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<br /> NOTiCE�F DEED RESTRICTICiNS: The�undersigned,understands_that this�permit may be subject.to.".deed°_restrict�ons"__'"'.-,
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<br /> which may.:be moce=r.estrictive=than�Caunty�cegulations:`The�undersigned°as'sumes'�respon'si�iili.ty'for compliance�vurth any'`�'��,
<br /> appiicabte deed�restric#ions. ` .. � :_ :__ ' :;'=;�=:�,:�. '��.�a�'<_,
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<br /> UNLICENSED _GONTRACTORS AND' CONTRACTOR RESP.ONSlBlLITIES:' =1€�the==owner�has tiired-�a���corttractor or,. ':
<br /> . . ., ... „ ry. , . ^� ; d;locaL_r.egulations:.-=,if..ttie<�.�,.:'
<br /> contractors to undertake work, they may::be�reguired to be'licensed in accordance with_state an , , : ,_, _ ,
<br /> contractor is.not licensed,as required'by I'aw, both.-the awner•-and'conti�aetor;may'�be�-cited�-fo��i°a-�.misdemeanor violation� ,��
<br /> under state law. if the owner or intended;,cont[ac#oc are uncertain as ta what licensing requirements:�rnay�apPly�for.;`tifie:�r{,-�.�
<br /> .,,..�a',a F,.. g. . .:
<br /> intended wor:k,.they.are�advised to contacfjt�ie`Pasco Counfy Building tnspection:Divisian�-Licensing,S:ectian af 727=84T- :,
<br /> 8049. Furthermare, if the owraer has'`tiir'ed�a cotif�actar or coniractars, he is arivised to;��have the contractor(s),;sign,;�,;Y,-�
<br /> portions of the °contractor Block" of this application_.for,which.they:wJl! be cespansible:=-!f you, as;tfie�:av�inec'sign:asu.the''� ���;i
<br /> contractoc, that may be an indicatian that he is not properly licensed and��is not entitled to�permitting privilegessin_=Pasca;,�,,:,=�
<br /> County. , :, �.:: �: �_:Ph.�,�,::.i
<br /> TRANSPORTATIDN IMPACT/UTILiTtES�iMPACT AND RESOURCE RECCiVERY FEES:�Tfie undersigned understands_,�:._ ''
<br /> that Transportation impact Fees and Recourse Recavery Fe.es:may:appty to.ffie construc#ion of new.builtlings, cFiange;of�=';:_�,�
<br /> use in existing buitdings, orexpansion�of`:existing�buiiciings, as specified in Pasco County C}rdinance number 89�07�and :
<br /> 90-47, as amended. T,he-undersigned also.understands, that such<fees, as.may::b.e:due, wiN;:l�e:identiflecl�at`>tFie�tirrie'.of�=��'i":�
<br /> permitting. �It is further understaod that�Transpartation lmpact Fees�and ResourceFRecovery:>Fees must be paid prior.ta `:�
<br /> receiving a "certificate of accupancy" or final.,power release. If the project does not involve,�a'certificate of occupancy;:o���;�:��;:!
<br /> final power release„fhe fees.must be:paidiprior to perrimit issuance._�Furtfier.mare, if Pasco County W,ater/Se,w,.er;wlmpact:;���,�;,
<br /> fees are due,tFiey must be,paid prior to".perrrrif issuance in accordance�with applica6ie Pasca:County ardinances. ` -';
<br /> CONSTRUCTlON�LIEN�[:A1N(Chapter 71'3;Florida Statutes�as amendeci): If valuat�on of work is$2,500.QQ,or�mar;e,�1:�,�,+.',
<br /> certify that:I, the applicant, have ,been-.provided with a.�-capy$;of ,the "Florida Consteuetion Lien Lavu=�Homeowner's -
<br /> Protection Guide" prepated by�tfie Florida Department of Agriculture and Consumer.Affairs. !f the applicant�is_someone:,,r. ;
<br /> other than the"owne�',,I;certify.that.l.have ob4ained a copy of the above descri6ed"document�_and promise�in good�faith�to. .;�,� ��
<br /> deliver i#:ta the.°owner":p�ior�to-commen'eement�:' � - �
<br /> Ct�NTRAGT4R'S'/OVIINER'S AFFIDAVIT:;:;,i:certify that-aIF the infoemation in this application is accurate and"that alt work
<br /> will be dane in comptiance with aN applicanle iaws regulating canstructian, zaning�and land developrnent. Applicafron.is
<br /> hereby made to abtain ;a,.permit to-do;,work-and installation as�indicated. { certify that no wark or installa#ion=has ��
<br /> cammenced prior to issuan�ce of a permit and=that a!! work wil! be perFormed ta_meet-standards of all laws regulating ,
<br /> construction, County and City codes, zoning regulations, and land development�regulations in,�the jurisdictian: �L also
<br /> certify that i unders#and that the regulations of other gavernment agencies may apply to the intended work, and that it is
<br /> my responsibiliry ta identify what actions I must take to be in compliance. Such.agencies include but are nqt:limited to: "
<br /> - „Department of Env�ronmental:'Protectian-Cypress Bayheads, Wetland Areas and Enviranmentaliy Sensitive ;
<br /> Lands,WaterM(astew�ter Treatment.
