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; � <br /> i <br /> � � <br /> , � .I <br /> �' , NO'r]CE OF DEED REST.RICTIONS: The undersigned under�tands�th�t:ihlg.�p�ymltmay_.be,subJect to,'deed'resttictions' �� <br /> � , whloh msy�.Ge�more'•reatttctive-�thaa Go�pt��xsgrrlatfan'aS�11ie-undetalgned'aseumem'iesponaltillity`for`cbmpfiance wlfh"'any <br /> applicable deed resMc�ons. <br /> j UNLtCENBED COWTRAC70RS•AND CONTRACTOR RESPONSIBIL-117ES: i€the oumer has��hlred a contractor or � <br /> cantractors to underteke work,they may bexrequlred�to.be;llcensed Irt acxardance.with state.and:local reguladon�. �If the <br /> contractot is not ttcens�aa requirad:t�y taw, both the owner and conlfactar•-iiiay he-clted toc e�misd,emeanor vtala�an <br /> under state taw. it the owner or tntended�;�,o�trsc„tor;ere„uncertaln as to what Itcenetng.requlremertt9 mey�appiy>ioF�the <br /> Intended wark,they are edvised to contact the�Rasco County Bufldlr�g_Inepectidn bh►lslon—Llcensing Seckion ah 727-847- <br /> 8009. Fuithermore, if the owner tias'hfred�a�ntractor or contrac#ars, he i� �dvtsed to have the contractor{sj:.sign � <br /> portlons at the'cantractor 81�1�of thEe appttcaUon Eor which thay wlll,ba.tesponsibie.-_�tt yau,as the a�ii�ier atgt`i'es tlie i <br /> cantractar,lhat may be an indlcatlon lhat�he-Is nat properiy Ilcensed and Is not entided to pemiftting priitlleges In Pasco <br /> County. , <br /> TRANSPORTATION=lMPAGTN'i'11.F'FIES"IIYtPAGt'ANb RESE7UttCE RECOVERK PEE3:'F#te undersignsd understands <br /> thatTrensportaUon Impact Feas:and Recourse Recove.ry.Fees mayr,�appy;b�tf�e.conatructlon of new bulidings,xhange�oE ' <br /> use In exisNng bu!ldings,or�expartalon of=e�laN��liufldings,as epecl#led.In P�sco County Otdinance number 89-07 and ! <br /> 90-0T,as amended.,.Tha undersigned also:understends,th�E sucl�tees;as tnay�be.dne;;�vitF�be idenftfied at the�time`af� <br /> permitting. It is furttier underatooil that Tnansportatlon Impact Fees and°Reaource.Recovsry=Fees.must be paid prlor to � <br /> recetving a'cectfficate of occupartcy'or lina!•pcwver.�.celease, a�-the proJec�dces riot�invo{ve;a-aettf8cate of oxupancy or- <br /> 8ns1 power relesse;�the fees:nu�#be patd{irfcr to,permtt isst�aace. F��fhermote;i€.Pasco C�rtty•INatarl8ewar Impact <br /> fees are due,.they,..muakbe�pai�;prlor to permlf-Isai�aneqin.a(xordance wlthr appllcabfa.Pasco�•County 6rdlnances. • ' <br /> COPISTRUCTION l:IEN"IAYV(CMiepter 713,Elotida$tatutea.ae ameoded}: If veieatlon of work Is�2,SOOAQ:or more,! � <br /> certEfy that 1, #ha appltcant,.hsve.been protic[deil�with�a copy of the •Ftorlda•Gonstructlon 1.ten Lauu�—fiomeowner's <br /> ProtecUon Guide'prepered by lhe Floiida D'epartmenC of Agricuilure and Consum�arRifatrs. If the epplicant Is sameone ' - <br /> other than ihe'owner",I certifyi th�t I have.db,teineiilra�capy,ot:the attQva.descrlbeci tloaiiitent•and.p�romise Irt,gQod taiRh.to <br /> deiiver it to the'awryec`prlor:tacommeric�rrten�:. . " , <br /> I CONTRACTOR'SlOVYNER'S AFFiDAVIT: t.cetti[y:Hi.at•aD�#li'�;Infwrmatlon:in-this applicatlan is accurate.and that all work ' <br /> will`be done fn compliance with all.appltcx�ble laws regulatlng conshuction,zpning and land development. Appilca8on Is , <br /> hereby mede ta obta[n.a.permtt.to da��taitt,.,and tnstallatlnn as tndli�ted:� :1 cer#ify that no wattc=ar tnstattatton has <br /> cammenced p�to�to Issuance ai a permtt"'and that:ati work wtll be pertarmed to meet sland�is of all laws reguladng� � <br /> conshuctlan, County a�d City codes, zoning regulatians, and land development regulallons-In tha�c�rlsdlctlon. ( al'sa <br /> certlfy R1►at 1 unders#snd that the regu[atEans of athet�govemmenk agenctes msY�aFply�ta the Irrtended wark,and thet it Js <br /> i my responstbliity to identNy•what.actiana�muat�teka.to be,ln:.compllance: $uch.agencies Include buk are.nat Ilmited M: , <br /> Deparbnent ot E�vironmentel�ArotecHorr(.ypr'ess.'Bejrheads; Wetlend Areas.and Environmentelly Sensitive <br /> j t,ands,WatetlYitastewa#er Treatment. ' <br /> - Southwest Florida Weter Management 'btsMctVVelis; Cypreas`Bayheads; WeUand Areas, Altering <br /> � Watercpurses. <br /> � - Army Corps of Englneers�eawFtilst Dacks,Nsvtgabie Wa#etways. � <br /> - Depar#ment cf Neatth•8 RehabititeUve SetdtceslErnCronmentat Ft�atth tinit Wel(s,.Westewater�?reatment, , <br /> I _ SepUc 1`anks. ` ' <br /> US Environmente!Proteceon Agency-Asbestos abatemenL � <br /> I Faderat Avtat(on:Authort :Rvrnpays. i <br /> I understand.that the.following.reslrio�one apply to the use of flll:• <br /> -� Use o#flll is not aliowed!n Fload Zone'V'uNesa expressly permtikad. j <br /> • If the fftt materiai-Is ta be ased_tn.�flood Zane 'A', it Is underetood that a dratnage pian addresstng a � <br /> °compe�sating volume"will be submltted at time of permRting whlch ts prepared by a professlonal englneer ' <br /> Ucenaed hy the State of floNda: ' ; <br /> - If!h�fill materlal is to be us.ed tn Ftood Zbne'A'in+cannectton�with a permitted buitding using atem wai� , <br /> I conattua8on,I cerdfy that flll:�idll:be-�sed onty.ta.�lll fhe area wikhln�the�stem wali. <br /> � - If fill matedal la to be u�ed�In�.any area; 1�cert(fy t}tat �se of�such fill w111 t�ot adversefy aPtect adjacent ' <br /> propertles. tf use af flll ts fount#_to advets�ly.�ffect adjaeerst�pr�sperttas,,the awner may be ctted for.v#atating <br /> j the condNions_of.the bulldlc�g:pertnit issued:under the'attached.�ermit applk�Uon,for�lots Iess than.one(1) � <br /> ' " acxe whlch are elevated�tiy flll;�tt�nglneared drelnaga plan Is required.. , <br /> If 1 am tite AGEt+t7 FOR THE OWislER,i�pronitse In good talt�i to!nf'a�n the owner af•the permitt{ng condidons set forfh tn <br /> � this aHidavit prlor tb commencing conatrucUon. I underbtanii thaYa�separate permlt mey be requlred for electrlcal work, <br /> plumbing,,aigns,wells,,poolax alr candidoning,-.gas, arot�er Install�tlons nol.apec�lQally(nduded�In.fhe appltca�on. .A <br /> petmEt lseuec!shail tie c��sfrned to'be a°Ili:enae'�io,pi�ed wlth ttle work esrd nat as.ae�thariiy to vlotate,cancei,atter,or <br /> set aside arrj�provislohs of iFie.tecfiNcal cades;nor ahall lasuance^of a.permft.prevent the Bulidirig C�ffidel 1'rom thereafter j <br /> requi�ing a aarrecUon af.errors In•plans,iionstruction or vloladona vf any cades:�vpry pgrmlk(ssued sfiail becflme(nvaltd ! <br /> untess fhe work autFiorized:by sucti pemstt{s_commenced within s4c,�rcanths of�petmtt tssuance,or If wark�uthorized by I <br /> ihe pertnit,le suspended.or•.abandoned-for a;peHod of�'six(E�)montEis,9fter the,pme khe worir#s commenced. An extenslon � <br /> may be requested,,In wriHng;fram the.8uliding,Offlcial for a perlod.not-to exaeed.nfnety(9p)-days a�d wtll demonstrate ! <br /> Justttiabie'cause for:�the extensEor� N wcrlc ceas.�,for ninety.{9Q}consecuthre days,.#�te�ab�ts constdeted a�andoneri. ! <br /> WARNING TO OWNEF�: YOUR.,�.�UWRE,.TO t�EGORQ.A.NG��CE:OF�COMMENCEMEt�F•.MAY•RESI�LT.IN YOUR II <br /> PEtYtNG'TWtCEsFOR:iMPRQYEMEt±t�S�t'�'i:�(:fltlti�PRQ�Eii�'1F.��IF�YOU{!l�F�El�tt3�'.i�'�'�A1N-`FINt�N�1t�1�;�OFt3ElLT I <br /> FLORIPA JUFtAT(F.S.117.03). . <br /> OWN6R OR A0�7-. . GO � <br /> Subacribed erid ewom ta(or�I�rmod)beforo me ifife S�iberxlbed' P to ot afllrm me' ib I <br /> Wholslarepe�q�llykttrnmto.meorl�aaRravep�4c14�d. WhaJd$ pq���lr�wn me.or vapradi►c¢d � <br /> � aa Iden�llcaUoit: ` _ �:t� �k Zt tdentl�wHwtUon. <br /> , P I <br /> tQc�ty Public . ^, .��- NWaty Pu411c . <br /> I Commissron No:` Com ai .No. ' <br /> ! 3 <br /> i Name of 1Votery ryped,printed or etemped Nam of I,y��fyy�ed�����i <br /> =�' �i Commfsslon#FF 1�0422 <br /> i �=,�a�; Explrss Dacember 12,2418 <br /> i '•'.�R�1�yQ.°� 9endad ThN T1tly P�a InauPbna�A6'a3B5�1A17 <br /> { <br />