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<br /> NOTiCEOFDEEDRESTRICTGONS: The.underslgned._unders�tands;th�t,this,:;p�rmit.may.be,subJect,to;tldeed".C95�ICtI0I1S°, _
<br /> which may�.tie:more:rest�ictive�th�n'Counfy�areg�ilations:��•The undersigned assumes°`tesp�nsibiitly=for"complience=with=any���`r:`�"�'
<br /> appiicabie deed-rest�ictions. _ " � � ��< < ° ���`
<br /> UNLICENSED``CONTRACTORS .AND CON�RACTOR RESPONSIBILITIES: ��If=the=�owner-has�"�hiced'�a�cor�tcactor or
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<br /> contractors to undertake wo�k, they may;bie�re�qul��ed:,to.,be;ltaerased in-accordance;writh.state:and�local.regulatl.on_s.:��If�the-� �- �����
<br /> contractor�ts not licensed'as��requlred,"tiy I�ini� tiotfi�the owner an'd-�contractor-�may be�=cited•.fora'misdemeanor violatlon
<br /> �.,f;: ,.;�, , ,,,,., ,n �s to what Iicensing.requiremenfs_,�may�sapply:�for'°:the:.=x: : :..,n
<br /> under state law. If the owner or intended:contraoto��are�.unce�tal
<br /> a.. ,_.�_ �.. _
<br /> intended"work, they are�advised fo'coritact the Pasco County�ullding`Inspection�Divislon--l:lcensing Sectton et 727-847-
<br /> SU09. Furttiermo�e� ff the owner"fias�'filreclYa��conhactor o�contractors, he is addised to have<the�contractor(s);;sign,,, ,, ;_
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<br /> portions of the�"conttactor.,Btockp of,this,.appilcation..for whichihey will:,be:.responslble.•„If you;.-as<#he owne�:sfgn'`as`the`��`�
<br /> contPactor; tFiat-may be an Indication�that`he"fs'not:properly'licensed�and`-1s not entitletl'to per'rnitting privileges in Pasco _
<br /> County. .- .-, ._ _.,. .. . ..._ _f �;,;� �,.. � ..,.
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<br /> T�tANSP;ORTATION.IMPACTIUTILITIE$`�IMPAC'�ANb�RESOURCE RECOVERY�FEES:�'The unde�signed understands
<br /> that Transportation Impact Fees and.Reco.urse.Recovery.Fees,may>;apply�Pto�tfie�constructionnof new.,buildtngs,�change�'of==°'j�`~'` �
<br /> use in exi"sting building's;�or.sexpansi�n:�of�ezistin,g��bulldings, as specifled.tn Pasco�Co'unty Ordtnance number 89-07 and.
<br /> 90-07, as amended,,;;The. undersigned also<<urtderstands� that:`such fees;��as�may_tie�:.due;�wfll:�.tie ident�ied at the�time��of'�� -u �r��
<br /> permitting. It Is iurtFier understcod that Transportation Impaof'Fees and'�Resource;Rec`o�ery�Fees.must be pald prior to
<br /> rece4vtng-a:°cerfi�cate�of-occupancy"`or�flnal�power;;release:�:lf�the,project.:.does.not involveta:.certfftcate of occupancy�or'.-�"�` °��''`{
<br /> flnal powrer release;�,>11ie`,feesYmc�$t:Tb'e patdR;p�lor to;permit tssuance. Ft��thermo�e;��If:Pasco;County�lNater/Sewer�;impact-� .-�;�=.,>r-;
<br /> fees are due,,they;must=be;paid:prior,�o permit issuance=ln_accordance,witH.:appilcabfe�Pasco�:County`o�dinances. •
<br /> CONSTRUCTION"LIEN"L:AW"(Ch�pfer 713��Florlda�§tatutea�as amended): if-valuation of work is$2,500.00�or<more,�:l���:;. ����_
<br /> certify that-I,-the;applicant,=-have;>been .provided��with-=a�=copy�:of_the��"_Florida�Constructton� L'ten:;Lav�Homeowner's
<br /> Protectfon Guide" prep�red by tfie'Flo�ida Departmer�t of Agriculture and Consu,mer;:Aifairs. If the appltcant is someone- .., :_�; •u,
<br /> other than the"owner", I certify,=that�,i�h�veryobtained�a'�eopy.of.the;abpve:rfesc�ibed:tlocument�and,.p.r.omise;)n,good:faith fo ... .,,n3�
<br /> deliver It to-the:"owner",-�pi�iortoycommencemenE:;:,, - ` " .' ' .' � -.� . ` . - � ` , _-
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify::tti;at,all:the:lnformeti�n:in�thi�application is accurate and that all work
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<br /> will'be done in campliance with all appllcable laws regulating construction� zoning and��land�development. Appltcation^is
<br /> hereby made to obtain,� permit;,�Co•;do.wwot`k vand;installation as Indl�efed:-��-'I� cenify that no work�`or Installatton has �
<br /> commenced�p�lor to issuance of'a�permit and that.all work will be perFormed�to meet�standards-of all laws regulating- .,
<br /> constructlon, County and City codes� zoning regulatians, and land development regulations=tn the Jurisd(ction: �1-�:a1's'o. _
<br /> certify that I understand that the regulattons of other government agencies may�apply�to the..intended.work, and that It is
<br /> my responsibilityFta identify.what,acttons I must�take:to be.,in:.corrlpllance._ S,uch agencles include�bu4 are.not Iimtted to: � ;�,
<br /> - Department ofi Environmental��Protec4ion=Cyp�ess.`Bayfiead�; WeNand Areas and Envfronmentally Sensittve
<br /> Lands�Water/Wastewater Treatment. _ -
<br /> - Southwest Florida Water Management:l�istrict:Wells; Cypress.' Bay�eads;- Wetland` Areas� Altering
<br /> Watercourses. • - .
