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' NOTiGE OF�EED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" <br /> which may be more resUlctive than County reguletions. The undersigned assumes responstli(lity for compllance with any <br /> appllcabte deed reshictions, • <br /> tlFiUCENSED CONTRACTORS AND.CONTRACTBR RESPONSIBIU'PIES: tf fhe owmer has hired a cor�tractor or <br /> contractnrs.to undertakr�wnrk,they may he�equired to be licensed in accard�nee�vith state anc!loc�l regul2L��!:s. !f rhe <br /> cantractor is riat.Ricensed as required hy lsvr;botti the owner and contractor may he cited#or a rri�sdsmeanor uiotatinn <br /> under state iaw, tf tiia owieer or in#ended contractor are uncertain as to w6at ticensing reqi+irements may app3y for fhe, <br /> intended work,.tfiey are advised to contact the Pasco Courriy Building Inspection Division—l.icensing Section at 727-847- <br /> 8009. Furiherrnore, if the owner has hited a contraatcar or conirac[ors, he is advised to have ihe contractor{s).sign <br /> portions of the"contraGtar Btodc"af ttiis application for which they wiI!be respansible. if you,as the owner sign as the <br /> contractbr,tfiat may be an indicatiom�Frak he is not propeHy licensed and is not en6tled ta permitdng privileges in Pasco <br /> County. � <br /> TRAi�ISPORTATiON 1MPAGTN7l1_t7'!ES tMPACT AIdD FCESOUi2CE RECOVERY FEES: The undersigried understands <br /> fhat_7ransportaHon Impact Fees end Recourse f2ecovery Fees may sppty to the conshuction of new buiidfngs,change of • <br /> use in existing buildings, or expansfon of exisGng buildings,as spec�ed.in Pasco County Ordinance aumber 89=07 and <br /> 90-07,as-amended. The undersignsd a3s�understands,that such fees,as may be due,wi11 be idenfifieit at fbe time of <br /> permitting. it is further Understaad that Transportation Impaot Fees and Resource Racovery Fees must be paid prior to- <br /> receiving a°certiticate of occupancy'or finat power release. If the project does ncit invdive a certificate af occupancy or <br /> tinal powet retease,the 1'ees must be patd prior to permit issuance, Furthem�ore, if Pasco County Wa#eriSewer fmpact ( <br /> fees are.due,they must.be paid prior to permit issu8nce in accordance with appiicabie Pasco County ordin�nces. <br /> CON$TRUCTION LIEN LAW(Chapter 713;Flurida:Sta#utes,as amended): (f valuatian af work is$2,500.00 or more,I <br /> c�u��r u a� 1, the aw�i,ca�i, �avc� Q��n proviri�c� oviih a copy of �ne."r�orida Cvnsvucuon iien Lav�--i-iomeowner`s <br /> Protectton Gulde°prepared.by#he Fioride Department of Agticutture and Consumer Affalrs, tf the appiicant is somenne ' <br /> other ttian the°owne�°,I cetfify that I haye obtained a capy of the ahove described document and promise in good faith to <br /> deliver it to ihe"ownei"`prior to cotttmencement , <br /> CONTRACTOft'SfdWNER'S AFFtDA1tFT; t certify that a1!fhe tnformation in this apptication is accurate and that atl work <br /> will be done in compliance with all appiicable laws reguMating consUuctiorr,zoning and land development. Applicatlon is <br /> hereby made to obtain a permit to do work 8ifd.installation as indicafed. f certi(y Utai no wark or instaffation has <br /> . comrrienced prior to issuance of a petmit snd that alt wark.witl be per#armed ta meet standards uf atl Iaws regulating <br /> �On87UiGEleR, r^:r���nty an�! �i��a�� 2'471!!ls:rn.,,�LIgNn!1g� 2!!� l�RG� ��YBIOr:119F1� ��!«�.".bG�S '.^.'�SC jiiPioi�{..