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<br /> P00'9"iCE AP DEED RE�T�ICTION�: The ur�decsigned undergtands:th�t:thi�.�permif:may,be,subJect_to_"deed".restrictlons" - '
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<br /> which may be::mor��r.est�lcttve�th�n Courity-regulations: The`undersig�ie�t��ssumes responsiblitty'for"co�ipliance witfi any ,
<br /> applicable deed-resMctions. .... � . . : - . �
<br /> UNLICENSED CONTRACTOItS AND CONTtgACTOR RE�PONSI�ILITIES: �1� the-�owmer has��htred'-a contractor or
<br /> contractors to undertake work, they may.be;r�qtaired:_to;be•)(censed In ac�ordance.with state�.and�local regulatlons:�if the � �
<br /> contractor ts�not Iicensed_as�req�alred=by law, both the ovimer and=cont�actor�may-be��cited for a•mi�demeanor violatlon
<br /> undar state law. If the own�r or InQended�contra�tor,are,.uncertain as to what Iicensing-requirements;may•�apply.�.�for:the`= � �
<br /> intended uvork, 4hey are advised to coritact the Pasco Couetfy Building.'In�pectlon Dlvlsion-Llcensing Section at 727-847-
<br />� 8009. Furthermore, If the own�r tias fii�ed a conUacfor or contractors, he is advised to have �the contractor(s),,sign ,„
<br /> portions of the "contractor �lock" of thls.appllcation for which.ihey,will.be.-responsible: If youu, as..xhe owner`sign'�as'tlie
<br />, contractor, that may tie an Indication that'Fie Is not.properly 9lcensed and is�not entitled to permitting privileges in Pasco
<br /> County. �
<br /> 'f�1NSPORTATIAN-,IMPAGTIUTILITIE�`INIPAC'�`Af��ttE�OIIRCE ItECONERY FE��: The undersigned understands
<br /> that Tr�nspo�t�tfon Impact Fees and.Fteco.ur�e Recove.ry.Fees may�,apply�to the;construction of new_buildings,change of>-'' " -
<br /> use in existing buildings, or:expansi�n�of�existi�ig,.bulldings, as speclfled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended._ The under�igned also;und�rstands, thaQ:�such fe.es�-.as��may_;�e�due;:will�jbe Identified at the time'�of.� �- �
<br /> per�itting. It Is furt6ier understood that Transportation Impact Fees and°Resource Recovery'Fees.must be paid prior to
<br />� re�eiving � °certiflcate=of occupancy" or flnal��powerrelease. :If�Ehe.proJ�ct does�not.Involve:a:.certificate of occupancy.o��"�'�'
<br /> final powec r�lease,•4he-.fees must'be paid prior to.permit Issuarice. Ft��therrr�ore;if P�scv:,.C.ounly VNater/Sewer��lmpact � . � '
<br /> fees are due,they�.must be�pald pNor#o.permit�-Issuance�ln accordance wltFi applic�ble Pasco�-.County orclinances. j
<br /> CONSTEtUCT10tV'LIEN LAW"(Cli�pter 713� Florlda Statutes,as amend�d): If v�luat�on of.work is$2,500.00.or more, I� _ ��,� ,I
<br /> c�rtify 4hat I, #he applicant,--h�ve-been provided wlth�a copy of the uFlorida� Constro�tctlon_Llen .Law—Homeowner's
<br /> Protectfo� Gutde" prepared by the Flo"rida Depa�tcnent�of Agriculture and Consumer Affairs. 6f the app9icant is someone . �
<br /> other than the°ow�er", I certtfy that.l h�ve.obtained�a eopy.of the�above..r�escribed docu�ent�and.p.r.omise in,good faithto �,
<br /> deliver It to the`owne�'�.prior:to�ciommencement:' _ - i
<br /> COMTRACTOR'S10WNER'3 AFFIDAVIT: I.certify.,that all th�:.information.l�•thi� applicatlon is accurate �nd that all work
<br /> will�be done in compliance with all applicable I�ws regulating construction, zoning and�l�nd development. Application is
<br /> hereby made.to obtain .a permit.�to _do. work:.and�-lnstallatlon as IndicaQed:� °I certffy that no work:or Instailation tias '
<br /> commenced prior to issuance o��a permit"and that.all v�ork will be performed�to meet standard� of all laws regulating- ,
<br /> construction, Gounty and City codes, zoning regulations, and land d�velopment regulatlons�ln the jurisdiction. I al'so
<br /> certlfy that I uad�rs4and 4hat the regulations of other government agencies may�apply�to the_intended work, and that it is
<br /> my responsibilityAto identify.w6�at.act(ons I must take to be.in:.corrlpliance. Such.agencies include but are.not Iimited to:
<br /> - Depaetment of E�lvironmental'�Protea#ion-Cyptess.Bayheads, VNetland Areas and Envtronmentally Sensitive
<br /> L�nds,VNaterMlastew�t�r Treatment.
