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<br /> NOTICE OF DEED RESTRICTIONS: The undersignedunderstands�th�t,this.�p�rmif�may:be:subJect to„°deed",resUictions°_::.:._,,_.>r,
<br /> which may=be>more.res�rictive�th��-County�i+eg�ilat(ons: The underslgned����umes�responsibilityT'.forycomplianc�-with�any' � `
<br /> appNcable:deed reshictions. �... ;:� ..:. �: >-.. ; • ' _ . . .. :.- - ,.-. .,. . .�. • •' '': '::;' . "
<br /> UNLICENSED•SCONTRACTORS.AND CONTRACTOR RESPONSIBILITIES:��=<If°fhe�owner-hass�hired��a cantractvr or
<br /> cont�actors to undertake work, they may:be.:requlred_to;be,Ifcensed InJaccoedance.with:state.and�local:,regulations:���ilf-the�� � ��~���
<br /> cantractor�is-not Ucensed as°requl�ed,`tiy lew, bottr the owne� and=cont�acto�=may��be-cited�for=a�misdemeanor vtolatton
<br /> under state law. If the owner or Intended�,contractor;are;cuncertaln as to what Iicensing,;requlrements_;may=�apply-�for=tiie�=•-���r � ��
<br /> Intended woHc,they a�e�ad4lsed to contact ttie,:Pasco`County,Bullding`Inspection,Divlslon,-l.Icensing�Section at 727-847-
<br /> 8008. Furthermore, If the owrier has�`hired�a�conhacfo��or"--contractors. he ts advised to have�the contractor(s),sign : ,_ _
<br /> ,.., _.., �.,,.
<br /> portions of the"contractor,.Block"of..this�application..for_which they:will.�be:r.esponslble.-•_If.:you,:as:the owner'"sl'gn as`the�` �
<br /> cont�actor, that�tnay be an Indicatfon thaf�tie`is not:prope�ly`Iicensed�and`�I�"nof entitled�fo petmfEting pri�`tileges in Pasco
<br /> County. < __, .�:1 .. .- - ��
<br /> TRANSPORTATION:IMPACTIUTILITIES�(MPAC'��ANb�RESOU1tCE RECOVERY�FEES:��The understgned"uriderstands
<br /> that Transportation Impact Fees and.Reco.urse.Recov�ry-Fees may��apply:to•t(�e�,consttuction of new_bulldings��change��of���' ��`�`��
<br /> use in existing buildings,�or:,.expansion�of=�ezistin�g��buildings, as specffied.in Pasco County Ordinance number 89-07 and
<br /> � �,•--
<br /> 90-07. as amended.,.:The undersigned also.�urtderstands� thait:�such fees;:,as��majr�e�_.due;;wiiF.:be tdeMi�ed at the�-tirrie�ofr��� ��=�' °°�'
<br /> permitting. It is further understood that Tre�spo�tatlon Impaot Fees an.d,Resoucce;.Recovery�Fees..must be paid prior to
<br /> receiving a.�certl�cate:�of>occupancy" or flnal�.power;release:� :If the proj�ck;does::not.Involve�.a��certfficate of occupancy-o��-�"����� '`'
<br /> flnal power release;•the-fees mu�t'be paid,p�1or to,permft Issuance. Furthermore;,if Pasco;County��lNater/Sewerwlmpact� �-� . ,
<br /> ... ..... ., .,.. ..
<br /> fees are due,.they.must-be�paid�prlor#o permit.:,Iss,yance�In:accordance ar�Ith:applicable.Pasco':County o�tlinances. •
<br /> CONSTRUCTION'LIEN"LAW(Chapfer T13� Flor,�;tla Statute��as amende�): If valuation of work ts$2,500.00;or:more�.l � �. �•:;:
<br /> certify that I, �he �applicant, have-been provfded��wlth-�a-copy of:�the�"Florida-���onsCructton� Lien`_Law—Homeovvner's
<br /> Protection Guide" prepared by the Flo�ida Department�of Agriculture and Consumer.Aftairs. If the appHcant Is someone ;, ; ,
<br /> other than the`owner", I certifjr�.th�t.l�h�ve,o�talnedsa<copy.of:the;above:.de�,crltieddocui�ent-and:p.r.omise�:in,good:�:faikh-.to . z��
<br /> deliver it to,the:"owner"�prior toscommencement:'� � ' � � ' �� � -- -
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify::that=ail the�inf.ormatlon:;in-thi�appllcation is accurate.and that all wurk
<br /> will'be done in compliance with all.appltcable�laws regul�ting constructlon� zoning and��land development. Appllcation (s
<br /> hereby made to obtain .a permit;to��do.:work,,.and ihstallatlon as indl�ated:��-�=°I, certify�that no work��or Installatton lias ,
<br /> commenced p�lor to Issuance of'a permif and that�.all work w(II be pertormed to meet�standards��of ail laws regulating•
<br /> construction, County and City codes, zoning regulatians, and land development regulaUons�tn�the�.Jurisdtction.: I�al'so. _
<br /> certify that I understand that the regulations of other government agencies may�apply to the.intended work, and that it is
<br /> my respons(biliiy to identify•what.actions I musbtake:to,bedn:.cortlpllar�ce;. S.uch,agencles include but=are.not iimited to: � •
<br /> - Department of Er�vlrvnmental��Protection-Cypress.'Bayfiead�,`VNeHand Areas and Envlronmentally Sensitive
<br /> Lands,Water/Wastewater Treatment. � �
<br /> - Southwest Florida Water Manageriment:�.:Dlstrtct-Wells; Cypress.r Bay.heads;� Wetland' Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Englneers=Seawalls, Docks,IVavlgable Waterways.
