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<br /> � ' N0710E OF DEED RESTRICTIONB: The undersigned under�tands��th�t 1hls:pgrml.t�ney,be,subJect to'deed"resUicttons"
<br /> which mey..be more resttictive-tha�t Gounty regulatfbn's:�The uriderelgned'"assume"s respon'sitiility far'com'pliance wifFi"any
<br /> appltceble deed resMctbns.
<br /> UNLICENSED CQNTRAC70RS AND CONTRA►C'FOR RESPONSIBIL-ITI�S: �if the owner has hired a'contraator or
<br /> wntractors to undertake wark,they may be:requireil:to tie,llcensed In accordance.wlth stata.and:logal regulations. If the
<br /> conttactor ts not![censed es requtted:by(ew, bath the owner arid:contiaictisr�iiisy be ctted fnr a�mtsdemeanor vlolaBon
<br /> under state law. ii the owner or tn#ended=contractar:are t�ncertatn as to what Itcenatng requtrements may�eppiy iac ihe
<br /> fntended wark,they are advlsed to contacf the Pasco Counly Buililing Inspection Dlvlslon---l�.i.cen3ing SecUon at 727-847-
<br /> 8008. FuRhermore, if the owner has htted a contractor o'r coritractors, he ts aiivised to have the contractar(sj,sfgn
<br /> portlons of the°con#ractor 81ock°of thls applh:atlon far..whtoh tF►ey witLbe.responsibte. if you,_as.#he owrier"°sfgn�as the
<br /> contractor,that rnay be an IndlcaUan that he is not propedy Iicensed and is not en�ded to permitking prli►ileges In Pasco
<br /> County.
<br /> TRANSPORTAT[ON IMPACTIUTtt:C�1ES 1MPA6'!"ANb RESOUitCE REC01►�ttY FEES: The underslgned understands
<br /> thatTranspartatlon Impact Fees:and.Recouree Reca4e.ry.Feea may�•apply;ta tFie constructlon_of new bulidings,:change of
<br /> use in existing buildings,or;expansta�of�ei�is8ii,g'tiutltlings,as specHlad.in Pascq County Ordlnance number 89-07 and
<br /> 9d-O7,as amended. The undersigned aisa;understands,that such fees,as,tnay:�e.due,.wlEt�be tdenttfled a#fhe time°oi�
<br /> permitting. It Is furtfier understood that TransporfaUon Impect Fees and`Resot�rce Recavery`Fees must be paid pMor to
<br /> rscelving a'certiHcate of ocoupancy"or Mal�powerr,elease:, :I�the projecl,daes not irnolve:a ce�t�tcate of occupancy or�
<br /> flnal pawar release;the fees must ba patd prfor ta.permt#lssuance. Futfhermar'e,•if_Paaco County INaterlSewer tmpact
<br /> fees are due,lhey must be�pald prlor to permlt Issyaneeln accordance wltFr'appllcabte Pasap.County ordinances.
<br /> CONSTRUCTtON CIEN'LAW'(Cl�epter 713.Florttla 3tatutea,as emendad): H valuatlon of work Is�2,500,00 or more,!
<br /> ce�tlfy that t, #he appllcant,.hsve.been provtdei! wifh a copy af the�°Flortda t3ons#ructtan llen Law--Homeowner's
<br /> Protectlon Gulde"prepared by tFie'Floiida QepartmenC of Agrlculture and Consumer Aftatrs. If the appllcant Is someone ,
<br /> other than the'owner',l certlfy that I have,dkitafned�a`aopy:ot.the abova.descrlliecl tlocumenhand promise;tn,good talth to
<br /> deliver(t to the'awnec`prlor to�cotiirnencement:' ' �
<br /> COIVTRACTOR'S/0YYFIER'S AFFIDAVIT: I certity�tliat•all the�lnformetlon.lmthls appllcatlon is accurate.and that all work
<br /> will'be dane In compllance wlth all.appllcable laws reg�ilaUng consGvcUon,xoning and.land development. Appltcatlon Is
<br /> hereby macle to abtaln.a.permlt ta do�wortt,,and ShstallaUon as tndteated� `# certlfy that no work or tnstallattoir has
<br /> cammenced prior b Issuance of a pertiilt and that.atl wark will be performed to meet skandards of all I�ws regulating•
<br /> construcGon, County and Clly codes, zoning regulatlans, and land devalopment regula8aas-tn the judsdlctlon, ( also
<br /> certify that I undersfand Ehaf the regutaflons of ot�er gavemment agenctes may appty�ta#he lntended work,and#hat it is
<br /> my responslbllity to ldentlfy what.acUons I muat•take.to bedn�comptlance: S,uch agencles Include but are.nat Ilmlted to:
<br /> - Department ot E�1vlronmenta4�protecUon-Cypre�is.'Baylieadg;WeUand Areas and Envlronmentally Sensitive
<br /> E.ends,We#eNWastewater'ireafinent. �
<br /> - Southwest Florida Water Management Dtstrtct We�ls, Gypress.`Bayhead's; WeNand Areas, Altering �
<br /> Watercourses.
