. -, ._._,_, k .
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<br /> ��,:.+;-�� -
<br /> . , Igned�undergtan,ds��tl�t;tt,�is;;��rrntf.may..�be•:subject to:�de,ed"_resalctions"r,,;.,�;�,::��
<br /> �T10E OF DEED,RESTRICTIONS:�The unders " .�-
<br /> ,.,.> ,,�. . ,.�= as � �„:: . � V t,
<br /> iich may-.tie°more�;r,estFlcflVe•�thal�G�unqi�re8dlatf6r�§:�"�The:�ln�ersigned'�a3sumeg:res�sonsiblliry;#or cor�ipliaoce with.any- �-` ` �'
<br /> �pNcable deed�resMctions: � :r:ts.�;:;�:;,� •�.a.,;, _ _ ' - - - - -- _ _ `._ °':;'r. .. . . �
<br /> VLICENSED-:'C�NTRAC�'.ORS��-AND .CONTRACTOR��RESP�wSI�ILIT1�5`:� �=1f;�he`�owner"has��ht�ed.T�`aconhactor�or
<br /> � � . � ' `,, _ u:iced;;to�;G�.11 - � �,.. _ , . •
<br /> ntractors�toundertakework titey_raney;be;r_:erq.,: cens`ed;In;,accocdance:with.state.;and,�[ocalregulati.ons:.�>If�:tli��ry=>-�=`��•= ,
<br /> I:f.L'�i>.•Rri::.:....[..ui...__'-.a... �i= '.�.. .. '.. �. ..-.
<br /> �ntracto�:;ls;not�,;licensed�°as�-requlredgtiy,:lew;:tioth�tMe owner arid�conUactorymay�tie��cited?for°•�yrriisderr�eanor�violatlon � ;
<br /> �der state law. If the,owneror intend'e�>,contra�tor�.ere,,.uncertaih as'to_what��licensing.,requtrements�;may�'appty'�fo����tlie=r.�����=;��'�
<br /> ended`work,:tMey are ativlseii'to"contact-tFie';Pasco��ounty;Bullcltng:InepectTon"DIiil,slon;:-Lfcensing.�SectOorrat 727=847- �
<br /> 09. Furthermore;-If�the owner�has"�hlr�d�a�'co�ihactor or`contractors;``lie`ls��� �� �
<br /> � '' " - � -�advlsed to iiave;.lhe ,contracbr(s),,stgn _ � t
<br /> .s„.,t._R,,.,,��,; ;
<br /> �rtlons of`the.°contrector Block".:of..thla appllcation_�for.�whlch_they-wlll.;be�r.esponslb�le. =1f:you;>as:;the'�owti�'r'sign��as`ttie�' �"-��� ;' ,
<br /> ntractor, tliet-�riiay 6e-an Indicatlon-th�t�he�ts_'notr'.prope�ly Ifcensed�and"Is''noY'entltled�to°pemiiEting prlulleges`In Pasco. _ .? ,
<br /> �unty. �.. ' . ' .� �. -� - - ... :-�. �. '. `'._ �� � � ;; :
<br /> tANSPORTA170N�IMPACT/UTILITI�S�I�IRAG'1'A1�6-1�ESOFJ�CE R�COYERY fEES: The understgned`understands . ��� 1
<br /> �t Transportatfon Impact Fees�and.Reco.urse Recov.e.ry.Fee�may�;epply:,#a tf�e constr.uc8on�.o�new:bulldings;,�change'°'of`'�''''���'��'"�'� `;; �
<br /> ......, ..... - - ,
<br /> e In exisNng bulldings;�qr_�expa�slbn��of:}exlsti"�%g;�bylltNngs;-as speclfled:In Pasco County Ordlnance numbe�89-07 and '�' i
<br /> �-07,�as amended.,,.�,,'Fh�:underslgned elso:understa�ds, tn�ic°°such fees;�as:�nay�:be,�due;t.wBF�be Identtfied at the=time�of� =���� ��• '' �
<br /> �rmltting. It Is fu�tfier undecstoad that Tre�isportatlon.Impact"Fees and�Reaourcre:Rec�i►.ery�'Fees hmu:sf be pald.prlor to �' {
<br /> �elving a;"certi�cate=of:occupancy"=or-flnal>power,release.=:I���the.prvJAcf;;does:riestlnvolve:�a=.certffl.caCe of occupancy-o�`-����`-"'�- :
<br /> al power,,�r:etease�the;fees�:rriu�t�'be pald<:prlor:to;_permit Issii�nce. �F�xtk�er.more;;•ff-Pasco;�County�llVater/Sewer£Impact:���-.:;_�:��. = �
<br />' 3s are due;-they�must be:pald prlor to;;permit'�Iss4ance in.arcordance wlth.appllcable.Pasco�,.County=ordlnances. ;
<br /> )IVSTRUCTION"L'IEN1LAlf4�"(Cfieptar 713�Flortda Statutes,ae amended): tf valuatlon of work ls$2,500:OOaor�more;�1-- �L- .��._.
