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<br /> A�T10E OF DEED RE�7RICTIO�S: The unde�rsigned.undergtands.;th�t thl�.p�rmit.magr b.e•_sub)ect,to°deed"resUlctlonsp. �
<br /> rhich may be�mor�_-��si��ccnr�:i��r,county��e�eg�latfons. �TFie�und�rsign�d assur�s���re'"spo�'sitiilt'ty:for�compllarei.,e=with any
<br /> �ppHcable d�ed restrlc4lons. , . � � �. .; .- . _ . -. .- .-.-��-
<br /> IfVLIC�MSED CONTRIa►C�RS-AND`.CONTR�►CTOR�RESPON�I�ILITI�S: ��=tf th� �wne� h�s�+hlretl'a ca�rit�actor or
<br /> �ontractors to undertake work, th�y m�y.b�:r�quired.�to,�.�;llcens.ed in.accordance.with st�te:�nd"•Oocal-r�gul�t[ons. �'If.�>th� �
<br /> vntractor i�-not�.11censed as requlred�by law; both�the ov�mer and��contr�ctor��mey be�cit�d for�a•�rriisdem��rnDr vlolatfon
<br /> nder state law. If the owner or intend�d>cor,9tr�,ctor,ere:unc�rt�in �s.Qo wrh�t (lcen�ing.r�quiremenfs:rr�ay::a��ply�for'�tFi��� � � � �
<br /> �t�nded work, they are advis�d to.cong�ct tlie�.Pa�co County�uildi�g"Insp�a:tton�Dlvision--i:ic�nsing Section�et 727�7-
<br /> „ . _ �
<br /> OOg. Fu�thermore, If the owne� has fii��d � cont`r'acto� o� cont�ctors, he 1s advts�d to h�ve the contrac:tor(s).sign.
<br /> ortlon� of the "cvntr�ctor Blocic" �f thla.�ppl�C�tion.for viihlch_they wlll.be-re.spon�lhle. If you;-�s-.#he o�ne�'satgn as t�i� ,
<br /> ontractor, that�ir9ay be�an Ind6catlora-4hat he 1s'not'.prop�rly Ilc�ns�d'�and ls 'not�entltled to p�miittlhg privileges tn Pasco
<br /> ;ounty. ' � .. r �
<br /> '�1N�PORTATION.11UtP�4CTlUTILITI�S�IM�IAG'�•Abb-{tESAU�CE R�COVERY�FEEB: Th��underslgn�d�uiid�rstands
<br /> �at T�ansport�tton Imp�ct F�s�nd.Recour�e R�cove.ry.Fe�s may��apply�#a�the con�tructlon:of_n�w�bulldings,..ch�nge�af` � '
<br /> se In existing bulldings,::a���.expar.istbn:,of�<ezl.sti�i��build�ngs, as spec�led.(n P�sco County Ordinance numb�r �9-07 and
<br /> 0-07, as �mende.d.,�The.underslgned �Iso�:understands, thait:`such fee�;-as�tna�r be:.due;;:.w;fU.�.be Ide�tifled at th�•�time�of� � "
<br /> ermitting. It Is fi�rtfi�r understood that Transportatlon Impact F�es and��tesoutce Reco�erjs�'F�es,must be p�ald prlor to
<br /> ,ceEving � °certl�cate,of occup�ncy"-=or flnal��.pow�r:.rel��se. :If�th� proj�ct;;does:not Involv�-a>.certiflcate of oc�,upahcy o�� � -
<br /> nal pow�rrel�as�,_th�f�es-:mu�t�b� p�id prior to permlt I�su�nce. F��therrr�ore;��H Pasce,�County'Water/Se�nrer Impact�
<br /> je�are due, they_:must�be�pald prlor to:permlt�lssuance-:In�ccordance wltlf.appllcabte.l'ascfl�County ordln�nc�s.
