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NOT1�E OF DEED R@STI�ICTION�: The unde�rs�gned under�t�r�ds�:#h�t,thl�,°p�rmit.mayb�.sub)ect fio"deed"res#rtcttons"
<br /> whlch may be•:more�r.est�ictive-thaFl County regulatians: �Th�underslgned�assumes�responsftiillEy�for"compliance with"a'riy
<br /> appltcable deed-resttictions. �
<br /> _UNLICENSECI- CONTRAGTORS -ANL9 CONTRACTOR RESPANS181LITIES: -if the �wner h�s��hired a contractor ar
<br /> contractors to undertake work�they may b,�;r,equlc�d•.to-:be:.Ucensed Irt accordance.with state.and�Iocal regulattons. {f�khe
<br /> contractor Is nat Itcensed as�required=by law, both #he own�r and contractor•may be-cited-for a misderneanor violatian
<br /> under state law. If the owrner or Intendeds,cantracto� are,;uncertaln as to what Iicensing.requlrements may�apply:�for the
<br /> �:_,.
<br /> intended"wark,they are advlsed to contact tlie'Pasco Courity Building'lnspectlori.Dlvis#on--Llcensing Sectton a#727-84T-
<br /> 8009. Furthermore, if the owner has hi�ed a contracfor o� contPactors, he Is advlsed to have the contractor(s) sign
<br /> portlons of the "conkractor Block° of thls appllcat[on.for which they wil� bs responslble. If.yo�, as_ihe ouuiiie�'slgn'as'the
<br /> confraafar� that inay be an indicatlon that�he is not.properiy licensed and`�is nmt ent�ied to permitting prirrileges in Pasca
<br /> County.
<br /> __ 'a'?�dl11!��?+��x�Tf��3-d�"tB���T�6�r 6�:��'6c�9�Fi�►�-i��A�1�=r�E��i�9�t��"iRE�a`�Ef��'�EES: The underslgned unders#ands
<br />� , that Transporkation Impact Fees�and.Recourse Recave.ry.Fees may::apply:ta�the ctmstruc�6on of new bulidings,-change�of
<br /> use in existing building�, or�expartsloet�of=ezisti�i�°�liuildings, a� spectfled !n Pa�co Gounty Oedlnance number 89-07 and
<br /> 90-�7, as amended., .,"Ghe undersigned atsa;understands, that:such fees,�:as�may:�ie�:due;:•wilh be id��nti�ed at the�#irr�e�crf�
<br /> permitting. It Is iu�kher understbod that Tracrspoe�atlan Impact�'ees and�Re�ource Reco�ery�Fees must be paid prior to
<br /> reaeivir�g a °cerElficate-of�occupancy"or flnal-power-.release. :I��the.prr���ct�d�es tto�irnrotve=a:certifica#e of occupancy.or -
<br /> flnal power-release;the fees mu�t be pai� prior to permR Issuance. Fu�thermore,•if:-Pasco,County�V1latedSewer�Impact
<br /> fees are due,they�.must be�pald.prlor ta permlt lssuance-ln accordance witli appttcable�Pasco'.County acd3nances. �
<br /> CONSTRUCTit3N CIEN'LAW(Ctispter 713� Fi�Nda Statute��as smended): if vatua�on of wark is$2,500.00-or more, t
<br /> certify tha�t I, the applicant,. have.been provlded �with a-copy of 4he� °Flarida Constru�tion Lien l.au�—Homeowner's
<br /> �'rotectian Guid�" prepared by the Florida Depa�tmer�t of Ag�lault�re and ConsumerRfFairs. If the app[icant is sameone
<br /> other than the"owner", I certify th�t I;h�ve.ok�t�ined>a�cop�r of the;above..des.cribed`�locur�en��a�d.promise�in,good faith ta
<br /> deliver it to.the."owner",p�ior.to�cornmericement: ` - � ,
<br /> CORITRACTOR'�/OWNER'S AFFIDAVIT: i.ceeti�jr�th;at�ali�,the,lnf.ormatlon in�thls appllcatlon is accurate and that all wark
<br /> will�be done in compliance with all apppcable laws regulating�onstructlon� zon(ng and land developrnent. AppUcatlon is
<br /> hereby macfe ta obtaln .a permit to do. work_.and inst$Ilatlan �s tndE�efed:. °I certffy that no work-:or instaltation has
<br /> cammenoed prio� ta Issuance af a perm(t and that �II work will be pertormed�4o me�t standards of ali laws regulating�
<br /> construc#�ar�, County and City cades, xoning reg�la#ians, and land develapment r.egulaft�ns:ln the Jurisdfctlon. ! al'so
<br /> cer�liy that I understand 4hat the regulattons of other governmenk agencles may�apply�to #he Intended work, and #hat 1t is
<br /> my respa�slbAity#o ldentifjr.what��cttons!musk•take:to be,in:-cQrt�pllar�ce. S.uch agencfes Include but are.not Ilmited ta:
<br /> - Department of Et�vironmental Protection=Cypre�s.8ayhead�, We�and Areas and Envlronmentally Sensitive
<br /> Lands, Water/Wastewater T�eatment.
