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NQTiCE OF DEED RESTRiCT10NS: The underslgned understands�;th�t:tt�1�;p�Cmlt may.be.sub}ect_to,"deed"restrlgtlons"
<br /> r.�.
<br /> which may.6e::more�r.esti:�ctive<th�n Countjr ne8uistCons:'�The`underslgned�'as�sumea'resp�nsi6111tyfor compilance�with any
<br /> applicable deed restrlations. . ,,. .. , " •
<br /> UN�.ICENSED CBNTitACTQRS AND CONTRACTt3R RESPORISlBtC:IT1ES. tf the avmer has�hired a contractor or
<br /> contractors to undertake work, they may b,e;r,equlred.:ta.,be.�ltcensed In.accordanae.with state•and:local r+agulatians. �If the
<br /> contt�actor Is not lEcensed as requlred°by law� bath�the awner and contrector{�may be�=clted for a�misdemesnor v1olatlon
<br /> under state i�w, {f the owner or Intendedt;contractor,•are,;uncertaln as to what ilcensing.requlreKnents�may�:apply:�far�the
<br /> intended work, they are advised to contact the Pasco County Bullding:tnspectton Dlviston--l�.lcensing`Sectlon at 727-847-
<br /> 8�09. Fur#hermore, if the owner has`hired a cantttiactor or contractats� he is advlsed ta have the cantractor{s)..sign
<br /> porkla�s af the "cantraator Block' of this application:far which they wilL,ba responsible.-.If,.yau,.as;the awrier"sign as''fhe
<br /> contractor, that tnay be an lndicatlon tha#'he is nat.properiy-Acenset! and�ls not enti�t�d to permittlhg prtulfeges M Pasco
<br /> County. ` '
<br /> TRANSPCI►RTATION:IMPACT/UTIL:ITIES�IMPAG'��AND RESOU�.CE REGOVEItY�EES;� Yhe undersigned undarstands
<br /> ----$#��t Tr�c���scsrts#te��-�m�sac#-Fees-snd-Reea�.�r�e-Q�eceave�t.��es-�atay�apFly::#�=##���eonst€�sc�or���f_new-bas�idic�gs,�ch��ge~�f � — -
<br /> use In existing bulidings, or.,expansi�n�<<of��eziski�ig.�buil�ings, as speclfled.in Pasco County O�dinance number 89-07 and
<br /> $o-OT, as amended._.'�he undetslgned a{sa�undecstar�ds, tl�af''such fees,�,as may�tie:;;due��will.:6e identifted at ths�#lmekof
<br /> permitting. it is 1'urttier understood that Trensportatlon impaot Fees and�Resource.�.Recovsry�Fees,.must be paid prlor to
<br /> rsceiving-a"ceK�icate.o[�occupancy" orflnak.pawer.release: :If-the.proje�ct;does�not Involve�aicert�lcate of occupancy.or-��� �
<br /> �nal pawer-:release�.,the fees.mu�t be pald;pc�or ta permi# issuance. F�tthermore��if Pasc;�..Cpunty�1Nater/Sewer,:tmpact
<br /> , _.
<br /> fees are due,,they��must;be.pald.,prlor to,permit�lss4ance'in accordance witii�appliceble.Pasco�.County ortllnances. •
<br /> CONSTRUCTICIN't1EN�lAilit{Cltapter 713."Fla�cla Statutes��1s ame�dadj: (f valua�on of wark is�2,500.00:or more, !
<br /> certify that I, the. applicant,y�have.been proyided-�wlth a-copy- of the°"Florlda� Constructton� Lien-.Law Hameowner's
<br /> ProtectEon Gutde" prepared by,ths Floilda Department�of Agr[culture and Gonsumer�Affairs. if the appticant ts someane ,
<br /> ather than the"awner", i certlfjr,.that I h�ve.opta�ined}a=copy;of:the�ab,ave.:descri�ea'doai�ent�and,promise�•in,good.faitfi,to .
<br /> deliver It ta:the."owriec"�:p�ior'to�commencement:''° � �' ' , � - � ' .
<br /> CONTRACTOR'SIOWNER'S AE�IDAVlT: 1.c�i1;1�y.>th�at.all�t�is�li�f�rmatlon:i��fh�s appltcatlon ts acc�rate and that atl work
<br /> will'be-done in compliance with all.appltcable laws regulating constn�ctlon. zonMng and�land�development. Applicatian (s
<br /> hereby made_ to obtafn .a permit;to do..woits:and�.installatlon as indl�afed::.�..�1� ce�tify"thaf no work�o� installation lias
<br /> cammenced pTtar to tssuance of'a permit'and that.ail work wllt be performed�to meet standerds of ail laws regulating�
<br /> constructian, C�unty and City codes, zoning regulatiQns, and land development regulattons"in the Jurisd(ctlon.� ( al'so
<br /> ce�tify tha# I u�derst�nd Ehat the�egulatlons of other�govemment agenctes maY�aPPly�ta the lntended work, and tha# it#s
<br /> my responsibility to IdenNfy�what.act(ons I must take:ta,be,inYc:orqpllance: S.uch.agencles include but-are.not Iimtted ta:
<br /> - Department af Et�vtronmentaE>�Rrotect�on=Cjrpr`ess.'Bayhead�; VYe�and Areas a�nd Ernrlronmentally Sensttive
<br /> Lands,Water/Wastewater Treatment. ,.
