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<br /> : � ` ta ".•.S;_i��("'.
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned„understands.that.this;permit may be subjeet to:"deed".restrictions�; .;,;�
<br /> � .. : . _ . _ .a.,..�...,�.� ..;,.,:..�: ,....; . x � �
<br /> which..may..be.�mare�:r.estrictive::than,�Goun#yregulatians:�The�urider�igned'"assumes"respbnsitiility�`'for compHance=with any t�
<br /> applicabte cleed res#rictians. .' .. .... ., � :`"��':.`<.:"�:"_'`"
<br /> >.. .,::...,_. ;
<br /> UNL:ICENSED� CONTRACT�RS AND" Ct?NTRACTOR RESPt}NSIBILITIES:`- =1f�•tFie'�oiiurisr��has�hired-�a;:cor�#ractor or „ �
<br /> contractors ta under#ake work; they„may be cegUired.'to be:licensed in accordance with state an�d_.:Iocalzregulations::�:=1f.'tt;ie��k`�-�
<br /> „{_ n . ,
<br /> contractor is not Acensed-as requi�ed'by'law; botti-the awner�and"eo�tractor�may�=6e cited�for-�a��Ym'isdemeanor violafion� �;
<br /> under sfate law. If the owner or intendeid,.contractoc are uncertain as to what licensing requirements,;rmay��apply:#or:�the;�?;�,j,�
<br /> ,. .v,�:;�.:�.,,.� � �, �
<br /> intended wock,.they.are�advised to confacf tfiie'Pasco Counry`Building�inspection'D'iv'ision�=Cicensing,�Section af�727=847- _;,
<br /> 8009. Furthermore, if the owner has�hired`�a cdntractar ar contractors, he is advised to;�;have tli,e confractar(s,}.,:sign,-..;;;,;
<br /> ..�,...,='i,�,:�,-::. ,,,., .,
<br /> po�tions of the "contractor Block'" of this appiicatian;for which_they-wlil be_r.esponsibie.-=lfyouu, as:tlie�:awner'sign:as�'.ttie� �:_ ::i
<br /> contractor, that may 6e an indication that�he is not properly licensed and`i""s nat'entitled��to permitting privilege�.,in Pascb_,,�.:.,.�
<br /> County. � _. _ .:: �. _ _ ., � ::�:,:_V.�,,.�r,�..±:1
<br /> TRANSPORTATtON-IMPACTLUT1LITtES�IMPACT AND RESOURCE RECOVERY FEES:�The undersigned undecs#ands;-�� ":j
<br />� that Transportation Impact Fees and Recau'rse Rec,overy Fe.es,•may.appiy to,the construction of.new:bui(dings, c}iange;of�'�=:��;�
<br /> use in exis#ing buifdings,,or=expansioct.of..exi:sting buildings, as specified in Pasco County 4rdinance number 89=07 ariii °'�i
<br /> ,_,.,�._,:
<br /> 90-07, as amended. T;he�undersigned alsa understands, that such fees,,as'may.,be.due, will"'tie�identified�at-ttie�:tirne:�of4{=.�t-���
<br /> permitting. �It is further�understaod #hat Transportation Impac# Fees:and Resource FRecovery.Fees must be paid.prior to e:;
<br /> receiving a certificate of accupancy or final,power release. If the project does not.invalve a certificate of occupancy�:o��'�:=�},_i
<br /> final ower release,,the fees-must b.e.paid prior to ermit issuance.,_�Furtfiermore,-
<br /> p p if Pasco Gaunty W;ater•lSewer;�lmpact�,,;4 „
<br /> fees are due,they,must be paid prior to permit issuance in accordance with�applica6le Pasca:Caunty ardinances. ` �
<br /> CONSTRUCTlON t�IEN-EAVIt{Chapter 743, florida Stafutes,as amended): If valuatian of work is$2,500.00:.or.mt�re;�i�_�;;,, ;
<br /> certify that I, the applicant, have -been..provided with a copy;�of,the "Flarida Construction.,.:Lien Lai�Homeowner�'st ,�;
<br /> Protection Guide° preparetl tiy ttie�Flo"rida Department of Agriculture and Consumef_Affairs. !f the applicant�is.som�one;g � .
