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1 <br /> N�'i"tC�mF DEED R��TRlCTIONS: The uridersign�d under�tands°:th�t th�s,°p�cmit.may;be.subJect to"deed"restcictlons° <br /> which may�be<more�-rest�(ctive:than County fegulatfons. �The undersigr�ed�assum�s�responsibll(fyfor cartipllance witti any <br />� �PPlicable rleed test�ctlons. , . <br /> UNLICEPOSED COR➢Ti�ICTORS .AND CONTRACTOR RESPONSiBI1:ITiES: If #he owner has fiired a cantractor or <br /> contractors to undertake wark, they may bezr,eqalred:ta be:..11aens�d In accardance.with state.and�local regulations. If�the � <br /> contractor is not licensed_as required by law, bath the awner and cantrac#or�may be�cited-for a�misdemeanor violation <br /> under stat� Iaw. If the owner or Intended�contractor�are, uncertaln as to what Iicensing.requireKnents;may:aQply=�#ar the <br /> intended work,they are advised to cont�ct the'F�asco County BuliilOng inspectton�hrtsioc�--l.IcensEng�ection at 72T-847- <br /> 8009. Furthermore, if the awner has hlred a conlracto� or contractors, he fs advised ta have the cantracto s) sign <br /> �,..,.., <br /> portfons of the "contractor Block° of thls applicatton for which they wlll be:cesponslble.. !f you, as.the owner sign�as the <br /> confractor, that rnay be an lndicatian th�t'he fs nvt.prc�periy licensed a�d'Is'not entitled to p�rmi#ting privlleges in Pasco <br /> County. " <br /> TRANSPQRTATlON I�IIfPACT1t�T1�.IT1ES�MP�IC�'�A1�!}RES@�IRCE R�COV�RY REE�:� The undersigned under�tands <br />_ _ that Transport�tdc�n Impact Fees and.Re�ourse Reaovery.Fees may._�,apply:to the con�truct(an of neHr b�lldings, chan�e��of , __ <br /> use ln exlsting buHdfe�g�, o�,expansit�n�-of-�eztstin�,ibulldings, as spec�ied.in Pasco Counky Ordinance n�imber 89-0? and <br /> ' 90-07, as amended. 'Ghe undersigned also,understands, that-such�ees�-:as,tnay:be�:dne;::wlti:be iden#ifled at the time°of <br /> permitting. It is lurtlier understood that Trenspor�atlon impacf Fees and�Resource Recodery�Fees must b� paid prlor to <br /> cecelving a "cerE�icate-of occupancy"or final-power-�elease. :I��the.proj�c#.does:not,invotve.a>ce�t�ica#e of occupanay-or- <br /> flnal pow�r release;�QMe fees must be pai� priar to_permft Issuance. Fra�thermare;�I�.Pasco County Water/Sewer Impact <br />, fees are due,.th�y_.must be=pald prior to permf€:iss.4ance-in.accorda�nce wltfii�appNcabte Pascs��County e�rdina�ces. � <br /> CdNSTRUCTi1�N CiEN'LAVi1(CFiapter T1S, Flarlda Statu#es,as smended): if valua�on ofi work is$�,500.00=or more, t <br /> certity that I, the applicant, have�been provided �with a copy►• of the pFlorida Construction Lien Lau�—Homeownar's <br /> Pro#ectio� Guide" prepared by the Flot�d� Depa�#�et�f�f Agric.ultcors and Consc�m�r�Affalrs. if the�ppltcan#Is sameor�e <br /> other than the'owne�", I cer#(fy�tha�t I have.obtr�ined'"a�copy;of.the�abvva.descrlbed docuii�ent�and.promise in,good faith to <br /> de#iver it to.the."owner":prio�4o°commencement:' _ . <br /> CONTRA�CTOR'SIOWNER'S Af�1�AViT: i.cerftEy#hi:at-.atl.the�Informatt�an.l��thls applicatlan is aacurate and that a0 work <br /> will'be done in compliance with all.applicable laws regulating cons�tructlan, zmming and-land�development, Appltcatian Is <br /> hereby e�ade ta obt�in .a permit to do;-war`k.�,and installatlon a� Indicatedl `I certifiy that no war�C°or instaliation has <br /> commenced priar to Issuance of a permit and that all work will be pertormed to cvteeQ sk�ndards of �II laws regulating- <br /> aonstruction, County and C�ty codes, zoning regulatit�ns, and land davetopmer�# cagulattons~tn the ju�isdlctlon. 