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<br /> NOTICE OF DEED RES'TRICTIOIdS: The u�d�rsigned,untl��tands�:th�t-this;pecrnif.may be.subJect to,,"deed"..restrictlons" �� _
<br /> which may be_:moce�-r.est�ictive-th��County-regu!'atfons�: �Tfie�u�iderslgri�d=assumes�responsibillty'for'compllance witfi`any � � � "
<br /> applicable.deed restrictlons. � -
<br /> UNLICENSED CANTRACTORS AND CONTi3ACT�R RE�PONSIBILITIES:� -If the��owner'has��htred� a"contractor or
<br /> contractors to undertake work, they may be;r,�qulred:to.be.:licensed In.accordance.wtth�tate.and•local;r�gulattons. -If the
<br /> contractor Is-not Itcensed as requlred;tiy law, bottr the owner and�conUactor�may be�cited for a ml�demeanor violatlon
<br /> under s4ate lauv. If the o�nrner or intended=,contractor,:are.,uncertaln as to what Iicensing.requirements;rnay�apply�for..�the � -
<br /> intended work, they are advised to contact the Pasco County�uliding`Inspectioe�.Divislgn—Ltcensing�Section at 727-847-
<br /> 8009. Furthermore, tf the owner has hired a contractor or conhactors, he is advised to have the contractor(s),;sign
<br /> portions of the "contr�ctor Block" of this_application fo,r..wh(ch they will,b.e responslble.� If::you� as:fh� owne�'�ign as'the '
<br /> contractor, that�may be an Indication that'he is hot properly Iicensed and�is not entitled to permittl'ng privlleges in Pasco
<br /> County. ' �`
<br /> TI3�4MSPORTAT'ION.IMPi4CT/UTIL-ITIES rMPAC'�ANb itESOURCE R�COVERY�FE�S; The unders(gned iinderstands
<br /> that Transportation impact F�es and.Recourse Recoveey,Fees rriay�:apply.to�the.congtruction of new_buildtngs,Rchange of'� �
<br /> use In existing buildings, or�.exparasion�of��exi'stin�g`buildidgs, as �peclfled In Pascv County Ordinance number 89-07 and
<br /> 90-07, as am�nded._,Th� undersigned also;understands, that:�such fees,��as�,�may_:be��due;:w11N-be.(denlffied at the��time�of� � ' -
<br /> perrt�itting. It Is fu'rtFier understood that Tr�nsport�tion Impacf Fees and•�Resource,Recovery�Fees.rnust be paid prior to
<br /> rece4ving a "c�rtificate,of-occupancy" or flnal-power�.release: :If�the project�.:does not.involve:a=.certffic�te of occupancy°o�� -=
<br /> fln�i power relea§�;.the�.fees must be paid;prlor to permit Issu�nce. F��the�more;�if Pasco,County`lA4ater/Sewer,lmpact � � �
<br /> fees are due,.they�must_be-pald,prior to permit_�Issuance�in accordance wlth applic�ble Pasco�County ordinances. �
<br /> COlVSTItUCTION'LIEN'L�►W"(Ch�pter 713� Florlda§t�tutea,�s am�nded): �f valuallon of work is$2,500.00.or more, i
<br /> certify that I, �he applicant,. h�ve�-been provlded with a-copy of �the °Florida��Construction� Llen..Lat�-Homeodvne�'s
<br /> Protectfon Guide" prepared bytli� Flo�ida Department of Agriculture and ConsumerAffairs. If the applicant is someone
<br /> other than the"owner", I certify:-that 1=h�ve.obtain�d�a�copy;of..the:abova.desceilied docui�ent°and.p.rorxiise.in,good.faith to
<br /> deliveP It to.the.;"owner"�prior to-commencero�ents' � " ' �" . � ' � .
<br /> CONTRACTOR'S/OIfVNER'�AFFIDAVIT: I.ce�ti�y=that-all�the.,inf.ormation-�In.this applicatlon is accur�te and that all work
<br /> will�be done in compliance with all.applicabfe laws regula�ting constructlon, zontn� and:land�development. Application is
<br /> hereby rr�ade to obtain .a .permit 40 ,do_.urrork.:and�installation a� indlc�fed:-:. I. certifji that no work for Installatton fias
<br /> commenced prior to Issuance of'a permit and that.all �rork wi01 be pertormed to meet.standards of all laws regulating�
<br /> construction, County and City codes, zoning regulattans, and land development regulatlons=ln the.jurisdlction.. I al's'o
<br /> certify QhaQ I uaderstand that the regulations of other government agencies m�y�apply;to the intended work, and that it is
<br /> my responsibillty to identify�what.act(ons I must t�ke.to be<In:.corotpliar�ca. S,uch agencie�include but-are.not Iirraited to: �
<br /> - Department of Erlvironmental�Protection-Cypress''Bayheads; Weaand Areas and Envfronmentally Sensitive
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Florida 11Vater �rlanagement. -.Distrtct-Welis, Cypress.i�Bayhe�ds; Wetland �4reas, Altering
<br /> Watercourses.
