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<br /> NOTICE OF[�EED RESTRICTIONS: The undersigned;undecstands;-that;this�permit:may,be,swbje.ct�to,w'.deed"::.resfri.ctions",,,,�„._
<br /> wliich�may�ti.e.�more=restrictive:=�han�'Gouritjr�rr>egulatio�s: T�ieXundersign+�dt;assumes�fesporis'ibitiiy�f��co}mpliar�'ce vvithtany`,` +.�
<br /> applicable deed restrictions. � � - ���=>�W`;;����"=�='�-��;>-{'���'
<br /> � ..,.._,.. _ ... ...:.. ,.-:�,;�.
<br /> UNRICENSED'.�CONTRAC'FQRS AND'GON1'RACTOR RESPGNSiBIC:1TIES:- tf�-the��ot+viier�Fias.liire`d�:a�:eon#cactar or �t
<br /> caritractors�to undertake wark; they.-;mayf;be.;ce.quired;-to be�licensed�in accordance.with_s#ate�and�loea�;�regulation"sa4-'.'If:th°eE��,'��' y
<br /> contractar isinot.=licensed as�reguired'tiiy.�law, both:�the owner°�and�co�itractoc-�ma� be cifetl for;a�rii�silemeanor-uiolation ,. �,� ,
<br /> under state law, If the awner or;intendecl.conf�acto,r. are�uncertain as to what.iicensing�requireme�ts�rnay..appiy;�o�:th`e$�'4�°;
<br /> °�E�� ��.s
<br /> intended workr,they.are-advised�to contacf'the�'Pa'sco County'Build'ing'Inspection'D"ivision,.-�=Licensing Section at'727�84�7= ;�
<br /> 8Q09: F�rr-thermore, `�f the owner has`°ttirgt�'-a cont"r�ctor or contfiactors, he��is advised td��have the:,cantractarf4s4)`�;sigr�,,;._µ:;{,. ;=;k
<br /> portions of the "contractor�Block" af this applicationTfor which.they will be,:resp.onsible.:�-lf,you;�„as.;the�,owner°s�ign a's_'tlie�'`' t�� ;:
<br /> contractior., that may be an indicatiori�th�f he�ls riot properly licensed an�f�is not enti�led-to permitting priviteges �n�Pa_s.cq�{F„=',� ;;,
<br /> County. ' _ . ..• _ -.:<,.:: = ...; :.;�,.
<br /> TRANSPORTATION IMPAGT/U7ILITIES�IMRACT AND RESOURCE RECOVERY'�EES: The undersi ned.under;stands..,,. ; }`'
<br /> �� Yix�S,.�:t�'�.�y t. 1-.;
<br /> that Transpo�fat�on Impacf Fees and Recovrse Recovery Fees?may:appfy to:.fhe.construction.of:new:6ui.l.dings,.=change,o.f���:;;:<',; .t�,i
<br /> use in existing�buildings,=or4expansion�af3:existing�buifdings, as specified in Pasco Counfy Ordinance number�89=07 and, `ss :�;
<br /> 90-Q7, as amended. 7he�undersigned"a!"so urtderstancfs, that such=fees, as..may=.:be�due; wifl�be;iderttified�atttt�e�>tf�'rrie�afr'.:���`, r°�
<br /> permitting. =1t is further understood fhat Transportation Impact Fees�and Re'source rRecovery Fees'must be paid'.p.r.ior ta "
<br /> receiving a"certificate.of occupancy" or final,pawer release. If the.project d'oes not=involve.a ce�kificate of occup'ancy`o�:a`}��;. �
<br /> final.power release;�the.-f_ees-�nust�be.paid prior to perrriit issuance.....FurtFiermore,.if:Pasco Coun#y W�ater/$ewer�;;tmpacf:�,::�_�� F� :
<br /> fees are due,.they,must;be.paid,prior to.permit'issuance in:accordance with applicable:Pasca C,omnty ordinances.
<br /> CQNSTRUCTION'U�N�LAitU{Chapter 71�3; �forida Statutes,as amended}: If valuation af wor:k is$2,5{}O;OO�or:rtmrare,�.in:;.:� � � -
<br /> certi, that "I, the a licant, �have been rovided with-a co " � � '`��" �
<br /> fy pp p py::af-the Florida Cans#cuc#ion ��;ien .Lav�Hameowner s
<br />� Protection Guide" prepared�by ths Florida Department of Agricufture and ConsUmer<Affairs. If#he applican#is som�one., . .
