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NOi`iCE OF DEED RESTRiC'�qONS: The uflders3gned tandergtands�th�fi thl�,�ptct�tt.rn�y b�,subject#a"d�ed"restrictiansA
<br /> which may be:r�oocrei_restrictive than Caunty re�ulatfons. �The under�igned assumea responsibllity fo�compliance with any
<br /> appilcable deed res#�Ictions. •
<br /> UNLiCENS�D COPITRACTORS AND CONTRACTOR RESPONSiBILI'F1E�: (f the owner fias hlr�d a contractor or
<br /> aoa�t�actors to undertake work, #hey may be rgqulred.to be-licer�sed In.�ccordance.with state.and•local regulat0ons. If the
<br /> oontractor ts not licensed as required��y I�r, bath the owner and e;ar�t�ctor may be cited for a �mis�eaneanor vialatlon
<br /> under state law. If the awner or intended�contractor are uncenain as to what Ncensing.requlrements may apply�for�the
<br /> it�tended work, they are advfsed to cortt�at the Pasca County BatldEng tnspectlon Qhrtslon—E�Icer�sing Sectlon at 727-847-
<br /> 8008: �urthermoPe, If #he owner has hired a cont�acfor or contrractors, fie is advised to have the contractor(s) sign
<br /> portions of the "contracto� 81ock° of thls �ppllcakian for which they wtill be xesponsible. If yau� as.#he owner sigra as the
<br /> cor�tractar, that rraay be an indla;atian that he 3s not.pr�perl�+ Oicensed and Is not enti#1ed #v penrti�t�r►g privlleges In Pasca
<br /> County.
<br /> Tt2l�idSP�RT�T1�►N�I�lPA�T�i��'�i:9T1ES 1�Fl�A��'A�d��E��?�1RCE�E��2',�ERY P�E�; '�h�-�a�de�tg�►e�_�nd�r�tand�
<br /> #hat Transportation impact Fees and.Reco.urse Recove.ry.F�es may��apply#a°ti�e construction of new bulldings, �hange of
<br /> use 1n existing buHdtngs, or expansion�of:existiri,g'�buildings, as specifled.9n Pasco County Ordinance number.69-O7 and
<br /> 8�-07. as amended. T9�e und�cs{gned also.u�darstar�ds, th�E.such#eesa as�may�b��due,.will 6e�identi€fed at the time of
<br /> permikting. It Is further understaod that.Tra�sportation Impact Fees an.d:Reso�rce Recovery��Fees must be paid pNor to
<br /> recefving � °cerfi�cate of occupancy" or flnal pawer�elease. :If#he proj�ct.does not f�voive a cert�Ecate af occupancy o�
<br /> flnal power rel�ase, the,fees mu�t be paid pr�or to per�nit Issuance. F��#k�ermore;df Pasco.County dNaterJSewer Impact
<br /> fees are due�they�must be-pald pHor t�permlE-Issuance�tn aacordance�with�ppDcable Pasco�County ordlnanc�s,
<br /> C�NSTRUCTimN l.1EN-LA1►tf(Chapter 713l,Fi�r�da S#atut��,as am�ndedy: If valuatimn of wark Os$2,500.00 or more, 1
<br /> aertify that I, the appll�ent, h�ave been provided with � copy� of tFae� �Florida Const�uctfon Lien Law---Homeowner's
<br /> Protectlon Guide" prepared by the Fiotida Department of Ag�tc.uiture and ConsumerAtfairs, If the appilcant is sameone
<br /> ather than 4he°owner", I certify that! have.o�talned a capy;of.the abave..des.cribed tiocument�and.p,comise in,gaod faith to
<br /> deliver IQ to the°owner"prior tvYcommencement.
<br /> CON�'RAC'Tt3Ft'SlC1WNER'S AFPIDAVIT: i ce�ti�'y that aii_the information lmthl��ppllcatlon is aacur�te and that a1i work
<br /> will be done in compliance wi4h all.applicable laws regul�ting construction, zoning and lae�d�devetopme�rt. Applicatian Is
<br /> hereby made �a ab#a[n .a pet�mEt Ca do wrork..and i�sGa!latlart as IndECeteci. 1 cehlfy that no work or Installa#ion has
<br /> aommenced prior to Issuance of a permit arvd that.all work wlll be performed to meet standards of all laws regulating�
<br /> const�uctlon, County and City codes, zonln� regulatlonst and land devebpment regtafa#tons�in 4he jurtsdfction. ! al'so
<br /> certify that 1 u�dersfand that the regulations�f other gaver�ment a�encies m�y•appiy�#o the intended wark, and that it is
<br /> my responsibi0ity to Iden#6fy�what.actions I rrsust take:to be,in:.campliar�ce. �.uch ag�ncies.include but are..ncet Ilmited to:
<br /> - Department of E�tvir�nmental P�tection-Cypr�ss.Bayheads, 1tVetland Areas and Er►vlranmentally Sensitive
<br /> �.ands, Water/Wastewater Treatment.
