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<br /> NOTiCE OF OEED RESTRlCT10idS: 'fhe undersigned understands that this permit may be subject ta'deed`restrictions"
<br /> which may he m�e resMcdve than County reguiations. 7t�e unders[gned assumes responsihility for compliance wiM any
<br /> applicable deed r�Mciions.
<br /> UNUCENSED CONTRACTORS AND CONTRACTOR RESPONS�BILITIES; If fhe owner has hfred a conVaomr or i
<br /> conttaCtars to undertake work,they may be�equired to be ikensed in aceordance with slate and local regulations. If the
<br /> conlractor i�not�icensed as required by law,both the owner and contractor may be cited for a misdemeanor violat(on
<br /> under state law. �f tt�e ownflr ar inlended contractor are unoertair►as to whai ficensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Buiding I��ection Division--lfcensing Section at 727-847-
<br /> 8009. Furthecmore, if 1he owner has h'ved a contractor or contractors,he is advised to have the cantractor(s)sign
<br /> portions of tfte'conUactor Slodc'of this application for which they wll be responsibla lf you,as ihe owner sign as the
<br /> mntractor,that may be an indicaUon that he ts noi praparly li�ensed and is not endtled to pertnittlng pHvileges in Pasco
<br /> County.
<br /> TRANSPDRTA710N IMPACTRJTftlT1E5 IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands �
<br /> that Transportation impact Fees and Recourse Recavery Feas may appiy to the cflnatruction o(new buildings,diange af
<br /> use in e�osling buildings,or expartslon of existmg buildings,as specified in i'asco County O�nance number 89-07 and
<br /> 94-07,as amended. 7he undersigned also understands,that such fees,as may tre due,will be ldertHfied at the Gme of
<br /> permitttng, fl is further understaod that Ttgnsporta6ort Impact Fees and Resnurce Recovery Fees rrtust be paid prior to
<br /> receiving a'oertfficate of oeeupa►x,y'or flnal power release. If the pro�ect doea not invdve a certiBcate ot occupaney or ,
<br /> final power release,the fees must he paid prior ta pamit issuance. Furthermare,i(Pasco Counry WaledSewer{mpact
<br /> iees are due,they musl be paid prtor to permfl issuanca in ecxo[dance with appFpble Pasco County ordinances.
<br /> CONSTRUCTION UEN LAW(Chaptet 713,Florida Sfatufes,as eme�ed�: If vatuation of wofk is$2,E,00.00 or more,1 ,
<br /> certity that I, the appflcant, have been provided with a copy of the "Ftorida Cor�Vuci'wn Lien Law—Homeawnefs
<br /> Protection Guide`prepared by the Florida DepaNnent aF Agrkadture and C�sum�Afta(rs. If the applicanl is sameo�
<br /> other than the"owne�',I certify that�have abtained a copy oP the above descrihed documerrt and promise in good faith to
<br /> deliver it m the"awne�'prior ta commencement.
<br /> CONTRACTOR'SlOWNER'S AFFIDAIJIT. I certlfy that aU the fnformation in this applicatlon is accurate and that sA work
<br /> w�l be done In oompHance wlth a8 appllcaWe laws regulating consirucGon,zoning and land development ApplEcetion is '
<br /> hereby made to obtain a permit to do wark and ir►stallaflon ss indicated. l certity that no work or installetion has
<br /> cromrrienced prior to issuance of a permit arnl that a11 work wlll be periormed to meet standarcls of all laws regulating
<br /> conshuction,County and Cfty codes,zoning regutatians,and lan8 developmenl regulatlons in the]u�isdic�ffan. I also
<br /> certity that I understand�at the regulations of ofher gavemment agendes may appty to the intended work,and thsi it is '
<br /> my responsib8ity to Identity what adlons I rr�ust take to be in compllance. Such ag�cies indude but are not limited to:
<br /> - Department of Ernironmental Prntection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive I
<br /> Lands,WaterlWastewater Treatment
<br /> - Southwest Florida Water lvlanagement District-Wetis, Cyp�ess Bayheads, Wettand Areas, Altering I
<br /> water�ourses.
<br /> - Artny Corps of Engineers-Seawalls,Qocks,f3aviga6le Waterways.
<br /> - Department of Health 8 RehabUitabva Servl�es/Environmantal HPalth Unit-WsUs, WastewratPr Treatment,
<br /> Septic Tanks.
