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�;� <br /> NOTICE OF DEED RESTRICTIONS: The unders(gned unde�tands;th�t=itiis^p�r:mif.may be,subJect,to.°deed"restrictlons" <br /> which may.be-more:resti:ictive-tPa��County�risgr�latCons:�The underslgned�assur'ries'�esponsitilltty'for`compliance witFi any <br /> applicable deed-restrictlons. . � <br /> UNLICENSED• CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner h�s•�hired � contractor or <br /> contractors to unde�take work, they may be:r.e�qulred.�to.;be.;ltcensed In accordance.with state.and•local regulations. =1#�the� <br /> contractor is not Itcensed as required:by law, both the owner and contiactor{may be�clted-for a�misdemeanor violatlon <br /> under state law. If the owner or Intended.�;contra�tor,�are;uncertaln es to what Iicenatng.requirements may�:epplyr�for�the <br /> intended work, they are advised to contact the Pasco County Bullding"Inspectlon Dhrlslon—L•icensing Sectton at 727-847- <br /> 8009. Furthermore, If the owner has hlred a conUactor o� contractors, he Is advlsed to have the contractor(s) sign <br /> portfons of the "contractor Block' of this appllcatlon for:which they will.be.responsible., If.you� as.fhe ownerr'sign''a§the ; <br /> contractor� that�may be an Indtcation that�he ts not.properly Iicensed and�is not enti8ed to pennitting,prlvlleges in Pasco <br /> County. <br /> TRANSPORTAT101�-IMPACTIUTILI'TIES��rMRAC7�ANb RES�IDRCE RECOYERY�FEES:�The undersigned understands , � <br /> that Transportation Impact Fees:and.Reco.urse Ftecovery.Fees rrn�y��appiy:to:the constructlon of new buildings,:change�of <br /> use in existing buildings, or�expar�sibn�fof-�ezieti�i,g:,6uildings, as speclfled.in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended.,, The undersigned aiso;understa�ds, thait��such fees�-;as,may�be�.due;,will<,be identtfled at the��time°of� � <br /> permitting. It is further understaod that Transpo�tatton Impacf Fees and�Resource Recovery�Fees must be paid prior to <br /> rece4ving a "certiflcate of�occupaFlcy" or flnal�power:release. :If the project..does.not tnvolve:a=.certificate of occupancy.or� - <br /> flnal power release; the fees mu�t�be paid pelor to permit issuance. Ft��tk�ermore;ff:Pasco County��lNater/Sewer�impact <br /> fees are due�.they�.must be=pald.,prior to.permit�>Iss�ance°in accordance witff�appllcable�Pasco'.County ortlinances. • <br /> CONSTRUC�'ION_LIEN�LAW(Chapfer 713� �IoNda Statut�s��amerrded): If valuatlon of work is$2,500.00:or more, I� <br /> certify that I, the applic�nt, have.been provided with_ a copy of the "Florlda��Constructton� Lien .Lau�—Homeowner's <br /> Protection Guide" prepared bythe Flo�ida Department of Agric.ulture and ConsumerAffairs. if the applicant is someone <br /> other than the"owner", I certihr,.that I�have.obtained�al'eopy.of.the�abave.descrltiedtlocun�ent-and.promisein,good faith.to . <br /> deliver It to:the�'ownec"•-pdoc�to�cotnmencement: ' • <br /> CONTRACTOR'S/OWNER'8 AFFIDAVIT: 1.cectify,�.tiist ail.the:;lnf�rmati�n.ln•thi� appiicatlon is accurate.and that ail work <br /> will'be done in compliance with all.applicable laws regulating constructlon, zontng and�land�development. Applicatlon is <br /> hereby made to obtain .a permit.to do_work.;and installation as indtceted:�� °I certffy that no work�or Installation has <br /> commenced prior to issuance of a permit and that.all work will be pertormed�to meet standards of all laws �egulating- <br /> construction, County and City codes� zoning regulatians, and land development regalatlons-tn the jurisdictton. I also <br /> certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it (s <br /> my responsibllily to identi(y•what.acttons I must•take:to be,in:.corilpliar�cs. S.uch agencles Include but-are.not Iimited to: <br /> . - Department of E�lvironmentai�Protection-Gypress.�Bayhead�, Wetland Areas and Envlronmentaliy Sensitive <br /> Lands,WaterMlastewater Treatment. <br /> - Southwest Florida Water Management: .District-Wells, Cypress.'