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<br />', NOTiC�QF DE�D RESTRICTION�: The undecs6gned under�tands°�th�t:tt�Gs.���rmlt may,,,be.sub�eat t�"aieed"�re�st[Ictions"._ �u..
<br /> which r�ay-be��iore.r.esthlctiv�=tt�a�C�unty r�gulatCons:�'Ttie.ur�d��igned"�s`"sumes='respori��ibiliQy-fmr4co�ipitance vvith a`riy rt �
<br /> aPplicable:deed-restricttons. .. . . ' . . - ..
<br />� UN�.I�E�1��D°�t�NTl�GTOF�S�l��m CClNTR,�+�TOR R��iPf:3NS1�ICITBESa =-tf the c�wr�er-ha�L'hlred a coc�tracto���or
<br /> contr�ctors to undert�ke work, they may:b�..r�qu.ired<.to�be•:Ilcen�ed In accardance.wlth:stat��.and�local.regulatlans:�'If�the� �' '
<br /> contract�r #s e�vt�l�cens�d as�re�q�tlred�6y la�r, �a�th the n�vv�er,a�nd-co�tca�tor����iy b��cited for a�m€sdem��nor vlol�tl�n
<br /> under state law. If the awner ar Intended::contra�tor�are.;unc���in as to wrha� flc�en�ing,,,requ0remenfs;snay-apply--ior:the- � -
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<br />�i Intended woNt�they are advisetl to contact th�a Pasco C¢�unty 8uildi�g'Insp�ctlon Division--L(ce�sing�S�ctlan at 727-047-
<br /> 80U9. Fu�thermoc�e, �f the ovtmer tias tii�d a con�c#o� flr'coritractor�. he�is advised to �►av� the �an#ractor(s),.5sign
<br /> portierns of the �contr�ctar Block" of this.�pplicatiar� for which they will be.,r�sponsibie. If you, �s.the ovimer;'_sign'as'4h� '
<br /> . ,_
<br /> contta�tor,th�t�ay be an indic�tion'4h�f`fie fs"e�ot'.properly 1lc:�ensed ar�d`�is`���t`entd##eii Qa permitting p�lvileges in Pas� :
<br /> Counky. � , :��.,� .
<br /> TitIANSP�RTATIAN�IMPACT1UTll���'IES`IMPAC`C AN�I�ESCbURCE REG��ERY FEE�: The under�lgn�d understat�ds
<br /> that Transpartation Impac#Fees ar�d.Reca.urse Rec�ve�gryFees rr�ay`:appty:#o:the`con�tructia�ro_of new.buildiags,,�ch��ge.mf`� �: .:
<br /> use In existing bulldings, or;�xp�nsi�r���of�°existin�'�buildings, �s �pecifl�d.Ir� Pasco County O�"dinance number 89-07 and �
<br /> 90-07, as �t�ended.,.;�"he undeusig��d �I�o;��nders#a�ds, #haE�stach fe�s,���smay�b�:dtte::;w111:6e �dent�ied at the�ti�vie°of-�� -
<br /> permitting. Ik is furtlier understood the�t Trat�spork�tion Impacf Fees and�F�esouec+a.Recovery�Fees.onust be pald prior to
<br />� r�ce4ving-a "�erf1#icate.�f accupancy"��tr flnal•�power-release; :���the pro��ct�.d�es t�ot fnvolve;a�-.certi�c�t� of occapa�cy�o'r'.:` �,, ,.;;
<br /> final podver retease,.#he.fees mq�t be paid pclor#o permit issu�nce. �ti�t�termore,-if:Pasco,County�WaQer/Sewet:lcnpac� -
<br /> fees are due,.th�y:�nust be�,pald..pNor ta�,permit�-Issa�ance�in acc�rd�nce w(kH�pplicabl�_P'asco'.Coun��a�dina�nces. �•
<br /> CON3TR��T10N'1:lER!'I.A�t11{Ch�pt�i�713w �I�rl¢ia St�tcate���ds atn�nd��): If valua�c�€�o€vvork Is$�,500.p0;or rnore, 1� .,
<br /> certify that I, the. applic�nt, have�been provlded �with,�a copy- of the "Florida� Cons#rucNo�n Lien Larnh—Homeowner's
<br /> Pratectton Gulde" prepared by,tti� FI�i�1da Qep�rtment of A�ricut�ur� and Gan�amer-A#fiairs. If#he �pp8tcar�t Is sar�eone .
