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<br /> NOTlCE OF,DEED RESTR1CTfONS: The undersigned understands.that this;pFermitYmay,be:subject;to"deed".,resfrictidnsn;�"k'+�
<br /> whichsmay::be-:more:r.estrictive.�than�Counfy.regulations� The�undersigned sassume`s�°respon's"'ibil�ty.�for'compiiance v�iith any �
<br /> applicable deed restrjctions, . . . "`"£� _ ` „"'„'` r
<br /> UNLIGENSED:;COiNTRACTORS ANQ CONTRACTOR RE3P.ONSIBILi'f1ES: =1fi��tfievownier��has°=#iired�Ya=r:contractor or r:
<br /> contractors�ta undertake work, #hey,maytbe reguired;to be�,ficensed in accordance with state�and=iacat�,ceguiations:ti�(f-the-:���:=� `
<br /> .ar�_.�.,.,._,;._
<br /> contractor is not licensed�as-.required.by'taw, botti the ainrraer:and;contraetor�rriap��be�eited�fo���=a:misd'emeanor violation �
<br /> under state law. !f the owner ar intendetl.contractor are uncerkain as to wha# licens3ng reqairemen#s;,rnay��apply�.forn;tfi:e.;��:`;
<br /> intended work,.#hey=are�advised to contactxthe Pasco Courity'Buiftling inspecfion�D'iyision�Gcensmg Sectian at?27-84:7- =�
<br /> 8009. Furtnermore, if the owner-has-hired'ya�contractor or contractors, he is advised to��have the confraetor(s,).sign,�,;,�a;
<br /> ,A . _.<: j�.'.r..Jrtt.�:':.t�'.+xi,•' J'R+"
<br /> portions of the "contractor Black" of this application for wfiich they will be;respansible: :tf,<you, as;ttie�owner"sigra.as�ttie `" '°,;, '
<br /> contractac, that may be an iridlcation that he is not properly�licensed�ant! is nof entitled�to�perrriitting�privileges.M1in,iPasco,:;>;:�',.
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<br /> County. - '"r� `�"
<br /> TR&NSPORTATtON�tMPACT/UTtLiTiES�IMPACT AND RESOURGE RECt3VERY FEES:�The undersigned undecstands°, �
<br /> thaf Transportation lmpact Fees and Recourse Recovery Fe.es may:appty ta the const�uction a,f.new,buildings,�cfianger'of���,���'� ;
<br /> use in�existing buildings, or�expansion�of;.,existing buildings, as specifled in Pasco County OrdPnance numbec 89-07 and, ;'�1 '
<br /> 9Q-07, as amended. The�undersigned also understands, that such,.,fees, as�may.b,e.due, wit!"t�e;identifier��-at`�ttie==tiriie><ofi��';��K3
<br /> permitting. �It is further understood that'Transparfatian Impact Fees and Resource{�Recavery Fees must be paid pr.ior fo '�°� �;
<br /> receiving a "certificate of occupancy."�ar fina(.power release. If the;project does not.involve a certificate of occupaney.;o��<<s=�=�;
<br /> final power release, the fees-must be,paid prior to permit issuance. Furttiermore,-if.Pasco Cou�ty Water.tSewec�-lrripas#�,_•� ;�
<br /> fees are due,,tliey,must be paid prior to permit issuanee in accordance with applicabfe;Pasco County ordinances. � f
<br /> CCINS7RUCTlON LiEN LAW{Chapter T43, Ftorida Statutes, as amended}: If valuation of work is$2,500.OU,or,more;,l:�y,�; ;
<br /> certify that i,`the applicant, have been, provided with a,capy of��the�':"Florida Const�uetion.�Lien .law—Hameowner's ;
<br /> Pratection�Guiden�prepared"by the Florida Department of Agriculture and Consumer Affairs. !f the applicant�is so ,m.eone.,; .
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<br /> other than the"owner", I.certify that I.have abtained a copy of the above descri6ed�dacument and.promise•'in goo,d'faitii-to.,.,,,,.
