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<br /> ►T10E OF DEED..RE$TRICTeONS: The undersigned,under�tan,ds�:th�t,tF,�ls:;p�r�nit;,may,be.�subJect.,to;"deed"::rest�,ctioiis"��' � '
<br /> Ich may.be:�moresr.es�icflve.•t1a��t G�oun�y'�r�g�lat�ons�k`The�-underslgned=�a�sumes`;resp�nsibillty"forcompliance with'�any�
<br /> �licable deed:•resMctions.. . � �-� �::.,;.- :,{;� �;,� .,� i ' • � - . .
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<br /> ILICENSED:,.GONTRAC'fO.RS=`�1ND��CONTRA�6T�,.�. :� , . . _ � . _.. _.... _. .. �:,... : . ';'. .s," .
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<br /> , OR�RESPOhI`Sf�ILl1`I�S':==�:=1#=�he��owne����has fit'ed���'�'a3�itractorr or� '
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<br /> �tractors to undertake work,,:they�_iney..a�be��r�qu;i:i�d�to:;�e:�licensed�ln�.accordance..,with state,and_�loEal�tegul�tions:`}Ifwthe�.�d- ^ ���=..
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<br /> �tractor.isfiot•.Iicen.sed'as::requlred by law, tioth�the oumer;and:�oontractor�may�be��citad for�a}�misdemeac�or violadon
<br /> ier state law. If the owner or intended'��contr,a:�tor,t ere,uncertain-�as;toywhat llcensing..cequlrements.;may�`eppijr"�Sfo�:the;��:+=_{=����-•
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<br /> mded work;�they�are advised�to contact-the_Pasco;County,_Bu(Iding'I;nepection-Dl`vlslort-Llcensing Sectton�at 727=84T- ,:
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<br /> )9. Furthermore; tf the:owne�`has'Nli�ii�a conhacto"r�o�conthactors� lie�is advised to .liave;.the, contraator(s),f slgn,.,..: -:,,, .
<br /> tions of'the, contractor Block°.of::this.,appllcation..:for;whfch:they:wlll.,be:fe.sponsihle. =•If,:.y.ou;.�as=_,ihe owner,stgn.as 'tfie� `� '�'� � �;
<br /> itractor;�tfi�t�niay=be�an'indtcation:fhat�he is-not.prope�ly=llcenseit and�is�'not'enti8ed to`.permitting prl�ileges.tn Pasco, , �� �
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<br /> ANSPORTATION�IMPACTNTILII'IES�IIVIRAC�'�ANb-1�ESOkJ�iCE RECOVERY�FEES:Th�nnd'ersigried`ur�derstands ��,
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<br /> tTrensportation Impact Fees:and.Recoul�se Recovery.Fees,may��;apply�#atF�e conattuction.of.new.bulldings;�chan�enof.f��`}'•��''�`� -' _
<br /> i in exisNng buildings;:q�-�expa�i�st�.nf;of�il.sHki"p?liriiltlings;�as`spec�led.tn Pasco County��Ordinance number 89-07 and ' �
<br /> 07. as amende..d.,.F�h� undersigned elso.-undersiands, ttigt'such fees;:,as�may;�be:°due;,,vuillr:be id'"eritilled at the�ttme�of�' �-��'�'� "'1� � �
<br /> mitting. It is fiirtfier�understood that Tra�gportatlon Impact Fees and�;Resourc�e Recovery�'Fees musf be paid prior to
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<br /> elving a.."cerEi�cate.-of-:occupancy"-�or fl�►al�.powec�release.��:lf�the proJ�ck;does:not�lavoive�a�,certtflaafe of occupancy=o��-���°�jt= '"� 9
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<br /> d power;release�,the;#ees;;mu�t`:be°paid':prior to;permit Is$u�nce. �F��ther,:tnore;;;•i�:Pascml1County;Water/Sewer�lmpact�,�-. �-•-~��� •
<br /> s are due,,:they�must be::paid.pNor,to:permit�•Iss4ance�n accordance:with�applicatile�Pasco�County�oi�dinances.
<br /> �NSTRUCTION'LIEN`LAVIY jCiiapter'713�Florrda Statute��a�amended); (f valuatlon of work is�a2,800:00;or�moce;I�� ;- ._ , .
