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<br /> N0T10E OF QEED RESTRlC7lQMS: The und�rsl�ned under��ao�ds°:�tte�t.thfs=p�t�mlt may.be,subject to:"deed"cestrictlons"
<br /> which raia,y,be�more�r.estrictivm�s#han�ounty•=�eguiations:�TFie under�igr�ed`�assuriies responsibility for`cooiipiiance witfi'any
<br /> applicable.deed restrictians.
<br /> UNl.10EN�E�} C�N'�A+�TQRS I�iN� CIDNTRd�iCTOit RESPONSl��1�11'�I��`:�--lf the avvr�er has hlred a cao�#ractor or
<br /> contractors#a undertake work, #hey may.be:required:to.be;;itcensed in acc�rdan�e.vulth stat�.rand�local reguiatlons. If the
<br /> contract�r is not Ilcensed as requtred'6y law, both the c�v�r�er �nd ccinti��ator=may bervctted for�a°enis�err9eanor vialation
<br /> under state law. if the ow►ner or Intended�aontractmr:�.are unc�e�taln as to mvhat Ilcensing.c�quirements`may�apply�for the
<br /> intende�d uvark, they are�advised to contac#the P�sco Cotanty�uilding.lnspection pivision—l:icenstng Section at 727-847-
<br /> 8�09. Furthermore, tf �he ��nrner has hl�ec! a cantraicto� o� contractors� he is advised tc� have the cantracta�{s}, sign
<br /> portlons of the "contractor �fack" of#his applfcatian for which they will be.cespansible. If yau,-as..the ovvner sl�n a�'the
<br /> co�trac#or, that�ritay be an lntf�eat6o� that fie 4s �►ot.properly (lcer�sed and Is rio#en#itisd to perr�ittfng prlvileges tn Pasco
<br /> County. '
<br /> TRAN5POR7ATION 1MPACTIUTILITIES•IME�AC7AN��REs�AUR�E REC�VEItY�F�ES;�-The�unders6gned underst�nds
<br /> that Tr�nspor��tlon Irrapact Fees�nd.Reco,ur�e Re�ove.ry Fees rvt�y�•apply t�th�'�nstruction af new.buildings,+chang�of
<br /> use in �xisting buildings, or.expanslon�of��e�isten,g;buildings, as speclfied in Pascv County Ordinance number 89-07 and
<br /> SO-07, as amended. The undet�lgned a4sca understands, t#��t such fees,,as may�be due;,w11E:-be tderitif�ed at the ti�vie of
<br /> permitting. It is further understood #hat Transportatlon Impact Fees and Fte�ourc� Recovery'Fees must be paid prl�r to
<br /> receiving a "certificate.of ocoupancy" or flnal,power.release. .4�the project does not Dnvolve a certificate of acctapancy-o�
<br /> final p��ver re(ease; the.fees must�be paid prtor Qo perrniE issuance, Furtherreiore;-iE P�sco Caunty i�ater/Sewer•Impact
<br /> fees are due, they�nust�be�paid prior to permit�issuance�On accardance with appllaable Pa§cm County o�dinances,
<br /> CO�l�T�3UGTIQN ClEN l.�W'(Gh�p�t+�r 713, Florld��tatu#�s�a���n�nded}: tf valuatlon of work ts$2,500.00.or more. 1
<br /> cerQify that I, th� appl6cant, have b�aen pradided with a ce�py-of the "Florida Constructian Lten L"av►r:Horneo�rner's
<br /> Rrokection Gulde" prepared by the Flo�ida D�partment�of Agric.ulture and Consumer A#[airs. 1f the appitcant Is so�neone
<br /> other than#he"owner", I certify th�t I have.abtained a�copy.of the,above.descrlbed document�and.ptomiser in,gpod faith to
<br /> deliver it ta.the°owrner"prior ta>commencemerit: � '
<br /> CO�VTFt�►CTOR'SlOWNER'�APFaDAVIT: 1 c�rt�fjr:thaQ all.the,lr�#armation in thls appllcatEari is accuraQe and thaf�N work
<br /> will�be done in compliance with all applicable'laiws regulating �onstruction, zoning and land development� Applicat(mn is
<br /> hereby made 40 obtaln .a p�rmit ta� do. wor6c.,,and 6ns#allatfan as Indlca#ed: °i certlfy that no wrark�or Ins#allatton has
<br /> cammenced p�lor to lssuance of'a permit"and�that.all�work will be pertormed to rneet,standards of a91 laws regula#ing-
<br /> const�uction, County and C�ty code�, zoning regulationst and land development r.egulattons�in 4he jurlsdlct(on. ! �1'so
<br /> certlfy that 1 ucrders#ar�d tha#the regulati�ns of ot�rer gover�m�nt agenci�s may�apply�#a the intended work, and tha#it is
<br /> my responsibility to iden#ify�uvhat.actbon� I must take Qo be�in:.camplt�nce: Such agencles include bu#�are not Iimited to:
<br /> - Depacke�ent of E�uironm�ntal=Pr�t�ctio��Cypress.'Bayliead�, UVetl�nd Areas and Environmentally 5ensi#9ve
<br /> l.and�, Wa@�rM/astewater TreatmenQ.
