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<br /> 1 y2/02/20�6 '16:04 #965 P.003/003
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<br /> NOTICE OF�DEED RESTRICTIOKS: The undersigned understartds that this permit may 6e subjeot to"deed"restrictions'
<br /> which may he more restrictive than County regulations. The unders)gned assumes responsibility for compliance with eny
<br /> applicable deed restrictions.
<br /> UNLiCENSED CONTRACTORS AND CONTRACTOR RESPUN51BlLITIES: If the owner has hired a coniractor or
<br /> contractors to undertake work,ihey may be required to be licensed in accardance wlth state and locaf regulations. Ii the
<br /> contractor is�not licensed as required by law,6oth tfie owner and contractor may be eited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncerta3n as to what licensing requlrements may apply,tw fhe
<br /> intended�work,they are advised to contect the Pasco County Bu�dm�Inspection Divisfon—Licensing Section at 727-847-
<br /> 8009. Furth"ertnore, N the awner has hlred a contractor or coMredors, he Is advised to have the contractor(s) sign
<br /> portions ot ttie"conUactor Block'of ihts applicaUon for whf�h they wfl!be responsible. H yott,as the oumer sign as the
<br /> contractor,ftiat may be an indication that he(s not propetly licensed and is not entided to permifting privileges in Pasco j
<br /> County. � `
<br /> 77iANSPORTA7lON tMPACTlU11LITIES IMPAC7 AND RESOURCE RECOVEftY FEES: The undersigned understands ;
<br /> that TranspoiiaUon impact Fees and Recourse Recovery Fees may apply io the�onstn�ction of new bu�ldings,change of e
<br /> use in existirig buildings,or expa�ion of exisdng buildings,as speci�ied in Pasco Connty Ordirtance number 89-07 and �
<br /> 90-07,as er�ended. The underslQned also understands,that such fees,as may be due,w�7f be identified at ihe time of ;
<br /> permittfng. lt is turther understood thaE Transporfation Impact Fees and Resaurce Recovery Fees must be paid prior io `
<br /> recelving a'certificate oi occupancy'or flnal pawer release. If tfie project does not irnolve a certNicale of occupan�y or �
<br /> fnal power release,the fees must be patd prtor to permit�ssuance. Furthermore,1f Pasco County Water/Sewer Impact
<br /> fees are due,they musf be paid prior to permit Issuance in accordance with appifcable Pasco County ordirrances. �
<br /> CONSTRUCTION UEN LAW(Chapter 713,Florida Stetutes,as amended): lf valuafion of work is$2,50Q.00 or more,I �•
<br /> ceriiry that I; the appiEcartt, hava been provided with a copy of the "Florida Conswction Lien Law-4-fomeowner's "
<br /> ProtecUon Guide"prepared by the Florlda Department of Agriculture and Consumer Atfairs. It the appllcant is someone ,. �
<br /> other than the'owner°,1 certify that I have obtairted a capy at the above described document and promise in goad faith to :
<br /> delfver H to ttie"owner"prior to commencement. �
<br /> CUWTRACTOR'SlOWNER'S AFFIDAVIT: 1 cerUfy ihat ali the tr�fortnation tn thls application is accurate and that all work �
<br /> � wID be done in compliarTc:e with all applicable laws regulating cansUucfron,zoning antl land developmenL Application is `
<br /> hereby made to obtaln a permit to do work and installaGon as indicated. I certlfy that no work or Instailation has €
<br /> (x commenced�prior to issuance of a pertrtit and that all work wifl be performed to meet standards of al! faws regulaling �
<br /> � construction, County and City cades, zoning regulations, and land developmenl regulations in the jurisdicfion. I aiso �
<br /> � certify that I understarx)thal the regulations oi other govemment agerxies may apply to the intended work,and that it is £
<br /> `, my responsit�iiity to idenftty what actions 1 must take to be in campHartce. Such agencies fndude but are not limlted to_
<br /> I � - Depar[ment of En�ironmenfaf Protection-Cypress Bayheads, IiVeUand Areas and Env"vonmentaGy SensiWe �
<br /> Lands,WaferNVastewater 7reatmenk �
<br /> � - Southwest Florida Water Management Districf-Weils, Cypress Bayheads, Wedand Areas, Aite�ing ;
<br /> VVatercourses.
<br /> - Artny Corps of Engineers-Seawal(s,Dodcs,Navigable Waterways. <.
