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NO'P9C�OF DEED RESTRICTIOM�: The,undersigned understands�;th�t;this..ppcmit'.may_be,subject to.mdeed"restrictions" __ _� <br /> which may be�more��r.est�ictive�th�n CounEy`�regulatlons. The undersigned•assumes'resp�nsitifl(ty for`compliance with ariy <br /> applicable deed_reshictlons. �.... , . - :. , . ._, . - -� <br /> UMLICENS@D COPITRAC'TORS -AND CO(VTRACTOR itESPON�I�ILiTIES: -�If the=owner has-hired`-a contractor or <br /> contractors to unde�take work,.they may be;,r,�quired._to-:be.:llc�nsed In�accordance.wtth state.and�local.regulatlons:"-:If the� - ' <br /> contractor ts not i(censed as�requ0red=,6y lew, both the o�nm�r and contracto��m�y�be�cited for-a�misdem�anor vtolatton <br /> under st�te law. If the owner or intended,�,contraetor;are,�uncertaln �s to what Iicensirag.require�nents,-may-:apply�•�for�the- �- <br /> intended work, they are advised to contact the Pasco County_�Buliding'Inspection Dlvlslon—L•icensing S�ction at 727-847- <br /> 8009. Fu�thermore, tf the ovirner�fias�hl�ecJ a contractor�or contractors, he is advised to have ;the contractor(s),, sign ' <br /> portions of the "contractor Block" of this.application.for_which 4hey will.be.responsible.- ff you, �s-.the owne�'sign'as the' ' <br /> contractor, that may be an indication that'he�fs not.properly Ilcensed anii��ls��not entltled to parrviitting priiifleges in Pasco <br /> County. ' � " � <br /> T�►NSPARTATION:IMPACTIUTILITIES�IAAR�4C'�ANb�RE�OIIRCE RECOVERX FEE�:��The undersigned understands <br /> that Transportation Empact Fees and.Recourse Recove.ry.Fees may�apply_to:tf�e:construction of new.buildings,°change-of" - ' <br /> use in existing buildings,-or,expan�i�n�of°'ezistin,g�buiidings, as specifled.ln Pasco County Ordinance number 89-07 and. <br /> 90-07, as amended.. The undersigned als�;understands, thait:`such fees,-;as�may_be�-due;:will:�be identi�ed at the�time�of � ' <br /> permitting. tQ Is further understood that Tra�sportation Impact Fees and�°Resource:Recouery`Fees.must be paid prio�to <br /> receiving-a "cerffficate�of occup�ncy" or flnal power:release. :If the project..does not:fnvoive�a��.certlficafe of occupancy o��' <br /> flnal power release;the.fees-mu�t"be paid,prior to,perrr�it Issuance. Fu�thermore��If:Pasco�County�Water/S�w�r;impact �� �• <br /> fees are due, they rnust be=pald.prior to.permit-Issuance=ln ac�ord'_a.nce w;tfi:appllcable.Pasco�County o�dinances. • <br /> COtdSTItUCTiON�LI@PI�LANV(Cli�pter 713� Fiordda St�tutes,aa amen�e�): If valuation of work ls�2,500.00�.or more�.I � <br /> certify that I, the �pplicant,. have.been provlded with-a�copy- of the "Florida=Construatlon Lien .Lavb—Homeowner's <br /> Protectfon Guide" prepared by the Flo�ida Department of Agric.ulture and ConsumerAffairs. if the applfcant is someone = � <br /> other than the"owne�", I certffy that.l have.obtained�a'copy,oP.the:above..described docuii�ent�and.p.r.omiseln,good',fa(thto . <br /> deliver It to.the.`ownec"=pdor to:�comr�encement:'' ' � - , �� <br /> CONTR�aCTOR'SSOIRIN�It'�AFFIDAVIT: I.ce�tify>that��li the•,Inf.ormation:in thi.s applicatlon is accurate and that all work <br /> will�be done in compliance wiQh all applicabl� laws regulattng construction, zoning and land development. AppUcation is <br /> hereby made to obtain .a.pecmit�to .do..work:.:and�Installatlon as Indlcafed:.� .:I_ certffy th�t no work=or instaliatton has <br /> commenced pr(or to Issuance of a permiE'a�id that.all work will be performed to meet standards�of�II laws regulating- <br /> corast�uction, County and City codes, zoning regulations, and land development cegulations-in the .jur(sd(ctlon. ( .al'so <br /> certify that I understand that the regulat(ons af other government �genci�s may��pply�to the.intended.work, and that it is <br /> my responsibility to identify•wrhat.ac8ons I must take to be,in:.corrlpltancs. .Such.agencies Include but�are.not Iimfted to: <br /> - Department of Et�vironmental>•Protection-Cypres�.Bayhead§; INeNand Areas and Ernlronmentally S�nsitive <br /> L�nds, WatedWastewater Treatment. <br /> - Southwes4 Florida 11Vater Man�gement .