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<br /> NOTiCE OF DEEO RESTRICTIONS:_The undersigned;undeegtands�uth�t;this,6.pprmit,may.be,,sub)ecfi;to,deed.F resUlctions ....,,,, ��.��,
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<br /> which mayEbe=�ore:r.est�ictive-tha�County��PegulatCon§:�<7he.undersigned�'as'sumes=re"sponsibtltty for'compiiance�wlth�aiiy " '"
<br /> appflcable:deed rest�ictions. � � • -, _ < �-� -� ��- ��
<br /> UNLICENSED��CONTRACTORS AND CON3RACTOR RESPONSIBILITI�S:� �°If�the��owner has"htred��a�contractor or
<br /> contractors to undertake work, they may;be,�reiquiced.<.to.:be�licensed in.;accordance.with;,state.and;local,regulations: -1f�the•� � ° ��«
<br /> contractor I§ not�l(censed�as�required'tiy law, botFr�the owne� and conVactor�may be�cited�for�a�misdemeanor vtolat[on
<br /> under state law. If the owner or Intended,=;contractor,are;,uncerteln �s to what Itcensing,requirements;`may�:apply�.�for=the'•-.= ° =f��`�
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<br /> intended"�rork,they are.advised to aontact the P'aeco County Buiiding�lnspectton D1ylsion.,-Licen._sing Section at T27-847-
<br /> 8009. FurtFiermore, if the oviirier'has`hired�a�contracto�'or'contractors. he Is advised to have •the contractor(s),,,sign _ ,_ r
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<br /> portlons of the__°contr�ctor Block" of.tfils.application_for which.,they will::be r.e.sponsible.-�. If:;you,:as>fhe owner sign'�as�the" "' ��
<br /> contractor, that°may be an indication that'he�=ts not.preperly Iicensed`"and�is'not enti8ed'fo permitting p�ivlleges In Pasco, „
<br /> County. . . ' . - ., . ... _ ._... 4.;._ .. ._ _ , .
<br /> TRANSPARTA7`ION.IMPACTIUTILITI�S�IMPAC'��ANb-{tE30URCE RECOVERY�FEES:��The understgned understands
<br /> that Trenspartation Impact Feas and.Reco.utse Recove.ry.Feoa may;apply�:.to�tl�e_constructton,of new_buildtng�,°change�{of�"'`=_� '"-
<br /> use In existing build(ngs,�or:expansionkof�ezlatin�g�buildings, as �pecffied:in PascoyCounty Ordinance number 89-07 and_
<br /> 90-07, as amended,�:;The undersigned aiso;�understands,tFiat:��uch fees;�.as��mayr.�e�.due;will:�be identtfied at the�time=�of'�= s•-=�- "
<br /> permiNing. It is furtFier understood that Transp�ortatlon Impact"Fees and'�Resour.ce:,Recovery�Fees°..must be pald prior to �
<br /> receiving a 'certfficate.,of.occupancy" or��flnal�.power;release: ':If`the.proJBct:does�:not Involve.`a:.ce�tfficate of occupancy�o��=��`'��- r`
<br /> flnal power release;��tlie',fees•mu�t-�tie�paid p�lor to;permit issuance. F::t��tk��rmore;If.Pascc�,Counhr�Mlater/Sewer�,lmpact .. •
<br /> fees are due,,.they�,must-be�paid;p�lor#o permit_;Issuance,�n.accordance..wltFf:applicatile Pascc'.:County-•oniinances. -
<br /> CONSTRUCTION�LIEN�LAW"(Chapfer 713�Flor�da Statut�ffi��amend�d):_If yaluation of work is$2,500.00�or more,.l�� �. ���4- �
<br /> certify that I, the--applicant,:have.been. provided �with-a�-copy�of:>the.�"Florida� Constructlon�:Llen-.Law:-Homeowner's
<br /> Protectfon Guide" prepared by��tFie FI'o�ida Depertme�t�of Agriculture and Cons,umar.;A.ffairs. if the applicant is someone: - �.. ,_
<br /> other than the"owner",�I certffy�-that i,.h�ve:_obtained�a�=copy;of..#he;above�.des,c�ibed�docu'r�ent;and;pro�i.s�;in,good faithto .
<br /> deliver It to.the:'owne�'.prior�to�commencement"� " ` " . . - ' - � � �
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.cenity:.th;at;all�;the�lnf.ormatiorr°In�thl�applicatlon is accurate and that all work
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<br /> will'be done in compliance with all appllcabie laws regulating constructlon, zoning and.�land�development. Appltcation is
<br /> hereby made to obtain .a.permit.;to,do.work;�,and�installation as indl�ated:�:-:'I. certffy that no work�or instaliafion has •�
<br /> commenced prio� to issuance of'a permif"and that�:all work will be performed to meet..standards�of all laws regulating�,
<br /> construction, County and City codes, zoning regulatians� and land development regulattons=ln the�jurtsdtction.- I,�al's'o= .
