., ,_ .. . - . ,;
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<br /> OF DEED_RE8TRICTIONS:. The_u�derslgned�under:�tands�;th�t;lhls���rrntti�,may;be;tisubJe.ct..to,"deed";�resafctions"�}�.,.3z.
<br />� hCmay.�be�nior'e:r.est�ictive:•t���i`°�o�inty,�i�g�ilatfnr�s4 The i�nders1giied a�sil�t�ne`s resp�nsiblliiyY;fo��compilance:wi'th any �,~
<br /> Iicable',deed;re�Mctbns. ! -- ' �' � � -_ - -- _` ..f`.,. ,`�, .
<br /> ��:;;;���_�::�;,.. ., r _.„ _ ... ` ;..,., ., .. ..�:;..:r...:.,._�� �.,
<br /> :ICENSED-�:CONTRAC�ORS`��AND�CONTRACTOR�'RESPON��f�IL�T1�S':�='=�If���he���ownar�'tigs��hired�'��°'coiTitractor or
<br /> , . ., ,.,. _
<br /> undertake wock;ttte"_me :`�besr�. u�i�sd:;��o�,�i�;llcensetl.:ln�scco�dance.with,state�;and`�local�ce ulatio.ns.A��lf:�the--t�;°::.����'
<br /> ..
<br /> ,
<br /> tractors to � . Y . .,.Y..�� ..A,>:�h�t .- - nd�conVecto.��.-Y`�� ��'V`I�ed �� .
<br /> ,..r{. - . .;�:. , „ . � -. .
<br /> tractor''Is�:not�°.Itcensed�as��requlred';tiy..;law;�bo �� he-owner�a,,,, ,=� � ' r^mey��tie��c ��yfor�� �misiferrreanor violatlon
<br /> er state law. If the-cwner or intendetl��co,n.tra�tor,��awe;:uncettalh as,to what�lfcansln :_requlrements�;mayl;'applyj:3foi�'Ytii'e��:��:��yy~sT-�';
<br /> .�.. ,t..,, ,f.-�:a,. , : . �,Q., . ,.. .:, •�
<br /> nded=work the are advised�to:'cbritact,tfie:;Pasco;:�ounty:Bufiding;�lnspec'tion�Divislon,�-`Llcensfng Section at 727=847-
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<br />' 9. Furtherriiore; If`tFie�:o�+ine���haffi��lilred``a�aontrectbr'o��'contrectors;'�he ls �dVlsed��to�have;�the�,aonµha,cbr(s)y.signD},,�,.;,,;,,,;,3,, ,
<br /> :; .
<br /> I lons of the,."contractor Block'.,of;thle:appltcation,�for�which_they_,willtibe.:re9pcnslhle.-_.ff.-.you;.:as'.:#he owner,:sign as the � ,
<br /> _ �- --:._,.._.x,,:�..
<br /> Iracto�,�tFiat��rriay'be�an Iridication (hat°�he Is�notY.propeHy�Ncens�°d�and�'Is`'not"entitled to'permitting�prlvileges:in Pasco,, =j
<br /> ,nty, � :, ' '� � ' '..`_ ..__._:�:.:._.�..: .-';:....; =.`�.`;';`:'�r_�r=°_�.; �'
<br /> 1NSPORTATION;IMP.,14CTlUTl41'KI�S�I�NRA�'�`ANb�I�ESO�ttCEYRECOVERY�FEES:`The�°under�igned�unde�stands ks
<br /> Transportation Impact Fees:and.Reco.utse Recov;ery.�ees,ma�►�apply=;#a tf�e construc8on.of;new..buildings;�change�of'�''T�'��rv;`;:' ;�
<br />� in exist�ng buildings;�c��-,expansi��tr:.o,f��iilsti�ia�br�ll�i�gs;as-specffled.In P�sco Coun'ty�Ordinance number 89-07 and
<br /> )7, as amende.d.,,,,Th�.undersigned alsc�:urtderstands� thgE�suoh fee�;;as,tnay:be:Fdue,;,w111�:De identified at the<tim��sof�'��"�����"�"" '
<br /> I nitNng. It Is furtlier understood that Traii�portatlon.lmpect"Fees artd4Reaource'.Recoiie`Fj���Fees�musti be pald prior to :
<br /> s�vtng.a.'certiflcate:=of..:occupancy"�or flnal�power.releese:�:if�the proJ�cf;;does:ni3t�:involve'.a:�.certtfl,caCe of occupancy�'o��:1��-����',�"'
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<br /> I power;release��.the�;fe�es-mu�t��tie�paldrpclor.to..permit issuance. .F��thermora;;�if:°.Pascd�;.County�`WateriS,ewer�lmpact:h:����--°.•� � � '
<br /> .,Y.,..x .�.5
<br /> �are due,.:they;must be,,paltl:pri`or to.pe.r.rnit Issuance:In,acirordance,�wit�i.appllaabte�Pasco'_County�ocdinances.
