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� NOTICE OF DEED RESTRICTlONS: The undersigned ur�d rstands tliat ffiis pertnit may be subjed to`deed'restrictions'
<br /> which may be more restridive than County regulatlons. The undersigned assumes responsibiGty fw compliance wifh arry
<br /> applicable deed restrid"wns. �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIB[LITIES: If the owner has htred a oorrtracUor or
<br /> ooMracbrs to undertake work,they may be required bo be ff sed in accordance wiTh shate and loral regulations. If the
<br /> oontractor is not iioensed as required by law,both 1he r and contractor may be cited fur a misdemeanor vtolation
<br /> under state law. If the ovmer or irttended coriGrac:tor are u 'n as Oo what fioensirg requiremerds may appiy for tt►e
<br /> iriterWed work,they are advfsed to ootttact ihe Pasco Cou Buiding Inspedion Division--Licensing Section at 727-847-
<br /> 8008. Furthermore, 'rf the owner has hired a oa�U�actor contractors, he is advised In have ihe oorttrac�or(s) sign �
<br /> portions of fhe"contractor Block'of this applicadon for wh' they wIl be responsible. If you,as the owner sign as the
<br /> conhac�or,that may be an indicadon that he is not properly licensed and is not entitled to permitling privileges in Pasco
<br /> County.
<br /> TRANSPORTATION YNPACTIUTIUTIES IMPACT AND RE OURCE RECaVERY FEES: The undersigned understands
<br /> fhat Transportetion Impad Fees and Reoourse Reoovery F rrray apply to 1he construdion of new b�fd'm,gs,change of
<br /> use in e�dstlng buildings,a e�ansion of existfng buildings,as specified in Pasco County Ordnance number 89-Q7 and
<br /> 90-07,as amended. The undersigned also understar�ds, t such fees,as may be due,vnll be iden5fied at the time of
<br /> permlttinp. It is fuMer understood U�at Transportation Im Fees and Resouroe Rec:overy Fees must be paid pria to
<br /> neoeiving a'certificate of occupancy'or final power release. !f the project does not imrolve a certlficate of occupancy or
<br /> flnal po�w�er rel�se,the�ees must be paid prior to permit i ar►oe. Furlhemare. if Pasco CouMy Water/Sewer Impad
<br /> fees are due,they must be paid prior bo permit issuance in a noe with app�Cable Pasoo Co�ly�rmnces.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,FioWda Sta s,as amended?: If valuation of wak is s2,500.00 or rtare,t
<br /> ceriify that I, the appiicant, have been provided with a of the "Flaida ConstrucUon Lien s
<br /> Protection Guide'prepared by 1he Fforida DeparUr�erit of riculture�d Con�Affairs. If the applicaM is sort�eone
<br /> other than the"owrie�',I cert�7y tl�at I have obCained a copy ihe above desaibed docximent and promise�good feith t�
<br /> deliver it to ihe"owner prior to commencemertt.
<br /> COi�1TRACTOR'SIOYYNER'S AFFIDAYIT: I certHy that all informa6on in this appfiqtion is accurate and that all wdrk
<br /> will be done in compliance with all appicable laws regulati construdion,zomny and land development. Application is
<br /> hereby made to obiain a permit to do work and instaAa n as indicated. I certify that no work or installation has
<br /> oommenoed prior t�issuance of a pertnit and tl�at afl wo wiN be pertom�ed bo meet standards of aft laws regulating
<br /> consUuc6on, Counly and City oodes, zoning regulatlons, nd tand devebpment regulations in the jurisd�tion. I also
<br /> oertify that I understand lhat tl�e regulations of other gwem ent agencies may eppy to tfie intended wak,and that it is
<br /> my responsibiity to ideMify what acUocis!must take m be in pNence. Such agenaes indude but are not limited to:
<br /> - Departmerrt of Ernieonmental Pmtection-C s$ayheads,Wetland Ar�s and Environrner�taly Sensitive
<br /> Lands,Water/Wastewater Treatrner►t
<br /> - Soufhwest Fbrida Water Management DI ct Wells, Cypress Bayf�ds, WeUand Areas, Attering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Dodcs,Na ' aWe Waterways.
