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<br /> , . _ . 4,
<br /> NOTICE OF DEED RESTRICTIOt�S:, The undersigned:undetstands:;th�t:this:�pprmlf,may,;.be subJect:to,°deed?,restrictions"_��`.,_,...��u::.
<br /> which may:.be��more:r,.e�t�i�tive�th��i�Cou�ity��r+egulafions. =The ur�dersigned-assumes�responsitiiitty�for compilance=with'any"°� •
<br /> appllcable deed reshictions. =._::,...w; ..;.:, -� ,;� ° � � ,.._. _. .. .,.�_ ,. = ,. - .�
<br /> UNLICENSED CONTRAC'TORS .AND .CON�RACTOR 13ESPONSIBILITIES:� =1f=the��owner has�°hired'-a�:contractar or
<br /> contractors to undertake work,they.may-.bte:r�qui,re.d�to.<be__Ilcensed:in_accordance.with.state.and�.local.regulatlons:�:�lf�the��-_- �_"�
<br /> contractor ts-not�ltcensed�'as-requlced.,tiy law, �both�the ownerand-contractor�may��be�cited for�a`misdemeanor violatton
<br /> under state law. If the owner or Interided�;contr;a�tor.are:_uncertain as to wh�t Ilcensing;require�nents�may-.applyz��for:tfie��- -�--����
<br /> ,�.,. . . _ � _�.._�......_v.,.
<br /> intended"work,"they a�e_advised to'contact tfie-Pasco-County,Bullding:lnspection Dtvislon-L•Icensing�Section at 727-847-
<br /> 8009. FurtFiermore, ff the owner'has�hired � contracto� or coritractors, he Is advised to have �the contractor(s),,xsign : , „ ,,
<br /> portions of the;"contr.�ctor Block" of this_�pplication...foc,which�.they. wil.l.,,be.r.esp.onsible.- ff-you�^as,the„oviiner�`sfgn°�'a`s"the' �
<br /> coM�actor;�that may'�be an indicatlon that`tie�is not.proper{y 1lcensed and'�is�not erititled to pemiitting privlleges in Pasco
<br /> County. ::=.,;,: . _ . .,
<br /> TRANSPORTATION3IMPACTIUTILI'TIES�rMPAC7�ANb RESOURCE RECOVERY�FEES:��The unde�signed understands
<br /> that Transportatfon Impact Fees�and.Reco.utse.Recove.ry.Fees,may�:apply:,-to�the�construction.of new_bulidings,3.change��of>==`�"� ''' `°�
<br /> use in existing buildings,��or:texpansi�n��-of�existin,g:liuildings,as specifled.in Pasco Co'unty Ordinance number 89-07 and_
<br /> 90-07, as amended.�The undetsigned also;<understands, th�t:�such fees;�;a��majEbe•�:.due�..wlllabe identified at theT<time�of�� � - �
<br /> permftting. It Is furt0ier understood that Trai�sportation Impact�Fees and'=ResouccevRecoir.ery-'Fees,must be paid prbr to
<br /> receiving-a 'cerEfficate.�of-occupanay" or flnal��.powec=r,elease� :If�the.proj�ct.;does�:not involve�a.>.certificate of occupancy�o������"�` �
<br /> flnal power release;�,-the;fees��must"be paid pcior,to.,permR Issuance. Fu�thermore;-�if:Pasco.�County��Water/Sewer�.impact <--,. .
<br /> fees are due,,they�must:be>pald:.pcior�o,.permit�-lss�ance�in.accordance witF�:appllcabfe.Pasco�.Countji�o�dinances. •
<br /> CONSTRUCTION'LIEN'LA1P11(Cliapter 713; Flor�da Statutes,as amended): If valuadon of work is�2,500.00;on more�.l � :�;:°
<br /> certify that I, #he.-appHcant;_-have.been-provided �with�a copy°of`the "Florida� Construction� Lien .Law—Homeowner's
<br /> Protection Gutde" prepared by;�tFie�Flo"rl'da Departteient of Agric.ulture and Consumer;Affairs. If the applicant is someone ,. . .
<br /> other than the"owne�", I cert(fjc_that�l h�ve:.obtained>a�c:opy.of:the:abovs.riescribeddocui�ent=and�p.r.or�ise�in,good:faith to ,
<br /> a{.. _ . .
<br /> deliveritto,ttiek`owne�":pi�or:to.commenaemenf'�`� - ' � � ' : - ' ' . - . _��
<br /> CONTRACTOR'S/OYYNER'S d1FFIDAVIT: I.certlfy��,tliat�ali�.th��;lnf.ormation in thi� applicatlon is accurate and that all work
<br /> will�be done in compliance with all.applicable'laws regulating constructlon, zoning and:.land=development. Appltcatlon,is
<br /> hereby made to abtain..a .permit;.;to,:do•_work�;;and;lnstallation as tndicefe,d:�•�-'I� certify that no work�':or Instaliation has
<br /> commenced �prior to I'ssuance of a�permlt`'and that�.all work will be pe�Formed to meet.standards�of all laws regulating�
<br /> construction, County �nd City codes, zoning regulatians, and land development cegulations�tn the )urisdlctton:z I�.al'so
<br /> certify that I unde�stand that the regulattons of other government agencies may�apply:to,the intended work, and that it is
<br /> my responsibility,to identify•what.actions l must take,-to be,In:.corr�pllar�cs:.,.S.uch,agencles�include but are.not Iim(ted to: �
<br /> - Department of E�lvironmentai�Protection=Cypress-Bayheads,��Wetland Areas and Environmentally Sensittve
<br /> Lands,WatedWastew�ter Tr�atment. "
<br /> - Southwest FloNda Water Management':�istrict:Wells; �'�Cypress.r Bay.heads;- Wetland' Areas, Altering
<br /> Watercourses. � _ ... �: - -
<br /> - Army Corps of Engtneers�Seawalls�'Docks, Navigable Waterways. '
<br /> - Department of.,,Health;,B..-ReMabllltathre:SeniiceslEnvir.onmenfal..,Health-Unit Wells� Wastevkater�Treatment, �
<br /> Septic`Tanks.._. ;. _ ' . . , � .