�Bay�eads; Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Docks, IVavigable Waterways. <br /> - Department of Health�'8 ReF�abllitative ServtceslEnvironmental Healtt� Unit Well.s, Wastewater Treatment, <br /> Septic Tantcs. � _ <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> Federal Avlattvn_Authority-Runways. <br /> I understand that the following.rest�ictions apply to the use of flll:• <br /> - Use of fill Is not allowed in Flood.:Zone"V"unless expressly permitted. <br /> - If the flll materlal is to b.e used: in.�Flood Zone. "A", It� is understood that a d�ainage plan addresstng a <br /> "compensattng volume"will be submitted at�ime of�permffting which Is prepared by a professfonal engineer <br /> Ilcensed by the State of'Florida: <br /> - If ih� flll materlal Is to:be used In Flood Zone "A" In�connec�ion�with�a�permltted buflding using stem wall <br /> � constructton, i certiry that fUl:wJll:b.e used only.to flll the area within�the�stem•wall. • <br /> - If fill mate�lat ts to be used In any area� I �certifjr that .use. of such flil will not adversely affect adJacent <br /> properties. If use of flll is found�to adverseEy:�ffect adJacent•�pc�perties,.the owner may be cited for violating <br /> the cond�ions of the building:permit issued under the at�ached permit appllcation� for:lots less than.one (1) <br /> acre which are elevated�by fllt;�n engineered dralnage plan is requlred. <br /> If 1 am the AGENT FOR TH�01MNER, I,..promise In good f.atth to laforr�#he owner of the perrriitting conditlons set forth in <br /> this affidavit'prior to commencing constructlon. I understand that a-separate permit may be requlred for elecMcal'work, <br /> -.,. ,�•- <br /> plumbtng, signs, wells, pools;. alr condtttoning, .gas� or other install�ttons not.spec�ically included�in.the application. .A <br /> permit Issued shail be construed to be a'Iicense�to�proceed with the work and not as.a�ethoNty to,vlolate,cancel, alter, or <br /> set aside any provlsions of the.technOcal codes;�nor shall Issuance�of a.permit.pcevent the Bulldirig O#ficial from thereafter <br /> requiring a correction af eRors In�plans, construction or vlolations of any codes. Every permit Issued shall become invalid <br /> unless the work authorized.by such permit:�is.commenced•wlthin sUc months of�pemnit issuance. or if work authorized by <br /> the pe�mtt is suspended or.abar�doned�for.a�:period of six(8)montNs.after the time the�work�is commenced. �1n extenslon <br /> may be requested, in writing,.from�the�Building,Offlcial for a perlod.not to exceed ninety(90) days and will demonstrate <br /> justifiable cause for.�the extens(on�. If work ceases:for ninety.(90)cons.ecutive:day:s...the Job�ls considered aba�doned. <br /> WARNING TO OWNER: YOUR..FAILURE•TO..R�EC.QttD A MOTIGE:OF�COMMEMCEMENT=14RAY�RESULT�IN YOUR <br /> PAYING TWICE:FOR IMPROVEMEN'�S�Tfl.YOUi�:�.PRL�PER7'�Y.�I��YO.UaI�I'FEKID�T��i0BTA1N��FINAt�EfNG;'CONSULT <br /> WITH YOUR LENDER:QR AI1�A�TORNEY��FOR��I�E�OR�i1Mf�Y0UR'(VOTI�F`.OF=CdMI1�lEN��El4lENT: <br /> FLORIDA JURA'��(F:S:117 Q3 •� . � - . . . <br /> �/ r � <br /> OWNER OR AOENT `� �`-P � -- �- CONTRACTO — - -- - - -- - - - --- — -- -- <br /> Subscxlbed and swam to(o rtned)before m this Subecribed and'swom= (ot afflrmed)'before me'tfil� <br /> lb-�.C.-I� b `' J2� � Vai f� <br /> Who Is/are rsonalty known me or haslhave prpduced Who.ls/a ersonallyknown• me or heslhave•produced • <br /> as IdentlBcetlpn. _ as Identlfication. <br /> , � Notery Publlc . ` � Notary Public <br /> Com slon No: Comr� slon•No. <br /> ',�o�ra��., . B'@� , ����, , <br /> ; „ .�; Notary Public-State of Fiorida ,�,.4�y p�'� SYLVIA A.CAMPBELL <br /> :o �.``: - ta e of Florida <br /> Name ot Notary typed,p , . o. �y Comm.Expires 1ul t 9,2ozt Name of Notary typ = � �lHrt[pld�ission#GG 112939 <br /> '�•�oFF�°��� BondedlhroughNatianalNotaryAssn. `•'�r o';: MyCOmm,ExpitesJu119,2021 <br /> .y <br /> �'••;�;'FF�°e'•'' BondedthroughNalionalNotaryAssn. <br /> 1 <br />