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___.. . : <br /> � _._ �,_ .�.�:,-��.�, <br />� . ._. ;,_i <br /> I <br />� I _ ...., t � � , <br /> I _ � ,. ..: ,r..q,._v<..;n'{"ai. <br /> NOTlCE C3F DEED RESTRiCTIt3NS: The undersigned,understands..that this;permit may be;subject to".deed":,r:esfrictions".�::.;.,,,:i <br /> ,� rY.•� 4. . :. . _ . . ..r�2":�: . i .�;.`R �.- .�..,......�u�....vt�:.i.•,: <br /> which;may,;be�mor.e:cestric#ive_than�Courntyregulations::='The�uriciersigried-'assume"s�responsibihtjr°for:corriplian'ce�rurfh�any „ <br />� applicable cJeed restrictiorts. � �;=:f.="; :',,:`:°�•-,, <br /> UNLICENSED CONTRAGTQRS AND CONTRACT�R RESPONSIBILlTIES:• lf�the=-ovirner-�has° ti'iretlya�Ycon#ractor or <br /> contractors ta undertake work, they.;may;be�required to be=licensed in accordance with state and-local:�r:egulations:,--if�.thez�':�.,: � <br /> . z,.,.,.. �,v:�_.�..,�._::;.�S,.F. <br /> -, _. .,.. i.: ;�.� <br /> cont�actor is,not (icensed as required'by�taw, both the ovirner:and'contraetor•�may��be��ciCed=far�;:a��misdemeanor violatio.n' ;��;� <br />' under state'Eaw. If the owner or intendeci„contractar are uncertain.as to wha#.licensing requicements:ymay�appiy�foc<�fhe��;��::;;; <br /> ,..�.a. .,,,,.: _ <br /> intended work,-they-are-advised to confact`tlie`Rasi;o County Buitcling tiispecfioii�Division-Licensing S:ection af.Z27=847- � 1 <br /> 80Q9. Fu�#hermore, if the. owrter has tiired`a cciritractor or contractors; he is advised ta��have ttie con#ractor{s,):�sign,�:4,.,,.a <br /> � .. .h..;._;,.,: ,5:.�:.:,u....�,:.. ,i , <br /> portions af the "contractor Block"of this application for.which.they wi!!.be-respansible:-:�Ifyouu, as�,the=;owiie�sign�as".tPie �='�,,,� <br /> contractor, that may be an indication�that he is not properly�ficensed�antl is not entitled to permitting privileges;,in.:Fasco:.s;..,�;� <br /> ,�..�,� ;s.. <br /> Counry. i . . , ..: . . ., � �. ��...�;. �:..t<. .�;..;,�i <br /> TRANSPC?RTATtON-tMPACTNTiLlTIES.tMPACT AND RESOURCE RECQVERY FEES:�`The undersigned understands.-�;,�:� <br /> that Trans ortatian fm ac#Fees and Recourse.Recave Fe,es.`ma .a t �to,the construc#ion af:new:builciin s;�ciian`�'e�af���:rt'�;; <br /> P p tY Y PP Y_ 9 9. , <br /> use in existing build�ngs, or�expansion�of.-:exlstir�ig buildings, as spec�ed 'm Pasco County��rdinance number 89-07�and :.a�:�a' <br /> 90-07, as amended. The�undersigned also'�,understands, that such.,fees,�as`may,,-.b,e��due, will:tie:.ide�tifled�at��ttie�:time;':of���•.��� <br /> permitting. �It is further understood that Transportatiori Impact.Fees��a�d ResourceFRecavery Fees must be paid prior_to �-; <br /> receiving a °certif+cate of occupancy°or.finaG,power re(ease. If the project does not�invqlve a certificate of occupancy;:o�_'•:�`��`'�� � <br /> fnal pawer release, the fees mwst�be_paid prior to permit issuance.,;FurtFier.more,.if-Pasco rCaunty Watec/Sewer,.�impact:�,!r- ;c <br /> fees are due,they_musf:be.paid prior#a:permit'rssuance in accordance with�applica6le_Pasca_County oriiinances. � ,� <br /> CQNSTRUGTION�LIEN�l:A1Af(Chapter 713, Flarida 5tatutes,as amended): If valuat�on of work is$2,500.O,O.or..mor.e;:�in.�,;� : <br /> ,w�., i <br /> certify that I, the applicant,. have .been..prov�ded with-a�copy::of the "Florida� Constru�tion::L9en-.Lavi�Homeowner's � <br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer.Affairs. !f the applicant<is.sameone.� . ° <br /> ,. „.�R.,...,,�#.,, <br /> other than the"owner",,t,certify_.that L have ob#ained a copy of-the above d'escribed'document�and promiseein_goo.d faith'to ,� <br /> deiiver.it.to.the`;owne�:priorato`commencement: " , . . - ' <br /> CON3RACTCtR'S7QWNER`S AF�IDAUIT::;i��.eertify�that alt�the information in this appiication is accurate and'thaf all�work <br /> w�lf be done in compliance with a8 applicable�laws regulat�ng construc#ion, zoning�and fand development. Application.is `: <br /> hereby.made to obtain a,_permit_to�do,,wor,k--and installation_.as:indicated. I�certify that no work or-inst�llation=>has ;x <br /> commenced prior to issuance of a permit and�that all work will be performed to.meet standards of all laws regulating <br /> construction, County and City codes, zoning