLICENSED CONTRAG'PORS AND' CONTRAC70R RESPONSIBILITIES: !f the owner has hired a contractor or � <br /> caritracfota.to undettake wark,the`y rriay be requlred#o be Ilcensed in acco'rdance w'ifh siate and local regu(attons. if the <br /> con4ractor.is�not.�icensed as..required tiy law, both tfie oviiner and contractor may be ctted for a misdemeanor violatton ' <br /> under�state law. If tfie owrie�o�intended contracko�are uncertairr as'to wiiat licensing requlrements"may apply for�the I <br /> intended work,they are advised to cantact the Pasao County Buiiding lnspection Divislort—Cicens�ng Sec#ion at 727-SA7- j <br /> '� 8QU9.`Furthermore;i�the owner fias tiireii a cdnGaotor or cont'ractors,'he is advised ta have the contractor(s) slgn � <br /> portions of tt►e"cantractor Block°of this application for„which they.wfll be responsible. If you, as the owner sfgn as the <br /> contrac#ar,thaf may be.an Indlcation that tie Is'not praperly ticerised and.ls not ent(tied ta permltting privReges in Pasca � <br /> , County. . <br /> TFZANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE R�COVERY FEES: The undersigned understands <br /> � that Transportatian impaot Fees arid Recourse R'scovery Fees may appiy#o the construotiosi of new bufldings,change of , <br /> use in exisiing buildings, or expansio�of e�cisfing buildings,as specifred in Pasco C�anty{}rdinance number 89-07 and <br /> 9U-07;as amended: The underslgned also understands,that such'fees;as may be diie;.will.be tdentffied at-the time.of ' ' <br /> , permltting. !t Is iurther anderstood that TsansportaHon Impact fees and.Resource Recovety Fees must be paid priar to � <br /> � recelving a''ceitificate of occupancy"or;tinat power retease. !f the proje�t does not invotve a cert�oate�of occugancy oc ' <br /> final power release,the fees must be pald prior to permit issuanae. Furtliermore, ff Pasco County Water/Sewe�impact <br /> lees are due,they ts�ust be paid pr{or ta permli fssusnce�in acxortlance wilh:epplicabls Pasco County ordinancEs.._ <br /> CONSTftUCTtOtd tiEN�LAW(Chepter 713,,Flarlda Sta'tui�s,as ameitded}: ff wafuation o#work is$2,50aA0 gr.more,i <br /> certify that I, the applicant, have been pro'vided urifti a'copy"of the "Florida ConstruaHon Lien Law--HomeoiNner's <br /> Prateatian Guide°prepared by the Florida Deparkment,.af Agriculture and Consumer Aftairs, H the applicant Is someone <br /> i ather than#he"owner°,1 certify fhaf(haue gbtained a copy c�f#he abave'describeci document and prom3se in good faith fo ;'" � " <br /> deliver ft lo the`owne�'p�ior to commencement. ' � • <br /> CON7RACTOR'SfOWNER'S AFFIDAVIT: !cert(!y-that aU.,the,lnformetion ih thls applicatinn is accurate and that all.vuork <br /> wiEl'be done in cornpttance with all applicabte laws reguta#tng constntctlan;zontng and iand devetoprr�en4 Application is <br /> hereby made io obtain a permit to do wark and installation as'indicated. I ceritty.that no wnrk or'in's,tailattan has <br /> , commenced prlor to issuance of a permit and ttiat all work will be perfarmed to meet.;stendards�of aii'laiivs regulaUng <br /> • canstrucfion, County and Cify codes, zontng regalations, and land:�ievelopmen!tegulaBons tn the jurlsdlct(ori:�! a1"so <br /> certify that I understand that the negulations of otFier govemment agencies may apply fo the intended woNi,a`nd�that it is <br /> my responslbllity to identify what actions 1 must iake to be in compliance. Such agencies i'nclude but are not Iimtted'1o: <br /> - Deparkmen#of Errviranmenfai ProtecfiotrCypress B�yhead's,`Vitettand Arees and Environmet�talEy`Sens{}�,$ <br /> Lands,Water/WaslewaterTreatmerit'.'"