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NOTICE OF O��D I2ES7R1CTIONS; The und9rslgned understands that thib permlt may be subject to"deed"I'B&trlCtlons" <br /> which may be more restrictive tha�Counry regulaUons. The undersigned as9umes r6spansihility for compllence wlth any <br /> applicabi6 de9d ra�trieti�ons. <br /> UNLICLNSLD CONTRACTORS AND CONYRAC7p�t RE3PONSIBiLITIES: If the owner has hired a contraCtor or <br /> contracEors to undertBKe woMc,thdy rr►ay be requir�ed to be Iicens9d In accordancx with state and IoCal reg►�IaUons. If the <br /> conUactor ie not licenced��requlred by law, both the owner and contractor may be cited for e misdemeanor violation <br /> under state law. If Ihe owner or IMended contr�clor drb uneenaln as to what lioeneing rBqWPemerns may apply for the <br /> ir�tended work,Ihey are advised to c�ntACt the Paseo County Bullding Inspection Givi�ion—Llr�nsing Section at 727-847- <br /> 8009, FuAhermore, if tfle oHmer has hired a conl�acbor or COntraCtocs, he is advised to Rave the eontrador(s) sign <br /> portions af the"coMreCtO�91oCk"ot this application for whidt lhey will be responsible, If you, as the owner sign as the <br /> Contractor,that may be an(ndiCdtlon that he is not properly Ncensed and IS not er�tlUed to permi�ing p�vllages in Pasco <br /> County, <br /> 7RANSPORTATION IMPAC7/U7ILITIES IMPACT I0.ND RE50URCE RECOVERY FEES. The Undersigned understands <br /> that TranapoRation Impact pees and Recourse Recovery F9es may apply to the wn�tnaction ot naw bulldinys,change of <br /> use in axf��ng bulldings,or expar�sion of axfsdng bulldfngs,as specified i�P�sCO County Ordinance numbe�89-07�nd <br /> 90-07,as amendgd. 7h�undersigned alsfl�mde�sti�flds,ihat Such fees,es may be due,wlll be ideMified at the C�1e o( <br /> permitting, It IS turlher understoad that TtanBportaUon Impact Fees a�d Rosouroo Ra�overy Fees must be paid prlpr to <br /> rece�vinp a"certlAcate oi occupancy"or fln81 power release, If the pro�eCt doea not involve a certificate of occupancy or <br /> finel pow9r release.the fees muut be pald prlpr tp permK issuanoe, PWthem�ore,if Pasco County WateNSower Impad <br /> rees aro due,they musl be paid pAOr to permit lasuana in accord8nC9 with applicable Pasco Counyr ordlnarxxs. <br /> CONSYRUCTION L.IEN I,AW(Chapter 7'1 g,Florlda Sbtutss,as amanded): If valuaGon Of w0�1c Ia 32,500.00 or more,I <br /> cartffy that I, the applkBrN, h8vs bxn provided with a Copy of the "Floride CarutruCUOn Llen Law�Homeonmer's <br /> Pratecli�Guide"pr�9pered by the Florida Department of P�gricullure and Consum�Af(81rs. I(the applicant i6 some�one <br /> other than the"owno�',I CArtlfy that I have obteined e copy of the above desaibed doCUment and promise in good faiG1 to <br /> deliver it to the"owner'prlOr to comme�cemer�t. <br /> CONTRACTOR'S/OWNER'S ARFlDAVIT: I Gertlfy that all the intortnation in dtls appliCBtion is accurate and that�II work <br /> wlll he da�e in compllanee wlth aN applicable law�regUleltr►p construction,zoning and land development Apppceqon Is <br /> hereby made to obtaln a permit to do work antl In6taMaUdn as indicated, i eertlfy that no work or inst8118t1on h� <br /> commenCed p�or to issuance ot a permit and that all work will be partomie�d to meet standaMs of all laws regulating <br /> construcdon, County and Cily oodea, zoning r�gulauons, and land dbvebpment repulations in the Jurlsdlctlon. I also <br /> certity dtat I understand that the regul�UOns of other govemment agenClez may apply to the iMended work,and that it ie <br /> rtry responslbllhy to identiry what actions I must take to be in compllanee. Such ayenaes includ�but are not limited