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..� .. •.j f: �. . . � ^ . .. .. <br /> ' � �'� .�� � . . . <br /> . 1 � 1'� �4.,: �'�:/'.j;. <br /> ESTRICTIO S: The undersi ned;under�ct�nds�;th�t�this;�p�rmi�,mey.be;,subJe�t:to"d�ed".,resUi,ctio�s" �;:' <br /> NO'iiCE:OF'DEEDR �1 �9. _ ,.Y��; - -.�: ..�.;:_, .�.._ ,� u., _ �..- �:. :_�{;��.�;.... <br /> - - �:�:�>��,. �.s;, - , - .. .a. .� <br /> `latfons:"�Tfie^rindecsT"ned=�a'ss'ur'ries��regponsi�bilifjr�for�=�compliance'wlth°,any" <br /> which may;tie=more�=r.e�ttictfve-t#i'�n�County-�ri�gri :� 9 , - <br /> , = v., �:. .,.-,-_.:;}:;:,, <br /> applicabl.e:deed=resMctlons. ' � .. ..r..:�ii'i:�,2.t.,:��d,.i;{.'.;J6r s'�c._ ... ..... ..... .. . .<.....,- .., -.s . <br /> IJNLICEN�ED�'CONTItAC.TO1tS �AND�LLCONTRACTOR RESPbNSIB1�ITIE�:`°If��tiie;owner has•�'hired'"a`�canttactcr o� <br /> contractors'to undertake work, they may;b,e;r,equlr,ed.yto�beYl��n�'ed,in>:acoprila�ce.with�stat��.and�local:tegulatlons:��If,the��-�. , ._, ., <br /> contractor�°ts�nof lteensede�aa�requlred=°�tiy law;�botit�tRe owner andN�cvntrecto�£�msy°be-cited'�fo�"a;mistlemeanor�violatlon <br /> under state law. If the owner or Inten,ded�.c,ont,r,a�tor:ere,�uncertain,as to.wfi�t Iicensfng._requirements�m�y�:apply,�for�tiie'�;,t - , _ <br /> „:. , � <br /> intended"work,they,are aiivlsed`to':aont�ct the Pasco County�uil'ding;Inspection�y�Ivlslon=-Licensing Section at 727-847- <br /> 8009. Furthermore, �if the owner has"filred a dontraotor or contr�ctors� tie is advl�ed to have �th`e contractor(s)�..slgn,R ,.,:_.... <br /> y.��,;,���_,�.,...;� ,w <br /> portions of the."contractor,:Biock"�of.this;_applicatlon�for:which>.they.will::.beMr.esponsible.,-:.if�you;sas..the,ovi'rner�sign'��a`s'the""' �'�'�-"�`� �� <br /> w.. _ .�. ,.,, <br /> contractor, that�may�'be an Indication"tFiat�h�"1s not':propeHy�IlcenseiJ'�antl"la rtot entitled`to permitting prhrileges In Pasco ,�Y {,, <br /> County. ' . . . .. . .. . ,..,,_, :. , _ <br /> TitANSPORTATION�IMPACTIUTILITiE$tIIYI�AC'��ANb°RESOUItCE RECOVERY FEES: The�underslgned-understands <br /> that Transportatbn Imp�ct Fees,and,Fteco.utse�FtecoveryyF�es m�y�rapply��tc:the`constructlon_,of new buildings,�change��ofh�>�;"-����x 4 <br /> use In exi$Hng buildings, or<<expar�slo����of�existi��'�buildings, as specifled.in Pasco County'Ordinance number 89-07 and � <br /> 90-07, as amende,d.�;The undersigned also.•urtderstands, th�t:�such fee:s;;as,;�nay:be•.due,.;wilFr;be idenfitfled at the4t(me�;of���Y:-���� ��..�. � <br /> permitting. It is iu'rther understood that Trensportallon Impact�`Fees an�tiResource;;RecovetyYFees�,must-be paid prior to ; <br /> receiv(ng a''cerfiflcate of�occupancy"�or��flnal�.power,,celease: :I��Ehe.proJect�..does�not�l�volve�a:�certfficate";of o�cup�ncyao�"����':'-��-�.?+� �, <br /> ._.. - � <br /> final pow��release;�iFie,fees mu§t�be"pald�;pclor;to.,permit issu�nce. F�Xthermore;ff:<Pasco;:CountyaWater/Sewer•�Impact�:a :�t��.:-�� , <br /> .�.... _ <br />, fees are due;.they�must�be�pald=prio��o:.permit'�IssU�nce=ln.accordance.witt'r;appllcatife�Pasco':�County onDinances. �, <br />' COfVSTl�UCTI�N"LIEN'LAYV"(Cliapfer�713� 1=lorlda Sta�ut�a�as arnended); tf valuadon.of work is$2�500.00:or-more;-1��.