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� � <br /> � . , . <br /> „._ : - , - . <br /> NOTICE"OF DEED RES'fRICTIONS:. The undersigned;runder�tands�:th�tFthis,°p�rmit.,_may be.subJect.to,"deed"_restricttons"`,�,',,,_.� :.,i`:. <br /> which may;be�more�-rest�lctive`a4h�n County,c+egulatCons:�The'underslgned'assumes respansibility for"compilance with any <br /> aPPlicable deedYeshictlons: � - _ :. , - • � �':. ` . ' : --. ._..... _... -=-,° . -. <br />� IJNLICENSED• CONTItAC7'ORS:�AND -CONTRACTOR RESPONSI�ILITIES: -If the°-owner has �hired'�a,.contractor or <br /> contractors.to undertake work,they may.be:c�quired._to:-be�l(censed In.accordance.with_:state;and�local_reg�la4lons:�If�the�•�- � �� <br /> _ -_ _::..::_.._ . . ,._ , ._ <br /> contractor t§-not�licensed�as requlred.`-`tiy law,•'both the owner and conVactor�may be-clted for��a��misdemeanor violatlon <br /> under state law. If the owner or Intended;4contractor�ere,;uncertain as to what Iicensing.requlrements_;;may-=a�pply:-�f6r:�tfie'-,�� - � � <br /> .. F�:_,..r. �, <br /> intended work,"they are°advised to coritact the_Pasco�County Bullding.'Inspection,Divislor}.-L•tcensing Section at 727-847- <br /> 8009. Furthermore, If the ovirrier h�as�hired a contractor'o�.contractors, he is advised to .have �the contractor(s),;sign, , <br /> . . , .. �;..,.. <br /> portions of the"contractor._Block" of this�application_for,whtch.they.will..'b.e:tesponslble:-If you,�.as=:#he owrier sign"as�tlie � '� " <br /> contractor,�that�may'be an indicatlon that"iie`is"not�roperly=llcensed}and'is`not�.entitled to perriiitting privileges in Pasco i <br /> County. ;�. • � �:. . . - ; � _ , ;,�:-,.... . <br /> TRANSPORTATIAN.IMPACTIUTILITIES�rMPAC7�AN�RESOU�tCE RECOVERX FEES: �T-he�undersigned understands <br /> thatTransportation Impact Fees�and.'Reco.urse:Recovery:Fees mey�;appiy�tc�the;constructton_o�:riew.bulidtngs�:change'>of'����'`��`'�°''� <br /> use in existing buildings, or�.expar�si�n.of��exlstin,g,;buildings, a§ specifled.in Pasc��County Ordinance number 89-07 and, <br /> 90-07, as amended.,:;The undersigned also:�understands, that:such fees�;:as�may��e�.due;�will:•:be identffied at the time4of-� � -- � <br /> permitting. It is fu"rtlier understood that Transp�ortation Impact Fees and,Resource.'Reco�ery-'Fees..must be pald prlor to <br /> receiving-a'certificate=ofioccupancy" or flnal��powe.r.-release: :If�the projacE;.does.,not involve�a•:cert�igate of occupancy.o������-_•� '" <br /> flnal power.release.;;tlie=.fees-mu�t'be paid;pcior to;permit is�uance. Ft��thermore;(f:Pasco,Countjr'Water/Sewer�:lmpact ,. . <br /> fees are due,.they;.tnust be-paid.prlor#o„permit�-lssuance•In.accordance witFi�:applicable_Pasco��.County ordinances. � <br /> CONSTRUCTION'LIEN�LAW(Ciiapte�_713� Florlda Statutes�as ameirded); If valuadon.of work is$2,500.00.or more,.I. - - -,�� <br /> certify tHat -I, �he applicant,:hav.e�been provided uvith=a-copy of•the ".Florida��Construction:Lien :Lav�—Homeowner's <br /> Protection Guide" prepared by, tfie Floi�da Department�of Agric.ulture and Consumer�Aftair"s. if the applicant Is someone� .. , ,. <br /> other than th�"ow�e�", I certffy.that.l;;h�ve:.obtained�a'=copy.of..the:above..descrlbed docuii�ent-and;p.r.o,�ise�in,good';faith.to , <br /> deliver It to=the'owner":piior:to�co'`mrttencement:�'� � ' ` ' � ' ��� � ' .: ' , : <br /> CON7RACTOR'S/OWNER'S AFFIDAVIT: I.ceKify.�.ttiat:ail�the�;information�lmthl.s applicatlon is accurate.and that all work <br /> will'be done in compliance with all applicable�laws regulating construction, zoning and��land development. Applicatlon,is <br /> hereby made to obtain_.a permit,,to,;do.�w�rk;:,and',Instaliation as indi�efed:����-:1� certffy that�no work-or Installatton Has <br /> commenced prio� to Issuance of�a permit`and that�.all work v�rill be pertormed�to meet.standards of all laws regula�ing- <br /> construction, County and City codes, zoning regulations, and land development regulattons�tn tfie jurisdlction.