<br /> - Army Corps of Englneers-Seawal9s, Docks, Ngvigable Water�vays.
<br /> - Department of Health�'8 Rehabilitative Services/Environment�l Flealth Unit-Well.s, Wastewater Treatment,
<br /> Septic Tanks. � _
<br /> - U� Environmental Protectlon Agency-Asbestos abatement.
<br /> - Federal Avfation AuthoMty-Runways.
<br /> I understand that the folloviring.r�strictlons apply'to the use of flll:
<br /> - Use offlll Is not allowed In Flood:Zo,ne"V"unless expressly permitted.
<br /> - If the :flll materfal is to be used_In-:�Flood Zone. "A", it. is under�tood that a drainage plan addressing a
<br /> °compensating volume" will be submitted at ttme of:permitting which is prepared by a profess(onal engineer
<br /> Ilcensed by tlie State qf florlda: �
<br /> - If the fill materlal°is to be.used In Fl�od Zone "A" (n�connectlon�with�a �p�rtnitted building using stem wal9
<br /> � construction., I certify that flll�:wall;b.e-used only.to.fill the area w(thln the s4em�wall:
<br /> - If fill material is to b� used in any area, I �certifi+ that .use. of such flll uvill not adversely affect adJacent
<br /> propertles. If use of flll Is found_to adversely:�ffect adJacent propertfes,,the own�r may be cited for violating
<br /> the conditions of the bi�ilding:permit Issued under the atEached permit applicatlon, for lots less than.one (1)
<br /> acre which�are elevated�by flll,an engineered dralnage pian is required. • .
<br /> If i�am th�AGENT FOR THE OIPiPNER, I�promise In good faith to inforrn the owner of the permitling conditlons set forth In
<br /> this affidavlt�prior to commer�cing construction. I under�tand that a-�eparate permit may be required for elect�ical work,
<br /> plumbing, signs, wells, pools,, �Ir condttion(ng, .gas, or other InsQall�tions not,spec�ic�lly included-in the appiication. A
<br /> permlt issued shalf be construed to`be�a�Iicense to-proceed vulth ttie�rork�nd not-as:authoNty to,vlolate,cancel, alter, or
<br /> set aside any provistons of ttie t�chnical codes;�nor shall issuance�of a.permlt.pr�vent the�ulldirig O#ficial from therea�ter
<br /> req�airing a correction af enors in•plans; constructlon or violations of�any codes. Edery permit Issued shall become invalid
<br /> unless the wrork authortzed by s�ach permit:ls.commenced�wlthin sCx monQhs of permit tssuance, or if vvork authorized by
<br /> the permit is suspended or.aba�doned-for a:period of six:(B)-montFis.after the,time#he�wowk�is commenced. An extension
<br /> may be requested, In writing;from the Building,Offlclal for a perlod.�not to exceed:ninety�(90) days and will deroionstrate
<br /> justl�able cause for:the extension�. If v�ork cease�,qor ninety(90)cons.ecutive day.s�.the Job�Ps considered aba�doned. :
<br /> 1�VV�IRNIWG TO OWNER: YOU�_.FAILURE.T�.,13�C0ltD.A.MOTIGE:OF��COnfIMENCEMENT=_NFAY�RES�1L7'IN�YOUGt
<br /> P�4YING'�1MICE;FOR�IMPROVEMEN.�S�TO YOU�:PR�OPER'�f: .IF°YO.U�rIN�T�ID��TQ�O�TI�IN��FIPFAt��1NG;'C.ONSULT
<br /> WITN U D � AN �TORN FORE� -ECOR� G:' OU '� �� 'O = '°' E E
<br /> FLORIDA JURi4�(F.S.1.97.03) — ._ ' . — - - :-_ -- --- - � _' _ - - -- -
<br /> 011bNER OR AOENT CONYRAGTO ��
<br />� Subscxibed and swom to(or aRirmed)before m�this Subscribeti and'sworro�to(ot aRirmedpbefore me tFil�
<br /> by_ •by�
<br /> Who Is/are personally knovm to.me or:has/h�ve produced lNho.is/are p.ersonailyknown to me�or h�slhave•produced • ,
<br />� � as Identlflcatlon. _ as IdentlRcaQon.
<br />�
<br /> Notery Public . Notary Public
<br /> Commisslon No:"� Commisslon_No.
<br /> Name of Notary typed,printed or stamped Nam�of Notary typed,printed or stemped
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