<br /> - Sou#hwest FloNda Water Management:�:D[strict:Weils� Cypress. Bayheads; WeAand Areas, Alter�ng
<br /> Watercourses. r
<br /> - Army Corps of Engineers-Seawalls�"Docks, IVavigable Waterways.
<br /> - Department af Nealth�'& Ret�abllttathre SenrtcesJE�vitonmen#al. Nealtta llntt Wetts; VVastewa#er-Treatmen#,
<br /> Septtc Tantis. - _
<br /> - US Environmental Protec#ton Agency-Asbestos abatement.
<br /> Federal Avlatton:Au#harity,riZunways.
<br /> I understand.that.the.followirig.�restrictlons apply'to the use of flll:•
<br /> - Use at�iE!Is nat altowed tn'Flood,Zone"V"unEess expressly permltt�d.
<br /> - If the flll matecial �ts to�b.e used:�'in �Fload Zone. "A", tt. is understood�that a drainage plah addresstng a
<br /> °compe�sating volume"w]!1 be subr�ltted at time of permltting wlilah is pregared by a prafessionat engineer
<br /> ticensed bytfie.State of-Flo�ida: �`
<br /> - If ih� flil matertal_is to:6e used in Flood Zone "A" in�connea�ion�with�a�permttted building using stern wal!
<br /> � construct�on� 1 ce�#tty that�ll�:w�li�b.e�i�sed oNy.#o f111 the area within th��ste�n�val1:
<br /> - if flll �material is to be used In -any area;''1 certify that .use. of such"flll will r�ot adversely affect adjacent
<br /> propertles, If use of fill fs fQund.ta adyersely,�ffect ad�aceia#�propertfes..the owner may be c#ted for vioCating
<br /> the cond�ions..of.the bwilding�permlt Issueid�-under tha��attached_permit appUcatlan; far::lots�.less;than.one (1)
<br /> aare wh(ch are elevated�by fllt;a�t englneer•ed dralnage plan ts required. • . �
<br /> Rf 1 am the AGENT FOR.THE�OWNER; l;�promtse tn_good falth ta inform the owner of�#he permitting conditions set forth in
<br /> this aiftdevit prior to cammencing ca�st�uction. I understand that a°.separate permit may be requlred for elecMcal wark,
<br /> plumbing�_slgns, wetls,,Pools,.alr.�condi#lonittg.-.Sas�.or.othet instatl�tlons nat.spec�lcc�aity Inciuded�tn.#Fte apptic�tion. .A
<br /> permit Issued'shall be construed to tie�a�Ilcense to=proceed with'tti�e work and not as.euthoNty�to:violate, cancel, alter, or
<br /> set aside any"provisions of tFie.tecfintcal:codes; nor shall tssuance�of a.permtt_pr.event the Bulldfrig t?�flcfalfrom thereafter
<br /> requiring a correction af ercors fn ptans; constiuctlon,or vio(aiions of-any cades. �very•piermit-;i.ssued"shall become invalid
<br /> unless the work authortxed by such permit:ls-commenced•wlthln sfx.;months of pertn(t Issuance, or If wark authorized by
<br /> the perrrtlf_is.suspended=or.abandonecl,for:a:perlod;o€�s�C{�)�mo�tFis,:after.:t�e#Ime#he�.work�ls commenced. An exterision
<br /> may be requested, In writing;;wfrom t1ie,Buliding,Official for a period:':not to exceed�ninety�(90) days a�d�will demonstrate
<br /> just�iable`cause far.�lhe extenston: tf wQrk ceases:for nlnety.{90}cons.ecutive:day.sr..t�te f ob�Is consldered aba�doned,
<br /> WARNING}70 CIWNER: YOUI�.FAILURE:TCI.,R�C.ClEtD A.MOTIGE:QF:�COMMEMCEMENT�.MAY�RESULT�lN YnuR
<br /> PAYING't"WtCE:�OR IMPRQVEMEI!�TS:TO Y£iUR::PRRt3PER�T.Y::f 1�°.Y�O.U�IN�'.FE�tE3:TQ:'OBT/A1N�:�FiN�Afi1�tNG;�ONSULT
<br /> WIT U A Es. �.; U ,
<br /> ��oR�aa,�u�rn�.{�.s.��7.os} � .- � , � . . _ -
<br /> OWNER OR AOENT, CONTRACTO ' •�+ ' " �
<br /> '� Snbsaibed and swvm to(or aflirmedj before me fhl� Subsafbed and'�wom�to{ot a rtned}' ' me'tti1�
<br /> � by Z_ ,T , ..
<br /> Wlio Is/are pe�sonally knovm to:me.oahaalhave produced Who.fs/are ona owm•to me:or,he�lhave•produced ,� .
<br /> :. . "as(dentlBcatlOn. �. . as JdenB�catlan.
<br /> Notary Pabttc . ' Notary Public
<br /> Gammisslon No:` � �omr� on•IVa
<br /> � ,.,,�'o��,.. �JAC'�U`LIN�BOGES '
<br /> Name o/Notary typed�pdnted or stamped Name af Nctary type *: '#�a�n
<br /> s December 12,2018
<br /> . y}' '. ��, �;s7l��iroYfainlnsuran¢e0063857419
<br /> f. '.;F oF;,�' 8or�tad
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