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813=7130=0020''=` CI 'O'f�Ze h. rhills:'P�rmitA licatio'ri Faz-81;3 7SUO ;i;+. <br /> tY P Y� pp • <br /> BuildtngrDepartment' <br /> I <br /> NOTICE'OF'DEED`RESTRICTI'ONS-The;undersigr ed under"standethaf`this'penriitmay`be s'utiject to'"deed�'restiictions.wiiicFi m2y tie'more�estrictiv`et ' <br /> than Courityregulatlons.•The undersigned;assumes_responsibllityfor compliance:with any.applicable.deed restrictions. <br /> UNLICENSED'CONTRACTORS�AND.CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor.or contractorsdo•undertake worl(;.they�`, ` <br /> may be required to be licensed in accordance with state.and local.regulations.If the contractor is not llcerised.as•reiquired,bylaw,bo$i the owner and <br /> contractor may be,.cited:for a.misdemeanor viotatiort''under.state°law,+lf the owneror intended contra ctor.are uncertain as tawhat litensing requirements-.; <br /> may,apply for.the'intended'work,they are;advised to contact the Pasco County-Building�Inspection,Division=L'icensihd-'g o6--M127=t14y=8000 <br /> Furthermore,if the:owner has hired a contractor;or:contractors,,he,is,advise l4o have the contractors)sign.:portions.of the!",contnactor,Block"of this <br /> application for:whicfi'they.willbe responsitile.'Ifyou;asthe owner sign as the contrattor,.thatmaybe an indicatiornthat he is.not properly116c s�`ed an&R—, <br /> not-erititleil''to:penriiWiid privileges in Pasco'County. - <br /> TRANSPORTATION'IMPACTIUTILITIES.IMPACT AND.RESOURCE RECOVERY.,FEES:The�undersigned,under,stands._ <br /> that Transportatjori..IrnpactFees and'Recourse Recovery''F.ees;ino"y,"applyto tRe�constructictrrof newaiuildings;�changeof use inezisttng buildings,oP"''' <br /> expansion of existing buildings,as specified in Pasco County Ordinance number,89-07 and 9M7,as amended •Thevndersigned alsi#understands,.that <br /> such fees,'as•may.be`due;'will'be identified at the:time.of germltgng.,It_is„further understood•that Transportatloit.Impact Fees and'ResQurbe Recovery: <br /> Fees.rusttie•paid`prior:to,receiving-a-"certificate:ofoccupanW.-j final..,pouverrelease.If the:project'does:notsinvolve:aceriliioafl otoccupanayorifinal <br /> power release,the fees must be paid prior to permit Issuance.Furthermore,'yif Pas=County.Water/Sewer impact fees are due,they must be-patd_ptior <br /> to permit,lssuance-in'accordance•,with,applicable;Pasco Countyordinances:'''°'' <br /> CONSTRUCTION.LIEN LAW(Cfiapter.713;FloFIdi''Stafut i4 is ameode'd):If valuation of work'is$2,306.00:or.more,I.certifyahatl;°the applicant, <br /> have been pro'Vided.wiih,.a'copy of the"Florida Consfi ictionsLten-Lawf=Nomeowner's;Protection:Guide ,preparedcby the'Florida Department of,, <br /> .Agriculture and Consumer Affairs:If-the applicant someone other thari'the"owner",(;certify that.!have obtained a copy ofthe above descf�tied' <br /> document-and•promise.in'good-faith:to deliver:it:to.the,°owner:.prior to,commencement <br /> CONTRACTOR'S!OWNER'S'.AFFIDAVIT:..I,cei.*,thi ttili.the informati-ort.in,this a&lication is accurate and thatall'.work wriilfbe.done In.compliance,,with , <br /> all applicable laws,regulating'Coristriibtionzoning' ndaand;development Application:is;hereby;male to,obtain;a,perrnit to;do work and.installatlonas ,, . <br /> f <br /> .1ndicated:a;certify.tIj6Vno work.orAvoiallation hascorrimenced prior to issuair>ce of a permd and thaE'all;work will be performed to'meetstandards of all <br /> laws regulating construction,County and City codes;zoning regulations;and land'development:regut0-6 fis Iti the jurM160ort 1-a Ito'cettify.tfiat I <br /> E <br /> understandahat,the.regulations:of other,govemmentagencies may apply to the intended work;and that it�is my responsibilityto identify what.actions.l., <br /> must take to be incompliance.Su&agendes(ndude but are not Iimitedto: .