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<br /> ,,:�::;;�;,�,.��;�.t,-�.�- ,
<br /> NQTICE'OFDEED RESTRICTIONS: The.undersign,ed,.under..stands;that:this,_permit�may�,b,e,stabjec#,<tav°deecJ�;.res#n;c,tEon`s":;a�;,;:'-
<br /> whi.ch'�may;ti'e=°�rrior:.e�re5ttieti,ve,ithan=Courity`:regul�ations:=-`Th��antlersigned��assum:es���es,porrs�bihty'for com'pl�ali'ce w�th;any7 ' �
<br /> appticabte�;cleed ces#rictions. - ��;�.��..����: �.:�r�� F �
<br /> UNl:ICENSE�:�:C_ANTRACTORS' AND CO.NTCt�%CTt3R RESPONSiBILITi�S:-- If-{tfie>=owner`;has�l�ire���a,�eontractor or - �
<br /> contFactors�to under#ake work, they::rr;�a}t,be.;re.quir,ed�ta be�iic�nsed in accordance:with.sta#eY:and�locai.-�;egul.a#ions::.�Ify:tli�e��S:u.4=.; ,
<br /> - _. "E^.. . ,. ' ....:r^�'i:4C�'a::3yi.;.r.�,.�r;n�,;,•Y>'.:zi°:xkStc..a.h;�i:;=�i.F'....:�`.�'.`. ..:. .': `,. ,
<br /> contractor'is=not:�licerised>as re.quirecl�'�y`}aw, both:the awner�•`arid'cQ�t�actor.may.be xc���c!•€�or�..mistt�tneanor u�olation;� -' : ;
<br /> under state law. If the owner or intendedfc�onteactor axe uncertain.as,to wrhat.(�censing�r.eguics`ments{�rr�'�y��apply��'or�t�i���'�����' ; �
<br /> intended wor.kr:they:are=advised�to`contactRthe'�asco,Caurity Buifdirigeliispection Divis�on ,Licensing,Se�tior�at 727=847- � �'�;
<br /> 8fl09. Fur�h'ermore, if fhe owner has°hire.d''�a��ccint�ac#ar or cont"r'actors, hewis advisedrto�have.the.,contractor(s,j�<,sign,;:r_3 �; T:�� �
<br /> a u , n�b.r...r�,a•,.`:"fi;_s�:�_„rv;;;�:'`f,�.'�*:{:^`s:j:..�...,�x:.t,.N.,�:.n ,.: f#
<br /> portions of the contractor Block of this.app(icatian;:for•which,:they witl:6e_r:esponsible..�:,tf�y,ou,;as�"the�rowne�rysign�.as�=.the� -�� �,�;; ,
<br /> contracrot,�ttiat.riaay tie an indicatio�i�hat he�is nat properiy licenseci and�i`s not�enti#(ed��fo perrr{iftmg priviteges:in�Pasco ,'. ' �
<br /> County. , _ . .: „ _�` .. '.��:� ,., �
<br /> TRANSPI�RTAT10P1 IMPACT/.UTILIT'IES�IMPACT AND RESOUFtCE REC4YERY-FEE�:�Tlie tiridersigned unders#and�.,�, q� ��; k
<br /> .wryxae:.�vc:.�.::'.�:
<br /> that Transportation Impact Fees and Recourse Recovery Fees`�may:apply to:the.cons.truction�af�new,�buil,dings,.change�of�<'��_`�:_+� �;,q �
<br /> use in existing buildirigs,�or�ex�ansion of°:existrng"6uildir�gs, as specifled in Pasca Counfy Ordinance nurnber 89 07 and
<br /> 9Q-07, as amended.. The°undersigned�also y�deestands, that.such.:fe'es, as°�may;,ab,e,Edae;�wdl be;identi�ed��a#�fh`e��irne-:of �r;;° ? �
<br /> permftting. °Ct is�further understoad tha#Transportation impact FeesXand Re`sourcefRecovecy Fees=must be paid:prior.to '� ��: �
<br /> receiving a "certificate:of oc�upancy°�or fin�l.power release. If the.:pmject does not�invaive�,a certifcate of acc�pan�cy�o�=<k� �� ':; G
<br /> final.power�ele.ase, the=fees.rriust be�.paid prior. to permit issuance._�;,Furttiermore..if Pasco Gourify W�ter/Sewer,�=lmp_aet;-,:��='" -�� �
<br /> fees are due,.tliey,must.be:,paid p�iar ta.permit'issuance in.�accordance with'applicable;Fasca County ordinances. � ; �
<br /> CfSNSTRUCTiCiN �;IEN�G�IVI��Chaptier71�3, Florida 5tatutes, as amended): If valuatian af work is$2,..5.#QO:OO:.o.r:.�nore,�l-,:.,�- =� � �
<br /> certify that i; the app(icant, have been. provided with �a copy,:af.the "Florida Coi�steuc#ion'`Lien .La�Hameowner's p ' �
<br /> Protectian Guide° prepaFad-by tfie Florida Department af Agriculture and Cansumer-Affairs. If the applicant is.som�one:, , ;
<br /> pther than Ehe"own�r�,;l certify#hat l_have obta�ried a copy of the.abave de�critied�'�acument=and.pr,omise=in_goo.d'faith�to�:'��., };
<br /> deliver�it:to'tlie."owner",�'pcio��to-commencement: ��
<br /> GONTRACTOR'S/OWNER°S AFFIDAYIT:: l;certify that aU.the infonmation in this appltcation is accura#e and#ha#al!`vuark
<br /> will be done in compliance with ail applicable'laws regulating construction, zonir�g and land-development, Application,is
<br /> hereby made to obtain,,a..Recmit�to;:=do.,work��and. instailation as �indicated. I certif� fhat no wo�k or':insfaltation�ha's
<br /> commenced prior-to issuarice of a p.errtiit anc1=th�t a11 work will be performed to.meet standards�of all laws regulating ' '�,
<br /> construction, County and Ci#y cades, zoning regulations, and iand development regulations"in the jurisdiction. °�t�`aisa >° ;�
<br /> certify that I understand that the regulatior�s af othee governmen#agenc�es may apply ta the in#erided work, attd that it i's .=� ��
<br /> my responsibility to identify what actions! must take to be in campliance._ Such.agencPes include but a�e nat.limited..to:. . "
<br /> �.; '�
<br /> - ,Department of Environmentah°`Pra#ection-Cypresst Bayheads, Wetland Areas and Enviranmen#ally Sensitive ,;M ��
<br /> Lands,WaterNVastewater Treatmen#. � ;:;' '
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<br /> - Sauthwest Florida Water Manag�ment District-Wells, Cypress .Bayheads, Wetiand Areas, Altering � ` 1
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<br /> Watercaurses. . ,4 �j
<br /> - Army Corps of Engi�ieers-Seavua!!s, Docks;Navigable Waterways. � �
<br /> ., ,
<br /> - Department:.of Health.;� Rehab(litative SenriceslEnviranmental.:Health :Un�t Weils, Wastewa#er Treatmeni�. ,��� �;
<br /> Sepfic�Tank"s. � '
<br /> - US Environmentai Protecfian Agency-Asbestos abatement. � . ��
<br /> - Federal.Aviatian;Authar:ity-Rctnways. � ;
<br /> }understand#hat�:the foAowing�restrictions appiy fo the use af f�tL
<br /> - Use of fiN is not aClawed�n Flood Zone"V' unless expressly permitted. ` �
<br /> - If the fill,.matecial is to be used in. Flaod' Zone "A", it is understood #hat a drainage ptan addressing a'
<br /> "compensating volume" vuill be submitted at time of perrnitting which is prepared by a professiona! engic�esrg � - :
<br /> iicensed by the$taCe af F(orida. �
<br /> - Ef the fll mate�iai>is tb be used in Fiood Zone "A" in connection with a permitted building using stem walli ;
<br /> construction, 1 certify.tt�at fi!!wilFbe used only to flt the area within the stem wall. , � r,,
