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)TICE OF DEEi).REST.RICTIONS: :The:,undersigned understan,.ds�that:ihis p rmit;.may.be.,sub)ect'.to,"deed"::resVFctions";';:' <br /> 7 .. 7 : <br /> regt�letfons':;-The':unders1gned assumes respainsiblitty}'tor compilonce,,"' ith any <br /> rich may:tie~more`'�estficttve thon'Gounty{ <br /> Iicable deedre trictlons: _'' <br /> -VLICENSEq CONTRACTORS -AND CONTRACTOR RESP.'ONSIEIILITI $ ' if th®-owner alas°hired=-ay'conttactor•.or <br /> ntractors.to undeitake work.;the :me :;she rd::ulredato.be licensed in;a rdance withstate:and[oval regulations :$Ifahe, <'J' <br /> �ntractor.is`not:,licensed`:es:required-baw;,troth the::owner:and contractorsmay`.be•cited for'a`misderneanor violation <br /> ider state law. If the,owner or intended!;;contraptor;are,.;uncerteI ',as'to What.licensing_requirements may`appCy,',K-tile j° x <br /> ended work tfie are.advised to:contact tiie;Paeco':County::Building InsPectCt n:DiviiIon- L i nsin :Section tit.. .. .. _.. <br /> 09. Furthermore, if.file owner has''liht3d`a"cotitractoF'o contracfors; he is advised to have;the ,contractor(s)stgn.. ,,; <br /> rtions of'the:_"contractor Block".•of`this.application-forywhich.-they,.;will..be;.,responslble. lf-.you;,as'<the:oininer„stgri'as <br /> ntractor,'that inaybe'an inditsation th�it he°te nof:properly licensed and is'"nof entitled to:perniitting prtvileges'tn Pasco,._ <br /> to SPORTATION IMPAC. - — ......:_b <br /> T/UTILtTIES`=1MPe Recove�`Fee�maCe IRECa•tfteRrrflnstructlo_nO newe.bulgldtn,•s�chant a of''`�''•`"''`-�� <br /> it Transportation Impact Fees:and.Recourse. ry y pp y..t . .. g." g <br /> e In existing btilldings;>`er'',®cpansiotr.ofeiisti fiiildiri'gs `as specified:in PascoCounty Ordinance number 89-07 and <br /> ,-07, as amended.,j-he.undersigned.also understands,-thaait-:'such fees;:,as�:magr'be:4ue„w.H be ideni[fled at the4IM4ziof" <br /> rmitting. It Is further understood that Transportation Impact fees and Resource Reco�ieryS'Fees.,nnust be;paid.prior to <br /> Delving a:"certiflcate•of:occupancy"or flnal'Spower Release:` :If the.projecf;;does°nifInvolve.a-certificate of occupancy,of;' <br /> al power._release the;fees must be paid..pdor to,;permit IiWa►icie. :Furthermate;:N:Pascm;•CountV:Water/Sew®rAmpact; <br /> 3s are due,_they must be.pal&pHor to,permitissuance_in_accordance:wittt appllcalite Pasco'Couniy ordinances. <br /> )NSTRUCTION°LIEN LAW'(Chapter713,Flortda.Statutes,as amend®d): tf valuatlon of work is$2,500:OO;ior;more;I; <br /> rtify that 1, .the..:applicant,_:have been:.<;proVided:with•a_-copy ofahe° Florida-Constructton.'Llen:Law--Homeowner's <br /> otection Guide" prepared by.the'Fliir>da DepartmenC of Agriculture and Consumisr:Affairs - If the applicant is so sone <br /> f•. <br /> tier than the"owner", I certify;that<l have;.obtainedra copy;of:the.above:described°flbcument and;protttise<in Op,-faith-to, <br /> diver It to the-'owner.":pNor�toFcomrnencemer'it.�'.-'- .. ' '° �' •. .`. . - ' ., . :. • •_ _ .. .:. :.: .. ." . <br /> ,NTRACTOR'S/OWNER'S AFFIDAVIT- IceitKyAhat�allhhe-;Informidlo inithls:application is accurate:and that all work <br /> II'be done to compliance with all.applicable'laws-re gulatin, construction, zoning ands 4and.:development. Application is <br /> ireby made_to, obtain ;a..Permit;.to.do:twotlt:.,and.�ih"s`tallation as indtcetedr, :a:certify that no`work=or Installatlon•'has <br /> immenced Odor`to'Issuance of"a permtt"and that"'alIVork will be performed-to me-a standards,V-ali laws regulating•• <br /> instruction, County and City codes, zoning regulations, and land development.regulations-=lh-the'jdrisdfction. :::I'ealsa <br /> ftlfy that I understand that the regulations of other'government agencies may-apply1o..the:.intended-work, and that it is <br /> I responsibility to Identify•what,actlons l,must;taketo be.Fin;.compliance.,...S,.uch;agenclss°Inciude•but�are_:not limited to?,.. <br /> Department of Environmental.