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NOTICE OF DEED RESTRICTIONS: The uridei:signed=,understands that this permit-may be subject to"deed"restrictions"
<br /> which-may_:be•.morevrestrictive-than,Countyregulations. The undersignediassumes•`responsibillvfor'complid,,pe ith..any
<br /> applicable deed restrictions.
<br /> :U,NIaGEN:SEDAGO'I�TRA�CTORS=SAND-�CONTRAC70R 'RESRONSIBTLI7�IE$%`off`the°`own`er' Iti'as"hired a``contractor or
<br /> contractors to undertake work,,..theYntay,be,=required:to be licensed inactortSance,,.vr�ith:staie.sand:icicat regt�iatiotaa °if the
<br /> ... . ._,
<br /> contractor:~is..:not'licensed*.as required by law, both the,owner and=-66ntraotormayAb cited'for"a-,misdemeanor violation
<br /> under state law. If the owner.;or,iAtendedi,Contractor are uncertain;asrto what 1icensi g.:regta3rements_maf pply�for�the
<br /> intentled:work,-they arwadvised to contact the Pasco=County'Building-trisp'ect!oWDiiiisiori =Licensing Section at*727-847-
<br /> 8009. Furthermore, if the owner;:..has:�,hireOkp,contractor or-contractors,-he-is . s..ed.ao have the contractor(s) sign
<br /> portions:of-the-"contractor.Block".of this.application for vuh!ChAhey:vuiil:be,responsible,.,.if you, as the owner sign as the
<br /> contractor,that may be aKindication that'he is not properly licensed-.and is not entitled••to-permitting privileges in Pasco
<br /> County,.:..
<br /> "TRANSPORTATION IMPACT/UTILITIESIMPACT.•AND:RESOURCE•RECOVERY•FEES: The undersigned�u.nderstands
<br /> that'franspor#ation ImRaCt;.Fe_es and Recourse;Recovery-Fees rrtay app!y-to-the-constr.uctlbn=;of•new buildings,change of
<br /> ease in ezisting=iiuitdirigs;'orexpanslon'ofeXi-stmg'6611dings, as specifled-'In Pasco County Ordinance--number.8,.9-07 and
<br /> 90-07,, as-amended...The.undersigned:also.understand'§;,:that)su'ch f6es,.as.4may,.•be<due;':.will.be'•:ident�ed�at`^titie time of
<br /> permitting. Et is=te�rkiiervndecstot�t ttl t Tta�nSportation:lmpact`Fees:end Resource Recovery Fees must be-paid-prior to
<br /> receivigg a"certificate::_of.occupanoji� r fi al power,release:�'.If the peoject,dotis-ridt�involve�a certificate�ofYocot pancy or
<br /> final:power release, the fees must be paid prior to permit lbsWhbe. 'furtherrriore if Pasao<County Water/Sewer Impact
<br /> fees aresdue,,#hey must-tie'paidw pciorsto�p�erMit:issuancrr in accordance with applicable:Pasco;County ordinandes.. -
<br /> CONSTRUCTION f9EN'LAW(Chapter 7�1:3�FlorikIii-'Statutes,,asiamerided):.ul€�v8lUatlon`of`workzis$2,5AO:OO oramore, i
<br /> certify:#hat. t; the:appi cant,_ have been,*: oulded:`wlth-.'a�copy'-of-th Flonda�=Cflnstru tion•Lien Law -Homeowner's
<br /> 'Protection Guide" prepared by the Florlaa.,'Diispartment of Agriculture,and:Consumer Affairs.;,if:theyppp lccpnt,,,,is-tsoTneone
<br /> .,other-than the"owner° I-c'eftl,y',#h� de66-66-6 ocum',ieritand=promise'in good faith to
<br /> deliver it to the"owner:prior to commons , ;ent.
<br /> CONTRACTOR'1 / l1iVN ; A FIDA' lT�'•.: ;cert' thatuill.Beal' o a ions n,.his4 Inc do is: r' e,. d
<br /> ... w:%+a.:��i, ::. .•�! „a ?Y:kzfi�+*•,Jf•. V. "`•'vY!'^-- .•/•`;.
<br /> t' y !'.: .,.. .! tjxw�. AP, a- n,... .at an. .tbat alt:.work
<br /> wiir ties done'ir compliance with°all`applicable laws°regulating construction;zoning and and;+deuelopmento.A-pplication is
<br /> hereby made to obtain a permit to t!'of wo)ft arid'.!itstail9t1dhAbi'-Jh'ficated: I certify that no work or- installation has
<br /> commenced.poor to issuance of a-permlt-and-that all work wiff-be.•,performed.to:.meef•:standards of all taws_ceguiating
<br /> construction; County anWt t�-!1d. :zoning;;regulations,� d!.dby.elopment•regulations In theJu'izi"§diction. I`also
<br /> Certify that lunderstand that the regulatlons'of other government'agencies Inay app!y�to-the-,Intended work, and:tha#'it is
<br /> my responsibility.to identify what actions:l must•take.t6 bwln compliance. Seidfi ageneie§include but are>not,'Im'ited to:
<br /> Department of Environmental-'Protection-Cypress Bayheads, Wetlan.&Areas;.and,Environmentally Sensitive
<br /> •Lands,'WaterMastev a Ur ent.. .. .
