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<br />� NOTtCE 4F DEED RESTRtCT10NS: The undersigned.undecs#ands.that,this;p.ermit mayrbe:subject.to_"deed".resfrictions''_`�:�.�;
<br />� d� x,4:,ir.°!,, - ' ..s::.::.*:w•ir��<,:.::t^-,^r�.�,;?-_{;f...r.:.y^;,,,�d.,n�,,.y;:. .:� :-;i'i�"t3:S�ti�';�:f
<br /> �,rr,�yty���;^:.
<br /> which;:may:<be more.�estrictive:�than�Caunfy regulations: Thetunifersigned assum`es respon`sitiility;for coriipliance�with any•r. ;;;
<br /> appitcable.deed.'restriations.. , ��--:��`' ;�`'=<!�.�
<br /> UNLICENSED. GONTRACTORS ANb CONTRAGTOR RE3PONSIBfGIT1ES:� If•••tFie�=oinrr�erµhas°°h'ired�a;:contractor-or.
<br /> contractors ta undertalce work, they„mayf:be ce.guired'to be!licensed in accordance with state andrlocalrregulations:::=if=the�;"'W;
<br /> contractor is-.not licensed�as requireci'liy�law, �botli the awner�:and`eonfracfo`r-may<=Eie�cited�fo�;a.misdemeanor violation- ��-=�!
<br /> under sfate iaw. If the owner or intendeid.;co_ntractoc are uncertain as to what ticensing requir.ements:;may:=apply:=for;the`::4�a_'';;
<br /> ..,.Toy",^f_''.� ... ,...°t>_. _ . . .i
<br /> intended wark,.they.are�advised to+cantact fiie'Pascci Courity`Buiitling ti�specfion'Diriision�_::Licensing Section at T27.�847- ,�
<br />'� 8Q09. Fu�thermare, if the owner iias`°fiired'�a corit�actor or cont�actors, he Mis advised to;�;have the_ contractor(s),.signerv,,;-.:�
<br /> �. ..... ..
<br /> I portions af the "contractor Block"of this application_for which.they will.be respansible:-:If..you,,as'ttie�ov_iiiiersigrr.as�Etie '°�`,�;i
<br /> I contractor., that may 6e an indication�that he is not�prope�ly Ilcensed ancl�is not eriti#led to,permEtting pr�vileges„in Pasco� .�;;<,�}
<br /> r County. ; -"� 3�;�.,�.
<br /> TRANSPC►RTATIBN iMPACTLUTiC.tT1ES.IMPACT AND RESOURCE RECCIVERY FEES:�The undersigned understands -°::��
<br /> that'Transporkation lmpact.Fees and Recourse Recavery Fe.es,:may:apply to#he construcfion of..new:.b,ui(ifings,�cliange�,of�-w$�..,�
<br />� _
<br /> use in existing buililings,.or�,expansion:�of;:existing buiidings, as sp�cified in Pascb Coun#y�rdinance rtumber 89=07 ariii';",.°.�
<br /> 90-p7, as amended. The�undersigned also runderstands, that such:_#ees, as,may;be�due, will`t�e?iden#ified=at��ttie��tirrie�.af��?:,i,;�
<br /> permitting. �It is further understood thaf��Transportation Impact Fees�and Re§ource`fRecovery Fees must be paid p�ior.to- �
<br /> receiving a "certificate of accupancy"or final,power release. if the:project�does not�involve a certificate of occupancy�:6i�`�`��,#
<br /> final power release,.the feesvmus# be.paid prior to permit issuance...,�Furtfiermore,.if Pasca Counfy W,aterlSewer;rimpact�;<�.� `.•�,
<br /> I fees are d�e,they must be paid prior_#a-permit issuartce in accordance'with'applicable_Fasco Caunty ardinances. 4 �
<br /> � CONST'RUCTlON l:lEN�LAtt1t'(Ghapter 713;�Fiorida�tatutes,as amended): if valua#ion of work is$2,500AO,or.mo,r.e,�.i�.�4 ,;
<br /> certify that I, the applicant,� have .been provid'ed with �a�copy,:of,#he "Florida Cortstruction.�Lien-_Law-Horrteowner's���
<br /> �i Protection Guide"�prepared by ttie�florida Department o f Agriculture an d Consumer A ffairs. !f the app licant�is someone,, �
<br /> other than the uowner",;I,certify that.l.:have obtained a copy-af-the above�desc�ibed'document and pr.amise�in goo:d�.faitfi=tp'".,., .;
<br /> � deiiver.it,to.the:°ownei''�priar�to�coinmeneement. ' ' -
<br /> CONTRACTt)R'S%CiWNER'S AFFIDA1i1T:,;,;l�certify;.that ali�the infocmation in this appiication is accurate and that alt�work ,
<br /> will be done in compliance with ail applicabie�laws reguiafrng canstruction, zoning�and land development. Appiicatian is
<br /> hereby made to obtain; a,.permit..#o da;�work-and instaffation. as:indicated. ! certify thaf na work or insCaitation ha"s t
<br /> � commenced prior to issuance of a permtt and-that all work will be pert'ormed to_meet-standards of alt laws regulating
<br /> construction, County and City codes, zoning regulations, and land development-�regulations in-the jurisdiction. �l:also
<br /> � certify that I understand that the regulations of other governmenf agencies may apply to the in#ended work, and that it is �;
<br /> ' my respansibility to identify what actions I must take ta be in campliance. Suah agencies include,but are not,limited to: '
<br /> ! - t Department of Environmentaf;Pratectian-Cypress Baytieads, Wetland Areas and EnviranmentaHy Sensitive
<br /> Lands,WaterMlastewater Treatment. K
<br /> ' - Southwest Florida Water Management District Wells, Cypress -Bayheads, Vlletland Areas, Attering
<br /> , Watercourses. �{
<br /> - Army Carps of Engineers-Seawalis, Docks, Navigable V1laterways.
