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<br /> y �. , � � � p. . : Ybe rsubJect to"deed",restrictians" �
<br /> NOTiGE OF DEED R�STRICTIONS: The undersigned undergtands<.that;this:p�rmif�ma
<br /> which ma �be.more�restrlcttve:than�Couri""=°r�guratrons.�The undersl'ned-`assumes cesponsitiility-for`compfiancei-with any
<br /> appticabie deed reshtctions. , . �; �
<br /> UNUGEMSED GONTRACTORS AND"CONTRACTQR RESPONSIBILlTlES:`=tf�the orivner has--hired�a can#raotor or
<br /> contractors ta undertake work, they may be;req�aired.:ta:,be;itcensed In accordance.with state.snd�local reg�lattons. �tf the
<br /> contractor is not Itaensed as'r.eqWred`by lativ� both the awner and coritractor�may, be-cited-fur a�misdemeanor vtofatton
<br /> under state law. If the awner ar intended contta,ctor;are u�ceMaln as to what Itcensing:requlreKnents�`may apply�ior�-the
<br /> intended work, titey are advised to corifact the Pasca County 8ulldiing-tnspecfion Dtvlslan--Licensing$ectlon at T27-847-
<br /> 8009. Fu�thermare, if the owner�Fias`tiired a confractof o� conEractors, he is addisad ta have #he cantractar(s), sign
<br /> portions of the "contraator Block" of this appltcettan tar which they wlll..be responslbie., if ycu,-.as-..�he oiivner"sign"as Ehe
<br /> cont�actor, ttiat�iiay be an indication�that he Is not.prope�ly licensed and°is�not entltlei! to petiriftting�privileges in Pasco
<br /> Counry. '� '
<br /> TRANSPnRTATiON�IMPACTiUTiL-iT1ES IMPAC'i'•AF�b�RESQURC�RECOVERY'�FEES:��The�undersigned�understands
<br /> that T�anspar#akion tmpact Feas and.Recaurse Recove.ry.Fees majr:-appiy5to�the consfructian af new buildi�gs,.�change of ' =
<br /> use 1n existing bu3ldings; or�.expansion�of=�ezlsti�ig�tiuffi�ngs, as specifled.in Pasco County Ordinance number 89-07 �nd
<br /> 90-47, as amended.:, '�lis undersigned �lso,understands, that such fees�=as rmay_;�e�=dwe,,wf1l��be identif�ed at the�=tiriie��of�
<br /> permitting. It Is further understood that Transportatian (mpact�ees attd�Resaurce RecoueiyAFees�.mu�t be paid priot�to
<br /> recetving a °cerfl�cate.�of-occupancy" or flna).pawer-release. :If the project,does no!Involve:a:.certificate of accupancy,�ot�
<br /> finat powerretease;,the fees must be paid prtar to permit Issuan'ce. Fu�thermore,:�if:_Pasco.County�lNate�lSewer�lmpact
<br /> fees are due,they:must be:paid=p�ior ta permtf-issuanee={n�ccoedance witti appiicable Pasco County ordinances,
<br /> CONSTRUCTIQN LlEN t,AYV{Ctiapter 713, Elerlda S#a�tutes,as.�mende�): If.vafuatian of work Es�2,500.00.•or more, 1
<br /> certify that l, �he„appltcant,. ,have-been provlded wi#h a--copy af=the "Florlda Construction_Lien;Law=-Hameawner's
<br /> Protection Guide" prepared by the Florida Department of Agric.ulture and Consumsr.�Affairs, !f the �ppl(cant is someone •
<br /> other than the"owner", i certifjr#hat i h�ve.obtained=a`copy.of the:above.described dacument��nd:p.r.omise�in.good falth to
<br /> detiver it#o th�,°owner."pdor to>commencement: ' ' � � "" �
<br /> CONTRACT+DR'S/OWNER'S AFFIDAYIT: 1 certify..:ttaat�.atl�the,,information in�this applicatian is accurate and that all wark
<br /> wiU'be done in compliance with a!I appltcable laws rogulating construation� zoning and�land�develapment. Applioation is
<br /> hereby made tn abtain .a permit to do.work.,�and installation as ind[cafed:�,..`I cer�ify°"tliat no uvark�.or inst�atiatton has
<br /> commenced p�la� to issuance af a permit"and that:al! work will be performed to meet standards of al! laws regula�9ng-
<br /> constructian, County and City codes, zoning,regulatlons, and land development cegulatlons�ln the jur(sdtctton: ! al'so
<br /> certify that i understand that the reguiations ofi other gove�nment agencies may�apply�ta the lntended work, and that it is "�
<br /> my responslbil�ty#o identtfy�what.actions i must take:#a be�in:.campl{anca. S.uch agencies inciude but�are.not Ilmited to: ,
<br /> - Department of Er�vitonmental�Protect�on-Cypress.'�aytieads; Wefiand Areas and Er�viranrnentaliy Sensifive
<br /> Lands,WaterflAlastewater Treatment.
