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<br />�� NOTICE OF DEED RESTRlCTIONS: The undecsigned.;undergtands�:th�t:this�p�rmlt�,may,.be,subJect to.,"deed",resUictlons°:'.'__;,�t.,�;�,
<br />� which may�tie=more��resVictive=tha�-Counfy��regulatlons:��The�underslgned a§siimes�'responsiblitty fo�compllance'with any
<br /> IaPPHcable:deed_restricttons. .�, ..�., -::. . �- �: . • ._ _ • ,.., �:.... ... � .. ......._ ,. ,. � . _ .
<br /> UNLICENSED=CONTRACTORS AND CONTRACTOR RESPONSIBILITiES:� �lf�the•owner�has^��hiced��a�`contractvr or
<br /> contractors to undertake work, they may�b,e�requlceda�to-be.;licensed ln.accordance.with state:;and__Iocal.regulallons.:���If=the�• �' _��"
<br /> contractor is-not licensed-_as�requlred=tiy law� both'the oumer and=cont�acto��may be~ct'ted�:for-�a�misdemeanor violatton
<br /> under state law. If the owner or Intended�;contcactor;�:are,:uncertaln as to what Iicensing_re,quirements��may-�apply�ior.tFie�-• �.-=<>�_- �'
<br /> intended work,tHey are advised to�aontact.tFi�e�Pasco County Bulidin8°Inspectton�pivislqn--Licensing Section at 727-847-
<br /> 8009. Furthermore, If the ovirner'Fias"hired''a contractor or contractors, he Is advised to have :the contractoKs),;sign.
<br /> , .,,..,._��.<,,_�,.,�,�, .-..;:.
<br /> portions of the "contractor Block" of.this..appllcatlon.for,which.�they, willrbe.:r.esponsible.-. If you;:as-#he owner sign as the'� `
<br /> coMractor, that��may be an indication thaf�iie�=ls~not`prope�ly'licensed�and��is not`entitled`to permitting priiilleges In Pascq _ _
<br /> County. � � i: �- .. : �_._�
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<br /> 4RANSPORTATION:IMPACT/UTILI'TIES�(MPAC�'�ANb�RESOURCE RECOVERY�FEES: �The unde�slgned unde�stands
<br /> that Transportation Impact Fees and.Reco.urse.Recovary.Fees may�appiy.:�to�tl�e:,constructlon of new.buildings;�:change':�of°��� °�-� '''�
<br /> use in existing bulldings; o���expansi�n���of-ezistin,g�`�buildings, as specifled.in Pasco�County Ordinance number 89-07 and
<br /> 90-07, as amended.l:,The undersigned also,understands, tli�t��such fees„as�rnajr'�e:<due;,:will;�be identified at the-time�of`��� .,;� ''-`
<br /> permitting. It is fur'tfier unders'tood that Transp'ortatlon impac4'�Fees and'��Resource.;Recoii.ery�Fees�..must be pald prior to
<br /> receEving-a 'certf�cate of�occupancy" or flnal�power;release:�:If-the.proJ�ct;�:does�:not involveaa:certfftcafe of occupancy��o����"�•'�`��'�'��
<br /> flnal powec-release;the;fees mu�t'be paid�;p�ior to,permft issuence. Fti,�thermore;ff:Pasco:!C;ounty"Water/Sewer.•;Impact �����•°��
<br /> fees are due,.they:must..be;paid:prlorto permit_�Issuance:in accordance.with.applfcatitePasco�-County��ordinances. •
<br /> CONSTRUCTION LIEN�L.O�►iW(Chepter 713, Flor`tda Statutes,,as amended): If valuatlon of work is$2,500.00.;or more�:l� ��.._ ;:w3.:
<br /> certify tfiat I, the. applicant,-have=b.een provided•�with--a-copy of�the°"Florida�"Constructton� Lien :Law=Momeowner's
<br /> Protectio� Gutde" prepared bythe�Flo�ida Department�of Agriculture and ConsumerAifalrs. If the appllcant Is so`meone .,. •.:• �-�
<br /> other than the"owner", 1 certify,-that,l�h�ve:obtained`a�copy.of:#t�e;above.ries.c�ibed��locu�ent�and;promis.e�:in,good.:faithto . . .
<br /> deliver it to.the.'owner"::p�ior::to�ccmmencement:� " ' ' � ,, y � � - �
<br /> CONTRACTOR'S/OVYNER'S AFFIDAVIT: I.certifjr.�:tfi,akail,.the,;inf.ormatton:in:thi� applicatlon is accurate�nd that all work
<br /> will�be done in compliance with all.appltcable laws regula8ng construction� zoning and��land�deve)opment. Appltcation,is
<br /> hereby made to obtain..a.permit�.Co do,�;woflc:;.and%ihstallation a� Indl�afed:-�.-°I certffy"that no work='or Installation Fias' •
<br /> commenced p�lor to Issuance of�a'permit`and that'.all work will be pertormed to meet_standards-of all laws �egulating-
<br /> construction, County and Clty codes, zoning regulatiQns, and land development regulations�in�the:jur(sdiction. � i.al'so. _
<br /> certify that I uaderstand that the regulattons of other government agencles may�apply�to.the.intended,work, and that it is
<br /> my responsibility to identify�what.actions I must�take:to be<In:.complfar,�ce:.,.S.uch:agencles�lnclude but=are.not limited to: _ -
<br /> - DepaRment of E�lvironmental�Protection=Gypress�Bayhead�;�WeNand Areas�and-Environmentally Sensitive
<br /> Lands�WateNWastewater Treatment. �
<br /> - Southwest Florida W�ter Management�:Dlstrlct-Vllelis;"�Cypress.�Bayhead�;� '�Wetland` Areas� Altering
<br /> Watercourses. �
<br /> - Army Corps of Engineers-Seawalls, Docks, N�vigable Waterways.