�Jistrict-Wells, Cypress.� Bayh�ads; 11Vetland Areas, Aot�ring <br /> Watercourses. : <br /> - Army Corps of Engineers-Seawalls, Docks, N�vigable Wateoways. <br /> - Department of Health'&. ReMabilitatfve, SerdiceslEnvironment�l ,Health Unit VVelis, Wastevirater-Treatment, <br /> Septic Tank�. � � � , , <br /> - U5 Environmental Pro�ection Ag�ncy-Asbestos abatement. � . <br /> - Federal Avi�tton Authority-Runways. <br /> -I understand.that the following.�restrlctions apply to the use of flli:• <br /> - Use of fill is not allowed in'�Flood Zone mV"unless expressly perrnttted. <br /> - If the �iil materfal--is to b.e used in :Flood Zone. "A", tt. Is understood that a drainage plan addressing a <br /> °compensating volume" wil) be stabmitted at#ime of petmifting �thich ts prepared by a professional engfneer <br /> Iicensed by`#he State of'Flo�ida. � � <br /> - If th� fill materlal is to be used in Flood �one "A" in�conn�ction�wlth��a permitted building using stem wall <br /> construc#lon, I certiy that flll`:wlll=�b.e used only.to.fill the.area wlthin the�stem�wali: . <br /> - If �ill material is to be used in any area, l cer#Ify that .use. of such flll will not adversely affect adJacen4 <br /> propertles. If use of flll Is found to adversely:�ffect adJacetif�pr�perties,.the owner may be clted for viofating <br /> the conditions of the bullding;permit is"sued�under the atEached.,permit apptication, for lots�.less than.one (1) <br /> acre which ere elev�ted�by flll,an englneered dralnage plan is required. <br /> If I am the�1GENT FOR TW�OWIVER, I;�promise In good falth to inform the oarner of the permitting conditlons set forth tn <br /> this affidavtt�prtor to commencing constructlon. I underst�nd that a=separate permlt may be requtred for elecMcal work, <br /> plumbing, signs, welis,.pools;. air conditioning,.gas,��or.othec insfall�ttons not spec�fic�lly Included�in.the application. .A <br /> permiQ Issued shall be consfrued to be a'license'to�p�oceed with tlie wrork and not�as authoNty to.violate;'�cancel, alter, or <br /> set aside any provisions of the technical codes;�nor shall issuance•of a.permit.prevent the Bulldirig O#ticlal from thereafter <br /> requiring a,correction af errors In.,plans�; consfruction.or vlolat(ons of any codes. Every�peranit=lssued shali•become invalid <br /> unless fhe wrork authorized by such permlt:�s.coFnmenced•withln sfx montha of�permit issuance, or if wo�k authorized by <br /> the permit is suspended�or:�bandoned-for a:pertod_of six f�)montFis:after the time the�work�ts commenced. An extensEon <br /> may be requested, in writing, from.tNe���ullding,Officfal for a per(od.not to exceed�ninety(90)�days and will demonstrate <br /> justifi�ble cause ior.the extension. 9f work ceas�s:for nine�r.(90)cons.ecutiv��day.s,..th�job�ts consider�d aba�doned. <br /> V6IARNING TO OWNER: YOUl�.FAILURE TO..REC.ORD A:,NOTIGE OF-COMMEIdCEMEMT;MAY�RESUL'T� IId YOUR <br /> P�4Y1(VG TWICE,FOR IMPROVEAAENTS�TOYOUR:PROPER7Y. �IF°YO.U�1�lTEND:�TO'OBTAIN��FIN�1'�E1NG;�CON�ULT <br /> WITH YQ,UR L.ENDEIt�OR AN ATTORNEY�EFORE�R@CO�t�ING�YOUR'I�TICE"OFr�OMN'JEMCf�iEMT'� � <br /> FLORIDA JUFEA'i(F.S:197. 3) - - � _ � -`—= - -�—�--_- - - --- - — <br /> 01lVNER OEt AOENT��� / COPITRACTOR ��'' �'� �� <br /> Subscrlbed and swom tc(or affirmed)before me this Subscribed and'suwm to(or aflirmedpbefore me ttit� <br /> i bY <br /> Mlho Is/are personally kno�m to.me or haslhave produced Who.is/ personallyacno to me or hes/have�produced • <br /> as Identlflcatlon. �s IdentlficaUon. • <br /> . . _ <br /> Notery Public _ Notary Publlc <br /> Commisslon No: Com Is n.N �a .,��Ja�-., <br /> LOZ'Zl aequ�aoap saaidx3 =,• :�= <br /> � :.: :., <br /> tdame o/Notary typed,printed or stamped Name ot Nota pe , � �g�g�g�y� -•,;�r;�,�r�°,: <br />