<br /> certlfy that I ur�derstand that the�egulations of other government agencies may�apply�to.the,.intended work, and that It is
<br /> my responstbility to ident(fy�what,act(ons I must•take:to be,in;.corrlpliance_,.S.uch-agencies include but-are.not Iimited to: : ; �
<br /> - Depa�tment of E�vironmental-=Protection-Cypresg.'Bayhead�, 1IVeHand Areas and Environmentally Sensitfve
<br /> Lands�WateNVNastewater Treatment.
<br /> - Southwest Florida Water Management :District-Wells, Cypress.r Bayheads; Wetland Areas, Altering
<br /> Watercourses. � . �
<br /> - Army Corps of Engineers-Seawalls, Docks�Navigable Waterway�.
<br /> - Department of Health;:8..ReY�abiBtativ,e:;Senrices/Envtronmental•Health Unit Well.s,:WasteHtater Treatment,
<br /> S'eptla'Tank§:. � - � � - � - - ,
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal�Avlatton:AulhoMty=Runways�� . � �
<br /> I understand that.the.following:restcictlons apply"to the use of flli:•
<br /> - Use offlll is not allowedln`Flood;Zone"V"unless expressly,permitted. •
<br /> - If the-flll'materfaf ls to�`b.e used�`in-�flood--Zone "A", i� is understood that a drainage plan addressing a
<br /> "compe�sating volume" will be submltted at#ime of permifttng which is prepared by a professtonai engineer :
<br /> Iicensed by-the-State`of�Floiida: • �' � �-
<br /> - if the�fill material�.is'to-be�.used in Flaod �one 'A" in�connection�with�a permitted building us(ng stem wall
<br /> � construction., I certify that_ftll�:�rlll:6.e-used only.to.fill the a�ea wtthin the�stem:wall: ,
<br /> - If flll materlal-is�to be used in any area, F�certify that .usa. of'such flli will not adversely affect adjacent
<br /> propertfes. If use of flll is fvund:to adyerseEy.�ffect adJacent propertles,,the owner may be clted for violat(ng ��
<br /> the conditions.of_the building.permit Issued under the_attached:permtt �pplication;for lots less:_than.one (1)
<br /> acre whicfi are elevated`�tiy flil;a�r engtneered dralnage plan is required. • .
<br /> If 1 am the AGENT FOR THE-OYVNER, itpromise In good faith to tnform the owner of-the permitting conditions set forth tn
<br /> this affidavtt�prior to comrrienoing construction. T underatand thafi a�.separate permlt may be requfred for elect�ical work, . ,
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<br /> plumbtng, signs� wells, pools;, alr.conditioning,�.gas, .or.,othe� install�tloris not,spec�ically included�in.the application. .A
<br /> permit Issued shall be conshued to�b'e��a'Ilcense�to-'proceed uvlth tfie work and not as:authoMly to.�lolate;:cancei� aiter, or
<br /> set asfde any�provisions of the.tecliolcal c+odes;;nor shall issuance�of a.permit.prevent tl�e Bulldirig Official�from thereafter �
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<br /> �equlrin.g a correcNon af eRors In,,plans; coristruction or vlolations of�any�codes:.Every�pemt(t lssued"shall become invalid
<br /> unless the work authorized by such permlt:is-coEnmenced�wlthin_s.fjc5m�nths of permit Issuance, or if work authorized liy
<br /> the perm(t is suspended or:abandoned-for a;period;of six(8)montfis:.:aRer,the:time the�work�ts commenaed. An extension
<br /> may be requested, In vvriting;:_from the;Building,Officfel for a period.not-to exceed'��ninety-(90)��days a�d will demonstrate
<br /> justHiable'cause for.the extension�. If work ceases:for ninety.(90)cons.ecutive:day�s,._th�job�is considered aba�doned. i
<br /> lNARNING TO OWNER: YOUR_.FAIL,URE,•TO.,REGO�tD.A�;MOTICE�:OF.-COIVIMEMCEMEMT-:MAYsRESUlT'IN YOUR
<br /> PAYING TWICE.FOR:�IMPROVEMEN.,T,S�TO;YOUR::PROPER�7Y: �IF�.YO.U�INTEND�TQ"�OBTAINsFINA1�EMiG;'C.ON�ULT
<br /> - -VElATH•YOIJR�LENDER OR AN-�7TQRN���FAtt��it�OR�1�1���YOl1�'NOTIC�'OF.'�QMME CEANEMT'_-- - -- -- --
<br /> FlORIOAJURA'��(F.S,1.17.03} . , - - � - • � - - '
<br />� OYYNER OR AOENT � CONTRACTO , — �
<br />� Subscrlbed and swom ta(or aflirtned)before me thls Subscribed'a Qt ed� ' " �me Uiifi. .�
<br /> by � .by. ., �
<br /> Vlmo Isfare personally known to•me.or haslhave produced Who.is/are;p.ersanelly known•to me:oc 11as/have.•produced • .
<br /> � aa Identlflcatlon. as IdentlRcatlon.
<br /> Notery Publlc . � Notary Public
<br /> Commisslon No: Commisslon.No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped -
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