<br /> ;ONS`TRUCTION�L"IIEN�LA�11'(Ch�pt�r 713� �lorlda'Statut����s�mend��): {f valuallon of work ls$2,500:OCI�or�mor.e; ! : �
<br /> ertify th�t I, the. �ppllcant, have-been,:provld�tl�with a copy Af th� °Flortda� Constrvctlon��Li�n�:Law—Momeown�r's
<br /> 'rotectlon Gutd�" prepared by tFi� Florlda D�p�rtm�nt of Agrlc.ulture and Consum�rAffairs. If the appllcant I.s soM�one �-
<br />, ther than the°owner", I cert6f�r that:I�have.obfaln�d��copy.of th��bove..rJe�crlbed��dbctiment:and:pro�its�:in;ga�od falth.to
<br /> eliver It to th�."own��'pdor'to�corrimencemerit�:�' ` � . ` �� '
<br /> �OPIT�►CTAR°SIOWNIER'�AFFIDAdIT: I.cenify::tliat:all the:lnf.orm�tlon In thl.s appllcatlon i� accurate�nd tt�aQ all wrork
<br /> rill'be done in compl6anc�vulth �II appllc�ble l�ws regul�ting constructlon, zoning and�•land.�development. Applicatlon is
<br /> ereby made to obtain ,� permit Co do�vvo�;ar�d'In�tall�tlon �s indl�afe.d:�: �I�certffy that no work:or Installatlon h�s
<br /> ommenc�d p�ior to Issuatace of'� perm(t and thaQ�.all work wlll b� p�rtorr�ed to meet st�ndards of �II laws regulating-
<br /> onstnactlon, County and City codes, zoning regulatlans, and land dev�lopment r�gWatlons�In the:jurlsdictl�on. �I��Iso
<br /> ertlfy that I uc�d�rst�nd thaQ th� regul�tlons of oth�r�government ag�ncles m�y�apply to th� lnt�nded work, and that id is
<br />' iy responsibility t�Identlfy�what,act(ons I must•take:to be=ln:.compllane�; Su�h ag�ncles�lnclude but�are:not limlted.to:
<br /> - Depart��nt of E�vironmental>'F�rotectidn=�yyp�ess.���qhe�d�;'VVI'/�tl�nd Area� a�nd Envlronenent�ll'P Sensltive
<br /> Land�,Wat�rMlastewrater Tre�tm�nt. •
<br /> R• `
<br /> - �outhwest Florid� aNater Management- ..I�istrlct 1dVells, �Gypres�. .B�yfi��ds;� �I/�tlarad Areas�, Altering
<br /> VN�tercourses.
<br /> - Army Cnrps of Englne�rs=Seawa@Is, Docks, Navlgatil�Water�nrays.
<br /> - D�partment of Health� &;,Rel�abl8#ative Senrlce�OEnvironm�nt�l He�lth Uhit=V4lell.s, Wastevitaater�'Freatment,
<br /> S�p41c Tanlc�. � � _
<br /> - US Environmental Prot�ctlon Agency-Asb�stos abatement.
<br /> - Federal Avlatton Au1Morlty-Runway�.
<br /> understand that th�follo�ring�restNctlons�pply fo tiie use of flIL••
<br /> - Use of fll!ls not allow�d in�Iqod,;Zone"V"unless expres�ly permltted.
<br /> - If the flll-materlal Is to be u�ed..1n �Flood Zone. �A�, tt. Is undersQood th�t a dralnage plan �ddres�ing a
<br /> �compensating volurrse" wlll be submltted at time of p�rmittJng vvhlch is pr�par�d by a prof�ss(on��l �nglneer
<br /> Ilcensed by the��tat��ofrFlorld�: .
<br /> - If ihe flll materlal�.ls.,to:b� us�d In �lood Zone 'A" ins connectfon�with:a�permltted building u�ing stem waEl
<br /> � construction, I certify that fill:wall�be used only.to.f111 the ar�a wlthin the�tem wall.
