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NOTICE OF OEED RESTRICTiON�: ha underslgned understands that this per It ma b�subJeat fo"deed"restr(ctlo �
<br /> whlch may be more resfrietive�than �Co nty regulations. The underslgned assum s res oreslblllty for compl4anc�wlth any
<br /> appllcable deed restrlctlons. ' '
<br /> UNLlCENSER CfJN7'RACTCIRS AN CONTRACTOR RE3PONSIBIUTiES: If the iowner has hired a contraotor ar
<br /> contractors ta undertaka work, thay m y be requlred ta be i{censed in accordance wlth;state and local regulaklons. !f the
<br /> contractor Is naf 1(censed.as requ(r�d y law, both fhe owner and contractor may be ' it�d for a misdemeana� vlolatbn
<br /> under state law. If the owner or Inten ed contracfar are uncertain as ta what iicensin r�quirements may apply for the
<br /> infended work, they ars advlsed tn can act tkle Pasca County Bullding Inspectlon D(visi n--Licensing Sect(on at 727-847-
<br /> 8009, Furthermore, if the owner iia hired a contractpr ar contractars, he is advls d ko have the contractor(s) s(gn
<br /> portfons of the "contractor Block" of'th s appllcation for which they will be rasponsibis. tf you, as the owner sign as the
<br /> cantractar, khat may be an lndication t at he is not properly (Icensed and Is nat entitle' tu permitfing priviieges in Pasco. =
<br /> County. ' � - � r
<br /> TRANSPORTATION 1MPACTIUTIUTt S {MPACT AND�RES�URCE REGOVERY FE� S: The undecslgned unders#ands ' �.. �
<br /> that'Transportatfon lmpact Fees ancf ecourse Recavery Fees may apply to the canstr ction af�new.buiidings, change of
<br /> use fn exfst{ng buildings, or expansia. of exist#ng buildings, as spec(fled In Pasco Co nfy Ordinance number 89-07 and
<br /> 90-07, as amended. The undersig►�e a}so understands, that such fees, as may be d; e, wiE! be ldentl�ed at the time of
<br /> pe�mitting. !t Is fu�ther understood th t TransporEaf(on lmpact Fees and Resaurce Ra overy �ees must be paid prior to
<br /> receiving a "ce�tiflaate of occupancy" r flnai power release. (f fhe proJecf does not in olve a certificafe of occupancy or
<br /> finai pawer release, the fees must bs paEd prlot� #o permlt Issuanoe. Furthermore, If asco Caunty Water/Sewer lmpact
<br /> fees are due, they must be paid prior t permit issuance{n accordance wlth appllaable asco Gounty ordlnances.
<br /> C�NSTRUCTION LlEN LAW�Cha�pt r 713, Flortda 5t�tutes, as amendodj: 1f valua ian of work is $2,500.00 or more, 1
<br /> certify that I, the appHcatit, have be n provided with a copy of the "F(orlda Con rucfian �Llen Law�Homeowner's
<br /> Prc�tection Gu}de" prepared by�the Fia ida E1epa�tment of Agriculture and Cansumer A airs. !f!the app!{cant Is someone
<br /> other than the"owner°, I cerfif.y.fhat I h ve obtained a copy of the abvve described doc mant and prom(se in good faifh to
<br /> deliver!#to#he"owner" prlor#a�comm ncement.
<br /> CONTRACTOR'SiOWNER'S AFFIID IT: ! certlfy that all the Infarmatlan In thls appl! ation is accura#e and thak a!I work
<br /> will be done In compiiance with all ap licable iaws regulating canstruction; zon#ng an land de'velopment, Appifcation is
<br /> hereby made to obtain a permit ta o wo�k and Insfallat(on as Indlcated. I cerfif that no work or instaNation has
<br /> commenced prlor to Issuance af a p rmit and that al! work wil! be per#ormed to me t standards of a(1 laws regulatfng
<br /> consfruction, County and City cod�s, zon€ng regulations, and fand development reg !atlons En the )urlsdlctlan. I a!'so
<br /> certify that ! tinderstand that the regul tions of ottier government agencies may apply a the intended work, and that it is
<br /> my respanslbillty#o identi�y what actlo s i must take to be In compUance. Such agenc( s inc(ude but are not limited to:
<br /> - Department of Envlromm �tai Protectlon-G�press Bayheads, UVekland Ar as and Envlronmenta!!y Sensitive
<br /> Lands, WaferlWastewater Treafinent.
<br /> - Southwest Florlda Wat r Managemen# District-Wells, Cypress Bay e�ds, Wefland Areas, Altering
<br /> Watercaurses.
