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<br /> PIOTi�E�F'DEED itE�TRICI'IONS: Th undersigned under.�tands#hat this,peemlt.may��.subject to"deed"restricttans"
<br /> which rnay be�more��estcictive-than Coun regulatians. �The e�mdersign�d assumes resp�nsibiiity far camptianca with �ny
<br /> ap�lfcable deed restrictions. • �
<br /> UNLlCEPlS�� �CIWTRACTOR� d�Nl� ON7�CTCaR RI�S4��PlSl�lLITOE�: If the av�rner has hired a contractor or
<br /> contra�otars to undertake work, they may be required..to be-(tcemsed in a�co�dance.wikh state.and•local regul�tio�s. If the
<br /> contracQor is not licensed as requlr�d=by�law, both the owner and cont�actor may be�alted for a nnisdevneanor biolatlon
<br /> under st�te lavtr. if fhe awner vr Inten�e �cmr�tractor are wnc�+�tatn as �� what iicensing.aequirement� may-apply�ior the
<br /> intended wor�, they are advlsed#o c�ntaqt ihe.P�sco Ca�ur�ty�uilsli�g fnspectfon Divis{ors--Licensi�g 5ection at 727-�47-
<br /> 8009, Fu�khe�moret !f th� owner has h(�ed � cantrac��ar �r coritractors. !�s is advfs�d to �►ave the contract�r{s) sign
<br /> portlons of the "contractcr� E�lock" of thfs ppl(c�tian fmr vdhich $hey v�rlll be .responslble. .Ig yo�a� as.#he owner'sign as�the
<br /> contractor, that•may be an indicatlmn tfiat he ts not.properly licensed and Qs not eratltled ta� perrriltting privileges In Pasco
<br /> County.
<br /> T�ANSPQRTATIQN II�PACTtUTl61TI�S INIP�eC7'AN�it�SB�URCE I2E�010ERY�EE�: The undersigned understands
<br /> tt�at Tr�nspo�tation Impact Fees and.Rec urse Recovecy.Fees m�y apply to�the cons�ct3on of ne�nr bulidfngs, change of
<br /> use i� ex�sting bulldit�gs, or�expan�ion �f existi�g�6uildings, ss �pe�tfled in Pasco Count� Ordinancs number 89-07 and
<br /> 90-U7, as amended. The underslgned al o ur�derstands, that su�h �'ees�-as;rnay�be�due,.�wlll be identlfied at the time of
<br /> permitting. It 1� furtti�r understood thaf T anspbrtation impact Fees and Resource Recovery Fees must be paid prioP 40
<br /> receiving a"c�rt(flcate of oecupancy" mr fl a) pawer. rei�as�. :If the projecf does no#involve:a ce�tifica#e �f occupancy or
<br /> fir��i power release, �he fees trou�t�be pai pcior tv p�rmit issuan�e. Fu�the�mare;if Pa§co Coun#y WaterlSewer Irrrpact
<br /> fe�s are due, �hey��us�b�-pald prlo�tc�p rmlt lssuanae-In acct�rdance wltt��a�pltcabte Pasco County ordinances.
<br /> C�►NS7RUCTI�N LlEN I,A9N(Gha{at�r 7 3� lFl�r�da�tatu�es�as amende��: !f vatuat{on of v�ork ls$2,504.00 or more, !
<br /> c�rtify that I, �he applicant, have .been rovided with a �opy a�f the "Florida Ccsnstra��tl�n Lien L�v�r—Harneo�rne�'s �
<br /> Prert�ction Guide" prep�red by the Fl�rid �Dep�rtenent"of Agr�culture and Con�umer Affairs. If the �pplicant is someone
<br /> o#6�er than the�owner", t�erttfy that i have.obtain�d a copy;of the.above.described docurnent°and.promise�in,goad faith ta
<br /> deliver{t to 4he."owner"priar to�commence ent.
<br /> C�NTi�1,GTOR'SlOVlONER'S AFFIQr4YlT t cei��fy that�II the 6nformation!n thi��ppiicat4an is accura4e and fhat ail vuoc�
<br /> wiBl'be done in aompiiance with all appUc ble laws regulatins oonstr�activnt zoning a�nd land deu�}opr�erak. AppNcatl�n�is
<br /> hereby anade do obtain .� perrmit Co do . ork..and installatlon a� indicated.. I certify that mo work ar installatton has
<br /> commenced primr to issuance af a p�armi and that'ali wor➢c will be pertormed to me�t standards of all laws regula#ing•
<br /> canstn.tction, County �nd CiEy codes, zo ing regulat�ans, a�d land dev�lopment cegutattons in�the jurisdiction. d also
<br /> certlfy tha0 I unde�s#�nd that the regulatto s a#ather gov�rttm�rtt aget�cles m�y apply�o t9�e intended uvork, and fhat i# is
<br /> my r�sponsibili�r ta Id�rattfy�wrhak-ac4Eons! t�st take.ta be�l�.cor�lpilance. Such ag+�ncles Inalud�b�t-ar�.nat limitec!ta:
<br /> - Department of E�viror�mental Protection-Cyp�ess.'�a�yheads, V�etland Areas and Envlronmentally ��ns�#Eve
<br /> Lands,WaterNVa�#eavater Tre tmerrt.
