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MOTiCE t`�F DEEQ RESTRICTIONS: The�ndecslgned unde�#ands;th�t#h#s.�p�Rrtlf may;be.subJect to,°deed"restrlcftons"
<br /> which may be:more°.r.esteictive�thar�County re�ulat(ona: �The undersignedassa�riies responsitiillty'for'compltance witYi any
<br /> ' aPpllcabfe deed restrtattons. - � �
<br /> UNLiCENSED CONTRACTORS AND CONTRAC`TC1R R�SPANSIBIL:iTiE�: if the owner has fiired a contractor or
<br /> contractars to undertake work, they may be-.r,equlred..to,:be:;licensed In accordance.wlth state.and�local regulations. �!f�he�
<br /> contrac#ar Os no# Itcensed as requlred�by law, bat1� the avtrner and contractorsinay be°clfed�for a�mtsdemeanar violatlan
<br /> under state law. If the owner or Intended�;conkr,actor are.;uncertaln as to what Ilcensing.require�nents;may�aRply�far=the
<br /> fntended wark, they are advised to corttaci the'P�sco County BuNcEing�tnspectian Dhrislan--l=lcensing Sec#fon at 727-847-
<br /> 8009. Furthemnore, If the owrier fias hired a cotatractor ar contractors, fie is advised�to have the contractor(s) slgn
<br /> portions af the "contractor Block° of this applicatton.for which they wlll be r.esp,onslble.. If.you� as.fhe ovviier`"s(gn��as th�
<br /> contractor, that rnay be an indication that'he is nat.prope�ty licensed aatd�9s no#enti�ed ta perirtitt#ng privileges 1n Pasco
<br /> County.
<br /> 7RANSPORT'ATION_tMPAGTtUTiLITlES INtPACT•ANt?RESQURCE�lEG�t�l�4�ll F���;=�'-h�-ear����s3����t������Q�r��i�
<br /> -t���Tren�orr�4ion impact Fees and.Reoourse Reoove.ry.Fees may�<appty�to�the constructton of new bulldings,�chan,�e of"
<br /> use In existing buildings, or�expansi�n:of:exis#in�.ibuildings, as specifled.(n Pasco C�unty Ordln�n�e number 89-07 and
<br /> 90-07, as amended._The undecsigned also=under�#ands, that�su�h fees�.as,�may�b��due„�wilF�be tderitl�ed at ti�e;time-of�.
<br /> permitting. It is iurtFier understood that Trensportation Impac4 Fees and{Resource Reco�ery�Fees must be pald prbr ta
<br /> rece�ving � "certiiicate of occupsncy" or fittal-�powec-releatse. :4�the.Pro��ct.:does:not frnrolveaa��erti�cate af r�ccupancy vr',
<br /> final power release,.�.the.fees mus# be pal� pr�or to permft issuance. Fu�thermore;if.Pasco County�VUater/Sewer�impact
<br /> fees are due�_they_must.be-pald_prior to.permit lssuance°ln.accordance wttti�spp!lcabt�P.asao'-County or�lnances. �
<br /> CCINSTRUCTftiN UEN`!AW(Chapter 713, Florttl�Statutes,�amended): if vatuation of dvotk is$2,500.Q0<or more, i -
<br /> certify thak I, the applicant,. have.been provi.ded �wlth a copy of the "Florida Canstruct(on Llen Lav�Homeowner's
<br /> Protectft�n Gu#de" prepared by ttie Flo�icia Depa�tmer�#of Agctculture and C�nsum�r Atfalrs. If#h�appttcat�t ts someane
<br /> other than 4he"awner", I cert(fy,.that I.h�ve.obta�ined`a�copy;of:thefabove..describ`ed�dbcur�ent�and.p.r.omise��in,gaod faith,Qo
<br /> deliver It to:the"owne�':.peior�to�commencement.' __ ._
<br /> ��iNTRACTOR'SIOWNER'S AFFtDAViT: i.ce�tify:.that<ali.the�,{nf.armation in.thi�appltcation is accurate�nd that atl work
<br /> will'be done in compliance with all.appitcable laws regulaQing constructlon, zaning and�land developm�nt. Appllcatio� is
<br /> hereby made #a g6taEn .a perm�t .#o .do..wark:.and Installation as indtce#ed. .1� certlty that na waric-or lnstalia#ton has
<br /> commenced prtar to Issuance of�a permlt and that.all work will be peH`ormed to meet standards-of all laws regula�ing�
<br /> constructlo�t, County and City codes, zoning eegulatlQns, and lar►d developm�er►t r.�gtslatlo��'in the Ju�isdiction. t a4'so
<br /> certify that 1 u�derstand thaf the ragulatians of ather government agencles may�apply�to the_intended work, and that it is
<br /> my responsibility to Identify�what.act(ons I must�take:to bedn:.conlpllance. S.uch agsnctes Include but-are.net Iimited to:
<br /> - Departmen# of Et�vlranmentat�Protection��ypress.�B�yhead�, WeNend Areas and Envtronmentally Sensftive
<br /> Lands, WateNWastewat�r Treatment.
<br /> - Southwest Ftortda Water Management� .D�strtct Wells; Cypress,' Bey.�eads; W�tland Arsas, At#ering
<br /> Wa#ercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks�Navtgable Waterways.
