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<br /> NOTIC�Q�DEED I�ESTRICTIQN$:. The anderslgr�ed,nnder,�,t�nds�;th�t,�.#hisr�p�cm[t 4may be,sub�ecf,to'°deed",r.estrtctioits":,::r.:.:y=r.:�:.
<br /> which may`ae<more:-r.esttictive.�tli�n Couiity�egalat(ons:`-The'.undeirslgned�essumes=resp�nsibliity�for�compilance with any
<br /> app!lcable:deed-rest�ictions. :., �.:r .� .,:.�,, . .. � . �. _,. ..,
<br /> UNLICENSED�CONTRACTORS �At�D CClNTRAGTOR RESPON81BtCITtES: ��tf°ttte=owner fias'�tiiretl�a�:contrac#or or
<br /> contractors to undertake work,.they may:be.:c�yuired�to.-be Ilcensed=ln_accordance.with,state,and�Iocal;�r�gulatl.a.ns:�:If`the�� �` �'��-
<br /> cantractor Js-nat lice�se�f:.as'requlred'!iy law� bot#i�the owner and:ooritractar rriay��be��itedhfor�a��misclemeanar vlolatian
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<br /> under state law. If the owner or Intended}�contra�tor,�ar,e.,uncertain as�ta what Ilcenatng.requirements;may�-�apply:�:ior:�the;-���• �* �
<br /> intended wark,they.are adviseil�fo contact'flie Pasco�ounty,Buildiing;lrisjiection,;Dtvislon.--l:.tcenstng Sectlon at 727-847-
<br /> 8008. Fur#tiermore, if ttie auvner't�ias�Filreii a�con�iacto� or contractorr�, i,e rs sav�sed to t,ave tne conaactor{s),.;sign., ,_ _
<br /> ponians of the:."c.antractor.Block°.,of this._application.,for whloh�they;will::b.e...resp.onsible.�-_If:you,Y�a��.#he owne�"sign"as''�the`� �" `
<br /> conttac#ar, that-�trtay.be an Intilcation'that'3ie is ttat`.ptoperljt llcensei!'ai�tl'is�iio#'entftlei�to perimltEingy privlleges fn Pasco ;4 •
<br /> County. , . , . j :.�::.. . _.,. ..
<br /> TRANSPORTATI�N-IMPACTIUTILlTIEB tCMPAC'�ANC!�RESOURCE R�CQVEEtY�FEES;�The undersigned-unders#ands :
<br /> thatTransportation impact Feers and.Reco.utse.RecoVe.ry:Fees may�;apply�tv�tfte�construction,of new buiidings,!changetof°'�'�```�"'`=' "
<br /> use in existing buildings, or�expan§M�rr�of,existin�:�builiiings, as speclfled.in P�sco County Ordinance number 89-07 and
<br /> 90-U7, as amended.,�The undetslgned aiso;uriderstands, thaiE�such fees;�;assmay�;�e:�dt�e;,�nr,iEl.�be IdepQ�ied a#the�time=-af;;�i �"��.���` :i
<br /> permitting, It is fu'�tfier understood that Tra�sportation impact Fees and'��Resource:Reco�"ery��Fees.mu�t be paid prior to
<br /> rece�ving a°cert�icate�of occupancy" or-final••powe,r.,�elease:{-�:f€�the.pro�ec#;�.does:not Invalve:a�-certi�cafe of occupa�cy�or��::r°:.�' `-:
<br /> flnai powec reiease;:tlie:fees mu�t.be paitl;pclor.to;per,mft Issuance. Fu�thermore;1f PascoRCounty`Water/Sewer��impact. ..= �
<br /> fees are due�.they.mu,st.be,paid:prlor ta_,permit�lssuance�in.accordance�witfr�appltaable_Pasco�:County�ordinances. �
<br /> CONSTRUCTION`l:IEN"LAW'(Ctiapter T13� Flortda Statutes;�as.amended);.'!f valua�ari,ot work is$2,500.00 or more, 1� �; _.����:
<br /> ce�tify that I, �he. applicant, have�:been provlded.�wlth=�a-capy of�the•�"Florida-�Const"ructton�_Lien.:Law--Homeowner's
<br /> �rotectlan Gulde" prepa�ed by tFie F1o�da DeparEme�f;af Agrtcu[#ure and Consumer Affalrs. If ths appl3cant Is someane: ,, ...,._ «;:
<br /> other than the"a�nmer", I certify.that i,.h�ve�,abtained�a'capy;of.the,:aboye.desc�lbed�iocument:and,:ptonil�e��in,gpod'faith.to, _, ..�,.
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<br /> deliver It to.ttieu'owne�'��p�ioc�#o:comgriericeiiiisnt:'', • '.. . �
<br /> CONTRACTOR'l�IOWNER'S AffIDAViT. i.c_e.rk�fy:.th�at,ali;_the,{nformati�n:;in•thi�appticetion is aacurate and that all work
<br /> will'be done in campliance wlth all.appl(cable'laws regulating constructlan, zoning and�•land�develapment. Appltcatian is
<br /> hereby made to obtaln :a permit;,,to:do�;wafitcti,�rtci;�li�sfalla#on as ind{�ated;,,..:'1 certity"that no�wcirk�or Mstaflatioit ttas'
<br /> commenced priar to Issuance of'�a perriiiC'and that':a0 work will be performed�to meet standards-of.all law� regul��ing�
<br /> constructtan, Gaunty and City codes, zoning.regulations, and tand devebpment r.egata�6ns�in "the Jurisdfctian.> (�ai'so. _
<br /> certify that I understand that the regutatlons of other government agencies may�apply�#o the lntended.work� and that it ts
<br /> my responsibllity ta identify�what.actlons 1 must�t�ke:to be,ln;camp!lance:_ ,S.uch.agencles lnclude bwt�are.not limited ta;
<br /> - Department of Et�vironmental.rProtection-Cypr`ess.'Bayhead�, WeHand Areas and Environmentatly Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - 5outhwest Elorlda Water Management .D�strict-1Nells; Cypress.,_8ay.heads,� Wetland Areas, AI#ering
<br /> Watercourses. � � •
<br /> - Army Corps o#Englneer's-Seawalls, Docks,Navigaale 1Naterways.
