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<br /> NOT'iCE OF DEED RESYRi�TIONS: The undersign�d;under•.stands;:th�tPthE�;p�rmif,may,.be;subject.to.,,"deed"_cestrictlons"� '� _
<br /> which may be<more�rest�dctive�th���County"fegrilatioi�s: �The underelgned'as`suriies���esponsibillty`for compliance with"any�''"""`s��"
<br /> applicable:deedrestrictions. , ...�r..;-� �-._ ..,.. : - ,. ..... .�. . _. .,. ;`�: . . . �
<br /> l3Q�LICENSED• CONTItACTORS,AND CONTR�4CTOR RESPONSIBILITIES:� -°If�the 'owner-has��hicetl-�a�'cantractor or
<br /> contractors to undertake work; they may.b.e.;reiqulre:d:to.:be�licensed In•�c�ordance.with;state.and�local__regulations:�If°the•=��� ��-
<br /> contractor ts not Iicensed=as'requlred"tiy law, 'bottr�the owner andreontracto�smay�be�ctfed�for°a�misdemeano� vtolatlon
<br /> under state law. If the owner or Intended:scontractor;;ar,e,:uncertaln as to what Iicensing.requiremenfs;may=:apply:ior'�the`- �����=-'��°'
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<br /> intended"work, tliey are'advls�dfo contact.the'Pasoo County,Building`Inspection_Dhilslon-,-Licensing Section at 727-84T-
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<br /> 8009. Furttiermor�,�ff the owner'has�hlred'a confracto�`or contractors. he is advised to have �the contractor(s),ysign. ; .,, �
<br /> portions of the:."contractor.,Block" of this.application�for.which.they,.will,.be-.r.esp.onsible:-.�-If=you,Yas-;fhe o�ivner`stgn'as�the'-" ' '
<br /> contractor, that�may be an indlcation thaf'he�-is•not properly`Ilc�nsed"and"is not entitlea to petrriitting'priitileges In Pasco ,
<br /> L'OUllhl. i S:;,;�:t : �
<br /> TRANSPORTATION-IIVI�ACTlUTILITIE$IMPAC'1=�ANb�RESOURCE RECOVERY•FEES:` The�undePsigned understands
<br /> that Transportatlon Impact Fees and.Reco.ur$e.Recove.ry_.Fees may��apply.ta tF�e_:construction of new buildings�::change�of'°"�==�`"�
<br /> use in existing buildings�or�expansi�rt�of=extstin,g'�bulldings; as specffied.In Pasco County Ordlnance number 89-07 and
<br /> 90-07, as amended.,. The undersigned also.understands, th�t'�such fe.es;�,as�tnay::�e�<due;s.wlll�.be identi�ed at the�timeiof� �w °
<br /> permiNing. It Is furttier understood that Transp'o�tation Impacf Fees and`,Resource:Reco�ery=Fees..must be pald prior to
<br /> eecetvtng-a"cerEf�cate of�ocxupancy" or fln�l�power.release:-�,:If the.proJ�ct::does•;not involve:a�certtficafe of occupanoy'or�"��_��'��=`
<br /> flnal power-releas�;:the-;fees mu�t:be pald,p�lor to,permit lasuance. Fu,�thermore;if Pasco:�County"Water/Sewer,�;lmpact� �- ����•:K�
<br /> fees are due,_they_must.be.paid-pelor�o permit�lssuance�:in:accordance-wittf.:appitcabte_Pasco'�County ordinances. •
<br /> CONSTRUCTI�N"LIEN'LAW(Ciiapter 773� Elorlda Statutea,��s�meaded): if valuatlon of work Is.$2�500.00,or:more,'-i� :�;��.
<br /> certify tFiat -I, �G�e applicant,:-have-been provided �with�-a�copy.of.the°�"Florida- �onstitictton�-Lien�..Lav�—Homeowner's
<br /> Protection Guide" prepared bytFie Flo�ida Dep�rtmenC of Agric.ulture and Consumer,Affa(rs. If the appllcant Is someone ,. � .