regulations, and land developmenY�regulations"in:�the jurisdiction: �I�also <br /> certify that i understand that the reguiations of other government agencies may apply to the intended work, and that it is ' <br /> my respansibility#o identify wha#ac#ions 1 must take to be in comptianae. Such,agencies include.but are not:timited.,to: �� <br /> - „Department of Environmerttaf:'Rrotection-Cypress Baytieads, Wetland Areas and Enviranmeritally Sensitive ; � <br /> Lands,WatedWastewater 7reatment. ` � <br /> - Southwest Flarida Water Management District-Wells, Cypress .Bayheads, Wetland Areas, Altering L <br /> Watercourses. � � � <br /> - Army Corps of Engineers-Seawails, Docks, Navigable Wa#erways. <br /> - Department of Heal#h �& Rehabiiita#ive Services/Environmental .Heai#h Unit Wetls, Wastewater.Treatment; � , <br /> Septic Tanks. �, ; <br /> . - US Environmental Protectian Agency-Asbestas 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 aliowed in Ftood Zone"V"uniess expressly permifted. <br /> - tf the fiff material is to be used{,in Flood Zane "A", it �is understood that a drainage plan addressing a <br /> �� "corrtpensa#ing volume" will be submitted at tirrie o# permitting whict► is prepared by a professionai engineer . " <br /> ' licensed by the State of Florida. i ' <br /> '� - If the fill material is to be used in Fload Zone "A° in connection with a permitted building using stem wal! <br /> � construction, t certify that fill will be used only#o fill the area wlthin the stem wall. <br /> � - If fitl materiai is #o be used in any area, 1 cerkify that use of such fi11 will not adversely affect adjacent <br /> properties. If use of fili is found tq advsrsely affect adjacenf properties, the owner may be cited for violating _ <br /> the conditians of#he building permit issued und'er the attached permit.applica#ion, far lots less than one (1) ' <br /> acre wtiich are elevated by fill, an engineered drainage plan is requi'red. <br /> If I am the AGENT FOR THE OWNER,=! promise in good faith to inform the owner of.the permit#ing conditions set forkh in ; <br /> this affidavit prior"to commencing const�uction: .I understand that a s�parate permit may be requiced for electrical work, <br /> p(umbing, signs, welts, poals, air conditioning, gas, .or�other installatians nat specificalty included in the application. A � . <br /> permit issued shalt°be canstrued#v=be a ficense#o proceed with the wark and not as authority.#o violate, canc�i, a(ter, ar " <br /> set aside any pravisions of the�technicat cades; nar shalt 9ssuance of a permtt prevent#he Buifding{3fficial from theceafter <br /> requiring a correction of errors in plans;+construction or violations of any codes. Every permit issued stial! became invalid <br /> unless the work authorized by such permit is commenced.within six months of permik issuance, or if work authorized by <br /> the permit is suspended.or abandoned for a pe�iod:.af six(6)months after the time the work is`commenced. An extension <br /> may be requested, in writing, from fiie Buildirig C)fficial for a period not to exceed-ninety(90) days and will demanstrate , <br /> justifiable cause for the e�ctensian. .If wark ceases for ninety{90)cansecutive days,the jab is considered abandoned. <br /> WARNING TO OWNER:� YOUR FAILURE,TO REGQRD A.N4TlCE OF CQMMENCEMENT�MAY RESULT IN YC?UR <br /> PAYING TWICE FOR IMP120VEMENTS:;TO YOUR�PROPERTY, IF YOU.;INTEND TO.OBTAIN�FINANCING,CONSULT _ <br /> WiTH YtJUR t;ENDER OR AN A7TORNEY BEFfJRE RECORDING YOUR'NOTICE'OF�CO MENCEMENT. <br /> FlORtDA JURAT(F.S.'1'I?.d3) _ � _ <br /> OWNEI2 OR AGENT � � CCINTRACTOR � G�-�_.. <br /> Subscribed and swam to{or af�rmed)before me thts �ub�cxn'bed an orr�to(ar affirmed)b re-me this � <br /> by � <br /> ( Who is/are personally known ta me or has/have produced ` Who' /ar rsonally kn . ta me or has/have produced <br /> Ias tden�fication. ___ as identificatlan. <br /> Notary Public � ���C.Jz.� Notary Public <br /> Commisslon iUo. C m sian ,�,,�+`�$'> JACQU �6f5��042"L � <br /> :.q ��" n g 1�scembQs � <br /> i �a�x �xPtr� uronce8�85�059 <br /> ein Ina <br /> Name of Notary typed,prtntect or stamped IVame of IVatary typ ct;�9�,� ar <br /> • j , <br />