<br /> - Southwes� Fi�rida tNat�r anag�rroent- :i3istric#-Wells, Cypress.'�Bayheads; Wetland Areas, Alter3ng
<br /> Wat�rcourses.
<br /> - Army Garp�of Enginee�s�5ea a}#s,�Doeks, N�vlgab��Wateruvay�.
<br /> - t�ep�rtment of Nealth � Rel��b!liEative genriceslEnvfro�menti�! Health Ut�it�lfelfs, Wastewater Treatment,
<br /> aeptfc Tan�s. _
<br /> - US Environment�al Protectlon�genoy-Asbes#os aba�tement.
<br /> - Federal Aviation AuthaPity-RurroiNays.
<br /> !urtd�rstand tha#the�ofiowing restrtc4lons�ppiy t�the use c�f fliP:�
<br /> - Use of fll Is not allowed�n F#o �d Zone"V�unless-expressfy permf4t�d.
<br /> - If the f611 material (s ta be u ed ih Fload Zone °A", It. Is understood that a dcainage plan addressing �
<br /> "compensating volume" wili b �ubmitted at time �f perm6tting which (s prepared by a prafessiona! englraeer
<br /> ticensed by#he Sta#e af Fl�rida.
<br /> - t# the fill rna#erial.is to be us.e�d fn Ffomd Zone °�l� in�cannection v�rith'.a pecrraitted building using stem v�ali
<br /> � constructla�ae, l ce�tify 6h�t fli�:wil.be u�ed oniy.ta.f�l1 the area withln the stem wafi.
<br /> - If fiN matePla! Is to be a�sed ! any area, ! aertffy that .use of such ff{4 wiil not adv�rsely affect adjac�nf
<br /> properties, !f use of�ii! is foun to adversely:�ffeat ad�a�e�t propertie�,_the owner may be clt�ad foa�violati�g
<br /> the conditions of the building: ermit issued under Qhe.attaahed permit applicatlon, far lots less #han ane (1)
<br /> acra which�r�e etevated by f11t, n engineered dra9nag�plan Is req�lred.
<br /> if i�en th��4GENT F�R THE O'V�INER, I;pr'p mise in good fa6fh��infortn the mwner�f the parmit�ing conditions set forth in
<br /> th�s affidavlt��prior ta acsmmencing �oc�strisction. f�anderst�nd thatt a�se�s�rat� permit may be required fur etecfrical work,
<br /> plumbing, signs, weAs, pools; air condit6an ng,.gas, or okhee In�tallatlens r�ok�specE�cally 9�cluded�in #he applicatio�. .A
<br /> perunit issued shail be constcued ta be a lic ns�te�pPOCeed wOth the work and nok a� authority ta.viala�et cancel, al#er, or
<br /> set aside�ny provisions of the tech�ical co es; nor shall issuance�of a�.permit.prevent the�ufldirig O�fict�l from thereafter
<br /> requtring�correation af errors in pla�s, ca st�ction or violations of any codes. �very pBmnlQ issued sh�ll become indaiid
<br /> unless Qhe work author6z�d by such permit�is-commenced�avithin six mc�nths of permit issu�nc�, aP if w�Pk autharized by
<br /> the pe�mit is suspend�d ar.abandoned for period of slx(6)mo�ths after the 4ima the�work#s ac�nnmenced. An extere�fo�
<br /> may be requested, in writing, fcom the Buil ing,Offlcial for a period not#o ex�eed nlnety_(�Oj days and_�rill demoa�str�te _
<br /> �just�4iab�fe�ause ior:the extension, �If iwork c ases 4'or ninety(90j cons.ecutive daysr..@ti�job ts considered aba�idoned.
<br /> i�tAR1�IP1� Tt� OWNER: YAUR ���#.UR �TO,RECA�Y� A N�3'iGE CiF�C�RAMENCEMEi�T fiafAY�4tE�tUl:'P iN YO��'R
<br /> PA�lNG TWtCE�OR CMPROVEII��t+�TS T 1(QU6t.:PitOPER'i'l�a ���YO.lJ�1NTEND�.T��O�TJ�IN��Fft�FANC�NG�'�qN�UiLT
<br /> �iflv YAUR L ND � AQ� TTOff�N�I( ��O���R COR�Q �� OU � �'► �GE�°O �' � E C� E T�
<br /> FLORIDA JURAT(F.S. 9 97.03) _ � " ---��
<br /> '�
<br /> CIWABER OR AG�N7 ,�° I ��NTRI�G70lt /�< "'z---"'� _
<br /> Subscribed and svvom to(or ed re me this Subscribed and swa r affirm � efore me th(s
<br /> �Y —
<br /> VYho Isfare personally , o Qo.me or has(hav�produc d Who Islare p onall v�n to�te.or hasltoave•produced
<br /> as Identlflcatlon. as Identlficatlon.
<br /> Note PabMc Natary Public
<br /> �g,j�`'::�:ri,. CQUELINE GES
<br /> Commission No. Com ss n l�o. -*� .•= Cpmmi '
<br /> ��, �a: xpfres December 12,2018
<br /> •'�+PF;�RQ��. Bunded Thru Tm pein Inau
<br /> Flame of iVotary typecD,printed ar stamped Fiame of�iotary pe ,
<br />
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