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., <br /> . <br /> AIO'��I��F DEED RE�'�ICTIO�I�: The understgned,undergtands�:th�t:this:��rmlfmay.be,subJect to"deed"_restrtcttons" <br /> which may be<more�r.est�icttve-th��t Couptyi'.ra�r�latfons:_"ffie��nderslgned°as�ume�respr��sibility for compilar�ce with�any <br /> �pplicable deed reslrictions. - ,- , • - <br /> ��I�.eCl�N�IED COM'fR�CTOitS �ND-CON�RAC'TOR�63ESPA�1Si�ll�iTil��:- If the owner has=�hired a contrac4ar or <br /> contractors 4o undertake wor�,they may be;�quir�ed�#o-�be;licensed in accordance.wr(th state.and:tocal,r+egulatlons. �If the <br /> contractor is not�Itcensed.as requtred`by law� both�the owner and contcacto��may be�ctted�for a°misdemeanor viofa8on <br /> und�r state law. tf the ovmer or Intended=:contra,�tcr ere�uncertain as to wh�t (icenaing.requlrements may�appty�for the <br /> intended work�they are advised to c�ontact the-Pasco Connty�ullding lnspectibn Dtvislon--Licenstng Sectton at 727-847- <br /> �009. Furtt9ermcre, If the owrier has hired�� con6�actor or contractors, he ts advised to have the contractor(s), sign <br /> portio�s of the "contractor.Block° of..this application for which they will be responslble. ff.you��as.the owner stgn�as the <br /> contractor, that•m�y be an indlcatian thaE he�is not.properiy licensed and is not entided So pemiitting prirtHeges In Pasco <br /> Counly. � <br /> '6RAMSPARTATION�IMPACTII�TII�.I'�ES�(RfIRA��'�ANb��E�AI��tCE F�ECOVEE3Y�FEES: T�he undersigned understands <br /> 4hat Trar�sportation Impact Fees and.Recouree Recove.ry.Fees may;appiy to�the consdvction of new bulidtngs��change of <br /> use in existing buildfngs, or expansi�n{of��extsti�i��6uiidings; as specffied.in P�sco County O�dinance number 89-U7 and <br /> 90-U7. as amended. The�undersigned also:understand�; thait:such fees.;as�tnay be�due;;will:�.be identtfied at the time of <br /> permitting. It is furtfier understood that Transportation Impact�ees and=Resource Reco�ery�Fees.must be pald prior to <br /> recekring a'certiificate of occupancy" or final powe.r.=.�elease. :{f�the.projec�does no��invoive=a•certfficate of occupancy.�or-�� <br />� final power rele���, the fees mu�t be paid pr�or to permit isspance. F��thermore;�f[.Paisco�County'Water/Sewec (mpact <br /> fiees are due�they.�nust be�paid prior�o permit�-Issyan�e=tn.aEcordance witFr�appltc�ble Pasco'_County ordinances. • <br /> �08�STRI�CTION LIEN LAYV(Cliapte��13�Flortda Stattat�s��amend�d): If valua�on of work is$2�500.00:or more, i <br /> c�rtffjr that I� the applicant, have-been pnsvi.ded �with a copy of�the='Florida-�Construction� Lten .Law—Hom�owner's <br /> Pratectfon Guide" prepared bb the FloHda Department�of Agricutture and GonsnmerAffairs. If the applicant is sotneone � <br /> oth�rlhan the`o�nmer", I certtfy.that I�h�ve.obtained:a�copy;of:the abovadescrit�ed��fos��ent°and.pr�mise�in.good:faHh to <br />� deliver it t4 the.'owner�p�ior to�commencement: ' � . � . <br /> ���17'FtACTOR'SIOW{�9ER'�AFFIDAVIY: I.certl�y.tti�atall.�the��.infflrmaticm:i�thi�application is accurate.and that all work <br /> wiil�be done in compfiance with all.applic�ble law� regulatlng construction, zoning and:•land�devefopment. Appiication is <br /> her�by made to obta(n .a.permit to do:wotk;,and thsta0ation as indt�eted:•����I. certify that no work=or tnstallation has <br /> commenced prtor to Issuance of a permit and that_.all work wlll b� perFormed to meet standards of all laws �egulating- <br /> construction, County and City codes� zoning regulattans� and land dedetopment regulattons-in the j�risdictton. I ai'so. <br /> eer�fy that I understand that the regulation�of other�government a�encies may�appty�to the intended work, and that it is <br /> my responstbility to identity•what.acttons I must-take:M be.in�corripllat�ce:_ S.uch agencles tnciude but�are.not Itmited to: <br /> - Departenent og E�lvironmental Protection-Cypress.