<br /> - If f111 rnateclal 'Is �to�be•us�d �In any ar��,""I �certlfjr th�t .use. of auch"flll wlll not adversely affeGt ad)acent
<br /> propertles. If use of flll Is found to adv�rs�ly�.aff�ct adJ�Eer�t�propertf�s,.the own�r rnay be clted fc�r viol�ting
<br /> the condlllon� of.the"b�ilding:;permit (ssu�d urader the.at�ached.�ermlt applicatlon, for:lots les� th��n one (1)
<br /> acre whlch�re elevatetl by�llt;aet engln��r•ed dralnag�p9an�ls r�qulred. .
<br /> ! am th�AGENT�OR:TME AWNER, I�romise 1n good falth to lnform the ownet of=:the.p.ermltting condEtfons ;set forth In
<br /> ils aifld�v(t`�prlor to comrnencing const�cfton. "f ur,ader�tandthet ���ep�rat� p�rmlt may b� requtred for elecMcal work,
<br /> lumbing, signs, w�lls,.po.als, �(r cvndltloning,.ga�s, or othee Inst�if��tlons not.sp�clflcally Included-in.the applacation. .A
<br /> ermlt issued �hall be cons4rued to be a�Ifcense�to proceed wlth'ft��vir�rk and not~�s�authorlty.to,vlolate,�canceal, alter, or
<br /> 9t asld��ny provlsions of�the tecfinical..cod��;�nor shall Issu�nce�of a.permif.pcevent the Bu1ldlrig O#ficlal from thereafter
<br /> :qulrin_g a correctlon.Qf errors In plans�'constructlon or vlola4lons�of�any codes. Every pi�rmlt Issu�d shall becdme inv�0id
<br /> I nles� the work authoNzed.by such permlt��s-commenced�w9tfifn sGc_months�of permft Issu�nce� or If work autl�orized by
<br /> ie per�tt is suspended=or.abandoned-foc-a:p�rlod:of�lx(8)�mont(is;.�ft�r the tlrne the�work�ls comPnenced. An ext�nsion
<br /> iay be requ�st�d, In uvrltli�g,.from the Bullding;Offlcl�l for� peNod,_not to..�xc��d=nlnety{g0) days and uvllf de�monstrate
<br /> stlf�able caaa�e for.th��xt�nsior�. If work.ceas�s:for n(n�ty(90)cons.ecutive:day.�,..the Job�is consldered aba�dc�ned.�
<br /> IARNING TO OIMN�R: YOl1R.FA1L'UR@ TO..RE.C:ORD�A:NOTI.CE:OF-C�MMEMCEAAEf1�T'T:,MAY=RESULT IN YOl1R
<br /> AYING TYI/ICE;FOR IMPRO�IEMEN.�'�TO,YOUR{.::PP.dOPEf�TY:;.IF°YO.U�IN��D:^T���BT�A16d��PIRf���ING;'t:ON9l1LT
<br /> �IT U ND �O. AA9-ATr0 N �. F�R �:. ECO �� G:� O ' �;C! .�` •' � E '
<br /> .ORIDA JURP�T(F.S.9.17.03} •- - . _ -_ - _ . .. _ , _
<br /> fVtdEit OR AOENT COPdgRACTOR". ,
<br /> ibscrlbed and swam to(or a�1►med)before m�thls Subscrlb�and�om=o(ot afflrmed)�b�fot�me tHtB ,
<br /> by _...`Z�' .by s �$c��n r�- �'e�l'�S _
<br /> ho Is/are p�r�onally knowm to.me or haslheve ptoduaed IlVho re,p. oro8�llykno •to me�or h�slhave-produced_ •
<br /> as IdenB�catlon. - �s Idend�caUon.
<br /> Not�ry Publlc Nof�ry Publlc
<br /> �mmisslon No: Co mlesl o.
<br /> •::�:.:r1e;, JAC I ,
<br /> o..
<br /> °�2' �:: Commission#FF 150422
<br /> ime o/Notary typed,printed ar stamped Name oi Nol�ry dype ,_- ' ��Sopi� ecem er ,
<br /> �''.�`�,�F F;Q�`, 8onded Thru Tray Fein Insurerke 800-385•7019
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