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<br /> NOTICE OF DEED RESTRICTIQNS: The undersigned understands that.this permifimay be subject.to"deed°restnctions":'�"'' ,
<br /> _- ,x.ri•:..�_,:. . ..- - _ __ ..;��.r,,,;., _..�,�-;,.,._.:,;�.,�
<br /> uvhich.may:be,:.rnore=r.estrictivevttian Counfy.r.egulatitins. 'Ttie�uiide�sign'ed=assumes��respd'.ns:iti'ifiity�for-cainpliance'�wi�li�any�;,h;
<br /> applicable deed restrictions. , u.- �.- . F�° � .-
<br /> UNLICENSED.GONTRACTQRS AND CQNTRACTQR RE�PQNSf�iLITlES: If E1ie�owrisr=iias�hired�a�cantractor or
<br /> contractors to undertake worR,,they.may be requi,r.ed to be;licensed in accordance with state and_�oca) regulations�:s=lf.�tfie--�=
<br /> cantractor is not�licensed..as required �by law, botfi�the owner�and°cont�acYo��<rnay��be citeii-for=�a•misdemeanor violatian =
<br /> under state law. If fhe owner or intended,contractor are uncertain as to what ticensing requirements tmay��:apply#ac;tfie:::�'
<br /> intended�work, they are advised to coritacf'#he Fasco County Building Inspection�'Divisiori--Licen'sing Section at 727=8'47-
<br /> 8QQ9. Fu�fhermore, �if the owner has hired�a -corifractor or con#�actars, he is advised to�rhave the confractor.(s}:sign.,-,, '
<br /> portions of the "cont�actor Block" of this application_,for which they will.-be.responsible. .If you,,as�,theYowne�sign.a's--:tlie ' ,
<br /> contrac#or, that may be an indication�tfiat he�is nat properly licansed anii`is not entittet! #o permitting privileges in Pasco_ ;
<br /> County. . ... , ._. . .. .._,.._:,. .... r.
<br /> TRANSPOR7ATION IMPACT/UTILITIES IMPACT AND-RESOURCE RECOVERY FEES: The undersigned understands .,,
<br /> that Transpartatsort Empac#Fees and Recaurse Recovery Fees may;appty"ta the constnaction.af.new,buitdings, ctiange��cif-�°� . �;
<br /> use in existing buildings, or expansion.,of-;existing buildings, as speci�ed in Pasca County Ordinance number 89-07 and .
<br /> 90-07, as amended. The undersigned also understands, that such:fees, as inay�be.due, wilt'6e identifed af>tfie:�#iii�e::of' � `y
<br /> permitting. 1# is further understaod tfiat Transportation Impact Fees and Resource;Recavery.,Fees must be paid prior to �
<br /> receiving a "certificate of occupancy°-or final,.power�elease. If the praject does not involve a ceitificate of occupancy�.or.<��iz}
<br /> final power_release, the#ees-must be paid prior ta permit issuance. Furttie�rmore, if,-Pasco Cour�ty WaterLSewer�lmpact_�-= ,
<br /> fees are due,.they must be paid prior to permit issuance in accardance uvitFi applicable Pasco.County ardinances:�h�� l
<br /> CONSTRUCTIQN I:IEN I.AW(Chapter 713;Florida Statutes,as amended); If valuation of work is$2,500,OQ.ac�more;�1;,^,;
<br /> certify that I, the applicant, have been. provided with a copy. of the "Flarida Construction �.Lien. .Law=�Homeowner's
<br /> Protection Guide" prepared by the Flo'rida Department of Agriculture and Consumer,4f€airs. !f the applicanf�is sameone.:
<br /> other than the"owner�, t�certify that.l have ob#ained a copy of the above described'document and pr.amise in good:,faitli to',. ,
<br /> deliver it to the°owne�'prior to commencement. ' ' �
<br /> CONTRACTOR'S/fJWNER'3 AFFIDAVIT:,.I.certify.that all#he information in#his application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land-development. Application is
<br /> hereby made to abtain a perm3t:.to do uuork and installa#ion as ind�cated. 1 certify that no work or.Iristallation�has
<br /> commenced prior ta issuance af a permit and that all work will be performed ta meet standards af all laws regulating
<br /> construction, County and City codes, z.oning regulations, and land develapment regulations in��the jurisdiction: ! alsa
<br /> certify that t understand that the regu(ations of other government agencies may apply ta the intended work, and that it is
<br /> my responsibility to identify wha#actions I must take to be in compliance. Such agencies include�but are not limited.to:
<br /> - ` F3epactment.af Ertvironrr�entat Protection=Cypress Bayheads, Wetland Areas and Environmentally Sensifive
<br /> Lands,WaterM/astewater Treatment.
