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<br /> NQ'i'RGE OF DEED�RESTRiCTIClN,S: The a;�derslgned�.under�tands;tti��#_thls.:p��mif.;may�b�,.subJscE.to;"cfeed"vtes#rtcttons"., . '�_
<br /> which may bia°mor�Fre�f�ictive�tt�a���ounty�i�gulattons.�°TheFuri`dersigried-assumes':respon�itiUtty for`coinplla'nce with"ariy�"' `�
<br /> appiicable:deed:restrictlons. � ' _ _ • _ � � � `
<br /> UNLICENSED;GONTRAC�OR�.=ANt? -CCtNTI�►CTOR RESPt}NSI8tL1TlES:�-�if�-ttie owner��has�-fiireif'a"'contractor ar
<br /> aontracto�s#o undertake vuork, they m�y:be;requir�d:�toibe�l(censed.ln:accardanc�;with,:state;;and�ibcal,regulatior�s.�-�lfi'the ��' � -''
<br /> contractor.ts.not::tEcen'seii as�requfred�6y law, tiotlt�the owner ancl:=contiacfot�r�iay4 tis��ctted�i'ur�a:ri�ilsd`emeanor vlalatton
<br /> und�r state law. If the owner ar intendedt:contr.a,ctora are,uncerkain as to what Ilcensing.requirements.'mayt�a�ply=.fo�:tFie�• ��t- =_4,
<br /> tntended work, they.ars�dvlsecl to coritact tlae Fa�co Cotin'ty Bullilirig�lnspe+c't1on,Clivislon--1,Icensing�Section at 727-847-
<br /> 8009. Furthermore; if'the awrier tias``tilrec! a cairi'tr`acto�'oT coMrac"tors, he Is adirised fo have the co�tractar(s}..signr.... ,..-.:_ ,
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<br /> portfons of the cont�actor Block'° of,thls_applicatian for,which,they._wlll:be...ce,sponsihle....lf you,��as:-,fhe oinrne���stgrr as"the � " �
<br /> contractor, that may be�ar� iridica#ioii #hat'he�i�-not'proper�y Itcensed and_Is�tiot`�entif�ec�to perinitting priulleges tn Pasco
<br /> County. . i ' . _ _ _ .. .. � . _ .
<br /> TRANSPORTATICIN�IMPACT/UTlLIT'I�S:-IMPAC't�ANb�'�ESOUItCE RECOVERY��EES;"Th��uridersigneid�tinderstands -
<br /> that Transportatlon Impact Fees:snd.Rec:a.urise Recave.ry.Fees may.,�.app{yryta�tt�e.construction,of new..bulldtngs�,,:ahan�e�'of�� ��" �� �.
<br /> use in exi"s.tlng bulldings,:ar-expansion>o:f=�3existing�buitdir�gs,as speclfled.in P�scc� County Ordlnance num6er 89-07 and
<br /> 9o-O7, as amende.d.:..,The undez�signed atso��unders#ands, th�t�such fees;>asr�nay�''be>�.dne;�wll}.�t�e Ideritified at fhe=timeyof°� f� -
<br /> permikting. !t Is fiirtFier understood that Tran�portation lmpact Fees and�Resource Recovery��Fees must`be paid prior to
<br /> recetvfng a�ceMi�ca#e-of occupancy°�r#ina��pawer:release:' :4t"rvthe pro�ec#:does;not fnvolve:a�:c�rt�tcate af occupancjr cir��. � `,
<br /> finai power release;�rthe._:fees-.mu�t-�be paid�prior to permit issuance. Ft��thermore;;�if:•Pasco,County°WaterlSewer�lmpact- - ��= � �
<br /> fees are due,they must.be<paid�p�ior t�►,permit•Issu�nce-:in.accordance witf�.appllcatite Pasco�.Caunfy ardinances.
