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�'-- �::- ___ .�� <br /> . <br /> 4 <br /> ._-�., _�-F _ - ' �. <br /> NOTICE OF DEED RESTRICTIONS: The undersigned,undergtands�;th�tEthis,,p�rmit„maybe.subject to°deed"„restriction`s°__::..,�„�..�,.,v; <br /> which may��tie:more�restf(ctive�tlia���County�regulatCons:=The�under"slgn'ed�assumes�responsibillty for�compllance witFi any <br /> applicable deed restrictions. . . . • � , - <br /> IJNUCEN3ED• CONTRACTORS.AND CONTRACTOR-RESPONSI�ILITIES: �--If�fhe=owner hasn�htred��a cont�actar or <br /> contractors to undertake work, they may.be;requlredcto.,�be::licensed in accordance.w(th state.and_local.regulations.. ,If�#he--:� � � <br /> contractor ts not I(censed=�s'requlced=tiy law, both•the owner and��cont�actorsmay be�=cited�for�a��misdemeanor violatlon <br /> under state law. If the owner or Intended:vcont�a�tor•,,.er."e;uncertaln as to what Iicensing.requirements.Finay�.apply:.�for.�tFie• ��-M� �` <br /> . . ...._._. <br /> intended work, they are�advi'sed'to contact tFie'�Pasco County Bullding;Inspection,Division--Ltcensing Sectton et 727-847- <br /> 8009. Furthermore� If the owner tias'�hired a con�ractor o� contractors, he ts advtsed to have .the contractor(s),ysign <br /> porttons of the:."contrector,.Block° of.this_application_foc,.which they,wilL,be r.esponslble. If-:you,.as�:#he owner'sign'�as'`the ' ' <br /> cont�actor;that�may be an indication that'he'Is�not.properly Ilaensed�and-is�not entitled to permitting privlleges in Pasco ;_ <br /> County. . . �.� .,�-�. . <br /> TRANSPORTATION�IMPACTIUTILITIES=IMPAC7�ANb RESOU�tCE RECOVERY�FEES:��7�he understgned�understands <br /> that Transportation Impact Fees and.Recourse Recovery.Fees may,:apply:ta tf�e;construction of new.buildings��change'of��� � ' <br /> use in exis8ng bulldings,'o�:expar�sl�n•�of��ezisti�i��`.buildings; as specffied.in Pascv County Ordinance number 89-07 and I <br /> 90-07. as amended...The. undersigned also;urtderstands, tFiat°�such fees;�as:tnay�:�e:=dne;�will:be identified at the'time°�of,� 4 <br /> permfttfng. It is furtFier understood that Transportation Impact�Fees and�Resource;Recovery�Fees.must be pald prbr to <br /> receFving�a.'certificate;of�occupancy"°or flnal�'�power•.release;� :if�the proj�ct:does;not:involve:a::certfficate of occupancy�o��-��=" �•` '" <br /> final power release;the:;fees=mu�t��tie paid�;prlo�to,1 permit Issuance. Ft��thermore,•�if Pasco,:County�lNater/Sewer:Impact - .,t. <br /> fees are.due, they must:be�paid..,pNor to_permit-lssuance=tn,accordance wltF�:appllcable Pasco'�.County�o�dinances. • <br /> CONSTRUCTION LIEN'LAW�(Ciiapter 713� Florlda Statutes�as amended): If valuatlon of work is$2,500.00:,or•more,:I� - <br /> certify that I, the applicant,.-have�-been-provided��with-a-copy-of the "Florida� Construction L(en 'Law—Homeowner's <br /> Protection Gutde" prepared byfhe Flo�ida Department of Agricuiture and ConsumerAffairs. If the appl(cant is someone, � -� � <br /> other than.the°owner", I certifji that,l=,have;,obta�ined��a�copy.of.the;abQve..descrlbed tfocurnent�and.p.r.omise�Jn,good faith.to ,,� <br /> deliver it to.the:'owner."-:,pi9oc::to�cornmencement:``�' "�` ' � ' � ' � . • - '� <br /> CONTItACTOR'S/OWNER'S AFFIDAVIT: I.ce.rtify:,tFi;et,all,the,inf.ormatiqn ln�thl�appiicatlon is accurate and that all work <br /> w111'be done in compliance with all applicable laws regulating construction, zontng and�land�development. Application is <br /> hereby made to obtain .a permit�.to;;�do.wor.'ic,�,and�'Instellation as indt�ated:.�..:I ceitify that no work=:or Installatton has <br /> commenced prior to Issuance of'a permit"and that.ali work wlll be pertormed to meet standards-of all laws regulating- <br /> constructlon, County and City codes, zoning regulatians, and land development tegulatlons�in the jurisdtction.