<br /> tify that I� the._appltcant,._haxe��been��provided. with a �copy_,of;�the::'Flo�da� Construction�`Llen���L=`aiiu—�Homeowner's
<br /> �tection Guide" prePared by`fFie Flo�ida Dep�rtment�of Agrlcult�re and Consumsr;Aifairs, if the appilcant Is someone.�.„ , , ;4- '
<br /> er than the'owner"� I certiFj►:th�t�,l:hav.e.ob.tailne�farcopy.of_the,above.des,crlaed;dbcument�and:�romi.se�;in;g.00d,faith,-fo:; �
<br /> Iver it to-lhe,'owner�:prio�'to.�comi'nencemerit:' . . ''. ' ' .., . . _ .- . . ., V � - _ .:.... .,
<br /> �NTRACTOR'�/OWNER'8 AFFIDAVIT: L;certKy��tki�k�all:�th�-�information:in�thia appllcatlon is accurate:and that alf work
<br /> 'be done in compliance.with all.applicable laws�regula8ng constructlon� zonin8 and:.land=,d�velopment. Appltcation Is
<br /> eby made to ,obtain:,a�permit..to;,,;do;,;wotk;�and; li�stallaflon as indlceted:�:>�I��ce�tiiy �tfiat" no�iivork-,or installat(on`lias '
<br /> nmenced p�lor to'issuance of a pemiit�.�and`thaf.all�'work will be pertormed�to meetTstand.acds.:of�all laws regula�ing� �
<br /> istruction, County and Cily codes� zoning regulatians, and land development r.egulaUons='in'�tFie:;Ju�Isdlction:�-. I��also
<br /> tify that I u�derstand that the regulations of other�government agencles may•apply:;to.,the,intended:work, and that It(s ,
<br /> responsibility to Identify.what.acttons I:mustitake:to betin:.corr�pliance� S.uch_agencles-lnclude but�are:�not Iimlted.to: � �
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<br /> - Departrrienf of E�vtronmental�ProfecNon-Gqpress:�Bayhead�; V�IeNand rA�eas and Erntronmentally Sensltive �
<br /> Lands,WatedWasteweter Treatment. ' -,' � - - :
<br /> - Southwest Florida Water Management:,:.:I�tstNct-Wells, �Cypress.f'.BayF�eads;�' Wetland �Areas, Altering �
<br /> Watercourses. - „ � - � �.
<br /> - Army Corps of Engtneei�s-Seawall�,�Docks� Navigatile Waterways. � �
<br /> - Department_ of.Health:'$,;ReMabilit,ative.,SenitceslEnvironmental�Nealth Unit=WeIIs,,.Waste.water�Tre�tment, �
<br /> Septic Tanks;.-� :` . _ ' " • ' .- _., . - � . ,
<br /> - US Environmental Protection Agency-Asbestos abateme�t. .
<br /> - Federal Avlation�AWMo�iy::Rumnrays:�,-- � � -
<br /> �derstand that the:follouiiing;resalctio�s�apply'to'the�se of flll:• -
<br /> - Use of fiif is not allowed in Flood;2one"V"unless expressly.permitted. ,
<br /> - If�the flik°_rtiateNai�'is�_'to:�be:<used;=ln.._f.lood_:Zone. 'A", It�is�understood that-a dralnage��plan addressing a
<br /> "compe�sating volume"wlll.be submitted at#ime`of permlfting wbich is prepared by a professional engineer"� '
<br /> Ilcensed by�the;�tate of�FloHda: � � � - � .
<br /> - If.iFi�.flll.:mate�lal":ts-to:be•used�In �lood Zone 'A" in5 connection�with�:a'��ermitted building us(ng stem,wall
<br /> � construction,_I.,certify that fill:�iall:b:e;used only.to.illl ihe:.are.a;within�the�stem wall. .
