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'� ,x <br /> •., <br /> ..._.. .. - .+.v�X.L...L:.^-SfF_�b�.�?;:i�'�? <br /> .'A <br /> n, i.•'}'�'-�"i>^�a�:c»".}?;Y'..:3 <br /> tdOTICE O�DEED RESTRIC110NS: The undersigned under.stands.that.this,permit may.be subject�to"deed"restrictions µ <br /> � ��•, _- . .,.,�.,.0 _ - - =.:,4����.:��.a�,�,,..-��tfi`ari:�;::�ti;.�; <br /> which>may.tie°more=_r.estrictive�than=Coutt#jr ceg�lations:��'Tiie>undecsigited��`assumes�-responsibitity;fof.�campiiance vrn y ,,� <br /> applicatile deed'restric#ions. . . .. . .�._: ;:'"5:�,`` "LL�:j`'�s`K" .� <br /> . ,. : �:, _. ....,_. .. ; <br /> UNLICENS�D.:�CANTRACTORS AND CONTRACTOR RESP-ONSIBILI3'IES: If-the=�owner4has°.'Hir.ed��aµ�contractor or ;� <br /> contractors{to undertake wark, they may be:reyuired.to be;licensed in accordance with.state and;local:,�egul.ations..=��if��the:���M�>:' <br /> � � �. �•-._,,. ..„_....,._...z£,�.0.,� <br /> contractor is.nat.iicensed.as required`i�y,'law, botti #he owner=and'�contracfor>ia�i'ay==be-°cited.�fo�,a:�misdemeanor violation� �„=� <br /> under sfate law. If the owner or in#ended cont[actoc are uncerfain as to what ticensing cequirements�=may�app)�r><fior:;tii'e`���;h�,�� � <br /> _..,_...;:<x.-� <br /> intended wark,.they=are�advised to contact ilie Pasco Courity'Buiiding inspection`'DEyis�an-�Licensrng Section at 727-84:7- <br /> 80Q9. Furtherrnare, if the owner has'hEretl�a coritiractor or contractors, •he is advised to��have thee contractoc(s:),;:s,ign;,,�, �� <br /> .�. .. .,a:x...,,,����:�,.,.,,_,..,, <br /> partions of the "contractor Block° of this application for which they will be responsible.-_I#you, as'tfieYovirne�"sign as�tlie �`'`�;}: <br /> contractac, tha# may 6e an indication that�he�is not properly licensed arid is nof entifled��to�permitting privileges,inry.Fascoy,,�;,;;f,- <br /> Caun#y. _. .. .. . - � yw �'. .�.�� `=�a:` <br /> TRANSPORTATIDN IMPACTIUTtLtTiES:tNfPACT AND R�SAURCE REGOVERY FEES:�-TFie unde�signed.under,stands. :::; ; <br /> "�?:en�'-4'.�„� <br /> #ha#Transportation impact Fees and Recaurse Recovery Fees may.appty to:the canstruc#ion of new,buii�i�ngs, ctiang,e,of�3:;:���� -; <br /> use in exist�ng buildings,.or�.expansion,of;existing�buildings, as specified in Pasco County Ordinance number 89=07_'an;tl ' "�`�; <br /> 90-07, as amended. The�undersigned also understands, that such fees,�as�.may�-be.due, wi!!`;be;identified-at�thei�time�'of�'���v':°' � <br /> permitting. It is further understood tha#Transportation Impact Fees and Resource��Recovery Fees must be paid prior;ta ;; a <br /> receivmg.a "certificate of•occupancy"�or final_power release. If the,project does not:involve a certifica#e of occupancy:or��{�:� _ � <br /> final pawer release, th�=fees-must be,paid prior to pe�mit issuance. ,Furtfiermore,:if Pasco Cour•�ty WaterlSewer�-lmpaet`>�,,-�` p <br /> fees are due,.tliey must_be paid prior ta permit-issuartce in accordarice with>appiicable:_Pasco County ordinances. - 1 <br /> C41dSTRUCTlQN�LlEN LAW(Chapter 793, Flor�da Statutes,as amended}: If valuation of work is$2,5QQ.OQ.or more;;rt:r��� ,� <br /> certify that (, khe applicant,. have .been provided with a copy of the "Florida Construetion..Lien Law--`Homeownec's� � <br /> Pratection Guide" prepared 6y tfie�Florida Department af/�griculture and Consumer Affairs. If the applicant�is someone:, � , <br /> �,:_,.�. �s, <br /> other than the`bwner", 1 eerkify that I.have abtained a copy of#he.ab,ove describe'd'document;and,promisecin goo.d`.faith to,:.,� <br /> deliver:it ta the:°awner".:priar.-to:commeneement. " ` ' <br /> CQAlTRACTOR'S/OWN�R'S AFFIDAVIT:,;,i.certify,#hat ail the irrformation in this application is accurate and�that aiCinrork <br /> wili be done in compliance with all applicabfe�laws regula#ing construction, zoning;and land-devetopment. Application.is <br /> hereby made to-abtain a .permit to�,do::work-and installation�as�indicated. !