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N0710E OF DEED RE37RICTIONS: The undersigned imders�nds ih�this�er►nit mey be subject to"deed°restridions° <br /> which rr►ay be mae resfric�ive tl�an County regulatioru. The urxlersig�ed agsurr�es responsib�ty for cortpiiance with any <br /> aPP�daed restridions. <br /> U#ILICENSED CONTRACTORS AND CONTRACTOR ItESPONSIBIL177ES: ff 1he owner has Mred a contrador or <br /> contractors to unde�take worlc.tt�ey may be required tp be licensad in accorclance with sfate and local regulations. If the <br /> oonhactor is not Ik:er�sed as requNed bY lav�r. both ihe owner and conVactor may be c.�ed Fo�a rt�isdert�na violation <br /> under sta�law. If the awner or iMended aontractor are unce�tain as tio what NcensinB reciuirernents may apply for the <br /> intended work,theY are advised to oorrt�the Pasao CouMy B�Idin9�nspedion Olvision�-�Lk�t�skig Sectlon at 727-847- <br /> 8009. FuAhertnore. ff tl�e owner has hiied a�or or�. he is advised to have Me contrador(s) sign <br /> portions of U�e'�ntrac�or&odc'of tlMS appCcation for which U�ey wNl be responsibie. If you�as the owner sign as the <br /> contractor,that may be an indic:atbn that he is not propery Aoensed and is not�titled b P��9 PmNe9es in Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTIt.ITIES IMPACT AND I�SOURCE RECOVERY FEES: The undersigned understands <br /> that Trensportadon impact Fees arnl Recasse Rec��ve�r Fees may appy!o the�ucdon of new buiklings.change of <br /> use in ebstlng buYdinps.or expansion of e�tinp bu�ldinps.as specified in Pasco County Ordinarioe number 89-07 and <br /> 90-07,as amer►dad. The undersignad also understar►ds,that such fees,as may he due,wiM be identlfied at tlie time of <br /> permiding. tt is further un�lerstaod th�T�ansportaHpn Impact Fees and Resouroe Reoovery Fees mt�st be paid prior to <br /> receiving a`oerfficate of occupanc�'or fnad power release. If the projed does na invdve a aertificate of occupancy or <br /> final power release�U�e fees m�t be paid P��to perrt�it issuance. Furtherrtqre.if Pasco County WatedSewer Impact <br /> �ees are due.lheY rrwst be paid prior to perm�issuanoe in aocadance wilh app4cable Pasco County ordirrances. <br /> GON8TRUC7'tON LJEN LAW(ChaEMsr 713,Fbrida�.eis amsnded): If vahiedon af work is S2.500.00 w more,I <br /> oertHy that I, the appricant, have been provided with a copy of the 'Flori� Conspt�ctlpn Lien Law—Homeowner's <br /> Protection Guide'PrePa�d bY�e Florida D�trtient aF Agricutlure and Cor�sumer Aifairs. If the applicant is someone <br /> other than the"owner',I cerUty that I have obtained a copy of the above descr�ed document and promise in good taith to <br /> delhrer ft to fhe'amei'prior to oam�r�er�ert�ent. - <br /> CONTRACTOR'SIOWNER'S AFFIDAVlT: I ceitity ihat aq the infartmtion in this appNcation is aa:urate and that all work <br /> wiN be done in twmplience wkh edl applicable laws repuladng ca�strucffon.zoning arui land davebpment Appik�tion is <br /> hereby rt+ade to obtaM a pertnit to do work and i�taNatbn as indfqted. I oertify tliat no wo�lc or i�stallation has <br /> commenc;ed prior to issuanoe of a pemiil and tbat aN work w�l be performed to meet standa►ds of all laws negulating <br /> construcdon. County and City codes. mnin9 ►�eBWation.s. and IarM developrtient repulations in ihe jurisdiction. t also <br /> cer6ly that I understand U�at Ure regulatlons of other govemment agendes may apply to Ure inhended work,and tt►at ft is <br /> mY����lY to idenlify what adions I must talae to be in aompliance. Sut:h