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<br /> . ,. . „�..:, _, ...,._,..erslgc�ed.understarsds�th�t�#hls:.p�rmlt:may.:be�subject,to.,,deed,restrlcttons._...�,,.._..�
<br /> NOi'iCE A�DEED RESYRI�TIO�IS:.The und
<br /> which may be::more<r.est�ictive��th�n County�regul�itlons:�=The°:underslgned��s`sumes�re�ponsitiill�y�for`campllanoe�witfi�'any' ° ��
<br /> appllcab}e'deed�restrlc#lons. - .::.�...=�. :... � , �._ . :. _ . _�
<br /> UNLtC@NSED�GONT�IC'�'ORS AND CONTRA�TOit .RESPON�t�1�ITiES:� �ff�ti�e°-ownet�-has'�hired�-a":aantrackar or
<br /> contractors to undertake work, tFiey may:be;ceiqu►lred�ta.�be,:llc�nsed l�i-accordance.writh,sta#e::and�lacal,r�gulatlons::lfthe���` � t4°��
<br /> contractor i§-�ot�tii�n"s"ed=°a��reqiilre��liy IaV�.�liath�the oumer�rid`contcactor{r»ay lie��cttec!"ia�r�a��inlsdeineanar uiolattan
<br /> under s�ate law, If the owner or Intend�d}.contr�ctor�are,funcertaln as ta what Ilcen�tng„requlrements,:'may=-apply':ior:�the' �-- -�
<br /> intended"work,tt�ey a�e'�advlsed�f�contact the.Pasco Caunty,�Bulliting�{nspes:tlon D(vlslot�--t.icenstng Secttan at 727-847-
<br /> 8008. Farttiemnore, if the awmer''tias'tilred � contfactbr'ar contractors, �ie Is aiivised ta have�the contrac#aKs)„sign 4 , ;
<br /> portions of the.,°contraator Blaak" of:thls dappllcation.fo�,whlch:.they,wlll..be-ce�ponslble.- If..yau;�as•.the awne'r'sign"as fhe ' ` ' '`"
<br /> contrac#or, that�may°6e an Iiidication that Fie is riot:ptoper�y lice�sed`antl'�1s�not`entlttiad to permitting pr�ulleges in Pasco
<br /> County. , : a:;;;:��.�.A . ., ,
<br /> T�NS�?t?RTAT�QN-1NlPi4CTlUT1L°:lTIES�l�IlPAC7 ANb�ltE�t?URCE REC�1tERY�FEES.`1C�he unde�slgne�-uriders#ands
<br /> that Transporfation Impact Fees.and:Reca.urse Recov,_e.ry-��es m�ay;appty.t�:tf�e,constructlon of new.bulldings,�change of��# `��'`�
<br /> use In exisNng bulldings,�or�expanslon��of�+�zlstin�g>>6uildings, as speciited.ln Pas�o County Ordinance number 89-07 and
<br /> 90-07, as ame�ded..;.The undetsigned aisa;andet�t�ands, that:�such fees;;�as>-may;;�e•-.due;:w11l:3be ldent�#ed at the='time`:of;' �=
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<br /> permitting. It Is further understood that Tra�spbrtatlon (mpact�Fees and�ResoucceMReco�eryEFees:,must be pald prlar to
<br /> rece�ving-a"cert�icate.of occupat�cy°�ar��inal��pawer=,celease;r :If�tfie.pro��c#;does�.no�invc�fve>.a�cett�icafe of occupan`cy.=o��=::.`4' ,
<br /> final powec retease,;�the;fees�mu�t�tie="paid�;p�lor to.pe,r,mit Is�ua�ice. Fu�th�rmare;-If.PascoaCounly�lNater/Sewer�:lmpact �:::.