��cettify #hat na �wark or.installat'icin�has <br /> , commenaed prfor to issuance of a p��mit and�_that all work wiil be petfiormed to..meet-standards of a!I laws regulating <br /> � construction, County and City codes, zaning regulations, and land development regula#ions Jin .the jurisdiction; ! �also � <br /> certify tha# 1 understand that the reguiations of other government agencies may apply to the interided work, and that it is - <br /> my responsibiti#y to�dentify what actions I must take to be in compliance. Such agencies include but are not�iimited,,#o: <br /> - �Department of Environmental:�`�Protection-Gypress Baylieads, Wetiartd Areas and Ertvironmentally Sen`sitive . <br /> , Lands,WaterMfastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, P►ltering <br /> Wa#ercourses. � <br /> - Army Carps af Engineers-Seawa(is, Dacks, Navigable 1Naterways. <br /> - Departmen# of Health & Rehabilita#ive ServiceslEnvironmentai_ Heaith Unit Wells, Wastewater Trea#ment, <br /> Septic�Tanks: ; . . � <br /> - US Environmental Protec#ion Agency-Asbestos abatement. , : <br /> - Federal Aviation Atithority-Runvuays. � <br /> I undersfand that�the fcillawing.:�estrictions apply to the use of fill: <br /> - ' Use of f+li is not allowed in Fiaod Zane"V"unless expressly permitted, <br /> - If the flll.rrtaterial is to be used in Flaad Zone "A", it is understood that a drainage plan addressing a <br /> "compensating volurrte" will be submitted at time of permitting which is prepared by a prafessiana( engineer <br /> licensed by the S#a#e af Florida. � <br /> - If the fll material is to be used in Flood Zane "A" in connection wPth a permitted building using stem wall <br /> construcfian, I certify that fill wilt be used only to fill the area within the,stem wall. <br /> - if #ill �materia( is-to be used in ,any area, I certify that use of such fill will not adversely a�fect adjacent <br /> properties. if use of fff is found to adversely affect adjacent properties, the owner may be cited for violating <br /> the conditions'of the building permit issued under the attached permit.appiication, far lots (ess than one (9-) <br /> acre which are elevated bjr fill,an engineered drainage plan as required. � <br /> If I am the AGENT FOR 7HE OWNER;-I promise in good faith to inform the owner of.the permit#ing cond9tions set farth in . <br /> this affidavit:prior�fa cammencing construction. I understand tha# a separate permit may be required for electrical.wark,_ <br /> ptumbing, signs, wrells, poots, air canditioning, gas, ar otfie� installations not specifically included in the application. A.,' , � <br /> pecmit issued shatt'be sonstrued•#a be a ticense to proceed vuith the work and not as authority to vioiate,.cancel, alter, or <br /> set aside any provisions af the"fechnicat codes, nar shatt issuance af a permit preveM#he Building Ufficiai fram thereafter <br /> requiring a correctian af errors in plans,constructian a�vialations of any codes. =Every permit issued sha1E become invalid <br /> unless the wark authorized by such permit is commenced within s�c months of permit issuance, or if work autharized by _ <br /> the permit is suspend�d or abandoned for.a period�of six(6)manths after the time the work i�abmmenced. An extension <br /> may be requested, in writing, from the Buiiding Official far a period.not to exceed riinety{9U) days and°will demonstrate <br /> justifable cause fbr the extension. -If work ceases for ninety(90)consecutive days,fhe job is considered abandoned. � <br /> WARNING TO OWNER: YQUR.FAlLURE TO RECQRD_A �IOTlCE OF C.QMMENCEMENT MAY RESULT IN YOUR ��� <br /> PAYING TWICE'FOR IMPROYEMENTS,TO YO.UR_PRORERTY.: IF,YOU.INTEND;TC?�OBTAIN°FINANGlNG,CO,NSU�T ' '� <br /> �..,. <br /> _ �Wl't'H Y�l7R°L"EN��R-.Oti:41N-�4,'i`-1`-�iRN�-X-�EFOl��:13E��OZCII�d�VOUlZ-NO'TICE�l�=CCfI!!!I�lEld��a4ENT.=_ ._ __�. -- -, <br /> FLQRIQAJURA'F(F.S.197.03 _ � ` <br /> � GIWNER OR AGENT !�./� /�i C.ONTRACTOR/J' j !t -� �� 9 j <br /> Subscribed and o o f�rrned re rne thl Sub cribed and swo o rmed}b e this � <br /> ..�`�%�1 by .3"�./7 bY <br /> Who is/are,persona ty npw�n to me o as/have produced � ' Wh�/a�e persanally.known to me or as/have produced � <br /> f''l-� f�r��C�--f'�'1-�'' as dentification. +2.r�L°`� �?.,�:�,.,� as identificatlon. � <br /> � -, <br /> / 9 l� Notary PubUc ��� i.L{:l� Notary Publtc <br /> � ,,,��� ,� . <br /> � Cammission ;�"'�'�• - <br /> ��: 's�= Commisslon :N, ,* '"".::,�.�,c: • ��-- <br /> �..� .q�,, #FF 15Q422 ;f: Camm:.,sror�4�,=:. <br /> _�ryL`, <br /> Name f 't�R• p�Q�Qittt�sfR�� e�aote NameofNo ;�'riM� a9F�s �� 'r �2 �7Z� <br /> UY I��.;A.te1:tl:n <br /> .jt' t <br /> . . •^sraeac.e+ws+m�: <br />