a
<br /> � µ NO'fiCE OF DEED REST.RICTIONS: The undersigned under�tend�th�t:thls;p�rr�lEmay.be.sub)ect to.'deed`restrlctlons" _
<br /> which mey�.tie;more resltictive�thar�Coentya�ri�grilettons:'The�underelpned a"s"sumee Yes��ItiilHjr�for�compUarice wiitti ariy
<br /> applicable deed resMcttons. � _ .
<br /> UNLICENBED CONTitACTORS AND CCIMTRACfBR-RESPONSIBIL-i71E8: iF ihe owner haa�hired�e conUactor or
<br /> cantractors to undertake work,ttrey mey besr,equfr;ed:to.<tie;llcensed Irt exoMance.wtth state.and:local regulatlons. IFthe•
<br /> co»tractor is nat Itcensed es requiKed:by law,both the owmer and'�ottactor�ma}rDe�ci#ed•fcr$�misd,emaanor vIolatfon
<br /> urtder state tsw. if the owner or tntended�,cp�trat�tpr•are„wncertaln sa to whet ftcenetng.requtrements`may�eppty.��finr�the
<br /> Inte�ded wark,they ere adviaed to contact the�F�asco County Butltling'Inapecddn bhrislor�—Llcensirrg§ecNan at 727-947-
<br /> 8009. Futthermote, If the owner ti'as htr'ed a contrractor or contractars, he !s a�vlsea to have the contracior(s),,slgn
<br /> port{ons of the'con#rsctor 8locl�'of fhla appllcattan.for which they wlif.be.tesponsibte.-_ii you,.as.#he o�i�i't`ter aigti as`the
<br /> conkractor,thet-may be an IndlcaUon that he=is not properiy Ilcensed and ls not en�8ed to pemiftUng priirlleges In Pasco
<br /> Counly.
<br /> TRANSPOl�TAT[ON.IMPAGTI�f1.4�lES�iM�AC'i��ANb RE30t1ltCE RECOVERY�FEES:T#te undersigaed undetstands
<br /> that Transportetlon Impact Feas:end.Recourse Recove.ry.Feea meyr,�app1y:b�t6e constructlon o�new bulidings,�chanQe of"
<br /> use in exiating bulldings,or�eicpansi�n�of��leiNRip�Builifings,as apecifled.ln Pasc�Coun{y OMlnance number 89-07 and
<br /> t Sa07.as amended.,�Tha undecslgned alsa:understands,thalEsuch faes,:as•tna��r�due;;w}1F:=be ldentlfted at the�ttme`af
<br /> permitting. It Is turUier undetstood that TransportaUon Impac#Feea and'Resource Re�overyrFees must be pald prlor to
<br /> recetving a"certiticate of.occupancy"or flnal�powe.r•celeese. ���the project;�loea ciot lrnolve;a•:cerNflcate of cccupancy or-
<br /> final power retease.•:lhe faes mtt�t be patc!-prtor to,parm(t Issnance. FuMheanore;i�-Pasco County�{NaterlSevver lmpad �
<br /> fees are due,.they must•b��pal�'prlor to permif•Isayanee�in,atxorda�ce with'appllcabl�:Pasco,Cour�ty ordinances. •
<br /> CONSTRUCTION'CIEN"4qYM(C6epter 713.Flodd�a Statutes,as emended): If valuatlon of work Is 52,600AO:or more,!
<br /> certify that 1, #he. appticent, hsxe•been provided wtth a copy of the "Flortda CansWction�Lfier� �avu�—Homeawnet's
<br /> Protection Guide'prepared by the Florida DepertmenC of Agrlcullure and Conaumer-Aifalrs. If the eppllcant Is sameone
<br /> other than the'owner',I certify that I have.o.b.ta�Ined�a�cdpy:,ot:the�abQva.descritied cloairiient°and.promisetn,gpod�eph.to
<br /> delhrar 1t to,the'owner"`.pr1a�•tc�comri�eric�men�: .
<br /> CONTRACTOR'9JOWNER'S AFFIDAVIT: i.ceitlty,tFiakslr'ttie;ihformaflon:l'ti�this appllce8an(s accu►ate.and that all work
<br /> will'be done In compllance wfth all.applh�ble laws regulaUng consbvcUon,zpning and land development. AppllcaUon is
<br /> hereby made ta obtafn.a.permtt.to do.�:,artd Ihsfalla�an as Ind[t�Eeef.: 't �ertlEy'r"that no work'ar ins�lta#kin has
<br /> commenced prior to iseuance oF a permit"and that:at�work wiii be pertormed to meet standerds of all laws regulating•
<br /> constructton, Counly and Cily codes, zoning regulatinns, and land development regulatlona�in the Jdrlsdlction.. ( al'so
<br /> cet�ty Utat 1 uaderstand that the regutaflons of other gavemmenk agenctes may�apply�ta the tntended wark,and that it ts
<br /> my responstbitity to identtfy.what,actions 1 must•take.to be.in=ootrlpilance: S,uch.egerrcles Include buf sre.nat Ilmited to:
<br />' - Department of Etrvironmental�protection-G�ipreas.'Bayhead5;Wetlend Areas.and�Environmentaily SensRive �
<br />� �ands,WaterMtaetewa#ar TreatmenL
<br />( - Sauthweat Ftortde Water Management:btsirtct-INelis, L'yprea.s.`�Hayheads; Wetland Areas, Altering
<br />' Watett;ourses.