1 alsa <br /> ce�tify tha# 1 uc�derstand that the regulattons of other government agencies may�apply�to the.intended work, and fhat it is , <br /> r�►y cesponsibAity to Identify•what.actions(must•t8ke:to be�ln:.cotrtpll�nce, Such,agencles includs but are not iitnited to: <br /> - �3epartmen4 of Ettvironmentai Frotect#on�Cypress.Bayhead�, Wet�and �reas and Environrnentally Sensitive <br /> Larrds, Water/Wastewater Treatment. <br /> - Southws�t Fbrida Water Managemet�� .District lNelts, CYPre�s.,_8ay.heads;- VYetland Areas, Altering <br /> Wakercourses. <br /> - Army Corps of Engineers-SeawaOs� 43acks, ldavigable Watecwrays. <br /> - Departm�nt mf Heaith� 8 Rei�abifii#ative Services/Environmenfal He�ith Unit Welis, Wastev�raater�Treatment, <br /> Septia Tanks. _ <br /> - US�nvlronmenta#Protectlon Agency Asbestas abatem�nt. <br /> - Federal Av,latton:Authar,ity-Runways. <br /> i understand tha4 the..tot3owing:eestrictions apply to the use af ff11.• <br /> - Use of flll Is not atiowed in:Flaod;Zmne"V"unless expressly permitted. <br /> - If the fill material is to be used,-in �Flood Zone. "A", tG (s under�tood that a drainage ptan addressing a <br /> °compensating valume"tnrill be submifted at#ime af petmifting whfich is prepared by a professional engineer <br /> Iicensed by the State of'Florida. <br /> - If th� fiil ma#e�ial is to be used fn Flo�d �one "A° In>cannection�with:a permitted bu�ld#ng us6ng stem waN <br /> � construction, i certify that flll�:will:b.e used only.to�ill the area_wtthin�the�stem�wali. <br /> - !f flA anaterlat is to be �sed in any area, I �aectlfy that use of�such f!8 wlll nat adversely affect adjacent <br /> properties. it use af fill is found:to adversely,��`ect adjaeen#��prope�ties;.the owner may be cited for vialating <br /> the condi#ions.of the b�(Iding��perm(t Issued under th��'attached_permit a�ppllcation� for lots.less.than.one (1) <br /> acre whlcFi ere etevatetl`bjt#III,arx englneered dralnage plan is requlred. <br /> If i�m the ACENY-FC1R TNE OVIFNER, I;�aromise in_good falth to i�form#he o,wner of.-the permi�ting conditlons set forth tn <br /> Yhis affidavit��prior io ao�mer�oing constructlon. 1 understand#hat�a,��p�rate permit t�nay be requlred for electrical work, <br /> ptumbing, signs,.weils, poots; air condifianing,..gas�.or othec InstaU�tlons not,spec�icaily inctuded-in.fMe application. �A <br /> perm(t issued shail be aonstnred ta be�-a�Hcense to�-proceed with tfie work and�not�as:authoNty ta,vlolate, cancel, alter, or <br /> se#aside any provisfons�f the techtifcal c+�d�s;�nor sha111ssuance�of a.permit.pcevent th�Building O#ftclal#rorn tfieresfter <br /> requlring a correctlon af errors-in�plans, cgns4ruction or violatlons of�any�aodes. Every permft=lssued�shall�became invalid <br /> uR4ess the work authortzed.by such permtt.�ts-commenced�wlthln sGc�nonths af�perrn3t Issuance, or if worlt authorized by <br /> ihe permit is suspended�or.abandoned�f.or a�;period of six�)monttis:after th�,tirne the�work��s commen�ed. M extension <br /> may be reques#ed. In writing�from the;��B'ullding,Offlcial for a peri�d•:not..#o exceed-n[ttet�r"(90}days and�nr#!9 d�emonst�-at� <br /> jus##fiable'cause for the ex#ensior�. If work ceases.for�inety.{90}con�ecutive.days,..the�ob is considered aba�rdoned. <br /> 1M�RNIM{� TQ QWidER; Yt�Ul�_�AILURE�TCt.,R�G.CJRD;A.[�QTIGE:ClF�COMMENCEMENT:MAII RESUf�T.IN YtJUR <br /> �PAYING TWICE;;FOR•IMPROVEMEN�'$�°CO YOUR:PROPERTY.=I��.YCI.UKIN��'END�'�TQ�_OBTAIN��FIId�A�1C1NG;'GONSULT <br /> WIY D �t?. AN�TTO QR�+,- -C1RQ �� OU ' , ; E'C� := "' T. <br /> F�.o�roa.�ur��{F.s:�.�z:o�j �- _ . . � . .. <br /> ow���oR ac��n�r ,.. cot�ncxo�l'�`��� d�•»�-�"^ <br /> Subscribed and svwm ta(ar aflirmed}before m�lhis S bscrlbed and'swoy�,�(ot a�ed)'before me ttii� <br /> by ��-I -� •by N,o:�a(� !��hSL�� <br /> Wfio Islare pe►sonally knovm ta me.ar:heg/have praduced 1fYho.tsl�re p rsonally known•ta.me or has/ha�i e�produced <br /> aa lden�flcaHon. � „�;,,�L- : ��.,l.a.rlf�c:f..�u as IdertBficatian. <br /> . !m�� <br /> J � ' ' <br /> ` �i l <br /> Idokary Publlc . � � ~u%�..�'� /����--� Notary Publlc <br /> Commiss4on No:` Ccmr�tssIon•No. <br /> �� u <br /> NarrRe of Ptotairy fyped,pdnted or stamped , tVams af Rtota '�t OGES <br /> . :__ Commissian#FF 150422 <br /> � �o` Expires December 12,2018 <br /> - � e. <br /> � <br /> :�p��;°'� BondadThnr7myFafilnaurance894385�7Q19 <br />