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<br /> NOTICE AF DEED RE�TRICTeONS: The understgned understands�:th�t;lhls:permit.may,._be.subJect.:to,°aeea"„restrictlons'':�.:4,`;�`�`;
<br /> which may�be:�more�=r.esMictive=4ha�"CounlyFegailatCons:��The unde�signed°-assumes��esponsitiilt�i�for�compllance''vvith'any�` �
<br /> apppcabl�'deed re�trictions. <,::,.�.:•,. -:..:• : : , � _ . ; . ,. _ , , .. . : .:., ... : _
<br /> 1JNLICENSED• CONTRACTORS .AND CONTRa4CTOR RESPONSI�ILITII�S: �if the��owner has �hired`�a�:contractar or
<br /> contractors to undertake work, they_may.be„ceiqulred�.to�be;licensed In�accortlance.with state�.and,;local;regulatlons:,rlf`the t� � •�-��
<br /> contractor (s-not Itaensed'as� requlr`edKtiy law,.botffthe owner and�contractor�may=be=ct'ted for��a�misilemeanor violatton
<br /> under state law. If the owner or intended,contra�tor;�re,;uncertain as to what Iicensing requlre�nents-may��apply��for=tiae �- ' ��
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<br /> intended work,`they are advised'to contact ftie.Pasco County^Building'Inspection:Dlvislon�-Licensing Sectton at 727-847-
<br /> 8009. FurtFiermore, ff ttie owner has�'lif�ed`a� contractor or contractors, he 1s advised to have the contcactor(s),.#sign ;
<br /> portions of the;°conttactor,.Block� of,this.appilcation�for.which.,ihey will..be�responsible: .ff:youu;.as;ythe owner�°sign'°a�the'; ' .
<br /> contractor, that�may be an Indication that�'tie is not:properly�licensed'"and"is not erititled to perrnitting�pri�ileges In Pasco
<br /> County. � : ti��. �� : ; . ...
<br /> TRANSP.ORTATION-IMPACTIUTIGITIE$��IMPAC7�ANb RESAl1RCE ItECOVERY�FEE�: The`unde�signed understands
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<br /> thatTransportation Impact Fees and.Recourse Recode.ry.Fees may-:apply:�tv:the;constructton.of neH►.�buildings�=change'of"`="�=�.'"�
<br /> use in existing bufldings, o��.exp�r�si�n��of��ezlsti�i�g.�buildings, as spectfied.in Pascv County Ordinance number 89-07 and
<br /> 90-07. as amended.,r:The undersigned also;und�rstands, th�t'such fees„�s�may:'tie�.due;;wllL-be.fdenfffied at the`time°�of=3°� -� ; `�
<br /> permitting. It Is turtfier understood that Transportatbn impact'Fees and�Resoucce.Reco�ery-Fees,must be pafd pr(or to
<br /> receivin �a °certf�cate=of�occu anc or flnal°- owerrel�ase:=:If°the. ro�ct..does.not.involve�a�:;certificate of occu anc :�o����•_,�-�'��'"
<br /> 9 P Y"- P p 1 P Y
<br /> final power�release;,#he�.fees`-mu�t;be paid:;prlor to.,pecmit Issuan'ce. Fu�hermore;�if:Pasco.,County�VllatedSewec:.lmpact . � .. ..
<br /> fees are due,.they;:.must.be,::palds,p�lor#o pecmit�.lssuance-ln.accordance viilEli:appllcabte=Pa�co'�County>o�dinances. •
<br /> GOR1STRl1CT10N"l:IEIV`LAVII'(Chepte�713��FIor�cla��atut�s,�amer�d�d): If valuat�on of work is'$2,500:OO:,or moce� l� � :=«;>_:
<br />, certify that ,I, the. �pplicant;�-have;�been-provided. with-a copy-of. the°�".Florida Constructton�:Llen.:Lav�-Homeowner's
<br /> Protection Gulde" prepared by tFie Florida Department�of Agricultur� and Consumer;Affairs. if the applicant is someone :,� � . �
<br /> other than the°owner", I cert�:that,l;h�ve;:obtained�a^cwopy.of the.above::descrlbed tlocui�ent�and;pro,�iise-�.In,good'_faith-to
<br /> delive�It to.the,'ownec"�'.p�ior�to�cornmencement:"� � � �� � � ' � ' � r�- ' , .
<br /> CANTRACTOR'S/OWNER'S AFFIDAVIT: t.certify��ttiat�.all the,information:`In�this applicatlon is accurate�nd that all work
<br />' will'be done in compliance with all applicable laws regulati�g constructlon, zoning and�land�development. Applicatlon is
<br /> hereby made,to obtain :a .pecmit,:to:do.,wo�Ic;4;and installation as tndlcafed.�.=:1� ce�tify Qhat no work�:or Installatton fias
<br /> commenced prio� to issuance of�a permif"and that'.all work w(II be pe�Formed�to me�t_standards-of all laws regulating-
<br /> constructlon, County and City codes, zoning regulations, and land development tegulations=tn'the�`.jurisdtction:: 1 also:
<br /> certify that I understand that the regulations of other government agencies may�apply�to the_intended work, and that it is
<br /> my responsibility to identliy.what.�ctions I must take:to be�In:,compllance::,.S.uch,agencles�include but�are.not Iimited to: _ � -
<br /> - Department of Et�vironmentalr°Rrotection=Cyp�ess:Bayheads�; 1MeNend Areas and Environmentally Sensittve
<br /> Lands,WateNWastewater Treatment. �
<br /> - Southwest Florida Water Management:�=:d7istrictlNells; ��Cypress.r�Bayheads�- Wetland Areas, Altering
<br /> Watercourses. , � � ,� •
<br /> - Army Corps of Engineers=Seawa�ll§, Docks, Navigable Vllaterways.
