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NOTICE Of DEED R�$TRICTl�NS: he underslgned understands that this permit may be subject to"deed°res#rictians°
<br /> which may be more res.tcictive than Co nty regulations. The underslgned assumes responslbility for comp!lanoe with any
<br /> appllcable deed restrictions.
<br /> UNLICENSED GONTRACTORS AN CONTR,ACTOR RESPONSiBiUT1ES: tf the,owner has hired a contractor or
<br /> contractors to unde�take work, they m y be requlred to be licensed in accordance with s#ate and�iocal regutaf(ons. If fhe
<br /> contractor is nvf licensed as required by fiaw, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. if the owner nr inten ed aontractor are uncerfain as fo what licensing reqaErements may apply for the
<br /> intended work, #hey are.advised to cori act the Pasco Caunfy Building inspection Divisian—Licensing Section at 727-847-
<br /> 8009. Furthermore, ff ttte owner ha hired a cantractor ar contractors, he is advised fo have the canfracEor(s� sign
<br /> portions of the "contractor Block" of th s appiication far wh#ah they wiil be responslble. !f you, as the owner slgn as the
<br /> contractor, that may be an indication t at he is nat properly licensed and is not entitled to permitting privileges fn Pasca
<br /> Caunty. '
<br /> TRANSPORTATION iMPACTiUTILiTI S IIII{PACT AND RESC?URCE RECOVERY F'EES: The undersfgned understands
<br /> that TransporEation impacf Fees and� ecaurse Recovery Fees may appiy to the cansttuction af new buiidings, change of
<br /> use In existing bulldings, or expanslo af existing bulldings, as specified in Pasco Counfy Ordinance number 89=07'and
<br /> 90-07, as amended. The undersigne also understands, that such fees, as may be due, will b,e identlfied af the fime of
<br /> permifting. lt is further undersfood #h t Transportation impact Fees and Resou�ca Recovery Fees must be pald prior to
<br /> receiving a "certificate of occupancy° r final power release. lf the project does not involve a certifiicate of occupancy or
<br /> final power release, the fees must be paid prlor to permlt.(ssuance. Furthermore, if Pasco County Water/Sewer Irripact
<br /> fees are due,.they must be paid prior t permlt lssuance In accardance�with applicable Pasco Gounty ardinances:
<br /> CONSTRUCTiON L1EN�LRW(Chapt r T13, Fibrlda Statutes, as amendedj: ff valuation of work is$2,500A0 or more, i
<br /> certify that I, the appllcant, have b n provided wifh a copy af the "Fiarida Constructian �ien Law--Homeowner`s�
<br /> Protection Gulde° prepared by the FI ida Depa�tment of Agriculkure and Consumer Affalrs. !f'the applicant is someone
<br /> ather than fhe"owner", i certify that i ve obtained a copy af the above described document and promEse in gaod falth:to
<br /> deliver It to the"owner"�prior to comm ncement.
<br /> CONTRAG'COR'S/OWNER'S AFFID IT. I cer�ify that all the Infarmatlon in fhis application is accurate and thaf ail work
<br /> wiN�be done in campllance wlth all ap licable laws regulating construct(on, zoning and land development. ApplIcation !s
<br /> hereby made to obtain a permft to a work and instailatian as irtdlcated. I certify that no work or lnstallation has.
<br /> commenced prior to issuance of a p rmif and that all work wiil be performed to meet standards af all laws reguiating
<br /> construckion, County and. Clty codes, zoning regulations, and land development reguiafions tn fhe jurisdicfion, ( a(so
<br /> certify that ! einderstand that the regul tians a#otlier gouernment agencles may apply to the lntended wark, and'that It ls
<br /> my respansibiii#y#o idenfify what actio s I must take fo be in complfance. Such agencies Inciude buf are not limited ta:
<br /> - Department of Enviromm �tal Rrotection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Fiorida Wat r Management Distrlct-Wells, Gypress Bayheads� Vlfetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers- eawalls, Docks, Navlgable Waterways. � �
<br /> - Department of Health & Rehab!lft�tive Services/Environmenta! Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Envlranmental Protec on Agency-Asbestos abatement.