<br /> rtify that I, the..appllcant,_.have.,been:�.provldetl-wlth--a-copy.�,of��the�_"Flor(da•�Constructlon.°Lten��:Law--Homeowner's
<br />, otectlon Gulde" prepared by'tFie�Flo�lda°Depe�tiner�t�of Agr(c.Wture and Gonsum�ar�Affairs: If the applfcant Is solneone; :--=;z-
<br /> .i�.`:.
<br /> �er than the'owner"� I certffy.th�t=l:have:.obfailried�a'�copy,of,the°above:descrlbetl�docurt�ent-ahd;ptomise�;in;gQod;falth��to.:. - .. ,
<br /> �liver It to�the;'owne�'�prioF��toFcom7nencemer'it:` - . � ` � . , � . . " ., = '� ,`, . -
<br /> �NTRACTOR'SIOWNER'S A�FIDAVIT: I.,cer':ti[jrw�t�i�t�all,hhe�.:lnf.oematlon�:l��.thlsiappllcatlon ts accurat�:and that�Il iniork
<br /> II'be done in compliance wlth.all.appllcable'laws�regulatlng�const'uctlon� zoning and�.land:devefopment. Appllcatlon Is
<br /> �reby made to abtaln .a�.permit:to;,do;,,wo�lr.�and�lhstellatlon as Indlcated:���;.'I: ce'r�ffy`that no'work=:or Installatlon'''Fias
<br /> �mmenced'prlor to'Issuance of�a pemitt and that.alfwork wlll be pertormed�to meet-.standgrds_of all laws regulating�
<br /> �nstructlon, County and City codes, zoning regulatlans� and land development�cegtalattons�ln�tfie�;ju�lsd(ctlon:�:. -I�:al'so� _
<br /> ;rtlfy that I u�derstand that the re8ulatlons of other�government agencles may�apply'.to__the_lntended work� and that it is .
<br /> y responslbllity.to Identlfy•what.acttons I must�take.;M be�ln:.con'Ipllance:,Such;agencles~Include but�are:not Ilmlted:to: � .
<br /> - Department of Envlronmental�'Rrote�ett�n=G�press�Bayheed�� tNeNand+A�eas and Envlronmentally�Sensltive
<br /> Lands,WaterlWastewater Treatment. ."�� -� � � �
<br /> - �outhwest Florlda Water Managemen�:�..:I�iSUlctWells, �Cypress.�Bey.n`e�ads;•'=`Netland� Areas� Altering � .
<br /> Watercourses. � ;'
<br /> - Army Corps of Engtneers-Seawalls;Docks� Navlgatile Waterways. .,
<br /> - Department„of .Health,,$,;ReMabilitative SenitceslEnvtr.onmen#af�:�HealtFi.�Unft-Welf.s;,.lNaste.water�=Treatment, '
<br /> �e�tic Tanks:'- :-- �- - � . � . , .
<br /> - US Envlronmental Protectlon Agency-Asbestos abatement:,.
<br /> � Federal Avlatlon:Aulho�lty=Rumvays: � , �
<br /> inderstand that the_following;restrlctlons�apply fo�the t�se of flll:•
<br /> - Use of fill Is not allo�nred 1n:Flood::Zone"V"unless expresely„permltted.
<br /> - If-the flll�mate�lal'�Is'`�Yo tie.��useil:�:ln.::flood .Zone. "A", It:'Is understood�that a dralnage'plan addresstng a
<br /> "compensating volume" wlll be submltted at�ime of�permltt)ng virt�lch ts prepared by a profess(onal englneer� -
<br /> Ilcensed by<.�he:;�tateof:Flqrlda: . �- .. -
<br /> - If ihe flll mate�laf_i�-ta:be�used�tn �lood'Zone 'A" in�connection�wlth.�a��permltted bullding us(ng .stem wall
<br /> � constructlon,,l,certify that.fill�v�all:be�used only.to..fill the�area..wlthln�the�:stem wall. .
