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<br /> NOT1C@ OF DEED RESTltIC'�IONS: The.undecsigned:under�tands��th�t,thls:p�rmlf may.,b,e;subject to"deed".1�e511'ICt10hS°_�..�,f.,�...�`..
<br /> which may,tie�-more�-r.est�ictive:th��'County��fegulatCons.•�The"undersigned�assumes=re�ponsibfltty`.forAcoinpliance'w)th a'ny ��' ���
<br /> appiicable_deed restrictions. ,.. � .;, :... . .. �< _. .. . ... ..... . .... ... ...+ �<-=.-.�_ _. ; ..
<br /> UNUCENSED CONTRACTORS AND CON�RACTOR RESPONSIBILITIES:= -�If-the��owner-has��hired�a�contractar or
<br /> contractors to unde�take work, they.may:be:reiqulred_to��bezlicensed ln_accordance:with;state�.and.•local,�r.egulation.s.:�-1f�the• -'-�-•���
<br /> contractor is�not Iicensed:'as�requlred.°tiy'lew, both�the owner.and'�cont�actor-may tie�°clted��forYa-�misdemeanor violation
<br /> under state law. If the owner or Interided.�contractor;are,;unce�taln as to what ilcensing;requiremen#s;;may:�apply-��for:the`����=����'•�����`�
<br /> intended work,they are advised fo coritact ttie'.Pasco Counry;Bullding Inspection Dlvislon-Licensing Section at 727-84T-
<br /> 8008. Furttiermore, �If the owrier'Fias��hlred'a cont�actor o�'con4ractors, he is advised to have'the contractor(s),,sign ,
<br /> portions of the °contractor Block" of this�appllcation-foc,which..they:wilL be.tesp.onslble.e:�if;=you;-as.the oininer sign'as'tiie" � "�
<br /> contractor, that�inay be an indlcation that��Fie is not.propeHy�Ncensed-and�is nof entftled'to permitting prii�ileges in Pasco
<br /> County. ' � , . : .�,...�.:°:>.;. �'�.:.:
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<br /> TRANSPORTATION.IMPACTlU71LITIES=tMPAC'��ANb RESOURCE RECOVERY�FEES: 'T�he undersigned understands
<br /> thatTransportation Impact Fees�and.Reco.u�e Recovery.Fees may?apply�,to�the;constructton;of.new.bulidings,�change�`of�t°�'��`��� '''
<br /> use In exisNng bulldings, or=�ezpansibrr�of_�exlstin,g��buildings, as specifled.in P�sco County Ordinance number 89-07 and
<br /> 90-07, as amended.:.The undetsigned also;understands, that:�such fees;�.as�may:be��due;;�.wfll:�tie idenfified at the"time=•of-��` -�" �`'
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<br /> permitting. it Is iii"rther understood that Transportatlon impact Fees and;Resoucce;Reco�ery�Fees must be pald prior to
<br /> receiving�a="certificate..of occupancy" or�flnal�power;,release.' :If�the.proJ�ct:.does::not tnvolve:a�.certiflcate of o�cupancy�o�N���2j`�'��`�
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<br /> fees are due,_the :must be=pald:. rior t perrinit>;issuanee=in.accordance.viritFi ermore;�ff:Pasco,County"Water/Sewec�;lmpact �_ :��•:°��: '
<br /> final ower release;-,,e:fees��mu�t be aid;prlor to.. ermit issuance. F��tk� '
<br /> y p; �applicatile Pasco��•County�ortlinances. I
<br /> CONSTRUCTION'LIEM�d.AW'(Cliapter 713� FIoP1da St�tutes�as amended): If valuadon of work is$2,500.00;,or=more, 1- -�:� =;ii.
<br /> certify tFiat I, the.�applicant;-have�been-proyided �with=-a copy,of the�"Florida� ConstrucNon� Lien.:Lav�Homeowner's
<br />, Protection Guide" prepared by the�Flo"rida Departmenf of Agriculture and Consumer,Atfairs. if the applicant is someone-�r. ; ,.
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<br /> other tha�the"owne�", I certffy_that:,l;have;ob.ta)ned-a°copy;of the;above..descrlbed docu"ment:and';promise:tn;gvod':faith to. . ,,
<br /> deliver it to.the"ownec"'p�ior<to>commericement�" ' " ' " �" '� � , "� � - ., ��
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: i.�ert�y:tn:at.;�u�th�:informatiqn:la�this applicatlon is accurate and that all work
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<br /> will'be done in compltance with all.applicable laws regulating constructlon� zontng and��land�deyelopment. Appltcatlon is
<br /> hereby made to obtain .a.pecmtt�:Co,do��wo�ic:,.and :Installation �s ind[�ated:�--..�I. certffy that no work°or installation has
<br /> commenced �p�(or to Issuance of'a permiE~antl that.all work will be performed to meet.standards-of all laws �egulaking-
<br /> constructlon, County and City codes, zoning regulatians� and land development cegulations�in the�jurtsd(ct(on:- I��al'so;
<br /> certify that I understand that the regulations of other gov�rnment agencies may�apply;to the_intended_work, and that it is
<br /> my responsibility to identlfy•what,actlons 1 must•take:to be.in:.conlpliar�ce..Such:agencles include but�are.not Iimited to: �-
<br /> - De artment of E�v(ronmentai�Protection=�� ` "� `
<br /> p Cypress.Bayhead�; 1Netiand Areas �nd Envtronmentally Sensitive
<br /> Lands,WateNWastewater Treahnent. � .