�Bayhead�; V�etland �lreas and Environmentally Sensittve <br /> Lands�WatedWastewater Yreatment. <br /> - Southwest Florlda Water Managemenk :17isfrict Wells� Cypr�ss.' �ayhe�ds; Wetland �4reas� Altering <br /> Watercourses. <br /> - Army Corps of Engine�rs-Sea�nralis�Docks,�lavigatile Waterways, <br /> - Department of.Health�'8�_ Ftet�abllitafive ��niiceslEnvi�onmenta) Health Unit lNell.s� Wastewater Treatment, <br /> Septic Tanks. � � _ <br /> - dJS Environmental Protectton Agency-Asbestos abatement <br /> - Federal Adlattun�Authoriiy-Rurnvays. <br /> I und�rs4and that the following.°restrictions appty to the use of flll:• <br />�I - Us�of flll is not allowed in.Flood�Zone°V"unless expressly permitted. <br /> - Of the fill materiai is to �b.e used. In.�Fiood Zone. °A°, It. is understood 4hat a drainage plan addressing a <br />, Wcompe�sating volume"v�►ill be submi.tted at�ime o�:permitting which ts prepared by a professfonal engineer <br /> Iicensed by#he�State�of'Florida: - - . . � <br /> - If th� flll material is�to be used in Fiood �one °A° tn���onnec�ion��vith����ermitted buflding using stem w►all <br /> ' constructlon, i cer�fy th,at flli:w�ll=b.e�sed only.to fill the area within�the�stem•wall. • <br /> - if fili materla{ ts to be used�in any area; 1 �certify that .usa of such flll will.not adversely affect ad)ac�nt <br /> i � propertles. (f use of flll is found to adversely.�ffect adJacent��propeKies�.the ov�ner may be cifed for vbrating <br /> ud <br /> the conditions of the b�iiding:permit issued�under the attached�permit applicatton� for-.lots less than:one (1) <br /> f re ulred.. . �- <br /> acre which are elevated�by flll;a�r engineer�ed dr�inage plan s q <br /> If i am the d�GEPl7'EAR THE OINMER; I;.promise In.good fatth to Infotm the owner of•the permitting condftions set forth in <br /> � - e � a be re utred for elecMcal work <br /> this affidavtt' rior to commencin conshvcUon. I understand thet a;separat ,p rmit m y q . <br /> P 9 - <br /> e Is oois� air con di t io Nn . as� or o t hec Ins ta 1 1�8on� no t.spec�i c�i(y in c l u d e d-t n.t h e�a p p i i c a t i o n. �A <br /> p l u m b i n g, s i g n s, w I , p ,. 8� 9 <br /> Permlt issued shall be construed Qo be a�Iicense,to�proceed vuitb ttie dvork and not as.authority-M,vlolate��cancei. elter, or . <br /> set aside any provisions of the.technical c�des;�nor shall issuance�of a.p�rmit.p�event the Bulldirig Offictal from thereafter <br /> Pequiring a coRection af error�In.plans;consttuctlon orvtolaUons of any codes.� Edery permtt Issued shall�become.invalld <br /> caniess 4he work authorized�by such permit:�is.corrimenced�withtn sfic mor�ths of�permit issuance, or tf wark authorized by <br /> the permit is suspended�or.abando�ed-�for:a�:per(od of�six��)�monti�s efter the tirr�e the�work��s commenced. An extensfon <br /> may be �equested. tn writing�from the�8uilding,O�icia) for a period.�not-to exc�ed�ntnety�(90) days a�d wili demonstrate <br /> justifi�ble cause for.�the extension if work ceas�s:for ninety��90)cons.ecuthre.days...th�Job�is considered aba�doned. � <br /> ��1RNI�dG TO O�NM�R: YOUR_F.�ILIJRE•TtlaR�ECO�-A:R40'��GE;OF�COMMEMCEAlIENT�.NFAY•RESULT IM�'YOUR <br /> ��VOMC TWICE:FOR�I{4APRAVEMEN3'S�Tfl afOI�R:PROPERTY. I�°YOU;1�'.fEWD:�T�`i08TA1N;FIt+fi��E�NG;�CONSUl.T <br /> il�IT Y U E D �O �4N��►TTO�EI� F�R � - � �I G�' OU � � �.0 ° � � � E . <br /> FlORIDA JURA�(F.S:t 3 _ �- `. . " <br /> OYVNER 013 AOENT CONTRAGTO � <br /> Subsatbed and swom to(or afltrmed)before mo thla Subscribed�and'swom=to(ot afftrmedybefore me� . <br /> b � � �- ' <br /> Who ts/are personally icrtovm to.me or hasihave produced Who.lc/are p.ersonailyknowm•to.nte or haslhave�prodiu�d • <br /> ae Identlflcatlon. __ _ — es IdenHflcatlon. <br /> Nbtary Publlc _ Notary Publ(c II <br /> Commisslon No: Commtsslon.ldo. <br /> Name of Idotary typed,pdnted or stamped Mame oi Nolary typed,pdnted or stamped <br />