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<br /> NOTiCE OF DE�D R�STR#CTION$: The u�d+�rsign�d under�tar�ds°;th�t:ihis.��►�cntif.may.be�subject to."deed"restriations"
<br /> which may be<more.r.est�Ictive-tha�County regulatlons: 'The�undersignedassumes r`asp�nsibil(ty for�campliance with any
<br /> appllc�ble deed restrlctions. �
<br /> UNL.ICEPl�ED CONT�ICTQRS .AND CONTRACTOR RESP�NSiBll:l'�IES:, If the owner has �hired a contr�ctor or
<br /> coM�actvrs to undertake wark� they ma�y.be�requlr_e.d.�to:b�;llcensed In accordance.wtth staQe.a�d�locaR r�gulatl�ns. If<the
<br /> contractor is na# tfc�n�ed as requlrer��by iaw, bofh the ovfiner and contcaotvr°irray be aited�for a�misdemeanor vio�ati�n
<br /> under st�ke law. If the own�ar or intend�d conkractoc �re,�uncertaln as ta what Ilcen�ing.r�qulreKnents may-aRply:��for the
<br /> intended vvork, they are advlsed to corttact the'Pasco Gaunty B�iliiing lnspecttan�Ivlslon--l.[censing Se�tian at 727-847-
<br /> 8009. Furthermore, !P the owner has hlred a contr�ctor or contracta�rs, he ts advlsed ta have the contractor(s). sign (
<br /> portivr�s of the "contcactor Block° of this_�ppllcat[on.far which they wil( be respoe�slble. Of you, as.the a�rrier s6gn�as the
<br /> con#ractar� fhat tnay be an indicafion th�t he is not.properly licensed and�ts nat entitied to permitting ptivi{eges in Pasco _ _
<br /> County. �v _ _ --- = -
<br />—���i��t3RTAT'i�1�11U9PA�'TlUTI�.ITiE��IMPACT•AND��Stl1l�tGE 12�COVERY FEES;'T�'18 U11tI@t'SI��18�Ut1tSBt":`st�R�S �
<br /> that Transportetion tmpact Fees and.Reca.urse R�cov�.ry.Fees rta�y�_�pply�to�the con�tructian_of new bulldings,�chan�e of
<br /> use in existing bullding�t or:expansion-of�ezlsli�i�.�bullriings, as speclfled_in Pasco �a�nty Ordlnance number 88-07 and
<br /> 90-07, as amended._'�'he undersigned aSso•understands, that:�surah fee��.as•.rr�ay:6e:_d�e;:wiii:be► iden#ified at the time�of
<br /> permittirag. It is furtfie� understood that Transp�rtatian Impact Fees a�td=Resource.Recovery�Fees.must be paid prior to
<br /> receEv#ng a acer�ificate.of occupanay"or i�nal power-.celi�ase. :I��the proj�ct_does.not Involve�a•.certificate mf occupancy���
<br /> flnal power release� the f�es must be pai� prior to permit Issuanc�. Fa�thermore;ifi Pasco,�County Water/Sewer (mpact
<br /> fees are due,.they�_mu�f be-pald.prior t�permit issuance°!n acaordance iiulth applfcable Pasco'Catanty o�dfnances. �
<br /> COMSTRUCTiCtN LIEN LAW(Ch�pt��'T13� Fiarlda�t�tutea,�s amended): if v�ivatlon of work is$2,50�.00�or more, i
<br /> certify that I, the appl(cant,. have.b�en provl.ded with a copy of the °Florida� Canstructlon Lien Lav�—Homeowrr�er's
<br /> Protecttan Guide° prepared by ttie Flo�ida Departme�t�of Agriculture and C�n�umerAffairs. If the appttc�nt is sameone
<br /> other tha�r @h�"nwrner�, I cerktfy that I�h�v+�.obtained�a'copy;of.the,above.described�dbcuri�entand.p.r.omise�in,gaod faith_4o
<br /> deliver it to..the.:"owner."�prior to�comme�cement: ' -. � - ' .
<br /> CONTRACTOR"Si�WNiER'S AF�IDAVIT: i certify:.thrat ali the,lnf.arrr9atio�n In thl.s applicatlon is accurate and that all work
<br /> witl'be done in compliance with ail appllcabte laws r�gul�tin�construcflon� zoning and•land�development. App!lcation is
<br /> hereby r�a�de to ab#ain .a permit to do uttork._.and Irtst�lla#lon a� IndEcated.•� `I cettify that no wark:or instattation has
<br /> commenced prla� to Is�uance of a permlt an� tha#.a01 work wil0 be performed to meet standards of all laws regula�ing�
<br /> construc#io�, �aunty ar�d City codes, zoning regia{�tions, and I�nd developmet�� ceguiatlons�in the }urisdiction. 1 alsa�
<br /> cer�liy that 9 understand that the regulattons of other government agen�les may�apply�to the Dntended work, and that it is
<br /> my responsibi#3ty#o identify.what.actlons!m�tst take:Eo be.tn�cort}p!lance. $uch agencles inciade but ar�.a�ot timited to:
<br /> - �7epartmerr# m# E�virvr�mentai�Protection-f:ypress.�Bayhead�; Wet{and Are�s and Environmentally Sensitive
<br /> Lands, WaterMlastewater Treatment.