<br /> - Federal.Avlatlon Authorlty Runways.
<br /> !understand#hat the following restrictl ns apply to the use of fill:�
<br /> - Use af fiii is not aNawed in Fiood Zc�ne"V"unless expressly permitEed.
<br /> - tf the flii material is to e used in Fiood Zane "A", it is understoad thaf a drainage pian addressfng a
<br /> "compensat(ng volume" ill be submitted at time of permitting whlch is prepared by a professional engineer
<br /> Ifcensed by the State nf F rida.
<br /> - tf the fill material is ta b used in Flood Zone "A" fn connecffon w#th a permiitted buiiding using stem wa1R
<br /> constructlon, t certify ffiaf ilt wllt ba used oniy to�il the area within the stem wal1.
<br /> - If �iif material is to be u ed in any area, I cerklfy that use of such flll wlll nat �adversely affec# adjacenf
<br /> propertles. If use of fiil i faund to adversely affect•kad)acent properties, the owrter may be clked for vlolating�
<br /> the conditions af tFie bufi ing permit issued under fhe a#fached permit appiication,,far lots less than one (1.).
<br /> acre whlch are elevafed b fllt, an eng(neered drainage plan is requlred.
<br /> if I am the AG€NT FC?R THE OWNE , ! promise in good falth to inform�the owner of the permitting.condlttons sef forth tn
<br /> this a�davit prior to commencing co st�uctlon. I understand that a separate permlt may be required for electrical work,
<br /> plumbing, signs, welis; poois, air co ditioning, gas, or other instaliations no��sp�ificaily�incit�ded in the appir`cation: A
<br /> permlk lssued shall be construed to b a !lcense to proceed with fhe work and not as auEhori#y�to uiolate, cancel, a(fer, or
<br /> set aside any pravisians of the teehni al codes, nor shall issuance of a permlt prevent the�Bulldirig Of�cla!from thereafter
<br /> requiring a correction of errors in pla , oansfrucfion or violat#ons af any codes. Every permit#ssued�shali became invaltd �
<br /> unless the work authorized by such ermlf Is oommenced wifh(n six months of permit issuance, or if work authorized by
<br /> Ehe permit is suspended or abandane for a perfod of s!x(6)months after the time the work Is commenced. An exfensian
<br /> may be requested, in writing, from th Buflding Offlcfa) €or a perfod no# ta exseed nlnety (90) days and wfll clemonsfra#e
<br /> Justi�able cause fac the,,extension, lf ork ceases for ninefy(90)consecutive days, th�job is considered abandoned.
<br /> -WARM�NG TQ OWNER: Y�.UR FA LURE 7'O RECOEtD A NQTICE OF COMMENCEMENT MAY RESULT !N. YOUR .
<br /> PAYING THVICE FOR fiUIPROVE#�!E T$TG Y2}UR PRC?PcRTY. 1F Y1�U lNTENQ Tt?OBTAlN�FINANCING, GCiN$ULT
<br /> WITH YOUR•LE DE, .t�R.AN ATTO N�Y EFO E"RECCtRDiNG Y� E1 tJTi� P3F-� NiE EN! N�'.
<br /> FLOFitDA:lURi4T(F.S.117:03j � r � --
<br /> f
<br /> OWNER OR AGENT ,�,p(�'�q�''f'p}Z r
<br /> Subscrlbad and swom fo(or affirmedj before e thls Subscribed and, om to(or affirmed)before me th s
<br /> bY bY
<br /> Who is/are personaity known to me or haslMav produced Who is/are-personally knowrt to me or hasfiavejpraducad
<br /> as tdentlflcatl n. as idenfification.
<br /> �,.,�.��„
<br /> a ti.t��%•, JC !.E. CO
<br /> Nofa Public r� x�
<br /> ry .�. ..- C mt� i n# . 370 3 �' Natary Public
<br /> 7r' . � r � � � ; � .
<br /> Commisslon No. Commissi �i� ••'
<br /> Name of Notary typed,pdnted or stamped Name of Notary typ d, rinted'or stamped
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