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<br /> other than the'owner", I certify�that I�have.:ob.tained°areopy.of..the:abovaaies,cribed.document°and,;promise�in,good'faith_.to . ,
<br /> deliver It�to.tEie:'owne�'�.p�ior-to�cornmencement:`•' � � ' ��� ` � - � - , -
<br /> CONTRt�11�'fOR'S/OWNER'�AFFIDAVIT: I.ceitify:that�all:.the:ilnf.ormation:ln�thi�appllc�tion is accurate and that all work
<br /> will'b� done in compliance with all.appltcable laws regulating construction, zontng and�land°development. Appitcatlon is
<br /> hereby made to obtain .a permit��to do;;woric,�;and�instellatlon as indi�ated:.> �:I certffy`that no work=:or (nstallatton fias'
<br /> commenced p�for to issuance of'a permlf"and� that.all work will b� pertormed to meet.standards•of ali laws regulating�
<br /> constructlon, County and City codes, zoning regulatians, and lar��i.development regulattons�in the.jurtsdlctton:� =1��also. _
<br /> certify that I u�derstand that the �egulations of other government a���ctes may�apply�to the_Intended.work, and that it is
<br /> my responsibil(ty to identify.what.actlons I must�take.to be.in:.compliar�ce;;S,uch.agencles include but�are-.not Ilmited to: � �
<br /> - Department of E�lvironmental>�Protection=Cypr`ess'Bayhgad�; Wetland Areas and Environmentally �ensitive �
<br /> Lands, WateNWastewater Treatment. " " -.
<br /> ' - Southwest Florida Water Managerrment� .Dtstrict-Welis,' Cyprsss.��Bayheads�- Wetland Areas, Altering
<br /> Watercourses. - - - - '
<br /> - Army Corps of Englneers-Seawalls, Docks, Navigable Waterways. I
<br /> - Department of Health'.8 .ReMabllitative.;Services/Ertvironmental:.H�alth Unit:Well.s� Wastewater Treatment, '
<br /> Se�tic�Tanks._. ,�'_ : . . . . . - - -- - -�- � -
<br /> ---�-------�9��i'rii��o"iicPi����e�i�Q{t�61�ig�li�Cjf-e�s����a�abai�m�nt.- � -- __ _ .. ---- ---,---_. -- - -- -.�-. -_: -- - -
<br /> � - Federal Avlatlon:Aut�iority-Runways. , ;'•,,; � �� �
<br /> 1 understand,that the.following;�estri'cttons apply to the use of flll:• � � � .
<br /> - Use of�_flll is not allowed in;Flood;Zone"V"unless expressly pePmitted. ' , � - - �
<br /> - If the :flli matenaf=ls �to- b.e usetl;�ln.�Flood Zone. "A", It. is understood that a drainage plan addr��stng. a �
<br /> °compensating volume" will be submitted at�ime of,permifting which ts prepared by a professionai eri�in�c�r- '
<br /> Iicensed by.#he�tate of Florida: � � , _ � �
<br /> � - If the flll materlal-.is to be used fn Flood Zone 'A" tn�connecaiun�with�a permitted building using stem �rall
<br /> � construction, i certiry th.at fiil:wlll:be used-only.to.flll the area within�the�stem�wall: ��- -
<br /> - � If fill materlal,_is to be used in any; ar,ea, I� certify that .us�. ofi such flll will not �dve�sely affec►�ad)acent
<br /> '�� , properties. If use of fi11�9�,found.to adversely:.�ffect adJa�ntpra�perties,.the owner may be clted for violating �
<br /> - the condi#lons of the b�ildtng'perrtiit iss�ed�under tha'attacFied�ermit application;°.for.lots-:less�.than.one (1)
<br /> ' acre whtch are elevat�d�tiy flll,�n engtneered dralnage plan Is required.
