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<br /> NOTICE OF DEED l3E�TitICTION�: The u�dersigned under.gtands:,th�t this;.permit.:may,be:sub)ect to"deed";re5trlcttons" _..
<br /> which may�be�more�restFictive��4h���Cou�ity��negr�lat(on's:'�'Phe uridecslgned-assumes�'�esponsltiiltty=for compllance Vuith`any � "
<br /> appllcable deed restrictlons. : • . --
<br /> UNLICENSED CONTRACTORS�AND CONTRACTOR RESPONSIBI�ITIES: •If-the�owner has��hired��a 'contractor or
<br /> contractors to undertake work, 4hey may be.:requlred:to.:be:iicensed ln accordance.with state.and;locc�l regulatlons.. ��If�the-� � � -
<br /> contractor ts not Itcensed as'requlred`,6y law, botFrthe owmer and�conUaatorfinay be°clted�for�a•misdemeanor vtolatfon
<br /> und�r state law. If the owner or intend�d,con.t_r;actor-:are„uncertain as to what Iicenaing.requlrements�may:-epply���or�the �•
<br /> intended wo�ic, tNey are advised to coritact the'_Pasco County Bullding;lnspeatlon_D(vls(on-l:Icensing�Sectton at 727-847-
<br /> 8009. Furttiermore, If the ovvrier'tias hlred~a cont�acto� o�'contractors. he Is advised to have �the conUactor(sj;stgn
<br /> portions of the "contractor Block° of thls_applicatlon.foc,which they,will be r.esponsible.- If you,=as.#he,owner�'stgn'�a's�the� ' �
<br /> contractor, that may be an indication thaf°he Is not:properly Iicensed antl"is n'ot entitled to permitting privileges in Pasco
<br /> County. � .. . . . �:-�., _. ,.
<br /> TRANSPORTATiONsIMPACT/UTILITIES�IMPAC'�ANb RESOU1tCE R@CAVERY�FEES: The undersigned�understands
<br /> ` that Transportation Impact Fees and.Recourse Recove.ry.F�es mey;�apply�to�the constructPon of new�buildtngs��change°'of`�' �' � "=
<br /> use In existing buildings,-o�.,.expansi�n��of�+ezistin,g��bulldings, as specified.in Pascv County Ordinance number 89-07 and,
<br /> 90-07, as amended..r,Th� undetsigned also;understands, th�fE`such fees�;as,�tnay�be�.-due;,wlll,•be tderitified at the�4ime°�of°�- � '
<br /> permitting. It Is iurther understood that Tra�isportatlon Impaot Fees and Resource.Recovery-Fees=.must be pald prior to
<br /> rece�ving a "certl�cate of occ�apancy"-or-flnaF�powec;celease: :If-the.proj�ct�_;does.not involve:a:.certi�cate of occupancy.o�t�:�'=���� '
<br /> flnal power-release; the:fees mu�t tie"pald;p�ior to;permft Issuance. Ft��thermore;�If:Pasco,County"Water/Sewer:Impact . � �
<br /> fees are due,,they must..be<pald..pNor to.permit:lssuance�ln accordance wltfi:gppltcable:Pasco�.Gounty�o�dinances. •
<br /> COIdSTRUCTION"LIEN'LAIM�(Cliapter T13� Florlda St�tutea��amended): I�valuadon of work is�2,500.00:or more, I .
<br /> certify that I, the applicant,. have.been ;provided �with -a copy of the 'Florida-Conshvction� Lien Law.—Homeowner's
<br /> Protection Guide" prepared by tFie Flo�ida Deparfinent�of Agriculture and Consumer;Affairs. If the applicant is someone , �
<br /> other than the"owner", I certffy�that I:h�ve.optained-a�eopy.of.the,above..described iiocument°and.prorx9ls�'in,gootl�_faith to � ,
<br /> deliver It to.the:`ownee"`:prior:to�commencement:� �� - ,
<br /> CANTRACTOR'S/OWNER'�AFFIDAVIT: I.cectify�,that�all,the:~Inf.ormatlon:in�thi� applicatlon is accurate �nd that all work
<br /> will'be done in compli�nce with ail applfcable lavirs regul�ting construction, zoning and:land=development. Appltcation is
<br /> hereby made to sbtain .a permit,to;do-work,.and�installation�as indicafed:-:.._:t� certffy that no work=or Instailatton h�s
<br /> commenced p�ior to Issuance of�a permit`and that"all work will be pertorm�d to meet standard� of:all laws regulating-
<br /> construcElon, County and City codes� zoning regulatiQns, and I�nd development regulations�in the jurlsdtctton. I al'so
<br /> certify that I uaderstand that the regulations of other govemment agencies may�apply�to the InQended work, and that it is
<br /> my responsibility to identify.what.actions I musGtake:to bedn:.c�mpliance: Such agencles include but are.not limlted to: �
<br /> - Department of Erlvironmentai'Protectton=Cypr`ess.'Bayh�ead�, Wetland Areas and Envtronrr�entally Sensltiv�
<br /> Lands,WatedWastewater Treatment. ,
<br /> - Southwest Florida W�ter RAanagement� .District VVells, Cypress.'�Bayheads; VVetland Areas, Altering'
<br /> 1Matercourses. �
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigatile Waterways.
