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<br /> 1 NOTICE O�DEED RESTRICTIO�lS: Ttie undersigned und�rgtands,�th�t,this,p�cmit,_may,be�subJect to"deed"restrictlons" '•
<br /> which may be:mor$�:r.est�ictive=than Gourity.-reguiatidns:.Tiie°unde�signecE assuine"s rosponsibility fot�cornpliarice with ariy .
<br /> appNcable.deed restrictions. ,. � , �
<br /> UNI.ICEAlSED GONTRACTORS �CNQ =GONTRACTClR RESPONSEBtt�iT1ES: If�the owner has�hired a contrac#or or
<br /> conlractors to undertake work, they may�be>required:,to be.:l6censed in.accordance:with state.and�locai regutations: If the
<br /> cont�acto� ts nat:llcensed�:as:�requlred'�6y law; laath the owner and'�contractor.may be�clted•for a-misdeme'ar�or vtalation
<br /> under state law. !f.the awner or Mtended;,contractor are;unce�taln as ta what licensing.requiremevtts,may-apply;�fcir°the
<br /> intended work, they are�advised to;contact fhe�Pasco County Buildtng°Inspect(bn Divislon--l.icensing Seation at 727-847-
<br /> 8009. Furthermore, tf the`owner'lias hiretf' a contr"aato�"or i:ontractai�, he ls ativisec! Eo have the conuaatar�s) sEgn .
<br /> portlo�s af the °contractor Black° af this appqc�tion far which they wllt be responslble. If,.you, as..the owner stgn"as the
<br /> contractor� tfiat may�be an indicatian that�he is not.properly licensed and�!s not entitled to permltti�g privfleges in Pasco
<br /> Gounty. - � ` _
<br /> TRANSPURTATION'.IMPACTIUTILITIES�IMPA67'�ANI�-R�SOURCE RECOVERY FEES:��The�undersigned understands
<br /> that Transportatlon Impact Fees and.Recaurss.�Recave.ry_Fees maY`=$RPty:t��the constn�ation,of nevv baildings, changefof .• t
<br /> use in existicig;hulldings;or�expanslon�.of:iexi�tin;g��buiiding9,�as spect8ed in Pascv Caunty Cirdinance number 89-07 and
<br /> 90-47, as amended. The undersigned al�o,understands� that:such tees,,as:may�be�dus;:.wll!_be Ideritified at the=titrie�of �
<br /> permitting. it is furtfier unders#aod that Transporta#ian 1mp�ct Fees and Resource Recovery�'Fees,.must be paid prior to
<br /> receiving a "certificate of occwpancy°' or finaF;powe.r.release. :If�Ehe.proj�ct does.not,involve=a{ce�tificate of occupancy or �
<br /> final power release;the fees mtt�t-be paid p,r.tor to permit Issttance. Fuktherr►tore;�If Pasco Coanty�lNaterlSewer lmpact . �
<br /> fees are due, they must.be-paid pclor to permit-I�suance°in accordance with appllcable:P.asco�County.ordinances.
<br /> CONSTRUCTlQN LlEN LAW(Cl�apter 713�Fio�r�da$tatu���,as ame�de�,d}; :,lf valuatlor��of wrork i��2,�aa.QO ar mpce�1 ,
<br /> certify that 1,,#ii.e Bpplica,t,.'�hav�,,been pro�vl�ied,w,�th:����dcopy`;�rf;;.�iq;.�Flori�l�-Q.Coflst'uc`�lon Lte�r��.lav�-Homeovuner s
<br /> Protection Guit�� prep������y the Florida Department of Agric.ultnre and Consumer Affairs. !f the appltcant ts someone
<br /> ather#han the°owne�', !certify that t.have;obtain�d=a�copY;af the above.descrl�sed tfoce�rnent-and.p.r.omise ln.good faith ta
<br /> deliver it to the°ownec"�pdoc�to�commencement. ` � � '
<br /> GUfVTRACT�R`S10WNER'S AEFIDAY!'C: 1�cet�tify.th�t�all the,inf.ormatlon in�thl�applicatton#s acc�rate and that ail wark
<br /> wilt'be done in campliance with al) applicable'laws regulating constructian, zoning and:land�development. Application is
<br /> hereby made to obta(n .a permit Co do.work,and tnstallation as tndtcefed. 'I' certlfjr that no waPlc:or Installatton has
<br /> commenced prior to issuance af'a permit-anif�that`a!1 work will be performed ta meet standards of ati laws regutating�
<br /> const�uckian, Caunty and City codes, zoning r�gulations, �nd land development cegulattons�in the�jurisd(ction. I:ai'so
<br /> 5cert�fy;tha#"�ri�derstand that#he regulatEons nf other gavernment agenctes maY-�PP�X�to#he intend�d work, and that it is
<br /> m�rresponsibility�toadentify.what,actions I:must take.to be,in..co�pliance. S.uch agencies Include but are not Iimited to:
<br /> `"':� :' M`Departme�t# of ErlvironmentaM=Protection-Cypress.Bajrtieads, Wetiand Areas a�d EnvironrnentalEy SensEtfve
<br /> � ��- - Lar�d�,.lNaterNVastewater Treatment.
<br /> �.�M: .