<br /> - If�fllf-materlal�'1s`°to-`=be��used'In' any area;�l'�certlfy that .use. of such`flll w111 not adversely affect ad)acent
<br /> propertles. If use�of flll,ls found to advereel�r.,�fifect"'adJaeent��pra�pertles,.the owner may be ctted for violaling :
<br /> _ ,,:, ..._ ., ... ..,: .. .
<br /> the cond�lons'�of�ttie ti�illding�3permtt Issued�under the:~attacfied_pe_rmlt_�pplicatlon,�for�:lots less ihan.one (1) :
<br /> acrs whlch�ere�elevafetl�6y;illt,��r englneered dralnage plan�ls requlred. • _ ,
<br /> I am the AGENT..FOR.THE�OVIINER;`I;.p,r"timise�in good falth to-lnform the owner�of:the.pecmltting.condftlons,set forth In
<br /> s aHldavtt prtorto commeiacing��constructlori: 'i�understand`that a�seperate permlt may be requlred for el�ctrlcal work, , `:':� ,
<br /> imbing, slgns� wells,�pools;._alr cond(tloNng,,.gas,;or�othe�.Insta�l�'Nons not�spec�fical�y Included�in.the appllcatlon. .A - x.; -
<br /> �,-. � �,; ,..
<br /> �rmlt Issued`shall b`e�conshu`ed,to`be�a'Ilcense:to:,proceed wlth`'t�fte',work and no.t.�as�authoNty to:;vlolate;��cancel;�alter, or f.,
<br /> t aslde any provlsfons�ofi'1he:4ecliiilcal:andes;�nor sh�ll Issuance�of a.permlf.prevent the Bulldlrig O#ilclal from thereafter , .
<br /> qulring�correctlon_af errors,in�,plans-;constructlon,or vlolaUons-of�anycodes:. �very-pgrrnit:�lssued�sh�ll become lnvalid �
<br /> �less the worli�autho�zed;by such"pe�mlt.�ls-commenced�w1tF�In_atx.:months�of�permlt I�suance, or If work authorized by � `;
<br /> 3 permlt is suspended.ar.abandoned•far,-a:#�eriod,of:�}slx��)�monffis;�.after ttie tl�e the�work�as commen�e�. An extenslon "-;'�
<br /> �y be requested� In�v+r�lting;:hom'ffie�Bullding Officlal for•a perlodunot�to.-exceed��nlnety;{80):_�ays and wll�`demonstrate �,'?
<br /> stlflable cause'for.�the exfension� If work.ceases,for nlnety(90)cons.�cutive:day.s...the Job�ts�con�ldered aba�doned. : . �_',
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<br /> ARNING TO bWMER: -YQUR.FAILIJRE'TCl:.R�E.C:ORQ`;A:NOTICE;OFsCOMM..EMEEMENT�MAY=RE$t1LT<IN•YOUR. . '�,�
<br /> sYlMG-'�VIIICI��EQ1�-11VaP�Aj/,EMEN���.TO:,Y0U1t;:P1�OPERTY.>�I�°YO.U�I�F'�1D"�T���JB�IkIN��FINAI�EING;�ONSULT
<br /> IT OU . _D .:O. ANl17T� w . R i.f�0 �� G:, ,O ^ � : .:�G � �� <:-: ~- -- - - -_. -_ ---_--- ---- -
<br /> �RIDA JURA�•(F , 03� � . � : , '�.:° .
<br /> i1NER OR AOEN , C.dNTRACTO.�-
<br /> �scrlbed and swom t r aNirmed) efore me ihls ` Su6ecrltied'and' •lo(ot'aflirtned)�befot+��me�,tlilS: ., ' •
<br /> b ' �
<br /> o Islare personally .�ovm to.me or•haalhave produced Who:ls/a. ersonal _ owrr•to me or:liaslhave:produced •
<br /> as:ldaneflcaifpn: - - � as'Identlflcatlon.
<br /> . .
<br /> Notery Publlc . ��� � ' Notary Publlc
<br /> nmisslon No: ' Com slon.td .
<br /> �=oi�::Y.°Ye�c� JACQUELINE BOGES '
<br /> ne of Notary lyped,printed or stamped Name oi Notery type ," ,o: ecember 12,2018
<br /> II �'.F pd�°:`�� Banded Thru Troy Fein Insurance 800.385-1019
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