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� <br /> � � .. .., = <br /> NOTiCE OF DEED RESTRICTION�: Ttie.unde�signed undergtands th�t.thi�;.p�cmitt.may:be;subJect.to,"deed"restric#lons" ._.�..,`.=.�... <br /> which may�tie<more:rest�ictive>th���Countjr"�regr�lat(ons:'The undersigned=�assumes respvnsibiiltyfor��coriipllance,witti"any ` ��� <br /> applicable deed restrictions. =.,. ,..a.., :,:.:: � . � • '� . ` . ' _, �. , =.,. '-- ., ._.:, -�: � � . <br /> UNLICENSED� CONTRACT�RS AND CONTRACTOR RESPONSIBILITIES: -1f�the owner=has �htred�'a�contractcr or <br /> contractors to undertake work, they may:b.e:re�qulred_ta-be,licensed in-accordance.with state.and;localvicegula.tions.:��If�the� �'� � �-�� <br /> cont�actor ts-not Itcensed as�required:�tiy law; both��the owner and'contiactorlmay be�°cited�for�a�misdemeanor violation � <br /> under state law. If the owner or Intended,=:.contr;actorrare;uncertaln as to what Ilcensing;requlremeMs.xmay-:�apply>for�tfie �•- _ �`3 <br /> intended work, they a�e advised to contact the:Pasco County,Bullding Inspection Divislon_-t:icensing�Sectton at 727-&47- I <br /> 8008. Furthermore, tf the oviiner'iias hlred a contracto��o� contractors, he is advised to have;the c:ontractor(s);;sign, ;s _� . <br /> portions of the "contractor Block° of thts._application.for.which.they wlll.be r.esp.onslble.- If<you,:as:#he.owne�'sfgn'�as`the'` � � , <br /> .__..r ...�. <br /> cont�actor, that may be an Indication that`he'is not:prope�ly�ilcensed and`�i§ not entiHed to pemiltttng privileges In Pasco _, I <br /> County. ' ,. ,. ' . . . .._.� .__ ,' °= r - ` • � <br /> TRANSPORTATION:�IMPACTIUTILITIE��rMPAC'I�ANb.RESOUItCE RECOVERYfEES:�The undersigned-understands I <br /> thatTransportation Impact Fees�and.Reco.uree Recovery.Fees:may;apply�,to�the construction of new_buildings,:�change�of`�� �-=���' I <br /> use In exisNng buildings, or.:.expar�ston��of+exlstin��buildings, as specifled.In Pascv Counfy Ordinance number 89-07 and <br /> 90-07, as amended.._:The undersigned also:uriderstands, thait�such fees,;as�may:;be:�due;::will��be identtfied at the�'time'of=�� -v� '�' <br /> permitting. It is furtFier understood that Transportation Impacf Fees an.d°Resourae._Reco�ery��Fees.must be paid prior to <br /> rece�vtng a 'certificate�of occupancy" or flnal�power Felease: :If the.proj�ct:does�.not involve�a.cert�icat'e of occupan'cy�o�<;�'�-`��'�� <br /> flnal power release�>ihe�,fees mu�t`tie paid prlor to;permit issuance. Ft��tk�ermore;'°ff.Pasco:County'Water/Sewer:impact � .� .. � ! <br /> fees are due,.they_must be;pald=prtdr to.petmit-lssya'n_ce�In..accordance witti��appllcabfe Pasco'-Countji-o`r'tlinances. • <br /> CONSTRUCTION"LIEN"LAIN(Cliepter 713� Flor�da Statutes�as amended): If valuation of work is$2,500.00„or.;more;..l� � -:;�: <br /> certify that i, .the �applicant,:have.been .provided �with- a�=copy-of .the��"Florida� Constn�ctton� Lien :Lauu—Homeowner's <br /> Protection Guide" prepared by�the Flo�ida Depertment�of Agric.ulture and Consumer.Affairs. if�the applicant is so'meone :� �:, <br /> :. , .. . . ° <br /> other than the°owner", I.certffy:.that l h�ve�:obtained�'a``copy.otthe�above:.described docu�ent-and:p.r.or�ise;in,good':faith_to � , ; <br /> ; :. . __ , ,. . <br /> deliver It to the,'owner":.prior�.to�commencementc-'�� " � . �- <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: i.�rt�►:tnat..all th�,;inf.ormation:,imthl�appl(cation is accurate.and that all work ��� <br /> will'be done in compitance with all.applicable�laws.reg�ilating construction, zoning and�land�development. Applicatlon,is <br /> hereby made to obtain .a.pecmit�to do. wor,'i�;,,and �tnstallatlon as (ndi�efed:.�.