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<br /> NOTICE OF DEED RESTRICTIONS: The unders(gned;understands:th�t.thls;p�cmlt;may be,,subject to°d,eed".restrictlons"��._._,,...�:�.:�
<br /> which may be�:more�r.est�ictiveFtha�County=regulatCons: The°underslgned°"assumes��resp�nsibility for compilance wlthrvany ` ���V` `��
<br /> appNcable deed rest�ictlons. -.,-,.,:�' �o-..; . _ • � � , , . �. ,,_ ,. .�_ : �. ���
<br /> UNLICEMSED��CANTRAC'�OItS -AND CAN�RACTOR RES�ONSIBIL:ITIES: =°if�the��owner has`�hUed`��a-contractor or
<br /> contractors to undertake work;they may,be�r�quiced:.,to.<be-Ylfcerased in._accordance:with,state.and�local,regulations.:_�.If�the�=• - > �'
<br /> contractor ts-not llcensed as required�tiy law,;both the owner��nd contractorzm�y be°cited for"a�misdemeanor violation
<br /> under state law. If the ownen or Intended,contractor,are;uncertaln as to what Ilcensing,requlrement�M'may::apply��ifor:=tiie�� ° T -=
<br /> tntended work,"they are°advise�to contact th�Pasco County.Building::Inspection,Divislon--l:icenstng Section at 727-847-
<br /> 8008. Funhermore, If the oinrner�has��hlr`"ed a coaitractor or contractors� he ts advtsed to have�the contractor(s)..sign„ . ,
<br /> portfons of the:.".contractor Block" of this_application.for_.which,they,will.�,be.r.esponslble:-. If you;.•as,#he owner��§ign°�'as the - '
<br /> contractor, that�may be an indication that'iie'is'not.properly Iicensed��ao�d`"�is;not�entitled to perniittin'g privilege's in Pasco
<br /> County. ' -� .�";:'_ ` ,.',
<br /> TR�►NSPORTATION.:IMPI4CTIUTILITIES-IMPAC7 AN�R@SAURCE RECOVERY�FEES:'The undersignedTunderstands ���
<br /> that Transportatio� Impact Fees and.Reco.urse Recovery.Fees may..�.apply��to:the.construction of new bulidings,.�change`of���" ''�'��r- i
<br /> use In existing buildings; or.,.exp�rtisi�n��of�ezistin;g:.bulldings,as specifled.in Pasco County Ordinance number 89-07 and- 'i
<br /> 90-07, as amended.,_,The undersigned also:understands, thaE:`such fees;�,as�may;tie:due;;w(II:>be tdentified at ther'time�of-� ���=• `1 I
<br /> permitting. It is furtFier understood that Tra�sportatlon Impact Fees and'�Resource;Rec`odery�Fees:mu�t be paid prior to '
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<br /> receiving-a °cerEfficate,of-occupancy" or flnal�powerrelease;° :If�the.proj�ct.:does.not Involve�a��.certificate of occupancy o�.'������='�= ���
<br /> final power relea�e;��tlie-:fees-mu�t�tie"paid,prior to ypermit Is'suance. Fu�thermore;�if:Pasco,County�Water/Sewecaimpact _ :: -
<br /> fees are due,they..must:be-:pald.priorto.pecmit�-lssuance�.in.accocdancewitFr:appllcatite.Pasco�-.Countji�`ordinances. •
<br /> CO(VSTRUCTION LIEN"LAVII(Cli�pter 713� Florlda�tatute�,a�amended): If valuatlon of work is�2,500.00>or•more�.)- :�::�a:� I
<br /> certify that -I, �he. applicant;--have.been provided �with4a=copy of the "Florida� Constructton:-'LIen:Law=hlomeowner's
<br /> Protection Gutde" prepared by ttie'Florida Department�of Agric.ulture and Consumer:Affaics. If the appltcant is someone,:. - : ,�
<br /> other than the"owner",,I certifjr>that i:h�ve:�obtained;a'=copy,of.thefabove..des,c�ibed_�focurt�ent:and.pr.o,,mise��in,good::faith�to . ,, , �,
<br /> deliver It to_the.'ownec"�.pi�or.�ta�commencement�"' " � � � ' � ` �" = ` ' � , , ��
<br /> CONTRACTOR'S/OWNIER'3 AFFIDAVIT: I.cert�fy�.ttiat:all..the:;inf.ormatiqn:ln•this application is accurate and that all work
<br /> will'be done in compliance with all appltcable�laws regulating construction, zontng and��land°development. Applicatlon is
<br /> hereby made_to,obtain�.a.permit:�to:do_:work:.,and�:installatlon as indtCateda�.-°I�certffy that no work�:or Installatton Fias' �
<br /> commenced pr(or to Issuanc� of`a pe�miE""and that':all �vork will be pertormed to meet_standards-of all laws regula�ing-
<br /> construction, Coun�y and City codes, zoning regulatiQns, and tand d�velopment regulatlon"s�in the��jurisdtctton:- I�:al'so
<br /> certify that I understand that the regulattons of othergovernment agencies may�apply�to the intended work, and that it is �
<br /> my responsibility to identiiy.what.actions I must�take to be,In:.corr�pllance.,;S.uch:agencies inciude but��are.not Iimited to: � •�
<br /> - Department of Er�v(ronmental:°Proteotion'-Cypress`��ayhead�� Wefland Areas and Erntronmentally Sensittve
<br /> Lands,Water/Wast�water Treatment. -
<br /> - �outhwest Florida Water Management��:I�istrict-lNells; 'Cypress.'�Bayheads,- Wetland Areas, Altering
<br /> Watercourses. .. � - • �
<br /> - � Army Corps of Engineers-Seawalls,�Docks, Navigable Waterways.
