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®ulating 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
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<br /> EXPIRE+Notsar
<br /> a.vStrv,cu.co' %++taF4o??''� EXPIRES February 23.2020
<br /> FloddallowyServicu.c.onr
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