<br /> ; ather than the"owner", i certffj+that I ha�re,o�ta)netl°a°copy.of.#h��abQye.de�crltied tlocuii�ent.and.praa�ils�:ln;good::fait6�to .�
<br /> ��deliver!t to.the."owrrer"�.pi�or.�t�rcomm�nceme�4:" ' . ,
<br /> C�PITI3�GTAR'S/K��VNER'��,FfIDJ�VIT: I.ce.rt��,that•atl�_tfi��;inf�rma#1dn}On thd�appticatlon is accurat�.�nd ti�a��11 work
<br /> will'be done in corciplfance wfth all appllcable laws regulating constructlon, xontn� and land development. Applic�tion is
<br /> hereby made to �btatn .� permbt.:�o.;�o wor`k,.,a�nd�tiis#a11a#lor� as Indt�a#ed:,-,�:# cer�lfjt Qh�t oto work`ar tnstell�tion has
<br /> commenced prior ta issa�ance of a pe��(t and that:all work wlll be pertormed #o meet standards af �II I�ws regulating�
<br /> construatlon, Cau�tty �nd City codes, zoning r�gulatlQns, and land d�ve9op�ea�t regula#lons�#n the jurisd6ct{or�. I� at'so
<br /> cer�ify that t understand that the r�gulation�of oth�r gov�r�m�nt agenci�s m�y�appiy�to the intended work� and that i#Is
<br /> my re�ponsibllity tc�idenkiiy�what.�ctions I must take.to b��in�c:c�mpliance, S.u�h,agencles include but�are not Ilmit�d to:
<br /> - Dep�rtme�t ot Etl�riron�enta6rPro#gcti�r�=Cjrp�ess.�ayhead�, Vtiefland A�eas and Envicor�ment-a#ly SensiQive
<br /> Land�,WaterlWastewa�ter Treatment. �,r ,
<br /> - SovtP�ws�t F1or3de Wat+�r IUfan�geme�tt .C7isUict-Wells, CYPress. �ay�eads; VVetia�d Areas, Attec�ng
<br /> Watercaurse�.
<br /> - Army Corps of Engineees-aeawalls} Dooks� Navigatile Waten�a��.
<br /> - Departe�ne�t of.,Flealth �► R�F�abilitat3ve S�rvices/E�vitonmenf�l Nea�lth U'rtit V91e11.�, Wastev�fer�Treatment;
<br /> Septic Tanks. � � .
<br /> - US Environmenta#F'rotectio�A►gency o4sb�stos�ba#emen#.
<br /> F'ederal�vl�t(on AwlhoMty-f3unways.°� �
<br /> 1�unders4and that the.follovv�ng.��estrlctlons apply to tf�e use o#fl10:•
<br /> - Use m#filP�s not s{low+eti ir�;Ftood Zone°'!i"unleas expressty p�rmltt�d. `
<br /> . - Of the �II m�t�rlal- Is to�6.� used��ln•,Flood Zone. "AW, It. is urrod�rstood that a drainage pEan addressing a
<br /> "�ompe�sating vol�me*w311 be subm�tted a�ti�e of�p�rmifttng wli�ch Is prepared by a prof�sston$1 enginee€
<br /> Iicensed by th�St�ti�of�Fd�rida:� "' � - �
<br /> - !f the fill materiai-!� 4o be•used.In Ftood �one °A" in4 conn�c�i+�n�wlEh�a perm6t#�d building a�sing stem wail
<br /> � construct6on, 1 certi�y th�t f�il;vulll:b.e-used�nly:to fill the ar���nrithin�the�ste�vvatt.
