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<br /> NOTICE OF DEED RESTRICTIOIdS: The unde�rsigned und��Qands��th�t-this::.p��nit.may.be,.subJec�to"deed",restrictlons"
<br /> which may.be�more.rest"r.tctiv��th��County'��r�gr�latlons:�'fh�underslgned�`e�sumes r'esponsibillty for`compliance�with any
<br /> �pplicable deed rest�ictions.
<br /> IJNLICEMSED CONTRACTOItS IIa11ND CONT�ICTOF3 RE�POAiS1�CLITI�S: If-t�e owner has htr�d a aroretractar or
<br /> contractors to undertake work, they may be.;required��to=be-:Ilcensed In accordance.with state.and•loca9 regulations. �If the
<br /> contractoe Is not iicensed as requlred`by law, both the owner and conti�actor;may be-clted for a�misdemeanor violatton
<br /> under state law. If the owner or Intendeai-:contractor are,uncertaln as to what Iicensing.requlremenQs may-apply<<�or.the
<br /> intended work, they are advised to contact the Pasco County�ullding`Inspection Divislon--Licensing 3ection at 727-84T-
<br /> 8009. Furthermore, If Yhe owmer has hl�ed a con�ractor or contr�ctors, he is advised to have the contractor(s) sign
<br /> portions of the "eontractor Block° of this application for which they will be responslble. If you, as.#ha oHirier�sign as'the
<br /> cont�actor, that�may be an indication that�he ts not.properly Iicensed and is not entitied to permitting privileg�s In Pasco
<br /> County.
<br /> TR�►NSPORTATION.IMPACTIUTIC.ITIE�.IMR'AC7 ANb RES�URCE RECOVERY•FEE�: The unde�signed understands
<br /> that Transportation Impact Fees and.Recour�e 6tecove.ry.Fees may�:apply�to�tMe constn�ctlon of new bui9dings� change of
<br /> use in existing buildings, or:expansi�n:of��existi�i�g:;6uildings, as speclfl�d.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned �Iso:understands, that:�such f�es�-,as�may.be�due;�wlll.be Identlfied at the�time°of•
<br /> permitting. It Is fur@Fier under�tood that Transportatlon Impact Fees and•Re�ource Recovery Fees must be pald prior to
<br /> receiving a "certf�cate of�occupancy" or flnal power:release. :If the proj�ct,..does not invoive:a�certificate �f occupancy. o�
<br /> final power release, the fees must be patd pcior to permit issuance. ��ttFrermore;if Pasco County�Water/Sewrer Impact
<br /> fees are due,Qhey..must be-pald.prlor to permit-issuance-In accordance wlth�ppiic�bte Pasco�.County ordinances. �
<br /> COfdSTRUCTION LIERI LAW(Chapter T13� �larlda�t�tut�s�as amend��); if valuallon of work is�2,500.00�or more, I
<br /> certify that I, the applicant, have-been provided w1th. a copy of the "Florida Constructlon� Llen Law—Homeowner's
<br /> Protection Gu(de" prapared by the FloPlda Depar�menC of Agrlculture and Consueraer Affairs. If 4he applicant is someone �
<br /> other than the"owner", I certffy that I h�ve.obtained�a�copy,of.the:above:.descrlbed docur►�ent=and.p.r.omise in,good faith to
<br /> deliver it to the"ownec"prior to•cornmencement:
<br /> �ON'PPtACTOR'S/09WNER'S AFFiDAVIT: I.certlfy ttiat�all.the•.Inform�tion In•4his applicatlon is accurate and that all work
<br /> will'be done in compl(ance with all applicable laws regulating construction, �oning and land developenent. AppllcaQion is
<br /> hereby made to obtain .a permit Co _do_work:.and installatlon as indicafed:�� °I certify that no work=or�Instatlation has
<br /> commenced prior Qo Is�uance of a permit and that.all work will be pertormed to meet standards of �II°laws regulating�
<br /> construction, County and City codes, zoning regulatians, and land development cegulations�in the jurisdtctlon. I al'so
<br /> certify that I understand that the regulations of other governm�nt agencies may�apply�to the intended work, and that it is
<br /> my responsibility to identEfy�what.ac�tons I must•t�ke:to be,in:.compllance: S.uch agencle�Include but-are.not Ilmtted to:
<br /> - Department of Ehvlronmental�Protectton-Cypress.��ayheads, Wetland Areas and Envlronmentaily Sensitive
<br /> Lands, WaterNVastewrater Treatment.
<br /> - Southwest Florida U�ater Management� .I�istr(ct-Wells, Cypress.'��ay.h�ads; Wetland Are�s, Altering
<br /> Watercourse�.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
<br /> - Department of Health� � ReY�abilita�ive Setvic�s/EnvironmenC�l Health Unit-Wells� VNastewater Treatment,
<br /> Septic Tank�. .