<br /> fees are duet_tk�ey.must bs:pald;.pNoc�o_,permtt�lss�ance�ln.accocdance wltk"r appltcable.Pasco'<6�unty�orillnanaes. �
<br /> CONSTRI;ICT�ON`t�IEN"LAW(�ti�pter 7't3, Flortda Ststute�,as�mend��): If vatuatibn af work Is$2,500.00:ormore,.�i� • -�-;��
<br /> certify that I� �he.. appllcant;.have�been�,provtded �w(th-a�copy°of the:"�lorida��`Constructto�:=Lien :Lauv—Homeoavner'�
<br /> Protectlon Ga1de" prepared by ttie�o�da Depa�men#of Ag�{cuEt�re and'Cansc�mer:�0.�talrs. 1f the appltcant Is sameone�:,. � . •.��
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<br /> other than#he aw�er", I certiFy;;that.l�.have.;abtained=a�capy.of:thefabove:.desc�lk�ed�docu�ent°and:p�ror�tsi�:,ln,gaod',falth,to , -..�,
<br /> deliver It to..the�'ownec""p�ior:to�cammericement."''� . � � • -
<br /> CONTRACTOR'�i/��V1�1ER'S AFFIC1AViT. I.cer�ify:#tia�t,,all_th��;lnformatitm:i�thi� applicatton is accurate�nd that all wrork
<br /> will'be done in campl(ance wlth all;appllcable llaws regulating aonstructlan, zoning and�land°develapment. Appllcatlan is
<br /> hereby m�de to obtairr.a.parmit,.to,do.:wark7��nd.instatlat#on a�s indt�ated.�:.:t� cea,titjr that no work�or Installatton i�as .
<br /> commenced prlo� to Issuanci� of`a'permif'and that`.a1M work w(II be perForrmed�to meet_standards of all laws regula�ing-
<br /> cons#�uctlon, Goanty and City codes, zoning regulatians, and land developrr�ent regula�ons�tn the�urtsdtctlon.: l,at'sa
<br /> certlfy that I uaderstand that the regulations of other gav�rnment agenc(es may��pply�to the lntended work, and that it is
<br /> my responsibility#o Identify.what.actlons 1 must•k�ke:to be.ln:.cor�pllancs.,�Such.agencles-lnclude but�are.not lfmfted to: � � -
<br /> - Departmen# of Er�vironmentafi�'P�tectfon=Cyptess4"Baytiead�, V!/e�end Areas and,Environmentalty Seresitive
<br /> - Lands,WateNWastewater Treatmenk. '
<br /> - Southwes# Ftor�da Water IVma�agement:�istrlct.lNells; '-Cypress.C.Bay�eaifs�; We##and Area�, Altering
<br /> Watercourses. -
<br /> �,.p.i 'i� `L �P
<br /> - Army Corps af Englnee�i�s-Seawalls�Docks,tVavl�able Vltaterways.
<br /> - Department of ,Heaith�;,&,;Ret�abliitativ.e.�.ServicesJEm►itonmentaB�Heaith�Unit Welts� Wasteuuater-.�Treatment, �
<br /> Septic Tank�:._'' ° ' . � .
<br /> - US Envlronmental�Protection Ager�r Asbestos abateme.nt�._ .
<br /> , Federal�Avtatlon:Authoclty=Runways:� � ' ,
<br /> � -!und�rstand�that theffollovit}rig.;cestrlct�ons appfy�to the tase of fllt.• •
<br /> - Use of fill 1s not allowed in;F1oad Zone"V"unless expr.essly_perra�ltted,.
<br /> - If the.-�ill`'mate�lal��ts to be usetl: In :Flood Zone. "A". (k I� underst�od #hat a drainage plan addressing a
<br /> "compensating valume"will be subrnitted at#ime of�p�rmitting wfilch is prepared by a prafessiona! engineer '
<br /> Ilcensed by°the State of;Flortda: . ' _ . -� . ., . . . .