<br /> - Southwest Florida Water Management :I�tstdct Vllells; Cypress.r�Bayheads;� Wetland Areas� Altering
<br /> Watercourses. - , .
<br /> - Army Corps of Engineers-Seawalls,`Docks, lVavigable Watetways.
<br /> - Department of_Health,'&. Rehabllitative.Seniices/Envtronmental Health Unit Well.s, Wasteviraater Treafinent,
<br /> Septia Tanks:... _- • . ' ,
<br /> - US Environmental Protectfon Agency-Asbestos abatement.
<br /> Federel Aviatlon-Authority,=Runways;� '
<br /> I understand.that the.folloinr�ng,restrictions apply to tfie use of flIL••
<br /> - Use offlll is not allowed in:Flood�Zone"V"unless expressly permitted. -
<br /> - If.the �II- material is to b.e used;�in.�Flood Zone. "A", It. is understood�that a drainage plan addressing a
<br /> °compensating volume" will be submitted at time of permitting v►rF�(ch is prepared by a professional engineer � �
<br /> Iicensed by#he State of Florida: , - - , -
<br /> - If th� flll material�is to be used In Flood Zone 'A" Int connection�with�a permitted building using stem wall
<br /> construction, I certify..that ftll�:�rall:be used only.to.fill the area within the�stem�wall:
<br /> - If fill material is to be used in any area;"I �certify that .use. of such flll will not adversely affect adJacent
<br /> properties. If use�of flll,Is found�to adverseEy:�ffect ad)acent��properties,.the owner may be cited for viol'a0ng '
<br /> the condi#lons_of the building�.permit issued�under the attached permlt appltcatbn, for lots�.less�lhan.one (1)
<br /> acre wHtcfi are elevated�tiy f111;a�t englneered drainage plan is required. .
<br /> If i am the AGENT FOR THE OWNER, I;.promise In good.faith to inform�the owner of the-permitting condit(ons set forth In
<br /> thts afiidavit�pr�or 4o commer�cing construction. I understand thet a-aeparate,permit may be required for elecMcal'work, ,
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<br /> plumbing,.signs, wells,..poots;, air condtttoning,-.gas,-.or otMe� install�tloris nol.spec�flcally included�in.the�application. .A -
<br /> permit Issued shall be constcued to be°a�license'-to proceed with tt►e wiork and not•as:authoHty-to,violate;cancel. alter, or
<br /> set aside any provtsions of.tfie technical.codes,�,:nor shall issuance�of a.permit.prevent the Bulldtrig O#fic(al from thereafter
<br /> requiring a correction af errors In..plans; construction oc violat(ons of-any codes. Every�p�etmit=lssued"sFiall become invalid
<br /> unless the work author(zed.by such perm(t:is.commenced•withln sGc:months of�permft issuance, or If work authorized by
<br /> the permit is suspended or:abacadoned:for-a:period.of�six;f�)•monfFis.aRer the time the�wowk�is corrimenced. An extension
<br /> may be requested� In writlrig�;,_f�o.m the�ullding,Offlclal for a peNod.�not to exceed=ninety(90)�d'ays and�-wilf demonstrate
<br /> justifiable�cause for:the extension� If work ceases:for ninety.(90)cons.ecutive�day.s...the job;is considered abaadoned. -
<br /> WARNING TO OWNER: YOUR.FAILURE�T�,.R�E.C.ORD:A::NOTIGE�.:OF.�COMMEMCEMEMT�MAY�RESULT IN YOUR �
<br /> PAYING TWICE:FOR IMPROV�IIAENTS�TO:Y�UR<PRQPER-TY:°�IF°YO.U;11�b'�END'T�'��TAIN��FINAI�EING;�ON�ULT
<br /> WIT • U . D O. API°i4� O OR�i,-E�O f7 : ;� .; . z :,: � E � - . ,.,.
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<br />_ FLORIDA JURA7:(F�S:i 7.0 - _ ,�• — - ,__- --------- -- - - _" .
<br /> OWNER OR AdENT , - -- CONTRACTO . �"""'"t� - - - ---- -- - _~�-I
<br /> ubs b and to(o rt�1ed),pefore me Is $ub�B�ri ed and' (ot afllrtryed)� �fot�e me'tfit�
<br /> � ( by L. /4) i' (o dS� �2 L d�{SP�t �'
<br /> Who Is/a ersonally known to me or has/have produced Who IsJare p. rsoneliyk�own• me;orheslhave�produced •
<br /> as Id'entlflcatl4�. � as identlflcadon.
<br /> ` u' Notsry Public . Notary Public I
<br /> Com Commission No. I
<br /> `,o4'R ui�e a . - i
<br /> •` r P '• ,,O,�y p��r� SYLVIA A.CAMPBEIL
<br /> ��; Notary Public-State of Florida
<br /> Neme �V �,� @B��F �- Notar Public-St te of Florida i
<br /> s�• o;� Commission FF 034230 Name of Notary type Qd ed or;�tam�ppdomm Expires Jul 19,2017 I
<br /> ''� ��' Commission #FF 034230
<br /> �':;FOFF`°P`� Bonded Through National Notary Assn. '�•<��4°= �
<br /> '"""'" -�,��t���`'� 9orded Through National Notary Assn. �
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