I
<br /> NOTICE OF DEED RESTRICTIONS: The u�dersigned understtan�s°.th�t thts.��r:mit.may be.subJect ta"deed"cestrlcttons"
<br /> which may be�mare r.est�ictive th��r County regulatlons: �The underalgned assurries responslb8tty for compliance with any
<br /> applicable deed r�stt�cttons. �
<br /> UNL4CEMSED CI�NTRACTORS AND GONTRACTOR RESPONStBIL•ITtES: ff the awner has hired a cantrac#or or
<br /> contraators to undertake work, they may be requlred,�to be.11censed!n accordance.wlth state.and�locaf regatatlons. If the
<br /> contractor is not Ilcensed as required'•by law, both the awner and contractar may be cited for a misdemeanor vIolatlon
<br /> under state law. If#he awner or intended}contractor ere-uncertaln as to wha#ilcen�ing.requlrements may apply�far the
<br /> intended work,they are advtsed to cantact the Paseo Coe�nty Buitdins Inspection Dtvtston—Ltcensing Section at 727-847-
<br /> 8009. Furthermore� I� the awner has hlred a contractor or contractoris, he is acivised to have the contractor(s) sfgn
<br /> portlans of the "contractor Btack° of thls applicatton far which they wlll ba tespanslbte. !t you� as.fhe owrter sign as the
<br /> conttactor� that�nnay be an indication that fie is not.property Ilcensed and ls not entltled to permitting privlleges In Pasco
<br /> Caunty.
<br /> TRANSPCIRTATION.lMPACTtUT1l.ITIES rMRAC'1'-AND'RESOURCE RECCIVEE2Y�FEES:�The undersigned unders#ands
<br /> that Transportatlan lmpact Fees:end.Recourse Recove.ry.fees mey��apply#o;the consUuatlon of new buiidin�s,_chan�e_af ,._ __
<br /> _ _ _._ _
<br /> use in existing bulidtngs;or:expansioir�:of�existin�.`;buildings�as spacitTed�iri P�sgq County C?rd(nance number 89-Ot and
<br /> 80-07, as amended. '�'he undersigned aiso understands, th�ft�such fees�,as�ma�r be:due�:�nrllL.�e Ident[fied at the time of
<br /> permitting. It Is furttier understood that Tra�spartatlon lmpact Fees and��Resouree Recovsry�'Fees must be�paid prtor to �
<br /> �ece�ving a"cerflflcate of�occupancy"or finaF pawer�release. :1�the proj�ct.does not invotve:a certfficate of occupancy. or
<br /> fina! power release� the fees mu�# be pald prlor to permit Issuance. F��ermore,-if.Pasco Coun#yr tNater/Sewer Impact
<br /> fees are due�they must be-pald prlar to permtt-lssuance�ln accordance with�app!lcab.fe Pasco County ardlnances.
<br /> CONSTRUCTiON LIEN LAW(Chapter 713. Flarfda Statutes�as ame�dsd�: If valuatlon af work!s$2F500.Q0 or more, 1
<br /> cer#ify that 1, #he appiicant, have.been provlded wi#h a copy of the��"Flarida Construction� Uen Law Homeowner's
<br /> Protectton Guide° prepared by the Florida�Departmenf of Agric.ult�re and ConsumerAifairs. tf the appltcant Is sameone
<br /> other than#he"awner"; 1 certlFy that 1 l�ave,obtained a copy.of.the abc�ve..des,crtbed�docurr�ent�and:p.r.omise in,gpod faith to
<br /> deliver tt to the"awner"•prior to-commencement:
<br /> CONTRACTOR'SIOWNER'S A�FIDAVfT: I cer�tify ttiat:all the,lnf.ormatton:lr��thl�appllcatlon is accurate�nd that aEl wark
<br /> wiil'be done in comptisnce with all.applicable taws regulating constructlon. zontng and�land deuelopment. Appltcatlan Is
<br /> hereby made to abtain .a.permit ta do wock.and installation �s ind[�afed� `i certify �that no work or Installatton has
<br /> commenced prlar #o Issuance of a permit and that.ali waric wtii be performed to meet sta�ndr�rds af all laws regutating- �
<br /> construction, County and City cades, zoning regulatiQn�, and (and development regulations�im the���urisdictEon. ( at'so ,
<br /> certify that I uc�derstand that the regulations of other government agenct�s may�apply�to the In#ended work, anct that it!s
<br /> my responsibiiity#o identify:what.actions I must t�ke:to be5ln:.carr�plla�ce: Such agencles.lnclude but-are.notlfmftec!to:
<br /> - Department af E�vironmental Pratection-Cypress.Bayhead�, Wetiand Areas and Envlranmentally Sensittve
<br /> C.ands�Water/Wastewster Treafinen#.
<br /> - Sauthwest Florid� Water Management .DistrEct:Wetls, Cypress. Bsy.heads•, Wetland Aress, Altering
<br /> Watercourses.