<br /> VSTRUCTION`CI�N`LA1fV�'(Chapter 713�Flortds'Statutes�ae eme�led);. if valuation of work is S2;b00:00�.or�moce;�:I�•��-.,� _�_.:.
<br /> (fy that J,,.,ihe_,applicen[,._�ay.e:=;beenMyprovideil-�with�a��copy,:�,of.:,the�"°Florida•�Construction';U�n'�L�w--Homeowner's
<br /> rection Guide" prepared.by'the Florida'Departmer�t�,of Ag�ic.ulture and Consum�r;Affa(rs. If the applicant is.sotneone , , , ,
<br /> �r than th�`owne�", I certify th�t�t:have,.:tlbf�tned�a'�copy.of:the°above.rfes�crlped�itOci��ent:and;p.roml`s,"e;tn;good�;fatth�to _ . .F
<br /> ;�. -, , � �. . �.,:.�.r;.,._ .. .
<br /> ver It to:the:?owner`.p�iort,to,�commencemerit:`�,'j. -� _ ; : ` :° �.. ' : •. ....:,-::' . �.. __., ,
<br /> NTRACTOR'SIOWNER'S AFFID'AVIT:� I.ce'r:tf[yv;t�iat:all:�the�,lr�focmation�:in�thla appltcatlon is accurat�:�nd that all�work
<br /> r�:,.,, .. ..
<br /> be done in compliance with all•applicable�laws regulatlng construction� zoning,and;.land�:development. �►ppitcation is ,
<br />' �by made to obtatn :a...permtt�Co>�do.-,,wo�ic.�and"'liti�tallation a's lad[cafed�z.r�`IT.certify`that�no vi►o�k'<or lnstatlatton�has �� '
<br /> 5.. .V..- i'
<br />'� imenced°��lor'to'Issuance of'a pemiiC"and thaf.all work will be pertormed�to meet��tanderds.:of:all laws reguladng- .
<br /> struction, County and City codes� zoning.regulatlans, and land development regulattons�'in'�the:Ju�isdiction:�.°I��al'so`�
<br /> ify that I uade�stand.thaf:.the regulations.of other�government agencles may�apply�;to_the._intended�.w,ork, and that it (s
<br /> responsibiNiy to IdeMify��what.acitons l:must.take;to be.dn:.compilance,�„Such agencles incl�de•but�are,:not Iimited.to,:�,-:•- � �
<br /> - Departrrient of-E►lvironmental�Prote`cdbn'=Cypress:`Bayh�ad�;tWetland;A�eas and Ernlronmentally Sens(tNe .
<br /> Lands,WeterllNastewater�Treatment. - ; "� ` � ` - �
<br /> - Southwest FloNda Water Managemerit;::l�istrict Wells� °�Cypress.k�.Bayki�ads�; Wetla�d -Areas, Altering � '
<br /> Watercourses. � • . _ _ , . . ��;
<br /> - Army Corps of Eng(neers-3eawalls; Docks� Nsviga6le Waterways. ,
<br /> - Department,;of,,Health<,&r.Relaabilitafive:,SenitceslEmrtronmen;Cal:.Health,Untt-.Wells;-Wastewater�-Treatment; ' ~
<br /> 'Septi�c�Tanks: .." ' ..� ." . ._ �; : . . , _ , _._ .
<br /> - US Environrr�ental Protection�Agency-Asbestos atiatement..,;:
<br /> ..Federal Avlatlon.Autiio�liy;=t�umivays: ,-� � ,-,- � _ �
<br /> derstand that;the;folloini�ng;restNctlor�s apply to'the ttse of flIL•• -
<br /> - Use of flll is.not allowed in Flood_Zone"V"unless expressly permitted.