= I�.al'so _. <br /> certify that I understac�d that Qhe regulatfons of other goverr�ment.agencies may�apply�to the intended work, and that it is <br /> my responsibility to identify•wha�.actions I must�take,:to be.in:.cor�lpltar�ce..,.S,uch:agencles�include but°-are.not Iimited to: <br /> - Department of Er�vlronmentai>�Protection=Cypress:Bayheads; VUetiand Areas and Envlronmentally Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> - Southwest Florida Weter Mana ement��:District-Wells � ress.��Ba �eads�- W <br /> g , , etland Areas Aiterin <br />, CYP . Y , 9 <br />� Watercourses. � � - , - � . <br /> - Army Corps of Engineer's=Seawalls�Docks, Idavigable Waterways. <br /> - Department.of,Flealth::,8. Ret�abilitativ,e�Services/Errvfronmental .Health Unit Well.s� Wastev�tater�Treatment, <br /> Septic Tanks:_�: .. - . _ <br /> - US Environmental Prof�ction Agency-Asbestos abatement. , � <br /> - Federal Avlatlon Authority-Runways,.� - � - _ - <br /> -I understand.that the�following-restcictions appiy to the use of flIL•• <br /> - Use of�ill Is not allowed In:Flood;Zone"V"unless expressly permittsd. � ' -� <br /> - If the:flll mate�fal� is to'"be used��in :Flood Zone. "A", tt. is understood �tha4 a drainage plan addressing a <br /> .°compensating volume".will be sutimitted,�t time of:permifting which ts prepared by a professional �ngineer � � <br /> Iicensed by�the State of Florida: " -. � � �, ,_ � ._ _ <br /> - If th� flll-material is to be used in Flood �one 'A" in�connec�ion�viiith��a�ectnitted�buildirtg using stem wall <br /> construction, I certify.thatfiill:w111-b.e�used only.to.fill the.area.wtthln�the�stem�wall: � ' <br /> - If flll material is to be used in any area; I�ce�Qify that .use. of`such�till'will not adversely affect adJacent <br /> p�operties. If use of flli is found.to adversely:�ffect adJaEent'�properties,.the owner may,be'cited for violating <br /> the conditions_of.the building�:permltissued�under the-attacl�,ed permit �ppl(cation;.:for-lots�less,than-one (1) <br /> acre which are eleirated�by f111, aR engineered drainage�plan ts requlred. • <br /> If i am the AGENT_FOR THE OWNER, I�.promise in_good faith to inform°the owner of�the perniitting condttlo�s set forth in <br /> this affidavtt�prior�to�commencing constructlon. I understand thet a�separate permlt may be requtred for elecMcal work, <br /> plumbtng,.signs, wells,,pools;, alr conditioning,.gas, or othec install�tlons noE,spec�tcally included�in.tf�e�application. .A ,. <br /> permit Issued shall be construed to�be~a�license to�proceed with tlie:work and not�as:authoNty.to:_violate;'cancel, alter, or <br /> set aside any�provisions of the technical cades;�nor shall issuance of a permtt.pcevent the Buildirig O#ticial frorr�thereafter � <br /> requiring.a conection af errors in,plans; construction or violations of any codes. Every p'ermfE"issued"sFiell tiecome invalid <br /> unless the work authorized.by such permit:�is:commenced�withfn sf�c..m.onths of permit Issuance, o�if work authorized by � <br /> the permit is suspended�or.abaradoned-for:a;period of�six�)months:after the time�the�work��s commenced. An extension <br /> may be requested, In uvriti_ng,,::f�om the�Building,Official for a period-�not.to exceed ninety�(90)days a�d-will demonstrate <br /> justifiable cause for.�the extenslon�. If work ceas�s.tor ninety.(90)cons.ecutive days...th�)ob;is.considered aba�doned. <br /> WARNINC TO OWNER: YOUR..FAILURE�TQ,.REC.ORD A.I�OTIGE:OF��COMMENCEMENT�:NFAY�RESUlT IN YOUR <br /> PAXING-7tMICE;F91�IItA�tOVE{UIEI�iT��t�,XOUE�:PIt�P�I�'ilY.-:IF�XO.t�a11�T�Mi1D:,1'O-��TAIN•_FII�FI�t��lt�lG.-CON�UI�T — <br /> VYITH YOUR LEPID�R OR Ald ATTORNEY��fFORE�RE,COR�I G�iYOUft�NOTi�E"OPCOMI111ENr�EfINEMT' ' <br /> FLORIDA JURA��(F.S:.117.03}_ : .. . . ,_ <br /> r.- ��.._� > . , , <br /> OWNER OR�1OENT � . � CONTRACTOR_ � <br /> Subscribed and awom to(or aNlrmed)betore me this Subscribed and'swom to(of aflirtned)'before me ttit� <br /> f <br /> ; by , .by.. . <br /> Who is/are personally knovm to.me or has/haye produced Who:ls/are persanally knowmta.me-or has/have�produced • <br /> `� �- as Identlficatlon. - as Idendftca0on. • <br /> t ' ' <br /> ' Notary Public . Notary Publlc <br /> Commisslon No: Commiaslon No. <br /> Mame of Notary typed,p►Inted or stamped Name of Notary lyped,printed or stamped <br /> 1 <br />