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<br /> NO'T10E OF DEED RESTRIC�IONS: The undersigned undetstands:-.#h�t this;.pprmit�.may be.subJect to,°deed"restrictions".... ..::.......�
<br /> which may�be�more'resttictive--th�n Counfy��regulatfons:�'�The`undersigned assumes'resp�nsitiility�for compliance wiih any �
<br /> appOcable deed'rest�ictions. �-...�;= ...,: .. . ` _ , - _. ,
<br /> UNLICENSED CONTRACTORS��A(dD CONTRACTOR RESPONSI�ILITIES: =ff-tlie owner=has��Hir�d��'a�contractcr or
<br /> � . . nd•local.re ulatlons;�,-1f�the°;� �-
<br /> contractors to undertake v+tork,.they-may:be.;cequir�d:_to.;be:Itcensed.In accordance with.state a , , . _. g ., �..
<br /> cor�tractor ts not licensed as`reyulRed=tiy lew, both'`the owner and-conUactor=may be�cited°for'a�°misdemeanor violatton
<br /> under state law. If the owner or Interaded�,,contractvr are;,uncertaln as to what Iicenstng,requiremeMs.�:may�:appiy:ior:the � - �
<br /> : -..,, ._.
<br /> iMended'uvork, tfiey are advised to contact.the�Pas'co County,,�uilding'Inspection Divlslon,-Llcensing Section at T27-847-
<br /> 8009. FurtFiermore, If the ovvrier'fias�hired�a conhacto� or contractors, he is advlsed to have:the contractor(s),sign _ _
<br /> ,:,�.,- .r;
<br /> portions of the.,"contractor,Block° of.this.application_focwhich.they will..,be re�ponsible.� If-you�=as-the ovimer.sign`�as'the
<br /> contractor; that may`be an indication that`fie-ls not.properly'licensed'and°is riot'entftled to perrr�itti'ng privileg�s In Pasco ,
<br /> County. .:.. ._. .� .. ..
<br /> TRANSPORTATION�IAAPACTIUTILITIES'rIMNAC'�ANb RESOUitCE RECAVERY FE@S:��The unde�sighed understands
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<br /> that Transportation Impact Fees and.Reco.urse Recove.ry_.Fees may',apply�to the construction of new bulldtngs��change~of���`'�"�� '"
<br /> use in exisNng buildings, or�expansi�n>of-ezis4ln,g;�buildings, as �pecifled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended.,.,The undersigned also;uRderstands, that"such fees;r:as�may�be�:due;:will.:be idenftfied at the�'time-<of-�� =�= �"
<br /> };.
<br /> permittfng. It is furtFier understood that Transportation Impact Fees and Resource:Reco�ery�Fees,_must be patd prior to
<br /> rece�ving�a °cerE�icate-of occupanoy"�or flnal•�power:release.. :if�the.proj�ct:.does;.not,Involve:a�.certff,icate of occupancy�or���=�'���= °��'
<br /> flnal power-release;.the�.fees:mu�t��be paid p�lor to permit issuance. Ft��tk�ermore;�if:Pasco;_County�Water/Sewer�:lmpact � ..
<br /> fees are due,.they must..be..pald-prloc to permit_:Issulance�in.accordance.with,�pplicable_Pasco�.County o�dinances. •
<br /> CONSTRUCTION LIEN�LAW�(Chapter 713� Florfida�tatutes�a�amended): (f valuation of work is$2,500.00�or.more,i ����
<br /> certify that I, #he applic�nt,_-have;been proyided �with- a��copy� of the�dFlorida� Construction: Llen:.Lav�Homeouvner's
<br /> Protection Gutde" prepared by"the'Flo�ida Deparfinent�of Agriculture and Consumer;;Affairs. if the applicant Is someone . ., <.
<br /> other than the"owner", I certify that,l have,obtaJned�a�copy;of the,above.-.desc�ltied.�focui�ent:and.pro,mis�;:in,good:.fatth�to - .,�,�
<br /> deliver It to:.the:"ownec"-�:p�ior'to�commencement:` � ' � " ` �" -� ' . "
<br /> CONTRACTOR'S/OWNER'�AFFIDAVIT: I.ceitKy.th;at�all,.th��,information:,ln�thi.s appllcation is accurate and that ail work
<br /> will'be done in campflance with all.applicabie'laws reg�ilating construction, zoning and�land�development. Appitcatlon Is
<br /> hereby made to obt�in .a permit.to;do.�work�,,and�insfallation as indtcefed:�: s�l ce�tify that no work>or InsEallation has
<br /> commenced prio� to Issuance of a permit"and thaY.all work w011 be pe�formed to meet standards of all laws regula�ing�
<br /> conshuction, County and City codes,.zoning regulatians, and land dedelopment regulations�in the.jurisdiction.�� I also
<br /> ce�tify that I understand that the regulations of other governrnent agencies may�apply�to the intended,work, and that it is
<br /> my responsibility to identify�what.actions I must take:to,be�ln.compliance: ,S.uch agenoles tnclude but�are.not Ilmited to:_��
<br /> - Department of E�vironmental��Protection-Cypress"BayFiead�,�Wetlend Areas and Environmentatly Sensitive
<br /> Lands,WaterMlastewater Treatment. ,_
<br /> - Southwest Fiorida Water Management":I�istrict-Wells; `Cypress. Bayheads; Wetland Areas, Altering
<br /> Watercourses. , - � ' � "
<br /> - Army Corps of Engineers=Seawalis;`Docks, N�vigablef Waterways.