<br /> • Department of,.Nealth,;8 Ref�abiiitafive Services/Errvitonmental>F#�alth Unit-Weti.s; Wasteurrater�Tt�esfinent, �
<br /> Septtic Tanks:.��" " ` � - :
<br /> - US Env�ronmen#al Protection Agency Asbestas abateme.nt.:. ,
<br /> Federal�Avlatton�Authority.=Runways. �
<br /> !understand tha#the.fallowing:restrlctlons appfy to the use of flll.•
<br /> - Use af fiti is not allawed in Flogd,;Zone tlV"unless expressly permitted. ,
<br /> - If the'.flIF inaterfal�:is to b.e used�`in,:Flood �Zone. "A"� It is understood that a dratnage-,plan addressing a
<br /> "compensaEing�votume"will be submltted at#Ime of�permifttng w�ilch #s prepar�d by�a professionat engineer ,
<br /> Iicenaed by�he:State�of'FMorida: � � ` " - '
<br /> - Ef th� ffli material°`Is to.ba used tn Ftood �one "A° In>connec�#ort�wlth�a permEtted-buitding u�fng stem wai!
<br /> � construation, I cerNfy tha#fill:�111.b.e used only.to#111 the area wlthin the�stem�wail: �
<br /> - If till materlal Is~to tie used In ariy area; 1=cetttty that .use. of such'flll wil# not adversely aftect adjaaent
<br /> praperties. if use of fitl ls fonn�t to advetsely,�ff'ect ail]acent�properties,.the awner may be cited for viai'ating ",
<br /> the co�dttlons.of.the bupding•:permit�ls"sued�under the.�at�ached_permit applicatlon,:for,lots�less:than.�one (1)
<br /> acre wlitcFi ar�etevated�by flli;a�t engineered drainage plan i�requlred. .
<br /> If I am the AGENT.�OR TH�OV11N�R,,I;:promise In good faith to infarm the owner of��khe permitting conditlons set forth In
<br /> this aftidavik'p�ior to cammeraaing constructlon. 'I undersfand thet a�s�parate permlt may be requlred for efectrfca#'workf _ ,
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<br /> plumbing,,signs, welts,,,paots;. �tr condifioning,:g$s,,-ar.other instatt�tions not.spec�tcatly included•in.the apptication. .A ..
<br /> perm(t issued 5hall be canshued to�ie a'license`�to�prciceed with�tiie,work and not•as.�authority::to:-violate;�'cancel, alter, or
<br /> seE aslde any provistans of the tecFtiifcal codes;�nor shall lssuance3of a.permtt.pcedent the Bulldlrig t�flclal#rom therea�ter �
<br /> requlring a correction af ercors In:plans; canstivctlon oc violatians of-any codes. Every�pemt(t�is"sued sfiall�beaome invalid
<br /> unless the work authorized by such permit:�is_co�r+menced�wlthln st�c4months of perrnit lssuance, or If work authorizec! by
<br /> the permi#is suspended cr:aba�doned�for a:per#od af si�c{�)�monf�s.efter-'#he tirne the�wotk��s commenced. An extension
<br /> may be requested� in wrlting,.:,from the.Bullding,Oificial for a period-not.to•exceietl-ninety=(90)`days and-will demonstrate
<br /> jus#Iflable cause for.�tlie ex#ension: #f work ceas�ss:for nlnefy.{90}cons.ecutive�day.�,..tha�ab:is consEdered abafldoned.
<br /> 1NARMING TQ CINtNftt; YOUR.:FAIUJRE��Tt2.=RECCI#tt�;A_M4TIGE OF:�GQMME�lGEMEl�TvMAY�RESUE:T 1N YOUR
<br /> ___P_AYINGT�IY'1_CE�I=ABJNMPR.OVEMENtS_�9�YA11�.:P�t�P�R'�X=1�°.XO.I����'F�l�-7'S�z�►B�'�al��l�l1�l��lidG;'�mi��lOLT__—__ ._—
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<br /> WIT D O. A O N �'OR��� :OR G�� OU ' : ; _ 'CM .:� °,: E ,
<br /> � FCORtDA3UtiAT�{F.S:.11Z.03} i. : . _= '._._ . _ .. ...; _ . ..
<br /> OVVfdER OR AOENT � CONTRAGTO�
<br /> Su6scdbed and swom to(or aHinned}beiore me lhis Stibsafbed and'aw�m (o'�a t affirmed}�befote nte thfi�
<br /> dy .by_.
<br /> IMio Is/are petsonelly knovm to.me or has/hava,produced Who.fs/ere p.e.rsonallykaown•tq:me.or has/hav,e•produced- •
<br /> as iden��i��on. � as tdentiffcattan.
<br /> Notary Pubita . Notary Public
<br /> Commisslon No.` Coin�tSssion-No,
<br /> Mame ot Notary iyped,printed or stamped Name of Notary typed,prtnted ar stamped
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