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<br /> NOTICE pg DEEO RESTRIC'fyON5: -rt,�►u��+ar.��������,a�canas°:#t��t.this.•p�cmif m�y.#e;subJect tq."deed"testrictEor�s"
<br /> whlah may be<mare-restcictive-tha�County regulatCons: �The�undersigr�ed��assum@s�responsl6iltty'for�campUance'witFi any
<br /> appllc�ble deed rest�tctions. , . •
<br /> UNLICENSED� GONTRACTI�RS -AND CON7RACTOR RESPONS181LITIES: �If#he owner has fiired a cantractor or
<br /> contraotors!o undertake work,they may.be.,cequlced,�ta-:be.:.11cens�d Ir�accordance.wttth state.and�local r�gul�tions. if the
<br /> contracttror is not licertsed.as�requlted-by law, both the owner and contsactor-�may�bs-cited-for a�misdemeanor viotation
<br /> under state law. If the owner or Intended�.contractor. ere,-:wncertaln as to what Ilcenaing requireKnents may-a{�ply far.'the
<br /> fntended wrark, they are advls+ad#o contaot fhe'Pasco County Bulli3ing�nspei:#ton Divtsion--t.icensfng�Sectlon at 72T-8�7-
<br /> 8009. Furthermore, i� the owner has lil�ed�a contracto� o� confractors, he Is advised ta have the contractor(s),rs(gn
<br /> portlons af the "contractor Bia�ck" of this:appilc�t(on for which they wpL.be responsfble.. If you,.as.fhe auvner�sign�as'the
<br /> contractar, that tnay be an ind�cation that'he is not.praper#y 8censed and is not er�tit#ed tv perrriit#ing ptivlleges In Pasca
<br /> County.
<br /> TRANSPS?�T'ATIQN=iMPAC1YUT1E.tT1ES lMPAG'��1Nh RESO�l�tCE REGOVERY•FEES: The understgn�d understa�ids
<br /> that Transport�tbn Imqact Fees and.Recourse Recove.ry.Fe�is m�y.�:apply_to�the constructtan,of new bulidtngs� change of�
<br /> use In existing bulldings, or.expansion=•of-�exis#i�i��buildings, as speclflad.!n P�sco County Qrdinanae number 89-07 and
<br /> 90-�7, as amended.:.The undeesigned also�understands, that�su�h fees,�:as,may:ti��.:due;,witF::be Edenti�ied at th��time�of
<br /> pe�mitting. It is i�irtfie� understood that Tra�sportation Impact F�es and�Resource Recou�ry�Fees must be pafd prior to
<br />- receiving a"ce�fif�c�Ee.of occupancy"or f1naF power.release. ��the.prv��c#��oes.nat involve=a-ce�t8�cate af occ�pancy.or
<br /> flnal power rele�se, the fees mu�t be pai� prlar to,permit issuance. Ft��th�rmare;if.Pasco County�Water/Sewer�Impact
<br /> fees are duet they.musf b�-p�ld.prioi to permlt issyanae=ln accardance wltfi sppttcabi��Pasco'.County o�dinances. �
<br /> CONSTRUCTiON LiEN"LAW(Ciiapter 7�13,Ftar�da Statute�,a�amended): if valuatlon of'work ts$2,500.00-or more, 1
<br /> certify that I, the applicant,_ have•been provl.ded with a copy of the "Flori�a CanstrucNon Lien Lau�—Hameowner's
<br /> Protectfon Guide" prepared by the Fla�lda Depat�finet�f af AgricuCtt�re and Consumer�Affatrs. If the applfc�nt is someone
<br /> other thar�the"awner", I certiTy that I h�v�.obta�ined�a i;opy;af..the;above..tlescrlk�ed`docurrient�and.pPomise��in,good faith,to
<br /> delivec It to..the"owner"�.p�ioc:to=commencement: ' .. _ ' , - .
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: 1.certi[y._:th:at>all.the,lnfarmatlt�n In.thl�appllcatiar�is accurate and fhat all work
<br /> wiil'be done in compliance with all.applicable laws regulating constructlon. zqn���ancl:•land development. Appllca#lon is
<br /> hereby made to ob#aln .a persnit.to do waift�artd �nstalla#ion as �ndE�afed:-� .:I certifjr that no work�or tnstaliation has
<br /> commenced prlar to Issuance of a permlt and that.all work wtll be perFormed�to meet standards of all laws regula�ing�
<br /> constnlc#lon, County and City codes, zoning regulati+�n�� and iand de�velopmer►t regt�lstlor�s�3n the jurisdtctlon.- ( al'sa
<br /> ce�tlfy tha# I uaderstand that the regulatians of ather gov�rnment agencles may�apply�to the intended wark, and that it is
<br /> my cespansib!lity to fdentl(y.what.acttons!must take:to bedn�corrtpll�nce. Such agenales tncluds but are.nmt llmited to.
<br /> - aepartment af Er�vironmental Protection=Cypress.-8ayhead�, WeNand Areas and Environmentally Sensifive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Soutttw$st �lor�da itltater Management� .District-We11s, Cypress.'�8ay�e�ds; Wetiand Areas, Altering
<br /> Watercourses. �
<br /> - Army Corps of Engtneers-SeawaBs, Dacks,Navlgatile Waterways.
