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<br /> NOT'10E OF DEED RE�TRIC7fqNS; The understgned understands�th�t this.p�rmlf.may.be.subJect tp"deed"restNctions"
<br /> which may be�more�r,es#�ictive��ti��n County:�egulatians. �The undersigned assumes respvnslbfltty for compllance with any
<br /> applicable deed rest�ictlons. � � '
<br /> UNLIGENSED CtJNTRAGTORS, AND CQN'iRACTQR RESPtlNSlBlLITIES: !f the owner-has �hired a contracQor or
<br /> contractors to undertake wark, they may,kie:�;equtred,�to.bg;!lcensed In accordanae wtth state.and�loaal regulatlons. If the
<br /> contractar.-is not Itcens�dras.requlred;by::lew,-.bath�the owner �nd cmntractar�may be cited for a misdemeanar violatlan �
<br /> under state law. if the owner or�InCendeii�contractor are uncertain as to what itcensi�g.requirements may-apply�far the �
<br /> intended work, they are acfv€sed to aantac#;the.°Pasco Counfy Building tnspection Division—t:icensing Section at 727-847-
<br /> 8049. Fu�thermore, f# the owner has h!r`ed"-a°'confractor ot contractors. he,fs advlsed to have the contra�tat(sj slgn
<br /> portions of the "contractsor Blaok" of thts''-:appllcation for which they wll! be responsfble. If you, as.tt�e awner slgn as the
<br /> cantractor, that may be an indication'�that',he��:is`nbt.properly licensed and is nqt entitled to permitttng privfleges in Pasao
<br /> ; � �,,K,.,,
<br /> Caunty.
<br /> TftANSPORTATiON.iM�ACTIUTItIT1�S�IMPAGTAN�RESOURCE RECt1VER1ffEES: The undersigned understands
<br /> thaE Trarasportation tmpact Fees and;Recos�fs�;Recowe.ry•Fees may�appty to.the constcuctian af new bulldings, change af
<br /> use in existing build#ngs, or..expansion�of�ezlst�rz,g`�6uildings, as speclfled in Pasco Caunty Urdinance number 89-47 �rtd
<br /> 90-07, as amended. Tha underslgned also wnderstands, that.such fees..as�may be�.due�,wlll be ldentltied at#he time of
<br /> permitting. it is further understood that Transportation Impaot Fees and Resource RecaVet"y Fees must be paid p�lor to i ___ _
<br /> ' recetving a �certifica#e of oocupancy°_or_finai pouder..rel�aase.�,:lf khe praj��t d��s not to�vaive � ce�ti�icate of:occupancy or
<br /> itnai povire�reiease;t#�e fees must bs�paid prior ta permit issuance. F��thermor.e� tf:Pasco County 1Nater/Sewer Impact
<br /> fees afe due,they must be pald prlor to permlt fssuance-In accordance wlth applfcable Pasco�County ordinances.
<br /> CONSTRUCTION LlEN fl.AW{Chapter 713, Ebrlda Statutes.�s amencledj: If valuatfon of work Is$2,50Q.00 ar more, !
<br /> certify that I, the applioant, have been provlded with a copy of the "Florida Constructlon Llen Law—Hameowner's
<br /> 'Protection Guide" prepared by the �Iorlda Department of Agric.ulture and ConsumerAffairs. If the applicant is someone
<br /> ather than#he°awner", t�ertify that I have•.abtained a copy,of the above.descrlbed document°and.p.r.omise in.good faith to
<br /> delivet ft ta the°awner"p�iQC to�cammencemen#: '
<br /> CQNTRACTOR'StAWNER'S APFlQAVIT. 1 cert�#y that�II the Infocmation In thi5 appltcatlon is accurate and that all work
<br /> will�be dnne in campllance with al! appliaable laws regulating canstruction, aoning and�lartd development. AppticaEfon is
<br /> hereby made to obtain .a permit ta do work and Installatlon as indtcated:• 'I certify that no work or {nstallation has
<br /> cammenced prior to issuance of a permit and that.all work will be perFormed to meet standards of all laws regufa�xing�
<br /> canstruction, Coun#y and City codes, zaning regulatians, and land devaiopment ceguiations�in #he jurisdlctlon. I al'so
<br /> cettify that 1 u�derstand that the regulations af other government agencies may�apply�ta the intended work, and tha# it is
<br /> my responsibllity ta iden#ify.what_actions i must t�ke to be,ln..co�lpllance: Such agencfes-Inciude bu#are.not limited to:
<br /> i - Depattment of Environmer�ta! Proteotion-Cypress.8ayhead�r VUetland Areas and Ec�vtronmeMally 5ensitiue
<br /> � � _ Lands,Water/Wastewa#�r Treatment. ` �
<br /> , Southwest Florida Water Management: .District Wells� Cypress. Bay.heads�, Wetland Areas� Altering
<br /> � / - . Watercaurses. . .=,;`='�i. , ;
<br /> Army Corps�f,,Englnee�s-Seawalf`s;,Docks, Navigatite Waferways. ;
<br /> �, ��� - � Department �f�-�Health:.8�' Rehabilltativ.e"ServEoes/Environmental Health Ui�it Weils, Wastewater Treatment,
<br /> ' �� Septic Tanks. � . �� ;� `' •;��,,; , _
<br /> I - US.Environmental`Pratection�Age�nc�i;��i45bestos abateme.nt. ,
<br /> � - Federai Aviat[on Auti�orliy-Rynway�s:,��.,,,
<br /> i,understand that the foltowing,restrlctions,,apply;#o,the use of flil: `.
