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NOTICE OF DBEs REBTRiCTtONS;The undera%md underatanda tttet pemtitmay be eubjeet to'deed" 4W <br /> which may be mots resuicnve than County regulations, The undersignm I.aasum68 fesparelbftty for compliance v4M wW <br /> ` applicable dead restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS16 TIES If the owner has hired a contractor of <br /> contraNara to undeAake w0119 theyy may be required to to Hurtled in accordance with state and local repuieffonS. If Ste <br /> contraclor IS not ill =d is MQulIZ by lawn.pod;the owner and marts wr may be for a m�damaarlor*NOR <br /> under state law. if the awmer or irtlended conuactor are uncertath as what lice Wrig requirements may apply tat the <br /> Intended work,they are advised to contact the Pasco CCU"Buliding i pecdon Division-Licensing Goollm at7a 4*7- <br /> 8008. FuMelmore, K the owner has hired a Contractor or cOntraotio , he is adutsed to have the c ontradoy(s)sign <br /> potions of the°contractor Blots&"of this eppifcstioe for Which VW 3d Vint <br /> ` t ern ft. if you.on permitting one r in as ft <br /> il0AtfM,Viat may be 8n WC IM theft he 10 not prop" <br /> TCRANBPORTAMON IMPACTAITILITIES iMPACTAND RESOURCE OM., The undemigned urtat011113 <br /> eft Twomo ill impact Fires rind R0011 9 ReMry Fees may a 14 the 01111 Lion Of R$W NOW,tahelP of <br /> an in area M buildings,or expanaton of erdetrng WA",sa s In PraeD County C?dnertea rurmlrsr 84 7 and <br /> eo.a.as amended. The undwWgrted also understands. such faes1,so may be due,will be iden0fled at the time of <br /> Permitting. it is further understood that Tranapartiftrt Impsot Fees Resource Recovery Fees nwa be pard pdOr to <br /> real G a'ogrnfcate of occupancy'or final power reteaee, if the pro does not invalve a ceffle to of occupancy or <br /> 1101 polver reteaae,the tees must be paid prior to permit lsauanos. F .d Pam County VA tetawYer Impad <br /> too are due,they must be paid prior to permit Issuance in aceordanoe applicable Paean County o1*11neee. <br /> CON3iRUCTION LiMN LAW(ChapW T11E,Ftorlda eltl WM,sa am dad): rfvatustion of work is�aaa a0 or more,t <br /> oertiry that 1, me epplicant, nM be®n provided with a coy sail none ConstrucAon Uen taw--homaowwnsrt <br /> Protection Gulls°prepared by the Florida Department of Ag%culture d Consumer Alfair8. if the appf W la emmeon8 <br /> other than ti a Umer",t certify that t have obtained a copy of the abov described document ad pronilse In good fft to <br /> defter a to the`owner°prior to commencement <br /> CONTRACTORISiOWNER'S AFFIDAVIT: I certify that all the Informa an In this applioatton it acaraata and that all wok <br /> will be done In compliance with all applicable law&regulating co,nBtNe on,z ning and land devilopmiint. Applttation Is <br /> hereby made to obtain a Pam*to do work and tnetafellan as inlu d. I txtttify that no wmrk or Inatafatsn has <br /> commenced prior to Issuance of a permit and that an work will be pe to most otttndwds of ell taws mgulal g <br /> construction,Cmmly and City codes,zoning regufafons,and land d apitnent regulations In the jurisdfafion. 18160 <br /> certily that I understand that the ragWatlons of other government agen may apply to the Intended work,end that It is <br /> MY fSep0rtsIbA�r to Identity whet a0ffans i rnuat t�to be in a Such agencles intdude but ate riot fmited to: <br /> Department of ErMronmantal prolecdontyprana Bayhes .tNeitand Areas and Environmentally SeMltiva <br /> Lands,V"MastswaterThastm nt <br /> southwactt Florida Water Management Dighlot-i ila, Cypress Bayheadri, 1AtOMW AMUs Afii2etrg <br /> Wearcoutees. <br /> - army Corps of Enginew"earaafs,Daft,Navigable <br /> - Department of Health III Reheblrlfatve SendeeslEnviron r>tal Fteafth Unfl As, i fteftwater Ttaahtrar% <br /> ftlic Tanks, <br /> • US Environmental Protection Agency-Asbestos abatement. <br /> Federal AvMon Authotny�Runwsys. <br /> I understend that the following restriction apply to the use of fill: <br /> Use of III is not allowed In Flood Zone W unless expressly ormjftd. <br /> If the fill mategai is to be used in Flood Zone"A", it► understood that a drainage plan addressing a <br /> nempensotng vniuma"will be Submitted at time of permitg which to prepared by a profe,etorw enower, <br /> licensed by the$tate of Fladds, <br /> If the fill material is to be used In Flood Zone"A"in con en with a pemlftd building using 41em wau <br /> com truotion,I car*that In will be used only to Alt the area within the stern wan. <br /> 1t iAl m®farial 19 to be used 1n any arm, I oartHy that u e of such tit v11 not advefsely GIAM adjacent <br /> the CO�rldlllons of the building pes found rmit adversely <br /> r the a had permit appfcallm.f ft owner our at be <br /> INS for Walaft <br /> Ulan arts <br /> atxa which are elevated by flit,an engineered drainage pie is required. <br /> It I am the AGENT FOR THE OWNER.I promise In goad to o fo I the owner of the.pemtblirt�a Tana si:t tofih h this affidavit prior to corn construction. 1 understand UM a s al <br /> permit may.be required for*Wow work, <br /> phrmbing.signs.welts,pools,a f condlUotttng,gas,for other InsWitati a not spaaflosily Initiudsd In the appttoaSan. A <br /> permit Issued shall tot!ttartstrmied to be e ticse to proc¢ed WISm Ste and not ea stAttod vl oat after.er <br /> sea votes+any previolons of the teohnrcai wdea,:svr olrait tasuartr;e Of 8 it jtrByOtit lh6 H19 rub ORfOltil 8+0111 t1DEf <br /> requittrtg a I6rredlan of eaons to plans.ctmstroctton or vioWIMS of sr codd". E+Mr permiE isetrad thall became GmaUd <br /> mdess the work authorized by such pemdf is commenced within six of pert lisuertae,or fE Want at�iot�t{6Y <br /> the permit to suspended or abandoned tar a period of sbt(e)man tu aRerttte time the wwk to c,or i wo An O*Mm <br /> mel►be requested.in vYri ft,tram the ittl IM Oificdat for a period no to exceed nktety(gpry days and will dermoft #" <br /> Julftbte oauac for the extension, if work cones for ninety(00)copse days,the job is considered abandottod. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE COMMENCEMENT MAY RESULT IN YOUR <br /> RAYING TWICE FOR IMPROVEMENTS TO YOUR PROPrdt TWyLENDE'R . IF Y U INTZ- 0-TO OBTAIN FeamustmINANCING,OOtIfStlI.T <br /> J T F .117. ) <br /> CMM AG <br /> owls s� mledy oremethte ,8 a d'�"vcd�° sela.rnte�s : <br /> s netY exam iWM4 or hs .art PfWftedfvVho t psraml yknatam toms r stews grp runes <br /> stdsnuAmAOn. Ids= <br /> Aabwc PLND <br /> CO N <br /> MM g •p 7 Or Yrtlpad �— bit' 11tJ#FF963 N <br /> EXPIRE+Notsar <br /> a.vStrv,cu.co' %++taF4o??''� EXPIRES February 23.2020 <br /> FloddallowyServicu.c.onr <br />