�.•,;:::�.,�;=, <br /> certify tHat _I;��h��,appllcant;_have,b.een =provided�-•with-a-co�yr�of`.the•:"Fiorida� Con�t"ruct(on�.:Uen:�:Law--Homeowner's' � <br /> Protection Guide" prepared by 't'Fie Fiorld� �ep�rtmer;�t+of Agrfc.ultuce an�Consum�r�Rfiairs. if the applicant Is someone.;._. ;,; :�s - <br /> �i,:n ,�::,. � , . <br /> other than 1he'owner" I certi�%�that I,h�ve:obtained�'a}copy.;of..#he�;abQva:rle�cri.�ed;�focurt�ent�and:ptomise=ln;good;;faith.fo , >.f , <br /> 1 .. , ...l.T,.:.r �.-..:.R..zJ."fi.u?�.' .... '°- _ ' ,. " .t.': i. . _ _ <br /> deliver it to tlie::'owne�'•"p�io�'toycoiiimencementt�";�`:..,.,,.:. ._ >;,_ �:.::.�-���::-,. . . ° _ _. • . . � , � <br /> CONTRACTOR'SIOWNER'S Af�IDAVIT: I.c,eittfy.;,tli�t,all:.the;infonn�tibn::i�-thi�,appltcation Is accurate.and that all work" <br /> will�be done in compliance with ail.applicabie laws regulating constn�ction, zoning and;land°�development. Appilcation is <br /> hereby made__to.:obtain..a;permik;Co��do��w�tk-,.�nd�ihsfellation as fndt�ated:-�.�:I certtfyi that no work�or Inst�llat(on`fias .. <br /> commenced p�lor to issuance of'a permit�and that�:all v�ork will be pertormed�to meet.stand�rds-�of all laws regulapng� <br /> constructlon, County and Ci4y codes, zoning regulatians� and land development r.egulallonss tn th�:Jurisd(ctior�.r I::al'so _ <br />� ce�tify that I understand thatthe regulations of other�government agencies may�apply�,to the..intended.work, and that it is <br /> my responsibllity to identity•what,actions I must;teke;:M;be�in:oorrl,pi,lance�=.Such,agencies�include but=are:not Iinatted�to: ; , <br /> . <..;,r�. 1 <br /> - DepartmeM of E�lvironmental}Protectton=cypresg.�e�yneea�, VVeHand Areas and-Envtronmentally Senslttve � <br /> Lands,WaterllNastewater Treatment. � � , <br /> - Southw�st Florida Wat�r Management:-':�Istrict.lNells, Cypress.� Bey��ad�,� Wetland Areas� Altering � <br /> Watercouraes. .' . � � � � <br /> - Army Corps of En8lneers=Seawails,:Ddcks, Navigatile Waterways. <br /> - , Departmenk;of„Health�48,�.ReEtiabllltative;;ServiceslEnvfronnn�ntal..He�ith Unit-Well.s,•.1Mastev�ater��Treatment, � ' <br /> Septic TanKs. - � - . . <br /> - US Environmental Proteotfon Agency-Asbestos'abatement::. - � • <br /> � - Federel Avletton:iAutMority,Runways:�°; � � � ' <br /> I.u�id�rstand:.that.the,follow�ng>�estrict�ons apply'to�tFie use of flil:� , - <br /> ` - � Use of f(II is not ailowed in;Flood�Zone"�0"unless expresaly permitted. <br /> - if the�=�11 mate�lal��ls to�,`ti.e used:In�:flood Zone. "A", Ik. is understood�that�a dralnage pl�n addre�sing a <br /> °compensating volume"will be submitted at#ime'of;p,ermitting which is prepared by a profess(onal engineer - � <br /> - Iicensed by`�he�State of�Flotida:= '::"` �. ' ,� <br /> - If ih� flll material=ts to°�:be� uged In Flood �one 'A° In�connectlon'�with:a�•��er•mitted buildir�g u"sing stem wall <br /> ' conatruction� I certJy..that,�ILwall-ti.