<br /> - Department of H�aith & Rehabi(itative Services/Enviranmental;.Health ,Unit:Weils, Wastewafer Treatment,
<br /> Sep#ie.Tanks. � � '
<br /> - US Environmental Protection Agency-Asbestas abatement.
<br /> - Federal Aviatian Authority-Runways.
<br /> I understand that.the following restricfions apply to the use of fill:
<br /> . - Use of fil(is not allowed in Fload Zone"V" unless expressly permitted.
<br /> - if the fili materiai: is ta be used in Fbod Zone "A", it is understood that a drainage ptan addressing a
<br /> "campensating volume" wiff be submitted at#ime of permitting which is prepared by a professiona) engineer �
<br /> licensed by the State of Flarida. ,
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wal!
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - ff fili� materiai is to be used in any area, I certify that use of such fill will not adversely affect adjaoent
<br /> properties. If use af fili is faund to adversely affect adjacent properties, the owner may be cited for violating ,
<br /> ttte condltians of the building permit issued under the attached-permit.applica#ion, for tots (ess than ane t1.) '
<br /> acre which are elevated by fi!!,an engineered drainage pian is tequi�ed.
<br /> If I am the AGENT FOR THE OWNER;!-gromise in good faith to inform the owner of.the permitting conditions set forth in
<br /> this afFidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, '
<br /> plumbing, signs, wells, poals, air canditioning, gas, or�othe��installations not specifically included in the applica#ion: A, °,
<br /> permit issued shaii'be canstrued ta�be a license to proceed with the wark and not as authori#y to violate,.cac�cel, a(ter, or
<br /> set aside any_provisions of ttie technicai codes, nor shati issuance af a perm�t prevent the Building bfficial from fheceafter
<br /> requiring a correction of errors in plans;:+construction or violatiori's of any�codes. Every permif issued shafl become invatid
<br /> unless the work authorized by such permit is commenced within six months`'o#permit issuance, or•_�work authorized by
<br /> the permit is suspended.or abandoned for a periad:.af six(6) montlis after the time#he work is`cammenced. An extension � -
<br /> may be requested, in writing, from tFie Building C3fficial for a period not to�excei�d ninety (90) days and will demonstrate ,
<br /> justi�abte cause for.Ehe extension. ,!f work ceases for ninety(94}.consecutive days,#he job is considered abandoned.
<br /> WARNlNG TO OWNER: YOUR FAILURE TQ RECORD A NQTlCE OF CQMMENCEMENT MAY RESUI.T !N YG1UR
<br /> PAYING TWICE FOR IMPRQVEMENTS TO YOUR:PROPERTY, IF YOU�:INTEND�TO�OBTAlN�FINANCING,_CONSULT _
<br /> " WITH Y4UR L'ENDER CIR AN!�i'17013 EY BEFORE REC�RDIING-YOUR�IOTICE-OF�COM �ENCEMENT.
<br /> F�ORIDA JURAT(F.S.1 i 7. �
<br /> OWNER OR AGEN ' CONTRACTOR—,��as`���'
<br /> Subscribed and'sw ta{or af�rtned)before e tltls Subscribed and !�a(pr affirmed)befa e me#his � '
<br /> by by 1
<br /> Who is/are personally known to me or has/have produaed " Who is/ar personally known to me or has/have produced '
<br /> as IdenBfica#an. as idenUflcation.
<br /> �
<br /> Natary Public � a � L � Notary Pubfic
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<br /> CammissEon No. C ' sion
<br /> f11F�h
<br /> . ^�.�s:.v�, JACQUELINE BOGES
<br /> Name of Notary typed,printed or stamped iVame of Nat r`�, ;�ai �� ���r 12,2018
<br /> L��`„o��;Q'�` Bonded7lm�TmyFainlnsurance800.�85dOt9
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