to: <br /> - Departmer�of Environm�'►tal Protedion-Cypfess 62yheada,WcGand Areas 8nd EnvironmentaNy Sensltiv9 <br /> Lands,WetsrNV2stewater Treffimem, <br /> - Southweat Florlda Water Management plsl��Ct Wells, Cypress 8ayneads, Wetland l�keab, Allering <br /> Wstercoutses, <br /> - Army Cofps of�nglneers•Seawa�ls,Dodcs,Navlgable Waterways. <br /> - Departmer�t vf Health & Rehabilitative SeNlCesl�nvlronmeMal Heallh Unit-Wells, Wastewat�r Treatment, <br /> Septic Tanks. <br /> • US EnvirOnmental Protection AgerlCy-ASbestos abatement. <br /> - Federal AvidGOn Authority-Runuvays. <br /> I understand that th6 fONOwing resUictione apply lo tha use af fiIL• <br /> • Use Cf RII IS not allowed in Flood XOne"V"unless expressiy parmltted, <br /> • If the �1) matsrial is to be used In Flood Zorie "A", it IS understood that a tlPalnage plan eddresbing a <br /> "epmpensatlnp volume"wiN b6 SUbmltted at time of pertnitting which is prepared by a professional enginebr <br /> lioensed by the SteEe of Florlda. <br /> - If the fill material is l0 bb used in Flood l.o�e"A"In connection with a permltteci building ubing stem w811 <br /> construclion,I caRify tllat flll wNl be used only to�II the aroa wdhin the etem wall. <br /> - If fill materiel is to be used in any area, I oertMy that use af such Ap will not adversely attect �dJacern <br /> properties, N use of 11�fs found to adversseiy af66d adjacent propeRles,ihe awr�er may be ated for vlolatlng <br /> the conditions of G1e bulld�ng permit issued under the attached pertnit appllC2tfon,tor lots less than one(1} <br /> acro which aro 9�evad3d by fill,an engineered dr�lnaga plan is roquired. <br /> If I am the ACENT FOR Tti�OWNER,I promise In go0d falth to iMorm the owner of the per�tting c�ndfllOns Set forth in <br /> thls�davit prior to Commendng construction, I understend that a separate pormit may be required for ebCWe�l work, <br /> plumbing,signs,welis, pools, sir conditioni�, gas, or other installaiions not SpGcifically included I�the appllcatlon. A <br /> permd iCSUba shall be canstrued to be a Ucense to proceed with the work and not as authority to vlpleee,cancel,alter,or <br /> set aBide any provisions oi the tecftntCOl cOdes,nor shall issuan08 ot a permit provent the Bullding OTficlal fram thereafter <br /> requktn8 a conection oi errors in plans,construction or violetions of�ny codes. Evary pem�lt Issued ahsq become i�valitl <br /> unleSS the wotk authoriud by BuCh permit is commenced wi1nM s!x manths of permit i�6UanCe.or If wwk authorized by <br /> th�pertnit is suspended Cf ab8ndoned for a period of blx(9)months after the Gme tMe work is commenced. An exp�nslon <br /> may be requested, in wrlUng,from the 8uildir�g Otficidl(or a p�rlod nat ta excxed ninibry(9Q)days and wiN tlemonatrate <br /> juSlMable cause ior the axtenSlOn. If wark ceases for nin8ty{90}cansecutive daye,!ne JOb Is considered abendoned. <br /> WARNtNC�TO OWN�R: ILURE TO RECOIRD A N0710E ENT MAY li�$ULT IN YOUR <br /> PAYING TWIC ROVEME O YOUR P�tOPERTY OU INY'L�N TO N FINANCING,CONSULT <br /> VY Y AN TT B � RE R� IN YOUR N R �N EM T, <br /> L . .11>.0' <br /> owN OR AGfiNT ON7RACTOR <br /> g � �thl� b w a �Q b�toro 1Ms <br /> I m�or num.w produood d m�a n aw aoduoud <br /> a�Wentlllcatlon. �s IduMIAckYen. <br /> nb�ry auw�c ,,,�,�ft.e �4 nlo�on P�w�� <br /> Cuerve��a+No. Commissbn No, <br /> � NphiB 01 N <br /> +`� �A' Al� ,!� �� <br /> �;,,��.�,} MY COMMISSION K EE 189904 . MY COIN�ION M EE 18Y�0� <br /> EXPIRES:Ap�l 16�1016 i; :� L°XPIFE3:ApAI t6�2019 <br /> � Bo�duO 7hN Note�Y��ndawrinr N•, 8a�dud 7h�u N0�87�Untlawfien <br /> 60/E0 3�Jdd 3�I/1a3S l�lI�If1�3S 1Qtf 680L-908-ET8 bt�0Z ZTOZ/bt/Ti <br />