<br /> - Department_of,_Health_:.8�,.ReMabllltative,,,Ser;vtceslEevitonmental�.Heaith Unit Well.s;�Wastewater�Treattnent, � {
<br /> Septic Tanks. � -' � � - � � � - �:
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal AVlativn<Aut�iotity-Runways:�
<br /> I understand.that the.follow�ng::resirictlons apply'to tFie use of flIL�
<br /> - Use offill is not ailowed in',Flood Zone"V"unless expressly,permitted.
<br /> - If the flil material`is�to'b.e used.`In.:Flood Zone. "A"� It. is understood that � dratnage plan addres�ing a
<br /> "compensating volume"will be submitted at�ime of permitt)ng which ts prepared by a professfonal engineer ",
<br /> Iicensed by�the State of Flo�ida: - = ;
<br /> - If ihe flll material-is to be used In Flood Zone 'A" in�connection�with:a permttted building using stem wall
<br /> ' constructton, I certify that fiil�.wall:be-used only.to flll the area within�the�stem�wall. _ '
<br /> - if fill mate�lal is to be used in any area; I �certify that .use of such flll will not adversely' affect adjacent
<br /> p�operties. If use of flll is found�to adversely:�ffect adJaEent�pcc�perties,.the owner may be'cited for viol'ating,. �
<br /> the cond�lons_of the b�llding:permit Is"sued�uflder tiie"attached_perm(t �pptication,:for:lots:�less�.than one (1)
<br /> acre whtch are elevated`by flll,��engineered dralnage plan is requlred.
<br /> If I am the AGENT FOR THE�OWNER; I;promise In good faith to Inforrra the�owner of the permitting conditlons set forth in
<br /> this affidavit`prtor to commencing constructlon. ;I understand that a-s�parate permit may be requtred for electrical work, . ,
<br /> plumbing,.signs, wells,.pools;, air conditioning,.gas,:or otMe'r. install�ttons noE.spec�tc�ally inclu�ded-in.the�application. .A .
<br /> permit Issued shall be conshued to'be�a�license'�to�proceed wlth`tFie;work�nd not:as�authoNty�to:violater;°cancei, alter. or .
<br /> set aside any�provtstons of.ihe technical-codes;�nor shall Issuance�of a.permit.prevent the Buildirig Oifictal irom thereafter
<br /> requlrtn.g a correctton af errors in•plans; con§fruction or violations of-any codes: Every�permit-Issued sFiall-become�invalid
<br /> unless the work authorized.by such permit:�s.commenced�within sfx..,months of pertnit Issuance. or tf work authorized by
<br /> the permft is suspended or.aba�doned-for:a�;period of six:(�)montt�s.aRer the�tir�e�the�work�ts commenced. An extenslon
<br /> may be requested, in writing,,from.tfie.�Building,Officlal for a pertod=not-to exceed�ninety�(90)�days a�d wlll'demonstrate
<br /> justifiable cause for:the extenslon, If work ceas��.for ninety.(90)cons.ecutive days�..th�Job�is considered aba�doned. - � �
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<br /> WARNIRIG TO OWNER: YOUR..FAILWRE�TQ.,�REC.ORD A.MOTICE:OF,�COMMENCEMEMT:MFAY��RESULT IN YOUR
<br /> P-d4Y�[NG'fWlCE;:EOEd�El�dP!?tOVElWEId����'dJ:VQU��:PR�l�@R1!'Y:--IF�:VO.U:�OA9'FEMD:_TQ+��OBTAIN���IN�I�EING;��.OPISULT -- - -
<br /> WIT D �O_ AN A O �ORE�,�E�O � �:� .U :'• , � � C 'p ,: °,. � E �
<br /> FLORIDA JURA�(F. • . 7.03) �- • � - - ,_ ' ` � .
<br /> �
<br /> OWNER OR AOENT . L2JL CONTRACTO
<br /> Subscribed and avwm r alflrmed)beto me this Subs�xibed and' m=to(ot aflirmedpbefore me ftil�
<br /> b �n 11-1- ..� �Lt / �s
<br /> Who Isla rsonally known �me or:has/have.produced Who.is/a p.ersonallyJmo me or haslhave-produced •�
<br /> " 'as Id'entlBcatlpn, as IdendficaUon.
<br /> c � , • .
<br /> Notery Public . ^ Notary Public
<br /> Co Isslon No: Comm �Ion�No. -
<br /> ,•t►.arpue•, A.CAMPBELL
<br /> ��au��np� 5 y� .`�+ `�: Nafary Publlc-
<br /> Name ot Nolary . ;�R!!lAP��blic-State oi Florid� Name ot Notery ,� : �$e�im.Expires Jul 19,2017
<br /> '• •: My Comm.Expires Jul 19,2017 .;� �gA.' Cammission�Pf 034230
<br /> _-� T: '"�°��t�``' Bonded�hrou h,
<br /> �j� �; Commission#-Ff 034230 p Nafional kotary Assn.
<br /> "„���:��� Bo�ed'ftuough N'ational Nolary Assrt. '
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