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OTICE. OF OEEO.REStRlCTlONS: . The underalgned und....tand. that thle permit may be eubject to ~deed" trict" n 'hlch may be more reetrIctIve than County regulaUonl, The und....lgned a..umes reepofl8lb11ty for comPllan:: w1t~ons ppllcable deed restrlction8. any NLICENSEO CONTRACTORS AND CONTRACTOR RESPON8IIIILI11ES. If the hu hired :mtractors to undenake work. they may be requlnld to be IIoenHd In ~noe with :- .nc:I a oontI'1Ictor or :mtractor Is not l.icenHd a. required by law. both ~ owner and \IOI.bJlOtor may be oIted for a ~iol:t~~~ nder state law. If the owner or Intended oontractot... uncertain.. to what Iloen,lng NqU~ may Iv for the Itended work. they ...lIdvleed to contact the puoo County Building lnepeotlon Dlvlllon--lJoenllng aeGtIon -='727-847- OO~. Furthe~ore, If the owner ha. hired. contraotor or OOI.traotora, he 18 advlled to have the "",.~,) sign ortlons of the aou1NOtDr 8Iook" of thIa applloaUon for WhIclh they WIlt be rwponalble, If~,"'" owner ... .. the ontractor, that may be an Indlcatlon that he " not property lloenHCI and 18 not entitled to permitting prtvIIegee In Pasco .ounty. RANSPORTATlON IMPACT/UTIUTIES IMPACT AND Rll80URCI RIICOVIRY....: The uncIereIIIMCI uncM...t.nd8 lat Transportatlon ImpaGt F..' and RecIou,.e fteOOVeIY ..... m-v apply to the oonlvuouon of MW eauIcIIn8I ahange of se in exiatlng bulldlnge. or expanelon of .xletlng bulldlnga.... lpeoIfted'ln puoo County ORII.-.noe tNmbef 88-07 and 0-07. as amended. The underalgned .eo und....tancll, that euoh feN, .. may be due, wU1 be IcIenUfted lit the tlm"e of ermittlng. It Is further under8tood that Tran,portatlon Impact FHI and RelQUroe Recovery Fwe mu.t be peId prlor to ~ceiving a "certificate of occupancy" or final power ......., If the project do.. not Involve a ~ of oooupancy or nal power relea.e. the feel mull be paid prior to pennlt lIauanoe. Furthermo.... If PaIoo .County ~ Impact ~es are due. they muat be paid prior to pennlt lauenoe In aooordanOe with appttoable PaIoo County ordlnal'lCH. :ONSTRUCTlON LlBN LAW (Chapter 71S, FlorkIalhatUtM, _ amenclecl): If valuatlon of work 18 $2,800.00 or more I ertify that I, the .appllcant. have been provided with a copy of the .Florlda Cofl8truGtlon LIen Law Homeowne~'s >rotection Guide" ~ by the florida Department of AgrIculture and Conaumer~. If.. appUoant Is someone Ither than the "owner", I oertIfy that I have obtained a copy of the above deecrlbed dOClUment and prom'" In good faith to leliver It to the "owner" prtorto commencement. ;ONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Information In this applloaUon II aocurate and that all worK viII be done In compliance with all applicable 'awe regulating con1ltrUotlon. zoning and land d.velopment. Appllcatlon Is )ereby made to obtain a pennlt to do work and lnataIIatlon as Indioated. I oertIfy that no work or lnatallatlon has :ommenced prior to IsaUance of a permit and that .1 work will be perfonned to meet standafde of alllaw8 regulating :onstruction, County and City codes. zoning regulation., and land deVelopment regulatlone In the jurlsdlotlon. I also :ertify that I understand that the regulation. of other government agenoles may apply to the Intended work. and that it is ny responsibility to identify what actions I must take to be In compliance. Suoh agenoleslnclUde but... not limited to: _ Department of Environmental Proteotion-Cypre88 Bayheads. WeUand Areas and Erlvin)nmentally Sensitive Lands. WaterlWastMater Treatment. Southwest Florida Water Management Dlatrtot-Well., Cypren Bayhead., Wetland Areu, Altering Watercourses. Army Corps of Engineers-Seawalls. Oocl<a, Navigable WaflJJrW8Ys. Department of Health & Rehabilitative s.rvloellEnvlronmental Health Unit-Weill, WuteWater Treatment, Septic Tanka. US Environmental protection Agency-A&beIto& abatement. Federal Aviation Authority-Runways. I understand that thefoUowlng restrlotlons apply to the use offill: Use of fill " not allowed In Flood Zone "Y- unlealexpreHly permitted. If the fill material Is to be used In Flood Zone "A". It Is understood that a drainage plan addressing a "compensating .volume" will be submitted at Ume of pennlttlng which Is prepared by a profeMlonal engineer licensed by the State of Florida. . If the fill material is to be used In Flood Zone "A" In connection with a pennltted building using stem wall construction, I certify that fill will be used only to flll the area within the stem waD. If fill matdI is to be used In any area, I certify that use of such fill will not advensely affect adjacent properties. If use of fill Is found to adveI'88IY affect adjaoent properties, the owner may be clt8d for violating the conditions of the building permit \88Ued under the attached permit application, for lots less than one (1) acre which .. elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER. I promise In good faith to Infonn the owner of the permitting conditionS set forth in this affidavit prior to commenclng construction. I undtntand that a separate permit may be requied for electrical work, plumbing. signs. -. paoI8. air cond\tkllIIng, gal. or aIhor 1""'-" not apeoIl\caIY Induded In lhe oppIIcation. A pecmit issued shall be cOnotruod to be a 1_ to ..-.s wIIh lhe - and not as authoo1IY to -. cancaI. alter. oc set aside any provisIonS of the technical codee, nor ,halllllUance of a permit prevent the Building omctaI from th~eaft~r c""uicing a correction of_In plans. ~ or....-.no of any oodos. Every permllloIUalI- become. Invalid unless the work authof'lZ8d by IUOh permit Is commenoed within six months of permit 1s8Uan08, or lfWOlk authonzed .bY the ermit is suspended or abandoned for a period of. (O) months after the time the work Is cornmenoed. An extensIon ma: be requested. In wIilInllo fnlIIIlhe IluIIdInlI 0I\IClIII for a porIod not to exceed ~ (80) dIlylI and wi! demonstrate jusllfiable cause for lhe -.Ion. If work_ for nIn8lY (80) ClllllIlICUIIve ~ lhe jab Ia ~ ~. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOl\CE OF COlllllE~ MAY REllULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN PlNANClNG, CONSULT WITH YOUR LENDm OR AN AT'I"ORNEY B.llaRl! DlII!nDnlNG YOUR NOncl! OF _~NT. FLORIDA JURAT (F.S.111.03) OWNER OR AGENT. . CONTRACTOR . S"b"'ibed.nd~~~ _ond~~~. -Eh. re personallY to. ....0lhM/haV.~ WhO__P". I~meor'--~ ~ ..~...... d~~.~"rk;~- L~~H -.~c D Commission No. eommll8lon No. Name of Notary NIIM 01 ..... --.... ~ .