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<br /> NATICE OF DEED RESTRICTIONS: The undecsigned.unders�tands�_th�t;this;p�rmif,may;be,subJect�to,"deed",restr.ictions°�_'.�:;,.�;�.;�`.
<br /> which may�tie:more-resVictive�tH��t County�regulatl`ons:��The`_underslgned assumes responsiblltty`.for'compllance with�any y" �� " �'
<br /> applicable;deed restricttons. -�; - � .. .._. -..,-._��:
<br /> UNLICENSED�-CONTfiACTORS .AND CONTRACTOR RESPON$IBILITIES:� -If=the�owrier-has�fiired��a-`contractor or
<br /> contractors to undertake work, they m�y,b._e=required,--:to.be,llcensedin:accordance.wtth�state.and;local�regulations.i�*�Ifi�the�• ='� _�"�'�;
<br /> cont�actor (g-not Itcensed'as'requGed�'.tiy law,:tioth�the owner and`�cont�a'c'tor�may be-cifed forsa��misdemeanor violatlon
<br /> under state law. If the owner or Intendedt;contractor;�are:uncertain as to what Iicensing.requlre�nents:;may>�apply:::for�the�«. •�;�-����'
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<br /> intended work�tFiey a�e�advised to coritact:the Pasco County Bullding`Inspection.�Dlvlslon-Licensing Section at 727-847-
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<br /> 8009. Furttiermore, If the owner has�`hired"a cont�acto�'or contractors� he Is advfsed`to have �the contractot(s)„sign__, _
<br /> portlons of the "contrector Block" of..this_.appiication.fo_r_,which.,they,wilt.be.r.esponslble.-. If.=you;=�as#he owner's`i`gn''as`the` �' `'�
<br /> contractor, that�may be an indication that'he-1s~not:properiy licensed�and��is not entitled to permitting'privlleges In Pasco
<br /> County. - � -- ... .,. ... ._. � '::.--�-.,: � ----
<br /> TRANSPORTATIOM:IMPACTIUTILITIE$•rMPAC7�AND�ItESOUitCE RECOVERY�FEES:� The�under�igned understands
<br /> that T�ansportation Impact Fees and.Reco.urse.Recovery_Fees may.apply�to�tf�e;constructton.of new_buildings�;change of���= `'���'���'
<br /> use in exisNng buildings, or,�.ezpansi�n�rof�+exlstin�g:�buildings; as specffied.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended.,�.;The undersigned aiso;urtdersta[�ds, tliat�'such fees;aas��may�be�rdue;,:will:..be identified at the��t(riie`of���� -��' �''
<br /> permitting. It Is furtFier understood that Transportation Impact'Fees and-�Resourcev:Recoi►.ery�`Fees�.must be paid prior to
<br /> recelving a"certificate.of�occupancy"•or flnat�powerRelease.� :If the.proJ9ct.does.not InvolveP a,certfflcate of o�cupancy�o��"�'���~ �"�
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<br /> final power release;.,the',fees�mu�t be pald;prior to,permft issua"n"ce. Fu�thermore;tf:.Pasco,C;ounty�Water/Sewec;lmpact - ::_•,•_��
<br /> fees are due;.they�must.be:pald.pclor to permit-lssuance=ln.accordance wittY�applicabte_Pasco�.County ordinances. �
<br /> CONSTRUCTION�LIEN�LAVIf'(Ctiapter 713, Florlda Statutes�as amended): tf valuation of work Is$2,500.00,;or more� l �: :��a.,
<br /> certify that 1, -�he �applicant;�-have-been provided. with a copy of�the:"Florida-Constructton� Llen'Law—Homeowner's
<br /> Protection Gutde" prepared by,tfie Flo�ida Departmer�t�of Agriculture and Consumer�Rffairs. If the applicant Is someone- ,, `�, ,:: �
<br /> other lhan the`owner", I certifja that.,l�have.o.b,tained�a�copy.of..the:above..rlescrlbed docu�ent-and_p.r.omise��ln,good'faith�to ,., �
<br /> deliver it to the."ownec"�prior:to:�commencemenE3•' ' � "- ' '� --- � ,
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certlty;;th:at;all,the�lnformation:.in•tht�appllcatlon is accurate and that all work
<br /> will'be done in compliance with all.applicable�laws regulating constructlon, zoning and�land��deyelopment. Applicatlon is
<br /> hereby made to obtain-.a permit�to �do�:work:;,and�Installation as indl�ated:>>..•`i• cettify that no work�:or (nstallation Fias -
<br /> commenced prlor to issuance of'.a permif'an'd thaY.all work will be perFormed to meet standards��of all laws �egulating-
<br /> construction, County and City codes, zoning regulations, and land development regtalations�in the:jurlsd(ction.���I�al'so.. .
