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<br /> NQT#CE�F DEED�E�T.R�GTIONS. The undec�lgn�d,undet�tands°=th�#�th1�s;�rmit�may,nbe,subJecl,to_�deed .testrlctlons ..._�__�,�_..:,
<br /> which may�be.<mor`e�.restt(ctive��th��t=Gountyr�c�gr�latCons;"The�unde�slgned°assumes responslbility°far''comp'dance-witii�any" �`""""`
<br /> applicabte:d+�ed'restricttons. . � • _ , . _ ,.= ..� � . ..�_,
<br /> UNLiCENSED�CONTRACTORS,A�1D Ct1NTRACTOR R��PONS18tLIT1ES: £tf=the�awner has���hiredY�a contract+ar or
<br /> contractors ta undertake work, they m�y;bs.;r,eq�ire.d�,ta�be,ltcensed In..accardance.with�state:.and�iocal regulatl."_o_ns:•}Ifthe�� �r -
<br /> contractor 1's�nat tiaensed=as'tequlred"by law,"bath #he owner �rad-ciintract�r��may #ie��ci#ed�.for°a�misdemeanor vtolation
<br /> under state law. If the awner or Intended.;}contra�tor,;are;:uneertaln as to what Ilcensing:re,qulremer�ts:may-=apply�:for�the'-. -•�-���°-'
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<br /> intended work,-ttiey are=ad'vlse�to caritact:ttie:Pasco County,Bul4dtng;Insper:tRon Ditir,Isl,or�--L•tcensfng�Sectton at 727-847-
<br /> 8009. Furthermore, tf the owner`tias'hire+d"a ccin�a�t+oF'o"�icoritractors� he Ts aiivised to have;the contractor(s),,.sign : ,.
<br /> ortions of the._contractar Block' of.this..apq Ication.fo_r_,which�the ; wfll.be,r,�sp.vnslble.-..If you,:as:#he_oviin � ' "��` �� �
<br /> aontr�c#or� that�may�be an indir:atlan thatfieil=ls not properljr`ItcenseE!"�ntl`�Is'naf'entt�ed'#o petmlf#�iig�priui er''_s,ign-�as°'the ,.' :
<br /> p Y
<br /> #eges In Pasco
<br /> County. � - � _ .,. ._., - : , ��., �
<br /> TRANSPORTATIt?N,IMPA►CTItlTlLl'1'IES-�CMPAC'��AN��ltESOF1ltCE RECtJVERY�FEES. T�he understgned"unde�stands
<br /> that Transportation Impact Fees and.Reco.urse.Recovety.Fees mey�:ep{ity:�ta�tfie 4construction:of new.buildings,,change'=of```�` ��-.:=�
<br /> use in existing buildings; or:exparisi�in�tof��eiilsti��:'�buildings, as speclfled.in �asco County Ordinance number 89-07 and .=>
<br /> So-o7. as amended.,.The unde�stgned alsof�nderstands, thaE=such fees,.sis�may:���:due;�wlli;��be tdent�ied at the��t�mea�oft�� °u� -���A
<br /> permfkting. It Is furkher understood that Transporkatlon Impact'Fees and,Resour+ce�.Recovery��ees..must be pald priar to
<br /> rece�utng a•ce�fi#tcate�of-acxupancy°or flnal•.pawer�release: =1f�the.pro��ct;.does�.riot irnaive�a�cert�tcate of occupancy�or f�.;�<� ;.:;
<br /> flnal,power release;.the�,fees-mu�t,�be patd pclor#o.permft issuance. Ft��fhermore;ffPasco:County��iNater/Sewer�impact� ���...- .