<br /> - -If••-the;_flll'.mate�ial:�is';to�;�be�.:usetl::In:�:flood..Zone: �A",�It Is undersfood=that•a �lrainage plan addresstng a
<br /> "compe�sating volume"wfll_be subm(tted at time,'of:.permfttil:�g wlitch is prepared by�a professtonal englneer '
<br />, Ilcensed�by�ltae;;�tate�of�Fiotlda;' . - :� � ;�- ' ' � ' ,
<br /> - If.tfi�:.flll;:mate'lal�:ts=to:�be�used�in �lood`�one 'A" in!connecttor��wlth:a"�permitted�building using stem�wall
<br /> � constnic8on, I certify::that,fill:will:tie used�.only.to.fill the..area.withln�:the�,.stem:wall. .. --
<br /> - =1f�flll material�:rs�to��tie��used °In any �area;�I`��certlfy that .use. of'such'flll �wilf not adversely affect adjacent �
<br /> prop.erties. If.use�of f111:is found.to adverseEy.,�ffect"a�1JaEer�t���praiperties,.the owner may be c(ted for vioCating•
<br /> the condWoiis�:of�t�e"bi�iidi�ig��p�rniit i§sued�under tlia��aftaclied_.�etmlt�:�ppllc:�tio�t� for��lots less�than:one (1) ,.
<br /> acre which°are"elevated�6y�flll,��r engtrteersd dralnage plan ls required. • •� � '
<br /> �m the AGENT:.FOR.TH@:,O.WMER,;�I�romise`In;good falth to�inforrta�the�owner:of:the:p.ermitting;conditlons=set forth in � ,; ;.;
<br /> aifidavit'priorto-commeiicing��constivcfl�un: �"1`understand;that a;ae,arate ,ermtt ma be. �`,` �
<br /> � .. �, ,p,.1 p y requlred for electrical work� , ;,; ; i
<br /> �bing, signs, wells,.:pools,gair._c.o,nditloning,..gsts;:or�othe_r._insta��I'qns.not•spec�icalty included�in.the��pplicallon: .A _. ;_;; �;
<br /> nit Issued'shail��be;.conshued to 6e a�llcense:to�.proceed with'tlie_wor.'�and not:as_authorily.to..violate��,cancel� alte�� or ,
<br /> aside any provisions�of�'the:feclinical=codeg;�nor shall Issuence�of-a.pertnif.pce'vent�the Bulldirig Official from thereafter _. ;� i�
<br /> dring a coRectlon�.af,erro�s,in;plana;;cohshuction.orirlolations�of��any°codes:-,�ve.ry;permlt�issueds�liall=become�invalid '
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<br /> �ss the wo�k�au{ho�ied�:by suc.��pe�mlt:is.commenced�inriEHin six„months of:penrift issuance� or If work authorized by "". '�
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<br /> ., .,.P _ .,>, . ..,.; . ,.�., -,� . �the'work�ts commence�i. M�.Qxtension
<br /> permit is sus ended�or,.abarado�ed.�for,:,:a:#�eNod�qf...six�(H)�montiis,..affe�the tiri�e �,; _,,;
<br /> � be requested� in writing,�.;from'tFie�Buliding;OfflElal.-for�a pe�lod not'to'exceed ninety�{9Q):�.�ays�a�d wilf=demonstrate ,..�, � ,
<br /> Fiable cause for.�`the extension� ifwock ceas.es,for ninety(90)cons.ecutive:day.s...the job�is�considered abandoned. � �
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<br /> RNING T0 OWNEI�: � OtUR:FAIUJRE�.Ttai;R�EC:ORQ;A•.I±I,OTICE>.OF:;COMM6�� EMEI�T,�MAY�RES[1LTitN-YOUR �- � �I
<br /> 'ING TWI.CE:FOR IM . ;�OVEMEI�I'��;;Tfl�.YrO.Uit.:P.1�OPERTY.�:I�°:YO.U�1�. ��A>�B�'�AIN�3FIN�fifi1 G;.CONSULT �"��
<br /> , '•AN.''��`T F� �:.EC' 0 G':� ,p. , �;, _,
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<br /> tIDA JURAi��(F S. 17 Y,}y_ - � •- _ . .. : .,'.. : . , �:,�. - �, �=� ------ - - - ---
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<br /> IER OR AdENT ���� � CbNTRAGTO,�� � � ` �
<br /> aibad and�vam (or afflrtned)before me thls " " Su�`ecriti 'a =to(or afflrtned)�before.me.t�IB : • li
<br /> by z3 �:
<br /> Islare personal known to.me or•heslhave produced Who�is/a' _ erso.'al , owrr•to m,e..or.fiaalhave:pmdix;ed •
<br /> ` a�:IdenBflcaBon: � � ' `'''°''�as'Id'e"ntlBcaflon. '
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<br /> Notery PubOc . Nolary Public
<br /> nlsslon No:� � ' ComnAlaslo . .
<br /> „��, ,, �
<br /> e ot Nolary typed,printed or atamped Name of Notary :�,;' ,�.� �FF 150422 �
<br /> ;� �or: E�cplr�s December 12,2018 I
<br /> - • • "c;;;pF n;0.A� �ondad TMu Trey FaM Inawsnsa 800�3857019
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