<br /> ,.. .,y . rr. :,
<br /> other than the"owner�,'I.certify.that.l�have obtained a copy of#he above�de"scribed'd"ocument and pr.omise=in good:;faith`'to ,.,;, ;
<br /> deliver.i#.to the;';owne�':pciar;fo-comrneneem;ent�:�� � ` ` ' - '
<br /> CONTRACTOR'SI�IVUNER'S AFFIDAVIT:,. I:certify_that ail the infocmation in this application is accurate and that all�work
<br /> wilf be done in compliance wifh att app(icable laws regu(afing canstru�tion, zaning�and land-development. Applicafion is
<br /> hereby made to. abtain;.a,_perm�t,.to:do„worfc-and installatiorn:as•�indicated. i certify thaf no�work or instaltation-x has
<br /> comrnenced prior fo issuance of a perrriit and ttiat all work wil! be perf'ormed io.meet-standarcls of a!1 laws regulatirtg
<br /> construction, County and City codes, zoning regulations, and land development�regulations in=the jurisdiction: � ! also �
<br /> certify that I unders#and that the regulations,af other government agencies may apply to the intended wark, and that ik is �,
<br /> my responsibiiity#o identify what actions 1 must take to be in compiiance. Such agencies include but are not-limited.to:
<br /> - ,Department of Environmental:Protec#ian-Cypress Baylieads, Wet(and Areas and Environmentaily Sensitive -
<br /> �ands,WatedWastewate�TreatEnent. r
<br /> - Southwest Florida Water Managemen# Dis#rict Wells, Cypress .Bayheads, Wetland Areas, Attering �
<br /> Watercourses, �i
<br /> - Army Co�ps of Engineers-5eawalls, Docks, Navigable 1Naterways.
<br /> - Department of Heaith 8 Rehatiilitative ServiceslEnvironmental Health Uni#-Wells, Wastewater,Treatment, -,
<br /> Septic Tank"s. � �
<br /> - US Environmerital Protection Agency-Asbestos abatement. � ,� �
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that�the.following restrictions apply to the use of fill:
<br /> - Use af fil(is not allowed in Flo,ad Zone"V" unless expressly permitted.
<br /> - tf the fiil material is to be used in. Flaod Zane "A", it is understood that a drainage plan addressing a
<br /> "compensa#ing volume°will be submitted at time of permitting which is prepared by a professianal engineer �
<br /> licensed by the State o#Florida. r '
<br /> - !f the fill material is to be used!in Flood Zone "A" in cc�nnection with a permitted buitding using stem wali
<br /> construction, I cerkify that fill will be used only to fill the area within the.s#ern wall.
<br /> - (f fill material is to -be used ln ,_any area, I certify that use of such fill will not adversely afifect adjacent
<br /> praperties. If use af fill is found�to adverseiy affect adjacent properties, the awner may be cited for violating •
<br /> the conditions of�the building peimit.issued under the attached permit.applicafian, for lots iess than ane (1) �
<br /> acre whiah are elevated by ffl,an engfneered drainage plan is requi"red.
<br /> If I am the AGEN7 FOR THE.UWN�R;,I•promise in good faith ta inform the avuner of the permitting canditions set for#h in
<br /> this afFidavi# prior to commencing cons#ruction. I understand that a separate permit may be required for electrlcal.work, ''
<br /> plumbing, signs, we(Is, pools, air conditioning, gas, .or other installations not specifically included in the application: A. .. ,
<br /> permit issued shalt`be`canstrued to�6e a ticense-to proceed wifh the wark and nat as authori.ty.#o violate; cancel, alter, or
<br /> set aside any provisions of ttie technical cades, nar sha11 issuance of a permit prevent the Buitding afficia(from theceafter
<br /> requiring a correction of errors in plans,'construction or violations of any cades. Every permiC issued shali become invatid
<br /> unless the work authorized by such permit Rs commenced within six months of permit �ssuance, or if work authorized by
<br /> the permit is suspended.or abandaned far.a��period�.of sbc(6) months after the time the work i�°commenced. An extension.
<br /> may be requested, in writing, from the Building•Officia( for a period not to exceed ninety(90) days and will demonstrate �
<br /> justifrabte cause for the extension. if work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNlNG TO OWNER: YOUR FAlLURE TO RECORD,A.NOTlCE t?F CQMMENGEMENT�MAY RESUCT EN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS.;TQ YOUR;RRIJPERTY.. IF YQU�INTEND�TO�QBTAIN�FIN/�NCING.CONSULT
<br /> � WITH YO!UR�L'ENDER OR AN ATTORNEY BEFORE RECORDING YQl1E�` •TICE OIFICOMdlAENCEMENT,-- - --"
<br /> FtORiDA Jt1RAT(F.S.1'17:03) c
<br /> OWNER OR AGENT � CONTRACTOR � _C J �� � ' ��VC �1.CWc�
<br /> Sabscribed and swom to(or a{�rtned}tiefore me this Subscribed and swo (or affirmed)be re me this „.�
<br /> by by�-P:�tA � ' C-.� \ ,��t'���
<br /> Who is/are personally known ta me or has/have produced � Who�' re pg�[�on�Ily knovy�,ko me or has/have produced
<br /> � astdenBficatlon. � �L— �.,NCIL+��"5�•C��.escS� asidentlflcaUon.
<br /> �
<br /> Notary Pubtic ' f� - tVotary Public
<br /> Commisslon No. � Commi si No.
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<br /> �'"�'� ,IAC
<br /> Name of Natary typed,printed or stamped Name of Nofary typeil,pri� d'�o"t_�p�ion#FF 150A22
<br /> , t= ,,::�K�y:�: Expires December 12,20f8
<br /> � b ':��;�;,°°�'� I3o�tled Thru iruy Fain Insurance 80p;185-7p19
<br /> La�+mp�vaw
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