-�:1� certify that no work�'�or Installatton fias .,�' <br /> commenced prfor to Issuance of`a perrtilt""and that:all work will be pertormed to meet_standards-of all laws regulaxing- <br /> construction, County and City codes, zoning regulatians, and land development regulations�in the:jurisdtction:=� i al'so , <br /> certify that I understand that the regulations af other�goverr�ment agencies may�apply�to the intended work, and that it is <br /> my responsibility to ident(fy.what.actlons I must-teke:to be,In:.compllar�ca,r,S,uch agencles include-but��are.not Iimited to: � <br /> - Department of Env(ronmental��Protection-Cj+p�ess`Bayti'ead�, Vlfetland Areas and Envlronmentally Sensitive <br /> Lands�WatedWastewater Treatment. <br /> - Southwest Florida Water Management>.Distcict-lNells;' Cypress.c�Bayheads; Wetland Areas, Altering <br /> Watercourses. . , <br /> - Army Corps of Engtneers-Seawalls,`Docks, Navigatile Waterways. <br /> - Department of.:Health:'S. ReY�abilitative ,Services/Envir.onmen#al-..Health=Unit:Well.s� Wastewater�'freatment, <br /> Septic Tanks:. � . � ' - � <br /> - US Environmental Protectlon Agency-Astiestos abatement. ' � � , <br /> - Federal Avlativn:Authority-Runways. � - . <br /> I understand,that the..folloiiving.restrictions apply`to the use of flll:• � � <br /> - Use;of;flll is not allowed in<Flood.Zone"V"unless expressly permitted: - � ' <br /> - if the-flll mate�lal="Is to=be usetl'in.:Flood Zone. "A", �tt is understood that�a dratnage plan addressing a <br /> °compensattng volume" will be submitted°at�ime ofi��permitt(ng which is prepared, by a professional englneer � <br /> Ilcensed by#Ne State of'Florida:. � �� .. • ' . <br /> - If ihe fill:materiaF�.is�to~be�us_ed tn Flood �one 'A" In�connec�ion�with�a permitted building us(ng:stem wali <br /> constPuctton� I.certify:thatfUl:w111:b.e:used only.to.flll the are�'u�ithin the�stem�wall. ' <br /> - If flil m�terial�is to�be used In any area; I-�certify that .use. of such flll will not adversely affect adjacent <br /> properties. If use of fill i's found_to adversely.�ffect adJaEent`pcoperties,.the owner may be'clted for viol'ating. <br /> the condl�ions_of,the building�.permtt�Issued�under tfie.'attached,permit-�ppltcation�.for=lots�:less than.one (1) � <br /> acre,whicFi a�e elevated�tiy flll;ac�,engineered dralnag�plan is required. , ,_ . . ; . � •. � <br /> If I am the AGENT FOR.THE 04VNER; I;promise in good.faith to inform the owner of the.permitting condftlons set forth In <br /> this affidadlt�prior to'commer�oln8 consttucUon. 'I�understand thet a-�,separate permit may be required for electrical'work, , <br /> r:�- <br /> plumbing, signs, welis,.,pools;. air.conditioning,..gas,,ar.otMec Install�tions not�spec�tcally included�in.the�application. .A - <br /> permit Issued shall be construed to 6e�a�Ilaense�-to�-proceed with tNe rwork and.not-as.authoNty�to:violate;:'cancel; alter, or <br /> set aside any provtsions of the.fechnlcal c+�des;,nor shall issuance�of a.permlt.pcevent the Bulldirig Official from;thereafter � <br /> requtring a correction�af ercors In;plens; consfruction.oc vlolations of�any�aodes:�.Every�p�ermit issued_shall-become invalid <br /> unless the work authorized by such permit:�ls-commenced•withtn sUc,m.onths of permit Issuance, or if work authorized by <br /> the pe�mit is suspended or.abandoned•for a�:period:of�six;(8)�monti�s,:after,the tlrne the�wor�k�is commen�ed. An extension <br /> may be requested, tn writing;,from.the�Bullding,Officlal�for a.perlod=not.to.exceed-ninety'(90)=�days and•will demonstrate <br /> Justifiable'cause for.�the extension�. If work-ceases:for ninety.(90)cons.ecutive�days�..the job Is.considered aba�doned. <br /> II�ARNING TO OWNER: YOUR.FAILURE,.TO..�RECORD.A::;MOTIGE:OF:�COMMENCEMENT�.NFAY�RESULT IN �YOUR <br /> PAYING TWICE:FOR:IMPROVEINENTS�TO Y�UR.PROPER-lY:�:IF�:YO.tI{IPI�'FE�D�7'Q�q�TAIN��FINAI�EING;�C.ONSULT <br /> WITH• U . � �O: TTO ORE�,�, . A �� �:: .Ol� a. : .� ;: .„ . ,� . . , <br /> FLORIDA JURA�•(F.S:1.17.0 • - ' , _ � _ , . - _ - <br /> OWNER OR AOBN � CONTRACTO � <br /> S d�nd swo to r alflrmed)b fore me this S� d'suw - ot a rtn pb' re 'tlitg <br /> \ � ,� <br /> Who is/are ersonal n .me or,heslhave. duced o. are pe o rt�e.or has/have�p u • <br /> as Identlflcatlon: - • as Idend cafion. <br /> Notery Public . Nofary Publlc <br /> Commisslon o. � Commisslo No. � �t' <br /> Name of Notary typed,printed ar sta ��'��•• Name f Nole �� ��- ��E�1E B�K <br /> ,;.��,..•Pr�, L.JENEBLACK ry typed,printed oratemped =�'� •� p�yCOMMISS 243085 <br /> :.r .r MY COMMISSION e FF 243D35 °'� ' EXPIRES:October 20,2019 <br /> ���: •EXPIRES:Oclober20,2019 ''�••• �' gandedThruNotaryPublieUndervrtiie�c <br /> z. � p 1�;;,.. <br /> ,R�n, Bonded Thru t,�tary Pubtie Undervrtiters ;a <br />