<br /> - Department:of,Health.:&��Relaabiflt�tive;Ser,vices/Environmental�.Health Unit Wells� Wastewater�Treatrnent,
<br /> Septic Tanks:..v". `. " � . ` .
<br /> - US Envi�onmental Protection Agency-Asbestos abat�ment. �. ,
<br /> Federal Avtatlon.,Authocity,Runways. � � � , . �
<br /> -I understand that the:follow�ng;restrictions apply to tfie use of flIL• �
<br /> - Use of flll Is not allowed in:Flood:Zone"V"unless expressly permitted,.
<br /> - If the :flil� materfaF is �to�b.e used: in �Flood Zone. "A�, f� Is understood�that a dra(nage,plan addresstng a
<br /> "compensating volume" will be submitted at time of:petmiftJng which Is prepared by a professional engineer �� �
<br /> Iicensed bythe State of Florida: - _�� ,f ,•>� • . .
<br /> - If ih� flll materia).ts to be used in Flood Zone 'A" in�connec�ion�witN�a°��ermitted buildir�g using stem wall
<br /> , construction, i cert(fy,.that flll�wall.b.e used only.to fill the area.within�the�stefn�walL• _
<br /> - if fill materiai is to be used in any ;area; F�certify that use. of;such yflll will not adversely affec4 adJacent
<br /> propertfes: If use of flli,is found,to adversely:�ffect adJs�Eent�properties,.the owner may be cited for violating
<br /> the condflions,of_the building�;perrrilt•is'su�d'under tNe'attaahed_permit;application,:for��lots�.less than'=one (1)
<br /> acre whicfi-are�elevated`by flit;art engineer•ed drainagemplan fs required. . ,
<br /> If I am the AGENT FOR THE OWPIER, Itprom,ise In.good faith to inform-the o�nrner of the permitting condRlor�s set forth in
<br /> this a�davtt�prfor to commencing construction. I under"st�nd thet a�separate permit may be requtred for electrical work, .
<br /> plumbing, signs, wells,:pools,_ alr conditioning,.gas, or.othe� Install�itl�ns noE•spec�ftcally included-tn.the application. .A , -
<br /> permit Issued shall be construed to-be�a�Iicense'-.to-`proceed with'tFie�work and not�as:authotity�to:violate,cancel, alter, or
<br /> set aside any-provistons of the technical cades; nor shall Issuance of a.permtt.prevent the Bulidirig O�flcial from thereafter
<br /> requtrin.g a correction.af�_ercors in.plans; consfniction.or vlolatlons ofany codes: Every-p�ermttvissued sFialf tiecome�invalid
<br /> unless the work authorized:by�uch permit:�is.commenced•withln sGc.m.onths of permit lssuance. or tf work authorized by
<br /> the permit is suspended�or.aba�doned�for.a:period of six(8)montfis:after the tirne the�work�is commenced. An extension
<br /> may be requested, in writing;:-from.tFie:Building,Official for a period-�not to-exceed�ninety'(90)>days a�d-will demonstrate
<br /> justifiable'cause ior.the extenslon�. If wo[k ceas�s-for ninety(90)cons.ecutive�days�..the Job:is.considered aba�doned. �
<br /> VNARMIRIG TO O{NNER: YOUR�FAILURE::TA...REC.ORD,A:,MOTIGE:OF.�COMMENCEMENT-.MAY�RESULT�IN�YOUR
<br /> PA71MG TWICE;I=AR IMPROVEMEN7'S�TO:YO.UR::PROPER-TY�I�,YOU_tINT�1�7'A:��'�lM�1�11�►t�ElldS�;'C.�N�ULY- �--
<br />�-- -41�CTFi�'��R��E�iD�R-�r�AP���nRNE'1f�E�OR�iR�COR�I�IG��YOURr�tOTIC�"OF�COMI{�ENC�E(Il'IENT� .
<br /> FLORIDA JURA��(F.S:177.03} .. .. `_ ,: ,:. , ; .:�.. , - . � . _._., .. . ... ,�
<br /> OWNER OR A(iENT}�x.t�1�U��: ��""` CONTRACTOR 1���� �i��
<br /> Subscribed and swom to(or a rmed)before me this Subscribed and' ot afflrmedpbefore me ffit$ ,
<br /> by • •
<br /> Wtio Isfare personally knovm to.me or haslhaye produced Who.ls/ p.eraonelly�known� me:or has/heve�produced- �
<br /> as Identlflcetlon. � as Identlfica0on. •
<br /> Notery Publlc , � �GC(�I'� '
<br /> Notary Publlc
<br /> Commisslon No: m ssio .N .
<br /> ' *5,�• PYB�;.� Commission#FF 150422
<br /> Name of Notary typed,p�lnted or stamped Name of Notary - �tl t� �f�em er ,
<br /> � P.
<br /> �'���),oF�°�`� Bonded Th�u Troy Fain Incurane�800�385�7019
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