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NQTiCE O�DEED RES.TR1CT10�lS: The ander�lgned:-understands°:th�t,,this.,��ttnit;may be.:sub�ecfi.,t�r"deed",rastric#io�s":';`v,�v.., . , �
<br /> , .. .. - . . .. .,.m, .... . ,.. .. -n � :.�_.. :... ;
<br /> whtch may be-more-resttiathre�llia�n Cdunty�teg�ilations :Thetiunder`slgned;as'siimes�responslbiltty,far comipliance""�witFi'"any
<br /> appilcable'd�ed restrlctions. � - � . ' ., , N �f –..
<br /> UNl.10ENSED-C.tJNTRAiCTQRS=Att;lDr�CClNTRAGTOR:�RESPONSIBi�ITT1ES:=�{f�tiie�owner has�•hiced=�a-contt�actar or
<br /> contractors to undertake work,�they r�ay.b,e.�..r.�qu'Ired;+to��e<Itcensed in:a�cacdanc�:with,s't,ate;:and�lacal,regulatians._;alf�the��,r x �- � �
<br /> � ,..�:�.. -,<
<br /> contractor €s�riot�licettsecf::as��requi�ed"6y taVv; tiotfi-:the.awne'r aii���con�ractor-may tie ct#ed=for=a=misi�eme�noc violatlon
<br /> under state law. if the owner ar.intended{contractor,���are,uncertaln as to what llcensing.requi�e�nents.;may�:apply-�for"the����;•= �t=� �,
<br /> intended wark;they are advfsed to coritact the Paaco Caanty 8ullding I�tspectlon�;Divlslon-1,Icensing;�ec#!on at 727=847-
<br /> . _. . � .� �.,�.._ .
<br /> 3009. �u�tti�ermore, tfi ttte�owner has"filriad�a�con`#'racto�br"coritrectbrs� he is aduised to have tiie contracto,r(s}t�sign _. , .
<br /> �ortians of the_"cantracto� Block° of..this application for.,which they,.,.will be reaponslble:. :If�you���as�the own`e�sign�as'tNe ``''-�';`�==''?�
<br /> ;,ontractor, tt�at may'be�n ind�ca�on•ttief�he is`not ptop�riy-licensed'arid��ls ricit�ent�ieii'�o�petmifting piiull�ages ln Pasco
<br /> Couniy. _ ' ' ...�. ....:.... .... . . .. .�,: �
<br /> 1'RANSPORTATION.lMPACTlU71lITI�S�CMpAGT?�A�1b�REg�?URCE RECQVEE�Y�FEES:���'h8 unde7slgned untlerstands
<br /> that Tr�r�sportation Impacf Fees:�nd.Recourse:Recave.ry.�ee�may{�ppiy.�to�.fF�e iconstnac#ion,of,newzbuiidings,?change°of`=� W:=�'=,='r ' :
<br /> use in existing buildings,`�r�expanst�in,ofae�Istf��g;�Ybuildings, as spealfied.in Pasco Counfy Ordinance number 89-07 and
<br /> 9o-O7, as amended,,_T��-underslgned also,��nderstands; th�E�such fees;-;as;-�may��e�dtte,3-wltE�:be id'entified at the'tlme�of:- ';�~.,:',`- `
<br /> permitting. It is tu'rtlier understood that Tra�gporkatlon.Impact°Fees and�'Resoucce__Recovery��Fees:.r�us# be pald prtar to
<br /> regelving a °certiflcate-of�aecupancy°.or flnaF-power..:release.= :lfi�.Elis proj�cE;�does;noE involve,zarcerti�cafe.:of o�xttpan�'+a��=�:`.�:-'�-�.,
<br /> iinat powerrelease;=#he>:fees-n�u�t�-be paid`pcior�#o permit tssuance. F�i�tkNer•more;-�ff�Pasco,Countq�llVaterlSewer�lmpact�-..-:-; �� �
<br /> Fees are due,.:they.�riust:be;paidwphor,ko.permit�Issyance�In.acca�rdance.wltF�appliaatile--Pasco��Countyr�ordlitances,
<br /> C�N�TRUCTION�:IEN°1�AW(Chspt+�r 718�Fbt�ita Statu�te�,a�amended): if vatuation af work is,$2,500.O.Ozor more; { ��... , : .
