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<br /> . .. . :ersigned:understands�;th�t.this.permif:,.may.:be,,subJect to;°deed",ce�trictions .__. .�,__
<br /> NOTiCE OF DEED RESTRICTIONS: The und. ,r
<br /> which may�be:moce:r.estrictive�,th��County ceg�ilatfons:-•The-:undecslgned�assumea~responsibiltty fo�"compilance vuitf`i any-�" �"
<br /> appilcable deed rest�ictions. �.. ..:�: :: x, . .�, • ... _. _ .- -. -: :� " ' �
<br /> UNLICENSED�CONTRAC�ORS�.AND CONTRACTOR R@SPONSIBILITIES:- ••If-the-�owner has��hired`�a .contractar or
<br /> contractors to undertake woric, ttiey m'ay-�be;r�quiredxto::be>Ilcensed In-.accordance.with,state.and:local�regulatlon_s.::�If the��-=�- � ;�-T��
<br /> contractor ts-not l(censed as'�requlredkby lew,:both�the owner and-conteactorrmay be�cited for��a ml§demeanor vtolatton
<br /> under state law. If the owner or Intended,�,contractor,are;uncertain as to what Ilcensing..requlrements:'may-;appty.��for-.tiie � � " <•� ��
<br /> intended work, they are advised fo contact the�Pasco County_Bullding:`In�pection DIvlslori-.-Ltcensing Section at 72T-847-
<br /> 8008. Furthermo�e, if the owner tias�liired`a cont�acto��or contractors, ne �s aavisea to have �the contractor(s),,sign ,, �I
<br /> portions of the:"conttactor Block"of.thls:_applicallon.for_.which.they,wilt..b.e�resp.onsible: ff:you,_as:#he owner�s(gn'�as-the"
<br /> contractor; that�may`tie an indication that'tie'-1s not.properly`flcensed-and"is'not entitled to permifting privlleges in Pasco ,.
<br /> County. � �'� " -
<br /> TRANSPORTATION IMPACTIUTILITIES`-IMPAC7 AND RE�OUitCE RECOVERY FEES:�The undersigned understands
<br /> thatTransportation Impact Fees and.Recouree.Recovery.Fees may;apply�to>tf�e;construction_of new.,bulldings��=change�'of�.'" � -
<br /> use in existing bulldings, or�.expansi�n��of�existi�i;g:�bulldings, as specifled.in Pascq County Ordinance number 89-07 and.
<br /> 90-07. as amended.,.,The undersigned also;�understands� th�t such fee.s;,as�majr:�e::.due;�will,�be Ideritified at the'time"of.� -�- �'�
<br /> permltting. It is hirtlier understvod that Transportation Impact:Fees and'��Resource.:Recomery='�Fees: must be pald prior to
<br /> receiving-a acerfi�cate=of occupancy" or flnal•power:release: :If�the,proj�ct�;:does,not Involve�a>.certificate of occupancy�o��-'�_=��- �� �
<br /> flnal power-�el_ease�;��the•.fees-mu�it"'be-paid;p�lor to,permR issuance. Ft��thermore;if Pasco,County�lNaterlSewer•:Impact � ., .
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<br /> fees are due,.they must.be;pald.-pNor.#o„permit:-I`ssuance°In.accordance wItFY��appiicatil�Pasco�-County ortlinances. •
<br /> COPISTRUCTION�LIEN"LAVII'(Chapter 713� Florlda�tatu�es�as�tnendec�): If valuatlon of work is$2,500.00 or=more,:) _ 7
<br /> certify that I, #he applicant;-have=been proqided with�a�-copy- of the•"Florida� Construction:`Lien `Law=Homeowner's
<br /> Protection Gutde" prepared by tFie Flor�da Department of Agrlculture and ConsumerAffairs. if the applicant is someone. ,. � , _
<br /> other than the`owner", I certffy that�l�have.obtained�a�copy.of..the:above..rfes,crlbe�d�docui�ent:and.pro�ise�in;good:fa(th_to � .,
<br /> deliver It to.the�'ownec".`pi�or'tofcommencement:'� - ' � _ . • - ' , .
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify-�.that=all:th��.Inf.ormationJn-this applicatlon is accurat� and that all work
<br /> will'be done in compliance with all.appltcable�laws regulating construction, zoning and��land'development. Application is
<br /> hereby made to obtatn..a permik:to,:do. worlc;�,and�installation as indtcefed:><�:I. certify that no work�or installatton has - -
<br /> commenced prio� to Issuance of a�permiE"'and that�.all work will be pertormed�to meet_standards-of all laws regulaling�
<br /> construct(on, County and City codes, zoning regulatio.ns, and land development cegulations=tn the jurtsdictton.�- I�:al'so
<br /> certlfy that i u�derstand that the regulations of other government agencies may�apply�to the_intended work, a�d that it is
<br /> my respons(bility to id�nti(y•what.�ct(ons 1 must take.:M;be,in:.corrlpllance:,.Such;agenoles include-but are.not iimtted to:
<br /> - Depactment of Erlvironmental��Protection-Cypress:Bayhead�, 1lVetland Areas and Envtronmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management;I�istrict=.Wells;' Cypress.� Bayheads; Wetland Areas, Altering
<br /> Watercourses. �- - -
<br /> - Army Corps of Engineers=Seawalls, Docks, Navigatile Waterways.
