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NOTICE OF DEED RES7RICTIONS: 'Iha undersfgned underslanda that ihis permlt may be subJect to"deed"restdcttons"
<br /> whlch may be more restrk�ive than County regulaUons. 7tre underslgned assumes responsibility for canpliance with arry
<br /> applicable dead reslriclbns.
<br /> UNIICENSED CONTRACTORS AND CON7RACTOR RE3PONSIBILITIES: If the owner has hked a contraGOr or
<br /> r,oniractors to undertake�vork,they may be requked to be Iicensed in accordence wiih stale and iocal regulaUo�s. If the
<br /> oontrector is not Ilcensed as requlted by law,both the amer and coMractor may be cHed for a misdemeanor violaUon
<br /> under state law. It the owner or Inlendad conUaclor are uncerialn as lo whel Ilcensing requiremenis may appy for the
<br /> Inhsnded work,U�ey are advtsed to�ntact the Pasco County Bufldtng InspecUon Divislon—Lkensing Sectlon at 727•847-
<br /> 8009. Furihermore, it ihe owner has hired a coMractor or contradors, he is advfsed to have ihe conlraclor(s}sfgn
<br /> portiwis ot ihe'wntractor Block'of thie appNcaUon for wMch ihey wHl be responsibte. Ii you,as the owner sign as tha
<br /> c�nUector,that may be an trxilcafion that he ts not properly Ncenaed and Is not enUtied to permflGng prMleges in Pasco
<br /> County.
<br /> 7RANSPORTATION IMPACT/UTILITIES IMPACT ANO RE80URCE RECOVHRY FEE9: Tha undersigned underslands
<br /> thet Transportalton Impad Fees and Recoutse Recovery Fees may appy to the constn�ction of new bulidings,change ot
<br /> use in extstlng buiklings,or expanglon of exlsling bufldtngs,as apedfled in Pasco Counly Ordinance number 89-07 arxi
<br /> 90•07,as�nended. The undarsi9ned also undetstands,Ihat such(ees,as may ba due,wili be IdeMifled at the tlme of
<br /> permitUng. It is furlher understood that 7ransporlatlon Impact Fees and Resource Recovery Fees must be paid pdor lo
<br /> reCeiving a'ceNflcate of occupancy"or flnal power r�ease. It the proJect does not tnvdve a cariilicate o(occupancy or
<br /> flnal pmwer relsase,the fees mus!be pafd prbr to permit issuance. FurlAermore,It Pasco County WaterlSewet Impact
<br /> fees are due,they must be paid prbr to permit isauence In ac:wrdance wNh appilcable Pasca County ordinanc$s.
<br /> CONSTRUCTiON LIEN LAW{Chaptor 715.Florlde Stetutes,as amended): if valuetion of work is 52,500.06 or mora,1
<br /> certtiy ihal I, the applicant, have been provided with a copy of the "FlprWa Conetruction Lien Law�—HomQOwner's
<br /> HrotecUon 6ulde"prepared by the Flortda Depsrtment of Agrlcuilure and Consumer AHalrs. if the eppl�ant(s someone
<br /> oiher ihen ihe'ovme�',1 certity Uiat(have obtained a wpy ot the above decaibed document and prortdse in good failh io
<br /> deliver it to the'ovmer prior to commencement.
<br /> CONTRACTOR'SIOWNER'3 AFFtDAViT: I certlfy ihat atl the intormetlon tn this applicafton Is accurate and that ail wwk
<br /> wlll be done In comptlance with ak eppitcable lews reguleUng consiructton,zoning and land development. ApplicaUon is
<br /> hereby made to obtaln a permit lo do work snd (nstaNaqon as lndicated. I ce�iy Ihat no woric or instaqation has
<br /> commenced prior to issuance of a permit arW that all work wlll be perfwmed to meet standards ol ail iav�s regulaling
<br /> caulructlon, Counly aix! City cndes, zoning regulatlona, and larxl devebpmeM regulaUons in the Jurisdicllon. I aiso
<br /> certi(y that 1 understand lhal ihe regulatlons of olher govemment agencios may apply to the intended wwk,and that il is
<br /> my responsibiply to idenNfy what actlons I muet take lo be fn compltance. Such agencles include but are nol IimHed to:
<br /> - Department of Envlronmental Prolecttan-Cypress 8ayheads,Wetland Areas and FnvironmeMally Sensilive
<br /> Landa,WaterANssiewaler Treelment.
<br /> - Soulhwest Florida Water Managoment DlstAcl-Wells, Cypress Bayheads, WeUand Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps o(Englneers-Seawalls,Docks,Navlgable VYaterways.