<br /> - Department, of,Health;';&.;Rehabilitative.-Services/Environmenfal:..Health UniRWell.s� Wastewater°Treatment,
<br /> Septic`Tanks:.� ''`' ` '- � .-� -- - �" -
<br /> - US Environmental Protection Agency-Asbestos abatement.:�,, . �
<br /> FederaF Aviatton�Authorlty-Runways�� " -_, _ ��
<br /> -I understand that the:follouvirig.'restricfions apply to the use of flll: �
<br /> - Use offlll is not allowed In:Flood:Zone"V"unless expressly permitted.
<br /> - If the-flll'mate�lai� is �to b.e u�ed:`In.�Flood Zone. "A", It. is understood th�t a dratnage plan addressing a
<br /> °compensating volume" will be submitted at time of•;permitting wihich is prepared by a p�ofessional englneer �
<br /> Iicensed by'the State;of:Florlda: �� " . � . - . . . -
<br /> - If th� flll material��is to be used in Flood Zone "A" ins connection�witfi��a permitted�buildirag using stem wall
<br /> � co�struction, I,certify that fill:will:b.e used only.to.fill the areawithin the�ste�n=walL � L
<br /> - If flll material�Is to be used in any area;' I'�ce�tify that use. of.such�flll will not adversely affect ad)acent
<br /> properties. If use of fill I.s found to adversely.;�ffect ad)acenf�pcoperties,.the owner may be clted for vlolating '
<br /> the condi#ions�of the.building:permit issued=under the=at�acfied permit-�pplication;�.for.°lots�.less::.than=one (1)
<br /> acre which are elevated`by f111,art engineered dralnage plan is required.
<br /> If I am the AGENT FOR TME OIMNER,,i;:promise In good falth to inform th�owner of the permitting conditions set forth in
<br /> this affidavtt�prlor!o cominer�cing construction. I understand thafi a;separate�permlt may be required tor electricaf work,
<br />' plumbtng,,signs., welis,.pools; alr condltiontng,:gas,_or oth�r install�tlons nol�spec�flcally included�in.the application. .A� �
<br /> permfl Issued shall be construed to be���Iicense:to��proceed writh`the work and not�as:authoMty�.to.violate;�cancel,.alter, or
<br /> set aside any�provistons ofi tHe tecFin(cal codeis;�nor shall issuance�of a.permit.prevent the Bulldirig O#ficial from thereafter
<br /> requiring a correction af.errors_In;plans; constructlon.or violations of�any codes: Every•p'ermtt=lssued�sfiall�beaome invalid
<br /> unless the work authortzed.by such permit:�s.commenced•wlthin sUc„months of permit Issuance, or if work authorized by
<br />� the permit is suspended•or:aba�doned:for:a;period,of�six(�)�moMfis.:after the time the�arork Is commen�ed. An extension
<br /> may be requested, In writi`ng,Y from tFie��uilding.Officlel foc a pertod��not.to-exc�ed�-ninety�(90)��days a�d-will demonstrate
<br /> justifiable cause tor:the extenslon.. If work ceas�s:for ninety.(90)cons.ecutive•day.s...th�)ob�is�considered aba�doned.
<br /> vV�1RRIING TO O1IVNER: YOUR.FAILURE�•TO...R�EC.ORD:A.MOTIGE:OF.-COMMENCEIVIENT..NFAY�RESUlT IN�YOUR
<br /> P�IVING TWICE;FOR IMPROV�MEN�S:TO:�YOUI�.PRO@ER7Y. IF�.YO.U:rIN'�END�TO��1BTAIN�FIN��IEING;�CONSUI.T
<br /> WIT R O A O N FOR��.�E�O f�f OU ' �� 'O � E E �` ,
<br />_. FLORIDA_JURA�:(F:S� .03} _-- ---- � ---�--- _ . , , : , � , . -
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<br /> OYVNER OR AOENT GONTRACTO
<br /> Su�salbed and awo,,,�,n or aflirmed)before me thls Subscribed and'su►a to(ow aflirmed)�b' re me tlitk
<br /> il .5 -J� L � - � _ . . _
<br /> bVho Isfare rsonally knovm�o.me or haslhaye produced . Who,is/a p. �onallyknown•tu e;or has/have�produced • ��
<br /> as Identlfli:atlon. � ` - es IdentlRcaflon. �
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<br /> � ��' �. -=i , te P blic . '��-�-�-''� , /� Notary Publlc
<br /> C Issl I�o�'v.'�% YLVIA A.CAMPBEII Co Ission•No
<br /> ;� �.;, atary u �c- a e o o ,-��..ti • 'a.$ A.CAMPBELL
<br /> :•: �•3,M Comm.Expires Ju119,2017 • koti�y PuMic-
<br /> Name ot nte�ort�aped4E FF 034230� Name of Nota , 1��npadExpires Ju1 1 g,2p17
<br /> `� �"'%°����`` Bonded Through National Notary Asen. +� .�:� Commission�FF 034230�
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<br /> � � • "4�����" Bonded TArougA National Notary As9n.
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