<br /> - If th� fl!1 materlal�.is ta be used In �laod �one 'A" In�connec�i�n�wlth�a��+acmtlted bultd6�g using stem walf
<br /> ' constructfon, I certify.that fill<vulll.be�used only.to.flll the.area�wlthln the�stem�>w�ll: _� • �
<br /> - !f fiA materlal ts to be used !n any area; f�ce'rtlfy �ha# .use of�`such fl11 wNl not adverseiy aEfect ad)acent
<br /> properties. if use af fill is found_to adverseFy:�ffect ad)aeeiit'�pc�per#ies�.the owner may be cited for viblating
<br /> the�condltfons_of the bullding:permlt�lssued�under the''attacfied permlt �pplicatlan;:for.;lots�:less-�than:'on� (1)
<br /> acre whliiFi are elevated'by flll��ct englneered dralnag�ptan is requtred. -
<br /> If I am the AGENT�OR THE:OWNER; I;:pramise In.good fatth to Infarm the�o,wner of.-the:permltting condftlo�s set forth in
<br /> th3s a�davtk`prtor�ta commencing cvnstructlon, �f unilet�tand #hat�a separat�permit may be requlred far etecMca# work,
<br /> plumbing,�signs, wetis,,;poots;, afr conditioning�.ga�s, or. other install�itions nml,spec�tcaity inctuded•in the application. .A
<br /> permlt Issued sha�ll be canstnued to be�a llcense`:to'proceed vulth tFie work end not as:authorlty::to:vlolate,:`cancel, alter. or
<br /> set aslde any provtsions of the#echnlcal.cod��; nor�halt tssu�nce�of a.permit.pr.event fhe Bultdlrig Qf�cial fram thereaiter.
<br /> requtrin.g a.correctlon.nf,errors�,ln:,plans; constiuctlan�or violattons of�any cod�s:- Every�.permlt�lssued:shall�become invalid
<br /> unless the work authorited by such perrrtlt:�ls-corrtmenced wfthfn sf�t�months of permlt lssuance, c�r if wark authorized by
<br /> the permit is suspended ar-.abandoned-for:a:period;af si�c;f8)montiis.after#he tlm�#he�work�ds commen�ed. An extension�
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<br /> may be requested� In wrl#Ing;.;,#rom th�Bulldtng,Offlcial for� perlod.not.#o e�scceed�nlnety-{90)'�days a�d��wlll demonst�ate
<br /> }ustl�able cause for the e�ensior�. If woric ceas�s:for ninefy�(90}cons.ecutive day.s,._the Jab�is cansidered aba�don�d.
<br /> WARNtNG TQ ClWNER. YO.UR.;�A!!!!RE=,TQ.,R�E.C.C1t2D AaR1,OTtGE�.OF.�C�MMEMCEME�4T=MAY-RE$ULT IN�YQUR
<br /> PAYING TWiCE:-FOR�IMPRO'VEMEI!tTS_Tfl YOI�R.PROPERTY.�:I��YO.U�INTE�D�TQ'�OB7'AIN��FIN�API��NG;�C.ONSULT
<br /> WIT A � 0 N � EAR���- O @ G=: OU � � ;� `p '" `,: � E - �
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<br /> OMm1ER OR AOENT � i ��-Q� _ �� CONTRAGTCA� --— - - - - -- -- - - -- -
<br /> Subs bed artd swom �at�mted) e this Su�1 b and' {ot afQ ed� efor�`nte ttitg
<br /> S� � me L �se9��"' �i��~� 2...�.,�lr�. '
<br /> Who lsla arsonatly kno tame.ochas/have produced Who.ls/ar stsonally knn ta.me�or has/have•produced • -
<br /> � "as fdenliflcatton. � �s tden�fica#3on �
<br /> Notary Publlc _ � Notary Publlc
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<br /> ,_ ��s„ Notary Public�State of Florida ;•�o ��•,�, NpxBry PubUe-State at Flotida
<br /> Name ot�tatary - p � ' Name of Not�ry �i� �� � � .
<br /> =�.* P�,� Commission#FF 034230 0�� Commission�EF d34230
<br /> ��''�%�°`�;°`�, Bonded Through Nalional Notary Assn. ��'�%`;��;;°o-`�� Bonded�Through Natmnal Notary Assn.
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