= I�:al'so _ <br /> certify that ( understand that the regulatlons of other government agencie§ may•apply�to the intended work� and that it is <br /> my responsibility to identify.what,acttons I must take:M be=ln:.corrlpllance. Such,agencles include but-are.not Iimited to: �. <br /> - Depa�tment of E�lvironmental>�Protectton=Cypress.'Bayh'eads, WeNand Areas and Envlronmentally Sensittve <br /> Lands,WatedWastewater Treatment. _ ' <br /> - Southwest Florida Water Management .District-Welis, Cypress.' Bay�eads;- Wetland Areas, Alte�ng <br /> Watercourses. . � � � � , <br /> - Army Corps of Engineers-Seawalis, Docks, Navigatile Waterways. <br /> - Department of. Health;;.8 ,Re1�abllitative,�Services/Environmental Health Untt-Well.s� Wastev�rater=Treatmen#'�, <br /> Se�tic Tanks:_ . _ • � - - � " <br /> - US Environmental Protection Agency-Asbestos abatement. _ � � <br /> - -Federal Av,latton_Authority=Runways.�� :� � � , , <br /> t understand that the.folloiniing.restcictions apply fo tFie use of flll: <br /> - Use of flll Is not allowed In:Flood;Zone"V"unless expressly pe�itted. ' <br /> - If the-.fiil"�mateNal is"to,be used: In-:Flood�Zone. "A", IE. is understood that a drainage plan address(ng a <br /> �compensating volume"will be submltted at#ime of,permifting which is prepared by a professional enginee�� � <br /> Iicense�by#he`3tate of;florlda:�- � - • � . . , ' <br /> - If th� flll-material .is'to-�be�used in Flood Zone 'A" in�connection�with�a ��ecmitted buildir�g using stem wail <br /> � construction,.I certify that fill:wall-be-used only.to.fill the area within�the�stem�wali: <br /> - If flll materlal�ts to be used In any area, I �certify that .use. of such flll wlll not adversely affect adjacent <br /> properties. if use�of flll is found_to adversely:�ffect adJac�nt<pra�perties�.the owner may be=ctted for violating <br /> the condifions..of the building�:permit issued under tfie�at�ached,�ermit application,-for�lots�.less:than.one (1:) <br /> acre wfiicfi'are ele`vated�6y flll;a�engineered drainage�plan is required. , •� ; _ <br /> If i am the AGENT FOR,THE=OYYNER, I'.promise In good faith to inform the�owner of•the permitttng condftions set.forth In <br /> this affidavit'prior to commei�cing construction. l understand that a�separate,permlt may be requlred for elecMcal�work, �� <br /> �.,.�... <br /> plumbing, signs,,wells,,poots;, alr condttioning,-.gas,�.or other Install"�ttons no�,spec�ically included�in.the�application. .A <br /> permit Issued shail be constcue,d to'be�a°Ilcense�to:proceed with tNe work and_not-as:authoNty�to..violate;'cancel, alter. o� <br /> set aside any"provisions of the.technical.codes; nor shall issuance�of a.permlt.pcevent the Bulld(rig O#�iclal from thereafte� � <br /> requtrin.g a correcqon af errors-in:ptans, construction or violations of any codes:� Every permlt is"sued"shall become invalid <br /> unless the work autho�(zed.by such permlt>�s-commenced•wlthin sfjc;months of�permit issuance. or if work authorized by <br /> the pe�mit is suspended�or..abar�doned-f,or:a:pertod-otsix:�)�montFis:after;the�.time the�work�ts commenced. An extension <br /> may be requested, in writing;:�from the_Building.Official for a period.not-,to�exceed'�hinety(90) days a�d~will demonstrate <br /> justifiable cause for.�the extension�. If work ceas�es,for ninety(90)cons.ecutive.day.s...th�job�ls considered aba�doned. i- <br /> WIARNING TO OWNER:. YOUR.FAILURE<.T4.,R�EC.ORD�A;MOTIGE-OF:�COMMEMCEMENT,IIA�AY RESULT�IN YOUR <br /> PAYING_TWICE_FOR:�IMPROVEMEN.TS;Z�O.YOUR-:PR�PERTY:�-�IF�YO.U�INT ' D:T�'�OBTAIN�FINiI�F1EtNG;'CON3ULT i <br /> IfYIT U � � �O. AId�A7T0 N � �69. ��.�. -�it� Es�� OUi3r � •O�'. . � E . F .T.'��"_._..�: <br /> ' _`_ <br /> FLORIDAJURA��(F.S:t17.03} • ' ' . � , � , <br /> OWNER OR AOENT . CONTRACT � '- <br /> Subscrlbed and swom to(or aflirmed)betore me lhis Suqscrlbed and' m= (o iflrme �b s. , � <br /> bY dfe�./�j�' .by..._ . .. � <br /> Who Is/are personally knovm to.me or has/have produced , Who.ls/are p.ersonallyknovm•td me•or haslhave�produced • � � <br /> as IdentlBcatlon.� - as IdenBflcaflon. - <br /> . ' <br /> Notery Public _ `� � � ` Notary Public � � <br /> Commisslon No:` Commisslon.No._ .1�1 LT/jL.�_�•3(/�i F <br /> � (�u ( � <br /> Name oI Notary typed,printed or stamped Name oi Plotery lyped,pdnted or stamped ' f <br /> • ��'t4�"^�'''• DEBRqELAINERUFFELL <br /> q. 0c,c; _ <br /> ;,; .�__Commission#GG 045343 <br /> �t =;;+��a:Expires November 7,2020 <br /> � ��':�°;;;°p��, 9oededThruTroyFainlnau2nce600-385��019 <br />