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<br /> � -. , �:�� �,':,•<.
<br /> NOTiCE OF DEED RESTI�ICTION�: �he undersigned.undergtands;th�t<1his:�p�cmif,may.beYsubJect;to_"deed"_restrictiohs,__._, . ,w w,.
<br /> which may-be-more:rest�ictive��th�n'County��r+eegulaflons:� TFie�-undersigned�assume's re�ponsitiility�fo�"compliance'with�any � �" "
<br /> app8cable deed rest�ictions. �:�. :,� ,;ry . . :, . • , . . ._ ._. ..,,� .- ' �-
<br /> UNLICENS@D�CONTRi4CTORS-AND CONTRAC7'OR'RESPONSIBILITIES: -If-the�owner has���htred��a contractvr or
<br /> contractors to undertake:work, they may-:be:requli;ed:to.;be�licensed In a�:oraianc�.wlth sQate.and;local,regulation.s.:�::If�the � �� � ��`
<br /> contractor is=not liaensed�as�reyulred;tiy law,_tioth�the owner and cont�actortmay-�be�c(ted for�a�misdemeanor vtotation
<br /> under state law. If the owner or intended:;co,ntractor-are,;uncertain as to.what Iicensing;,requlrements�,may-:eppiy.ior::the�- •a �t�
<br /> . . _ :,: ... : _ _ ,...,:. � � _..._
<br /> intended work, tfiey are advised to contact tFie Pasco County_Bulltling;Inspection Divislon-Licensing Section at 727-847-
<br /> 8009. Fu�thermore, if the ovirrier�fias�Filred a cont�actor or contractors, he ts advised to have �the contracto s ,- sign , .
<br /> K,.):�.:
<br /> portions of the_."contractor__Block" of.this._appllcation.for.which:they,will,be=tesponsible.� ff-you,zas_#he owne�"stgn'�as`�tlie`''
<br /> contractor; that�may��be an indication thaf�he°ts`�`not�:properiy`ticensed'and��is�not enfitled to perrnitting privlleges in Pasco,,f
<br /> County. � ��=�-- • - -
<br /> TRANSPORTATION�IMPACTIUTILITIES�=IMPAC7 ANb�RESOURCE RECOVERY�FEES:The undersigned uriderstands
<br /> that Transportatlon Impact Fees �nd.Reco.utse.Recovery:Fses may:�apply:,�to�the,constn�ction.of new►buildtngs��change of����`--� `�
<br /> use In existlng bulldings, or�expansion�of�ezistin,g��bWldings, as specifled.in Pasco�County Ordinance number 89-07 and.
<br /> ,- e nde ned also.understands th�t��such fees�-;as�tna`_-�e::due�:..w,ill:��be idenfffied at the�time-of�'� ��°� ���'
<br /> 90-07, as amended. Th, u rsig , � y�.,.,. � ,_
<br /> permitting. It is furtFier understcod that Tre�sportation Impact�Fees and Resource.:Recovery-Fees.mu�t be pald prior to
<br /> receivfng-a'cerfificate�of,�occupancy"-ar flnai•power;release: :If�Ehe.proJ�ct:does:not tnvolvea a�.certificate of occupancy.=o�`�`���`-�' -�
<br /> flnal power release;��ihe=;fees mu§t'tie pat8.pcior to,.permit issuance. Ft��thermore;�ff Pasco�County�Water/Sewe�.:impact �� r:�•����
<br /> fees are due,.they�must be�pald�prior_to,permit;lssuance=ln.accordance witti�appllcable.Pasco�-.Gouniy�ordinances. •
<br /> CONSTRUCTION'I:IEtd LAl�1(Cliepte�713� Florlda Statut���aa ar�ended): If valuation of work is$2,500.00 oc more� I� � � .
<br /> certify that .I, #he. applicant;.hav.e:been provided �with�a-copy of�the�".Fiorida� Construction-°Llen :Law—Homeowner's
<br /> Protection Gutde" prepared by�ttie Flo�ida Department�of Agriculture and Consumer.�Affairs. if the appHcant Is so`meone: . , ��,f
<br /> other than the`owner", I certif�r:that_I�have;obtainedta`copy,of,the:above..des,crlbedtfocur�ent-and,pro:�iise��in,good;;fatth�to �.,
<br /> deliver It to the'ownec";pdorto:commencement:�'� " ' � � ' � �- ' -_
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.cert,ity.�that:all::the:,information:,ln thl� applicatlon is accurate and that ail work
<br /> will'be done in compitance with all.appllcabte laws regulating constructlon� zoning and:�land�development. Application,is
<br /> hereby made to obtain_.a permit,-�to,:do..work;.and�.installation as ind[Cafed:..'�I: certtfy that no work-�or installatton has
<br /> commenced p�lor to i'ssuance of�a permitvand that��.all work wili be perFormed to meet.standards-of all laws regula�ing-
<br /> constructlon, County and City codes, zoning regulatlons, and land development regulatlons�tn tfie jurisdiction.� �i:al'so
<br /> certify that I unde�stand that the regulations of other government agencies may�apply�to the_intended.work, and that it is
<br /> my responsibiNty,to identify.what.act(ons 1 must take to be.In:,corilpltance,�.S,uch.agencles include but�are.not Iimited to:
<br /> - Department of Erlvironmental�Protectior�-Cypress'Bayliead�, VNeaand Areas and Environmentally Sensitive
<br /> Lands,WatedVllasteweter Treatment. �
<br />�� - Southwest" Florida Water Management-:I�isUict:Vllell"s; ��Cypress.c�Bay.�eads;� Wetland� Areas, Altering
<br /> Watercourses. . ,,. , � .
