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NO'i10E 8F DEED RESTRIC110NS: Tfie undersigned under.�tands th�t this.p�rmit.may.be,subjeat to"deed"restrtctions"
<br /> which may be.more�r.esti�ictive=tha�CaunEy:regulations. �The undersigned assumes re�ponsibility far compllance with any
<br /> appllcab#e deed restrictEons.
<br /> UNLICENSED CONTRACTORS -AND CONTRACTOR RESPONSIBILITIES: If the owner has �hired a cont�actor or
<br /> oontraotors to undertake wark, they may be requlr+ad-to:be;licensed !n accordance.wtth state.and•loca!regulatlons. !f the
<br /> cantractar is not licensed as required by iaw, bath the owner and contractor�rnay be ctted for a misdemeanar vtoiation
<br /> under state law. If the awner ar Intendedr eontractor ere uncertaln �s to what Ucensing.requirements may apply•-far the
<br /> intended wortc, they are advlser!to contaat the Pasco County BulEding Inspec#1on Dhrls[on--1_tcensing Sec#!an at 727-847-
<br /> 8009. Furthermo�e, If khe owner has hired a contractor or contractors, he is advisod to have the contractor(s) sign
<br /> portians of the "cantractor Block" Qf khls appltcatton tor whlch they will bs responsible. !t you� as.the owtier slgrt as #he
<br /> co�rtractor, that rnay be an indication that he is not.properiy 8censed and is not entltied to permitting privileges in Pasco
<br /> County. ,
<br /> TRAN5P4RTATIQN 1MPACTIUT11.1'�IES-IMRACT AN�?RESOURCE RECOVERY�FEES: The undersigned understands ,
<br /> that Transpartation Impact Fees and.Recouirse Recove.ry.Fees may apply to°tf�e construction of new buildings, change of
<br /> use in existing buitdings, or.expartslon�_of-�eXistiri�`�6uildings, as speclfied.in Pasco County tJrdinance number 89-g1 and
<br /> 90-07, as amended. The undersigned also understands, thalt such fees�.as�tnay�be:due, will be identlfied at the time of
<br /> permitting. It Is further understood thak T�anspo�tatfon Impact Fees and Resource Recouery Fees mus#be pald prio� to
<br /> recetving a "ce�fificate of o�cupancy"ar flnat pawes-releass. :1#�the pFO�ect.does not involve a cert�tcate of occupanay,or
<br /> flnal pawer release, the fees mu�t be paid prior#o permit Issuance. Furthermore, if:Pasco County 1Nater/Sewer Impact
<br /> fees are due�they must be-paid pr�or ta permlt-lssuance-In accordance wlth appilcable Pasco County o�dirtances.
<br /> CONSTRUCTION LIEN U4W(Chapter T13! Florlda Statutes�as amended): lf valuadon of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have.been provided wtth a copy of the "Flortda� Construct4on Uen Law—Homeawne�'s
<br /> Protection Gu�de" prepared by the FloNda Oepartment of Agricutture and Consumer Atfairs. tf the appttcant Es someane
<br /> other than the"owner", I certify that I have,obtailned a capy;of the ab�ve.rJescribed docutnent�and.promise in.gaad faith to
<br /> deliver it ta the'owne�'�prio�to�commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: f ce�#ity.that ail the Information.ln this application is accurate and tha#all work
<br /> will'be done in compliance with all applica�le laws regulating oonstruatlon� zoning and land devetopment. Rpplicatian is
<br /> hereby made #o obtain .a permit to do wark.and instatlation as indEcated.• 1 certifiy that no work or tnstaliation has
<br /> commenced prior to Issuance of a permit and that all work will be pertormed #a meet standards of all laws regulating-
<br /> construcEion, County and Ci#y codes, zoning regulatiQns, and land devetopment regulat{ans-in the �urisdtc#ion. I:al'so
<br /> certify that I understand that the regulatlons of other government agencies may•apply�#o the Intended wark, and that it is
<br /> my responslbility to Identlfy�what.acttons t must take to beJn:.cott�pllance, S,uch agencfes 3nclude but are not limt#ed ta
<br /> - Department of Er�vironrnental Protection-�ypress.Bayheads, Wetland Areas and Envlronmentaity SensitPve
<br /> Lands,Water/Was#ewater Treatment.
<br /> - Southwest Florida Waite� Management I�Istrlct-Wet1s; Cypress. Bay.heads; We#iand Areas, Altertng
<br /> Watercourses.
<br /> - Army Corps of EnglneersSeawa!!s,Docks.N�Yr��e�e w����,rays.
<br /> - Department of Hea{th & Rehabititative ServlcealEnvironmenfai Nealth Unit Well.s, Wastewater�Treatment,
<br /> Septic Tanks. .
