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<br /> ; NOTICE OF DEED RESTRBCTION&: The undersigned understands.#hat this;permit may,be�stabject�to"deed,£r,est�ictions�;`;;���
<br /> which;ma ,�:be more-restrictive:than°Count ce ulatioias:�^The�undersi'�ner3�assu'rnes'Yr�s`onsibitit'"`fo�com liance with:an
<br /> Y Y 9 9• p Y P. Y.. ���
<br /> appl��ble deed restrfctions. . .r::.':<-.<:{,;,_-:�:;:,
<br /> UNl:iCEN$ED. GONTRAC'T'ORS AND CONTR1�iCTOR RESP.ONSIBILITlES:. !f•tlie�own{er�ktas° taired���a�°cantractor or. ; �
<br /> con#ractors ta undertake wark, they may,be r:equir,ed to berlicensed in accordance with s#ate:-and',focaf:cegulations::F=1f.-ti�e"�:"u�
<br /> cont�actor is no#.licsnsed�as�required''tiy��law,�lioth"the oinrner"and'confractor,m``ay=be��cited�=for,asxm�isdemeanor violatibn�� .�;i
<br /> under state (aw. !f the orrun�r or intended;.contractoc are°uncertain as to what.,ticensing r.equirem.ents=amayr�apply=for�:�tta,e,�-.=',�1
<br /> ....,,,..,,:. ..,.,,.. ...-: ::...
<br /> , intended wark,..they.are-advised ta cont�cf tiie'Pasco County�Builtling Inspection;D,ivision-�Licensing Section af-727=84:7,- _��,
<br /> 8Q09. Furthermore, if the owner has�hired�a coritractor or cont"ractars, he is advised to�have the. contractor(s}.,sign.,,`�:,
<br /> portions of the "contractor Black" of this application.,,for which they wriit be respansibie.,.tf you,=as"tiie=owner'sign_`as��the;`-,.';
<br /> oontractoc, that ri�ay �e an indicatian that he is not praperiy licensed�ani{ is not"entitled to�permitting privileges;_in�;Pasco NJ<<,�
<br /> County. � . ' ,
<br /> TRANSPORTATiON-IMPAGTN'TILITIES�IMPACT AND RESOURCE RECOVERY�FEES:���The`uniiersigned understands,�:�-,�;
<br /> that Transportation Impact Fees and Recourse Recovery Fees rriay„�appfy to,the constructian.of..new.buii�ings,.change�ofj:��=; �
<br /> use in:exlsting buifdings,�or=;expansion.of°�exi"sting buiidings, as specfied in Pasca County Ordinance numbe�89-07 and. , �
<br /> 90-07, as amended. The undersigned atso_understands,�that such:.fees, as:may_.b.e:due, wilf tie�_�dentifisd at�tfie=:tirrie�of°��`;
<br /> permitting. �tt is further understood tliat Transportation Impact=Fees�and Resource`=Recovery.Fees must be paid'prior,ta '?
<br /> receiving a "certificate of occupancy" or•fina!,power release. If the project does not�involve a certificate of accupancy°6�u-:�=�_;t
<br /> fna! power release, fhe fees.mus# be.paid prior to pecmit issuance.,..Furtiiermore,.if Pasco,County Water/8ewer.,lmpact.�;4:,.,
<br /> . fees are due, they must be paid prior to;permit issuance in�accordance with'applicaale Pasco:County ardina'nces.� � � ,
<br /> CONSTRUCTION LIEN•L-aW(Chapter 713,�Flor�da Statutes,as amended): If valuatian of work is$2,500.00.ar;more;ri::�-,;<�{
<br /> certi that 1, the a licant, have been. ravided with� a ca � ��� "
<br /> fy pp p .py;of the "Fiorida Construe#ian��E:ien Law Homeowner's � f
<br /> Protection Guide°'prepared b�r the Fiorida Depar#ment of Agricuiture and Cansumer Affairs, (f the applicantf is.someone,,. _�;
<br /> ather than the uowner�,I,certify that Lhave o6tained a copy of the above'`d'e'scri6ed document-and promise�in good`faitli to;_`;�;;�:
<br /> deliver.it.to:the:'towne�'.-prior.�ta�commencement.` � ,
<br /> CONTRAGTOR'S/OWNER'S AFFIDAVlT:, l..certify.that ai!the information in fhis application is accurate and`tFiat alt'work °
<br /> wili be dane in campiiance with alf appl'icable�laws regulating construction, zoning and land�d'evelopment, Application..as
<br /> hereby made to abtain a _permit to .do,work=and installation as�indicated. ! cer#ify fhat no wark or.insta!latian-has -
<br /> commenced prior to issuance of a perrriit and�that a!! wark wili be performed to meet..standards of ait laws reguiating ,
<br /> constructian, County and City codes, zaning regulations, and iand developmenf regulations�iri,.fhe jurisdiction.. �I.also �
<br /> certify that i understand that the regulations of other government agencies may apply to the intended work, and that ik is a
<br /> �
<br /> my responsibiiity ta idenfify what actions I must take to be in compliance. Such agencies�nclude-bu#are not limited.,to: '-,
<br /> - y,Department af Envirorimental:Rrotectian-Cypress Baytieads, We#land Rreas and Environmentaliy 5ensitive
<br /> Lands,WaterMlastew�ter Treatment. �
<br /> F
<br /> - Southwest Florid�t Water Management District-WeIIs, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. F, �
<br /> - Army Corps of Englneers-SeawaHs, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServicesiEnvironmentai .Meatth Unit Wells, Wastewater Treatment, :
<br /> Sep#ic Tanks.