<br /> - Southwest �torida UVater IUlanage�nent: Dfs�rlct VVeHs, Cypress.i�Bayh�ads; Wetiand �eas, At#ering
<br /> Wakercours�s.
<br /> - Army Corps of Engfneecss-Seawrails, Docks, Navtgabl�Wa�erways.
<br /> - Department of Health� 8 R�Yaabfiiftative ServiceslEnvironmen#al Heaith Unit Welt.s, Wastewater Treatment,
<br /> Septtc Tanlcs. _
<br /> - 4J�Envl�onmental Pcotection Agency-Asbestos abateme.n�.
<br /> Fede�al Avletton Authocity-:fZunways.
<br /> f undecsta�d that the.foil��t+ing..res#ricQions appty ta th�use a�f11t;•
<br /> - Use of fill is nat ailornred ln.Fi�aod:Zone"V"unless express{y permitted.
<br /> - If the fiil material ts to be used. !n �Fl�ad Zone. "A", (t. ts understood that a drainage plan addresstng a
<br /> "compensa##ng volume"w3#t be sub�oltted a##ime �f permittir�g w�ilch �s prepared by a protessional engineer
<br /> Iicensed by the Skate of flortda:
<br /> - If the fitl m�terial is to be u�ed In Ftood �iane� °A" Itt�co�nec4#on�t�th�a�{�ermltted btaiid#ng us�ng stem w�ll
<br /> � con�tn�ction, i certi�jr th,at flll�:vulll.be used only.to.fill ttre��re�wtthln�the�ste�n�wall,
<br /> • If tiN material is ta be used ir� any area, i �o�rtify that _�a��. of suah fl!! wIN �ot adversely af�ect ad}acer�t
<br /> prope�ties. ifi use af fifl is found to adversety:�ffect adJaeer�t propertfes,,the owner may be cited for viotating
<br /> the condl#ions_of the building:permit issued vnder the alt�cfied permit,�pplfcaklan� far lots less than one (1)
<br /> acre whlch ar�elevated�by�#It;a�t ettgineered dr�ir�age plan is requlred,
<br /> If I am the.AGENY FOFt'TH�OWNER, IL:promise In good faith to Inform the�owner ot.�#he permOtting conditlons set forth in
<br /> this a�davlt�prlar to cammenclreg aons�uctlon. 1 unde�fa�d th�t a,s�parate perr�lt may be requEred tor electtfaal wo�k,
<br /> piumbing,.signs, weiis,..poots; air conditianing,..gas, ar,ethsr tn�tahattons nol.spec�ically inctu�ed�3n.the applicatian. .A
<br /> permit issued sh�0 be aonstrued to 6e a�'iicense to�proceed writh the work,and�no4 as:authoNty-to:violate, cancel, alter, or
<br /> set asfde any provisians of the techr�lcal c+odes; nor�halt Issuance of a.permlt.pcevent the Buildirig C?#ficla)from thereafter ;
<br /> requiring s�conection af.e�rors in.plans; canstruction ar vlolatlons of�any�odes. Every•�permit Issued shall become invalid '�
<br /> unisss the work authorized.by such permit.is-commenced�withln sGc mortths of permlt Issuance, o�If work authorized by ,
<br /> the permit.is suspended or.ab�ndoned�for a perlad,of eix•�B)montt�s.aR��the tirne the work ts commenced. Ar�ext�nsion i,
<br /> may be requested, tn writing,..from the Bt�ildtng,l3fflcial for a period:�not:_#o exceed ntnety�(80)�days a�d wil!demonstrate �
<br /> justi�abE�cause for fhe extensi��: If work aeas�s.for a�ic�e#y.{90}cons.ecutive.days,..the)ab�is cansEdered�bandone�. (
<br /> WARNING\TQ C?WNER: YOt1R.FA1LU�tE_TO�..RECt'?�.A,N@TlGE.QF-�COMMBNCEI�IE�T.MAY R�SUf:T IN YC1UR
<br /> F�AVING'TWICE.FOR IMPRQVEMENT3��'�D YOUI�,;P�OPER•TY. �ICF�.YO.U�IN�f�D��TC��OB1'AON��FII�FAi�C1NG;'CONSULT �
<br /> WIT l!1 D ��. AM ATTCI N ORE�,� O �? G�` O ' �� 'p ,, , , . E 'f.
<br /> FLORIDA JUf�AT{F.S:'�f 7.Q8j __ .. _ - . , /�`��� .
<br /> OWNElt OR Al3ENY COMI"RAGTO
<br /> Subsaibed and swvm to(or ei�emed)be�are me thls S scrlbed a ' (ar afflrr�ed)'b' re rtteFthts
<br /> bY � �— •b ���,,�P� ����,rr�� �
<br /> Wlio Is/are personally knoam M me or has/have produced Who.ls! ty�nown/•ta me ar(�ia:rlhave�produaed
<br /> 89�t�8t1�fl{��OP1. ' r f L' t 2.S:s`8?f�{�@II�flC$�0�1.
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<br /> Notery Publla � . ��" z % '%'� MoYary Publlc
<br /> CommEsslon Na': Com�ls�lon.M .
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<br /> Name of Plotatey typed,printed or stamped N�me of Notary iyp `' rt , _ ��1 ion#FF 150422
<br /> � � �• �o; Expires December 12,2018 �
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