<br /> - US Environmental Pratection Agency-Asbes#os abatement.
<br /> - Federal Avlatlon Authority-Runways.
<br /> f understand t#�at the foilowlr�g.res#ricttons appty to the use o#flli:.
<br /> - Use af fill is not allawed in Ftoad�Zone"V"unless expressly permitted.
<br /> - If the fill mate�ial is to be used in �Flood Zone. "A", It. is understood #hat a dtalnage plan addressing a
<br /> °compensaEing valume" will be submltted a##ime af permitttng wrfiich is prepared by a professionai engineer
<br /> Ilcensed by�he State of Florida.
<br /> - If the f111 materfat is to be used In Flood Zane 'A" tn�connec�ion�wlth.a #�ermltted building ustng stem wall
<br /> � construction, f certify that flll:wall:b.e used only to#ill the area wtthin the�stem�wall.
<br /> - !f fiA material Is to be used In any a�ea, 1 �ce�#Ify tttat .usa of such fl!1 wlll not adversely affect ad�acent
<br /> proper#ies. If use of fiti is found to adverse{y:�ffect adjaEent•properties,.the owner may be cited for vioiating
<br /> the conditions of the building,permit Issued�under the attached{�ermit applicatian, for lots less than one (1)
<br /> acr�which are elevated by flll��a englneeretf drainage plan is requlred. .
<br /> If i am the AGENT FOR THE OWNER, I,�promise In goad fatth#o infarm the owner of#he permitting condiNons set forth in
<br /> this aHidavtt prfor#q comrner�cing constructlon. I understand that a-separate permtt may be requlred for electrlcal work,
<br /> piumbing, signs, wells, poots; alr canditioning, .gals, or ather install�tians not.spec�icaily included�in.the application. .A
<br /> permit Issued shall be conshued to be a Iicense to proceed wlth the vnork and not as authority to.vialate*�cancel, alter, or
<br /> se#aside any provEsians of tt�e#echn#cal.codes; rtor shall issuance�af a permit.pcevent th�e Bu{tdirig O#�clal from thereafter
<br /> requiring a carrectlo�af eROrs in plans�, constn�ckian or violatlons of any codes. �very p�erm(t issued shall become invalid
<br /> unless the work a�tthorized.by such pertnit•�s_commenced�withln sfX months of�permit Issuance, or If work autharized by
<br /> #he pe�mif ts suspended or.abandoned for a:periad of six f�}mnntF�s after the time#he�wotk�Is commenced. An extension
<br /> may be requested� In wr(ting, ftom the Building.Otflcfal for a pertod.not to exceed nlnety(90) days a�d wlll demonstrate
<br /> - �us#�iabte cause.fa�r.the extension:-It-work�ease�.for-nlne#y{90}cons.�c�tiv�-days;:.th�)ob:is.considere�3 abafid"otie�.-" _ _ �_ - --
<br /> WARNING TQ OWNfR: YQUR EAiLURE�TO.=RECCi�2Q A NQTIGE OF�CQMMEMGEMENT•�{ItAY�RESUf�T IN YOUR
<br /> PAYItdG TWICE POR IMPROVEMENTS TU YOUt�.P1t'CIRERTY. IF°YOUa1N'fE�D�'TQ`OB=TAIN•FINFAf�E1NG;'GONSULT
<br /> WIT UR Q O AN ATTO N n F RE�� CO D G�YOU " D �C °O ' - E T�
<br /> FlOR1DA JClRRT{F.S:1.17A8}� . ,.�/'
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<br /> ONfNER OR Al3ElVT ' � ~�✓'� . �'�"�"� COt+lTRACTQ ` .
<br /> Subs�bed and�swom M or e re m�e.�fls ttb � b�and:swor�to( " fli ed)�b` me #s
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<br /> V ai�/a per,sonally knovm b me or haslhave pro uced Who sl§re e'r�c�nya I��Cn4 ta nte or hasfiave�produced �
<br /> �c �S2.r�fst,j��ec�� as Iden��c�a8on. _ �'C,� ��tGr c1'�i5 t,r a.-� as tdenti�catEon.
<br /> �:�_�� ��..,� Notary Public . r.r FtK.{.�l� �'\� Notary Public
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<br /> Com o , m slan o. ."Y'='�••, 0 ES
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<br /> ;:�s .� Commissidn#FF 150422 =,��� ':�= Commission#FF 150422 �
<br /> mber 12 2018
<br /> Name u hru ro sin nsura 6 •386•761G NBTCt@ O��OtBty �•! • Rii�f8R1�1$�n insuta�s 800385-T018
<br /> n a` Y
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