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NOTICE QF DEED REST.RICTI�NS: The understg�ed under�tands�;th�t#his;��rmit.may,ae,sub�ect to,"deed",resUl�t#ons" <br /> which may-be-more�rest�:tctive�th��County'�r+�gulatfons;'The�underslgned�assu�i�s=�espronsitititty-:for�compiiance'uviCfi�any ' <br /> appilcabte deed rest�iction�. . � � <br /> UNLICENSED CONTRACTORS AND CCINTRAC'i'OR�RESPOt�tSlBILITIE�S: ff the owner`has�hlred a .can#cactar or <br /> cont�actors ta undertake work, they may.be,�r,e�qulre,d.�to.�be,llcensed In accardance.writh state�.and•local regulatlons. �If�the� <br /> contractor !s na# l�censed as requlred�by law� batlt tha owrier and contfactorjiriay�be-�ctted�€or a�misdemesnar ul�la#ion <br /> under state law. If the awner ar Intended=co,n.tra�tor,�are uncertain es to what Iirensing.requtrements.m�y�•apply�ior the <br /> Intended wark, they are advlsed to contact the Pa�sco Caunty 8ullding lnspectlon D(vlslon—Licensi�g Sectton at 727-847- <br /> 8009. Fu�thermore, if the owner fias hlteci s contractor or contractors� he is advised to have the cantractar�s�, stgn <br /> portions of the "contrectar Block� of this epplicatlon for whlch they wfll be tesponsibie.� If.yau� as.the owner'sign'�ei§'the <br /> contractor, tha#�nay be an indlca#lon that�he-is not properiy Ilcensed and ls nat en�tled to per►niktfng privifeges in Pasca <br /> County. ' <br /> TRANSPORTATION_IMPACT/UTlLITIES�IMPAC'�ANC1�ESOURCE RECOVERY�FEES:�7he underslgned undersQands <br /> that T�anspartatifln Impact Fees�and.Reccurse Ret:ove.ry.Fees m�y:�apply.ta:the canstructton of new bulldings.�change=of <br /> use in existing buildings, o��expar�si�n>of�existi�%g'<6uiltlings, as spectfled.in Pasco County O�dinance number 89-OJ��nd <br /> 90-oT, as amended. ..'Ghe undecsigned alsa.understa�ds; thaiE�such fees,-sas,�may.be�.due;:w111,}be Identifled at fhe�ttme°o#= <br /> permikking. It is furtlier unders#ood that Tre�spottation Impact Feea an��Resource RecovsrywFees mus# be pald prior to <br /> rece�ving a"cerE�tcate af�occupa�cy"or#Inal�.pawer�etease. :If�the project�.does not�inva�lveaa;cett�ficate af occupanay..or� . <br /> finai pawer release; #he faes mra�t be paid prlor to permit Issuance. F�xthermore;if:.Pascro County 1iVaterlSewer innpact <br /> fees are due�.they.must be-pald prior to permit-Issuance•In accordance with�applicable Pasco'.Gounty�ordinances. � <br /> CONSTRtICT10N�C1EN�A1t4/�Cl�epf�r 7'13,EloNct��t�tutes,��mendec�}: �valua�on of war9c is�2,5QO.00�or more� ! <br /> certify that I, #he .applicant, have�been provided. with a copy of�the "Flo�ida• ConstnacGan Lien .Lav�r---Homeovir�er's <br /> Protectton Culde" prepared by the Fio�da Depa�tment�of Agricufture and Consumer�Ai�atrs. !f the epplicant Is sameone <br /> other than the"owner", I certtfy�that t;have.abtainedya�copy,of..the:abova.descrlbed doaument-and.pxomtse.in,gaod.fai�h to <br /> deliver It to the'owne�':.prlor�to-cornmencement:' <br /> Ct?NTRAGTOR'S/+DWNER•8 AFfIQAYIT: l ceitity;tEiat-alt.th��lnfarmation;i��this appltaatlon is accurste and that ail work <br /> will'be done in campliance with all.applicable laws regulating constn.tctlon, zoning and land°develapment, Application is <br /> hereby made to obtain.a permit .ta do_woii�;:and instatiatlon as indt�atecF..� �� certify that no wark or Installat#o� has <br /> commenced prlor #o issuance of�a permiC and that.atl work wiit be pertormed to meet standards of aU laws regula�ing- <br /> constructton, County and Clty codes, zoning regulattans, and land development regulations-!n the jurisdtctlon. ! al'so <br /> certify that I unde�stand that the regulatlons af other gavernment agencles may�apply�#o the intended wark, and that i#is <br /> my responsibility to identify•whe#.actions I must�take:to bedn:.aampliance. Such agencles include but�are.not Ilmited tc�: <br /> - Department of Ertivironmental�Protectton-Gypress.�Bayhead�, 1t�e�and Areas and Envlronmentat4y Sen:�ttive <br /> l.ands,Weter/Wastewater Treatment. <br /> - Southwest Flarida W�ter Management .C�is#rlct Wells� Cypress.