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f t�TF?TICE OF QEED RES7RlCTtONS: The undersigned onders#ands that this permii may be subject io deed'restrictians' <br /> which may be more sesbit�re than County regula6ons. The undetsigned assvm�,s responss"bTs#y for compt'sance ui�fh any <br /> 8ppliq6ie deed restrictions: <br /> U[+tUC�MSED�pAtTR/1CTORS AND COAfTRACIOR EtESPOi+18lBIL[71ES: If fhe awner has hired a contractpr or <br /> coc�tracto�ta nndertake work,itrey may bs r�quited fa be 1'rcens�i itt accordance wifi3 sta#e asid tacai tegt�ta#ior�s_ �'tt►e <br /> conlractor is nat licerised as requRed by Iaw,bnth the awner a�td contraetor may be ated tor a misdemeanor viotation <br /> under state law. if the owner or intended contractor are uncertairr as to what licensing requiremetns may appty fnr the <br /> intended work,titey are�Hvised to caniact 1he Fasca Cannty Buiiding Inspection p'nitssson—�f.icensing Sec&an at 727-847 <br /> 8009. Furt6ermore, if the owner has hired a cantractar or contaractors, t►e is advised ta have the conirac�or(s}sign <br /> portions of the"rt»ntractar Bloc�"of this aQpfication for whlch they witl be respons�le. If you,as the rnrmer sigrt as the <br /> co»tractor,ihat may be an"rn�caGaa fFiat he is not praperfy licensed and is aaf enFitled fo permiE6ng priv�'teges in Fasca <br /> County. <br /> TRANSPORTA710N 9MPACTIU7ILITIES IMPAGT ANU DiESOURCE RECOVERY PEES: '1"he undersigned understands <br /> � lhat TranspostatIon tsspact Fees and Recou�se Recovery�ees may appty to the cnnstruction of new bnild�ngs,change of <br /> use in e '�sfing bul�ngs,ar e�ansior�ot'e�6ng bw'lrbngs.as speci�ed in Fasco Conn#y E7rclinance number 89-0?ancf <br /> ', 90-07,es amended. The undersigned also understands,lf►aE such tees,as may be due,Snn'fi be identified at the time of <br /> i pertnitting. tt is further nnderstood that Transporta6on fmpact Fees and Resource Recovery Fees must be paid prior to <br /> reaeiving a cer3if"cate+af oecopancy'ar finai pawer release_ !f the psoject does not imroive a ceriificate of occ�panay or <br /> � final power retease;the fees musk be paid priar fa permit issuance. Furthermore,if Pasco County IKatedSewer impact <br /> i feesare due,they musthe paid prior ta permit issuance in accordance w�Jt applipble Pascn County ardinasrces. <br /> CONS3RUG itON t1F.N l.1aW{Chapter 793,Flarida S#attztes.�s 8snended}: !t valuatiori ot worlt is$2,540.Q0 or more,! <br /> certify that t, the applicant, have been provided with a copy of the "Flortda Canstrucfrort Lien Law--Fiomeowners <br /> Protec6an Guide'prepared by the Florida Department of Agriculture and Consumet Atfairs. if the app�icaM is sorneone <br /> i o#her than fhe"ownet',i cert's[[y tt►at!have obtaineti a copy ofi the abave descri6et3 dacument and promise tn good faith ta <br /> deliver it fo the"av+ne�'piforto c;ommsnGEtriettt <br /> CONTRACTOR'S/OWNE'Ft S A�FItDAVTt': [certify ihat eGU ffie information in fhis applicalion is accurate and ihat all work <br /> w�ft he dane in campiiance wiUi att app&c�ble lavvs regulating canstruction,zaning and land developmer� Appfcation is <br /> he�bp made fo obfain a permit ta do work and instatlafion as indicaYed. E cerFs�r that r�o wotK or irsstallaiia[� t�as <br /> commeqced prior to issuance qf a perrnit and that all watk wiil be performed ta meet standards af a0 laws regutatfig <br /> consUvction,Gounty aqd City codes,zoning regulaUons, and land development regula�ons in the Jurisdction. 