<br /> - Departmant of Health�.8 Re�asbliita#hae ServiaeslEn�itanmanfal F9ealth Uhit Welis, Wastauttater�Trea#ment,
<br /> Se�41a Tanlis: ' _
<br /> - US Environm�n#al Proteat�an Agency Asbestos abatement.
<br /> - Federal Av.latlon.Authority.-ftunways.
<br /> !understand that the.faUowing:restrictions apply to the use of fl!!:�
<br /> � Use of ffN is not allowed in Flaad Zope"V"uniess expressiy permitted.
<br /> - If the fiil material is to b.e used. in �Flo�d Zone. "A"� (t. is understood that a dralnage plan addresstng a
<br /> °compensaEing vo{ume"wiH be submitted at#rne af.permitting wlilch €s ptepared by � pr�fessianal engineer
<br /> Iicensed by the�tate of Florida. -
<br /> - !f the f111 materlat is to be �sed In Fi�od �on� "A" !ns connection•wlt��a permitted buitding using stem wai�
<br /> conatruction, 6 certify tha#fiil:will-be used only.to.fill the area,within�tha�stem•wall.
<br /> - If flll material Is to be used In any area� 1 certify that .use. of'such�fltl wll! t�ot adversely affect adjacen4
<br /> proper#ies. If use of fit# is fot�nd.to adv�rseEy:�#fect adjacent�pcaperties,.the owner may be clted for viorating
<br /> the oondi#ions of the b�ilding-permit�issued under tha attached�ermit appllcatlon;-far.lots l�ss.than.on� (1)
<br /> acre wiilcii�re elevated�by flpl,stt ettgtneeted dra�lnage plan Is requlted • .
<br /> tf t am the.AGENT.FOR THE OWNER, I,�promise In goad falth to inform the owner of�the permitting conditlons�set forth in
<br /> thls a�davtt�prfor fo cori�mencing constructloro. 1 u�dersfand thaY a;,s�parate permlt may be requlred for eleatrica# work,
<br /> ptumbing, signs, we11s,,poals; alr_condltioning,.gas,>or other. insfall�tions not,spec�tca8y included•in.the application, .A
<br /> permit issued shall be canstrued to be�a�license�to�praceed with the work and nat.as:authorlty to,violate;°cancel, alter� or
<br /> se#aslde anjr provisions of the.techntcal,r,�des; nor shalt issuance}o�a.permtt.preven#the Bulldlrig O#ilclal from thereafter
<br /> requiring a.correction af ercors�in.plans; construction or iriolatlons bf�any-�odes:�.Every p�ermlt"Issued shall became invalid
<br /> unl�ss the wrork aufhortzed by such permlt��ls.commsnced•wlthfn sfx months of per�nit tssuance, or 1f wark aathorizec3 by
<br /> the permif.ls suspended oc,abandoned for:a.periad.of six��f8)�rnonths,:after.;the tlme the'work�is c�ommen�ed. An extension
<br /> ' may be requ,ested, In writing;:�from the,Building,Offlcial for a peNod.not.ts� exceed�.niru�ty�{90)�days a�d will'demenstrate
<br /> �ustt�able cause for�the e�ension: If work ceas�a�:for nl+nety.(90}cons.ecutive days,.#he)a6�Ps cansidered abac�doned.
<br /> � WARNlNG 'fi0 C1V1rN�R; Y R..FAILttRE�T4.,.RE�.QltDvA.NQTI�E:OF;�CQMMEMC�MEI�fT:14�I�AY RESUC7'IN�YC1UR
<br /> PAYiNG TWiCE�'OR iM_ , .VEMEhtTS Tt?�fOUR::P�lU�ER'TY. IF�.YO.U;IN�'�E�D�'TE'�'�BTAIN•�FIIVAf�E'1NG;'C.ONSUL.T
<br /> WIT U D � TTd ORE'�,' O � ��� 011 � ,p :,. . . . � �. .. . T.
<br /> FLORIDA JUE2AT.(F.S:1'lT.O - , „ . - . _ . .
<br /> mWNER OR ACtE 7 . COMTR�1GTfJR :-----�� — � �
<br /> Ss�bsaibed and s m,fo aflf_ed}before me tht�~� Subscribed and'�wam ta(ct afltrmed)'before me'ftot�
<br /> wa
<br /> �Y ! � f;-�=� •by , .
<br /> Who Is/are pers ally ta.m or has/have pro ced� Who,ls/are petsonally�Cnown M:,me or ha�thave�praduced
<br /> � a�{denBflc�s�on. r as tdentl�caHon.
<br /> ,f` �
<br /> �r �- �-
<br /> !'�.�,G�—Note �'.;" _
<br /> � /ry.Publlc Notary Public
<br /> ,.
<br /> Commiss p:z -, ,� � Coinr�tsslon.No.
<br /> :�'� °,�: •;LiNE BOGES •
<br /> ;=": :*= Commission F
<br /> ame a/� atary , '�f.� � ember i2,2018 Idame of hlofarY�YP�d,P�Med or stamped
<br /> ''%.`.�•`` @Cndad TAru Tray Fain Insurxnce 800.385-
<br /> • :c, 7019
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