<br /> - US E�vironmental Protection Agency-AsDestas abatement.
<br /> - Federal Aviation AuUrorily-Runways.
<br /> I undersiand thet the follawing testrict�ons appfy ta tl�e use ol filt:
<br /> - Use oFtfll Is not�lowed in Flaad Zone`V'unless expressly permftted.
<br /> - If the fill material is [o be used in Flood Zone 'A", ft is understootl that a drainage plan addressing a
<br /> "compensating volume'wn0 be submiCed at time ot permitiing which is prepared by a p�fessfonaf englneer
<br /> Ilcenssd by the Stafe of Florida_
<br /> - If tha fill material is lo be used in Ffood Zone°A"fn GO�nection with a permitted building using stem wall
<br /> construction,l certlfy that fill wlll be used anty to fill the area within the stem walL �
<br /> - H fill material is fo be used in any a►ea, I certify that use of such fifl w�E not adversely affed ad}acent
<br /> prnpeNes. If use nf f�l is tound to edversely aHec1 adJacent propertfes,the awner may be ciced for viotating
<br /> the wndilions of the budcting pertnit fssued under the attached pem+R appllcafwn,for bts lesa than one(1) '
<br /> acre whid�are elevated by fill,an enginee�ed dr�inage ptan Is required. i
<br /> If I am the AGENT FOR THE OVYNER,I promise in good failh to inform the awner ot lhe permitting condiqons set forth in
<br /> this a�davit prior to commendng consVuction. I understand that a separate permit may be required for electrical work,
<br /> plumbing,sipns,wells, poois,air condi6oning,gas,or other installations not specifically included in the appllcatlon. A
<br /> permit issued shall be construed to be a license to pruceed with the worlc and not as authority to violate,cancei,alter,or
<br /> set aside any pravislons of the lechnical codes,nor�all lssuance d a pemdt prevent the Build'mg OTftc1a1 trom thereafter '
<br /> requiring a cort+ection of ertors a�plarts,constructian or vloletions of any�des. Every permit Issued shaEl become irnal'�d
<br /> unless the woric author¢ed by such permft ls commenced withln six manths of perm?issuance,or if work euthorized 6y
<br /> lhe permit is s�spended nr a6an�r�d tor e pertod of s�c(6?months after the time the work ls Commenced. An extension
<br /> may be requested,in writing,from the BulWiny Of(icial tor a period not to exce�ninety(90)days d w10 demonstrate
<br /> jus6fiable cause for the extension. tf work ceases for ntnety(90)consecutive days,lhe'ob- cons' ed abandoned.
<br /> WARMNG TO OWNER: YOUR FAILURE TO RECORD A N0710E COM ME SULT IN YqUR
<br /> PAYtNG TWlCE FOR IMPRO TO YOtlR PROPERTY. IF Y U D OB ro r G,CaNSULT
<br /> W1TH YOt1R LENR R A A EY BEFORE RECORDItdG Y UR OF M N
<br /> FLOPoDA,IURA7(F.S. .08)
<br /> - i
<br /> �OfNNERORA6 tJohnson co n.c a � • '
<br /> �f`Su bed nd s �r ed beto rre 5 d swom o I�cned)
<br /> o s/are P��IIy kn to me or ha4have produr�d is/ pusor�i�l y�v�n to alheve P�oduced
<br /> �(� ry�le�,j •( .in es idenlfieetloe. / .
<br /> �(�" j=5.,�`f.ra�fX Ld—.��'Notmy Pud'�c Y ` �7 �ryPuhlie
<br /> COmmial�un No. �f�/O��/J rtnlcclun No. �./ I
<br /> C�rr-�e�cs rr�J/f �r-�n�Z_ ���Q'�n@
<br /> Nama of Notery typed,V�nlad ar petl Neme d Nolary lyped,priMed or stemped
<br /> ;r�°�YP"B�: CHRI�TINA HYL�►f�19 ,•�;� DEBRAELAINERUFFELL
<br /> .o•• G+. �svr�
<br /> o.•
<br /> •: ,;•Q' MY COMMISSION��P1O��j� '?� :;:Commission#GG 045343 ,
<br /> i'��a EXPIRES�►pl'i)�ffi,��9� :;;P,, ;;;= xp res ovember 7,2020
<br /> c�►�-o,� Fi����a� ��:�r�
<br /> '••,�,a,„4,,•' Banded Thru?roy Feln Insutance 80D-385�7019
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