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10710E OF DEED,RES�RICTIONS: The-.undersigned.,unde►gt�nds,�:th�t:ihls::.p�t�nit�,,may;.Nbe;.sub)ect�to;°deed",rest�Cctlons"v�'- '
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<br /> rhichmay:tie�more�sresttictfve•�fh��tCounty!reg�lafforis:�`-The�ilnders1gned��as�umesrespo�i�lbilitji°:fo"r;ct�mpltance�with'any � �
<br /> �ppUcatile:.deed�resMctlons: - - _ �-4���.}-�>:r<'_, ; � - -• _ _ _ - _ - __- -�-''"��:- � - .
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<br /> INUCENSED=��`G:ONTRi4C�:ORS .At�D�:CONTR�IGTOR RESPOhISIdlLITI�S:;���if=the'owne� has°fileed��a'�coritractor or
<br /> �onuactois to undertake�wo�k;they may.�be::c�qu'ire�d:�to.<�e�IlEensed�:in�acco�dance:with�,sta#eY:and;loc�l tregu.l,ations:���iff:th�a�=�•��- �
<br /> ,.4. •• : .f8d --w-eFe[r:'_
<br /> �ntracto��;is�,not•:licensed;es`r.equlred:`tiy law; both�the ovmer•and=contrector-may be��cit�d for°�� mis�etneanor violatlon
<br /> �nder state law. lf tFie�owner or intended>.cont's�torri;ere;<uncertain aa.to-wNat�licensin8:.re.quirements:;ma.y,i;apply�:�r;_'ther�-��-�~°°=° �
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<br /> �tended�work;�tMey�re>adviseil'to:c�ntacC�the_Pasco;�.�outtty,Bullding'Inspection,;Dlvlslon�-;Licensing`$ecNon�at�727=847- ,
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<br /> 009. Furtherrtiore,�if tFie=oviine�'�hais''Nlred`°a�conhaotoP o� contractors; he is adviaed�to�fiave;_the conUactor(s)rsign,.,, ,, _,_,.
<br /> _..1.a:�.t�� �,. ..,..,
<br /> ortlons of`the"contractor Block"_.,,of.`this;appl�atton,to„r...which<they..,will__be�%e.sp.onslt�le..Plf:you;��as`:fhe�oviinerr.stgri as�the � �
<br /> ontractor;thaftnay be�an-lndtcation-fhat he=ts�-not"•prope�ly=licensed`and�'ist°'not°entiNed'to�perinittfng prtvlleges•in Pasco: ,
<br /> :ounty. � � - ' ._ � _ � : � ,...;.:,._.r��:_._.� �.: .�� ��� . :� ` �,,
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<br /> 'RAfdSPORTATION.<.IMPACTlUTILItIES'�INIPAC�'�AN6=�ItE30�J�tCE R�COVE[tY�FEE3:��Th�°und'ersigned�understands ;•
<br /> �at Transpo�tatfon Impact Feas:and.Reco.ut�se Recove.ry:F�es,.may�;epply�#ortf�e_constructto.n,.o#new:bulldings;,:changerof��'��F`�"�` �"�'
<br /> se in exisNng�buildings;=���texpansibrt:of.:�ez[s�i�ip}�buil�irigs; a§�specified.in Pasco�County-0rdinance number 89-07 and `
<br /> 0-07, as amende.d.,.�Th�.undetsigned alsa:�urtderstands, thait'such fees;=;as:�may'be�r,due;,�wiIl:-De identffted at the�time°of �����"�� ' � �
<br /> ermitting. It is fiirtfier unders'tood that Tra�portatlon.Impact�Fees and��Resoucce Recoveryt}Fees mu�t be pald prlor to '
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<br /> �ceEv(ng a�"certificate:�of��occupancy"-�or flna��.power;,celease:�:if�the.proJ�ct;does,not involue.a�=.certtflcate of occupancy o��-=-='���'�'�'
<br /> nal power�,release,;�:the�,fees::mu�it�•tie~pald::prio.r."to;;permft tssuance. -F��thermore;,�ff:Pascm;,County;VVater/Sewer•�Impack':: :� �;�� � - ,
<br /> �es are due,they musi be.pald.p�lor to;permit`:Iss4ance:ln.accordance:`wlth:appllcabfe.Pascc`:County�'ordinances.
