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. , o . <br /> NOTICE OF DEED RESTRICTIONB. The underslgned understends that lhis permit may be subject to deed°re3Uictlons <br /> which may be more restrir�iv�a lhsn Co�iy regula�ons. The u�s3i�signsd assumes responsibflity ior camp!larme w1th any <br /> 8pplft,�s618 tteed resttt'sctlons. � <br /> UNLICENSED COI�TRAC'TdRS AND CpN7`R/��TOR RESPQNSCBILITIES: If the owner has hinad a contractor or <br /> contracRors to underteke wark,fhey may ba reqUired fo be IEc�nsgd 7n�accordance with state end lacal c+�gulaHons. If the ' <br /> confrsctar 3s rsot Ccessed as requtred 6y law,b�fh the ownar arsd txorst�a#or rttay be c�sd tor a mtsdemaarror vtatatiort <br /> under atate lew. If the owner or irrtended coMractar are uncsttaln aB to what Iloensfng r�equiremerrts may apply far the <br /> intended w�arh,they are advised to confaot the Peaca County Building InspecUon Divislon--Llcensing Section at 727�47- <br /> Bpt?9. Furtltarmore. if fhe orvner has hired a cbrrtrad,or ar crontr�ctot$, he is edvised ta have the canfra�fot{sj s�g� <br /> portlons af the'conf�ctor 81oci2'af lhis applicatign far wh[ch they_vua'll be responsi4le. If you,ea fhe rnmer stgn es the <br /> onntrectoq that may be en indicatinn that he Is not properly Iicensed and ts not entitied 6o permitdng ptfvlleges In Paeco <br /> Coenty. <br /> TIiANSFORTA710N iMPACTit)TILITtFS 1MA1�T AND RESOURCE R�COVERY FEES: The under5igned undersEands <br /> ffiat Trensportation(mpact Fees and Reoourse 12ecpvery Fees may�pply to tha cons�on af new buildings,ahange af <br /> use in exlsting buildings�ar expanston of e�tisting buIldings,es spedfied t�Pasca Couniy OMinsnce num6sr 89-Q7 and <br /> 94-07,as amended. 7he underslgned atso undetstands,tEtat soch fees.as may�e due,wilE be iderrtified at the t[me of <br /> permitting. It ia further understood thet Transportetion Impact Fees end Resouroe iiscovery Fees must be paid prJor tid <br /> r�eceiving a"certificate of occupancy"ar final power release. It the project doas nof involve a certificake of axupancy or <br /> flnst power teleas9,the faes must be paid pri�to pemut Esausnce. Furthermate,i#Pascxs Caunfy tNaterl5awer Impact <br /> fees ere due,they must be peld pdor to permCt issuanc�In ecaordence with a�plicable Pasco CnuMy ordinances. <br /> CqNSTRUCriON LIEN LAW(Chaptwr 71$,Ftorid�Stalut�a,aa amend�� ff valuaUon of wprk ts�2,60a.00 or more,I ! <br />� cect�iy fhat 1, fhs appGcanE. have besn provided with a capy of fihe `Ftadde Ganstruction lien Lauv—Homeowrtet's i <br /> Pmtection C3uide'preparod by the Florida Department of Agricuiture ertd Consumer Affairs. lf the sppifcant is someone <br /> ather fhan the bwne�',1 certffy�e!I have obtained a copy of the above described documerrt and promise in good faith to <br /> deilvar tt to the�wne�'prior fo cammencamant <br /> GQNtRACTOR'SIOWi�TER'S AFfttiAVIT: 1 certi[y tha#atl the bttortneNon in this apptication is accureta end thet a(I work <br /> will be done tn compllance wilh aU eppficablo lawa regulating construcUon,zaning and lend devalopment. App!'�etion ia ' <br /> hereby made to abtein a pertnit ta do v�rork and !nslelJatton es indlcatad. t cectify that no woric or insta#tetion has ; <br /> commercced pdor tor tssuam�e af a permit and lhat all work wttt 6e pertormed ta meek standards of all taws t�gulafireg <br /> canstructlon, Couniy end City codes,mning reguleSons, and land developrnant regulations fn the jurisdlcdon. I also <br /> �rtify that I under�tfiand that tha regulations of other gavemment agena(es may apply to the inbsnded work,and that it is <br /> my respanslbliify ta identify whst adians t must take�be ln compliance. Such egencie,s(nclude but are not Iimibed Eo: <br /> = Department of Environmentel Protection-Cypress Bayheads,Wetland Areas