<br /> - US Environmental Rrotection�gency/lsbestos abatement, � ;
<br /> - Federa!Aviation Authority-Runways. - - - � �
<br /> I understand that�the fo!lowing restricfions appiy to the use of fiN: .
<br /> - Use of fiti is not aflowed in Flopd Zone"V"untess expressly permitted.
<br /> • if #he fiil materia( is to be used in. Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating voluPne" will be submitted at time af permitting which is prepared by a professianai engineer "-
<br /> licensed by the State of Flvrida.
<br /> - if the frl! materiaf is to be used in Flood Zone "A" in cannection wi#h a permitted building using stem wali
<br /> construction, I certify that fill witl be used only to�II the area within the stem wall.
<br /> - If fill� material is to 6e used in any area, ! certify that use of such��fH wiii not adverseiy a�fec#,adjacent �
<br /> properkies. If use of fill is faund to adversely affect adjacent properties, the owner may be cited far violating '
<br /> the conditians of:the buitding perrnit issued under the attached per.mit application, for lots less than one (1) '
<br /> acre wf7ich.are elevated by fiil,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OINNER, ! promise in good faith to inform the awner of-the permitting canditions set forth in :
<br /> this affidavit prior to commencing ccinstruction. 1 understand that a separate permit may be required for etec#rical work,. �`'
<br /> plumbing, signs, wells, pools, air canditioning, gas, or-athe�installations no# specifically included in the application: A � -
<br /> permit issued shall�be construed to�be a license to proceed with the work and not as.authority ta violate, cancel, alter, or '
<br /> set aside any provisions of the f�chnica!codes, nor shall issuance of a permit prevent the Building Officiat from thereafter
<br /> requir�ng a correction of error.s in plans, construction or violations af�any cades. Every perrriit issued siiali become invalid
<br /> unless the work authorized by such permit is commenced wifhin six man#hs of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period..of.six(6)'mon'ths after the#ime the work i�commenced. An e�c#ensian ,�;
<br /> may be requested, in writing, frorn the Buildirig Afficia! for a perioc! not to exce"ed rifnety{90}iiays and wifl demanstrate , �
<br /> justiflable cause for the extension. !f work ceases for ninety(90)consecutive days,the job is considered abandaned.
<br /> WARNtNG Tb OWNER: YdUR FAtLURE,TQ RECORD,.A.NOTICE OF CQMMENCEMENT�MAY�RESULT !!d YOUR
<br /> PAYING TWiCE FOR IMPROVEIhIfENT$TO YOUR�.RROPERTY,: lF�YOUiINTEND-TO�OB'FAlN<FINANCIN ,CONSULT '
<br /> 1NITH YOUR iENDER OR AN'AITARN�1f BEFORE:RECORDING YOUR�N �TlCE a'F�G�311�M� +� I� . -- - _
<br /> . _FI f1P��a-,:�:��T lYr.$�.i 1-�:�5}� _ , .._. - _ --•- -`�� ' -- f:
<br /> OWNER OR AGENT CON7RACT0
<br /> Subscribed and swom to(or affirmed)before me thls Su scrib an wam or affirmed)befota me this �
<br /> by VU��bY
<br /> Who is/are personally known to me or hasJhave produced ' ho'st re ersonally kno.wn#o me or has/t+ave produced
<br /> as Idend8q8on. ��%�� I1 as Edentification.
<br /> " �t�� �-�'��c,� ���n�.o
<br /> Notary' Public Notary Public
<br /> Commission No. mission IVci. �
<br /> . ��a ��r��e �P��f�ll
<br /> Name of Notary typed,printed or stamped Name af � nr��+��+^��—^�=^s�----
<br /> �
<br /> ,,,�,..,,
<br /> . :���+'`�q�:pEBf2A ELAiNE RilFF�1
<br /> _�. *:Commission#GG 0453d3
<br /> ;��: b�:Expires NoVember 7,2020 ,
<br /> '°'F°':�t°�.�• 9andCdTtiNTroyFefilnsuranceSdO-36r70i9
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