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<br /> N07'ICE�.OF DEED RESTRICTIONS: The undersigned.undecstands;that�this;:permit.may:be.subject<to.�°deed'':res4nctions"",�',:::�
<br /> .. .,. . . _,.,..� ,_ ,. _
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<br /> ., .-.,-.;�.,,�,> .._':• ,:. '_ _- _ �ei:-T_ : 'r:l:r+ �'r77...i.'i��:'�".�:;?1'r`kra:^.;y 4. .4.d,. '
<br /> .:.t�f.. �Y�%��. ,���r�i' � M:a.'✓�;*','.:t.T-F,�'.a�'_.;.:::�1'S,^.;.
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<br /> which.may,;:be:mqre::r.estrietive:than�Gounty:regulation`s"r�hThe�.unde�signe:tl'`as"sumes•responsib�l%ty-for;-.eompliance�wnth.any �_ ==;
<br /> applicable deed restrictions. ,-. _, .
<br /> iF:j.�;Y. ;y:,;.:�;;,
<br /> IJNLICENSED'��CONTRACTOR� AND� CdNTRACTOR 12ESP;ONSIB,ILITIES:�- ;If-•the>-own`er=has�Ffiire'd��a:�contractor or
<br /> contractors�to undertake work; they,:mayj,be:r;_e.yuired-to be��licensed�in accor.dance with:state;an'd,:�local:.r;egulations:�a'slf.:the�:;��"�:.r�
<br /> contractor is-not�Ilcensed�as�rEquired'by�laini, botfi�the oinmer-:and-�cont�actor-may�be�cited ifor�.;a misdemeanor-violation:�
<br /> under state law. 1f the owner or intended�,contFactor are-uncertain as to what.licensing;cequirements,�enay�..appfy�:f.or�#he%�`"-�'J� �
<br /> intended work;.they:are advised�to cont'act'fhe'Pasco_Coupty"Building.InspecfiontiD:ivision-=Licensing.Section•ai 727=847- `� ��
<br /> 8009: Furthermore, if the owrier ha5'°Hirgd�a�corit"ractor or contractors, he is advised to�ihave tlie.;.contcactor(s,):sign..,_,,;,�;r ,;:
<br /> portions of the "contractor Block" of tbis application,for which�.they will�:be.�resp.onsible.->If.y_o.u,",as:;tFie`own'er'sign�.;as�'ftie�°`��:j ;:�
<br /> contractoc, tlaat may 6e an indication thaf he�is not properly licensed�and�is not entitled-to permitting pr'ibileges m Pas,co,,.;,, `
<br /> County. .. .. • ._ =.: :.. - ::, :;
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<br /> TRANSPORTATION°IMPACTI.UTILITIES IMRACT AND RESOURCE RECOVERY FEES: �The undersigned under.stands - >:
<br /> ,:.� ,.�.;.,--i- �r ..
<br /> that Transportation Impact Fees and Recourse Recovery Fees�may:apply to:the.construction_of new-buil.dings,.�ch'an`ge�of`=�=`=:K= '."
<br /> use in-existing�buildings,lor�expansion of�:eXisting buildings, as specified in Pasco Count}r Ordinance number 89-07 and. ;',� ;-=�
<br /> 90-07, as amended.. The-undersigned also undecstands, that.such::fees,_as�:rrtay;b,e;due, will�be;identified�at�tlie��fime=:of'�����':;_ ':,;,
<br /> permitting. I� is further understood that�Transportation Impact Fees and Re`source�rRecovery.Fees must be paid.prior-�to � -;
<br /> receiving a "certificate.of occupancy" or final.power release. If the.project:does not•involve.a ce�tificate of occ�pancy�o����-��, ��, '`
<br /> final.power release,,the�fees.must be.paid prior.to permit issuance.. :Furtfiermore,_if Pasco,Cou�nty W.atec/Sewer-,;lmpa.et:�-�>-- ; `
<br /> fees are due,.tliey must,be p,aid prior to permit issuance in,accordance with�applicable.Pasco County ordinances.
<br /> COIVSTRUCTIAN LI�fV LAW(ChapCer71�3;Florida�Statutes, as amended): If valuation of work is$2,500:OO�or:.mor;e;.=1:,;:� �
<br /> certify that I, the applicant, have been provided with -a copy.:of�the ."Flo�ida C.onstruetion�'�ien ,Law Homeowner's�"�
<br /> Protection Guide" prepared�by the florida Department of Agriculture and.Consumer-Affairs. If the applicanf is,.s.omeone;. , .
<br /> .. .....:.... .._,
<br /> other than the"owne�',;I eertify that��l_have obtained'a copy of the.aboye,described�documenf,and,promise�in'good-faith:to .,..