agencies indude but are not lirr�ited to: <br /> - Department of Ernironmenlal ProtectlOn-Cypress Bayheads.W�eUand Areas and Ernironmentally Sens�ive <br /> Lands,WaterlVV�eterTreaUr�ent. <br /> - Southwast Fbrida Vlhater Man�ement District-WeNs, Gypress Bayheads, Welland Areas, Altering <br /> VUateroourses. <br /> - Artrry Corps of Engineers-SeawaNs.Dodcs�Nar►igable M/a�tvvays. <br /> - DepaNmerrt of Health 8 RehaMl�ative Services/Emrir�onme�tal HeaHh Unit-WElis, Wastewater Treatment, <br /> Septic Tardcs. <br /> - US Environtr�l Prolec�ion Ag�,y-Asb�tos abatement. <br /> - Federal Aviatlrni Auf�prily-Rurnvays, <br /> I understand that the idlowing r�trictions apply to the use of flll: <br /> - Use of flN is not allowed in Flood Zone"V'unless eupressy pennilted. <br /> - If the fill materiai is to be used in Fbod Zone "A', it is unde�sbod that a drainage plan addressing a <br /> °cort►pensatlnp wlume'wiq be submitted at time of pem#ting which�prepared by a professional e�ineer <br /> lioe�sed by the State of Florida. <br /> - If the fiA materiai is to be used 'm Fbod Zone'A'in oonnection wilh a pertnit�ed building using stem wali <br /> oores�ion,I oertify if�fiN wiM be used only to fil the area�wilhin U�e slem wali. <br /> - ff r� mater�ai is m ne used �, ar�y a�ea. I certifjr that use of such fip wiU not adver�ely affec:t �ljacerrt <br /> properties. If use of flN is tound to adversely affed adjacent properties,Uie owner may be ated for violating <br /> the candidons of the bu�7ding permit issuad under Uie atlached Pem�t aPdicebon,for bts iess than one(1) <br /> acre whic;h are elevaa�ed by fi1,an engineered drainage plan is required. <br /> If I am tlie AGENT FOR THE OWNER,I promise in good faiHt to intorm the owner of the pemMtinp oonditions set fiprth in <br /> this affidavit�xior to oortKnencing c�sinw�ion. I understand that a separate Perrnit maY be re9uired for electrical work, <br /> plumbing,si8�s,weps, Pools.arc cor�ffoni�g.9as.or otl�er instaMations not spec�Ny induded in the application. A <br /> Pe►mtt issued ahaN be cor�strued to be a lioense to p�with tl�e wak ar�d�es authority to�riolate,cancef,after,or <br /> set aside anY provisions of the teChracal aodes,rror shall issuanCe of a permit prsv�ent tt�e BuNdny Ofl'�cial irom thereafter <br /> �N�9 a�of errots Kt plans.cor�trucHon or violatlor�s of arryr codes. Every pertnrt issued shaN become invalid <br /> unless tt�e w�ork authorized by sud�pe�mit is wmmenced withM six monMs of pemMt iasuence.or if work authorized by <br /> the pertnit is suspended or abandoned f�r a period of sbc(6)months aiber the time the woric is commenced. An extension <br /> �Y be r�e4uesbed.in writing,fran fhe 8uidin8 Offidal for a period not to exceed ninety(90}days and w�t dernonshate <br /> jusUfiable cause for the extension. If woNc oeases for rrinety(90)conseaitive�,the job is considered abandoned. <br /> WARNING TO OYYNER: YOUR FAIIURE TO RECORD A NOTICE OF CO�AENCEMENI'MAY RESULT IN YOUR <br /> PAYING YWICE FOR NI�ROV�ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIlUINCING,CONSU�T <br /> FLORIDA JURAT(F.S.117.03) <br /> OWNBS OR Af3EMT CONTRACTOR � <br /> subscnbea and swam m(or alfm�ed)oerore me mis subaafoed ime�cefore me mis <br /> Who is/are per onaNy known M me a 1msR�ara produoad Who � R�+� <br /> as idendficafion. . � <br /> Ndery Public PubliG <br /> Comm�ssion No. Commis ...,... _B�E$ <br /> �c ..;� <br /> Name of NotarY bPed.Pri�ed ar stampetl Name d tFf��O�d. , <br /> �!.°�P�oy Fain Ineuan�a�38&7019 <br /> ._.�::sms.c�,,.:�.��. <br />