<br /> CONSTRUCTIAN"t�1EN°CAVIt(4fiapter 718�,Ftorlda S#atutes�aa�mendedj: !�valua�on of vuoric is$2,500:OO�or.more, 1� : ,-
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<br /> certify khat I, the .applir,�nt,...have.been� providedM1with. a copy_of the�°Flarida-Construction..L"len�'Lavy=Homeawner's
<br /> ProEectlon Guide" pregared by tlie Florida DeparEmer�t`of Agric.ultur�and Consum�er.AfFairs. If the appllcant!s someone - �.�-
<br /> other khan th�bwne�", I certlfy.,.that.l_h�ve..okitalnetlFa copy;of the:abQve ries.crl�etl'�locurr�ent�and;p.romise�ln;good::faith,to . ,
<br /> deliver it to:.theabwne�'�p�ini'to=aaininer�cement:'- , ., ._ �. .,
<br /> CANTRACTOR'S/tiWNER'�AFFIE}AVIT: 1 ice'rti[y;t#iat.aiF�the:informatiorrin�thi�applicatton is eccurate.and that al{wark
<br /> will'be done in compliance with all applicab�e'laws regulating construction, �onln� and°�land.developmen#. Appltcatlon is
<br /> hereby rnade to obtain.a.permit.#o,�do.:.woi�l��and: Ihstalla#ian as Indt�ted:.�.. �1 certiFy that no work'fo� Instaltatton'has
<br /> commenced prior to issuance of a perm(t and that:all work will be pertormed�to meet..standards of'all laws regulaking�
<br /> constructlan, County•a�d City codes, xoning regu}atiQns, and land devetapment tegutat�Q�s�1n the°.�u�isdiction.� � sl'so �
<br /> certify that I uad�rstand that the regulations of other government agencies m�y�apply�to the intended work, and that it is .
<br /> my responsibility ta dd�nt(iy�what.acttons I mu,st,take:to be,ln:.campliance. Su�h agencl�s Include but-are.not Iimited to: `
<br /> - Departmen# nf Ertvironrnental=�iPi�atection=Cjrpress.'Bayfiead�,�1l�eN`and.Areas and Envirorimentaity Sensitive �
<br /> . Lands,'U�aterMlast�wafi�r Treatment. �
<br /> - - �out#�west Fbrida W�#er Managemen� .�tist�ic#-Wells, -Cyptess.�"Bay_head`s;- 1Ne#land Areas, Alte�ing �
<br /> . .' - .W�tercaurses. - � �
<br /> - Army Carps af Engineers=Seawalls}Docks, Navigatile Waterways. �
<br /> - Depa�tment af Health-� Rel�abllitaflve Serviaes/Environmenfai�Fteai#h Unit=Welt.s, Wastevaater Treatmen#,
<br /> Septic T�nks. � �. � . '
<br /> - - US Environmental ProtecElo�Ageincy_Asbestos�batement.
<br /> - �ederal Avtatlon:Authority-Runways. �
<br /> `�.I understand that the.foAowang.�res#ri�tions apply to the use of fllf:•
<br /> � - Use cf fiti is not alfawed in Ftood:Zone mV"uniess expressty.permittgd.
<br /> - If the �II materfal is to be used::�in. Flood Zvne "A", It. ts understood that a drainage plan �ddresstng a
<br /> "compensating volume°w�ll be submt#ted at#ime of permlf#tng whRch 1s prepared by a professlonal eng9neer
<br /> Iicensed by#he.�tate•of�Flotida: !
<br /> - !#the f#II materlal�:Es�#a:be used in Ftoad �ane "A" !n4 connection�w}th:a'�errnitted buiitling usic�g stem w�lt
<br /> can�truc#ian.,,I certify that fili:wlll�6te used.only.to fi11 the.are,a withln�the s#em�watt.
<br /> - If fill material 1s=to be� used-1n any �rea, 1"�certtfy that use. of such�+flll �wil! not adversely affect adjacent
<br /> prapertles. 1#use of fi111s.fonnd to adver�ely.,�ffeaf�adja�ent�pmperties,.the owner m�y be cited for viotating
<br /> the condllions�af the;.'building�:permit issued�under the.at��cfied permit�appllcation, for:lats less.than.ane (1)
<br /> acr+a which are'elevated°tiy=t!!i,art�engEneered dratnage plan ts requlred. . .