<br />, - Army Corps of Englneers-Seawalls;flocks,Navigabie Watetways.
<br />, - Department af Neaith•'� Rehabilltafive ServicesJEnvtronmen#al FtealtFi Uhit Weils,;Weatewater�.l'reatment, �
<br /> .- Septtc 7eriks. ��
<br /> - US Envlmnmentat Protectton Agency Aabestos abaEement �
<br /> , Federai AvtattonAutharity:Rur�ways.
<br /> I understand that the following.restriotTons appfy to the use of flll:•
<br /> i - Use of fill Is not allowad in Fload;Zone"V"unlesa ezpress{y permlkted.
<br /> j - if the flll materlaf.ts to b.e used:ln.:�taad Zane.`A', it Is understood that e drainage ptan eddrassing a
<br /> � "compeFlsating volume"will be submftted at 8me of.pe�itting which Is prepared by a professional engtneer
<br /> Ucenaed by the 9fate MfloNda; '
<br /> � - if thA fl11 materlal ts to be used tn Ffood Zone'A in�connecfton�with�a permitted buildtng using atem waii
<br /> conatrucHon,I certify that flll:wlll:be used onty.to}ill the area w(thtn�the�stem walL i
<br /> ' - If ftlt mete►lal (s to be usad In,any e�res, { certify t#tat.uae of such fi11 wlll pot adversely attect ad)acent ,
<br /> � � pr�pettles. tt use of ft11 ta fonnd to advstsely.�ft`ect adjaeeat�properNes,,the owner may be ct#ed for.viaFetEng
<br /> ', the cond�lons_of fhe building:.pertnit Issueil under tha�attecFied.permlt applk�aUon,for lots less than.ane(1)
<br /> ecre whlcFi ere eleveted�tiy flll;�n engineered drelnage�plan Is requlred..
<br /> {f 1 am the At#EN2'FOR THE OWislER..1 fpromIse in good f�1Ua to tnfarm#he owner af the pemiltttng�ndiHons set farth!n
<br /> thts aNidavlt"prlar ta commencing construcUon. I underatend thet+a�eeparate permlt may be requlred for electricaP work,
<br /> j plumbing,_algns,wells,,pools;.alr candiUoning,.gas, or.ot�er Instsilt�tlons not.aPecm�ily induded�in.the•appltca8on. .A
<br /> permlt Issued shat!be co'ttstrued to be'a�llaet�.ta`pr�ed wltti ftt'e worEc snd nat as.suthotity ta vloiater cancet,al#er,or
<br /> set aside any provlsidns 6f tiie.techolcal codas;nnr shall Issuance^of a.permlt.prevent t�e 8upolrig l?fticlal from thereafter
<br /> requlring a correctlon�errors I.n;prans;iionehuction or vlolaUons ot any cade�: �very permit(ssued sfiall bec�me invalld
<br /> untess the work aulhorized:by such pemiit>ts-commenced�wifhln sGc Enon##ts of�patmit[ssuance.c�r 1[wark authorized by .
<br /> iha pertnit.ls.suspendad or,,abandoned•for a;period of�elx(e)monttis�fter the tlme the�work ls commenced. An extenslon
<br /> � may be eequeated,In writing,:irom tiie Bullding,Offlclal(or a period•�not:to exceed:nlnety(9�)-deys add wIIC demonstrate '
<br /> �ustfflable'cause#er•tha eactensEon: tf worlc ceasas for nlnetyr.{80}cons.ecuttve days�.th'e�f ab��constdered a4andoned.
<br /> WARNING TO OWNER: YOUR._FAILURE.>TD REGORQ,,A,NO�CE:OF,�CO MCEMEII�F'f•.MAY�RESULT:IN YOUR
<br /> i PAYINGTiIYICE;FOR=1MPEtt3�tEM�1+t�'8�1'UY#?t�R4•Pt��EE�T1F I��YQU� � '�AiN�F1t��t�IG:�CON3Ui.T
<br /> I i -. ' tt � _ _. 'i -
<br /> FLORIDA JURI#'f(F.�t1�:03) � �,,t� .-" -
<br /> E OWNER QR AtiENT_- -. CC� '` � l .''� .
<br /> Su6eaibed and maom ta(or alrtmted)beforo me fhie 8albed' ewom lq(ot' rm� " m ib �
<br /> bY ��bY i
<br /> Who Islarc penanalty knawn to.md or haaR��ve prqQ4cad. 4Yho(aJara peuaonaUyknovmlo orhaalhave�roderced � �
<br /> . " as tdeatlB6a@pn:� aa tdentt�ca8art.
<br /> � Nofsry PublIc . Notary Putrttc
<br /> Commisslon No:'" Com�lbalon.Na.
<br /> � �
<br /> � Name oiNotary lyped,printed ar atemped Name ot Nols
<br /> �Y bP�.P�lnted or atamped
<br />
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