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NOTICE OF DEEO RESTRICTIONS: The undersipned understamds that this�ermit may be suhject to"deed°restrictions"
<br /> which may be more resUicGve tl�an County regulatio�. The unde�sig�ed�sumes respor�sibiNty tor c�liance with any
<br /> applicable deed restriaions.
<br /> UIN.ICENSED CONTRACTORS AMO CONTRACTOR F�SP01�1BILJ17ES: 1f the owner has hhed a conUador or
<br /> contractors to undertaice wak,tha�r may be required to be li�in aooadance wqh state and bcal regulations. If the
<br /> contractor is not Iroensed as requked by IaMr. both the awner and oonUactor may be ciDed tor a misdemeanor viola6on
<br /> under state law. if tl�e owner or�tended aaitactor are ur�tein as @o what Acensin9�'e�W����Y aPPN for the
<br /> intended work.theY a�e advised to�the Pasao CourMy Buildin0�nsPecUa►Division--Licensing Section at 727-847-
<br /> 8009. Furthemiore, 'rf Me owner has Mied a contra�ctor or cor►�actors, he is advised to have the contrador(s) sign
<br /> portiwis o#the conbac�r Blodc'd tl�s appNcatlon for which the�r wdl be responsible. if you,as the owner sign as the
<br /> conhac:tor,that may be an indicatbn tha!he is not ProperlY Ncensed and is not eniitled to Pertnitt�9 PmAe9es in Pasco
<br /> County.
<br /> TRANSPORTA710N IMPACTNTILI71E3 MAPACT AI�RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Trensportation Impact Fees and Reoourse Recovery Fe�may appy�o the constrtxXion of new build'mgs,chanee of
<br /> use in e�astlng build�s.or expansion afi e�ing buildinDs.as spedfied in Pasoo CouMyr Ordinance number 89-07 and
<br /> 90-07.as amended. The under'signed also u�rbs,tlt8t such fees,as may be due,w�l be identified at tlie time of
<br /> pennitGng. It is fixther urxlerstood that 7ransportation Impacx Fees and Resouroe Rec�very Fees must be paid prior to
<br /> receivi�g a'cettiflcate of occupancy"or final power rdease. ff U�e projer�does not involve a aer�te of oocupancy or
<br /> finai power release,the tees must be paid prior b P����. Furtherrtqre,iF Pasco CouMy VYater/Sewer Impact
<br /> fees are due.theY muat be Paid prior to pertnit issuanoe in aoc�ordance with appAcable Pasoo County ord'manc,es.
<br /> CONSTRUCTION UEN LAW((�apAer T13,Flo�ida Statu6es,�amendadX If valuation of wo�k is 52.500.00 or rtwre,I
<br /> oer�ty that I, the applicemt, t�nre been pravided vvilh a copy of the "Fbrida ConsWctlon Lien Law—Homeowners
<br /> Protedion Guide'prepared by tl�e Fbrida Departrnent of Agricultwe and Consumer Afiais. If tlie applicant is someone
<br /> other than the"a��,1 c�rtiy that I have obiairred a copy of the abare descri6ed document and promise in good faiU�to
<br /> deliver ft to fhe°amer'Prior to oomrt�encement.
<br /> CONTRACTOR'SrOWNER'S AFFlDAVIT: I certify tl�art aN the infortr�atfon in this epplic�fon is accurate and that all wo�lc
<br /> wiA be cbne in compliance wNh all applicable laws regulating consUu�tion,zoning and hand de+rebpment Application is
<br /> hereby made to obtain a permit to do work ar� instaNation as indic�ed. I c�iify that no work or installation has
<br /> commenced prior to issuanoe of a permit and tt►at aU wak w�be perfortr�ed Go meet starMards of aN laws regu�ting
<br /> oonstruc6on, County and Ciqr codes,zorring reeulations, and land development regulations in Uie jurisdicHon. I also
<br /> cehlfy that 1 undersland tl�at the repulations of oth�govemment agenaes mey appl�r to Uie intended warlc,and�at it is
<br /> rtry responsibiGly to identify wF�t acdons I must take to be in compNanoe. Such age�indude but are not IirNted to:
<br /> - Departrrient of Emrironmental Protecdon-Cypresa Bayt►eads,WeNand Areas a�d Erniro�mentaly Sensitive
<br /> Lands,VNater/V1�StewaterTraafi►ent.