<br /> :ONS'fRUCTiON'CIEN�LAW(Chapter 713� Flor�da"Statutes�as amerrded� If valuaHon of work ls$2�500:00?or��more;I�- :- �.
<br /> erlify that_.I, the_applicant,__have.been�prrovidetl-�vvith-.a-copy of:�the__"Florida~�Constivction�:Lten��=Lau�--Homeowner's
<br /> �rotection Guide" prepared by tF�e Florida DeP�rtment�of Agric.ult�re and Consum�r:Affa(rs: If the appllcant Is sohieone-. ,, �-.•�.
<br /> ther than the"owner", I certify,..th�t I hav.e obtained'a�copy.of the'�above.:ries,cribe�tl'�dbc`ument;and,°promise�;tn;good•:faith;to ,
<br /> eliver It to tMe�'owne�';prior>>to�comrnencemerit:``°: F, '" .. '.; . � -� . �'`, .� `."' "' .. . '" '•-. ..." � - .
<br /> �ONTRACTOR'�/OWNER'8 A�FIDAVIT: I:cert(fjr•;}tki�t�:alt:-the;,inf.ormationx.inFthis,appllc�tion ts accurat�:and that all work
<br /> rili'be done in compliance wlth all.applicable laws regulating construction� zoning and�l_and:development. Appllcation is
<br /> ereby made to obtatn=.a.perm(t;,to;,;do;,wotl��and:'liistallafion as indtcafed:�� -1�:certify"tfiat no-work=-or Installatton`fias
<br /> ommenced'p�lor to'Issuance of'a pemnif"and"thaf.alf�rork will be perFormed�to meet-_standgrds_�of..all laws regulaking-
<br /> onstruction, County and City codes, zoning,regul�tlans� and land development,regulattons�In�'ttie-:Ju�isdtction.��: .I=al'so�
<br /> ertify that I understand that the regulations..of other�government agenctes may�apply�.to,the.:;lntended:work, and that it is ,
<br /> iy responsibility to Identlty�what.actfans I must•take:to be.,In:.corr�pllance:,.Such�:agencles�include-but-are:not Iimited.to: ; -- ,
<br /> - Depa�trtient of Er�vironmental�'Prote`cti�n=Cypress`�'BayFiead�;�Wetland rA�eas and Environmentally Sensitive .
<br /> Lands,WateNWastewater Treatment. .- " �� � �
<br /> - Southwest Florida Water Management�;.�I�istNct Wells, �Cypress.��.Bayji�ads�� =Wetland � Areas, Altering `
<br /> Watercourses. -- , = • �
<br /> - Army Corps of Englneers-Seawalls,Docks, Navlgatile VVaterways.
<br /> - Department,,.of.Health: 8;Rehabilftafive..ServlceslEnytronmental�Nealth:Unit=Well.s;.:Waste.water�Treatment;
<br /> Septla Tanks: __� . . •• , . .
<br /> - US Environmental Protection Agency-Asbestos abatement. -
<br /> - Federal Avlatlon_AWMo�ity,=fiuraways: -, ; � � , _ �
<br /> understand that,the.following:resd�ictions"�apply fo the-t�se�offlll:•
<br /> - Use of flli is not allowed in Flood;Zone"V"unless exp[essly pem�itted.
<br /> - If-.the flll��materlai:;;("s:-to.:.:6e�.used;µln.�Flood-Zone. "A", 'It�is� understood�that a drainage�plan addres"stng a
<br /> "compensattng volume"will_be submitted at#ime of permitting vir6lch Is prepared by a professtonal engineer
<br /> Ilcensed by-.#he��tate�of�Flotida: - -, . � ,
<br /> - If ih�:.flll materlal�=_is.,to:be,�used in �lood �one °A° in�connectton�with:a�'•permitted building using stem wall
<br /> � construction, l certify,th�t flll�:vi►111=ti�e:used only.to.illl the..are.a.within�the:stem�wall. �. -
<br /> - 1f'flll�riiaterlal•�Is-to��tie��used°in��any area;`I'�certify that .use. of such�"flll wlll:not adversely affect�ad)acent
<br /> properties. If use�of flll.is found�to adversely_�,�ffecfY'adJaEent�=properties,.the owner may be'cited for violating• ,
<br /> the condi#lons�:�of`the�ti"�iiiding;;permtt�issued:u�der ths=atfacfied_.�ermit_:�ppllcatlon,�foe�lots less�than.�one (1)
<br /> acre wh(ch are-elevateii�6y;fl11;a�t engtneered dralnage plan ls requlred: • . ..