<br /> - Department of Health_'8 ReF�abilitative..Setvices/Envitonmental,Nealth Unit-Wells� Wastewater�Treatment,�
<br /> Septic Ta�ks... ' � � -- � _
<br /> - US Environmental Protection Agency-Asbestos abatement.._
<br /> Federal Aviatlon.Authocity-Runways. � � '
<br /> I understand that the.foliowing:+restricdons apply to the use ofi flll:•
<br /> - Use of fill is not allowed in',Flood;Zone"V"uniess expr.essly permitted. �
<br /> - If the ffil m�terial is to�be�used �in:-�Flood Zone. "A", �it. is understbod that a drainage pla�n addressing a;
<br /> °compensaNng,volume" will be submitted at time of;permitt(ng wfilch is prepared.by a,professfonal englneer;
<br /> Ilcensed by the�tate of'Flotlda. ' � -
<br /> - If the fl0 material.is to be:used in Flood �one "A" in�conne�fon�wlth:a permltted building using stem waii,
<br /> constnaction., i certify that f611�:vuill=�b.e�used only.to fill the area wtthin the�stem�wall:
<br /> - If flll m�terlal�is to be used in any area, I certlfy that use. of such flll will not adversely atfect adjacent�
<br /> properties. If use of flll is found,to adversely:�ffect adJacent propertfes,.the owner may be cited for v(olatingi.
<br /> the condl#ions.of the bi�ilding:permit i§'sued�under the attached�permit applicatlon; for:lots less than.one (1)�
<br /> acre whicfi are elevated�by flil, a�t engfneered dralnsge plan is required. • ,
<br /> If I am the.AGENT FOIt TH�OWNER; I'promise in good fatth to inform the ovvner of the permitttng condRfons set forth in;
<br /> this affidav(t�prior to commer�cing construction. i under�tand thet a:separate permlt may be required for electrical work,j�
<br /> plumbing,�..signs,.wells,.pools;. alr conditioning,.gas, or other Install�ttons not,spec�ically included-in the application. .A;
<br /> permit issued shall be constcued to be•a'license�-to p�oceed with tFie work and not~as:authoNty.to:vlolate,��cancel, alter, or�,
<br /> set aside any�provisions of the technical codes;�nor shall issuance�of a.permit.prevent the Bulldtrig Offictal from thereafter�
<br /> requirtng a correction af ercors in plans;constructlon or vlolatlons of any�codes: -Every permlt Issued sfiall�become invalidl
<br /> unless the work authorized.by such permit:is-commenced•wrtthtn sfjc.m.onths of permlt Issuance, or If work authorized by;
<br /> the permit is suspended or.abandoned•f,or a:period„of six,(6)�montfis.:after the tirne the�work is commenced.. An extension,
<br /> may be requested, In wrlting;;from.the�Building,Officfal for a period..not.-to exeeed�ninety�(90)�days a�d-wlll demonstrate; �
<br /> JustiEi�ble'ca�ase for_the extension�. If work ceases,for ninety(90)consecutive days;.-th�job�is considered aba�doned. !
<br /> WARNING TA OWN@R: YOUR.FAILWRE.�T�..R�ECORD A.MOTIGE:OF•�COMMENCEMEP�T�.MAY�RESULT IPI YOUIt� �
<br /> PAYING'�VYIC@;FOI�IIW6�ROVEMENT.3,-.TO.:�fOUR:P1t'OPE�T:1F:°�IF°.YA.U{�N�f�ID`T�'�BTAIN�=FII�IAP1CtNG;'CONSULT' '�
<br /> WIT Y U D �O. AN TTO NEY FOR�I��ECOR� G;� OU :' � �C �`p - •�: E E T• ;
<br /> _FLORIDA JURA�(F.S:1.17.03) �- . . . „ .; ' - : G`��� . —
<br /> OWNER OR Ad@N7 . CONTRACTO '
<br /> Subscxibed an bswom to(or aftirtned)before me thls Su scrl��'swom 40 or afflrmed)�before me tfit�.
<br /> Y Y .
<br /> VNho Islare personally knovm to.me or.has/have produced o.ls/are p.erson y noum•to e or has/have•produced �
<br /> " ' as Identlflcatlori. as Idendflcatlon. —
<br /> . ` ' _ ��`
<br /> Notery Public . �.1 ' - r Notary Public
<br /> Commisslon No: Com Iss n No.
<br /> �� ''':�Y'f:al;;._ JACQUELINE BOGE �
<br /> Name of Molary typed,printed or stamped Name of Notary�yped ' r��ed fifi FF 150422
<br /> ' o= xpires December 12,2018
<br /> �, �p����°�`��, 8onded Tnru Tray Fain Insurance
<br /> .....+n�x 8�0�185-1019
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