<br /> - , Army Corps af Eng(neers-Seawalls,Dacics,Navlgabte Waternays.
<br /> - Department of Heatth � ReMeb1(ttathre Sen►iceaJEnvironmenlal Heaith Unit Weils; Wastewaker Treatment,
<br /> SepUc 7ariKs: _
<br /> - US Envlronmeatat FratectEon Agency As6astos abateme.nt
<br /> Federat Aviatton Authortty_Rurm+ays.
<br /> I understand that the following,rest�lctl`ons epply to the use of flIL••
<br /> - Uss of fltt 4s nof atfawed In Flood:Zane"V'unlass eacpressty par�nittad.
<br /> - If the fill materlat Is to be uaed.�in flood Zone i4`, it Is undeistoad that a dratnage ptan addressing a
<br /> °compensaQng volume"will be submltted at Bme of petmltting whlch Is prepared by a profesafonal engtneer
<br /> Nceased by the State of Ftortda, �
<br /> - If#h�ti11 material ts to be us.ed tn Flood Zone`A°in+�onnectEon�wlth�a permitted buiiding using stem watl
<br /> constnucpon,I certffy that flll:v�lll:be used only.to flll the area wlkhln ihe skem wall.
<br /> - !f flll materlal Is to be used�ln.a�y area, h.certlty that usa of��ucb flfl wlll �ot adverssfy aFfec# adJacent
<br /> prapettles. tf use of flli ls fannti to aduerseyr<afl'ect ad)aeent-prr�pertles,.the owner may be cited for.vio�aiing
<br /> ihe cond�lons of the bulliltng;permlt Issued under ths�attacFied permlt 8ppltcatlon,far lots less than.ane(1)
<br /> , acre whlch are elevated•kiy til1;�n englneered dralnage plan Is requlred. -
<br /> If 1 am the AGENT FOR Tt1E OWNER,7�pmmtse tn goad fiaEth fc intorm the owner af the permitNng condiUons set fiarth in
<br /> thfs affidavlt`prlor to commencing canstrucklon. I understand thet a�separate permlt may be requtred for electrical work,
<br /> plum6ing, sfg�s,wells,pools,.alr candltloning,.gQs,.or other.Installgtlons naE.spec�lca!!y Included•In_the app![cattan. .A
<br /> permtt lssued shall be cons#cued to be a ticense#a prgceed wlth ttie wark and not as:suthority M,violate,cancel,alfer,or
<br /> set aslde any provlslons of the.technlcat codes;nor shall Issuance�of a.permlt.prevent the Bulldlrig Ofticlal irom thereafter
<br /> requlring a conectlon�errors In.plaas,conetnictlan or vlolaUons af any codea. �very permlt lssued shell become lnvalld
<br /> unlsss#he wark ac�thodzed by such permlt:is.commenced wtfhtn si�c months of permlt tssaancs,ar if wark autharixed by
<br /> the permit ls suspended or,abandoned for a,peNod ofislx(�)montFis efter the tlrr►e the work 1s commenced. An e�ctenslon
<br /> may be requeated,In wrlting,from the Bullding.Offlalal for a perlod:not to exceed nlnety(9Q)daya and wIU demonstrate
<br /> �us#�Eab1e cause for.-the extenaio�: It work ceases.for nlnety.{90}c�ns.ecutirre days,•the�ob 1s consideced abandonet�.
<br /> � WARNING TO OWNER: YOUR.FAILURE•70,RECORQ.A,N07MGE OF�COMMENGEMEI�tT MAY�RESULT IN YOUR
<br /> PAYING TWICE FC1R IMPl2QVEMEI�tTS TO;YOUEtAEt��'EEiTY: 1F=YOU<I�+i�'�E14�F3:Tf!flB�A1FFFlI+f�►l+161NG:GO�ISUl.T
<br /> wr o � o a � o � � ou -
<br /> FLORIDA JURAT(F.S.117.03) "
<br /> OWNER OR AOENT CQNTRACTQ
<br /> � Subsatbed and ewem M(or eHlmted)6eforo me thle Suwsaibed�nd'swom ta(oYa ed efotg me'Ifi
<br /> +Nho Islare persoi�ally kttawn to.me or hasJhsve pmduca! Who Islare pe�n n�n tiy �a me or hasRsave prodixRd
<br /> ix• d
<br /> aa(denUficaBon. �L� %��t""" t�n-5'�. es tdenlmcaHon.
<br /> Noffiry Pu6ltc . �. atary Pubitc
<br /> ��4 p
<br /> commisstan No:'• Camm _d ��:. QUELIN
<br /> ,�. ;�, ommrsslon.#FF 150422
<br /> . =a:
<br /> Name ot Notaty lyped,pHnted or stamped Name f N d, , ,
<br /> � r°Y Fein�newe�e 800385•7018�
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