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I <br />� <br /> NOTlGE OF DEED F�,ESTRIGTft�NS: The undersigned undersCarids ihat ihis permik�nay be supjeck to"d�ed•'restdcttans" <br /> which may b�more restrictlV�[h�n Counky re.gulations. `!ha�ndersigned assumes responsibiiity for compf ance wlih anY <br /> applieahie dead restriotforts, + � <br /> UNLlGENSED CONTRAGTORS AND Gq�}TtiiA�T¢Ft R�SRdNSiBiLIT1ES: tf the qwner has hired a contrackor or <br /> contractors to undertak�work,they may be required to be Iicensed in accardan��with state and local regulati�ns. tf the <br /> cqntrackor is nat Ilcensed as required by 1a4V,both the owner and contractor may be cited€ar a�rilsdemeanor vlolatian <br /> under sta�e iaw: If ths o.'wner or lntended contr�otar a.re unGe�tain as to what IicenSing reguirem;enls may�pply fas the <br /> intended work,they are advised to contact ihs Pasca County Buitding fnspection pivlsion—ticensing Seciion at 7�7-847- � <br /> 8409. Furthermare, {f 4he awnar has hired a eontractor.or co.ntractocs, he !s advised to t�ave ths cantract�r(s} sfgn � <br /> poriions of ihe"cbntrackor Rlock"of thls appNcaHon fa�which ttiey wili be responslbis. If you,es the owner sign.�s the <br /> contractor,that may be an in�ication that he Is not praperly Ilcen�ed and ts.na�ent{tied to permitting priYiieges in Pasco <br /> Counfy. _ <br /> TRANSPOR3ATION iMPAGTIUTlLlTtES!&�RAGT AND R�,SOURCE R�C(}VEFiY FEES: The undprslgned underslands <br /> that 7ranaportation Impact Fees and Recourse Recovery Feas may�pply ko the construcE{on nf new buiidings,change of <br /> use in exis6ng bultdtngs,ar axpanslon of axiating buildings,as�pecified in Pasca County Ordlnance number 89-07 and , <br /> 90-07,as amended, The undarsigned aiso understands,that such faes,a�may be due,wili be id$nUfied at the iime of <br /> permltting. !t ls furlhar understood that Transportation tmpect Fees and Rasource Recavery F�es tnust t�e pald prior ta <br /> recefving a"certifl�ate of occupancy"or final power retease. tf khe pro)ect does not invoive a certtHcate of occupancy or <br /> final power release,the feas musf_be paid prior to permit issuance. Futlhsrmore,!f Pasca Gounty 1Nater!$ewer impact <br /> faes are due,ihey must be pald prlor!o permk lssuance in acci}rdance with appiicable Pasco C4uniy ordlnances: <br /> CqNSTRUG7tLiN 11�N I.AW(Gha�ter 713,Fiorlda Statutes,as am@nded): If valuatlon of worti is$2,6Q0.00 ar more,I <br /> � ceriify that t, the applicant, have be$n provided with a capy of the "Florida Construction Llen Law.—Nomeowner's . <br /> PratecUon G�ide"prepared by the�iofida papartment of Agrlculkure and�onsumer AfFairs. if ihe apptfcant is someone ' <br /> oihef than the"awtter",!cerliiy that!have obxafned a copy of the above dQscribe�documant and promise In�ood falth to � ' <br /> deiiver it io ihe"ownet'pdor ko corKimenqement, <br /> GON7RAGTOR'$fOWNER'S AFFiDAViT: i certify th�t all the i�formation i�this applRcaEian ls accurate and that'ali work <br /> wiii he dane in compqanca with a{!applEcahla iaws regulatin�construcfion,zoqing and land developmenk. ApplicaUon is <br /> hereby made ta obtain a permit to ao work and lnstallation as ipdicated.� ( cert(fy tti�t na wo.rk ar instaliation has <br /> commenced prior ko issuancs af a parm�t and ihat aij wor►c wiil he petfarmed to meek standards pf al! laws re�ulattng <br /> gonstruction, Coun,ry and City codes, zoni}�g regi�la8ons, an� land deye{opm@nt reguiaGons in the jurisdi�tion. ! also <br /> cectify that I unde�st�nd that the regu►aiions of oJhar gouerpCnenk ageneles may appfyi to 1he intanded vroric,and that it is <br /> my responslqility to ldantify What actlans I rpust take to be i�cor�pliance. Such a�enctes include but�re nat limitgd to: <br /> Deparkment of Enyironmental (?rqtection-Gypress 8ayheads,Wetland Areas a�d Enyironmenkaliy Ser�sitlVq <br /> - Land�,Wate�lW@st�Water Treatmant. <br /> - Soutllyrest �.Flgrida INaEer Mari�gement District-li�efls, Cypres� Bayheads, Wetland A.reas; A{te�ing <br /> 1tVa#ercourses. <br /> - Army Corps of�ngfneers-Saawails,Docks,Navi�at�le Waterways. <br /> . Department of Health & Rehabiiftativa ServicaslEnyironmenial Heaikh Uqit-Walls, W�stewaEer Trea,tment, <br /> Sepf{G Tanks, <br /> US Environmental P,rotaot{on qgency-Asbesios abatement. <br /> - Federai Avlatlon Authorily-f'tunways. <br /> , I understand that the foNowing res�ricliops app�y to ihe usa af fill. � <br /> - Use of flil!s'qot�Ilowed in Ftood Zone."V"unies�expressly permllked. <br /> - if the fiil materiai ls to�be used In.Flood Zqne "A", it is unde�stood ihat a dralnags plan addr�ssing a <br /> "compens�l{ng volurrae"wii)be submiited at tlme of permittinc�whlch ts prapared 6y a profQss{onai engineer � <br /> licensed by iha Slate of Florida. <br /> - If the flit maieriei is io be used tn�lood Zone"A"In connectlon wklh a permitied 6ufldinc� using stem waU <br /> constructlon,l cerilfy that fitl will pe used oniy lo fip ihe�rea wtthtn the skam wall. <br /> - - if fill maiarial ts lo be used tn any area, k cedify that usa of such flii wiil not adverseiy effack ad]acent , ' <br /> prapertles. If use of fitt Is found to adversely affect adJacant propartles,tha awnar may tae cfted for viofating <br /> the condlUpn§of tha bullding permit lssued under th$aitached permit appil�ation,for loks tess Ihan one(1} <br /> � act'a which are sievated by fli,an enginaerad dralnage plan Is requirad. <br /> if i am the AGENT�OR THE QWNER,t promise fn gaoa falth to inform ihe owner of the parmitting canditions set forlh in <br /> ihis a�idav{t prior to commencing consUucU4n, i understand that�sep�rate permit may he required for eieci�ical work, <br /> plumhing,stgns,weAs; q4o4s, afr condit{onin�,gas,or oiher lnsialiatlons nof specifigally lnclyded In tha apQiication. A <br /> permit issued shalt ba eon�tru@d to ba a lice�se ka prpceed wi1M Ihe work•and not as auihortty to vioiate,cancet,alter,.or <br /> set aslde any provislons of the technicai cndes,nnr shall Issuance of a Q§rii�(!pravent#ha auiiding'Qfficiai.from theraafter <br /> regutrinp a correcUon of errors!n p4ans,�o�struction ar vio►afions of any codes. Every permtt tssusd shall beco+n's�nV�lid <br /> unies�the wortc authorized by such p@fmit(s c�mmenned W4lhi�sIx�ianths oF peCmi�issuanca,or ff work au[hprized by <br /> the permit!s suspertdetl.or a6ando�t�d for a period of�six{6j rnonkhs�fter the firr}�tha work!S comt�anced,.Ar�ex�ension <br /> may be requeste�,in wri�irig,Prom tha'eujlding Qfficlaf fd,r a per'tod tiot tp�xceed ninery(90)days and wlll demonstrata <br /> - JUs#lfiaple cause#ar tf�e extensi_on. if work cgases for ninety(90)cansecul{ye d�ys,the job is consSdered�a6aridoned. <br /> WARNIN�iQ QY1►N�R: YO�R€A1�,UR,E Tp REqORQ q NO'F�CE OF Gdi�(�tdfENGE T MAY RESU�.1`tN YQUR <br /> RAYlI�G T1NlC�FOR�M�'fiaV�M�NTS.I'Q YOUR RROAEI�TY, !F XOU INT�N, : ��. IN��NANCiNG,�C3NSU�.T <br /> T OU DE O �E BE (J EGO D G OU O GE � E GE <br /> FLQRI4AJURl(T'IF:,:tj'T. .j� <br /> _,.„,�. ,......_..�....._.._.....-........-.._..,__„__..--.,-....... .,_. ._ _V,. ......_...�_�_._...._,_... <br /> OWN�R Oa AGENT GONTRACT4R ' <br /> � Supscdped and aworn jqc Hir eFora ina ifiis_ ' SubscKl6e�a d�woen Co €��na3)beEore ms khis" ' ' ' ' <br /> by �f . <br /> Wh'o is/are pQrsonetty known ' a 4i hQ'slhava produced o.is e��o�aiiy. o me or hasltiave prod`uca¢' � <br /> as lQanlificaiion. as ldenitflceUan. . <br /> ! ___.__.�,_ ` <br /> ,,,�(�J 0 <br /> Notery Puhllc �'"t"""� � _�'""- Nolary Pubtic <br /> ,alne�,� � <br /> Commission No. Gomm slon .� r <br /> . '? '�: Commission#FF 150422 <br /> �Nama of Nolaiylype8,pdnted ar siamped ' Naine Nola l" b,_ BG@ er , " <br /> '�,��f��R�� BnntloA ihm tNy F91n Inaurerio�690�3A5�7019 ' <br />