<br /> - Southwest Florida 1Mater Management:- C�istrlct-Vllells; Cypress.��Bay_Meads; Wetland Areas, Altering
<br /> V1latercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, IVavigable Waterways.
<br /> - Department of .Heaith"& Rehabllitative Services/Environmental..Health Unit-Well.s, Wastewater Treatrrient,
<br /> Septla Tanks. � _
<br /> - US Environmental Protection Agency-Asbestos abatement. .
<br /> - Federal Avtatlon�Authortty-Runways.
<br /> - I understand that the following.:restrictlons apply to the use of flll:
<br /> - Use offill is not allowed in Flood:Zone"V"unless expressly permttted.
<br /> - If the fill material�Is to�be used_in �Flood Zone. "A", It. is understood that a dra(nage plan addressing a
<br /> °compensat(ng volume" will be submitted at�ime of�.permifting which is prepared by a professional engineer
<br /> Iicensed by the State of Florida. � �
<br /> - If ih� flll materlal�is to be used in Flood �ane "A� in�connec�ion�with�a permltted building using stem wali
<br /> � construction, i certify that flll�:wlll-be used only.to.flil the area wttB�in the�stem�wall:
<br /> - If flll materlal is 4o be used in any area; i ce�tlfy #hat use. of such flil will not adversely affect ad)acent
<br /> propenies. If use of fill is found to adversely:�ffect adJaeent�proper4ies,.the owner may be cited for violating
<br /> the condl#(ons of the b�9lding:permit I§sued under tha at�ached permlt appllcation, for lots less than one (1)
<br /> acre whlch ar�elevated�by flll,an engineered dralnage plan is required.
<br /> If I am the AGEN'T FOR THE�O1fVNER, I,�promise In good falth to inform th�ovvner of the perrriitting condit(ons set forth In
<br /> this affidavtt�prior to commer�cing construction. I undersfand that a=aeparate permit may be requlred for electncal work,
<br /> plumbing, signs, weU�,.pools,_ alr conditioning,.gas, or.other instail�ttons nal,spec�ically included-tn.the application. .A
<br /> permit Issued shall be construed to be-a�Itcense to p�oceed with the work and not as.authority.to.violate;'caricel, alter, or
<br /> set aside any provisions of the techn(cal c+odes;�nor shall is§uance�of a.permlt pcevent the Bulldirig O#fictal from thereafter
<br /> requir6ng a correction af errors in.plans; const�etion or violatlons of-any cod�s. Every piermlt"Issued�sFiall become invalid
<br /> unless the work authorized.by such permit.•Is.coFnmenced�within sGc_m.onth� of permit lssuance, or if work authorized by
<br /> the permit is suspended or.abandoned�for a;perfod of six(�)montfis.after the titne the�work��s"commenced. An extension
<br /> may be requested, in writing,..from tHe �ullding,Offlcial for a per(od=not to �xceed ninety(90)�days a�d will demonstrate
<br />� jusdii�ble cause for.the extension�. ff uvork ceases:for ninety(90)cons.ecutiv�days�..th�)ob�is considered aba�doned.
<br /> U4le4RMING TO OVIFNER: YOUR:FAILURE�TO..REC.OR�!A.NOTIGE OF��AMWIENCEMEMT�MAY�RESIIL:T IN�YOUF3
<br /> PAYING 11NICE.FAR�IMPROVEMENTS T0 YOUE�:::PR�PER7Y. IF°YO.U�I�l�END4T0'O�TAIM•�FIN�t�E1NG;�CONSULT _
<br /> NI�ITH_V_OU13-LE,. � -QR-A!�e'�2��l:EY~B�{FSo°:�'E'�n^�e�3$� Cro:'- ��"„ ;��,�._.-. ,r _ � .�.. ---- - - —- -
<br /> FLORIDA JURA�(F.S:t97. ) , �� ' ' ' -
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<br /> OWNER OR AtiENT GOf�iTR/SCTOR �-��ti.�� �
<br /> Subsarlbed and swom to(or aRirmed)before me 7his Subscrlbed and'subom to(or'afflrmed)�before me thi§
<br /> by- '�-�1�'
<br /> VVho Is/are personally knowm to.me or has/haae produced Who Is/are petsbnally� own•ta me or has/have produced •
<br /> es Idendflcatlon. � as IdentlBcadon. •
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<br /> Notery Public . l,i� �� , Notary Public
<br /> Commisslon No: Com Issl .No. ,.�"�Y"'�-.
<br /> '�; �i:= Commission#FF 150422
<br /> Name ot Notary lyped,printed or stamped Neme of Nolery � ,,;�„� c AST,�Upp� ein Inwranco 800385.7p1g
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