<br /> certify that I; =the�:appliaan#,. have-been ;pravided:�with-�a--copy= vf-the LL":Florida='°Construction;_Lien`'�Laiiw--Homeov�rner's
<br /> Pr�teckton Gutde" pr�paeed by the'Fiarlda Deps�tmer�t af Agrlculte�re and Gonsumer..�Affairs. If the appllcant Is someone� :.� . .,�.
<br /> other ihan the'owner", i certify ihat_tfiave.o�.talned�a copy.of..#he.ab�ve.des.cN�ed`docuri�entrand-:pmmise��in,good:faith�to.�.,. . ; �.,,
<br /> delive�ittvthe'ovrine�'-.prio�:toscomrtiericement:�'.�° .. .� � ,. , - - , , . � . . - _..
<br /> CONTRACTOR'SIAWNER'S AFFIDAYIT: i ceit�'y;:,thatwal��_the:�lryformation in,thi�•applicati�n i� accurate.�nd that aii work '�
<br /> will'be done in compltance with ail appllcable law's regulating constructlon� zoning and�.land�development. Application Is
<br /> hereby made to obtatn.:a;permlt,to do.wofk,:�and =InstaHatlon as tndE�fed:.:-�I�cer.ttfy,#li'at no work:at tnstatta#fian'has�
<br /> aommenced p�ior #o issuance of'a`permif"`and that':all�work wilf be pertormed ta.meet standards-of all laws regula�ing- '
<br /> canstructionR Counly and Gity codes, zoning eegulatlQns, and tand develope�ent regulatloris�ln the jiiflsdtctlon. �I.aiso•
<br /> aertiiy khat 1 under�tand #hat the reg�alatians of other government agencies may�appiy_ta the�lntended wrork� and that it is
<br /> my responsibility to(dentlfy•what,acttons I mus.t�take,to besin:.cortlpllance�;S.uch agencles�i�clude but�are.:not Ilmlted to: -
<br /> - Depar#fi�ient of Er�vlranmental>�Profectioti'=Cyrptess:'Bayheads;��tftetland Areas and Environmentally Sensi#ive
<br /> Lands,WateNWastewater Treatment. -
<br /> - Southwest F1orRda Water Mana�emerit ::t�fst�tct Wefts, Cypiess. �ayh�ai!"s; We#land Areas, Aitering
<br /> Watercourses. _ -
<br /> - Army Corps nf Engineers�Seawalls�Docks, Navigatile Waterways.
<br /> - Depa�tmsnt af Health�.$ Ret�ab(Iitafix,e:�:SecvtceslErn►ttattmenfal NeatEh Unit VStelis� Wastewater�Treatment,
<br /> Septic Tanks. � ' � � '
<br /> - US Environmentai�Protec#lort Agency-Asbestos�abatement.
<br /> - Federal Avt�ttonAuthori4y,kRunways�
<br /> I understand that the folfow�rig�restNctions'apply to�the use of fllf:• .
<br /> - Use of f{It is nm�,allo�wed in,fFload:Zone"V"unless expressiy permitted. � � " �
<br /> - If the fiil mateHal is to_be-used':in:��Iood 2one. °�!", (t. is understaad that a drainage plan addressing a
<br /> "compensa#Ing volume"witt.be submttted.at#lme of per=tnitttng wlilch ts prepared by a professianal �ngac�eer. �
<br /> Iicensed by.the.�.State of FMotlda: -
<br /> - !f ihe fi!! material-:ts to be.used tn Fiood �one 'A" Ins connectbn�with.s-�erm�t�d bufl�ing using st�r�i waN
<br /> constructian., i.certify that till wlll;b.e,used oniy.#o fill the area wlthin�the�stem�waii.
