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<br /> NOTICE OF DEED RESTRtCTiG1NS: The undersigned under,stands.that this;permit may be.subject� " " � °'`���;
<br /> ta deed�.restir`�ic,tions,...
<br /> ;,.i ns�':"Tiie�-undersi-'nedtiassurnes��i�'�S OilSibilt'��fo�`°co`m�iiance`with:-ank'.'��'����
<br /> which may.be moce:restr9ctive:�than�C.ounty;:cegufata . g p tY P , Y . � :.
<br /> applicable dsed restrictions. .�'___�::' ;=`���..��
<br /> UNLlCENSED _CONTRAGTORS AND C�?N'1'RACTOR RESPQNSIBILI7IES: �If-tlie=owner-�tas�l�ireci�a�`contractor or �;
<br /> contractors�to undertake work, they may;be reguiced to be!licensed in accordance with.state�and�local_i-egulations..L�lf�tlae=�4��
<br /> contrac#or is not.ticensed.as�required:py"law, botFi the owner�and'eonfracfor=�may�beicitedrfor a-�misdemeanor violation� -';4
<br /> under state law. lf the owner or in#ended,cantractor are�uncertain as to what (icensing requirem.ents:,ma;y.-,apply,fo,r�ti"r`,e.��;"�rr,;
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<br /> intended.waric,they:are-advised to caritact the'Pasco County Builcling tnspection`D'ivision-=3�icensing:S:ection at 727=.847- ' �
<br /> 80Q9. Fu�therrnore, if the awner has�tiired`a'coritra�tor or contractors, he is aclvised to;�'have the_ cantrac#or{s)..,s,ign,;.,�:,;;�;;
<br /> portians of the "contractor Block" of this application.for which they.>wil! be responsible.--,lf<you, as`-ttie'ownec�sign'as�tlie''"�'_:'
<br /> contractor, that may be an indication-thaf he is�not prope�ly�licensed and�is not'entifl'ed to�-permitting privileges fnr Pasco: _,.�;.�'!'
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<br /> County. . _. - _._ .. ' _ _ �_�k..
<br /> TRANSPORTATtON-IMPACTIUTtLITtES�tMPACT AND RESOURCE RECOVERY`FEES:�The undersigned under.stands .,,�a,
<br /> that Transpartatian impact fees and Recourse Recovery Fees�may.,app(y�to�fhe construction of'.new.b.uiidings,.ctiangeto,f��;`�;;?;�'
<br /> use in existing builclirigs,•or�,expansion�.of.:existiiig�buildings, as specified in Fasco Count}r C?rdinance number 89=07.,arid; "':j
<br /> 90-07, as amended. The-under'signed also understands,�tha#such.fees,�as`rnay:b.e:due, will tie�identified�at�ythek.titi�ie`�of{���=�=.}
<br /> permitting. -1t is further understoad that Transportation Impact.Fees��and ResourcerRecavery: Fees must be paid�prior to ��
<br /> receiving a "certificate.of accupancy°-or final:;power celease. If the.projec#-does not�involve a certificate of occupancy:or:<<:�, .,
<br /> finai pawer release,�fhe�.fees.must�be paid prior to perriiit issuance. Furtliermare,,.�if,.Pasco Gounty Watec/5swer�lm.pact.��.�� i
<br /> fees a�e due,tfiey;must be.paid priar=to permif�issuance-rn°accordance°with;applica�Ie..Fasco County ardinances.
<br /> C!?NSTRUGTIt?N�LIEN�LAW{Chapter 743;FEorida Statittes,as amended}: Ef valuation of wor'.k is�$2,500A.O.oc:mar�e,�;i,,:;,�� ;7
<br /> certify that !, the applicant,..bave been- provided -with a �capy-.of.the- "Florida Construction.�Lienr-Law=Hameowne�'s
<br /> Protection Guide° prepared by`�the Florida Deparkment of Agriculture and Consumer.Affairs. !f the applicant�is.sameone=.,s�. �
<br /> other than the`"owner�,',I,eertify.that.lrhave oti#ained a capy-of the.aboVe ciescri6ed,document and pr.omise�in,goo,d',faitfi-ta'._�,
<br /> deliver.i#to.the';owner"�prior.fo�commencement�: � ' �
<br /> C1,'3NTR�►CTOR'S/OWNER'S AFFIDAVIT:;:w;l.cerEify that ali the infarmation in this application is accurate and�that alt'work
<br /> will be dane �n compliance with a(1 applicable faws regulating construction, zorting and land-development. Appiicatian.is
<br /> hereby made to=obtain,.a permit. to:�.do:wark and insta!lation-as iridicated. i certify thaf na work or .instalfation�tias
<br /> cammenced prior to issuance of a p.emiit and��that all work wi{I be pertormed to meet:standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in.,the jurisdiction: =I°alsa
<br /> certify that 1 understand that the regulations of other government agencies may apply to the intended wark, and that it is ; �
<br /> my responsibility#o identify what actions I must take to be in compiiance. Such agencies inc(ude but are not limited,,ta `,
<br /> - ,Department af Enviranmen#a1, Rratection-Cypress Bayfieads, Wet#and Areas and Environmentally Sensitive '•
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District We!!s, Cypress .Bayheads, Wetland Areas, After�ng ¢
<br /> Watercourses. �t 4
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Heaith & Rehabilitative ServiceslEnvironmentai Nealth Unit W�alls, �Wastewater_Treatment, ;
<br /> Septic°'fanks.
