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<br />��, NClTIGE OE DEED RESTRICT{O�IS: The undersigned s�nderstands�;tit�t.ltils.°�+�rml�may.be.sa�bJect to°deed"restr[ctions"
<br /> whlah may be-more�-r.est�(ctive th�I�Coun'tj,►fegulatlons: �The`undersigneid�assumes-�esponsitillity for�i��ipfiance with�"any
<br /> . aPpttcabte dsed-tes#rtctlons. , r ` . .
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<br /> ' UNLICENSED CONTRACT,ORS -AND CONTRACTOR RE�P����IBILITIES: If the owner has �hired a�cantractmr or
<br /> � contractars to undertake work, they may be.�requlred.�to-;be<Itasnsed In acc�rdance.with stats.and•t9ca1 cegulatlons. �If�the� �
<br /> cantractot�ds not Itcensed as'required=by I�rnr, both #he ou�mmer and-contfiae#arMi�ay be cited-for�a�misdemeanor vialatton �
<br /> under state law. If the owner or Intended,�contractor�are,.,uncertaln as to what Ilcensing.requlna�nents,may�apply�for the
<br /> intended warK. tttey are advlsed to contaot tlie'Pasca Gounty ButtiiEng Inspectlon�lvislon--l.Ecettsing Sectlon at-72?_-847-
<br /> 8009. ��nrthermore, It the awner has hlred a� con#racto� o� �ar�teactors. he-�ts `advised to have the contractor(s) sign
<br /> portions of the "contractor Block° of this appllcatlon tor whtah they,wilLbe r.esponsible.. If:you,-as.tn�-owne�°"sign'�as`tlie
<br /> � contractor� tha��rrray be an Indica#ion tha#'he is not.properiy licens�d and`�1� riat entl#led to permitting pri�ileges In Pasco
<br /> Count�., �'�
<br /> TRANSP�RY�►TlON.iMPACTtUTit:1�lES=lNlPAG�'�ANt�R�SQURCE RECOVERY�EES; T�he ttnderslgned understands
<br /> that Transportatlan Impact Fees and.Recourse Recove.ry.Fees may�apply�to:the constructian of new buildfngs� chan�e�_of_" _. _. _ _
<br /> use In existtng bulldl�g�, or�.expansion>of�aezistin�:ibulldings, as speci�ed�in_P�sco�Co�nty-�?rdi�ance�number"89-0'T and
<br /> �o-O7,_as amended.-;;;&!�e-unde�ign�d�alea.untlerstands, that�such fees,=:as��may:be::d�te;rwltl�be identifted at th�=time=of'
<br /> - permitting. It is turtfier unde�stood that Transportation Impact Fees and�Resource:Reco�ery>Fees must be paid prior to
<br /> ' feceiving a.°cerfi�cate.of�occup�ncy"or flnal-power xelease; :I�rthe.pro�ec#_does�:not;lnvotve}a:certlftc�te of occupancy-ot��.
<br /> flnal power rele�se;.the fees mu�t•be pai� prlor to permit issuance. Fu�thermore;ff:.Pasco�County�VVater/Sewer-Impact !
<br /> fees are due�.they must be=pald:prlar to permlE:lss4ance-in_accordance witt�appllcabie Pasco'-County ordinances. •
<br /> CONSTRUCTIQN`CIEN`LAYV(Cfiapter 713� Florida Ststutea�as amendsd}: ff valuadon af work is$2,500.00.�or mare, i � ,
<br /> certify that I, the appQcant,. have.been proylded. with a copy of the• "Florida° �onstruatlon� Lien Law�Homeawner's:
<br /> Protection GuEde" prepared by.-the F1a�lda Departmenf af AgrEc�l#ar�and Cans�mer�Atfi�airs. if the applicant is someane
<br /> other than the"owner", I cerktfy�that i�h�ve.obtalned�a��copy;af:the�ab�ove..�lescrl�ed�docuri�ent�and.promise��in,g�od`faith-ta
<br /> delive�it to.:th�"owner."`prlor.#o;commericement:' � _ � -� ' .
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: i.certiiy<.that:all.the:infarmati�an 1��tM1�appttcatlan is accurate and that all work
<br /> will'be done in compliance vnrith all.appliaable laws regulating constructlan� zoning and�•land�develapment, Appltcatian is �
<br /> hereby macfe.to obtatn .a perm�t,.to do..�worlc..,and lnstellation as indl�ated:•• ..1- certify that no woric=or tnstallation has
<br /> commenced prlor to issuance of a permlt and that`.all work will be performed to meet standards-of all laws regulating�
<br /> constructEan� County and C�ty codes, zoning regulatiansr and iand devetapmen# tegalations�`In the Ju�tsdtction, ! ai'so
<br /> certify tha# t u�derstand that the regulatlons of other government agencies may�apply�to the..intended work, and that it(s
<br /> my respansibility to ldentify.what,acttons 1 must�teke:to be�in:.cotrfpllance: Suoh agencles Include but-are.not Ilmlted to: i
<br /> - Departmen# af Er�vironmental.�Protecttbn-Cypress.�Bayheads�, WeHartd Areas and Environrnentaiiy Sensitive I
<br /> L�nds,WatedWastewater Treatment. �
<br /> � ''�- Southwest Flor�da Water Management :D�strlc#-Wells; CyPress.� 8ey#�e�ds;� �Wetland Areas, Attering
<br /> - Watercourses. �
<br /> - Az�y Corps of Englneers-SeawaNs� Racks,Navtgabte Waterways.
