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<br /> NOTICE OF DEED RESTRICTION�: The undecsigned;understands..th�t this.ap�armlf�.may:be,5ubject_to."deed".restrlctlons"`:_,`;ra:::,
<br /> which may�be==more�:r.est�Ictive�th�n County��regulatCons:�-TFie�underslgned�assumes'responsfbill'ty�for compliance with any `.� :"'. ,.
<br /> appllcable deed_restrictions. � -k,� • _ . . _ , ��x
<br /> UNLICENSED�CONTRAC�ORS AND CONTRAC'FOR RESPONSIBILITIES:• -If-the°owner has"�hlred'�a�:contractvr or
<br /> contractors to undertake work,tttey mayfbe,r�qulred:#o.:be,iicensed In a�cordance.with state�.and:local,regulations:�If<the��-�� -_�'
<br /> contractor (s not�I(censed�as�requlred`tiy law,;tioth the owner and-contractor-�rriay�be=�cited�for°�a�misdemeanor violatlon
<br /> under state law. If the owner or Intended;.contradtor.:are,.uncertain as to what Itcensing.requlrements;mays apply�;�for�the'=• �<�:��
<br /> intended"work, they are ad"vised fo contact"ffie.Pasco County_Bullding.;Inspection;;Dlvision-�-Ltcenstng Sectton at 727-847-
<br /> 8009. Furthermore� if the oininer�fias�hired`a cont�acfo� o�contractors, he ts advised to have �the contractor(s),-:stgn;
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<br /> portions of the "contr�ctor Block" of this�appllcatlon for_which:they,will4be=r.esp.onslble:- If.-you;-as_,#he owner`sign''as'the ` �
<br /> cont�actor, that may�tie an Indication that F9e-1s not.properly licensed and�is�not entttled to perniitting�privileges in Pasco ,
<br /> County. � :.�'-_.- . , ,.
<br /> TRANSPORTATION�INIPACTIUTILITIES�(MPAC�=At�b RESOURCE RECOVERY FEES: �The unde�signed-understands
<br /> that Transportatlon Impact Fees and.Reco.urse Recove.ry.Fees may;apply�to�the:construction of newbuildtngs��change�of��`�°�'-=� '��
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<br /> use in existing bulidings; or.�expansi�n:of�existin��buildings,'a§ specifled.In Pascv County O�dinance number 89-07 and,
<br /> 90-07, as amended..,The undersigned also,�understands, that:�such fees,�as�majr;be•:.dne;:-w,ill sbe Identified at the�'time�of-` �-' -
<br /> permitting. It is fu'rtlier understood that Transportatlon Impacf�Fees and'�Resource:Reco�ery��Fees,must be pald prior to
<br /> receiving-a 'certi�cate-of�occupancy"-or flnal-•power:�elease. :If the.proJect,:does;,not involve}a�.certificafe of occupancy o�=-���`��-�� =�"
<br /> flnal power release;�,the-:fees�-mu�t.tie paid;p�tor to,permft issuance. Futth�rmore;�ff Pasco,County�'Vllater/Sewec�;lmpact - ,. -
<br /> fees are due; they_must be;pald.:ptior to.permit�iss4ance�in accordance wlth�appllcable:Pasco�County o�ilinances. �
<br /> CONSTRUCTION"GEN`LAW'(Cliapter 713� Flor#�da Statules,as amended): If valuatfon of work is$2,500.00�or more,.i�� . : :�s�
<br /> certify that I, the. applicant;.have:been provided �with�a�copy of the• "Florida� Constn�ction-_Lien :L'aw—Homeowner's
<br /> Protectfon Guide" prepared by tfie Florida Departmer�t�of Agric.uiture and Consum�r�Affair`s. if the applicant Is so'meone � , .-.
<br /> other than the°owner", I certffy,-th�t.l h�ve..obtained-a'copy,of:the:abova.r�escrlbed tlocu'ri�ent-and:p.r.o,mise��in,good;faith to. • ;
<br /> deliver It to the<'ownec"�.pdoc�to-commencement: ' � ' � � � . ' - - ' .
<br /> CONTRACTOR'SlOWNER'3 AFFIDAVIT: I.certify.:ttiat_-ail:.the•,Inf.ormatiom,in�this application is accurate and that all work
<br /> will'be done in cumpifance with all applicable laws regulating construction, zoning and:land�development. Applicatlon is�
<br /> hereby made to obta(n .a permit,.:to:;do. .work:�,and�Installation as indlcefed:• °I cer,tify that no work°or Installatton has'
<br /> commenced pr(or to I"ssuance of'a permit'and that°.all work will be perFormed�to meet standards-of all laws regula�ing-
<br /> construction, County and City codes, zoning regulatiQns, and land development regulations=in the jurisdtction.� I-.al'so _
<br /> certify that I understand that the regulations of other government agencies may�apply�to the Intended.work, and that it is
<br /> my responsibility to identify.what.ac8ons i must take to be�In;.canlpltar�ce.;.S.uch:agencles Include but�-are.not Iimited to:
<br /> - Department of Ehvironmentai�Protection=Cypress:�Bayliead�, Wea'and Areas and Environmentally Sensftive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest FloNda Water Management-_:I�isMct:VVells;�'-Cypress.r Bay.heads; Wetland Areas, Altering
<br /> Watercourses. ,_ , � � -
<br /> - Army Corps of Engineers-Seawalls;'�Docks, Navfgeble Waterways.