<br /> - US Environmental Protectlon Agency-Asbestos ab�fement.
<br /> Federal Avlatlon_Aut�orlty-Runways.
<br /> I understand that the following.restrictions apply to the use of flIL••
<br /> - Use of fill is not�Ilowed in Flood Zone W"unless expressly permitted.
<br /> - If the flll materlal is to be used. in.�Flood Zon�. "A", ft. is understood that a drainage plan addresstng a
<br /> °compensating volumep w►ill be submitted at 4im� of permift(ng avhich (s prepared by a professional engineer
<br /> Iicensed by the State of Florida. � _
<br /> - If ihe fill rrr�aterlal ts to be used In Flood Zone "A" (m conn�c�lon�with�a�perm(tted building using stem vua01
<br /> constructlon, I certify that flll�:wlll:b.e used oniy.to.fill the area withln the�stem�wall.
<br /> - If flll material is to be us�d in any area, I cet�ify that .use of such flll will not adversely affect adjacent
<br /> p�operties. If use of flll is found to �dversely.�ffecf ad)aeent�properties, the owner may be clted for violating
<br /> the condl#ions of the building:permit Issued under the attached {sermlt application, for.lots less than one (1)
<br /> acre whlch are�levated�by fllt, an engineered dr�in�ge plan is required. .
<br /> If 9 am the AGENT FOPt TH�OIAPN�R, I,:promise In good fatth to inform the owner of the permitttng conditlons set fo�th in
<br /> this affid�vlt�prior to commencing construction. i under�t�nd that�a-separate permit may be requlred for el�ct�ical work,
<br /> plumbing, signs, wells, pools;. afr condltioning, .g�s, or other install�tlons not•specFflcally included-in.the application. .A
<br /> permit Issued sha91 be construed to be a�Iicense to�proceed writh the wrork and not as.�uthorlty to,violate,cancel, alter, or
<br /> set aside any provisions of the technical codes;�nor shall Issuance�of a.permit.prevent the�ulldfrig Officiai from thereafter
<br /> requiring a correctlon af errors in plans, construction or violat(ons of any codes. Every piermlt Issued sha01 become invalld
<br /> unless the work authortzed.by such permit:�s.commenced•w►Ithfn sUc months of permit I�suance, or if work authorized by
<br /> the permtt is suspended or.abandoned�for:a:period of�six(6)mont�s.after the tirt�e the woo�k Is commenced. An extension
<br /> may be requested, In writing, from the Building,Officfal for a period.�not to exceed nin�ty�(90) days and will demonstrate
<br /> justifiable cause for.the extenslon. If work ceases:for nine�y(90)cons.ecutive:day.s�..the Job�Ps considered;aba�doned.
<br /> WARNING TO OWNEIt: YOUR.FAILURE.TQ..REC.ORD A.fYOTIGE�:OF�CONfiHENCEMEMT NFAY RESULT IN YOUR
<br /> PAYING TWICE FOR SMPROVEMEN.�S TO YOUR�:PR�PEfL7Y. IF°YO.UaIN�'�END:T����T'AIN��FIRFAI�CING;'CONSU�T
<br /> 1fU1TH YOUR LEND�R�OR/4N/�TPORNEY���O��sRE��R�CDINE;��YC9UR'�NOTIC�"OF'COAAIWENCE��NT�
<br /> FLORIDA JURA�(F.S� 7.03} ' - �" -
<br /> � 1
<br /> OiNNE1'��Ft A��NT � COPITFIIACTO i a-�-� - - — - - -
<br /> Subscrlbed and awom (or atNrmed)be ore me this Subsc►Ibed and' m`to(or a(flrmed)�before me ttif�
<br /> - se� r .Q L �s e�-
<br /> o Is/a rsonally kno .me or has/have produced Who.ls/are p rsonailykn •to me or he�/hav�•produced •
<br /> aa Identlflcatl4n. as tdenB�cation.
<br /> ` Note Publlc . � � �
<br /> �Y Nofary Publfc
<br /> Commisslon No:` Co rnlsslon.No.
<br /> �"�;,p��•. SYLVIAA.CAMPBELL •' "'"" SYLVIAA.CAMPBELL
<br /> �.t��PU.
<br /> Name ot No et �, G 112939 Name o(Nolery type p. � u �c- a e o on a
<br /> :., •: ommi : . •; Commission N GG 112939
<br /> :N,. v� My Comm.Expires Jul 19,2021 -r oY: My Comm.Expires Jul 19,2021
<br /> �'9�OFf��� dondedthroughNationalNotaryAssn, �''','FoFF��•'
<br /> , Ilonded through National Notary Assn,
<br />
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