<br /> - Depariment ot hlealth 8� Rehabllitative Services/Environmental Health Unit-Wefls, Wastewater Treatment, ?
<br /> Septic Tanks. �
<br /> - U5 Environmentat protection Agancy-As6estos abatemenl �:
<br /> I - Federal Aviattan Autho�fty-Rur►ways.
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<br /> 1 understand that the following restrictions epply fo the use of tlli: '`
<br /> - Use of fill is not aflowed in Flood Zone'V"unfess expressly permftted. �
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<br /> - 1f the fill materiai is to be used In Flood Zone "A", R is understoad that a drainage pian addressing a '
<br /> icompensating volume'xrill be subm(tted at time of perrniEting which is prepared by a professionaf engineer �
<br /> fjcensed by the State of Florida. -
<br /> - if the fill materiel is to be used in Flood Zone'A" in connection wlEh a permitted building using stem wall M1
<br /> conshuction,I certity that Tiil wtll be used ordy to Till the area within the stem wall. �
<br /> - If fill materhai ts to be used in arry erea, I cerfiry that use af such fifl will not adverseEy affect adjacent �
<br /> properties. If use of flf is found to adversefy atfect adjecent propertles,the owner may be cited for vlofeting ,:
<br /> Ihe cond(tions of the building permit fssued under the aftached pertnit applicaUon,for lots less than one(1} a:
<br /> acre which are elevated by fi11,an engineered drainage pfan is requlred. �_
<br /> If I am the AGEM'FOR T1iE OVYHER,I promise in good feith to irdorm ths owner of lhe permitting conditions set forlh in -
<br /> thes atfidavR,�prior to commencing conshuotion. !understand that a separate permit mey be required for e{ectricai work, e
<br /> plumbing, signs,welis,pools,aU condlUoning,gas, or other Installatlons not speclRcally included in the appUcation. A •
<br /> petmlt issued shall be conslrued io be a license to proceed with the wor{c and not as authority to.violate,cancel,aRer,or �
<br /> set aside �
<br /> arry provisions of the fechnipi codes,nor shafl issuance of a permit prevent the BuAdirig Officia!irom thereafter 5
<br /> requiring a correcdon of errors fn plans,cons4ruction or violatia�of any codes. Every permit issued shaU become invalld
<br /> unless the vVork authorized by such permit ts commenced within six montt�s ot permit Issuance,or K work aulhorized by �
<br /> the permif isi suspended or abandoned for a period of stx(s)monUu aRer the Ume the work is commenced. M extension �.
<br /> may be requested,€n writing,f�'om the 6uilding Official for a period not to exceed nfnety(90)days and wiil demonstrate
<br /> -justHlable luse for the exlension. If work ceases for ninety(9D}�onsecutive days,th�job is considered abandoned. �
<br /> WARNING TO OWPIER: Y�UR FAlLURE TO RECOftb A NpTICE OF COMMENCEMENT MAY RESl1LT IN YOUR �
<br /> PAYING TWICE FOR IMPROVEMENYS TO YOUR PROPERTY. IF YOU lNTEND TO OBTAIN FINANCING,CONSULT
<br /> FI YQUR ENDE AN Tf0 N B O RECORAING YOUR F COMM NCEM _ �.
<br /> Fl.ORIDA JUR i 7(F.S� � � �i
<br /> OWNFd20RAGENT� � /
<br /> ub d swo {ar a rtne afore � u�CT� r a�e afore m � �y � �
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<br /> yy��7 w heslhave produoed o f re petsw�a me r has/have produced . �p,'����,1�� r;�
<br /> I asldentlficaU asldentlflcation. � ; 7
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<br /> � Notary Pubqc /'�� �Notery Pu6IiE NA.M _-
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<br /> CamMsslnn No. � \h�h�0 Commission No. � r � � � .7 �pa`" �:
<br /> I \�. C��` '��`yo��6� � L17d�i Ll ✓. /-� ��' :3:y .. FW n.
<br /> Name of Notary 7P�.Pdnted or stemped �5�'������ :�: • - �,
<br /> yco��5?�0.��° ;��*�ti�, MICHAEL V FARLEY �••. :$
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<br /> Queuc �` Q�.�c� ='• �': MY COMMISSION#FF96 7 5 3 1 �,
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<br /> o �, %,,�p�,r EXPIRES March 16,2020 w.,
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