<br /> - Department of..Health;.�&.,,ReMabllitative.Ser•vices/Environmenfal..Heaith Unit-Wells� Wastewater>Treatment,
<br /> Septio'Tanks:.__ , ` . -- - -
<br /> - US Environmental�Protection Agency-Asbestos abatement. � . �
<br /> - Federal Avlatlon:Authority-Runways. � � �
<br /> -i understand.that the following�restrictions apply Co the use of flIL•• -
<br /> - Use of flll is not allowed in,Flood-Zone"V"unless expressly permitted.
<br /> - if the filf material ts to �b.e used:`In �Flood Zone. "A", It. is understood-that a drainage plan addresstng a
<br /> °compensating volume" will be submitted at#ime of�.permifttng which is prepared by a professional engineer
<br /> Ilcensed by`tlie Stafe of"Flor(da: � ` � _ > . . . . �
<br /> - If ih� flll materlal�.ts to be�used in Flood Zone 'A° im connec�fon�with�a��permitted buflding using stem wall
<br /> � construction, I certiry that flll:wall=b.e used only.to fill the area within the stem-�wall: =
<br /> - If flll material is to be used in .any erea; f`certify that .use. of`such fill will not adversely affect adjacent
<br /> properties. If use of flll Is found�.to adversely,�ffect adJacenf=�properties,.the owner may be clted for vlolating ��
<br /> the condl#(ons of the b�ilding:permit is'sued�under tiie�attacheda�ermit applicatbn;for.:lots-.less than one (1)
<br /> acre which are elevated�by flll,aR engineered dralnageJplan is required. . . •�
<br /> If i am the AGENT FOR THE OWNER, I;�.prortttse In,good falth to inform-the owner of-the permitttng condftions set forth in
<br /> this affidavit prior to�commer�cing construction. I undersfand thet a-separate pertnit may be required for electricaP work, .
<br /> t...-,,,_.y .,,
<br /> plumbing,..signs, wells,...pools; alr condltioning,.gas,.or othec tnstall�itlons noE�speclflcally included-tn.the application. .A
<br /> permit issued shall be construed to be~a�Ii'cense'to p�oceed with'ttie work and not�as.authoHty:to:_vtolate;.cancel, alter, or
<br /> set aslde any provis(ons of tlie.teohnical cndes;�nor shall issuance�of a.permlt.prevent the Bulldirig O(ficial from thereafter �
<br /> requiring a correct(on af errors In,pfans; constivction,or violations of-any codes: Every p'ermit�issued shail become invalid
<br /> unless the work authorized.by such permit:is-commenced•withln sfx:months of permlt Issuance. or if work authorized by
<br /> the permit is suspended�or:abandoned�•for:a:period of�six,f6)moM�is.aRer the time�the�work�is commenced. An extension
<br /> may be requested,.In wrlting,�,f�om.tHe�Building,Offlcial for a period'not to exceed-ninety�(90)�days a�d-wtll demonstrate
<br /> justifiable cause for:the extens(or�. If work ceases:for ninety(90)cons.ecutive�day.s...th�)ob�ts considered aba�doned.
<br /> WARNING TO OWNER: YOUR.FAILURE;TO,.R�EC.ORD A.MOTIGE:OF-�COMMENCEMEI�T:MAY�RESULT IN��YOUR
<br /> PAYING T'WICE.F.OR'IMPROVEMEN.TS;Tfl YOUR:PROPER-'TY:�IF'.YO.U�I��E�ID'T�_��OBTAIt�FINA11�f11�1ta;-�QN�!!L-T- - -
<br /> __WI� = U�- -O �►� �•1T0 ��3 FOR�tY� ��r� fs�� DU ' ��C "O ' `•:' . ' E T.
<br /> FLORIDAJURA�=(F:S:1.17.03) . ' ' - "- ' .
<br /> OWNER OR A(iENT � CONTRACTOR �%��.`� .
<br /> Subscxibed and swom to(or aHirmed)before me fhls Subscrlbed and'sarom to(or afflrtnedpbefote me ttitg ,
<br /> by -
<br /> Who Islare personally known to.me or has/have produced Who.ls/a ersonallykno •to me,or heslhav.e-produced •
<br /> as Idendficatlon. � as IdentlBcadon. �
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<br /> Notary Publlc . J � Notary Publlc
<br /> Commisslon No: Co mla n N
<br /> - =;,��ly��� Commissibn#FF 16n422
<br /> Name of Notary lyped,printed or stamped Name of Notery • � �
<br /> '•,p�f�°.•` Bundud Tlw Tray Fu�n Inau«r,:a 0�0•389�7019
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