<br />� - Army Corps of Engtneers=Seawalls,`Docks, Navigable Waterways.
<br />' - Department of Health;'B.,,ReY�abllitative�..Servtces/Environmenfalt.Health Unit-Well.s� Wastewater�Treatment, �
<br /> Septic Tanks:._' �.'_ - ' . . ' � _ �
<br /> - US Environmentel Protectlon Agency-Asbestos abatement.:, .
<br /> - Federai Avlatton:Authority,=Runways: - ` - �
<br /> -1 understand that the.follow�ng::restrictions apply to tiie use of flIL•• -
<br /> - Use of flll is not allowed In;Flood-Zone"V"unless expressly_permitted. ._
<br /> - If the flll materiai (s 'to b.e used:�in :Flood Zone. "A", It Is understood that a drainage plan addressing �
<br /> °compensating volume" will be submltted at�ime of.permftting which is prepared by a professional engfneer
<br /> Iicensed by`the StaCe of'Flor(da: � ' . . ... : _ .
<br /> - If th� flll-material�.is to be=used In Flood �one 'A" in�connectlon�witfi��a�permitted building using stem wali
<br /> � constructton, I certify that fill:wall.b.e used only.to#ill.the�areawithin 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 /> propertles. If use of flil Is found.to adversely,�ffect adJaEenf=properties,.the owner may be c(ted for violating
<br /> the condi#(ons:of the building'.permit issued�under the:�atEached permit appllcatlon;-for..lots-:less;than-one (1)
<br /> acre whtcfi are elevated�by flll,a�engineered dralnage plan is required. .
<br /> If I am the AGENT FOR THE-OWNER; I�promise In good falth to inform-the�owner of.the pemiitting conditfons set forth In
<br /> this affidaVit�prfor to commeracing constructlon. I understand that a,separate permlt may be requtred for elecMcel�work, .
<br /> �;,.-. .
<br /> plumbing� signs, wells,;;pvols;. alr conditioning,.gas, or.,otl�er install�t(ons not,spec�ically included-in.the applicallon. .A
<br /> permit Issued shall be construed to�be°a ltcense`�to'proceed with'tFie work and not�as:authoNty.:to_vtolate;�:cancel, alter, or
<br /> set aside any-provisions_of the teofinical codes;�nor shall Issuance•of a.perrreit.�orevent the Bulldirig O#Eictal from thereafter
<br /> requiring a correction af:errors in:pfans; constivction.or violations of-any codes. :Eve.ry--permit-lssued sfiell become invalid
<br /> unless the work auihorized.by such permit.ts�commenced•within sfx_m.onths of permlt Issuance, or if work authorized by
<br /> the permit is suspended�.or_.abandoned�-for:a;perfod;of�slx E6)�montii's:aRer the time the�work�is commenced. An extension
<br /> may be requested� In writing;�from the,�Buliding,Oiflcial for a peNod.not to-exceed niriety(90)"days a�d virill demonstrate
<br /> justifiabie cause ior�the extension. If work ceas�es:for nlnety.(90)cons.ecutive:days...th�Job,is constdered aba�doned.
<br /> WARNING TO OWNER: YOUR..,FAILWRE.Tt1,R�EC.ORQ,A,I�OTIGE:OF�COMMEiVCEMEMT;MAY�RESULT IN�YOUR
<br />_—P_A.Y_ING TWI.CE;FOR=IMRROVEMENTS-Tfl;YOUR<:PROPERTI(:.IF°YO.tJ{IN'FEWD�TOi°OBTAIN�FINApEtNG;�CONSULT
<br /> WIT ���0�1�►N`ATTO N °� F� . �_, E`�OI�@ G� OU�'.NO �� "O .`- ',•' E '.
<br /> FLORIDA JURA�(F. 17.03)_ � �- . - _ - - '_ - �� - — --� --
<br /> OWNER OR AOENT � CONTRACTO - �
<br /> S bscrlb d and awo (or affl ed before me fhls Su scrlbed'and' m�to(ot atflrmed�before me'ltil�
<br /> ��'1"� � QY �-� -/ L
<br /> Who Is/a er�onelly known .me or has/have produced Who.ls/a eraonallyknown:to: e•or haslhave�produced • . .
<br /> as Identlficatlori."l as IdentlflcaUon. •
<br /> � � • �
<br /> Notary Public ; . " Notary Public
<br /> Commisslon . :.�`"��P°••. SYLVIA A.CAMPBELL Commisslon•No. ,•ti��p�'�•. SYLVIA A.CAMPBELL
<br /> :r '<+•: otary Public-State ot Florida r�r, ��: o ary ubOc-State ot fiorida
<br /> •: � 2 M Comm.Ez ires J � •5 Myr Comm.Ex ir
<br /> Name ot Nota o�n�FF 034230 Name of Notary ,,of f ..,p?staBtp�dlssion�Ff 034230
<br /> �i��OF F���� Bonded Through Nahonal Notary Assn. """"' Bonded TAroupA National Notary Assn.
<br /> u�n�a
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