+Protectt€iii Liss'Beyheadsl ''Wetland Areas.and-Environmentally Sensitive <br /> Lands,WaterMastewater Treatment. <br /> Southwest Florida Water 'Management!:::District Wells, Cypress•`•Beyhodds•`-Wetland: Areas, Altering <br /> Watercourses: 3. <br /> Army Corps of Engineer`s-Seawalls;Docks, Navigable Waterways. <br /> Department.of,;Health,;& Rishabliita p..,Servlces/Envimnmental.:Health,:Unit:Wells;;Wastewater Treatment' <br /> Septic Tanks:' <br /> US Environmental Protection Agency-Asbestos abatement... <br /> Federal Aviation,Authority Runways: . <br /> inderstand that the:following?restrletlons'apply to'the'use of fill:- <br /> Use of fill Is not allowed in.Flood'Zone IP unless expressly.permitted. <br /> If the till material: Is to..,be:usea an::flood Zone. "A", ills 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 by,:tl1wState--of;Florida: <br /> If thd,1111 material"is to be used In Flood•Zone "A" ins connectlon•with a'°gemitted building using stem wall <br /> conatruction,..l,certify that.till;yi►111.:be.used only.to.-ill the area.within.'the_stemwall. <br /> If fill material`is to tie used°in'.any area, t`.certify that..use. of•such"'fill will.not adversely affect adjacent <br /> properties. If use of fill,Is found to adversely,affect'adjeided prdperties,.the owner maybe'cited'for.violating <br /> the condfitons-of the:tiullding_permit-issued=under the atfached_germit:applicatlon for,4ots.less•than.°one (1) <br /> acre which•are el®vafeit.t3y_flll;art engineered drainage pianos required:. <br /> am the AGENT.FOR,.THE�OWNER,'i;promise In.good faith to inform the owner,ofth&permitting conditions:set forth In <br /> s affldavit`prior to commend i'ng aonstructitin. `t'understand'that a separata permit may be required for electrical work,. <br /> imbing, signs, wells,.:pools;,:air..condttioning,,:gss,.or;:other. Instas60i la a not.specifically included-In.the application. .A <br /> :rmit issued shall-be construed�to`be a'�licensb to..pro:ceed withi-the':viro k and not.-as_authors :,to.violate,•-cancel alter, or <br /> tY_. .. <br /> t aside any provisions•of'tfie:t®chnical_codes;-nor shall issuance,of i.pernilt.prevent the Bulidirig Official from thereafter. ., : <br /> quldgg a correction-.of errors in••mplans;;construction.orvlolations-.of--anycodes.: Every.permit.Issued-:shalfbecomwinvalid <br /> Mess the work authorized:by-such"-permills' commenced within;sbc Months-of-permit Issuance, or If work authorized by <br /> 3 permit is suspen_ded_or..abandoned�for-.a:period;of,-six.(B):mono s,Ofter`the time the-work-.•is commenced. An extension ' <br /> >,y be requested, in writing.;;from'the Bull""ding:Official for a period..not;to:-®xcsed nirtety{90)'days,and-will:detnonstrate <br /> ;tlflable caus0br-'the extension 1f work.cesees:for ninety(90)consecufive:days,..the Job is•considered abandoned. <br /> ARMING TO OWNER:'.YOUR;:FAILURE'TO R�ECORQ;.A<<NOTICE OF CGMMENCEMENT:,MAY=RESULT.:IN-_YOUR.-. <br /> 1YING TWICE;FOR IMPROVEIVIEi�ITE',Tfl;:YOUR"P1ttAPERTY:r;IF°:YO.tJ;Il�FTEKiD"TO�fiB �AIN'FINA�IEING CONSULT <br /> IT • OU , .. -OR,::AN ATTO N _.M S . .. •O ® G'- O CWINIENWONT, <br /> )RIDA'JURAT(F.&117.031 <br /> OVER OR AGENT CONTRACTOR <br /> 39dbed and swam to(or affirmed)before me this Subscribed's rn flirmedpbefore:me thiB:' <br /> by <br /> o Islare personally known tome or•has/hav®produced. Who:is/are, onellyknowrr -me:or haslhave=produced; - <br /> as'IdentlticaBpn. as f entlflcation. <br /> Notary Public j ZZ1. otary Public <br /> nmisslon No, Co ml slo <br /> •: .;ACQUELINE SAGES <br /> Tie of Notary typed,printed or stamped Name of N e ' <br /> '•*�•. aes ecem*12,2022 <br /> °•��'•' Bonded Thru Troy Fain Insurarna 880 S.781g <br /> y <br />