<br /> - Southwest Fforida 11Vater Management .Distrlct-Vllells, Cypress.� Bay_heads�, Wetland Arees, Altering
<br /> Watercourses. .
<br /> - Army Corps af EngMeers-Seawatis; Docks, iVavtgatile Waterways.
<br /> ,- Department.of Nea1#h � Refaabifltative ServiceslEr►vironmental Health Ui�rit-VVelts� Wastevrrater Treatment,
<br /> SepticTanlis: � ' ,
<br /> - US Environmenkal Protectlon Agency-Asbestos abatemen�
<br /> - Federal Avlativn AuthoMty�Runways. �
<br /> t understand that the foitow�ng�restrictians apply to the use of fl8:�
<br /> - Use o#fill is riot aEicwed in Fload;Zope"V"unless expressiy permitted.
<br /> - If the-flll material�is to be used: fn Fiood Zone "A°, it. is understood'that-a dra�nage pian adcfressEng a
<br /> °oompensating volume" will be submltted ak time of permi�#ing wliich ts prepared by a professiona! englneer
<br /> licensed by the State of Flor(da:
<br /> - tf the fii) materia).is to be used in Flood Zbne �A° tn+connection�wlth.a�{�ecmitted builtling using stem waA �
<br /> � constructian, i certify th.at fili:witG:b.e used oniy.to fiq the area within the�stem�wall.
<br /> - !f #iif material Es to be used in any area, 1 aertlfy that .use. af euch fili wilt no# adversely affect adjacent
<br /> praper#les. !f use oF fiA ls foand to adversely_.�ffect adJa�ent properties,.the awner may be cited for vi€�iating
<br /> the condltio�s of the bull�ing:permit issued•under the�atEaahed pormit appiica#lon� for=1ots less than ane (1)
<br /> acre which ar8 elevated by flll,an engtneered drainage p4an ts requtred. •
<br /> if i am fhe AGENT FOR THE OWNER, I;:�►romise In gaod faith#o inform the owner of the permltting conditlans set farth!n
<br /> th+s affidavit prfor fo cammencing canshucflan. I unders#and that a�separa#e perm(t may be requtred for etectricai work,
<br /> piumbing, signs, welts� poals; atr canclitioning, ,gas� or ott�ec ins#aitations nof.spac�icatly included�in.#Me apptication. .A
<br /> permlt Issued shall be aonstrued ta be a llcense to-proceed wlth the work and not as.authority to,violate,cancel, atter, or
<br /> set aside any provisions af the technical.codes; nor shalt lssua�ce�of a.perrnit_prevent the 8ulldlrig Offtcle!from.therea�ter
<br /> requiring a correation af erirors In pians:, cons#ructlan or violatlons of any codes. Every perm(t Issued shall becume invalid
<br /> untess #he wa�k avthorized by such permit�is.ciammenced•within six m.onths of permtt lssuance, ar if work authorized by
<br /> the permit is suspencled or.abandoned.for a perfod of six{8)months.after the#ime the�work ie commenced. _An e�ctension
<br /> .:may be requesked, (r�wrlting, ftom the Bulfding,C}fflcial for a perlod.not to exc�eed_nine�,r_(90)_da�rs_and=wiH-demor�stra#e------ --
<br /> —just�able�cause tor.the exiension:If woik ceases-fo�nlnety(90)consecutive days,.-the job=is considered aba�doned.
<br /> WARNiNG Ta QWNER: YOUR.�AIt,URE�TO..REC.C��tD.A.NQTIGE OF��COMMENCEIVIEMT�MAY�RESULT IN�YOUR
<br /> PAYING TWiCE.�OR iMPROVEMENTS TO Yt1UR PR�PERTY.�IF�YO.U�i�i�E�i1D�?T'C'�`CiBTA1N•�IIrFANCING;'C.4NSULT
<br /> WIT QUR D Q� A 'iTt) N � O E� ECO �YC1U �� �� �OF= -' E C N �
<br /> FLORIDA JURAi"(F.S.1.17.03} _ � � /� ` °.
<br /> r .
<br /> OWNER OR At3EN7 COt�tTRAGTO �
<br /> Subscribed and swam to{or a�irmed)6efore me thls 8 �sctibed and'swo -to(or aflltmed)�before me�t��
<br /> by r� Z��S •b ;.ti � •C�-�.C
<br /> Who lsiare pe�sonafiy knowr�to me or ha�tltave produced Wtxa ts/are ers ktz •Ea m. or heslh�ve�produced �
<br /> as Idendflcatlon. L � ' n.S2. as ldentl�cadon.
<br /> Notary Pubttc . Plotary Publtc
<br /> _'�� "__ Commission# F 50422
<br /> Commisslon No. Comnni � _ •
<br /> s�' oQ,; � .
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<br /> �.�Rj���,�.` Bonded Tlw Troy Fain Insurance 800-385�7019
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or slamped
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