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<br /> NOTiCE OF DEED R�S7FtlC�710NS: The undera{gned yndersta�ds that this permit may be supJeck}o"deed"restrlcllons"
<br /> wh{ch may b4 mare restr{c4iva ihan Cpunty regulaUons. The 4nderslgned as�utnes rasponslbility for comp{iance with�ny
<br /> applicable deed reskrictlo�s. �
<br /> UNLIGENSED CONTiiACTOi2S AND CO�JTRA�TOR RE$pOtJS181LITMES: kf the awner has hired a contractor or
<br /> � contra,ckqrs to undertak�Wartc,ihey�iay be�eguired�o be 1lcensed iti accordanGe wikh state and focal regulatiQns, iP 1he
<br /> cantrac�or is not ticansed as required hy(aw, bqth the owner and cantractor maX 6e cited for a misdemeanor vlolaUon
<br /> under sta�e law, If th$awner or intended coniractor a�e uncertain as ko What(icensing reguiremenfs may appiy far the
<br /> intended'work,they are�dvised 10 cantact the Pasco County�uilding inspectiq�pivislon—Licensing S�ckion a1'727-547- �
<br /> 8009. Furthermore, tf ihe owner has hired a coni�ac4or or oo�itraciars, he is advi5ed to haVe tha con�ractor(s) sign ,
<br /> Qortlons of the"cantractar�iock"of this appiication for which khey wilk be rasponsi6le. tf yoU, as 1he own�r sign as the
<br /> cont�ackor,th�t may ba an indication that he is not properiy iicensed and is.not eniitled ta permltting privit�gas fn Pasca
<br /> Counfy. �
<br /> TRAN5AQRTATION IMPACTIUTILiTiES IMFAC�T ANp�R�SQURGE REGQVERY F�E�: Ths undersigned unders�apds
<br /> thet i'ransportation[mp�ct Fees and Recourse Recavery Faes may�pply to ihe conskruction af new buildings,ehan�e of �
<br /> � use in exlsting buitdfngs,or expansian af existing buildings,as speci,ftad'1n Pssca Cou�ty Ordinance number$9-07 and ,
<br /> 90-07,�s amended. The undersigned ais�understands,that such fees,as may�be dtce,w(!I be identifled at the time of
<br /> permitting. it is furiher understood thet Transpaitatlon Impact fees and Resource Recovery F�as must be pald pr{ar to
<br /> eeeelving a"cer��icate af oecupancy"or finai power release. If tl�e proJect doe�not Invgive a certiflcate of occupancy or
<br /> flnal pawer release,Ihe feas rnust be paid pr{or t4 permit issuance. Futihermore,If Pasco Caunty Wated$ewer impact
<br /> fees�re due,they must be pald prior to permlt Issuance In accord�nce with appllcak�le Pasco County ardinances:
<br /> ' CONSTRt�CTtOId L.IEN t�AW(Ghaptet 713,Fiorida S�atufes;as amQnded}: !f v�luaklon af wark(s$2,5Q0.40 or more,i
<br /> certify ttiat i, ihe applicant, havs been provided wikh a copy bf the "Fiorida ConsUuciion Llen L"aw—Horneowner's
<br /> ProtactEan.GUfde"prep�red by the Fiorida Qep�rtment of Agdculture and Consumer Affafrs, if fhe appticant is eomeone
<br /> '� Qihe�ifian the"owner",{certtfy that!have abtalned a�opy of the above dascribed document and promisa!n�ood faith to
<br /> d�livar it 1a the"awne�'prior to commencernent,
<br /> GON7RA�TOR'S10WNER'S AFFIDAVIT; i certify that all tha informatlan i�this app!lcatlon is accurate and that a!1 work
<br /> wii)he done in complianc's,wiih all app!lcablB laws regulating�canstruction,�Priing and i�nd deveiopment. ApplicaBon ls
<br /> hereby r►i�de ta obta{n a permit to do work and Insiailation as IRd{cated. 1 c�rtlfy tfiat no work or tnstailatlon has
<br /> commenced prior to lssuance qf� par�lt and that aN wark Wfii be perfarmed lo meet standards pP a!1 laws regulating
<br /> canstructfon, Gounty and Ciiy co�es, zoning regulations, and land development regulatlans in the jurisdi�iion. 1 also
<br /> I certify thak 1 understand Utat the regulatians of other goyemmerjt'agencies rp�y appty to the lntended wark,and that it Is
<br /> my responsipiiity to idantify�hat ack�ons I must tak�to be(n comp{iance. Such ag�ncies includa buf�re not limitad to:
<br /> , Department of Enyironmentai Rrqtection-Cypress Bayheads,Wetl�nd Areas and EnV{ronmentafky Sansfify�
<br /> Lands,V+/aterlWaskewater Treatttlent.
