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<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
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