<br /> - x'�.outhwe"st; :Florida UVater Management District-Wells� Cypress. Bay.heads; Wetiand Areas, Altering
<br /> vVa#etcourses.
<br /> - Army CoFp`s of Engineers-Seawalis� Docks, Navlgabie Waterways.
<br /> - Department of Heaith & Rehabilitative ServlcestEnv�ronmental N.e.alih Unit Wel[s, Wasteu�raEer�'frea�ment,
<br /> Sep#ic Tanks. ,. � ` -. ,
<br /> - US Environmental Protectfon Agency-Asbestos�abatement. �° �� _',
<br /> Federal Aviatlon Authority-f�unwa:ys. °
<br /> i understand thal the foUowing.restrletions'�pply to the use of flIL•• '
<br /> - Use of(iit Is nat ailowed in Flood Zone"V"unless express{p pe�mftted.
<br /> - If the flll materia) ls to be used,`�in :Fload Zone °A°, tk is understood that a drainag� plan address6ng a
<br /> °compensating volume".wlll be subm(tted at time of permlfting which is prepared by a professiona! englneer
<br /> iicensed by#he Stafe of Florida: ,
<br /> - If the fill materlal.is ta be us.ed in Flood �one °A° inti connec�ion�with.a permitted buildtng using stem waii
<br /> � consfructian, l ce�fify that fill air�lt�be used only.#o.f�1)fhe area wtthln the-stem�wall.
<br /> - If fill materlal is to be used In any area,�F certify that .use. of such-fill will not advePSely affect adjacent
<br /> praperties, If use of fl!I ls found to�adversely:�ffe�t ad�acent�properties,,the owner may be cited for vlolating
<br /> the condifions of the buiiding,permik issued�und�r the attached permit application, far lots iess than one (1)
<br /> acre which are elevated by flll,acr englneered drainage plan is required. .
<br /> If 1 am the AGENT FCiR THE�i�tNER, I;�promise In gaod falth to Inform the owmer af-the permitting conditlans set forth in
<br /> this affidavtt�priar to cammencing canstruction. I unrlerstand that a.separate permlt may be requtred for electrical work,
<br /> piumbfng, signs, wells, poois, atr conditioning..g�s. or othec Instaltatlons na#.spec�ffcalEy inalu�iec3 ir�.the appiication. .A
<br /> permit issued shall be constcued to be a�Ilcense#o p�oceed with the work and not as:authority ta,violate,cancei, al#e�, or
<br /> set aside any provisions of the.technical cod�s; nor shall Issuance�of a.permit.prevent the 8ulldirig O#ficla!from thereafter
<br /> requi�ing a cor�ection af errons fn:plans,constn�ctlort ar vlolations af any codes. Every permit issued shal{become inva�id
<br /> unless the work authorized.by such perm(t is;commenced•wlthfn �x manths af permit Issuance, or if work authorixed by
<br /> the permlt is suspended or abandoned for a period of sfx{6)montf�s after the tlme the work is commenced. An extensior�
<br /> may be requested, in writing� from the Bullding,Offictal for a perlad not tr� exceed ninety(90) days and�will demonsk�ate
<br /> justifiable cause for.the extension: !f work_oease�.for ninety�(90}_consacut#ve:daXsrfh�Job=is.considee$d-abandoned:- --
<br /> WARNING TO QWNER: YOUR.FAILURE�TCI.,RECORD.I�.NOTI�E 01=�COMMENCEME�tT�MAY RESULT IN YOUR
<br /> '' PAYiNG TWIGE:�'OR IMPRC1VE11!lENTS TO.YQUR;PI2�PEt�TY. IF�YCtE1Y1N�'�E�1D'TQ QBTAIN•�IN�NCiNG;'CONSU�T
<br /> WIT U DE O ATTORN �B RE�� . C- fl G�1r0 ' C! �C ' C�NI T �
<br /> FLORIDA JURA�(F,S:1.1�3��'�` �� � �,i� ' _ v�"�?i''`��{, Ct�-4" , .
<br /> OWNER OFt AOENY�����1,�;��,�;,,,�,_ CONTRACTOR � \ �� .��_�(�1�`�Q�;,�
<br /> Subscribed and swom M{o Nirmed)before me thls ' Subscrlbed and'swotn to r a�rtned��before me ttii�
<br /> by ' •by
<br /> Who is/are personally knovm M.me or hasR�ave produced', Who Is/are p.ersonally known to'me or has/have�produced �
<br /> as Identlflcatlon, as Identlficaticn,
<br /> Nofafy Pub!!a �-�----- � Nots�ry Pubtlrs
<br /> Comml I n No. � Comr�ls n No.
<br /> �HY P��� �
<br /> Na o(N '�, .�,�r���(�ggd 37073 Nam of Notary ty
<br /> :; q`: Expires,1une 29,2018 , ,4�Y pY'�-. JOEi.E.BACON
<br /> "•�;RF�;�•'� BondedTFwTroyFainfnsurance8f1�3857019 �+,'�� �k= Commission#FF 137073
<br /> . ;;,�,,4�: .Expires June 29,2018
<br /> , �'1�i,$����P`'�\ BondedThn+Noy�ainlnsumnce8t%}38§d618
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