<br /> deliver.it,to the;';owner°'priockfo.commeneement. ' � `
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I:cer#ify that.all�the information in this application is accurate and"that alCwork
<br /> wi!! be dane in compliance with al! applicable�laws regulating canstruction, zaning�and fand�devefopment. Application is i
<br /> hereby made ta abtain a .permit to.do work-and instaifation as `indicated. t certify thaf no�wark or,instaila#ion=has j
<br /> commenced prior to issuan'ce of a p.errriit and�that all work wilt be perto�med to..meet.standards of all laws regulating I
<br /> construction, County and City codes, zoning regulations, and land development cegulations in'_-the jurisd�ction. �I�also ��
<br /> certify that I understand that the regulatians o#other government agencies may apply ta the interided wark, and that it is
<br /> my respansibility to identify what actians I must take to be in compfiance. Such agencies inctude.but are no#timi#ed..to:, _
<br /> - ,Department of Environmental 'Frotectian-Cypress BayFieads, Wetland Areas and Enviranmentally Sensitive :
<br /> Lands,Water/Wastewater Treatment. � � ` a
<br /> - Southwest Florida Water Management District Wells, Cypress .Bayheads, Wetiand Areas, Altering
<br /> Watercourses. �
<br /> - Army Carps of Engineers-Seawa(Is, Docks;Navigable Waterways. `
<br /> - Department of Health & Rehabilitative Services/Environmental Health Uhit-Welfs, Wastewater Treatment,
<br /> Sep#ic.Tanks. �
<br /> - US Environmentai Protection Agency-Asbestos abatement. . �
<br /> - Federat Aviation Authority-Runways.
<br /> I understand that3:ttie fcillowing..restrictions apply to the use of fill:
<br /> - Use of fill is nat allawed in Flaod Zone"V" unless expressiy permitted.
<br /> - If the fill materiaF i"s to be used m. Fload Zane "A", it is unders#aod that a drainage plan addressing a
<br /> °compensating volume"will be submitted at time.of permitting which is prepared by a professiona! engineer �
<br /> liaensed by the State of Flarida.
<br /> - !f the �!I material is to be used in Flood �one "A" in connection with a permitted building using stem wai(
<br /> constructian, I certify that fill will be used only to fiil fhe area within the s#em wall. �
<br /> - if �ii material is fo .be used in any area, I certify that use of such fill will not adversely a�fect adjacent
<br /> properties, lf use of fill is found to adversely affect adjacen# properties, the awner may be cited for violating
<br /> the conditions of the bu�lding permit issued under the attached permi#.appiication, for iots iess #han ane (1.}
<br /> acre which�are elevated b}+fii(, an engineered drainage plan is requiTed.
<br /> If I am the AGENT FOR THE AWNER,.I pramise in gaod faith ta inform the owner of the permitting conditions set forth in . �
<br /> this affidavit prior to cammencing construction. ! understand that a separate permit tr�ay be required #or electricak wock,
<br /> plumbing, signs, weAs, poals, air conditioning, gas, or other''installafrons not specifically included in,the app(iaation. A � �
<br /> permit issued shaN°be canstrued to�'be a license to praceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions af the�fechnical codes, nar shall issuance of a permit prevent the Building Ufficia!from thereafter �
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall beaome invalid
<br /> unless fhe work authorized by such permit is commenced within six manths of permit issuance, or if work authorized by
<br /> the permit is suspended or abandaned for.a periad=af six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,,from the Buiiding Official for a period not to exceed ninety (9Q) tlays and-will demonstrate
<br /> � justifiabte cause for the extensian. lf work ceases for ninety(90)consecutive days,the job is cons'sdered abandarted.
<br /> WARNlNG TO OWNER: YOUR.FAlLURE T,O RECORD A NOTICE,OF'C.QMMENCEMENT~MAY RESULT IN YOUEi i
<br /> PAYfNG TWICE'F+DR iMPi30VEMENT$.TO YOUR.�PROPERTY:,-IF Y,fJU:.tNTEND�TO�OBTAlN'��'1NANClNG;C4NSULT '�
<br /> WITH YOUR'L'ENDER OR AN ATTORNEY BEFORE RECORDINGYOUR NOTICE bF�COMME��lCEME[±LT: - _- �
<br /> __�-pl-ORiQASt1RA'f-(�:8.-1'f7:03) _—___�—_ _ - _ _- �-�----�-
<br /> CJWNER OR AGENT 1�►�r� GONTRAGTOR ��'� --- ;
<br /> Subscnbed and swom ta(or tmed)before me thls ,�uhscrib d and swom to{o affirmed)before me this �-
<br /> ���'f7 Z ? �''�
<br /> Who islare p analf to me or has/have praduced Who tsfare ersonally kno. to me or has/have produced
<br /> as Iden�ficatian. as identificatlon.
<br /> Gt���..�h �
<br /> Notary Public , G��e� Notary Publfc
<br /> Comm s ton �°°`°""'°"'"'� Commi s' n No. �����Y A���� BOGES
<br /> Y'P,,., JACt� � �_' �;;: Gommission#FF 15Q�22
<br /> •'}°'�..�'��., Commissian#FF 154422 `*. cember 12 2018
<br /> Name of Notary � g ' "cExepi� � ' 74,9 Name of Notary typ „ ,;•`bf 5���+Y Fain Insurance BW-&95-7Q79
<br /> h, Bonded ThN TroY Fain tnsura�'o E00�3B5'
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