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<br /> NOTICE OF DEED RESTRICTIOFtS: The undersigned understznds that this p�m�it may be sub}ed to"deed"restridiarts"
<br /> which may be more restrictive than County regulations. The u�dersigried assumas responsibiliiy�for compiiance wifh any
<br /> applicable deed restricdorts.
<br /> UP1LlCEPJSED COPJ7RACTORS AWD CONTRACTOR Fi�5PO�7SB�l�6i1�5: If the owmer has hirsd a contractor w
<br /> contractors to undertake work,they may be requued to be lic¢nsed in accorclance vuith s4ate and local regulatior�s. tf the
<br /> contractor is not licensed as requlred by law, both the owner and coritractor may be ated for a misdemsar�r violation
<br /> ' under state law. If the owner or iniended contractor ar�e unoertain as to wlnat li�nsing requiremems'may appty ior the
<br /> � intended work,they are advised to corrtact the Pasco Couniy Buildireg trespectian Division--Licensing Seciian at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or carttractors, he is advised to have the cor�6'ador(s) sign
<br /> portions of the"contractor BIoc4�'of this application for which they evifl be responsibte. if you, as the owmer sign as the
<br /> contractor,that may be an indication that he is not properiy licensed and is not entitled to permitting pfirileges in Pasco �
<br /> County.
<br /> TRANSPORTATION 1�!lPI�CTNTILITIES INlPACI'ARfD RE�OURCE S2�COVEI2V FEES: The urut�rsigr�ed tgtderstas�s
<br /> � that Transportation Impact Fees and Recourse Recovery Fe�..s may apply to the constntddan of r�w buildirtgs,char�ge of
<br /> use in existing buildings,or e�ansion of existing buildings,as speafied in Pasco Cowiy Orddnance nurr�er 8�07 artt9
<br /> i 90-07, as amended. The undersigned afso understands,thaf such fees,as may be due,wiN b2 identified at th�t'tme of
<br /> ' pertnit�ng. it is further understood that Transportatlon Impact Fees and Resource Recovery F�s�bs p2id pr�or to
<br /> � receiving a"certiflcate of occupency"or final pow2r release. if the pro}ect does not invohr2 a certificate of occuQancy or
<br /> � final power release,the fees must be paid prior to permii�ssuance. Furthermore, if Pasco Courtty Water/Sewer Impact
<br /> � fees are due,they must be paid prior to pertnit issuance in acxordan�writh applicabte Pasco County ordinances.
<br /> � COPl5TRUC110N LIEN t.AW(Chapter 793,FIoN�a Sta4tt�s,ara arr�rtde�: If�raluatlon of work is�2,500.00 or mofe,1
<br /> � certify that I, dle applicarR, have been provided with a copy af the "Florid� ConsWctior� Llen l�n►—�tiomeawrr�r's
<br /> � Protection Guide°prepared by the Florida Department of Agricutture and ConsutnEr Aifiairs. If the agptirant is sorr�one
<br /> other than the"owme�',I certify that I have oGtained a copy of the abov�des�ibed dax�merrt and promise in goor3 fa�h to
<br /> delider it to the"owne�'prior to commencemerrt.
<br /> COIdTi2ACTOR'S/OTfllNER'S AFFIDAVIT• I certif�+that all the information in this appllr.�tion fs accurate and that ail wro�ic
<br /> I will be done in compiiance udth aii applicable Iaws regulating canstrudion,zoning and tand developmertt. AppNcatian is
<br /> hereby made to obtain a permit to do work and installation as indit�ted. I certi4y that no woric ar installatian has
<br /> � commenced prior to issuance of a permit znd that all work mri11 be perfortned to rt�e2 standar�s of a!1 12+nts reg�n�
<br /> � consVuction, Courriy and City c�des, zoning reguiations, and lan� dev2topment regutations in tt�jurisdicdon. f also
<br /> i certify that I understand that the regulations o#otner govemm2nt agencies may appiy to the irrteended work,and tnat it�
<br /> my responsibility to identify what actions I must take to be in compliance. Such agenaes irsdude but are not 19mited to:
<br /> - Department of Environmental Protection-Cypress Bayheads,UVetiartd Areas 2rtd Environreterttally SerssiUve
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Fiorida Water Management District-Wells, Cy+press Bayhesds, Wetland Areas, Attering
<br /> Watercourses.
<br /> Army Corps of Engirt2ers-Seawralis,Docks,Navigab�'2 Wa4enNays.