• ' . _. �_._._ <br /> Department of EnvironmentaliProtection-Cypress Bayheads,;Wetland:Areas and-Environmentally Sensitive' . <br /> -:.Lands;WaterN.Vastowate '-Treatrriel t. ` <br /> Southwest Florida Water 'Management District-Vllells, Cypress� Bay heads;--Wetland'"-Areas;`•Altering <br /> Watercourses. " <br /> -. ArmyCorps of Engineers-Seawalls, Docks; Navigable Waterways. _ .. <br /> `Department`of Health'&`°Rehabilitative Services%Environmental Health' Unit-Wells, :Wastewaters Treatment,' <br /> Septic Tanks. <br /> US Environmental Protection Agency-Asbestos abatement. <br /> Federal Aviation Authority-Runways. <br /> I understand that the following restrictions apply to,the use of•fill:, :. <br /> Use of fill is not allowed it Flood Zone'°V"unless ezpres sly permitted:If the fill• material is to be used in- Flood.2one "A", it is understodd�Ahat"a drainage plan addressing a <br /> "compensating volume" willbe-subriiy d a,tim'e'of`perfnitting wliIC �i&prepared by :professional:engineer:.- <br /> licensed by the State of Florida, „ <br /> If the fill material is.'to be used in Flood Zone °A° in connection with_&.permitted building using stem wall <br /> =construction :l,--certifj.:I iattfill,*4i11 ba�used-only,<to,,,fill the area.:within.the stern,wall„. t:> ..,•.,, c;,, <;, ;,;.�,,,,;,,,,;,,,,,,, <br /> - If fll material i§ fo tie',,sell'"in'any. area; I. certify that upw of"such fill'-will not.-adversely;�affect adjacent <br /> -properties.:af:use_of-fill:is,fqund:,toadversely affect=adjacent,properties, the"owner-may be.cited'.for Moiating fit: <br /> the conditions of'the'liuii`ding perinit,.tssued un'fer the'rattached.:permit application,:for lots less than one <br /> rwaeelevated bfllFa engineerd•drainage'plan19required:aceci <br /> If I am the'AGENT,FOR;THE,O-WNER,I_promise°(n,good•faith to.inform the;'ohwnprof_the permitting oonditions set forth in this.affiday t.pgor.to _';. ,, •, <br /> comendng.c6hsb;i ction:I'i iiderstand thi t'a'separate:,permitmayberequired for electrical,.work;;plumbing,.'signsi-welis;:pools;.atr conditio <br /> m ning,gas,•or <br /> i <br /> oth6i installations h0ispecifically included in the appiication.Xpennit ssued shalhbe construed to,b6 b Itcense'to proceed:With ahe:work and'not as <br /> authority to"violate;'cancel,`alter;or set aside;any-provisions;:of-tfie,technlcfil codes' nor shall issuance'of a,pennitprevent the Buildln 61fidal from' ' <br /> thereafter>requiring.a',00rrection_of.errors,;in`plansitonstructidn•orvioI I Tivs of anycodes.Every_permit.Issuedshall;beoomeanvaltd unless,ahe wo"rk- u�= <br /> authorized bysuch.permitis commenced?within slx.months of:pemiitdssuance,or,(.work autfiorized`byttie`permit. suspendeilior,abandoned.fora <br /> ped6d,of six:(6);months,.after.the,time.the'wot'k;ie�cotnmenced.An extension may-be;reguested,in writing;from the Building Official for a;p�eriod not to,�; <br /> exceed'hln*iy 0)'days aiid will.demonstrate justifiable cause for the.extension.if work ceases for'ninety'�90 consedrfive dayssi job§;considered <br /> abandoned. <br /> 'FAILUREO TICE URNO "AN IWARNING-TO_OWUR OO I'll <br /> WARNINGBTAINFPAYINGTWICE FOR IMPROVEMENTS:.,TO YOURPROPERTY:•IFYOU: NTEND TObETCG;CONSULT <br /> FLORIDA JURAT'(F.S.117.03) <br /> OWNER OR AGENT CONTRACTOR <br /> by ( ) <br /> ,.... .._.�._.,.'., ,, emethis 'iSubscribed'and`swo 'to• r rm � "•thin•. -"- <br /> Subecribed.and sworn fo or affirmed befog , , Z b 1 - <br /> Who is/are personally known to me:or has/have produced Who'is/aye' ona known.o me or'lias/have:prodU ::;'.•:_" <br /> as Identification. as Identification. <br /> Notary Public Notary,Public.,, <br /> Commission No. Co lssion o ; <br /> Name-of.Notay-typed,-printed or stamped— - - - 'Name'of-Notary.typ pQ ;_�l►irpettDl.e�� �212022.'o-3 <br /> '*' t .,=�XplreS FaNlnsu�ancab0 e- , <br /> _ ,. - ' ,, '•"�;; doe;=�goodedZhNTroy , <br /> I <br />