<br /> - Department of_,Health-:& Reitabllltative,Services/Environmental. Health Unit-Well.s� Wastewater�Treatment,
<br /> Septic Tanks._.: . - - � �- � �,� �
<br /> - US Environmental Protection Agency-Asbestos abatement. �
<br /> Federai AvlatlonAuthorliy,=Runways: _ - -
<br /> I understand that the.following.:�estrictions apply to the use of flIL•�
<br /> - Use of flll Is not allowed in�Flood;:Zo,ne"V"unless expressly permitted.
<br />, - If the fill material=1s to be usetl.�'In.:Flood Zone. "A", it is understood that a drainage plan addresstng a
<br /> °compensat(ng volume"will be submitted at time of permitttng whlch ts prepared by a professtonal englneer
<br /> Iicensed bythe�tate of Fiotida: � ,
<br /> - If the flll materlal.is to:be used in Flood Zone 'A" in>connec�on�uvlth�a �permitted building using stem wall ,
<br /> � construction, I certify that flll:wJll:b.e-used only.to..flll the area wlthin�the�stem wall. �
<br /> - if flll materlal is to be used in any area; I certify tfiat .use. of such flll wlll not adversely affect adjacent
<br /> properties, If use of flll is found:.to adveraely.�ifect adJacent�prc�perties�.the owner may be clted for violating �
<br /> the condfllons_of the building'.permit issued�under the.-attached���rmtt application, for:lots-.less-than one (1)
<br /> aare whicH are elevated'6y flll, ��t,engineer•ed dralnag��plan is required. •�
<br /> If I am the AGENT FOR THE OWNER,.I;promise In good fa(th to Inform the owner of•the permitting conditio�s set forth in
<br /> this affidavtt`pNor to commencing constructlon. I understand theta-separate permlt may be required for electricaf work. �
<br /> plumbtng,,signs, wells,.poois;. alr conditioning,.gas�_or.other. Install�tlons noE.spec�ic�lly included�in.the applicat(on. .A .
<br /> permit Issued shail be construed to'6e�a�license'•to��proceed with ttie.wor`k�nd_not-as:authoMty�to;violate,�cancel,�alte�, or
<br /> set aside any"provistons of the teahnical.c+odes;�nor shall issuance•of a.permlt.prevent the Bulldirig Of�icial from thereafter �
<br /> requtrin.g a.correction af er�ors in•plans, conshuction or vlolatlons ofany codes. Every perm(t=lssued'§hall�become invalid
<br /> unless the work authoNzed by such permit:�s.commenced�within sfx�months of�permit Issuance, or If work authorized by
<br /> the permtt is suspended or.abandoned-for.a:period_of�six E�)montFis.8�ter.the time the�work�is conemenced. An extension
<br /> may be requested� in wrlting; from tfie.Building,Officlal for a perlod=nottto exceed nineiy`(90)�days and will'demonstrate
<br /> justifiable cause for.the extension�. If work.ceases.for ninety(90)cons.ecutive days...th�Job�is.considered aba�doned. " •
<br /> WARNING TO OWNER: YAUR..FAILURE.TQ,REC.OttD,A:.,NOTIGE;OF:�COMMENCEMEMT;MAYyRESULT IN�'YOUR �
<br /> PAYING TWICE;FOR�IMPROVEMEN.TS�TO:YOUR�.PROPERTY:=�IF°YO.U�1�1�'�END:T�`i0BTA1N��FINAwE1NG;�C.ONSULT
<br /> - -1METH l1011R-LE[dDER�9RJAN A�'TORNEY�EFOR��Rf�ORf71Nfs�YOUR'NOTiCE'OF=COrIAl111EN �E�IIIENT�
<br /> FLORIDA JURA'�(F. .1.17.03) � -- - .. _`_ . .
<br /> � . - F �--- - --- �_.�.__ - --- ------- ----.
<br /> OWNER Ott AOENT CdNTRACTO �
<br /> Subsalbed and swo (or aRirmed be ore me this Subscrlbed'and' m-to(of afflrm )'before me'ftil�- .
<br /> m� ^ `" rn �i�l�s��� �o-�1- �..ir1 se„
<br /> Who islare ersonally kn .me.or haslhave.produced Who.ls/a ersonallyknown: me�or haslhaveproduced •
<br /> as Identlflcetlon.' as IdenBflcafton.
<br /> , �
<br /> Notery Public _ _ �- � Notary Publlc
<br /> Commisslon No: C Isslo N ,
<br /> �.��aY'�'���,, SYLVIQ p.CAMPBELL ,��PRY'PV.,, SYLVIA A.CAMPBEL'L
<br /> Name o ' L p e o or a Name ot N • rfE�t 'od State of Elorida
<br /> :•. t; My Comm.Expires Jul 19,2017 �� �P; My Comm.Expires Jul 19,2017 �
<br /> =:�, o.•' Cnmmission#�FF 034230 P,� Commission�FF 034230
<br /> ��'��°����'� Bonded Yhrough Naqonal Nat�ry Assn. ����'�°������� Bonded 7hrough National Notary Assn: i
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