<br /> - Army Corps of Engineers- eawails, Docks, IVavlgable Waterways.
<br /> - Department of Health & Rehabilitat(ve 8ervices/Envfronmental Neaith nif-We1is, Wasfewater 1"reatment,
<br /> Septic Tanks.
<br /> - US Envlronrnenta!Protect on Agenay-Asbestas abatement.
<br /> - Federal�Aviation Authority Runways.
<br /> i unders#and that khe foliowing restrlctl ns apply to the use of flil;�
<br /> - Use of fHl is noE allowed In �'lood Zone"V"unless expressly permltted.
<br /> - If the fll( mater3ai is ta e used in Flaod,Zone °A", it Is u�tderstoad t at a dralnage plan addressfng a '
<br /> "compensafing volume" iil be submitted af flme of permifting which is p p�red �y a professional engineer
<br /> llcensed by the State of FI rida.
<br /> - if th� flil material is to b used !n Flood Zone "A" !n cannec#!on with a ermitted buIlding using stem wall ,
<br /> construction, I certify that li w((I be used oniy to fiil the area within the ste waii.
<br /> - !f fi!! material Is to be u ed in any area, I certffy tha# use of such flil wili not adversely affect adjacent
<br /> properEles. If use�of fill !s faund to adversely affect adJacent prope�tles, t e owner may be clfed far u(olat(ng
<br /> the canditions of the buil €ng permit fss�ed under the attached permlt a plicatlon, for lots Isss than one t1)
<br /> acre whlch are elevated b fiii, an engineered drainage pfan is required.
<br /> ' If I am the AGENT FQR TNE OWNE , ! promise In gaod faifh fo Inform #he awnar of t e permlttin� conditions set forth in
<br /> fhis affldavit prfor to commericing co structlon. ! understand that a separate permit ay be required for electrical work,
<br /> plumbing, signs, welis, poois,. air co ditioNng, gas, or other instaflatians nat speclfi I!y included !n the applicatian. A
<br /> permit lssued shall be construed ta b a Ilcense ta proceed wlth the work�and not as uthorlty ta,violate, cancei, aiter, ar
<br /> set aslde any provisians of#he tect�n! a! codes, nor shall issuance of a permlt prevent tho Bulldlrig Off(cial from fhereaffer
<br /> ' requiring a correction of errors fn pian , constructlan or violat(ons of any eodes. Every permit lssued sha!! become Isivalld �
<br /> unless the work aufhor(zed by such ermlt is commenced within six months of permi issuance, or if work authorized by i
<br /> the permlk is susgended or abandane fo�a perlod of slx�6j months afker the time the ork (s commenced, An exfenslon ,
<br /> may be requasted, in writing, from th Bu(lding,Offlcla!#or a perlod not ta exceed nin ty (90) days and w(II demonstrate
<br /> justifiable cause far the exten,s}on, If ork ceases for ninety(9Q}consecutive days, th )oh Is cansidered abandoned.
<br /> WARNING TO QWNER: YO.UR �A LURE TO REGORD A NUTICE OF COMMEN E9VIENT MAY RESULT IN YOUR
<br /> � - -PAYiFi�'�lN6CL�'C3l� �tll;l�E�PJ.l��IVlE �'S �"C?�lQl1R PRQPERTY. 1F Y!'�U INTEND T OBTAlN-FlNANGlNG, CONSULT
<br /> - �'rviS"e#Y+�e;?i"�-L"E�C�f2-C)'�'-AN-A -- ZD �iiE �'� �0�2 `Ft.C !�D! G- - 4:� �- 'O . -E. , F _ E1+3C�M =_- _- == _ -._ - -- -
<br /> FLORIQA JURAT(F,S.117,03j '
<br /> � OWNER OR A(3ENT CONTR.ACTOR �i�'��'—'------
<br /> Subscrlbed and sworn to(or afflFn►ed}before e thls Subscribed and swom fo(ar afflrme befare me#hfs ,
<br /> by
<br /> ' Who is/are personaUy known ta me or haslhav produced Who Islar ersonally kno" -to me o haslhave�produced
<br />, as identlfica8 n. as Identif3catlon.
<br /> 'c
<br /> t
<br /> Notary Publlc Notary Pub(Ic
<br /> , �*�-Y°��. JACQ �CiNE ES
<br /> Commission No. Co misst n No, �'-�
<br /> , :*:
<br /> ;;;•.,.�t: Expire December 32,2018
<br /> +F
<br /> Name oF Notary typed,printed or stamped Name of Notary �°`�"te . '9
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