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<br /> NOTiCE OF DEEO RESTRICTIONS: The undersignedzunder�tands::,#h�t:this;p�rmit:mayrbe,subJect;to;"deed"restricNons";`};,;;.�,�,,,,,�
<br /> which may-,tie�more:-r:est�ictive�th���County:�eg�ilatfon's.'�The..undersigned�assumes°�esponsiblllty=�for"compllance�witii"`any ' '
<br /> applicable deed�'restrictlons. � • _.. ._.; ��=� � � '�"`~'
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<br /> �:: re�.'� :::'•: .'. .." ..J . ..�..
<br /> UNLICENSED�CONTRACTORS AND CONTRACTOR RESPONSI�ICITIES: -�if�the�:owner has° hiretl��a`contcactor or ,
<br /> contractors to undertake work;#hey may;be.re�qu1red��to„be�licensed In accordance,with,state.and_•local:regulatt.ons.���If�the��--`� _�-����
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<br /> contractor ts�not Iloensed��as�'required�tiy law, botFr the 'owner and�contractor=may be�cited�for`a�mtsdemeanor violatton
<br /> under state Iaw. If the owner or Intend�d,:�contrac,tor,_are;_,uncertain as to what Ilcensing.,requirements','may�.appty���for`the�=.� �� ;��-��� ;
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<br /> intended work, tHey are`advised"to contact:the.Pasco County,Bullding:lnspection_Divislon-l:icensfng Sectlon et 727-847- °
<br /> 8009. FurtFiermore, if the owner'fias-Fitred�a cont�actor'o�contracfors� he is advised to have the contr,actor(s)„sign. . ..
<br /> portions of the_�contractor.Block"Wof.this..application foc whlch.they.,wlll be.r.esponsible:� If:-you;��as�:#he oinine�_slgn`�as�the�'' "�"�i��
<br /> cont�actor, that�may'be an indication that fie"Is noY�:properly Iicensed�antl`'is`not`entiNed"to permittl'ng privlleges In Pasco ,„ ; , .a �
<br /> County. - , . , _ , w.- - _... �._..�a._. .. ...
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<br /> TFtANSPORTATION.:IMPACTNTILITiES��rM1�AC'�ANb 1�ESOURCE RECOVERYfEES:'The�untlerstgned"understands �
<br /> that Transportation lmpact Fees�and.Reco.urse.Recovery.Fees may�:applyc�.to�the�construction_of new:.buildings�achange�'of'='r��Y�����•' �
<br /> use in existing bulldings,�or�.expartigi�n��of�e�istin�!�butldings, a§ specifled.in Pasco�County O�dinance number 89-07 and
<br /> 90-07, as amended..,The undetsigned aiso;uriderstands, ttiait�suoh fees;�as��may��e:;due;,wlll:jbe tdentHied at thertime��of n� ��-�'�`'=� :'
<br /> permitting. It is furtlier understood that Transp'ortatlon Impact Fees and�Resoucce=RecovsryaFees,.must�be pald prior fo
<br /> receiving�a.'certi�cate-of occupancy" or�flnal�power;release:•':If�the proJect�;;does�;not involve:a�.certificafe of occupancy=or����°��`�';�;;`J �
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<br /> final power release;�the-:fees mu�t'�be paid peior.to,pe.rmit Issuance. F;:ti�thermore;,if:Pascv.County"WaterlSewer•,Impact ;���A.�
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<br /> feesaredue,.they�:must.be�paid;priorto.permitrlss4ance�in.accordance-witFi�appllcable�Pasco��County�o''r`dinances. •
<br /> CONSTRUCTION'LIEN}LAIAI(Ctiapter 713� Florlda Statut�a�as amended): If valuatlon of work is�2,500.00;oc�more,•1-=�; ._°:,���
<br /> certify that I, the.�applicent,� have.�been .provided �with�a copy of,;.the��.",F„lorida-°�onstructton� Lien.�L`av�Homeowner's
<br /> Protection Guide" prepared by,the Flo�ida Depertment�.of Agriculture and Consumer.;,Aifairs. If the applicant ls someone� ;._,: ,;�:���
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<br /> other than the"owner", I certifji that.;l have:.obtainedfa5�copy.of the°abQve.:des.c�lbed"�docu"r�ent�and,'.promise�.ln,gootl::faith�to ., , .
<br /> deliver it to.the`ownee"-..p�io��to coiinme'ncement:'' ' �'" ' - � � ' � : ��" ~- -- . . -�-
<br /> CONTRACTQR'SIOWNER'S AFFIDAVIT: I.ce'r•fff�r;;;th�t,.all..th��,information:in thi� appl(cation is accur�te and that all work
<br /> will'be done in com liance with all.a Iicable'laws re ul�tin constructlon, zonin and��land�deyelo:ment. A Iication.Is
<br /> P pp 9. 9 9 p � � PP
<br /> hereby made to obt�in.:a .permit�,,to��do;�wock:atand;insfallation as indl�efed:��--:I certify"tfiat no work>:or Installatton has'
<br /> commenced�prio� to Issuance of'a p'ermif"and that�:atl work will be pertormed�to meet.standards-of:all laws regulating�
<br /> constructlon, County and City codes, zoning:regulatians� and land development cegulations�in the�jurisdtctlon.�� i al'so. _
<br /> I certi that I understand that the re ulations of other ov�rnment a encles a �
<br /> �+ g g g m y apply�to the.intended.work, and that it is �
<br /> my responsibility to IdeMlfjs.what.acttons 1 must take:to besin:.compliance. $uch_agencles=lnclude but�are.not Iimited to: . . �
<br /> - Department of E�lvironmentair�Protectton=Cypr'ess.'Bayliead�,'V11eHend Areas and Environmentally Senstttve
<br /> Lands,WaterM/astewater Treatment. �
<br /> - Southwest Florida Water Management: .District-Wells, Cypress.� 8ay.heads; Wetland Areas, Altering .