<br /> - Southwest Florida Water Management QistriGt Wells, Cypress 8ayheads, Wetland Areas, i4ftering .
<br /> Watercourses. �
<br /> , - Army Corps of Engineers�eawalls, Docks,�Navigable 1Naterways.
<br /> ' Department of Heaith & Rehabi(itative ServiceslEnvironmenta( .Health Unit:Wells, W.astewater.Treatment,
<br /> � Sepfic Tanks. -- •
<br /> � - U�Environrnenta!Protectian Agency-Asbestos abatement.
<br /> ', - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use af fill is not al�owed in Flood!Zone"V"uNess expressly permitted.
<br /> - if the fi(1 materiaF is to be use;d in Flaod Zone "A", it is understood that a drainage plan addressing a
<br /> ��, "compensating valurr�en wiil be submitted at time aF permitting which is prepared by a prafessional engineer �
<br /> I licen�ed by the State af FEoritia. _
<br /> �, - If the fill material is to be used;in Fload Zone "A" in connection with a permitted builditzg using stem wall
<br /> ' construction, I certify that fill will be used only to fill the area within the stem wall,
<br /> - lf fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. if use af f1i is found,to adversely affect:adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached pecmit-.applicatian, far lots iess.than one (1) �
<br /> acre which are elevated by fll, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER;I:promise in good faith to inform the owner of-the permitting:conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrica! work, '
<br /> p(umbing, signs, wells, poo(s, air conditio,ning, gas, .or-other'`�installatians not specifically included in the application. A '
<br /> permit issued shall°be construed to�be a iicense-to proceed with the wark and not as.authority.to violate,.cancel, aiter, or
<br /> set aside any provisions of the technica!codes, nar shaA issuance of a permit prevent the Buitding Officiat from thereafter '
<br /> requiring a correction of errors in plans;.constructiart or vaala#ions of any cades. Every permif issued shalf tiecome invatid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended,or abandoned for a�period-,of six(6) months after#he time the work is`commenced. An e�ctension_
<br /> may be requesfed, in writing, from tiie Building iJfficial for a period not to exceed ninery(90) days and will demonstrate ;
<br /> justifrab(e cause for the e�ctension. If wark ceases for ninety(90)cansecutive days,#he job is considered abandoned.
<br /> WARNING TO OWNER: YOUR EAICURE,TO RECQRD-A.NQTICE O� COMMENCEMENT MAY RESUCT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS.:TO YOUR:PROPERTY. IF YOU�.INTEND�TO�OBTAlN-FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY B�FORE•RECORDINC XOUR(VQTIC�'O��COMMENCEMENT. -
<br /> FIORIDA JURAT(F.S.11�.d3) .
<br /> OWNER OR AGENTL� `�!� �� 4 CONTRACTOR� _„
<br /> �1��'bed and swam to r affirmed)befo �e this, s�i,l�ed and swom t (a�ed).b me this ..
<br /> by � i tt . ,V.tc[+kr5 .b�.��n�:nl� .��„k��1.:�.5�
<br /> Who�sJ,ar�„perso�nal y known t e or has/have p ced ` Who�re p rson�lly known m`Eb e or haslhave.prbc�fuced
<br /> �t,, t.Jxf t,�Czn.Se as iiien8fica�on. t�:�.7Cl�Q_r"j.�:� as identlflcation.
<br /> t�-� - Notary Rublic � (�-Q, Na#ary Public
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<br /> ��ls�l':!'!;@4c,w JAGQUELlNE 80GES - .''';�•:•yB. JACt3UELINE BOGE$ _
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<br /> � Name of t�totary typ r�#�p�cember 12 2018, Name af tVotary eC; tet�o
<br /> p• � ;.. •,<: ire cember 12,�Q18
<br /> �'�„pF���•'� Bonded ThN Jray Fain Insurance 890�85•70t8 .�+�,: oe`,�
<br /> I i ��P��,,. Bvnded Thro Sroy Fsin inewanpo 6D0•39$•1018
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