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<br /> NOTICE OF DEED RIES'iRQCTiANS: The ande�rsigc�ect�:anderstands=�th�#;lht�,:,pQrmlt;:may:be;subJec#:toµ°deed,"..restric,,tigns"�., . d
<br /> which m�y.be°niote:�r,est�lcklGe}#h�i��County�r+egulat(ons:-Ttie'�u'riderslgn+ad�-assumes:�esponslb!!i{jr#oc`coit�pilance wi#h any
<br /> appltcable:deed=restrlctObns. - ,. _.� .,.fl , , ,, � � - - _ __ ...-- �� '�=: . .
<br /> UNLICENSED�:CpNTRACTORS :AND .CONTRACTOR�RESPONSIBILITi�S: -�If��tie owner�has��hired'a��contraotor or
<br /> contractars#o undertake work, they may:be<:r.�,quired�to;be:lficen'sed.in accard�nce.with;st�t�.and;•tbcal.cegulatlons,���tf=ttie ' - �
<br /> contractor.is not:llcensed as.requlrett�tiy law; tioth=fhe avmer and:;contrai;tor�may�be~cited�fbt-a=Kiiiisiiemeanor viola#ion
<br /> u�der state law. !f the awner or tntended7�contractor:aare4;�uncertatn as to.uvhat qcensing:requtreEnen#s.}may==a�ptjt4ior;.t�ie-, ,<. _,
<br /> . ._ , .;. .: . , ,, : ,.. ,, � :.:�;. .�,....w ,... �..� ..:4.
<br /> intended work, they'are advised'ta�contact the Pasco.Caunty 8uilding:1r►spectlont,Dtvlslbn---Ucenstng Sectlon at 727-847-
<br /> 8009. Furthermore;�If the owner tias fii�ed a contra6to� or contractors. he is advlsed to have:the cantractor{s),xslgr�y
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<br /> portions af the"cantractor Bl.ock"_.of,_tbls appiicatian for,which they witl.be-,cesponsitxie., tf�you;�:�as.__#he''owneir;stgri�as'ftie
<br /> contractot, #tiat�may be�an iridication°that-he=ls not'.prape�iy Ifcensed and`'Isriiat enti#leti fo permiittirig priuileges fn Pasco , i
<br /> County. `' � +
<br /> TRANSPdRTAT10N�IMPACT/UT!!:1'�IES�[MRAC`tY�A1�b�RESQU�tC�RECQVEEtY FEE3;The un�ecs�gned�u,nderstands i
<br /> that Tcaea�port�Qior� Imp�ct Fess and.Re�o.�rse R�cove�r,.F�es may,sapply�:to�khe,constructian.of.new.bulldings;ichange°of � � �
<br /> use in exisHng tiulldings,:�or.�expansinn�of-�exlsti�;g�6ulldings, as speclfled.ln Pasco County Ordtnance number 89-0.7 and
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<br /> 90-07, as amended:�wThe undersigned eiso,�understands, th�t:�such fees;�,as,�may;�e>due;swfl{���e identified a#the4time'of.,�� .� :`°°`
<br /> permftti�g. !t Is turttier understood that Tra�isqartatEon.lmpact Feea and-�Resource Recouery�FeesLLmust be paid prior to
<br /> recewing a"ceKl�cate-of-accupancy"or f�nal-powerretease. :If the pra;�ct,.does:nat 4nvotve:a>cert�icafe af occupancy�oT � - ..
<br /> final power release;:the�fees.mu�t�be patd'�pclar to permit lssaaiice. F��tk�errnore;;�tF P�sca}Gounty�`1Nater/Se.wer:�ImpaeE -
<br /> fees are duet they.mustbe:<paid,.p�lor to_permit�>issuance-�n acco.rdance witfi:appllcable.Pasco'County�or'8lnances.
<br /> CaNSTRUCTiCiN`CIEN�LAVII�dCiiepter 713�Flor�da Statute�,���mended): If valuatlon of work is$2,500:QO�or.more; I -
<br /> certify that 1, -#he appticant, have::been,provideti with a copy,-�of fhe,�"Ftorida��Cons#tiation�-Clen� L'aw--hlomeowne�'s
<br /> Rrotectfor� �ufde" prepared by tiie Ftoi�ida Departmen#�af Agrlcuit�re and Constimer�Atfairs. If tfie appiican#is someona -.���.
<br /> other than the"owner"� I certlfy that�l h�ve.cib#alned}a capy;of the:abovs:des.criped�aciiment°and;promf.se°in,good.faithto� _ . x
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<br /> deliver it to_the.'owner"�pr#or to�cornmier�cement:�'� � '
<br /> CONTRACTOR'SiOWN�R'S AF�IDAVIT: I.certf[y,that ail�the�Inf.ormallon Jn�thl.s application is accurate and-that al4 work
<br /> will'be done in comptiance with all appticable'laws �egutafing construction� zontng and��tand�development. Appltcat(on is
<br /> hereby made ta obtain ua .permit,to:do,woric��and ifistaflation as indica�ted:s-; `i cettify that no work-}or tnstallation has
<br /> commenced p�lor to Issuance of�a pemnit and��that.alf work will be perFortned Ea meet standards of�aH laws raguiating- �
<br /> construction, County and City codes, zoning regulations, and land development regulatCons�in tlie��urisdicilon:= 1�ai'so
<br /> certify that ( uade�stand that the regulattons of other government agencles may��pply to the lntended:work, and that fk fs '
<br /> my responslbllity to Idenklfy�what,eat(ons I must•take;M be�tn:.corr�pllance, S.uch:agenoles lnclude but�are.nat Umlted.ta: '
<br /> - Department af Ehvlronmentai:�Protection=Cypress.�Bayhead�;�Wetland:Areas �nd Envlronmentally Sensltive
<br /> [,ands,INater/Wastewater Treatment. '
<br /> - Sauthwest Fiorida Water Management�..I�Istrfet Welfs, �Cypress.'r'.BayFieadg� Wefland Areas, Aiter�ng `
<br /> Watercvurses. . ..