<br /> fees are due,.they.musk.be_pald..prior to permit-lssyance`ln,acQardance wttt���ppllaatile.Pasco'-.Coun#y-oidlnances. �
<br /> CONSTRUCTtON��:IEN'I.AW'(Cli�pter 713� Flot�cia�ta�ut���as�mend�c�}: If valuation af�nrork ts$2�500.00�or more,.1� : ���;
<br /> certify that I, #he applicant,. have-been provided��wlth�a�-copy- of.�#he. °Flmrida Con"strucHon� L(en�_Law=-Homeowner's
<br /> Protectlon GuideA prepared by ttie F1oi�da Qepattmeat of Agcicultc�re and C�nst�mer Aftalr`s. If the appticant is someone ,.
<br /> ather than the"owner", I certify.�.that I.have;obtainetl=a�copy;of:the:abQve.descNbed�docuinent:and:_p.r.omise�;in,gaotl�.faith�to . >f,
<br /> deliver It to the-'owner":pr:ior:=to.=cornmencemeni:" • .: � . _ �_
<br /> CONTRACTOR'SIt3WNER'S AFFiDAVIT: i.certity:;tiiat:att�the�,tnf.ormation:In�thi�appltcatlon i�accurate and that ali work
<br /> wlll'be done in compliance with all.applicable�laws regulating constructlon� zoning and�land�'development.` Appltcation,is
<br /> hereby made to abtaln .a.pernn�t.#o:do_:wark.:,artd�Ihsfallatlon as Irtdt�at�d:•:..�°I cettify that no wor�=:or tnstallattoit Fias
<br /> aommenced prior to Issuance of'a perrriit'and� that�.all work will be pertormed�to meet standards�of all laws regula�ing�
<br /> consb�ctc#��n, County and C�ty codes, zoning regulatlons� and.iand devalapinertt r.eg�,ilattons=in the�urisdtctlon.= I��aisa _
<br /> certify that i understand that the regulatlons of other gavernment agencies may�apply'to the intended.wotk, and that it ts
<br /> my�esponsibHity to identtty�what.actlpns I must�take:to befin:.corrlp!lar�ce: Su�h agenoles Include but=are.nvt Ilmited to:
<br /> - Depar#ment af E�vironmental.tProtecttori-Cyp�ess�8ayfiea��, W�'Nand Areas and Enuironm�an#aliy Sensitive
<br /> Lands�Water/Wastewater Treatment.
<br /> - Southwest F1or�da 1N�te� Management�:l�3s#rictVllells; Gyrpress.�8ay.heads;� ��Wetland� Areas, Altering
<br /> Watercaurses. � �
<br /> - Army CQrps af Englneers-Seawalis,Dacks,Navlgatile Waterways,
<br /> - Department of.Heaith'&.,Rehabtlttafive,Setvlces/Envitonmenfal F#eafith Unit-Welts��lNastewater=Trestment,
<br /> Septla Tantis.. . ' � , .. . _, _ --
<br /> - US Environmentat Protectlon Agency-Asbes#os abatem,e.r�,
<br /> Federal�Avlativn.Aut�ori,ty-Runways. ' �
<br /> t undet�stand that the.foliowirig.�restrtctlons appiy#a tFie use af flll;•
<br /> - Use o#fitl is not allowed in'F1ood,;:Zone"V"untess expressiy permitted.
<br /> - If the fill mate�lal�-'is to-'b.e used. in.:�lood Zone. aA"� It is und�rstaod that a drainage plah addresstng a
<br /> "compe�tsating votume"will be submftted at tirne of�permitting w�lch ls prep�red by a professianai engi�eer
<br /> Iicensed by'the�t�Ce of F�o�ida: � .
<br /> - 1f the flli material�1's to be used In Flood Z�ane "A" in4 connectton-wl#h:a�permltted buiidir�g using stem wall
<br /> � aonstn�ctton, t certif�r that fULtirall.�be used on(y.to flli the area wtthin the��tem>wap: �
<br /> - !f fl!1 mate�ial Is tb tie used !n any a�ea� 1 certt�r that .use of such flll wlll not adversely affect adjacent
<br /> ' properties. It use of fili is foand ta edversely��ffect ad)a�ent��properties,.the awner may be ci#ed for via�ating "
<br /> the condiilons_of the bullding;permit Issued under tlie�aNached permtt appQcatian;:for.:�lots-.less�than.one (1)
<br /> aare whicti ar�elevated�tiy flll;a�t engl�teer$d drainag�pEan is requlred.