�u'sed only.to.iill the area wlthin the�stem�walL � - • � <br /> - if ffll mate�lal"is to be used�'tn any area;�'I'�aertify that .use of such�flll will not adversely affect adJacent -� , <br /> propertles. If use of flll Is:.found:.to.•_advers�ly:,�f�ect�dJa�nt��pr�pe�ies�.the owner m�y be'cited for viol'ating, ' <br /> . the-conditions�,.of the_buildtngz.perm(t.(ssued-under thei�aEtacfied,permit�appltcatlon, for:lots°.less,than:one (1) <br /> acre wF�ich are elevated`by flll,a�engineered dralnage plan Is required. � . , <br /> If 1 am the AGEIVT�FOR THE OHINER;;I;pr"omtse In.,good,faith to Inform��the��oevner of•the permltting condftlons s�t forth in <br /> this affidavit prior to commeracing construction. I und.efafand'.that.a;aeparete permft may be requlred for electrlcaf work, _ _ <br /> -.:�^3r" T...w. . ., <br /> plumbing, signs,wells�;pools;, alr conditioning,-.gas,-,�or�otMer.�ingtalf�,tlons noE,spec�ically included-in.the�application. .A: .,_ ' _ � <br /> ��.: , �.:.<.,.;.: . <br /> permit Issued shall be construed to be��a�'li�ense-to�proceed with tFie ntirork and not�as:authoNty„to,violate,�cancel;�alter, or � , ' <br />, set aside any`provisions of the.fechnlcal;cod�s;�nor shall Issuance�of a.permit.prevent the Bulldirig O#ficial from thereafter . ' <br />� requirtng a`coRection,af.;eRors in���plans;conshiictlon.or vlol�ttons of-any�codes:-.@very��pgmitt;�ssued sfiell�become•invalid � <br /> unless the�work authoNzedby such permtt:�is-commenced•within ,,,sUc.�months of�permit issuance. or if work authorized by <br /> the permit ls suspended ar:eba�doned;for:a:period;of-six,�)�montfis:�aRe�:the time the�work�fs commenced.. An extenston <br /> may be reque�ted�_In writing,_f�om tFie,Buliding,Officlai for a perlod:noEto_exceed'nirte�jr.�(90)�:days and-wil(�°demonstrate <br /> justifiable cause for.�the extenslon: If work ceas�s:for nineQy(90)cons.ecutive:day.�...the job�ls'considered aba�doned:'� _ <br /> 1MARNIPIG TO OWN�1�: YO,UR.,FAIL:IJRE..TCI,R��ORD.A::;1�OTICE.,OFx�C.OAAMENCCAAEN'T-,MAY�;RESULT:IN.-YOUR <br /> PAYING'i1MICE.FOR�IMPRO�'IEMEN�S:TO,YflUR:PItOPERTY �JF�YO.U�I�'�END�,7'D��OBTAINhF1N�wE1NG;:C.ONSUL'T � <br /> IWIT ` , : p N p� , � p � ;. :pV :. ., . -t- . E - <br /> FLORIDAJURA�.(F: �:t:17.03} ` • '� , ' ; ; ,. - - • <br /> OWNER OR AOENT - CONTRAGT <br /> S�bs��and swo rel�en re m hla Su6ecrib 'swom� ' ed)�b' re me:fFiiS . �� <br /> by -_.___— .by... � • � <br /> Wtio Is/are p rsonalty,known lo.me.or,haslheve.produced WhoJe/are p.ersonelly knovvn•.to.me.oc hesTha,v.e•produced • - <br /> ' as IdenUfloaBon. ` ' � � as'IdentlflcaUon. <br /> t�- �/� � ,�� ���� ,� / . � � � <br /> l� No ry Pub . Notary Publlc <br /> ,�n.,.-ra�,_.::,�...va�a.,a�zaa...�v2�a+�,:ca-� . <br /> Commisal n .p;';,� "' � +� � Coinr�Ission.No.� . . <br /> ,o��,� �e�n, . ,� , . <br /> ;�, ; .. Notary Public-State of Florida ``��SPHY pv��� ANNA MARIE IYNCH TE <br /> t f <br /> Name of r ' Name of Nolery' typ ,� t �, Y ublic-State of Florida <br /> %; ommissi n EE 166865 = . ■ •_ M <br /> - , p; ;N, � _ y Comm. Expires Apr 4,2p16 <br /> �''%°;����'� Bonded Through National Notary Assn. 9, °'�= Commission#E <br /> . �'•.FOFv��?:�'� E 166865' <br /> ''� ��" Bonded Through National PJotary Assn. <br /> l <br />