<br /> - Army Corps of Engtneers�Seswalis,Docks,tdavlgable Waterways. , . ,,
<br /> - Department of Health� 8 ReMabiN#ative Ser,vices/Environmental Health Unit=Well.s, Wastewater�Treatment, ,
<br /> Septic Tanks. � -
<br /> - US Environment�t Protectfan Agency-Asbes#os abateme.nt.
<br /> Federa!Avtat�on�AuthoHty-Runways. ;
<br /> !understand that the following.�restrictlons apply�ta`the use af flll:•
<br /> - Use of flli is not allowed in Flood�Zane"V"unless expressly pe�mitted.
<br /> - If the fltt material�1s -#o be used��In flood Zone. "A°, it. ts understoo� that a drainage plan addressing a
<br /> "compensating votume*wilt be submi#ted at#ime af-permitting which is prepared by a professionai englneer-
<br /> licensed by#he-State�of f,.Mo�lda:
<br /> - IF th� flll maferlal:ls=to be used in Ftood �one "A" In�connection•wlth:a'�ermltted buiiding using stem waH
<br /> ' constructton, I ce�tlfy that flll wJll.be used only#o.flll#he area wlthln=#he�stem�wall,
<br /> - If flil materlal is�io be�used-in any area, I��certify that .use. af such�fll! will not adversely affeat ad�acent
<br /> properties, if use af flt) is found to adversely.,�ffect'adja�ent�propertles,,the owner may be'clted for violating . ��
<br /> the condi#ions, of_the`buitding:;permit issued�under the at�acFied�ermit applicatlon, far•lots iess,#han.one (1)
<br /> �cre whlch are etevatetl�by��fl,a�t engineersd drainage ptan ts required. �
<br /> If 1 am the AGENT.FOR THE=LIWNER;!;}aromEse!n good faith t�Inform the owner of�the per.mltting cand�ians set#orth 1n '
<br /> this affidavtt'�prtor ta cammericing corisMaction. "I'understand that a=seQarate permtt may be requtred#or electrlcal v+rork, �,
<br /> pry.-.tyY
<br /> plumbing, signs, vveUs,:pools, atr aonditlaning,.,gats,R o��othet inst�llt�t�ons no�,spec�fically lncluded�in.the applicatian. �A , ��r
<br /> permit tssued shall be consfcued to'iie°�a�ftcense.to�pmceed with tiie;work and not.•as�authority to.�iotate,�cancet, alier, or ��
<br /> set aside any provfsEans of tite.teclttilcat.codes;•nor shall issuance�of a.perml#.pceven#the�uifdlrig O#�icial from theresfter
<br /> requlring a correatlon.af eITors fn�:plens,con�fructlan or v!ola�orts-of�any�codes; Every�p�rmlt issued"=shatl become invatid
<br /> uNess the work autharized.by such permit=�s-co�menced�virithln sf�c;�nonths�of�permlt lssuance, or IF work authorized by �
<br /> lhe perm(t is suspended�ar.abandoned-for:a:period;of-��ix E8)•mnnt�is:.after the tim�the�work�s oommenced. An extensCon �
<br /> may be requested, in writing,.from`the�Buitding;Officiat�far a pertad.�not#o.exceed nlneiy(90)`days and inrili demonstrate
<br /> ustl#iabie cause for.the exfensior�. If worit ceas.�es:far ninety(90)cans.�cufive:d�ys,..tfie)ob�is�considered aba�doned. ,
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<br /> NARNlNG TQ OWNER: Yt?UR.�Al1.URE TCl,�REC`QEtC?�;A.fi�QTIGE�:CIF-COMMEMEEMEP�T:MAY�RESUl:T 1N�YOUR �.
<br /> �'AYING TWICE;FOR IMPRQVEMEN.TS�TO YQUR�:PRQPER�f ::.�I�°�YO.El�l�!l��'END�"TO!��B�TrA1N�i�IN�ANEING;'C.UNSULT `.
<br /> r u o.. o,. ie► � �ro N .. oR�� �Eco ;�y_ : , .�a :�c��. � . - .. �� -, - -------- _..
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<br /> =zoR�t��:��tr��--t.- . ��:a�y--___-- _ . ,,. •
<br /> )WNER OR AOENT �'r!� �"� CONTRACTO '�'�'7��--�
<br /> 3ubsaibed and swom ar aNlrmed}b�fare me fhts Subscribed'and' �ta(ot aflirmedrbefore me ttii��
<br /> b �by �
<br /> Vho islare pe onatiy kn to.me ar has/heve produced Who:is/a ersonally kn to me-or haslhave-�roduced � -
<br /> as ldentlflcaHon. � as ident�tca�on.
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<br /> Notary Publlc , f' •�-2 Nalary Publlc
<br /> Y°i�;-.,, JACQUELINE BOGES
<br /> �omm�tan No:' '••:;'�.. Com. ! ,
<br /> :.: �:�. ISSIan ;.��. °t�c; JACQl1ELtNE 8
<br /> ;;;,, =�,: Expir�s December 12,20?8 ;�: �GES
<br /> mn nsureno�80Q•38S70f9 � 2
<br /> lame of Natairy o Name of Q � m 2018
<br /> �'�Pr;;;°� eanded Th �12,
<br /> +u TtaY Fain ta;urance 8G0.385-7pt9
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