<br /> - Southwes4 Florida W�ter Management Qistr6ct We!!s, Cypress. `Bayheads; Wetian�� Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engin�ers-Seawails, Qacks, �Vavigable W�tetways.
<br /> - Departm�nt of Health�� Reliabltit�t#ve Services/Environme�ifal Health Unit Weil.s� Wastewrater Treatment,
<br /> Septic Tanks. .
<br /> - 41S Enviror�mental ProtectEon Agency-Asb�stos abatement.
<br /> - Fedetat Aviatlon Auihority-Rurnvays.
<br /> I understand that th�following:restrictions apply to the use of flEl:�
<br /> - Use of filt Is no#allowecf in Flaocf Zone"1�'unless expressiy perr�aitted.
<br /> - If the fill makerfal is to be used. In ��Iood Zone �A", It is understbod that a drainage plan addressing a
<br /> "aompensating volume"wrllt be submltted at t�me of perm�tting wli�ch is prepared by a profe�si�nal englneer
<br /> Ilcensed by the Sta�e of Flortda:
<br /> - !f the �I! materlal is to b� used in Flood Zone °A" In��onnec�ion wlth.a {�ermitted building using stem wral0
<br /> canstruction, I certi#y tha@ fift wili.�be used anly_t�iill the area within the stem�wali.
<br /> - If fill material is ta be used in any are�, I ce�Qlfy tha# use�. af such foll wili not adversely affect adjacent
<br /> propettles, If use of#i11 is found t� advetsely�f�ect ad}aEent properties,.th�ow�er may 6e clted for viaCating
<br /> the canditions of the building-.permit issued under the.attacfied permit application, for lots less than one (1)
<br /> acre which are e#evated by fllt,a�engln�ered dralnage plar�!s requ#red. .
<br /> if 9 arv�the AGENT F�R THE Ci1PVNEit, i;;promise In good faith to i�'orm the owner�f-the perm(tting condi#ions set for�h in
<br /> this affidavtt prtor t�+ commencing cor�structlon. I underst�nd thaQ �-separate permlt may be requtred for eleckPical wark.
<br /> plue�bing, signs, welts, pools, air condiftoning, .9as, or o#her instaEt�i#ions �no�,speci#ically Includeci�in.the ap�licatioe�. .A
<br /> permit issued shall b� canstcu�d to be a Ilcense Qo proceed uvikh the work�nd not as.authorlly to.violate,.cancel, alter, or
<br /> s�t asfde any provisio�s of the t�echnlcat cod�st nor shatl fssuancs�of�_permit pr�vent the Buifdirig Qtficla)from th�reafter
<br /> requiring a correctio��f errors in ptans,consinictlon or violatians of any cmdes. �very pesmit Issued sha0 becorrte invalid
<br /> unless the work authorized by such permit�is �mmenced�within sGc montha of permit issuanae, or if work auth��ized by
<br /> the p�rmlt is suspended or abando�ed far a periad ofs�C{�3�montF�s.after th�t6me the�wark is carremereced: An extension
<br /> may b� requested, In writing, from the �uilding.Official for a p�arlod,not to exceed Nn�ty(90) days and v�ill demonstrate
<br /> just�iabie ca�ase for fhe extens�on, If wark ceases.for ni�ety{90}cans.ecutive days...the�ob,is consfdered aba�do�e�.
<br /> VlIAItNING TO �11lINER: YOUR.FAlLURE�TO,REC.O�D�► N�Tl�E OF CA�IIMENCEMEI�Y MAY RESUl,T !P! YO�lR
<br /> P�iY�idC'iMlICE.F�R tMPROVENIEPITS T�YOla�t:PR'OPERTf. 1�YBtl�t{�I�F�lD`TU'OBTAiN�Fti�tA�1�RNG��Cf3MSIL��T
<br /> WIT UR LENDE O ANF 'fYORNEY 8 � RE� COfi� G:`� OU '" � ���'O ' �•' � E C�E T�
<br /> ��at��t�A.au�ai�{�.s.t��.os> .� .,. - ` -
<br /> ONPNEEt�DR ACENT '"' CONTROaCTO /J/-���1"u�C...
<br /> S�bscrlbed and swom t�{or afflrmed)b tore me thts Sabscribed and'svvct Qo{or aflttmed)�before me ttils
<br /> bY •�Y
<br /> Who islare personally knovm to.me or has/have produced Who.ls/are persanailyknovm to me or haslhave•produced
<br /> as IdenUftcaBan. as iden�ficaUon.
<br /> Rlotary Publtc . Nofary Pubiic
<br /> Commisslon Na:t-. Gomrflisslon No.
<br /> Nlame aC fdotary typed,printed ar stamped Name af Notary typed,pdnied or stamped
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