<br /> - If fill m�terlal is tm be u�ed in ariy area; ( cet#Ify that use caf such flA wIU r�ot adversely affect adJacent
<br /> pr�perties. If use s�f flll l�found.to adversely,�ffect ad�a�ent�pr¢�perfies�.#he avun�r may be �i#ed f�r v#a�ating
<br /> the conditlons of.the build9ng:permlt issued under 4fie.attached.permik appllca4lon, for:lots.less than.one (1)
<br /> acrs whieh aa�e eievated��iy`fI!!,a�r en�lneersd dr�lnag�plan is rec�ulred.
<br /> If i am the AC�E(VT FOR TM�A�ItNEEt, i;.pror�tse In good faith#�infarm the owrner of-the permltttng aonditlans set forth in
<br /> this affidavlt'p�lor to coi�menoing constructia�n. 1 understand that�-s�paraQe permlt may be requtred for elect�ical'work,
<br /> ptur�btng, slgns� well�� poats;.air c�r��itlonit�g..ga�s,�;or:otii�r'. Ins#al��#ioh� rt�a�.spea�tcally in�#uded-In.th� �ppl3catian. .A �
<br /> permit Is�ued shall be cartstrued to'b��'a�Hcense ta`p�oceed with the wrork and not as:authoriky to.vialate;`cancel, alter, or ,
<br /> set asld�any provisions o#the#ech�[ca1 cod�s;�nor shall lssa�ance�of a�.perrnit.pr�ue�t the�uitdirig Ctf�t�3�E from#herea€ter
<br /> requiring a conectton Qf errors Im.pians, constivctlaco or vio�iatlons of,�r�y cod�s. �very perrnR l.ssued�s�iall become inv�lid
<br /> unless th�work authorized.by seach permit:�s.corrnmsnced�wtthlr� sfx month� af permJt Issuance, mr !f wark authorized by
<br /> #he p�rmt�is suspended�or.sbandonad�for a:peri�d af���C(�}�masntdts.afte�th�tire�e ttte�wa�tl��is aa�rromec�c�d, An e�ctension
<br /> may be requested, In wri#In�g,from tH� Building,Of�l�lal far a p�r(od-.not to �xceed raine�,r(90) days ��d will demonstr�te
<br /> �us##frabl�c��ase for�he extensto�: If w�rk c�ases:for nl�e#y�9Q}coa�s.+�cutiv�day.sr..#h��ob�is cansEdered�ba�doned:
<br /> 1l�ARNIt�G TC? A1AtNElt; YOUl�..FAMl.WRE•TO.R��GL)�Q/si,:i��TIG�.AF•��MlI�I�NCEME�"� lVt�►Y RESt;lLT iN Y�Ul2
<br /> P'aYiWG'�WtC�.�OR:a�l�'RAVEMEN7'�T�I�oUI��.P�tt�PEt3TY:��iF�Yo.U,i =.� �IN�flt�cP��rtNt�;�CC�NSUL�
<br /> 4iPIT ll Ci O AN,A'PTOitBVEY F�R�=, E��lZ�1 G�� � ' -
<br /> FL.QRtD�4 Jl1RA�':{F.S.1.17.�3) - " _ _;_. , —-- -�-- ' �.:_ __- __ . _
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<br /> PJWNER AIt ACi�NT - �ONTRIA�TO
<br /> Subscrib�d and svorom M{or a�ltmed)befare t��fhts Subsa�ib�cf and' {at�#�rmed}•befor�e me t#i1�
<br /> by �by � -
<br /> Who Is/are personally kna�wro to.me or has/have produced Who.ls/�re p.erson�lryknoum te�me or has/have produced
<br /> ' as Id"en�RwBon. as Iden�flc�tlon.
<br /> Notery Public _ Ndtary Public
<br /> Cammtsslan�lo:- Comrt�l�ston_No.
<br /> tdame of Notary typed,Printed or stamped Name ot R4ot�ry typed,prin4a�or stamped ,
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