and Environmentally Serisitive <br /> Lends,WetedWasbewater Tieakrnent <br /> Southwest Fforlda Weter Mana�ement DfsMct Welis, Gypress Bayheads, Wafiand Areas, Alhadng <br />� . Weteraourses. <br /> � Army Cdrpa of Engineer5-Seauv2�tl8.Docks,Navigsfile Wetarvvays. <br />'i - Department of Heaith 8� Rehab3lltative SamcestErnrironmental Nealth UniE-iNeiis, Wastewatier Treatmsrtt, <br />� SeptEc TBnks. <br /> - US Envtronmental ProtectJan Agency p►sbestos abatement. <br /> - Federe!Avlatinn AutF�odiy-Runways. <br /> 1 endecstartd the#the foitawing tssfrfcHons apply to the use af fiil: <br /> - Use of fill ts not eAowed in Flood 2.one'V'un�ess r�acpressly permitFsd. ��I <br /> - If the fiU material Is 6o be used in Fland Zone "A, ft is understood th�t a draitrage plen addressing a <br /> taompenseting volume wi116e aubmlfted st time of permifting wh�Ch is prepared by s g�slor�l engtr►eer <br /> lieensed 6y ihe Stete oi Florida <br /> - If the fill material 1s to be used in Fl�d?_one A"in connec8on w1th a permitted buading using abam wall <br /> cxinstn►ctton.i rsrStjr lhet fl1l wili be used or�lY to�iil the atee wilhin tha sfem waU. <br /> - If flU materiat is to be used in arry area, I certity fhat use oi such fi�l will not adversaly effect edjacant <br /> proper�es. If use W fill is found to adversefy afiect adJacent pmperties,th9 owner may be cited for vlolabng <br /> 8ts condi@ons af the buading permtt tssued under tha aBached permit applEt�tion,for tots less thart tme{1) <br /> aare whfch are eievated by fit1,an ers�ineered drainege plan is requ'usd. <br /> Ii I am the AGENT FOR TH�OWNER,I promtse in gbod faRh to fnform the oKmer of the permitting condikions sdt forth in <br /> fhis r�ffidavit priar fa aommendng oonstntcdon, !understand that e separate permit may be requited for ete�trttcal work, <br /> plvmbing,signs,welts,paals,atr CORt�HIfl(llt��,gas.or ofher ir�stsRafions nof sgectficalty inctuded in the appticatian. A <br /> permit issued ahell be wnstnted to be a licanse to pnoc:eed with the wark end npt as authorily ta vtolata,cancel,eiter,or <br /> set aside any proviaions of tha technica!oodes.nor shall issuance of a permR prevertt ihe Butlding Offidal feom ihereafter <br /> ceqa&s'ng a cormctton of errors iri pleris,cans#�uctian nr vlatatfor�of ar�y c�des. Evary pertrti#iasued shall berAme invalld <br /> unless fhe work authorized by such permit is cammenced within six manths af permft tssuance,or ff wark authorized 6y <br /> the�rtntt Is�spended or abandoned for a period of sGc(6)months after the tlme ihe work is commenced. An extenston <br /> may be requesied,in wr�ing.f:am the Suildir�g OE�ida!for e pertod nat to e�eed t�nety{SOa deys end w12 demonsf�ate <br /> jus'�i"iabte a�use tar the extsnslon IP work ceases for ninety(90j cansecutive days,the job is oonsidered abandaned. <br /> WARNING 70 011VNER: YOUR Fi41t.UR�TO REGORQ A NOTtCE OF COMMENCE�O�NT�+fAY RES�LT IN YQUR <br /> PAYEt+t�TYYtCE FdR tMPRQYEtitEN'T�Tt}YOUR Pi20PE{tTY. IF Y01J IN7'END TO d8TA1N FEt1ADti:tNCs,CON�tILT <br /> WITH YOUR ENdER R ATTQRNEY BEF RE COR�IIV YOUR Nm710E OF COIYlMENCEME . `���1111�11fIf0/� <br /> FLpRfDA.IURAT(F.3.117.03� ,,\\� A �Q �//��l <br /> ��� t\ ,��«ts. Q�l <br /> OWNEROftAtiFNi COTi7RACTOR !� \ t(r�''�� f1lt( �`�;`il' ��/ <br /> Substm'bed en�m ta(ar e16m�ed)beTare me thia snram m( tore is ` 1;�'�F.1�25�d�i„•+ i <br /> Ntt10 78lste pet&m1ally iNown to m60t h8PlttaYft pmduoed Wh ' �tso3tA�y t0 ste or + r'.�O�' jh�� "'.... <br /> es 3den8tkallon. �"�"'�" as tdenfii4ca�on. ; ' ;*� <br /> - ».k: �.�• . ._ <br /> " � �G 15d619 • „' <br /> Nafery Public Natery Pu�y�it*�,'�v d'ond9d�'��.`�Q'�¢� <br /> ���P "�pfNota Se . O�� <br /> Cammissicn No. Co mlaW �����1%�`�,���`$��''������� <br /> Q <br /> Name of Nntaz1'4YPed.PdMed ar atamped N � mped �� Itliif� <br />