<br /> If 1 am the AGENT�OR THE OWNER;.1?.promise In_goad faith#o inform the�owner of•the permitting condft(ons set forth in
<br /> this aftidavtt'prlor ta cominer�cing constructlan. �i u�a��tana tnat��:separate�permlt may be requtred for electrlcaP work, .
<br /> ptumbing, signs, wells,:poots;, alr conditioning,-.ga�s, or.other ins#al��tions nat.spec�ically included�in.the�application. -A _
<br /> permit Issued shall be canshued to b`e�a�Itcense�to�proceed with tiie:wo�k and-nat-as:euthoNly:to,vlolate;�:cancel, alter, or
<br /> se#aside eny pravistons of�tlie#ech�iEcal-cade�;�nar shalt lssuance�of a.permit.pr.event tt�e 8altdtcig Of�clal from thereafter
<br /> requiring a correction af errors in.plans; constructian or vlolattans of-any codes. Every perml#Issued�"sfialF•become inve�l(d
<br /> un4ess the work au#horized.by such permlt:�is.commenced•wlthtn sf�c.manths �f permlt issuance, or tF wark authorized by
<br /> the permit is suspended or abandoned�for.a;perfad;of�six�(�)�monfiis:aRer the tirtte-the�wortk�!s commenced. An extension
<br /> may be requested� tn writing� from tFie.Building,Official far a period.not-to.exceed'-ninety�(90)Tdays a�d-.will demonstrate
<br /> �usti#iabie cause far.�the e�ensiot� If work ceases..for nlnety.{90}c�ns.�acutlue day.s...th\fob��sconsEdered aba�daned. , ,
<br /> WARNING TO OWNER: YOUR..FAIltJRE,T4�.R�C.O�tD A N�TIGE�:OF=�C�MMEMGEMEI�T=NIAY�RES{�!T 1N`YOUR
<br /> PAYING TWICE;FOR iMPROV�MEN�'S�-TEJ.YOt�1.�,;PROPERtY:�tiFrYO.Uwii�'�E�VD:TQ`'C�BTAIN��FiN�WEMIG;'CC3NSULT
<br /> WIT AN�►TTO NEI� F `REi.ECOR� ��� OU ' • �'O '� `�� � E '
<br /> FtORIDAJtIfiA��{F,S:11�.03} ...� — - . . �. . � _ � . ; :'- .
<br /> ONRdER OR AOENT'"' Y'ati�L��,��,,.�_ - —Y-COMTRACTO — ——�— —- . -- — ~— -
<br /> Subsaibed and swo (or ai9lrt�ed efore me this Subscrlbed and' = ot affinn b�` e ttifi�.
<br /> /0-�1�/� b G. s�eyr L'� �3/-/� •b,�,,,:,,, �m� �� y?t�s�rrP�`"
<br /> Who Isfare rsonally n .me_or;has/have,produced Who.le/ere 'reonalrykn�me or haslhave-produced • �
<br /> ` �s Ideri$�ca�Gh: � as id�tntlficatlon.
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<br /> Notery Pubttc . Notary Pubiic
<br /> Ca is lo tVa"- Com ss n. a, �
<br /> �..���,�',;;P�•.,, SYIViA A.CAMPBEI:I ��tiPpY p��/� SYWIA A.CAMPBE�I
<br /> Name at 9 ;� k� iC�p $e o rt a Nam a ed ri a
<br /> _• •: My Comm.Expires Jui 19,2017 ='+ •= Y Comrtt.Expires Jut'19,201_7 .
<br /> ,�ij�4F f��o�� Commission�FF 03A230 ��'��tot i*oP�;� Commission�F�034230 � �,
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<br /> +•t���••• 6anded?hrauph Natlans!No2ary Aser'r: 6onded Throuph Nation�l Nattiy As�i: . �
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