`" � " ' '� ' � ` <br /> - Southwest Flatida Water Management District-Wells, Cypress Bayheads, Wetland Areas, i4ltering <br /> tNa#ercoucses. ., . . ; n <br /> - Army Corps of Engineers-Seawalls,.Dacks,Navigable Watervvays. <br /> - Depart'ment of Health 8� Rehabllltative ServiceslEn,v,ironimental Heafth Unit-Welis, Wastewater Treatment, <br /> Sepflc Tanks. . . � � , , <br /> - US Environmental ProiecBon Agency-Asbestos abatement. <br /> Federal;Aviallon;Authorky-Runways: ' `"`"" '" <br /> 1 understand tha{flie following iestrlctions appty ta the use of fil1:• <br /> - Use af fili is nat allowed in Flaad Zone'V°onlass expressly permttted. <br /> - N tfie"fl�l'mateiial (s to'be used-�in Flood Zone 'A°, It is understood ihat a drainage plan,addressing a <br /> 'compensating;�volume"wilt:�be subr►�ttted af ifine.of.permftking whfch is prepared by a professional engineer <br /> - i'icenseil:.bythe-.Sfa#e.ofFiorid,'a:, � -- ` �' � _ � <br /> )f th�f111 r,material_is to,be used (n Flood Zone'A;.,in.connectiori witli a permllted build'ing using stem wall <br /> � saristnictlon;l certliy itiat fli vuill be used onty,to fll the,area wifhin the stem wait. , " <br /> - 'ff�:fill°>ma#eriat;is-to„be,used`in�any•anea, 1 ceitify tfitat use.of such..ftl�wil}.not,.adversely aEtect ad)acent , <br /> �properties. if use of fi11 is found fo adversety,effect.adjacent propertjes;the owner may be cited for violaUng <br /> - the�condlfioris�.+6f 4t'ie.builii�iig?pertnit,tssue¢under the attached�perinik_application,for(ots less than one{1) <br /> acre.whtc,h:are,elevated_byftil,.an.engingeteddralnage.planis;reqii3red. � "� ' ` <br /> K I am the AGENTI'FOR THE�OWNER;I promise In good.faith;to;i.►�form.the owner of the pertnitting condftions set forth tn <br /> thfs affidavtt,prior�ta.comritencing:constniction.. I und'e,rsterid thet a aepa'rate_permit,may,be required for electrical work, � <br /> ., ptumbing, signs,wetis„paats,,air._condilioning,gas, or other.=instaAafions nof`speciftcally iridcided`in the applicatlon. A <br /> permit issued'sFiall'be`constnied to be•a Bcense fo prooeiad with the work�and noCes�authorftj!.to_violate;cancel,alter,or +,, <br /> set•aside an}!:provtstons:ot_the technlca!_cades,nor shaA Issuance of a pemilt prevent#he Building Official ftom thereafter <br /> reqytring a coifeciton vf errors�in-plans;cohstrtiction or-vtolatians of any codes. Every permlt lssued sha11 become Invaiid <br /> unless the work aukhorized-by-such perrriitris:commenced within six moMlis of�permft issuence;oc,if work auihorized by <br /> ihe perm!#{s.suspended or abandoned for a.period,oE stx(8)months after:the tf'me the work is commericed. An extension � <br /> may iie req+uested;in vKiting;from the•Build3ng Oi�ciat for a period not tci,exceed,nlnety..(94}.days and wi!{demons#rafe <br /> Ju'stHiable cause for the extension, If work ceases fo_r..ninefy(90)aotisecuttve days,fh,job Is considered abandonecl. <br /> YVARNt�3�TO"OWFlER: YOUR FAILU3tE TO RECORD�A l�OT1GE{}F C4MMENGEMENT MA1C-RESULT 1N YQUR ' <br />� Pla►1f1NG_T1MCE FOR+IMPROVEMENTS TO YOUR PROPERTY."IF YOG 1NTERID TO 08TAIN FIMAFfCING,Ct'�FISULT <br /> ' 116"TH YOURIENDER OR AN A ORNEY BEFQRE RECORDING YOUR NOTICE"OF C4MMENCEMENT • <br /> FL:ORIDA JURA3{F:S.117.03} - . ` � � ' <br /> I OWNER ORAGENT��,- ':�... . CONTRACTOR <br />� Subsatbed and swnm to(or afllrmed)before me this Subsulbed and svuom to(or affirmed)before me.ttrls <br /> � ��-��. .. ._. �. - � bY <br />( Who islare perso airy known io me or has/heve produced Wha is/are peisona�ty known to me or hasfiave prcduced <br /> Iasidentlflcadon. asidentlflcadon. <br /> Notary Pubilc Notary Pubflc <br /> Gammission Na. Cammisslosr No. <br /> Neme oi Notary typed,pdnted or sffimped �Neme oT Notary Q�ped,pdnted or stamped <br /> r, <br /> � <br />