<br /> If I am the AGENT.I�OIt TH�-OWNER,`�I;promtse,inygood faith to inform the owner af-the perm(tting conditians set forth In ''
<br /> this affidavtt"prlor to commencing corishtictton: "4'understand that a�$+��arate permlt may be requlred for electrfcal work, '
<br /> plumbing, signs� wells� pools; alr..condt#tonln�,..gas�,or other. insta�Et�tlnns nal.spe�fica�l(y inctuded-in.#he appiica#ion. .A !
<br /> permit Issued sha10 be constcued 10-lie�a'Ilcense�to�proceed with''tNe wark and not:as:authortty ta:violate,.cancel� alte�, ar �'
<br /> set astde any provlsfons of itie tec#ii�lcal.+r.�des,�nor sha#!tssuanc.��of at.permlt pr.�ve�#the Bulldlrig�#c�at from thereafter ;
<br /> requlring a carrection af errors-in�.pian��,'cons#ruction or vlalatlons�of any codes: Every permtt issued�shall become i�valid ,
<br /> unless the work authortzed.by such perml#��ls.co�menced�wlthtn_sfx:m.an#hs of permit lssuance, or IF v�ark authorized by
<br /> the perntit is suspendad�or.abandaned for a:peciod;of�six{8)'mon#�is::af#et the tirne the�wo�k is commenced. An extension �
<br /> m�y be requested, in writlhg,._from the 8uilding.Officlal��far a peNod.:no#to.exceed nineiy'(90)"days and wtll'demonstrate
<br /> ustifiable�ause for.the�tens�an: 1f uvork ceas�for n�nety{90}cons.�cutive:day.s�..#h�job�is consldered aba�doned. �
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<br /> NARNlNG 74 QWNER: YOUI�..FAlL.URE.TtI.:R�C:QttD�AXl�OTIGE QF-CQMMEN�EME�tT iMAY�RESUI�T IN Y�UR
<br /> �AY1Nt3 TWtCE.FOR;tNIRROVEMEN.TS�TO;YOUi.�.:PROPERTY.��:iF°.Yt1ll�i�oiTE�MIT'T���IH�TAIN�-FIIV�l�pEING;'C.ONSULT
<br /> NITH YOUR LENDER�OR AN;�1,- ORN�.Y-$�FOR��I��ECO�,�WG`YAUR�TICE`OF��CO;��NC�'�171�NT: _ , _ _ _ _ -
<br /> =�.oR�oA auRa�.{F.s.tsT.os} . _ .. _ _
<br /> )WNER OR AOENT � ~ . � CONTRAG70RW�_��� �3�,��>
<br /> ►ubscribe� and swar�t� or a�!�t,�d}befors me this , Su sc►�b and'swo to oP a�i�f,�)b �j'�m��
<br /> 6- -I by r�>-.-L�df�'/r' �c�.r�:�s� � ^_���by_��✓ro+l�/P �9"l�r�os7
<br /> Vho 1 re rsona�own b.me or haslhave pt�duced � Who:ls/are per�onally knowrt t�rne,or:has/heve�produced : -
<br /> ���5 l�'c�.-+��ldentiftcaUon. � � k�er�.s�._. es tdentNicaBon.
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<br /> % otary Public _ r Ndtary Public
<br /> ;ommiss! Cntn. �ton. .
<br /> , ;2ot�:�::t;�;., JACQUELINE 80GES ; .
<br /> �°' ' .`iR`�pY'Ye,y, J;4CQUELINE
<br /> _.: ..: Cammission
<br /> larne oT �€.i�tfe�b�e4l2,2418� Name of No#ary typed, r�! r,'�a @�+►+ss�on#fiF i5Q422
<br /> "` °"`� ires D mber 12,?.018
<br /> .`a.p;,f;s.� �jrnAcdihreTtoyFaininsurancq846-3fl57019 i '�.',� PF`oe\� xp 8CB
<br /> �s.�� , +rP„, ac.b9�Thni iroy Foui tacur=_n:c BnJ.^..3g=.
<br /> � j +�?019
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