<br /> Watercourses. � � , . r
<br />� - Army Cocps of Engineers-Seauvalls,'Docks, fVavigatile 1Matetways.
<br /> - Department,.of Health;..8 ReYaabllitative,.Servic�s/Environmental .Health Unit Well.s;�Wastewaterd Treatment, �
<br /> Septic Tanks:� ` �., ry� � ' � • �
<br /> - US Environmental Protection Agency-Asbestos abatement. -
<br /> - Federal Aviatton:Authority;Runways. - -•
<br /> I understand_that the#olloviiing�restcictions apply to the use of flll: ,
<br /> - Use of flll Is not allowed"in:Flood�Zone"V"unless expressly permitted.
<br /> - If the :flll�matetfal-'is to`b.e used �la:Flood �Zone. "A°, It is understood that a drainage plan addressing a
<br /> °compensating volume" will be submttted at time of=-permitting wh(ch ts prepared by a professiona) engineer � ��
<br /> Iicensed by'th:e�tate of'Flo�ida: " -' - � � , ._. , - " "
<br /> - If ihe flll m'aterial=ls to be used tn Flood Zone "A" in�connec�ion�wlth�a �ermitted building using stem wall
<br /> construction, I certify that flll-wall:be used only.to.fill the area wtthin the�stem•wall: � �
<br /> - if flll material�is to 'tie used in any a�ea, f certify that .use. of such flll will not adversely affect adjacent
<br /> p�operties. If use of flll is found to adversely:..�ffect ad)acent'�propertles�,the owner may be cited for violating: �"
<br /> the condi#inns.of.the building�?permit issued-under the atfached._{�ermit�a�pplication�-for:lots-�less:than:�one (1)
<br /> acre wfitcFi are eleveted`by t111; ar�.eng(neered drainag�plan is required. •
<br /> if I am the A6ENT F..OR THE OWNER, I;promise In,good faith to inform the owner of-the perniitting conditlons set forth In
<br /> this aifldavtt prior to"commeracing constructlon. 1 understand th�t a;aeparate perm(t may be requtred for elect�icaf work, .
<br /> plumbing,,signs, wells,.pools;. air conditioning;,.g$s�.=or.other install�'ttons no�.spec�ically included-tre.the applicatbn. .A ,
<br /> permit Issued shall be construed to be�a`I(cense�toyproceed with`ttie.work and not as:authority�to:violate;�`caricel,.alter, or
<br /> set aside any�provislons of the technical.c+odes;�nor shall issuance�of a.permtt.prevent th�Bulldirig Offlclal from thereafter
<br /> requiring a correction af ercors in::plans; construction.or violatlons of-any codes.- Every p�ermtt=ls"siied§Fiall tieaome invalid
<br /> unless the work authorized.by such permit�is-commenced�withln sGc,.m.onths of permit Issuance� or tf work authorized by
<br /> the pe�mit is suspended or„abandoned�f.or:arperiod,-of�six:(8)�montfis:after,the:tirne the�work�is commenced. An extension �
<br /> may be requested, In writing,from the Buifding.Official�for a peNod:not.to.exceed�nlnety(90)'days and°-will�demonstrate
<br /> justi�able cause for.�the extenston•. If work ceases:for ninety.(90)cons.Qcutive days...the Job�is considered aba�doned. ;
<br /> INARMING TO OWNER: YOUR;FAILIJRE;�TO.,,REC.ORD�A:�MOTICE OF:•COMMENCEMENT�MAY�RESULT IN�YOUR
<br />____P_A_Y_ING TWICE�FOR=IMPROVEMENTS�TO_KYOUR::PROPER'tY;���IF�.YO.U:�IN�'EI�ID�`TO���BTAIN�=FINAI�EiNG,�ONSULT
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<br /> YIIIT . D �O AN- TTORN ORE�,���� � C=� ��i ;; ,� `Q .` .�•:. E �. .. —_ _ __
<br /> FLORIDA JURAT(F:S:1: :.Q3} � �`'' -. , � • -� : -- � ,
<br /> OWRIER OR AOE T ,. COWTRA TO �
<br /> Subscrlbed and or aHirmed)before me fhis Subscribed an m to a(flrmed)�b' re me'ttit�
<br /> by -°° Y��,M?7�'C � —i2:�rCL
<br /> Who Islare pe►sonally known M.me ar.heslheve produced Who.ls/are p.ersonellyknovm•.to.nte or haslhave�produced ;• .
<br /> as Identlfloatlon. as IdentlB�aOon.
<br /> Notery Public _ � Notary Publlc
<br /> Commisslon No: Commisslon No.
<br /> Name ot Notary typed,printed or stamped Name of Notary lyped,printed or stamped
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