<br /> - US Environmental Protection Agency-Asbestos abaterr�ent. . • ,.
<br /> - Federal Aviation Authority-Runways. '
<br /> I und�rstand that�.the.follawing restrictions apply to the use of fill:
<br /> - Use of fili is no#atlawed in Flood Zone"V" unless expressly permitted.
<br /> - If the fili materiaF is to be used in Flaod Zane "A°, it is understaod that a drainage pian addressing a
<br /> °campensating vo(ume" wifl be submitted at time af permitting which is prepared by a professional engineer '
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wal!
<br /> construction, I certify that fill will be used only to fill.the area within the st�m wall.
<br /> - if fill ma#erial is ta .be used in any area, I certify fhat use of such�fill will not adversely affect adjacent
<br /> praperties. If use of fi(1 is faund to adversely affect adjacent properties, the owner may be cited for viola#ing ;
<br /> the son�i#ions ofi�the building permit issued under#he attached pe[mit.applicafian, far lots iess #han one (9}
<br /> acre wliich are elevated by fill,an.engineered drainage plan is required. •
<br /> If I am the AGENT FC?R THE 4WNER;=C promise in good faith to inform the owner of-the permitting conditians set forth in -
<br /> this affidavit.prior to commencing const�uction. I understand that a separate permit may be required for eleGtrical�wark,. '
<br /> ptumbing, signs, wel(s, pools, air condi#ionin,g, gas,.or otfie��installations not specifically included in the applicatiian. A •, ,
<br /> permit'rssued shail°.be canstrued'to�be a ticense'to.proceed with the wo[k and nat as authority.to violate, cancel, alter, or ,
<br /> set aside any provisions of the fechnieai codes, nor shall issuance af a permit prevent the Buiiding Offciat from ther.eafter
<br /> requ�ring a carrection of errors!n plans,�canstructiort or vialations of�any codes. Every permit issued shall tiecome invalid .
<br /> unless the work authorized by such permit Is commenced within six months of permit Issuance, or if work authorized by .
<br /> the permit is suspended or abandoned for a period=;of.six(6)monttisafter the time the work is commenced. An extension
<br /> may be reques#ed, in writing, from tiie Building Official for a peciod.not to exceed ninety(90) days and will�demonstrate �
<br /> justifiabte cause for the extension. if work ceases far ninety(90)consecutive days,the job is considered abandoned:
<br /> WARNlNG TO QWNERc YOUR FAlLURE.TQ RECORD A.NCMTlGE OF COMMENCEMENT MAY RESUl:T IN YOUR
<br /> PAYING TWICE'FOR IMPROVEMENTS.:TQ YOUR:RROPERTY:; IF YC?U.INTEND�TO.QBTAlN-FINANClNG, GQNSULT .
<br /> WlTH`YClUR'LENDER OR�AN ATTORNEIF BEFORE REC.ORDING YOUR NOTI�CE OF•�COMMENCEMENT.
<br /> FLt3RIDA JURAT(F.S.117.03},.`�� .
<br /> OWNER OR AGENT �� � �.���� ��-���� CONTRAC70R ���'' '�-"'
<br /> Sub cri ed and swom to(or affirmed) efor me this Subscribed and swam„�g(ar affirmedj b fore�ne this -
<br /> h��/ by T%rrli�fliw �i'1�9�/'�- h°�1/f1'7 by 1 i II �f'd .
<br /> ��o /are personally known td e or h� ave produaed � o is/are �nally known to me or has e produced
<br /> �/� �,//C��L.�as idenBficatlon. t�C:�=i7�,-� as identlfication.
<br /> �!'��1�/0��( - �2�.�i ,_f�otary Publlc KJ��SL.�'C�- - Natary Pubfic
<br /> Co missiori No. L�� ��� �� c �nission No.�',r'� +d�3�� �
<br /> / =��2/� �d�/� �U6'rr'E'�'C�- �-��3� E�}-`i� �2�/v���..
<br /> Name of r Name of Notary �c�;,' te���r��E RUFFEL�.
<br /> sYo��, ' EBCAELAINE UFPELL ;��.•�•.
<br /> '�6i �,_Commission#GG 0453d3 _,. ,;Commission#GG 045343
<br /> =a=�,�o;Expires November T,2024 =;�P,=�Pf�es November 7,2U24
<br /> , �%;;o;�2•*' Bonded Ttw7ro Fain Insurance 80D�38�7Q19
<br /> �•fo+�.o4c BondedThru7royF8inlnsurance80Q�385�7019 ,,,, Y .
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