<br /> deliver.it-;to'ttie:'`owner"�p�ior�to.commencement: � � � ` ' � � �
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT:.�I;certify�tfiat'alF��tfie infoninatiort in this application is accurate and that alf work
<br /> will be done in compliance with all applicable'laws:regulating construction, zonirig�arid.land:development. Application is
<br /> herebywmade to obtain; a,•.permit=to_�do:�;work�=and__installation .as��indicated: I certify fhat no work or�installation= has
<br /> commenced prior to issuan'ce of a p.ermit and��that all work will be performed to:meet�standards�of all laws regulating. '
<br /> construction, County and City codes, zoning regulations, and land development regulations�in the jurisdiction.�°�I��also �
<br /> certify that I understand that the regulations of other government agencies may apply.to the-intended work, and that it is , �:;
<br /> my responsibility to identify what actions.I must.take to be�m.compliance.,�Such.agencies include but,are not�limited:to:', . ��
<br /> - �Department of Environme�ital;�Protecfion=Cjrp`ress Baytieads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/INastewater Treatment. �
<br /> - Southwest Florida Water Manag�ment District-Wells, Cypress .Bayheads, Wetland Areas, Alter,ing • `
<br /> Watercourses. � � �
<br /> - Army Corps of Engineers-Seawalls, Docks; Navigable Waterways. ' ;s,
<br /> - Department,_of. Health.;& Rehabilitative -Secvices/Environmental..Health- .Unit=Wells, Was.tewater Tceatment,
<br /> Sep#�c�ranks. � ��� ' �
<br /> ;
<br /> - US Environmental Protection Agency-Asbestos.abatement. , � _.
<br /> - Federal Aviation Authori,ty-Runways. ;
<br /> I understand that-the:foll'owing�restric4ions apply fo�the use of fill:
<br /> - Use of fill is not allowe,d in Flood Zone"V" unless expressly permitted. �
<br /> - If the fill material:�is to be used irt Flood Zone "A", it is understood that a-drainage plan addressing a
<br /> "compensating_volume" will be submitted at time.of permitting which is prepared by a professional engineer -
<br /> licensed 6ythe-State�of Florida. - � i
<br /> - If the fill�material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify:that-fill will be used only to fill the area within the stem wall. , �
<br /> - If fill� material'is to :be used in any area, I certify that use of such�fill will not adversely a�fect adjacent, -
<br /> properties. If use of fill is found to adversely affect:adjacent properties, the owner may be cited for violating
<br /> the conditions-of.Ythe:building;permit issued under the�attached pe[mit_ap.plication, for lots�less than one (1) �:.�
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<br /> acre which are elevated by fill, an engineered drainage plan is requi�ed. �
<br /> If I am the AGENT FOR THE OWN,ER;-I:promise in good faith to inform the ow�er.of the permitting�conditions set forth`in � r��;
<br /> this a�davit prior fo commencing consfruation. I understand that a_separate permit may be required for electrical wo�k, �;:,
<br /> � ...,..�r.�«: � .
<br /> plumbing, signs, wells,_pools, air,-conditioning,.gas,...or othe�`in�stallations not specifically included in the application: ��.A., : • - ,'_;
<br /> permit issued shall"be�construed�to�tie a l'icense�to.proceed�with the work and not as authority.to violate, cancel,�alter,ior ''''
<br /> set aside any provisions of the fechnical codes, nor shall issuance of a permit prevent the Building Official from thereafter r'"i
<br /> requiring a correction,of:ercors in`.plans;�construction or violations of any�codes.�Every permit issued sha11'become invalid �A�
<br /> unless the work authoriied by such permit is commeneed within six months of permit issuance, o� if work authorized by f���
<br /> k-.;
<br /> the permit is suspended.or abandoned for;a period�of six(6)'months after the time the work is commenced. _An extension� � �
<br /> may be requested, in.writing,,f�om�tfie Building�Official for a period not to exceed ninety(90) days and will demonstrate
<br /> justifiable cause for the extension. :If,work ceases for ninety(90)consecutive days,the job is considered abandoned. ; �:'
<br /> WARNING TO OWNER;, YO,UR..�AILU.RE�,T,O,R�CORD;_A,NO.T.ICE.OF:•; COMMENCEMENT MAY RESULT IN YOUR �'`a
<br /> s ....,.. . ,,
<br /> PAYING TWICE.'FOR;;IM_PI�OVEMENTS;�TO YO.UR:PROPERTY.: IF�YOU':INTEND�T_O�OBTAIN�FINANCING.CONSULT �;;
<br /> . ..>.. . _ , ,.�,._,., . . ---- � - —---___;�_
<br /> - --�!!�H�`V�UR`LENDElt��l�Ay-�T'�'��NEIf B@L��R�-REC.OR�iNG`Y�,�iF��D �TiCE"G =���IFi��rvi;:t-iin��l�: � -
<br /> FLORIDA JURAT(F.S..11Z.03) { � � � ' ' " ' "' " �
<br /> OWNER OR AGENT CONTRACTOR ,
<br /> Subscribed and swom to(or afflrmed)before me thls Subsc' ed a cl swom to(or affirmed)bef_o,re me Uiis � �
<br /> by ��;���by - I�O_ (,c�l C�lli��
<br /> Who is/are personally known to me or has/have produced ho Is/are personally kno.wn to me or.has/have produced , �
<br /> as IdenNftcatlon. as IdenUBcatlon. -
<br /> Notary Public Notary Publlc ,
<br /> Comm(sslon No. Commiss n No. �� ��Y�
<br /> n,� _ r �
<br /> Name of Notary typed,printed or stamped Name of Nota aed �nted or stam ed ,
<br /> . ,;t�s:��, DEBRA ELAINE RUFFElL
<br /> :,;� :,;:Commission#GG 045343
<br /> :�v���:Expires November 7,2020 ' �
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<br /> I'%°�;;;°P'�`8cnde�i Thru Troy Fain(nsurance 800-365-70i9 I
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