<br /> - �` If�flll�"materiaf�is-�to=be'�used`in��any area;`I`�certify t#�at .use. of sucfi'fllf wlll.not adversely affect ad)acent
<br /> properties. if use�of flll,is found to advereelyr.,�fect'radJaEerit�praiperties,.the owner mey be clted for vioCating
<br /> the-cond�lons'of;tl�ie"�bdilaing:�pe�rmtt issued:;under the°at�acMed„pecmit:�eppltcatlon,-for��lots_less:than.one (1)
<br /> acre which-are�'elevafeil;tiy�flll;��r engirtearsd dralnage pla��[��required. • •� ; ,
<br /> am the AGENT...FOR.:THE�OVYNEI�;,;1;=.�romise in.good:faith to�inform the�ownerof-the;pecmitting conditlons.set forth In '
<br /> affidavtt`pr(or to•comm�ncing consfructi�n:"1'�un;derstand tFiet a-.separate permlt may be requlred for electrical work� _ _'° '
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<br /> nbing, signs� welis,.:poolg;.:alr_cvndltioning,._gas,,,or�,other.ins#��I�atlons not,spec�flcally Included-in.the�application. .A ; ,; ;
<br /> nit Issued'shalf tie::conshued to��be:a'Ilcense=to proceed wltti"the_wo��k-and not.�as_authoNty to:vlolate,��cancel;alte�, or ' ,' '
<br /> aslde any provlstons of�the:teclinlcal:.codeg;�nor shall Issuance�of a.perm(f.prevent the Bulldlrig O#ficlal from thereafter ,. ;' ,��
<br /> �Iring a correction-.nf.errors.in;plans�;`constiuctlon.or vlolattons-of any codes:�_�very p�e�rntt.tssued��hall tiecume invalid " �';
<br /> ess the wo�k eutFroriied:by�sucFi"permlt:is.commenced�wltfifn sfx.,months:of;perrnit I�suance� or If work authorized by , ��v
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<br /> pernnit is suspended::or.aba�doned for;;;a�:pertod.;of;>.elx;(8)�montfis;:�aReR tFie tlme the�work��s commenced. M�extenslon �; ��
<br /> ► be requested� In wrlting;::icom'the`Bull'ding:OfflElal::fon a perlod;not-�to.exceed�nlnetY{90)'days-a�d�wlll'-demonstrate ��� �`
<br /> fiable caus'e for.�the exfenslon�."ff wock;ceases,for nlnety.(90)cons.ecutive:day.s...the�job�ts�consldered abaadoned. ��' ;� '
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<br /> RNING TO OWN�R:'' YO.,UR.FAILIJRE TQ::R;ECORQ:A::1±l,OTlGE,OF:=CdMMEMEEMEMT;MAY�RE$ULT IN�YOUR ; �,;
<br /> �ING T1NI.CE;FOR�IMPROVEI4�EN�'�:>TO.YOUR�>.PROPERTY:�:;,1�=YO.U�I��ID"Tt���fB�A1N��FIN�Ci�E1NG;�CONSULT � '
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<br />' tIDAJURA'�•(F.&1.17.03} .. . . : ... , . t " . ....,_ . ,., - ,
<br /> IER OR AOENT"-��.�:%��'�� ... .CONTRAGTOR. d�-��,� ��— "
<br /> albed and ewo M or afflrmed)�b'efore ms thla ' Subsalbed'end'swo fio,�qt aflirtned)�before me;tH18
<br /> -7 /l�rvby ���r��c% Ga.dc.sTrC£�Y 7-/z-/G .by.v�. �,!'i.e�ak .�.�.t�'�ixF�T
<br /> IsJare�persgna�y known to.me or haslheve p►oduced Who�ls�personally.!c�owrf;to m�or.haslheve�p�oduced� •
<br /> �—L�d�2e't�eis�to„�i- _as:ldentlflcetlon. - �L.� �t3aiL� /a'ce+�t.��„ .,;as'Identlflcatlon.
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<br /> � Nobary Publlc . �P��`� � � Notary Publlc
<br /> ��g b ��}��•°a�.,, JACQUELI BOGES Cb alon. ��"�'���•,
<br /> a*. :._ o mission 50422 - '� �
<br /> ;;� ;a: ExPires December 12 2018 ="� '�" Commission�FF 150422
<br /> �of No " rin f�p�d��^Cesooass-�o�s Name`of Nolsry ' ; ef , 018
<br /> '•n���� o e r F+eil^surence8003857019
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