<br /> - Departrnent of Health & Rehabifitstive Servi nvironmerhel Health Unit-Wells, Wasbewaher Treahnerrt,
<br /> Septic Tanks.
<br /> - US Ernironmerrtal Protec.tian Agency-Asbestos" batement
<br /> - Federal Aviation Authority-12ur1ways.
<br /> I understand that the iollowing restridions apply co ihe use fill:
<br /> - Use M flEi is not ailowed in Flood Zone V unles expressiy pertnitte�.
<br /> - If the fiil m�erial is to be used in Flood Zon °A', it is understood ihat a drainape plan addressmg a
<br /> `�ensating volume'will be submitled at tl of permitting whlct�is prepared by a prv�ssional enginee�
<br /> Goensed by the SFate of Fbrida.
<br /> - If the fill meterial is to be used in Flood Zone A'in connec�ion with a pertnitted building using slem wall
<br /> ConsGuctlon,I cerCfy fhat fill will be used only to II the area with(n the stem wall.
<br /> - If fi!I material is �o be used in any area, I ce ' tt�at use of sqch fi11 wil not adversey aHect ad�aoer�t
<br /> properties. ff use of 6M is found to adversely a d adjac�ent propefies,the owner may be a"�ed for violating
<br /> the oonditf�ons of tfx building permit issued u r the attached permit application,inr bts less than one(1)
<br /> acre which are elevated by filf,an engineered d inage qan is requred.
<br /> If I am the AGENT FOR THE OWNER,I promfse in good Ta to inform tlie�wner of tl�e permilting ow►d'ilions set forth a�
<br /> this aflidavit prior tn ooanmendng a�nstruction. I unde - that a separa6e pertnR may be required Uor electrical worlc,
<br /> plumbing, signs,wells, pools,air condi�oning,gas,or �sfa8etions not spedfic�fly induded in ihe apphcation. A
<br /> pertnit issued shall be caest►ved to be a license bo prooeM . the w�ork and not as auV�orily to vtolate.cancel,alter,or
<br /> set aside arry provisions of the technicat oodes.nor shall' noe of a permit prevent lhe Building Offldal irom thereafter
<br /> requirinp a oortecfion of ertors in plans,consLt�ction or vbla' s of any oodes. Every pertnit issued shaa become invafid
<br /> unless the work authorized bY such Permit is commenc�d ' in six mordhs of permi[�ttar�ce,or iF wak authorized by
<br /> the petmft is suspended or abandoned for a period of s6c(6)monihs afier ihe time the work is commerK�ed. An exiension
<br /> may be requesbed,in writing,from fhe Buil�ng Official for period not to exceed ninety(90)days and wiM demonstrate
<br /> justifiable cause for the extension. If worlc ceases for ninety �0)oonsecuWe days,the job is considered abandoned.
<br /> WARNING TO�YVNER: YOUit FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYIN(3 7YYICE FOR IMPROVf11ENTS TO YOUR PROPE TY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> VYITH YOU LENDER OR AN ATT RNEY BEFORE REC RD1NG YOUR NOTICE�F O E EMENT.
<br /> FLORIDA JURAT(F.S.717.03) /�
<br /> OWNER OR AGENT C I�OR(LB'I�fI<�/I'�L�'
<br /> Subsubed and swom to(or affinned)befare me lhis � pnd swan D (a � �� n me n�s
<br /> bY ���
<br /> who islare personauy known ro me or nasR�ave produced wr� is' y own me or hs�Jhave produeed
<br /> es MentlRcatlon. ae IderRtflc�tian.
<br /> Nptgry pub�C - Notery Publc
<br /> Commiaslon No. isalon No.� � ����
<br /> �ir
<br /> NemO Of NWary tYD�.P�MEd Or stempBd N9 8 Of NOte .P�ed M Bt9mpBd ��,,..••�eR,
<br /> �'��'" �`�,+�; LARRY S MONTANQ
<br /> �"� •f MY COMMISSiON#tFF1 f 1202
<br /> ��•,.,�M1�'� EXPIRES June 2,20�8
<br /> �son�ea�s9 Fbrnfalloiaryservice.com
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