<br /> - Southwest Florida Water Management District We!!s, Cypress Baylieads, Wetland Areas, Atterir�g
<br /> Watercourses. , '
<br /> - Army Corps of Engineers-5eawalls, Dacks, Navigable Wa#eMrays.
<br /> - Department af Heai#h � Rehabiiitative ServiceslEnvironmental .Health Unit Wells,.._W.asfewater. Treatment;
<br /> Septic.Tanks. �
<br /> - US Environmert#al Protection Agency-Asbestos abatement.
<br /> - Federal.Aviation Authority-Runways..
<br /> !understand that�tlie following restrictions apply to the use of fill: .
<br /> - Use of filt is not allowed in Flood�one°V"unless expressly permitted. �
<br /> � - If the-fill .material is to be used in. Flood Zone "A", it is understoad that a drainage plan addressing a
<br /> "compensa#ing vatume" wi11 be submitted at#ime of permitting which is p�epared by a professional eng9neer �
<br /> licensed by the Sta#e of Flarida. �
<br /> - Ef the fill materia! is to be ussd in Flood Zone "A" in�connection with a permitted building using stem wall
<br /> canstruction, I cerf�fy�that.fi{I will be used only to fill the area within the stem walt.
<br /> - If fill material is to .be used in-any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. if use af�itl is found ta adversely affeat adjacent proper#ies, the owner may be cited for vialating
<br /> #he conditions of tlie>6uilding permit issued under�the at#ached permit application,.for lats less than one (1)
<br /> acre which�ace elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER;�I'promise in good faith to inform the owner of the permitting canditions se#forth in
<br /> this aff'sdavit priar to commencing�coiistruction. I understand that a separate perrnit may be required for electrical wark,
<br /> piumbing, stgns, wetls, pools, air conditioning, g'`as,,or=other�instattatians not specifically included in the application. A
<br /> permit issued shall,be construed'to be a license to.proceed`with the wark and not;as aathority to�violate, cancel, alter, ar
<br /> set aside any provisions af tHe technical codes, nor shalt issuance af a permit preven#the Building Official fcom therea€ter ,
<br /> requiring a correction of errors in,plans;'construction or violations of any codes. Every�permit issued shall become invalid �
<br /> unless the wark authorized by such permit is commenced within six months of permit issuance, or 'sf work author�zed by
<br /> the permit is suspended.or abandoned for a period.of six(6}'mantfis after the time the wark is`cammenced. An extension � ;
<br /> may be requested, in wri#ing, fram the Building Official for a:period not to exceed�ninety (90) days and wiU demonstrate -
<br /> justifiable cause far the extensian: [f,work ceases for ninety(90}cansecutive days,the jab is cansidered abandoned.
<br /> WARNING TO QWNER: YOUR �AIt�URE.'TO RECORD A Nt?TIGE OF CQMMENCEMENT MAY RESUI:T !N YOUR ' .
<br /> PAYING TWICE FOR,IMPROVEIlIfENTS TO,YOUR,PROPERTY.�..IF YOU.JNTEND�TO,OBTAIN FINANCING,�CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE.REG,ORDlNG YAUR NOTIGE OF`COMMENCEMENT.
<br /> _.__- --Ft,.ORIDA JURAT{F.S.197.03) ..v^._.__--- -- _ _ _ —_. --__ �,
<br /> OWMER OR AGENT CONTRACTO�
<br /> Subsc�ibed and swam to(ar affitme3)before me this S c'b d and swo or affi )before tt�€s
<br /> by `��(b by � a s�.P l� O''m�lt-�� J•►
<br /> Who(s/are personally known to me or haslhave produced �' W /are ers ally`known tq me or haslhave produced
<br /> ' as identificatioR. �+�:��?�:s�2,r.s� {�'`t�=�as Idantlficafion. ,
<br /> Notary Public G���•Q._. `�''" Notary Publlc
<br /> Commisstort No. Gom an Na.
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<br /> f.«ye:aen^rzrtmaam'+e
<br /> Name af Natary typecl,printed or stamped Name af Natary p�#,•�it
<br /> :«; �;«: Commission �F 950422
<br /> . =r:�:;�€ Expires December 12,2018
<br /> 't;,ff��;;:�`� Bcnded TNu Troy Fe1n 4nsursne0B06�3S5 7019
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