<br /> - SouttjWe�t Figrida VJater Man�gemen� DlstricE-Vyells, Gypres� ,Bayheads, Wetland Are�s, �tle�ing
<br /> Wa#ercourses,
<br /> - Army Corps qf En�lne�rs-Seawa!!s,Dacks,Navigahf�Waterways.
<br /> - Department af Health R Rehabilttativa Serulces�Ertylronmentat Health Ut�it-Welis, Wastawate� 1'reaiment,
<br /> Septic Tanks.
<br /> US�nviron(n�ntat Protectlonl�gancy-Asbestos a6atement.
<br /> - Federai Aviaf{on Authari�y-Ru�tways.
<br /> i und�rsiand that�he following rastricUans apply�o ihe usa of fii{:
<br /> Use of fii)ls`not atlowed in Flood Zone."V"unles�expressiy parmi#ted".
<br /> - If !ha filf materiai Is to,be used In Flood Zone "A°, It Is understood that � dra{nage pian addressing a
<br /> "compansaking volume"wlll bs�ubmitted at ifine of parmitting which 1s prepared,hy a pra#esslonal engineer
<br /> I licensed by the State of Fiodda.
<br /> !f the �fi!! materlal is to be used in Flaod Zone"A"in connectlan with a permlttad bu{tding usfng �tem waii
<br /> canstruction,i�erilfy that fiU wi!!ha usad only to flfi tne area.wlthin the sterri watl.
<br /> - !f ftll maieriai is to be used in any area, I certity Ihat use of sueh fi{I wifi not adversely affec4 adjacent
<br /> propertles. If use of fill is faund ta adversely affeGt adjacent proparkles,the owner may 6e Gttad tor violating
<br /> the canditions of ihe bullding pe'rmit lssued under the attached permit appiication,for lais iess than one(1)
<br /> aora wh{ch ara efevated by fiii,an engineered drai�age plan is requlced.
<br /> if i am the AGENT FOR THE QWNER,!promisa In good faNh to{nfarm tha own$r of ihe permitttng condlitons set forih In
<br /> Ihls affldavit pripr ta cammencing constructlon. 1 under§[and that a sep�rate parmlt may ba.requfred for etec�ricai work,
<br /> plumb[ng, slgns,wells; pools,air condipaning,gas,or other instailaiions nof speclficatly Includad tn the application. A
<br /> � permlt is�ued shaii ba construed to qe a itcsnse lo proceed with ihe work and not as autharity to vfolate,cancel,aiter,or
<br /> set aslde any provislons af Ihe.technicai codes,nnr shaii issuance of a perinl�prevent the 8uilding'Of�cial.trom thareafter
<br /> requfring a coneciion of errors In plans°,constructlon or vioiations gf eny cades, Every parmit(s�ued shaii become Invalid
<br /> ' unless ihe wark euthodze�.hy such permit►s commQnceil wl��n s{z rponkhs of permit i§suance,or!f work authorized by
<br /> ihe pe�mlt ts suspendec!-or a6andap�d for a period af six(6j months after the iim�tha work is commenced; An exkenslon
<br /> may be reques#ed,in writing,from the 8uilding Oificlal.for a peric;�d not!o exceed nir�aty(90}days and wlii demonstrate
<br /> - JUsUBable cause€or the extehSlon.-tf wor�ceases for ninety(90}cbnsecutlYe d�ys,tha]ob Is consldered abaridoned.
<br /> VIIARNIN('.s.'1'0{.}WN�R: YQ R EAI�URE TQ R��O�?D A N071GE OF�OMMEt�I, .. T /�Y tiESULT IN YOUR
<br /> RqYit�G TWICE�OR�M O NTS TQ YOt�f�PRQFERl'i(, IF YOU iN'i'�ND'TQ��TA1 FiNANCING,�ON$UI.7'
<br /> OU L O • O E B .O E CQ G OU O � O CO C E
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<br /> OWN�R QR AGE T �i GONTRAGTqR�.
<br /> Subsc bad nd sw or a rm�d)befora' e this' ' Suhs d d sy,rorit fo ot s�rmed 6e(qra me is " '�",��'��p ,
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<br /> Who Isfar. p�raonat y knoWn to me 4'c hasliiaw�-�redncpd Wti Is�onally Bnowo.", e oc hasltiaua�i�ed'ocerl
<br /> , . .,n• . . as i�ieat ..ii'icgiion: •
<br /> I _1�s�G��LL�- SCS,�i6�L�G tbry Publlc �(-�F�t.t.Lt Y�.L/VG 'Nolary P.uhlic
<br /> Gommisslon No. � Cummisalon No.V �� ��' y'�
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<br /> s . :�_Commission#GO 0459�43 :*. :�_Carrimission#GG 0453�3
<br /> ;��,:o§Expires Nave�►ber 7,2020��a=7��� :�;. o�:Expires November 7,2Q20
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