<br /> i - Departrnent of Health 8� Rehabilitative ServiceslEnvironr�ntal Heatth UN2-Weifs, Wastewatar Treatrn2nf,
<br /> Septic Tanks.
<br /> - US Environmerrtal Protec�iori�qertcy-r�sbestos abaterr�nt
<br /> 0
<br /> - Federal Ahatlon Authority-Runways.
<br /> I understand that the following restrictions apply to the use of flti:
<br /> - Use of fili is not aliow�in Flood Zone"V"unless expressiy perrnitfed.
<br /> - If the fill material is to be used in Fiood Zone 'A", it is understood that a drainage �tan aa�rtr�s'srs� a
<br /> "compensating volume"will be submitted at time of peRnitYing wnich is prepared by a progessi�+al er►girs�r
<br /> licensed by the State of Florida.
<br /> - ff the fill material is to be used in Flood �one "A'in connection with a pennitted buffdin� using s4em wafi
<br /> construction,I certity that fill will be used onty to fiil the area writttin the stem waA.
<br /> - If fill material is to be used in any area, I certify that use of such ftll wrill not adversely �ffeet atfjacxard
<br /> properties. If use of fiil is iound to adversely aftec�adjaoeni properties,the ov�r may be atr�for violating
<br /> the condftions of the building pe�mit issued under the attached pem�it applicatlon,for Iots less than one(9)
<br /> � acre which are elevated by flll,an enginsered drainage plan is requ'ved.
<br /> ' ' If I am the RGENT FOR THE O�IdER,1 promise in good faith to irtform thQ.ovmer of the�rmitting conditio+�s sst forth in
<br /> this affidavit prior to commer�ng co�struction. i understand that a separate pemilt may be r�eqtured fiw'el�ttical watk,
<br /> plumbing, signs, wefls, pools, air conditioning, gas, or other instailations not specificalfy induded in tha appGcaflon. A ',
<br /> pertnit issued shall be construed to be a license to proceed with tF�e wrork ar.d not as sufhoriiy to vialate,cartcel,atter,or ,
<br /> set aside arty provisions of the technical codes,nor shafl issuance of a p�rmit preve►�t the Bull�+irtt�Offiaal from t#►ereaft�r
<br /> requiring a correcGon of errors in plans,construction or violatlons of any cod,es. Every perrrit tssued shall bc-�rns tnval:d
<br /> unless the work authorized by such permit is commenced wfthin six months of pertnft iss�nce,or if work au;�rized by 'i
<br /> the permit is suspended or abandoned for a period of sa(6)manths a�r the tlrc�the wortc is commenad- F,n exfiension
<br /> � may be requested, in writing,from the Building Official for a perind rrof to exceed ninety(90)days 2nd ev(EI demorss�ate
<br /> justifiable quse for the extensian. If work ceases for ninety(90)consecutive days,the job is consid2red abandoned.
<br /> W,ARPIIPIG TO OdNIdER: YdUR F,a1LURE TA RECORD A A�O'ilC�OP COtUl�J�AiCEl4��l-dT E,�AY RESIJLT 14i!lfOa,lG:
<br /> PB�YIBdG'tYN9CE FOR 1lJPROdE�9E0dTS TO YOtDFt P6t0�'E4t'p'Y. IF YOU Bt�TE9�e'9 TO O�l'R,IA1 FiR�A6VCIRIG,CC3�f5EJL'P
<br /> WiTH YOUR LEIdDER OR AA1 ATTQRPIEY BEFOFdE FZECOR�9WG 1fQADR i'idOY1�E QF C0145d�3E�iC �fd3.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> jOWiVERORAGENT CD�T�+� -� i
<br /> � Subsaibed and swom to(or af6mied)bafore me this � t� Fizd end svmm to( . me o � „ � ,� �„
<br /> 2 n.i\\\�Y �
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<br /> Who isJaro personalry known to me or hasTh�va vroduced o 1�Ily knoun to rte�hasit�eve prod
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<br /> as idenflflcaGor. ���b��O�•
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<br /> �IVotary Fublic � _Uot2rY F�c
<br /> Cortunission Na. A ' rr is::on . . i
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<br /> ,�?04'�� 84�., JAC�UELINE HORRUITINER
<br /> NemeofNotstytyped,prinledorstert�od hameothlot� �ed, tcj��r��MMISSION#FF144817
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<br /> ; •••'„'i"o,,�,ci�;,' EXPIRES July 24, 2018
<br /> , (ao��:lJC-0f53 FloridallotaryService,com
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