<br /> - if flll material�ls to� be used 1n -any areat 1-�aert(fjr that .use. of such flll wl11 not adversely affect adJacent
<br /> ' prape�ties. 1f use of fltl is fopnd to advets�Ey,�ffec#ad�acent=-praperties,.the awner may be cited for violating
<br /> the conditio.ns of the�building-p'errriit Issued'•under the at�ached�ermit appltcation, for�lats less than.one (1)
<br /> acte whlch are elevated=by f!1!;art englneered dralnage plan is required. ,
<br /> if i�m the AGENT.FOR THE OWNER, I;promise in good fatth M inform the�awner of-the:permttting-condftlans set forth in
<br /> lhls affldavit��prior ta ootnmencing const�uctlon. -f u�iderstand #hat_a-s�paraQe p�cmit may bs req�lred for electrical work,. - .
<br /> olumbing, signs,rve��s, p�.�1s; ait cr�ndl#oning..9�s,;,o��_oth�r installa�"nns_not��pec�fically inctuded-in.the�applic�tion. .A . .
<br /> �ermit Issued shall be construed to be a'°iicense ta:proe��d.•aith ttie;w�ark`and'not-as:author.tty to.�viclate,�cancel; alter, ar � '
<br /> 3et astde any provistans a#t�e techntcal:codes;�nor shait issuance�of a permft.pcevent the Bulldirig C�'fct�l�om th�reafter �
<br /> �equiring a carrectlon-_a0,�r�ors 0n.�plans, cons#ivction or vlolatlons of any cod�s��-Evsry p'ermlt issued shaGl�become�invafld
<br /> �nl�ss the wark authorized.by such permit:�s.commence��withtn stx rnonths af permlt tssuanae. or if wark autho�izsd by
<br /> �ie peemff is suspended ar>abandoned;for:a,perlo�of�six��t3)�mant�is;;aRe�:the-tiin�the�wa�`k��ts commencgd. :An eactenstan
<br /> may be requested, in writing,,f�am the Building.Offi�lal fbr a period::nat�to excee��ninetj��(90}days a�d will dema�strate
<br /> ustif�abfe cause for.�the extenslo�. If work;cease�.for nit�ety�9Q}cons.ecutive.day.sr.4th��ob.is.constdered aba�doned:"
<br /> NARNING TO OYVNER: YQUR.EAII.URE•Tt?.,;R�CQ�tDrAx�NQTlGE t?F;�r.COMMEI�lC6MENT�:MAYhRESilRT IN�°YQUR
<br /> �AYINC 7WlGE.FQR;IMPROVEMEN�'3-TO Y�OUit:�PRt3PERTY:;�IF�:YO.EI�ifi�'�E�61D'�TQ���lHTAIN��FIN�NE11VCy;�CONSULT
<br /> IT U D O. W� O E��. �10 �1 6`=' ... � �. ;�+ �p r. � ._ , C., , ...
<br /> =LQRIDA JURA�'{F. 1 , - ._ � . , ..
<br /> �WNER 4R AOEN, � ' :.. ___ .___-- -•��R'T�@l5� _ �r...r,,._-�-— -- :--— __--- - - - - �� - —
<br /> �utiscritied and awo (or a Rned}befare t�1 i�s Stihscxtbed and�swam�tc{ar afffnned}�b e�tM� � ��l��1
<br /> tn�l-t-, by YV�(:u ii � ('7�1���V�C�rC'. vr��Pnr�� �byr . •. , " . , r � . � �(�
<br /> Nho s/are personally knaw�to.me.or hasR�ave produced Wfio°Is/are p.ersoneliy:�cnown�to rn,e or:ha�ihave�prodOced • �1.;��7�'��-._
<br /> +r�l ��`,rQ�fa,�as EdenU�catlon. � es iden��caHo». U
<br /> ���fa`.�„`��y�,•�Ch�Notary Publtc . Ndtary Publlc
<br /> :om ss n tVo. �'F C`7�i�l�r Commtssion tdo.
<br /> — � _� .
<br /> Ja otaty typ ,pdnRed or sRamped C�- e of Notary typed,Pr�hted ar st�mped
<br /> NdTARY PUBL(C �
<br /> ' . STA7E OF FLORIDA
<br /> , . Ca�nun#FF083069 .
<br /> F.7cplres 2J21/2016
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