<br /> - Army Corps of'Engtneers-Seawalls,Docks,Mavigatile Waterways.
<br /> - Department of Heal#fi�`8 Rehabllitative S�rvices/Environmentai Health Unit:Well.s, Wastewater-Tceatment,
<br /> Septic Tanks. .
<br /> - US Envlronmentai Pro#ectEoi�Agency-Asbestos a�batement.
<br /> - Federa!Aviattan Autharlty�u�ways.
<br /> I understand that the.following:resfrictlons�pply ta the use of,flll:•
<br /> - Use af fili is not altowed ln Flood 2one"V"unless expressly permttted.
<br /> - If #he �11 matarial is to be used in �Fiaod Zone. °A", �it. ts understood�#hat�a drainage plan addressing a
<br /> °campensating votume"wili be submifted at time of permifting whfich is prepared by a professinnai engineer
<br /> 1lcensed by�he State�of Ftorlda:
<br /> - !f the fil! materlal !s`to be us.ed [n Flood yone °A� in con�eclion�w1Eh.a��ecmitted,buiiding using stem wali
<br /> � construction, I certity tnat fdl�:�rall.be used�only.to:fill the area wlth(n�ths�stem�wall.
<br /> - if till materi�l is �o be used ln any area� f .certify that .use. of�such flll will r�ot adversely affect adjacent
<br /> properties. If use af fill is found�#a adverseiy,:�ffect adjaEent�=pra�perties,.the owner may be clted far violating
<br /> the condLtians of ti�e b�iiding,permit issued�under the attached�ermit appticatian, forlots less#han ane {1)
<br /> acre whlch er�el�vated•by f�!!,��t�engfneered dralnage ptan!s requited.. . .
<br /> If I am the AGENT FQR THE.��lWNER, 1<promise!n good faith to Inform the owner of-the permlttfng condli#ons set farth tn
<br /> this affidavit�prior to commencing cpnstructlon. I understand thet a�separate permit may be required for elecMca! work,
<br /> plumbing, signs, welis, poots; air condltioning,.g�s,�or other Insfall�tions na�.spec�fical�y Included�in.tt�e application. �A
<br /> permi!Issued shall be constn�ed�to be�a�license to proceed wifh ffie�wark snd nat as:�authortty to violate;�cancel, alte�, or
<br /> set astde any provisfons of the.technlcai.cod�s;�nor shait issuance�of a.permit.pcevent tiie�Buttdirig O#iicial from thereafter
<br /> requiring a cor�ecttan nf errors!n pla�s�,cons#�ction or vtolat#ons of any codes. Every p�rtmlt issued shall�become inval�d
<br /> unless the work authorized.by sucti permlt��is.co�menced�wlthln ssficc months of�petmlt lssuance, or IF work aatttorized by
<br /> the permit is suspended or.abandoned.foc a_p.eriad of�six�f8)montF�s.after the time the�work��ts commenced. An extension
<br /> may be requested, in writing; ftom the Huilding,Cifficial for a perlod.��o#•ta.exQeed:ninety�(90) days and_w111 demonsUate
<br /> justlfiable cause for_the extension. If work ceases:for ninety(90)cons.acutive�day�,..the�ob�is�considered aba�doned.
<br /> WARNlNG TO OWNEF�; YOUR.FAl�URE.TO,.R�E.C.Q�,A..ND�T�GE��QF��COMME�MGEME�tT:NtAY-RESUL'�IN�YOUR
<br /> PAYING TWICE:FOR:IMPRO�IEMEN.T.S TO;.,YOI��,PROPERjTY.;l�'�YO.U�-lN'�E�ID:RCt��OBTAtN��FIM�►NElNG;'GON3ULT
<br /> WI7 UR.:. D N-ATTO OR , , ;.p_ . �,,, ..: � : � ;� :._ :; :` . E
<br /> Ff.C?RiDAJUFiAT�{F. , . " " , .
<br /> OWNER OR ' C01117'RA' .
<br /> S bscribed an r�ftfrm ) eiore me thls 5tibsctibed o af$rm re roe'liti� .
<br /> �-Z�a-K y J►1ti m.� F�-2G-'(5 -by �atn rn-ax�;
<br /> Who tsJare p rsonalty kno • e or hasJhaye pnoduced ` VYho Isla p.ersonal known�hs as/hav��producetl
<br /> . �g ������qpn. as tden�fl�tton.
<br /> G _ �`�' ` ' Nafary Publlc
<br /> Commfsslon No. o NotarY Fub4ic State oi Florida �m�(�g(p�.�o. , .
<br /> r � Tammy er Notary Public State oi Florida
<br /> ' z,, � tNy Gammissian FF 184014 '� �' 78mm V
<br /> Name a/Nolery a Name of Nctary typed,pd o�fpollY Commission FF 1840i9 /
<br /> �, ar• Ex�rea�2��s�2a�e
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