<br /> � - Use�f filf is n�t ailawed 1n Ffoctd:Zone"V"uniess expressly permitted.
<br /> � - If the fill material Is #o..be�.:used. In>'..Flood Zone. "A", Ik. is understoad that a clrainage plan addressing a
<br /> i "compensating volume"wlll�be`�sub'rriltted at lime of permltting wliich is prepared by a professiona! engineer
<br /> � j _ Ilcensed by th��tate of�Fiorlda:'`��� ����;
<br /> I if the fiil materiat is to be used in Fiood Zone °A° in�connection�wlth.a�pecmitted building using stem wall
<br /> �� � corrs#ructian, i cerfify tha#filt•:will-6e used only.#a tiil the area withln�the�stem�wali.
<br /> - If ffif materia! Is to be used In any area, i �ce�tlfy that .use af such fili wili nat adversely affect adjacent
<br /> � praperties. If use of f#N Is found to advetsely;�ffect ad�acen#�properties,,the awner may be clted for viotating
<br /> the conditions of the building.permtt Issued under ihe attached�permit appitcation� for lots less than one (1}
<br /> ' acre whiah are elevated-by flit; an engineer�d drainage plan Is required.
<br /> if i am the AGENT�C3R TME OWNER, i,��romise in good faith ta inform the-owner of-#he permitting conditions set forth in
<br /> I th'ss a#Fidavlt prior to co�nmencing construc#1on. ( understand that a.s�iparate permit may be required for elec#ricai work,
<br /> plumbing, signs, wells, pools; afr condltioning,.gas, or athet lnsta!l�tlons not spea�flcally inE#uded-in.the application. .A
<br /> permit issued shall be can�trued to be a`Itcense to proceed wlkh the wark and not as:authorlty to..violate� car�cel, alter, a�
<br /> set aside any provisions of the technlcal cades; nor shall issuance�of a.permit.pr.even#the Buliding Offlclal from thereafter
<br /> requirtng a correction af e�rars in.plans, consttuction or violattons of any codes. Every permlt I.ssued shall became invalid
<br /> unless ihe wark authorized.by such permE#.is.corr�menced•within six months af permtt issuance, or if wark authorized by
<br /> the permlt is suspended ar.abandoned for a:perfod of sfx�{8)montf�s afte�the time the�wark�fs aammanced. An extensian
<br /> may be requested� In writing, from the�8uilding.Offlcfal for a pertod.not•to exceed-nMety�{90}days a�d�w11! demonstrafe
<br /> justlfiable cause for.the ext�nsion: If wark ceases:for ninety(90}cons.ecutive day.sr..the�ob�is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE�TO.,REC.ORD A NO�TICE:OF COMMENCEMEMT MAY RESULT IN Y011R
<br /> d�AYiNG'TWlC�FOR lMPFtOVEli�ENTS T0 YOUF���PROPERTY. 1�°YO.U�fNTE�1D�'�TQ"OBTAIN��FIhi�ANCING;'CONSUL.T
<br /> lM17H Y U END� Cy AI+t A�`FOR EY�B FOR�� E�O �Q ��_ •UR` Q �C °C�F °� E C N
<br /> FLORIDA JURAT(F.S.1 7. j �., " . ;
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<br /> OWHEEt QR AGEhIT ' '."=;... C{�N7RAGTC?R �
<br /> Su cri ed and swom r aNi ed)hef . me,this„ ' ° r, ,` ; ° Subscribed and's to(or afli �etore m ' i�
<br /> � 1!�.:S ��dy 1► . � a : ., ..�::+-;-�,�,�;�. , a /► 5 ,•by 1, ��• •
<br /> Who!s are personally known Ro.me'o hasthaVe�proiluceill..'.;��'�;-4"s;"; Who stare p.ersonalEy known ta'me orh ave produced
<br /> ��sldentlflcaUon. ':,���;. :-;:;��',,,�, --�-----' asldenBflcaUon.
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<br /> Y/n"�'�^f .i . �{.`„(Y�f�J I
<br /> �.i'Y�..;��.
<br /> — ��Notery;Pubtic,;;. �--� Nptary Public
<br /> Commission No, ��/gJ�S7 ` - - .. ' ,�, commlas�on.�o._ ��I `�l�'9�
<br /> Name o/Notary typed,p ame af Notary typed,printed or stemped � �
<br /> �" ' CNAD S R11MAN ' � cn,�s�nuN
<br /> �, ,�
<br /> ' Nririty Publtc=Stats,at florlda '« . M�ry PYbtk-SUht oi�tarMi
<br /> � Commisslo,n N F:P 191967 � �,�, Commlubn#►Ff 1919aT
<br /> �'�4FOFf4P`�` My.Comm.Ezpires Jan 21,?019 'a,pr���.� My Comm.Expins Jpn 21,2019
<br /> - •� ,�na�u•.
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