^h�^vi�. {'aiSu <br /> certify that I understand that the regulaUons of other govemment.agenues may apply to the.interided work;and thatit is <br /> my respi>�si6lEity to Edentlfjr what.actians!must take to be In compltance: Sucfi agencles.inciude 6tst are nat Itmited ta:. <br /> - DepartmenC of Environmental Protec4on-Cypress Bayheads, WeUand Areas �nd Environmentally Sensi6ve <br /> Lands,WaterMlasfewater Treatment. <br /> - Sauth�niest Ftorida Water INariagement Dis#iict-tNells„ Cypress Bayheads, Wetland Areas, AI#ering <br /> Watercourses. <br /> - Army Corps nf Engineers-Seawalls;Docks,.Navigable Waterways. <br /> - !?epartment of HealEh 8 FteFiabititafive SecviceslEnvtionmentat Health Unit-We((s, Wastewater TresUnen� ' <br /> Septic Tanks. <br /> - US Environmental protection Agency-Asbestos abatement <br /> - Fedsea#Avladon Autharity-Runways. <br /> I understand that#he follawtng.restrictions appiy to ti�e°usa of fifi: <br /> - Use.of fill is not allowad in Flond Zone"V'unless e�ressty permitted. <br /> - !f the fill material is to be used in Flood Zane "A'., it is understood ihat a drainage plan addressing a <br /> "compensating volume"eFiilt be su6mitted at time of permitting which is prepared by a professionai engineer <br /> licensed by the Stake of Florida. <br /> - ii ihe nit materiai is to be useo.in Fiooti Zona`A� in connecdan with a pertnitted bnils}ing using stern wait <br /> construction,l certiiy that fiit wi1E be osed anty to fitl the area within the stem wali. <br /> - If tlll material is to be used in any area, I certify that use of such fill wil( not adversely affect adjacent <br /> properties. If use of fllt is"found to adversely affect adjacent prapetties,the.ownec may be cited for viofaGng <br /> the cond9tlons of the bullding perm#t issued under the aftaahed permit appEir.�tlan,far(o#s I�ss than one(1} <br /> aue which are elevated by fill,an engineered'dreinege plan is required. <br /> If I am the AGENT FOR THE DWNER,I promise in good faith to inform the owner of the permitiing conditions set forth in <br /> this a�davit pnor to commenc`sng cbnsttuction. 1 uriderstand tFxat a separa#e permit may be required for elec#rical work, <br /> pl�mbing.s:gr.s, t�vetls,poc�s, ais ee^dit,ion3ng,.�a�, cr othsr tnstatlaticna nci specifi�lty'snc;uded i�ttte spp�ica��;t. ":, <br /> pertnit,lssued shiall be consUued to be a Ilcense to proceed'with lhe work and not as auttiority to vlolate;cancel,alter,or <br /> ' set aside.any prov�slons of ths technical codes,nof shaii fssuance:o€a permit p�eveni#he Bai(ding Qi�cisi froin thereaBer <br /> requiririg a corcectian of errois in plans,construction or violations of any codes. Every pemvt issusd sha(1 become invatid <br /> unless the work authorized by such permit is commenced within six mont►ts.of pertnit issuance,ar if work authorized by j <br /> the permii is suspended or a6andoned for a period of six(B)months after#he tima the work is commertced. Ai�s�ension I <br /> rriay 6e requested,in writing,frbm fhe Buitding Oftic�ai for a period not ta exceed ninety(80}days and wltl.demonstrate � <br /> justifiable cause for the eutension. If work ceases for ninety(90)cansecutive days,.the job is considered abandoned. <br /> WARNtNG TO OWNEft: YOUR FAILURE TO RECORO A NOTtCE OF CONtMEC�CEMEN3 MAY RESULT fN YOUR <br /> PAYING T�MCE FOR IMpROVEMENTS TO YOUR PRQPERTY. IF YOU INTEND TO.� ,CONSLJLT • <br /> WCfH YC1llR IENDER OR AN A7T RNEY BEF RE RE ORDItJG Y0Ui2 OTIC COMMENCEMENT. � <br /> F���a�.ru�ar{�s.if7.os� , <br /> OWNER QR AGENT CONTRI#C7'OF� -_ _ <br /> • $ubsuibed and svwm 40{or affirmedj be(ore me thls Suhscribed ynd swom to r aflfrmed)be re me ihis <br /> by t!J'1�- j f 6y :C� t 'k� t�"'t— � <br /> Who islare personally Idrown[o me or hasdhava producad Wha islara.personaVl known to ma w hasfieve produced . � <br /> `;dB;t�Citl.„^. � ��:Y.� .`,N kMr�u.�n 85;Ge��uuLe3tlGfi. ^ <br /> �- �— <br /> NMary Publia ���l�� Notary PubBa a. <br /> Commtssian No. C�tnmtsston No_ �T�S'.3 3(o S <br /> W 4 4l.}'CN�n{. �LG`�"'�C'ir��� <br /> l3ame of Natsry typed,printed ot stampe8 Name nf Notary_ryped,printsd or atamped <br /> �y/'tf�'�Ih <br /> ��"� Notwy PuWic State of Florlda "` , <br /> . . 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