<br /> - If fill materia! !s•to .be used in any area, ! certify that use af such-fill wifl not adversety affect adjacent; ;;
<br /> praperties. If use of fill is found to adversely affect-adjacent properties, the ou�ner may be clted for viola#ing; - �;
<br /> the canditions of-#he}building permif' issued under°the attached pe�mit.applicatian, for lofs less than one (1)� � �;;, �;
<br /> acre which are elevafed by fitl, an engineered drainage plan is requi�ed. ' :'�; �� �,
<br /> I f I am.t he A G E N T:F O R.T N f Q W N.E R; f prom ise in.goo d fai t h to i n form t he owner of-the�perrnitting conditions set forth in� � ; a
<br /> th�s affidavit prior to commenc3ng coristruction. 1 understand that a,.sepatate permit may be requ'rred for electricai wock,a '� �a
<br /> p l u m b i n g, s t g n s, w e l l s,.p o o l s,,a i r,c o n d i t i o n i n g;.:g a s;.�.o r o#t i e�'i n s t a l l a t i o n s n a t s p e c�f i c a l l y i n c l u d e d i n t h e a p p l i c a t i a n. A;. .: s'�; �� '
<br /> permit issued shall`be construed-toRtie a licerise��#o.proceed"uvith the work-and not=as authority.to viola#e, ca�cel, alter, or; t�' �
<br /> set aside an � f'' �`� �
<br /> y provisions of`the�fechnical codes, nor shall issuance of a permit prevent th� Building Officia!from #heceafter} �:� �
<br /> requiring.a correction:ofi errors in plans;�constructian.or-violations�of�any�codes.-�Every�perm�it issued shall'become invalid; �<; !� '
<br /> unless the work authorized by such permit is cammenced.within,si�c months of permit issuance, or if work authorized by; - £'�� �' i
<br /> the permi#is�suspended;or abandoned far;a period•of six{6}mory"ths after the time the work i�coinrraenced. An extensian i ,.� �' ,
<br /> may be requested, in.writing,fr.orti tfie BuildiNg�Clfficia! far a periad not to.exceed riinety(90) days and will rlefrtanstrate? �_� �,-�
<br /> justifiable cause far the extension. �If,work:aeases for ninety(90)aonsecutive days,the Jab is cans�dered abandoned. ; �r �
<br /> � � ,. �.. � . , . E F;�. ��a
<br /> �ltARNING�TO�OWN�R:_ YOUR:,�AILU_RE�Ti��,,R��,ORD.A�NOTICE 8F��C.CIMMENCEMENT•MAY��RESULT� IN�YOUR� ���;' i j
<br /> PAYING.TINIGE'F..,OR'MPi�QVEMENTS,�'�O;Yf�UR PROP�RT1f:, IF�Yt)�-�IM1't�N�TO;�f3�TA1�1-�FIN�J�RtCild�;,Cmtd�U��l';__ ;�_��..``--�
<br /> 'VVtTH YC1lJR LENCIEl2�R AN� TI'ORNEY BEEORE REC.t}RDlNG`YOUR'Nt9TICE'Q�`=CC?lU1tlIII�N�ENIENT. � ;:, ;��
<br /> FLORIDA JURAT(F.S.'f 17.03) . _ � . . > .. ' r;
<br /> ��;� l"'�---�--
<br /> OWNEtt OR AGENT CONTitACTO
<br /> Subscribed and swom to(or afflrtned)before me thls Subscrtbed and swom to(ar afl5rtned�before nie this �- '
<br /> �y ey ,
<br /> Who(s/are persona8y known to me or haslhave produced � �Who 9slare personai[y known to me ar hastttave produced �
<br /> as 1denBflcadan. a;s ldentiflcaSo�. � �
<br /> Notary Pu61ic � Notary Publlc
<br /> Commisston No, Commission No. '
<br /> Name of Notary iyped,prin#ed ar stamped Name of Notary typed,printed or stamped
<br /> a�.
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