<br /> - Department of.,Health;'8 ReMabllitative,SenviceslEnvironmenfal:.Health Unit-Well.s� VVastev�rater�Treatment,
<br /> Septic Tanks:..�, " . . - :
<br /> - US Environmental Protectlon Agency-Asbestos abatement. .
<br />, FederaFAv..lation�Aulhority-Runways.�� -� -
<br /> -I understand that the.following�restrictions apply to tiie us�e offlll:•
<br /> - Use of flll Is not allowed in.;Flood-Zone°V"unless expressly permitted.
<br />' - If the.�flll� material;is to�`be used::�in :Flood�Zone. "A", it. Is understood that a drainage plan addresstng a
<br /> °compensating volume" wili be submitted at#ime of�petmittJng wh(ch Is prepared by a professional engineer
<br /> Iicensed by�Ne State of Flo�ida: - - - � � � . ..
<br /> I� - If th� flll-materlal-.is to be used in Flood Zone 'A" in�connec�ion�with�a�permitted building using stem wall,
<br /> construction, I certiy that flll:�vall=•b.e used only.to.fill the.area within�the�stem�wall: e
<br /> - If fill material is to be used In any area, I`certify that .use of''suah fill will not adversely affect adjacent
<br /> properties. If use of flll is found.to advereely:affect ad)aEent�pccspe�ties,.the owner may be'cited for viorating
<br /> the cond�lons.of the building:permit issued.under the.attaal�,ed pecmit appltcation,�.foc lots.less;than:one (1)
<br /> acre which are elevated�by flll,act englneer•ed drainage plan Is requlred.
<br /> If i am the AGENT FOR TNE OWNER, I;.promise In good faith to inform th�owner.of-the�permitting conditfons�set forth in
<br /> this affidavtt�prior to commer�cing constructlon. I understand thet a�separate permit may be requlred for elecMcal work, .
<br /> plumbtng,_signs, wells,:pools; air.condltioning,.g$s� or�othe� Install�tiqns noE.spec�ically included-in.the application. .A ,.
<br /> permit Issued shall be co'tistrued to be~a�itcense`to;proceed wtth`tFie:wo�k and�not�as:authoHty'.to:violate;:cancel; alter, or
<br /> set aside any provistons of the technical cades;�nor shall issuance�of a.permit.pcevent the Buildirig O(ficial from thereafter �
<br /> requiring a correctton af errors.in•,plans; constnictlon.or vlolattons of-any codes. E�ery p�ermlt�-issued'shalf tiecome invalid
<br /> unless the work authorized:by such permit:is-commenced�withln sfx.,months of permit Issuance� or if work authorized by
<br /> the permit is suspended�or:aba�doned for a;period of�six:f�)montf�s:aRer the tirne the�work�ts commenced. An extension
<br /> may be requested, in writing,,ftom tFie.�Bullding,Official for a period.not to.exceed�nin"ety�(90)�days a�d-wilf demonstrate
<br /> justifiable cause ior.the extenslon�. If work ceases:for ninety(90)cons.ecutive�day.s�..the job�is considered abandoned.
<br /> WARNING TO OWNER: YOUR.�AILURE��T�..,R�EC.OltQ.A:NOTIGE:OF:�COMMEMCEMENT:MAY�RESUlT IN-YOUR �
<br /> PAYING TVVICE;FOR IMPROVEMENT$;Tfl YOUI�PR�PER'1Y:��•I��YO.U;IN�END�T�'�OBTAIN•�FINAI�EING;�ONSULT
<br /> VNITFI 1P'OIJR�i;E�fi��R:OR�l�-�i�ORNI�Y�E��1���R�O�t�o�9�s:'�0������i�i'�°fi���Yi�EF➢��lii�Pl�':- .__`__ - - -- -_
<br /> FLORIDA JURA�(F.S:t17.03} � ." " „ . ' . . . -, `
<br /> I OWNER OR AOENT �.O G C.."� °� �O,�'J � CONTRAGTO �
<br /> Subscrlbed and swom or rme for�me fhls Subecrlbed and'sv4om,to(ot afli irt� me ttii�� '
<br /> by /.�i� � .by...�o G��0 Y���l� � ' ,
<br /> Nfio Isl r pe onalTkn t .me or:haslhave produced Wh re e onal kno •to.rrte,or haslhave�produced • -
<br /> entlficatlon. - " ' � , i as Idendflca0on. ,
<br /> .n
<br /> , .e Notery Publlc . - Nobry Publlc
<br /> Co missl •` Co misslon. �
<br /> ,.•��',r��b',��y JAC(�UELINE�OG�S ^ �
<br /> Name oi Nota = ' �� @�I��r 1 a,2016 Name of Nota , �,¢�in �qf�OGES
<br /> `•� ' �1 Commission#F
<br /> ':�;p��;,°.•�' �dNd6d TNfU fif8y��ih IB6Uf@AAU&00•an�aa+g zN; :k= F 150422 "
<br /> - :;;�.. P;: Expires December 12,2018
<br /> �'��P,;;;°•`�, Bonded Th�u Troy Fain Insuranca 800385-7019
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