<br /> - Soutl�west fbrida V1k�ter Management District-WeMs, Gypress Bayheads, Wetland Areas. Atterin8
<br /> Watercourses.
<br /> - Army Corps of Engineers-SeawaAs,Dodcs,Navigable VYatervvays.
<br /> - Departrnent of Health & Rehabdrtative ServiceslEnviionmental He�alth Unit-Wells, Wastewater TreatmeM,
<br /> Septic Tanks.
<br /> - US Ent�otameM�al Pr�ec�iort Aeerwy-Asbestos abatemeM.
<br /> - Federal Aviation Aultarit�r-Rurnerays.
<br /> 1 understand that the foNowing resUictions apply to the use of fill:
<br /> - Use of fiM is not aHowed in Fbod Zaie"V"unless expressN Pertnitted.
<br /> - 1f the fill material is to be used in Flood Zaie "A'. � is undersbod that a draa�age plan addressing a
<br /> "oomPensa11n9 volwne'wiY be subrtrt�itted at time of permitting which is PrePe�d bY a Professional engineer
<br /> licer�sed by the State of Flo►ida.
<br /> - If the fill material is to be used 'm Flood Zone°A in con�wilh a permiqed building using stem wall
<br /> con�n.I certify ihat fiR wiN be used only to fi�the area witl�in U�e s�m wail.
<br /> - If t�l materiat is Eo be used 'm aunr area, I oertiy tl�at use of such fiN will not adversely aifed adjacern
<br /> propeAies. If use of fiN is tound to adverselY a(fect adjace►►t properties,the owr►er tr►ey be ated for vi0lating
<br /> the condidons of the buit5n9 Permit issued�the attadied pemdt application,tor lots less than one(1)
<br /> ad�e which are eleva�ed by fia.an engineered drair►age pl�is required.
<br /> If I am the AGENT FOR 11�E Ow1�lER.I qanise io good faitlt to inform the owner of tl�e permitting condiGo�set forth in
<br /> thts affidavit prior m corrx�r�g construction. I understand that a separdte permit may be required tor electric�l work,
<br /> plumbing. si9ns,weUs,Pools.a'a oorMitior�inp,9es�or other instaYatlo�s not spedficaly induded in the appliption. A
<br /> pertnit issued st�Y be ao�trued to be a iioenae to proceed with the vwo�k a�n�as authority to violate,car�oel,alter,or
<br /> set a�ide any provisions of tl�e techrric�l aodes,rwr shaN issuanoe of a Pe►mit Prever�t fhe Buiding Offiaal from thereafter
<br /> requiring a correctlon of errors in plans,oo�tfon or violations of any codes. Every permit issued shall beoome invalid
<br /> uniess the work autt�o�ed by such permit is wtnmenced with�six months of permit issuance.or ff worlc authorized by
<br /> the pertnit is suspended or abandoned for a period of sbc(6)mornhs af6er tl�e time ihe wak is commenced. M extension
<br /> may be requested,in writing.from the Buikling Official for a period not to ewceed ninety(90)days and vviil demonstrate
<br /> jusdflabie puse for the e�ctension. If work�for rrinety(90)consecudve days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAIUNiE TO RECORD A NOTICE OF CW■AENCEMENT MAY RESULT IN YOUR
<br /> PAYING TNRCE FOR IINPROVEMENTS TO YOUR PROPER?Y. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> YYITN YOUR LENDER OR AN ATTORNEY�FORE RECORDNiG YOUR N0710E OF OOI�ENCEMENT.
<br /> FLORIDA JURAT{F.S.117.03)
<br /> O1MlER OR AGHi7' CONTRACTOR �i1-
<br /> Subsdibed and aworn ro(or aMhned)Defore me tl�is Subaa p�ta � �bafote me this
<br /> by by
<br /> who israre personaqy�a,orm ro me w hedNave produced iarare pe�aorretlr knavn ro o► , oroduced
<br /> as identification. . as Id`entif�etlo�.
<br /> Natary Public t-- �'�f�. Notary Pubfic
<br /> Commission No. Corpm i�b. �
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<br /> Name a NotarY ryPed,Printed«stanped Name d
<br /> -*• �+": mmission#EE O�C:��;:� '�
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<br /> ,,�;;•a;.• ExPir December 1�,>J1rr �
<br /> BoMed Thru 7roy Fain Insurarice FO.;�:,;?�,•�� e
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