<br /> certlfy that I u�derstand that the regulattons of othe�government agencies may�apply to the.intended.'work, and that it is
<br /> my responsibility to Identlfy�what,act(ons I must�take:M be,ln:.conlpliancs.. S,uch.agencles include but-are.not Ilmited to: --
<br /> - Departmen! of Envtronmental��Protection=G�rpress�Bayfiead�, We�and Areas and Ernlronmentally Sensttive
<br /> Lands,WaterNVastewater Treatment. � �..
<br /> - Southwest Florida Water Management:-:DBstrict-Welis; Cypress.^Bayr�ead§;- Wetland Areas� Altering
<br /> Vllatercourses. - • �
<br /> - Army Corps of Englneers-Seawalls,'Docks, Navtgatile Waterways.
<br /> - Department of.Health,'.8. Reltabilitative.ServiceslEnvironmental.-Health-Unit-Well.s, Wastewatert Treatment, �
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<br /> Septic Tanks:. _. . - -. _ _:. .
<br /> - US Environmental Protection Agency-Asbestos abatement.._
<br /> Federel Avlatton_Authority=Runways. � � �
<br /> I understand.that the.following:restcictions apply to the use of fll�:•
<br /> - Use of�fill Is not allowed in:Flood�Zone"V"unless expressly permitted.
<br /> - If the flll materlal �is to b.e used.:'in :flood Zone. "A", It. is understood that a drainage plan addresstng a
<br /> °compensating volume"will be submitted at t(me of•permitting which ts prep�red by a profess(ona! engtneer° --- �
<br /> Iicensed by�he State of%Flo�da: - � ,
<br /> - If ih� filF inaterlal�.is to be used in Flood Zone `A° in>connection�with�a�permitted building using stem wrall ..
<br /> � construction, I certify that fill,wall.�6.e-used only.to#ill the a�ea withtn�the�stem�wall: - �
<br /> - If flll material Is�to be used in any area� I �certif�r that .usa of such flll will not adversely affect adJacent
<br /> propertles. If use of flll is found.to adversely.,�ffect adJaEent�properties,.the owner may be clted for violating �
<br /> the condllions_of the b�ildtng-.pernilt issued under the�attached permit appl(cation;�for.:lots�.less:than.one (1)
<br /> acre whicfi are elevated�by flll,��t engineered dralnage plan is required. . •�
<br /> If I am the AGENT FOR THE OWNER, i;promise In_good falth to i�form the owner of the permitting condttlons set forth in
<br /> thts �ffidavit'p�for to commencing constructlon. I understand that a=s�parate permit may be requlred for elecMcal work, .
<br /> plumbtng, signs, weUs,:pools;. air condttioning,.gas,=or,othe� install�tions not.spec�ically Included-in the�applicallon. .A .
<br /> permit issued shall be conshued to�be°a'license`��to=proceed wlth tFi'e�work and-not-as�authoNty�.to.vlolate;�'cancel; alter, or
<br /> set aside any provistons of the.tecFin(cal.codes;�nor shall issuance�of a.permit.prevent the Buildirig Offlcial from thereafter �
<br /> requlring a caRection af errors In�plans;-construction or violations of-any codes. Every permlt=lssued sfiall�become inval(d
<br /> unless the work authorized.by such permit:�ls.commenced•withln si�c,mnnths of�permit issuance, or if work authorized by
<br /> the permlt is suspended�or.abandoned-for a�;period:of�six�(�)�moMF�s.after.the tirne the�work�ts commenced. An extension
<br /> may be requested,,in writing,f�om tlie�Bullding.Oiflcial for a perlod-not=to exceed hinety�(90)��days and�will'demonstrate
<br /> justlfiable cause for.the extenslon. If work ceases:for ninety(90)cons.ecutive days,..th\job;is considered aba�doned. "
<br /> WARNIPfG TO OWPIER: YOUit.FAILURE,TOY,R�E�.ORD,A_MOTICE OF��COMMEMCEMENT:MAY=RESULT IN YOUR
<br /> PAYING TWICE>FOR�IMPRO�IEMEN�S�TO.YOUF��:PROPER-TY:��IF�YO.UTIN�E�ID�TO'70BTA1N��FiP1�►1�E1NG;'CONSULT
<br /> WIT . D �O: AM�4 O NEY ORB�.f�OR� f�i O ;C :` . �. ;�,. E "
<br /> --;-'L�RID:I J!!!d!!T(F.S.-1.1T:03)- — - - � ` - - - " - -- ' ' � _ - - - .
<br /> OWNER OR AOENT CbNTRAGYO � �
<br /> Subsalbed an bswom to{or aflirmed)before me this Subscrlbed end'bsworp:�o-(��fltrmed)�ti�fp� ' _ L
<br /> �'7�1�� �.�.�
<br /> Who Is/are pe�sonally knovm M.me or.haslhave produced Who.ls/are personally known•ta.me or haslhave•produced -
<br /> ae Identlflcatlon.- as IdendflcaUon.
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<br /> Notery Public Notary Public
<br /> Commisslon No: Commisslon�No. • ,
<br /> Name ot Notary typed,printed ar stamped Name vf Notary lyped,printed or stamped
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