1 aisa <br /> certiiy tha#F undersfand#sat#he tegnlations af afher govetnment agencies�+ay aPpi}'to the int�nded wrork,and ttu�!it ss <br /> my responsb�i [o identify what aclians 1 must take to be in comptiance. Such agenaes inGude but are nai limiied Co; <br /> - Deparlment of F�vRanmental ProteGtion-Cypress Bayheads,WeUand Areas and F�vironmental(y Sensitive <br /> Cand�WatetNVastewaterTreatmen#. <br /> i - Sauthwest Ftorida Water tsrtanagement p'�d Wetts, Cypress Bayheads, We#and Areas, Attering <br /> Waterwurses. <br /> - Asmy Corps af Engineers-Seawatis,Docks,Navigable Watenvays. <br /> - Departmettt oi Neatth � Rehabifita�ve SeruicestErrvironmenfat Health Etnit Welts, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmentat Protection Agency Asbestos abatemenL <br /> - FederaT AviaGon Auihority-Ftunways. <br /> 1 understand that Ute tallovring restrictions apply to the use offilL• <br /> - Use of fill is not al(owed in Ftood Zane"V'unless expressty perm[tted. <br /> - !f Ute �!i materiat ts to be used in Fksod Zone"A.it ss understood fhat a drainage pfan addressing a <br /> 'cornpensating volume'wiA be su6mitted at time of pertnitting whicM is prepared by a professiarrai engineer <br /> ticensed by lhe State of Florida_ <br /> - IP ttte fi�materiat is fo be used in Ftoad Zane"A in r�nnedlon with a gerrttifted building using siem waR <br /> consUuctian,i cedify that filt wt�l be used onty to fitl the area�vithin the s#em wati. <br /> - If fill material is tb be used in any area, I cer6ty that use of such fill witl not adversety af"rect adjacerrt <br /> properties. If use oP�f1 is tound to adversely afFect adjecertt properfies,the awner may be cited far viofatir�g <br /> the cortdtiotts af the bulding pertnit issued nnder fhe attached perrnit appIicafion,for Iats te�thart ane(4} <br /> acre which are elevated by fitl,an enginee�d drainag�plan is reqnired_ <br /> tf!am the AGEt4T FOR'iNE t3UUPfER,1 promise in goa8 faith to inform ihe owner of the permitfing cond'�ons se#farfh in <br /> this aftidavit prior to commenang canstruction. 1 understand that a separa#e permit may be reqtrired far�ledricai wark, <br /> plumbing,signs,well�,pools, air condiRioning, gas,or other inskallations not specifically inctuded in the applica6on. A <br /> pertnR issued shall be c�nstrusd to be�license to proceed with the work and npi as authority to viDlata,cancel,atter,or <br /> sei aside any prc�vss"tons of the technical cades,nar shalt issuaace oF a perm�prsvent!he 8us'tding t}€€sciat fra�rs thst'ea(ter <br /> requiring a cortectiort of eaors in plans,construc0on or violatians of arry codes. Eirery permit issved shaU become irnra6� <br /> untess ihe woric autha►ryzed by such perrnit is commenced��thin six montt►s of permit issuance,ar if work authorized by <br /> the perm`sf is suspended ar abandoned for a persod o�six{&J manths after the tsme the work is cornmenced. Ast exUension <br /> may be requested,in wri6ng,from the Buitding O�ciat iar a pedod not fo exceet3 ninety{90)days and witi demnnstrafe <br />� justifiable cause for 1he extensian. !f work ceases ior ninety(SO)consecutive days,ihe job is consideted abandoned. <br /> WARNtNG TO OW�fER: Yt3UR FAILtfRE TO REGORD A td07tC�OF CUNlM�t�ICEM�NT!d(AY RESt�LT Ji�i YQl1R <br /> PAYIi�G 71MCE FOR IMPROV TO YOUR PROPERTY. IF YQU 1 p TO OSTAIN FINANCING,CdHSIfLT <br /> WtTH YOURl.ENd fC�RA11 'iT NEII SEFURERECORDING YO OF COfVIMEk110EMEFiT_ <br /> FL�Rlt3AdURA7{F 17 )' ...._ <br /> OWNER ORACi, ' �HTR�'� — <br /> u ibed a� tq(or a�`�rm`qdJ ro r m�_��� and s� r or a�nn )befar Cdw � <br /> G ZO t� t�ac�.cat" 6U S t' <br /> VYho islare�a�,na�,knewn fn ma ar tk3s/Aave praduced are rsonatty to mo m h raduca�i <br /> as�tlBtlUflt�d0Y1. n Fption. <br /> �i�'%'=��'�`f4otaryPub�c o�F"�g�Y�� <br /> � ���.,�. <br /> ���n�. ni n Pto_ <br /> � <br /> ` ���uup� . <br /> �.��.ar au'!., Name bf �.p �d stur�p Namo of No lypad,�nled or slam <br /> r,�' .`�.-, Natary Fubtie-State ot Florida t�Y.�uai, JAGKIC FQRSYfN <br /> ' : _ Commission�GG 041972 �°�` e'•`' pAY COMM}SSiON�FF 1bs315 <br /> ',�'��,��L�,�+,° My Comm.Expires Oct 2B,202p * '� �;�,'�IRES:October 15,2018 <br /> �aF,,,,a� $flntlediF�rouyhH2tiDfl1lN022TyAsSl1: ��eoFv49���e EafeedThr+�BudgetKotasYServi�es <br /> - — � <br />