<br /> Southwest Florida Water -Management District-Wells, Cypress ,Bayheads, ,7Wetland Areas, "Altering
<br /> Watercourses.
<br /> Army Corps'of Engineers»S'ea4�riatis;:Dooks;::NavigablelWaterways^
<br /> Department ohMealth-i�0fteltabilitative=::Services/EE,hvironm'ental'Health FJnit=Wells;te•WastewaterlTreatment,
<br /> Septic Tanks
<br /> MEnvironmentalpP c3.tectior i/gency:�Asbesto§abatement: "
<br /> Federal'Aviatlon Autfiei fy=Runyirays
<br /> understand that:th,e following;.res„ttict cos"Tapp'ly,,to..;the'use=ofufill: -
<br /> " . .. .
<br /> Use'•of flllJ!s.n6611' In�ifl�:a:.acne V uiiles�expresslyrpeEmitted:• ._.
<br /> matenat is to..be used in flood Zone "A`.', it is understood that a drainage plan addressing a
<br /> "compensating=vatoirte" iill;tie=�submfted atitlme�'ofpermittng4vrhich is�prepared4'by:a;professional'engineer
<br /> licensed by the State Of FIOrlda
<br /> id,. ".iri,
<br /> If,the:fill;materlal is to,beusetl,inflaotl Zone}:A; in connection with a permitted building-using'•stem �nralt:.
<br /> construction, i l,certify that flll�wi�lsbe=used orif 4 Il tho,ar a ithi i the;stem.°wail;, .:
<br /> W-fill.�material Is to;:be..used•in,any area, U=certlfy'that use.of such,.fill wlil not adversely affectt,adjacent
<br /> properties: If:use=of:'fiii is found,'to.adversely'affect�'adjac-0t;prigperties ttierowr�er m- -be::Cited for violating
<br /> the conditions of the building-permit-issued,underthe-'attached permit`application, for lots-less than
<br /> acre;which•are elevated by-.fill;an£engineered:i ra gage plan Is required.
<br /> If I am-the AGENT0611 Tt 01NNER,'l promise.in good:faith-to:inform-the:.ownerot-t o:permlwng-oonditions set'forth in
<br /> this.affidavit.prior to commencing„construction. i understand.that a separate permit.may be,required for electricaNwork,
<br /> plumtiing,�signs;P.Wells;:.pools,'air•conditioning,�gas,,,or other Installations,-neat=specficaliy>lncluded�-in".Ahetiapoliaatlon. A
<br /> permit issued;shall be'construed to be a.license to-proceed:1with the-work•and not as authority to-violate,cancel„,alter;,or...
<br /> set-aside,any provislonsrof1theAechnicalrccodes.norshall.,issuance of a permit°prevent the:Building Official from tfiereaftern:
<br /> requiring''a�correction-of;errors-lin plans,Constriction or'violations-0.any-codes. Every-perml#rissuetl°shail°become-invalid
<br /> unless-the•.work authorized-bysuch,ipermit is commenced.within.six.months.ofpermitassoarce,..or.lf,.workvauthorize`d by
<br /> the-permit-is--suspended^.or-abandoned°for`'a per!od'of•six(6j months after•the time'tl a:viiork is c6mmencei d''Y n extension
<br /> maybe•.requested,-in writing,-.from•the.,Building.Official,for a:period not to•exceed ninety(90)days and will demonstrate''r
<br /> ry(• )`: . v justifiable.cause.forahe;exten'sion. if work:.ceases for nine <'90''consecu#iue.da. s',.ahe:jab is.considered=abandonetl
<br /> WARNING;XMOWNER:-•.',YOUR,'FAII URE TO:•RECORDK.A�NOTi.CF:=tOF-=COMMENCEMENT;MA-Y RESULT iN'YO.UR
<br /> PAYING{fiW10E=FC>R IMPRQVB101110 O YOUfi PFt'G EItfY' t "Y( U INT; .lVD�'t Q`' TAINT lN'AN CN C N iJI T.`;_
<br /> MR YOUR
<br /> SENDER+Dii�ANA7TBRNf=YftIrFO,E°tI=CiDI2DINGYC)ff12 F10flCl�"OF'Oil!{IVIEICEMENT.
<br /> FLORIDA^JURAT"F.-S`1'17A3)
<br /> OWNEWOR-AGENT, -'CONTRALTO <I "~------ -
<br /> Subsdnbedandw d)' o th ubsribe :adts."'.A ) 0i1 .
<br /> oai" '
<br /> .
<br /> .jq
<br /> Who rstare personally known to a or hasthave produced Who Is/are personally.known�toe't66'cr"as/ttave�.toduced`
<br /> as identification. = :a siidenUfibatioric
<br /> Notary Public :Kota yAiblic
<br /> Commission No. Commission.No.
<br /> Name of Notary typed,printed or stamped Name,of;Notaryajrpod,ptinted�oraskamped;,,:- _,.
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