��Beyheads; Wetland Areas, Alt�ring <br /> Watercourses. <br /> - Army Corps of En�lneers-Seawalls, Dacks� Navlgable Waterways. <br /> - Depa�kment of Health��� Rel�ab113tative SenricesJEnvironmental He�lt� 11n1t Well.s,-VtFastewater-Treatrnent, <br /> Se�tic Tanks. � , <br /> - US Environmentai PratecUon Agency Asbes#os abatement. <br /> - Federal Aviatton_Authority Runways. <br /> I understand that the follriwing,rest�IcNons apply to the use of flll:• <br /> - Use of ftlf Is not a#lawed in Flood:Zone'V"unEess expressly permltt�d. <br /> - If the flll mate�fal is to be used: In.�flood Zone. "A°, tk is understood that a drainage plan addressing a <br /> °cornpe�sating volume"wiil be subr�ttted at�ime of:permlfting wh�ch ts pt�e�pared by a professionaE engl�eer <br /> Ifcensed by#he State of`Flarida: . <br /> - If ih� tlll materlal !s to be used tn Flaod �one "A" In>connec�ion�with�a��ermitted bufiding usfng stem wall <br /> � canstruction, l certify th.at f�l:w�ll.be used oniy.to.fill the area wltFrin�the�stem>wa11. <br /> - If ftll material Is ta be used in any area, I certify that .use. af such flll will r�ot adversely affect adJacent <br /> properties. 1�use o#fiil is foc�nd to adverse�y:�#fect adja�erat prope�tles,.ti�e owner may be cEted for uiai��ting <br /> the candlllons of the building:permit Issued�under tha attached�ermit appt(catlan, fo�:lots less than.onE� (1) <br /> acre which are elevated�by flll;��t englneered dralnage plan!s required. . <br /> If i am the AGENT�OR THE-t�WNER, I,promise tn gaad faith#o infotm the awner of�the permltting condi#tons sef farth fn <br /> this affidavit`prior to commeracing constructlon. I understand thata�separete permit may be requtred for electricaf vwork. . <br /> plumbing. slgns, wells,.poots, atr condl#ioning,.gats, ��r ot�er install�tians noE,spec�Ea�aily included�1n tFte application. .A <br /> permit issued shall be canshued to be a�Iicense to�-proceed wlth ffie work and not as.authoNty to.violate�.aancel� alter, or <br /> set aside any provistons of the#echnlcal c+ndes;�nor shall tssuance�ot'a.permit.pcevent the 8ulldirig Cxficta!irom thererafter <br /> requiring a correction nf errors in plans; consUuotian or violations of�ny codes. Every p'srmit issued�shall become inWaiid <br /> unlesa the work authorized.by such permlt:�s-cornmenced�within sGc months of permlt Issuance, or if work authorized by <br /> #he petmit Is suspended�or.sbar�do�ed-for a�:perlad of s�C�{�}montF�s.after t,�e tlr�e#he�wortk ds cammenced. An�x#en�sion <br /> may be �equested, In writing, ftom the�Building,Offlclal for a perlod�not to exceed-n(nety�(90) days a�d=will demonstrate <br /> justt�able cause for.�the e�enston: If work ceas�s�for ninety.(90)cons.ecutive:days,..the�ab�is constdered aba�doned. <br /> WARNING TO OWNERc YOUR..FAILIJRE�TO..R�E.C.O[tD A..MOTIGE�:OF�COMMEMCEMENT.MAY�RESUlT_IN_YCIUR __ <br /> PAYING TW10E Ft)R IMP1tQVEMEttil�'S�T�i Y�U�,PRCC�P�I�TI�o- 1�°:X�.�d�Q��'E�1'3�4Tt�A�tiBT�IM�=�i1+tAfiI�IN�;�QNSGII.T <br /> __'�1lQT - - -la► 1�. �, �O �. �;;+ OU .,. ;� , . � . <br /> FLORIpR.fURA'��{F.S;1l7, � �- .. _ . � <br /> � <br /> OWN�R OR AOEN7 CONTRACTO .� y i <br /> Subscribed and sw+om tc{o Nirtned bgfore me thls Subscrtbed and' (ot a�l e j�b�fore nie'@il§ i <br /> t�- � t��2.y� •by � ��rr�tr- ; <br /> Who Is/are rsonally knovm to. or haslhave Prqduced Who.is/ere p. nellykn �ta me:or hes/heve•produced • � <br /> as Identl8catl4n. es IdenBftcaqon. ' <br /> , , <br /> `�. � <br /> � Pubtic . � Nafiary Publtc <br /> Com slon . �` .••,,,Yp�,.,, SYLVIAA.CAMPBELL C mUsslonNa. <br /> ..2} .�_ �rp�pebliN'�SSiWoE.Elasld3'_ <br /> = • tammission#GG 112939 ;•`'ts�`Y"U'••'. <br /> �., Z�2� ;:°, ;�`; Notary Attblit-State of Flotfdd <br /> Name ol No �ed� ��;onalNotarynssa Neme of Notery typed, - <br /> •�,,,,„,,,�•� :, omm.Expires Jul 19,2021 <br /> '"`•�;°;,�;t��', BarrdedthmnqhNetEonalNataryAssn. <br />