<br /> - Department of,Health:;& ,ReY�abllltative;$ervices/Envir.onmental..-Health Unit Weil.s, Wastewater�Treatment,
<br /> Septic Tanks: �� -� ' - � � ... .
<br /> - US Environmental Protection Agency-Asbestos abatement. �
<br /> Federal•Aviatton�Authority=Runways. - ` -
<br /> I understand that.the..following:�restcictions apply to the use of flll:�
<br /> - Use of fill is not allowedin Flood:Zone"V"unless expressly permitted.
<br /> - If the-.fiU�mate�fal is to b.e used.`in.�Flood Zone. "A", tf. Is understood that a drainage plan addresstng a
<br /> °compensating volume" will be submitted at�ime of.permittfng which is prepared by a profess(onal engineer �� '
<br /> Iicensed by the.State of Flo�lda. � ��-��� �� ' _ . - �
<br /> - If ih� flll materlal.�.is to�be used In Flood �one 'A" in�connectfon�with�a permitted building using stem wrall
<br /> � construction, I certify that fUl�:wlll�:be,used only.to.fill the area-wlthin the�stem�wall: •
<br /> - If flll material is to be used in any area, I"�cettify that use. of`such flil will not adversely ati�ct adjacent
<br /> properties. If use of fill i.s found.to adv�rseEy:�ffect adJaEent�propertles,.the owner may be cited for viofating
<br /> the condl#ions_of tHe b�ilding�:permit Is"sued-under the atta,ched_�ermit�applicatlon, for:lots�,less�than one (1)
<br /> acre wfiich are elevated�tiy.t111;act engineered dralnage plan is required. • •�
<br /> If I am the AGENT�AR THE�<OINIVER; I�.promise in_good,faith to inform the�owner,of the.permitting condftlo�s set forth in
<br /> thts affida'vtt�prior to commencing constructlon. �I understand that a,separate permit may be requtred for elecMcal'work. ,
<br /> plumbing,..signs, wells,.pools;. air condit(oNng,.gas,_or:othe� Install�tfons not.spec�fically inclu�ed-in.the application. .A �
<br /> permit Issued shall be constcued to'be�a�Iicense-to��proceed with tNe wor`k and��not•as:authoNty:to:violate,..cancel; alter, or .
<br /> set asfde any provisions of the teclin(cal codes;�nor shall Issuance of a.permit.pcevent the�ulldirig OfFicial from thereafter
<br /> requtring�correction af.-eRors In.plans, const"ructlon or violations of any�codes. Every�rpermit�issued sfiall=beaome invalid
<br /> unless the work authorized.by s�ach permit:is.commenced•withfn sfX.months of permit Issuance. or tf work authorized by
<br /> the permit is suspended or:abandoned�for:a�,period of�six,(B)montiis,:aRe�,the.tirne the�work�is commenced. An extenslon
<br /> may be requested, tn writing,,.from�tNe Building,OfFlcial for a p�riod'.not.fo-exceetl'�ninety�(90)days and-will demonstrate
<br /> justiflabie cause for.the extenslon�. If work ceases:for ninety.(90)cons.ecutive days...the job�is consfdered aba�doned.
<br /> 1MARNING TO OINNER: YOUR;�AILWRE�TQ.,REC.Ot�D A:NOTIGE�OF��COMMENCEMENT,NFAY-itESULT IN°YOUR
<br /> PAYING TINICE;FOR IMPROVEMENTS;T;O�YOUR:PRAPER7Y. I�°YO.U�IN�END�T�'�OBTIsrIN�FiN�At�E1NG;�CONSULT
<br /> VlIITF1 YOUR C.ENDER:OR AN�f�TORNEY�$�FOR��RECOR�IMG_��YOUf�'�NOTiCF'OF�COMI111ENCEf�iENT:'
<br />- --FL-ORIDA JURA�-(F:S:-117.03} _ w__.�;..—._--- - - ------- - =- --- - ` - - -� _ - —--- ----- - - -
<br /> OWNER OR A(iENT - CbNTRACTAR -
<br /> Subscxlbed and swom to(or aflirtned)before me thls Subsc�lbed and'swom to(or a(flrtned)�befote me ttiig
<br /> by �•by -
<br /> Who Is/are personally known b.me or haslhave produced Who.is/are p.ersonallyknown•to me or has/have�produced •
<br /> as Id"enUflcatlon.�� ' as Identl�cation.
<br /> Notary Publlc � Notary Publlc,
<br /> Commisslon No: Commisalon.No.
<br /> Name of Notary typed,pMnted or stamped Name of Nole�y+typed,prinled or stamped
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