<br /> - Army Corps of Engtneers=Seawalls,Uocks, Navigable Waterways.
<br /> - Department,of_:Health:.,,8. ReMabllitative =Services/Environmental�.F�ealth--Unit Well.s;:Wasteu�rater�Treatment, �
<br /> Se�tic Tanks:._._`. . . . , - . - �� . � .
<br /> - US Environmental�Protection Agency-Asbestos abatement. . . � - _ " ����
<br /> - Fede[ahAv.latton;Authorlty;=Runways:�- -. � �� - _ ' � �-
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<br /> I understand that the-following.�estrictlons�apply�fo tFie use offlll:• �
<br /> - Use of fill Is not allowed`inaFloodaZone"V"unless exptessly,permitted. °
<br /> - If the.-�iII:mateNal�=is �to�``be-used.:In:usFlood-Zone. "A", 'tt ts understood that a dratnage plan addressing a
<br /> acompensating volume" will be submitted at�ime of�permitting whlch is prepared by a professional englneer-� `� �� �
<br /> Iicensed by'tFie;�tate`of>_'Florida..�� � � ' �� �s, ��= � . � '
<br /> - If th�-flll�mate�lal�:ts=to•:be,used tn Flood Zone "A" in�connec�ion�with:a��ermttted building using stem waU, ;
<br /> construction,_I.ce�tifjt,th.at fill.wall:b.e.�us�d only.to flli the area-within�the�stemMrall: �
<br /> - If flll materlal`is�to be used In any area, I �certify tfiat .use. of�such flll will not adversely aifect ad)acent
<br /> properties. If use:of,fill i_s found,to adversely.�ffect ad)acent��pra�perties�.the owner may be cited for viol'atin`g , "
<br /> . the�condl#ions�.of_the building`.permit is'sued.under tFia attached:�ermit applicatbn;-for lots�.less�.than.one (1)
<br /> acre wfilaFi a�e elevated�by flll,a�t engineered drainage plan Is requtred. • '�
<br /> If I am the AGENT.FOR-THE-0IMNER;_I;�iromise In good faith to tnform the owner of�the:perrriitt(ng conditlons set forth in
<br /> this affidavit prior to co"mine�cing constructi'on. I understand thet a�separate permit may be requtred for elecMcal'work� . ,�
<br /> ools; alr condttionin �Y'�u
<br /> plumbing,_slgns,.wells�.:p _ g,-.gas, cr othe� install�tlons not.spec(flcal�y Included-in.the�application. .A
<br /> permit issued shall be aonstrued to.b`e'a'license�to`;proceed witb the itio�k and�not�as:authoMty:to:vlolate;�cancel. alter, or
<br /> set aside any�p"rovistons of the technical.,cAdes;�nor shall Issuance�of a.permit.pcevent the Buildirig Official from thereafter
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<br /> requirin.g a correction af errors:in�plans;-constivction..or.violations of-any�codes. ,_Every=permlt�issued=sFiall-become invalid
<br /> unless the work autha�ized.by such permtt:is-commenced•withln,sixWmonths of permit lssuance. or if work authorized by
<br /> the permit is suspended�or.:aba�doned:Yfor:a;period.of�six_f�)�montfis,.aRe�;the;time the�wowk��ls commence�l. An extenslon
<br /> may be requested, tn writing,;.from.`ttie;Building,�Official for a perlod�not.to-exceetl'�t�inety�(90)`�d"ays and�wlll'demonstrate
<br /> justifiable'cause for.the exfension.. (f work ceas�s:for ninety.(90)cons.ecutive•days...the Job�is considered abandoned. ��
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<br /> WARNING TO OWNER: YOUR,-EAILURE,,Tt�„RE.C_ORD.A:;M071GE;OF.�COMMENCEMEMT:MAY=RESULT-IN�YAUIt = ---
<br /> _ PAYING_TWICE;F.OR:IMPROVEIlAEM,TS-:T�,;YDUR:PR�RER�TY.�IF.YO.�l�i�l"��Ji1D:T0'�OBTAIN�FIRtAI�EtNG; C.ONSULT
<br />~ WITH YOUR L�ND@R OR AN��TfORNE1��3�FOR��RECORd11�G'YOUR`NOTICE�`OF���,ENC�E�IIy ��NT' '
<br /> FLORIDA JURA;.(FcS:•1.17.03) � _• � , • �, , - ��' � , � : , .. � .
<br /> OYYNER OR AGENT � -. CONTRACTOR '<.. =- - � �
<br /> Subsaibed and swom to(or aflirtned)before me this- Subscribed and'swom=to(ot aflirmed)�befoFe me fhl� '
<br /> by ,.by.. _
<br /> Who Islare personally knovm to.me or haslh�ve.,produced Who.ls/are:p.ersonallyacnown�Mme.or has/have�produced •
<br /> ' � as Id'eriUflcatlon. as IdentlBcaOon. _
<br /> Notery Publlc . � Nolary Publtc, ,
<br /> Commisslan No: Comrnisslon No.
<br /> Name of Notary lyped,p�lnted or stamped Name oi Notery lyped,pdnted or atamped
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