<br /> - Depar#ment of Hea6th�'� ReMabtlitative Services/Envitonmental Health Unit Welis� Wastewater�Treatment,
<br /> Septic Tanks: � - - - _ _
<br /> - US Envlronmentai Pro#ection Agency-Asbest�s abatement:-~ -� -._- _ �
<br /> - Federal Avlatlon;AuthoNly 4ftunways. , - --
<br /> !undecstand.that the.foRowing:resUlctions apply ta the use of fll1;•
<br /> - Use of fili is not aflowed in Flood:Zane"V"untess expressly permitted. -
<br /> - If the �fiil material is to b:e used�in �f.lvod Zone. "A", tt. is understood that a drainage plan addresstng a
<br /> "compe�sating volume*will be submltted at#ime of.permitting whlch �s prepared by a prafessional engfneer
<br /> Iicensed by the Skate af�Flortda: �
<br /> - If th� fi11-material�ts to-.be used tn Flood �one "A° in.�conneciion�vulth:a'�permiEted bailding us�ng stem wall
<br /> construction, i certify th,at fUi�:wlil.b.e used only.to.flll the area within the�stern�wall.
<br /> - !f filV material is to be used in any ere�i� ! cettify tttat .usa of�such flll w!!I r�ot adversely affeat adjacent
<br /> proper#ies. !f use of fitl is_found_to advers�iy:,�ffect adJaeent�•properties,,the owner may be cifed far vlorating
<br /> the cond�io�s._of.the b�ilding,permit lssued under the'attached permit eppl(catian;_for.iots less�9han..one (1)
<br /> acre wHiati ar�elevatei��tiy fltt;�n engineered drafnage plat�is requir�d. .
<br /> If I am the AGENT,FOR TH�OWNER, I;�promise In gaod faith to inform the�o,wner of°the.�pecmitt(ng conditlons set.farth In
<br /> thls aHidavlt'priar to commencing constn�ction. 1 uridersfand that�a�separate permtt may be required for etectrfcal'work.
<br /> i �..� .,a,.:r.
<br /> plumbing,.:signs, wetls,.poots; air conditianing,..gas,..or.other. tns,t',all�tions noE.spec�icatly included�in.fhe applicatian. �A
<br /> � permlt issued shall be consfiued ta tie��a�Ncense'to�praceed with�tlie work and-not-as:authodty.ta;vlolate,�cancel. alter, or
<br /> i set aslde any`pi»vls�ons of the:techaical ar�de�; nor shall issu�nce�of a.petmlt.pr.event the 8ultdlrig O#tici�l from @herea#ter
<br /> �equlring a conection af errors�in.plans.; construction.ar violatlons of�any�cades, :Every��permit�issuedshall become inval(d
<br /> unless the work autt�ortzed.by such permlt:�ls-commenced�withln sfi�t,_�nanths af�petmlt issuance, ar if work au#1►or�zed by '
<br /> the permif.is.suspended�•oc.abar�doned;for-.a_:period:of�six�:�8)months:afte�the;tlrne�th��work ts commenced. An extension
<br /> � may�be reguested. 1� writtn�g;�from tiie`�Building,Offlcfal for a perlad°�not#o-exceed:ninety=(90)days a�d�wll!'demonstrate
<br /> just�iabie:cause for the extensio�: If work-ceases:for nittety�{90}cons.ecutive:day.s,..fhe Job�is cansfdered abac�doned. �
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<br /> WARNlNG TQ CtWNER: ' YC?UR..FAIlURE�TCi.,R�E.C.QRD,A:_M4TIGE;Q��COMME�ICEMEMT�Ili�i�lY-RESt1lT�tN=YUUR
<br /> PAYING TWICE,FOR IMPRQVEMENTS•-TO:Y_OUi��.PR1aRER-'T�Y. IF°.YO.U�IM�E�D�TE'����OBTAIN�-PINAf�E1NG;'CONSiULT
<br /> WIT � ° D � A Q pR��.'. p �:� pV ' �
<br /> FLORiOA 3t1RltT:{F,.S:1."t7.03}.. � _ � . � ' - } - - �
<br /> OWNER OR AOEN7. (J� . � 1 CdNTRACfiO • �
<br /> Subs � an bswom C�{o�-�rm����" —� �d6s� b and'swam�to(at'afltrmedpb' ��t��a.��htS .
<br /> y .L..,���bY...: �5'u,.r�l ��.���{�.�
<br /> oJ&!ar p �onelly, novm.lo,me or,haslheae produced Who l,�re:p rsona!l�yknowr�•to me:oc.ha�/he�ve�producsd .
<br /> .�-�-���r tr�+� �r�'l'f�i�:�as Identt�cailon. � � ��1�. �� ,��>7,�r� l;.r�-r�-t�as idenNftcatton.
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<br /> ' � �i�✓� otery Publlc ' ' ' � 'l�" =+j;�!.IG�t� � �------ Notary Public
<br /> Gcmini No` Gomt�tsslon.: .
<br /> „����,,,., �;�.p��•.,
<br /> ,.�,�.;B,, ;.�i �r:�c; JACQUEI.INE BOGES
<br /> Narns af NatarX � R�!!d�3�lRF��}F�150422 Name of Nota ' �t 50422 �
<br /> � p�; Expires December 12,201$ - ':;�g� �0.P: �PareNT ec�mber 12,2p18
<br /> p„;°` Banded Tlw Tray Fain Inswenw�00-385•7019 roY Faui Insurance 9�03gg.)019
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