<br /> - Southwast Ftor�da W�ter Management .C�Es#riic#-Vitells; Cypres�.''Bay�eads;- Wettand Areas, Atteri�g
<br /> VlCatercaurses. .
<br /> - Army Corps of Engineers-Seawa!!s, Docks� idavlgabie Waterways.
<br /> - Deparfinent of Heaith�'8 Rei�abiiitafive Services/Envitonmenfal Health Unit Well.s, Wasteumtater�Treatment,
<br /> Se�tic Tanks. � _
<br /> - US Envlronm�ntal Protectian Agency-Asbestos abatement,
<br /> - FederaFAvlatton.AutMority-i�unways:
<br /> !understand th�t the..Bollawing.restrlciions apply 4a the use o#fllt:�
<br /> - Use of fill is nat atiowed in F1ood Zone"V"unles�s expressly permitted.
<br /> - if the fill material�is to b.e used: in �flaod Zane. �A", (t. is understoad that a drainage ptan addresstng a
<br /> °compensating votume"wltl be submltted at#me ot p�rmitting wfiich is prepared by a prmfessional engineer
<br /> Iice�sed by the�tate af'Florida.
<br /> - If the f�El materlaf Is Ep be used in Fload ��ne 'A� in!c�nnection�w1th�a permttted bnitdtng using stem vuall
<br /> � construction., I cenify that flll•:wall:b.e used only.to.flll the area within�the stem�wali. �
<br /> - !f fill rnaterlal ls to be used in any are�, I �ce�t�jr tha# .�se of such flH wfll not adversely afFect adjacen4
<br /> properties. ifi use�of fill 1s found #o adversely:�ffiect adja�eat��praperties,.tha owner may be cited for violating
<br /> the condllions,of_the building:permit�issued.under the attached,permik applfcation; for:lots.less�than.ane (1�
<br /> acre vw�i3cti are elevatect by f�lt;a�t englneer�ed dralnage plat�ts requlred. .
<br /> If!am th��►GENT FOR THE OIMNER, I;'Qromise In,good falth to inform the owner of�the permitting.conditlons set forth in
<br /> this affidavit�prior to commencing constructlon. i unilerstand that a-separate permit may be requtrad for etecfrlcal work,
<br /> plumbing, signs, weHs,.poots; air conditioning,.gats,;or othec (nstall�tlon� nat�spec�icatty indu�isd-in.#he application. .A
<br /> pe�mit issued shall be coristrued to 6e a�Itcense to•pr.oceed wlth th�wark and nok as:authoNty�to:violate;cancel, alter, c�r
<br /> set aside anjr'provlsions of#lie:techntcal cades;�nor shatl tssuance�of a.permit.prevent the Bc�lldlrig Of�falal from thereafter �
<br /> requiring a corcection af.er�a�s�inwplans; construction c�r vIol�Uons of�any codes. :Every'perm(t issued-shall beaome invalid
<br /> unl�ss the work authorized�by suoh permit.�s.commenEed•wtthln.sfic manths ot perml# lssuance, ot if wark authorized by
<br /> tfie permit is.suspended�or,abandoned.�far.a:perlod of six�f8)monti�s..after the time the�work(s c�ammen�ced. An extension
<br /> may be reque�ted� In wciting,�from the�Building,Oiflclal for a period':not to exceed�nlnety�(90)-days a�d wil! demonstrate
<br /> justifable,cause fbr.fhe extansiar�. If work ceases:for ninety.{90)cans.ect�tive:day.s,..the�ob�is.constdered aba�rdoned,
<br /> WARNlNG TQ t�WNER; YOUR..FAI!lJRE-7A,R�ECORD A NQYIGE.tJF-Ct�M19�EMCEMEMT�.MAY RESUkT IM Y4UR
<br /> PAYING TWICE;�OR.IMPROVEMEN.TS�TO YOUR:PR'I�PERTY: �IF�YO.U=1N'�EEr+11D?T�'OBTAIN��FIN�►w�1NG;'CONSULT
<br /> W!T U D O N O OR��. -Q� �:! OU ' . :+� 'Ct � ���' E �E �
<br /> Ft.ORIQA JURA�{F:3:1.17!.03) ' , � - �j� , . .
<br /> � ' �
<br /> OWIdER OR�►OEIdY . COAITRAG7Q1t
<br /> Subsc►ibed and swom to{or aftirmed)befare m�fhis Sut�scrlbed snd'swram=ta(pr rmedpbefiore`me�ii� �
<br /> by �b / � �
<br /> Wfio!s/are personally known to.me.or:haslhaae produced ,UUtto.lslare na y ta.me,ar.haslhave•produced �
<br /> as IdentlBi��an. ` _, as iden8ficatian.
<br /> Nokery Publlc Natary Publlc
<br /> Commisslan No` C rt�lss R!a
<br /> (Vame ot 1Vatatry iyped�Printed or stamped R�ame af Notary iype , p�d,.■.r„�
<br /> ,�Qti� "�-, JACQUEL.INE BOGE
<br /> . _•• R= Commissian#FF 95Q422
<br /> - � � � ;�,�P: Expires becember 12,2018
<br /> �-P;;;;'�•'� sw,dBa rnm rr
<br /> ay Fain Insuranca 800-385�7019
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