<br /> - Depertment o# tiealif� & Rehabltltatfve ServiceslEnvironmenlal Heallh Unit-Welis, Wastevrater Treatment,
<br /> SepUc Tanks.
<br /> - US Environmental ProtecUon AgencyAsbestos abatement.
<br /> - Federal Avfatlon Authaity-Rumvays.
<br /> I undersland ihet the tofloadng re�ldctions apply to the use of fill:
<br /> - Use of OII is not allo�ved fn Fbod Zone'V"unless expressiy permitled.
<br /> - If the 811 maiedel is lo be used fn Fbod Zone "A', it is understood lhal a dralnage plan addressing a
<br /> "compensatlng volume'wili be submltted at Hme of permitting vihich ts prepared by a professional en�ineer
<br /> Ilcensed by Ihe State of Florida.
<br /> - If the fill mate�lal Is to be used in Flood Zone'A'(n connecilon v�ith a permftted buildirx�using slem v�ali
<br /> cons[ruction,I cerlify that flll will be used only lo fill the area wilhin Ihe siem vrall,
<br /> - If ful material is to be used in eny area, I cedify thal use of such fill will noi edversely aHect adjacent
<br /> prope�t(es. if use of fill is tound to adversely atfect adJecent propeRies,the owner may be dfed tor violating
<br /> ihe condfitons ol the bulldirg permit iesued under Ihe atlached pem►It applicallon,tor lots less than one(1)
<br /> aae whlch are elevated by flll,an englneered dralnage plan is required.
<br /> if I am lhe AaHNT FOR THE OWNER,I promise in good falth to Inform Ihe owner of Uie permilting conditloiu sel forUi tn
<br /> this a�davit pdor to commencing consWclion. I understand Ihat a separate permit may be required Ior electr(cai�rork.
<br /> plumbing,signs,wells,pools,alr condtponing,gas,or other InstallaUons not spediicelly Induded in the applicatlon, A
<br /> permtt Issued shalf be construed(o be a Ilcense(o procesd wilh ihe work and not as authodty to vlolate,cancel,aiter,or
<br /> set aslde any provisfons of the technical c4dea,nor shaA issuance of a permit prevent lhe f3uiiding Offidal(rom therea�ter
<br /> requlrkig a corcecUon of errors fn pians,constructlon or vtdaUons of any codes. Every permit Issued shall become tnvaYd
<br /> unless tho vio►ic aulhorized by such permit Is conxnenced wfthin six monlhs of permit issuance,or it work authorized by
<br /> the permit Is suspended or abandoned for a perlod of six(B)months aNer Ihe time Ihe urork Is commenced. M extenslon
<br /> may be requasted,fn wriBng,from ihs Duilding OHida1 tor a period not fo exceecl ninety(9U)days and will demonstrate
<br /> justiflable cause for the extenslon. If work ceases for ninefy(90)consecutivo days,the Job is conaldered abandoned.
<br /> WARkiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICH OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYINCi NVICE FOR IMPROVEMENTS TO YOUR PRaPERTY. IF YOU INTEND TO OBTAIN FINANClNO,CONSULT
<br /> WITH YOUR LENDER OR AN ATTQRNEY BEFQRE RECORDINO YOUR NdTICE OF COMMENCEMENT
<br /> F�oRion,nu�T�F.s.,n.a�y
<br /> OWNERORAf3ENT�.�►Yl {,J �P CONTRACTOR
<br /> S�aabed and swom to(or before me Wa Subm�lbed end svwrn w(or aHGnw�beforo mo Wa
<br /> by py
<br /> MMelalar.,Mraenelk krwwn b r►ro of hsMiiave produced Who Is/are personaly knovm!o me ar hasfiavs producad
<br /> ac tdnntln¢aUan, as k1enWlcaBOn.
<br /> �!/(!/Id�.d�Ot�Q��.{�.(��p MotaryPublic NolaryP�blic
<br /> Commisston No. �" � —�CO Cmrnlsslon No.
<br /> �.l�l���} L�� /�F�b u v2-� ------
<br /> Name af Molary typod.Pd�ad w slamped Name o(Nolary lyped.P�fnled a stamped—_...---
<br /> COMMONWEALTH OF PkR�N5YLVANIA
<br /> Not�rlal Seai ��
<br /> Marsha Lee LeFebvre,yutary Public
<br /> Unlon Twp.,Lawrence County
<br /> Commisslon Explres Ma 1,20:6
<br /> MFMp��pENNSYLVANTA ASSOCIA't1ON OF MOTARIES
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