<br /> , If i am the AGENT FOR THE OIMNER, I;promise In goAd faith to fnform the owner of•the permitting condifions set forth In
<br /> thls affidavtt�prtor to commencing constructlon. I understand that a�separate permlt may be required for electrical work,
<br /> plumb(ng, signs, wells,.pools;, air condttioning,..gas, or otMer install�tlons noE,spec�ically included�tn.the application. .A
<br /> permit issued shall be conshued to be�a-llcense'to�proceed with`tFie work and not,as:authoNty.to,vlolate;.`cancel, alter, or
<br /> set aside any provisions of the teclinical.codes;�nor shall issuance�of a.permlt.prevent the Bulldirig Offlctal from thereaftee -
<br /> requiring a correction af ercors in•plans, construction or violatlons of-any codes. Ev6ry�p�ermtt�issued�;s�iall��become�invalfd
<br /> unless the work authorized.by such permit:�ls.comm�nced•vulthin sfx,mAnths of permit Is�u�nce,.or if vNork authorized by
<br /> the permtt is suspended�or.aba�doned�for.a;period_of six;�)monfiis:aR�r ti�e ti�e:the�wo�k�is corrtmenc�d. An extenslon .
<br /> may be requested, in writing, from tfie,Bullding,Officlal foc� period.�not=to exceed��ninety(90)�days a�d-viiill`demonstrate
<br /> Justifiable�ause for.�the extenslon�: If work,ceas�es.for nlnety.(90)cons.ecutive:d�y.s,..th�job�is considered aba�do�aed. '
<br /> WARNING TO OIIVNER: YOUR..FAILIJRE,:TQ..R�EC.ORD A:,M�TIGE:OF.�COMIIdIENCEMEMT:MAY RESULT IN YOUR �
<br /> Pds1YiNG TWICE,FOR.IMPROVEMEN�S�TO;YOUE�.;PRC�PER'�'l.��oF�.vO.t1,�IN'�E1�4�"TO'��OB7'AIN�FiNFAP1EING,'CONSIILT
<br /> WITH YOUR LENDER OR AIV ATTORNEY�EFORE�R�ECOR�lQ���;YOUR'N��IC�'��CdrYll111ENC�E`NI�T�.-. ; _ - _
<br /> FL�RiDA JURA�(F.S:i17.�3) " - ' ' �
<br /> OWNER OR AOENT- i �- _ .. CONTRA�TO = j '� -
<br /> c�, Subsarlbed an�navw or affl ed) efore e Is Subscribed and'swom to(of alflrm d)�before me�ftits_�
<br />.da J�G'��,p�lxl'���Y - . � � . 02$ ��PJe�s�3'�l14by � " h1„ti!-rQ �� . � ����rw'►
<br /> Wh�o!�/are�ersonellv known to.me or,haslh .e produced Who.ie��e p.ersonally known•to.me or heslha e:produced • .
<br /> � - es Id"entlflcetlan. � �[��tS�S-}7D�(�f-- lD7� as Identlficadon.
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<br /> • Notery Publlc . • L� �A-�'Y+ Notary Publlc
<br /> CommisslonNo� ' � Commisslon.No. � � �D � - �
<br /> �-�A. ���-� L��-�. t � � �
<br /> Name of Notary ed,printed or stamped ame ot Notary ed,p�inted or stampe
<br /> _, ���'"��°e��:; BEVERLY J HILTON ==�°`�Y��'��; DEVERLY J HILTON
<br /> ' '= MY COMMISSION#FF113541
<br /> ' '-' �� MY COMMISSION#FF113541 ��. '
<br />� • � y��,'+�"�•--�'d�"'�� EXPIRES A ril 16 2018 '••'.'�or�Rd!:�� EXPIRES April 16, 2018
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<br /> 407 398-0153 Flaridallote yrService.com �����3�-��� FloritlallotaryService,com
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