<br /> I am the A6ENT:FOR�THE�O.IMNER;�1>�proml'se in good falth to�inforna=the owner..of;the.pecmitting condftlons_set fo�th in �
<br /> �is affidav(t prior fo-coinr'rie�acing'construcfion:"'1'understand-that enseparate permft may be requlred for electrical work,;
<br /> lumbing� signs, wells,::po,ols.;<<alr_condttloning,..gas...or;.othec_�instai��itions nok spec�flcally included-in.the application. .A .. �
<br /> ermit issued shall tie construed io be a'license>:.to��p'raceed wlth the�work�and nokas;authoNiy�.to violate�.°cancel; alte�, or � '
<br /> 9t aslde any provisions-of�th'e=tecfinical:codes;�nor shall Issuance�of'a.permtf.prevent the�Bulidtrig OHicial from thereafter ?�
<br /> :qulring a conectton af errors:in plans;Kcons;`t�iaclion,or vlolatlons�of=any�codes..,;Every_p'ermit.lssued:shall�bec�me�invalid .
<br /> nless the�ivork autfiorized:by sucii�pertnit���is-commenced•within ,shc smonths�of permit Issuance� or (f work authorized by
<br /> ie permit is suspended,,or..aba�doned;�for;:a�::#�,etiod,qf,sbr,EB)_mo�.tFis;�.aRe�fhe tirt�e the�work��s commenced. An extenslon -
<br /> iay be requested, tn inrriting;;-from''t1ie::Building;.Official.foc=a perlod;.no#�'to..exceed'ninetj+�{90,)"days-a�d wilf'demonstrate `a,;
<br /> stifiable cause�for:�the exte�ision: If�work,ceas.es,for ninety(90)cons.ecutive:d�y.s...the Job�is�constdered abaadon�d.�
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<br /> IAItNING TO OWNER:`��"YOUR._FAl1:.IJRE�'C1:;;R�E.COR�;;A>N.071GE:OF:COMMEMCEMEMT�NtAY:RE$ULT IN�YOUR. •--
<br /> AYIMG TWICE;FOR,�IMPRO�/EMEN�3:Tfl:.YOUE�::PROPERTY�:.:IF°.:YO.U�It��EKID��TO"�BT'AIN�FIN�ANE1NCs;�ONSULT �'
<br />-�f�'�Q-L Y�2!!R'LElFtDE13�01��►IN-�,� O''�T�R�EY`�B�FdR�}R-EC�R�INC��1(OUR''NOT�F'ti.��COriA�1111ENC�E�Ii�IENT� " � • � `
<br /> .ORIDAJURA�•(F.&1:1,7.03} - - .. , . , � . - --- _ ._. _ :-_- _-- -. ,
<br /> NNER OR AOEN7 " � � • CONTitACTO • '
<br /> ibscrlbed and swom to(or afflrmed)before me thla - ' Sutisalbed'and' t ai d fore:r ie�fhl� -,
<br /> by f �/:r�S.
<br /> ho Is/are personally known to.me oahaa/heve produced Who erep@rso ry�p to me�.or.has/have;produced. • .
<br /> ea:identlflc`aMon. - , " � IJ (� . . as'IdenBflcatlon.
<br /> Notary Publlc . � _ � Notary Publlc
<br /> �mmisslon No: ComrAlsal o. �
<br /> ,.�•��?�:�?s1e`4.;,,,JACQUEL-INEBOGES... ,
<br /> ime oI Notery typed,printed or stamped Name of Notary typ ��3d ;.�E"v' � ` -' � "� `j ., ,
<br /> , :�,�.: Xpi, s:•.ecembey;�2,,2Q18';��.: - , .
<br /> �'�OF.F��a`` Bondad.Th.ru T Fauiln�.�r�ce,B00385.�70fY� `,,"' '4
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