<br /> - Southwest Florida Vitater Ma�agement I��strlct VYeNs, Cypress. Bay.heads, Wetland Areas, Altering
<br /> Watercourses. �
<br /> - Army Corps af Engineers-Seaw+�lls, Docks, N�vigakile Wa�eoways.
<br /> - Depa�tment of H�alth� 8► Ret�abiiitative S�rviceslEnvironmenfsi Heatth tlnit lNells, Wastewater Treatmenf,
<br /> Septla Tanks. � ,
<br /> - US Environment�t Protectfan AgencyAsbes#os abatemen�.
<br /> - �ederai Avletlon AuthoNty-Runw�ys.
<br /> I und�rstand that the following restrictlons apply ta the use of flll:�
<br /> - 11s�of fiil is not allawed 3n Flood Zor�e"V"unless express4y perml#ted.
<br /> - If the fill materEal is to be u�ed In �Flood Zone "A", It. (s understood that a drainage plan addressing a
<br /> °c�rnpensatfng voSume"wiit be submltted at time of pecrr�i#tlt�g wh�ch is prepared by � professionat englneer
<br /> ilcensed by�he Stake-of Florida.
<br /> - !f the fl!I materlal is to be used !n Fic�od �one 'A" In�co�nec�lon�wlth.a �ermitted buliding using stem wat!
<br /> � canstruction, i certify that filt:will.b.e used on6y.#a fii)the ar�a�rithi�the��@em�n+a{i.
<br /> - If �ill materlal Is to be used in any are�, I certify that uae of such flll will r�ot adversely affect adJacent
<br /> propeKies. If use of fiil is fonnd to �dvers�ly:affeat ad�acer�#��properties,.the ownet may be�Eted for vio[atMg
<br /> the condltions of the buiitling:p�rmlt issued under the a�t�ached permit appllcatian, for�lots less than one (1)
<br /> acre which are etevaterl�by tllt,a��ng4neered drainage plan is required. �
<br /> If t am fhe AG@NT�OR YH�OWNER, i;�pra�mise in good faith tm inform the�wmer of the permitting�onditlons set forth in
<br /> this affidavik'prlor to commencing construction. I understand.thet aM.�eparate permlt nnay be required for electriaal work.
<br /> plumbing, s�gns, wells, poals; alr condltionln9�-9as. or �tk�er Insfa�ll�#lons not•apec�lc�lly Includsd-in.#he applicatf�n. �A
<br /> perre�f4 Issu�d shall be canstcued to be a'It�ense to proceed with the uvork�nd not as:a�athority to.v6alate,cancel, alter, or
<br /> sek asicle any provlstons of the teahnlcal cades,:nor shati fssuance�of a.permlt.pr.event the Bulldlrig Offi�clal iram therea#ter
<br /> requiring a cor�ection nf errors In.plans,-�ons�nictbn or viotatlons of any cades. Eveoy p�ermik Issued shaii becon�e invalid
<br /> unless the wa�k authorized.by �uch permi��Is.commence�d•within sGc months af permlt issuance. or if work authorized by
<br /> Ehe permi#is suspendecf or.aba�doned for.a,period af�s�C f�)rroonfhs.efter the#irne fhe�wo�tc�is commenced. An extensfon
<br /> may be requested, In writing, from the Bu6lding,fJfficial far a peirtod not to exceed'nin�ty�(90) days and will demonstrate
<br /> jus#Ifiable cause fa�r lhe�xtensio�; tf wortc ce�ses�for nlne�r�90)cons.ec�ttive:day.s,..the job-ls constdered aba�d�ned.
<br /> WARNlNG Tt� AWNER; YOUR.FAI�URE.TQ,R�CO�tD..A NQTIG� OF�GOMt9A!lEMCEMENT NtAY RE�ULT IN YOUR
<br /> P�1YiNC'�WICE FtIR�iMPRO'VEMENTS TfJ.YOU�P1�t1PERTY. �1�°Y�U�11!��E�D"Tt1.�JB-TAIIN�•�9tr�At�CI1VG;��qP1Sl1LT'
<br /> WIT AUit D �O. Id �T N �� FO . E� � COR� �, �.:U � O ;� "O �. , E
<br /> FlORipA dURAfi(F,S.'!17. - . L�f��.
<br /> OWNER OR AOERIT �CONTRACTf��,,__,,,,, �
<br /> Subscribed end swam M r a rme before me thts S�' s+�f�ji�d a "swom-M ot flttmed)'beifore ttie'tti#�
<br /> by ,_LL_,'�� -
<br /> Wlio is/are persanally ta.me or has/havg produced Who Is/are p.er�on o ta me•or has�have�produced •
<br /> as ldentl�caaon. as iden8�catton.
<br /> Notery Pubtic . LU�k'' � C Notary Puhtic
<br /> Commisslan Na. Ca�r o "°i%s•. JACQUELlNE ES
<br /> _,,: ;w= ommsssti
<br /> '�. :;; Expires December 12,2018
<br /> Ptame ot fVatacy typed,printed orstamped Name ot ot�y;�d,�9t�9ef tY!`
<br /> �
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