<br /> other than the"owner", 1 eertify that;i:have obtained'a capy of the�aboVe''described;dacumenf and,pr_,�rrimise�in�good,#aitfi;;tq �_
<br /> deliver it;to`th:e>`�o�rner"ripFior.;to.commencement:` � _ i
<br /> C�NTRACTOR'S18WIdER'S AFFIDAVIT:.��I;certify:#Fiat'all't#ie inforrnat�on in this application is accurate and�ttiat atiwork �
<br /> will be done in compliance with all applicable'faws,regulating constructian, zoning and�lantl•-development. Application is
<br /> hereby made to o6tain a.=.pecri�i9t:.4to�'do:�work�-ancl instatiatian as'tindicateif: �! ce�tify that no woi�lc ar,�r�stailat�on�has
<br /> commenced prioc to issuance of a p.emiit 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�regulatians in�tfie jurisdiction. °-�1�°also ���,
<br /> cettify tFtat I understand that the regulations of other government agencies may spply to the_.intended work, and that it is „ ;,
<br /> my responsibitity to identify what actions I must,take.to.be in compliance.r�Such.agencies include but;are not�limited;;ta::' :'�x
<br /> - _Department of Envirorim�ntal�`Rroteat�oia=Cyjiress Bay�i�ads; iNetland Areas and Environmeri#ally Sensit�ve
<br /> Lands,Water/Wastewa�ter Treatment. � � ; �.;
<br /> : r-,
<br /> ( - Southwest Florida Water Manag�merit Distr.ict Wells, Cypress -Bayheads, Wetland Areas, AI#ering
<br /> Wa#ercourses. - � " �
<br /> - Army Corps of Engineers-Seav�alls, Docks;Navigable Waterways. ` �'�, I
<br /> - Department-of Health;� Rehabilita#ive SeryicesiEnuironmental_�.Heal#h-°Unit-Wells;'W.as#�!water Treatment, ;� �,
<br /> Sep#ie°Tanks. ' � � V
<br /> - US Environmeritai Protecfion Agency-Asbestos.abatement. • _ _
<br /> - Federai Aviation�Authority-Runways,. �� � ;
<br /> !understand that�:tlie following�restrictions apply fo the use of fili: i ,
<br /> - Use of fili is not a(lawe,d in F.foad Zane"V"unless expressiy permifted. j
<br /> - If the fill material :is to be used in Fload Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating,vo{ume°will be submitted at time af permitting which is prepared by a professionai engineee �
<br /> licensed by the'State�-of�lorida. •
<br /> - !f the fifl material is ta be used in Flood Zane "A° in connection with a permitted building using stem uvall '
<br /> construction, i certify.that-fill will�be used only to filt the area within#he stem wall. _ ; -i
<br /> - If fill� material is to :be used in any �area, I certify that use of such frQ wiU not adversely a�Fect adjacent.
<br /> properties. If use df fili is faund to adversely affect:ad�acent properties, #he owner may be cited for violating. �<�:
<br /> the conditians"of.the.':"building.permif 'issued und'er the�attached per:mit:application, far lots�less-than one (1_) �';� �
<br /> acre which are elevated by fi11,an engineered drainage ptan is reqtiired, �'; j
<br /> If 1 am the AGENT FGR THE OWN.ER;:I:promise in..good faith to inform�the ow�er of.the�permitting conditions set forth;in � ° ` '
<br /> ;��� �
<br /> this affidavit prior fo.commencing cons#naction. 1 understand that a sepa�ate permit may be required for eleatrical wa�k,. ?-� '
<br /> plumbing, signs, weits,.pools,,a,ir,.�canditioning;.,gas;.:.ar�ott�ier instailations not specificatly inctuded in the applicatian. �A., w � � i�; !�
<br /> permit issued shall�be�consfriied`-to�be a license�`to�.praceed�wiith the work and not as authori#y to violate, caFlcel,;alter,Eor ��� ��
<br /> , set aside any provisiorts of`the"#echrticat codes, rtar sha11 issuance of a permit prevent the Building O€Fciat from #tiereafter ;,�; ,
<br /> � requiring a co�rection of ercors in plans;�cbnstruction or;viola#ions of any codes. �-Every permit issued shall�beeame inva�lid r.:;�.
<br /> unless the work authorized by such permft 9s commenced within six months of permlt issuance, or if work autharized_by� �,�;
<br /> s.,
<br /> the permif is suspended.or_abandorned.far a-period::,of six t6}"months after the time the work i� commenced. An extension - ,.�,
<br /> may be requested, in`writing,;from'ttie Building=0fficial for a period.not ta exceed ninety (9a) days and wil! tlemonstrate �:
<br /> justlf�able cause for the e�ctensian. ,If woris:ceases for nine#y{90}consecutive days,#he jab is considered abandoned. � ;��y
<br /> . ! ���
<br /> VVIIARNFNC TO OWNERc:YOUR:.,�AILURE:..T,O;:RECORQ.A.�IOTIGE.4F COMMENCEMENT MAY RESULT 1N'YOUR
<br /> PAYING,TWI.C,E'FOR:IM��O;VEMENT�S�'�QYO;UR:�PROPERTY:; IFYOE�si(Y�END�TO�OBTAIN:=FINANGiNG;CONSULT �� '
<br /> y--Wf i FI'YOY:JR"L�NDEF2.�1�AtV Afi1`ORN�1(BEFORE�t�C_C�FtDiNG�YOIiR-NC1TlCE='C�F��C1MNiEN�E�iIENY:-��-`_�� : -�-- -
<br /> FL4RIDA JUFtAT{E.S.9'l7.03 �;,; , . . . . . � _ `;
<br /> OWNER OR AGEN ` CONTRACTOR �f .r"�
<br /> Subscr3bed and�sw o(or affirme j befare me thls Subscri6ed an m ta or affir�med}-b�o re m�s - .
<br /> bY bY <�fi�i(D� i A,/ .C`
<br /> Who is/are pe►sonally known to me or has/have produced Who islare personally known to me ar has/have prod ced ' �
<br /> as tden8flcatlon. as idenEifica�on. -
<br /> Notary Public Notary Publlc ,
<br /> GommEss[on No. Cammisslon No. "
<br /> Name af Notary typed,pfinted ar stamped Name af Natary iyped,printed or stamped �
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