<br /> - Department af Health� 8 Re#�abiiitative 5ervtces/Environmen�al Nealth Un1t Weiis� Wastewater�Treatment,
<br /> Septio Tanks.
<br /> - - - � __t3�-�r�virorrr���iiai€'��Q+a�tB¢�n Agency-Asbe��os abafier�+�r��:�� – - - �- _----- - � � �.- ---- - _ _ _
<br /> - Federal Aviatton.Authority-Runways.
<br /> 1 und�rstand that the_foilavving,.restricfions appiy ta the use of flll:•
<br /> - Use of filt is not atl�wed in.Flood:Zone"V"'unleas�xpressly permitEed. °
<br /> - If the fill materlal is to be used. in �Flood Zone. "A"� (t. ts understood that a drainage plan addressing a
<br /> "compensaE€ng votume"will be submitted at#ime af permiftirag wrhich Is preparod by a professtonal engineer
<br /> Ilcen�ed by the�tate of Florida. �
<br /> - If th� fitt material fs to .be us.ed fn Flood �one "A" in�connection�viritF�t�a �erm�tted 6ui0ding us�ng stem wall
<br /> � construction, �certify th�t fiii�:wlli-b.e used only.to.flll the area within�#he�ster��wall. .
<br /> - If flll materlal�Is to be used tn any aeea, 1 �oe�tl�r that .use of st�ch f!1! w1!! not adversely affect ad�acent
<br /> pfope�ties. If use of fiil is f�und to adver�e�y:�ifiect adjaeent��prc�perties�.the owner may be cited for viorating
<br /> the condilions.of the b�ildtng�,peemlt Issued under ttie attached�ermit applicativn, far:Jots�.less than.one (1) '
<br /> acr$whtch ar�el�vateii�6y fllt,a�r engtneered dr�inag�p1�r�1�required. .
<br /> If I a�m the AGEN'T.FOR THE OVIINER, I,'promtse In gaad faith to inform the owner of.the.perm(tting conditlons�et forth In
<br /> this affidavtt�prlor to comme�cing canstructlon. 1 undersf�nd that a�s�par�te.permlt may be requlred tor eleat�ca# work,
<br /> plumbtng,.,signs, welis,.poots� alr conditianing,-.gas,_.or other. insfalt�tlons not.spec�fcalty inciuded�in.the application. �A
<br /> permlt issued shall be cons#rued to be a�Ilcense�to�proce�d witla tfie work,and�,nat•as.�authoNty�to,violatm,�canc�l, alter, or �
<br /> set aside any�provistons of ttie.technEca�codes;�nar sha8 issuance�of a.permEt.pr.event th�8ttlldlrig Q#�clal�om thereafter
<br /> requiring�t�nectio�af eRors-in,pla,ns; constructlon.mr violatlons of any codes. .Every�permit��issu�d sha�ll become invalid
<br /> uMess ihe work aufF�ortzedby such permlt.�ls-co�tmenced�withtn s{�c.�nonths af perrnit IssuanceJ or if urork authorized by
<br /> the permit.is suspended or,abandoned_for:a��petlad.of sUc�fB)�montFis,.after the.tinne the'work is commen�ed. An extensio�
<br /> may be requestedR In writing;.from the�Buildtng,t3fficial for a peNod:not.#s� exceed ninoty{90� days a�d-w!!!'demonstrate
<br /> austl�abfe:cause for fhe extension: If work ceas�s.for nlnety.{90}consecutive day.s,..the�ob_is considered aba�doned. .
<br /> 1litARNlNC TO CIWNER; YtpU1�.�AILRJRE Tt'�,R�E.G,t7ttD,i,#.:1?�QT1GE:qF �O�i1MEMCEMEN7':NtAY RESULT IN�YC1llR
<br /> i'AYING TWICE;FOR:IMPF,tQVEMEN�$�'CID YOI�i�.PROPERTY. IF°YO.U�I��'�kVD:TQ'OBTAIN��FINAf��ttNG;'CONSULT
<br /> W!T D �O �► A�7'ORN C?RE� - ��R'�? �:` OU ' �� `Q �;� .� . � �E
<br /> �.oRiaA�ur��tF.s:t.�7.o�}., � -- . . . . _ _ ..
<br /> OWN�R OR AOEN'C���� CONt"�GTCR ' S���r �)������� ,
<br /> Subsaibed and�wo M or aflirmed be e thls Su6salbed and's+�i am�to ot afRrmed'b` m�ttii�
<br /> t�l�;j"1 by 1--1�—��, •by . � �:
<br /> W�o Islare personalty,knowm to,me or haslhave.producad 1tYho.(slare-personally#cnown•tc.me ac has/have•praduced
<br /> - - as idenU�ca�4n, � es tden8flcatton.
<br /> Not�ry Public . Notary Publlc
<br /> Cammisslon Na` Commtsslon.tdo.
<br /> Id�me ol IYotary fyped,prtoted ar stamped Name af Notary typad,pdnted ar�tamped
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