<br /> - US Environmental Protection Agency-Asbestos abatement:::; . -
<br /> - Federel Avlatton:Authority-Runways. �� ��
<br /> -I understand that the:following.�restrictlons apply to the use of flIL•• - -------�
<br /> - Use of flll Is not allov�red in;Flood:Zone;V"unless expressly_permitted.._
<br /> - If the flll` mate�lal- is 'to `b.e• u�ed:`In:�Flood �Zone. "A", It. is understood�that a drainage plan addresstng a
<br /> �compensating volume"will be submitted at time of�.permitting which ts prepared by a profess(onal engineer •
<br /> Ilcensed bythe,State of'Fforida: . y � • - ._ . -
<br /> - If ih� flll-material��i"s'to-be=used in Flood Zone 'A" in�connec�ion�dirlth�a��pertnitted�buildir�g using stem wall
<br /> � construction, l certify that fill.will:•b.e�used only.to fill the area wtthin�the�stem wall: �
<br /> - If flll material�is`to be used in any area� I'certify that .use of''such�flll��will not adversely affect adJacent
<br /> properties. If use of fill Is found.to adversely,:�ffect adJaEent��propertfes�.the owner may be cited for violating "
<br /> the conditions.of the�building:permit�is'suedyunder the attached,permit_appltcation,�for�lots�:less_than:=one (1)
<br /> acre whtch`are elevated�by f111,an englneered dralnagevplan Is requlred. ,
<br /> if I am the AGENT FOR THE-OWMER, I,�promise In.good fatth to Inform°the�owner of the.permitttng conditlons set forth in
<br /> this a�davtt prior to commenaing constructlon. I understand that a�separ�te permlt may be requtred for electrical work, ;
<br /> i...;.... ,.
<br /> plumbtng,.signs, welis,,pools;.alr conditioning,,.gas� or..othe'r. Install�tions not.spec�ical�y included-tn the application. .A .
<br /> permit Issued "shall be const�ued to be a°license'-to�proceed with`tNe�work and not�as:authoNty::to.violate;:.cancel. alter, or
<br /> set aside any proVlstons of tfie technical.codes; nor shall issuance�of a.permit.pcevent the Bulldtrig O#fictal from thereafter
<br /> requirin.g a correction afrercocs In plans; consCruction or vlolatlons of any codes: Every-�permit�lssued"sfiall�become invalid
<br />, unless the work authoNzed.by such permit:�ls.commenced�wlthtn sfx.m.onths of permit Issuance� or if work authorized by �
<br /> the permit is suspended=or�.abandoned�for:a:period;of�six fH)montFis aRerthe time�the�work�is commenced. An extension
<br />' may be requested, in_writing;;.from.tFie�Building,Offlcl�l for a petiod.:not to exceed�nitiety�(90)�days a�d=will demonstrate
<br /> justi€iable,cause for_the extens(on. If work ceas�s,for nine�r.(90)cons.ecutive:day.s�..th�job;is.constdered aba�doned. -
<br /> WARNING TO OWNER: YOUR.FAILURE.;TQ.,REC.ORU A:,NOTIGE:OF.-COMMENCEMEI�T;MFAY�RESULT�IN°YOUR
<br /> PAYING TWICE,FOR�IMPROVEMEN.T$;TO=YDUR��.PROPER-Tlf-::l�°.YO.U;IN�'��KID:T��OBTAIN•�FIP1�►wE1NG;'CON�ULT
<br /> 11VITH YOUR LENDER OR AN�r4'fTORNEY�FO'RE�RECQR�I�IP1G�'l�OUR'�TI��'O�`CdM1111ENCE�ENT:_��__ - __ _-__
<br /> —.__ . ..., _:-. _.._ l. , ...
<br /> FIORI�A:ii1F�fi(P:S:1.17:03} __ _._�_____ _ — ; - - -
<br /> OWNER OR AGEN7 COPITRACTOR `, - �
<br />� Subscribed and swom to(or a(flrmed)before me this Subscribed and'svwm to(ot affirtned)�before me ttil�
<br />� by ;,by... �.
<br /> Who Islare personally knovm M.me or haslhaye produced Who.ls/are p.ersonally known�.tu me,o[has/have produced •
<br /> as IdenUflcatlon.�- � a�Identlftcatlon. •
<br /> Notary Public . � Notary Publlc
<br /> Commisslon No: Comml�alon�No. �
<br /> Name ot Notary typed,p�lnted or stamped Name of Notery typed,printed or stamped
<br />
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