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<br /> NOTICE OF DEED RE�T.RICYIONS: The under.slgned,unde�tacnds�=th�t:thts;p�rmlt.may.be.sub�ect to°d��d",[�strictions" � .. (
<br /> whlch may be=more restttctive-tha�-Caunty�:regulatCons:��The undersigne��assumes��espori"sitiiiiiy�for comptiance�wifii'ariy �
<br /> appllcabte.deed restrlctlons. -...= .�.�, • ,. . : . :' � , ., , ..
<br /> UMltGENSED=CONTRACT{)RS.AND CaNTRAG7OR�RESPCINSlB1CtT1�S:� --tf the owner°has-�htred�'a :cxintractor ac
<br /> cnntractors to undertake work, #hey,rrt�yb�.r�qulre.d._to.:bg�llcensed.ln.accordance.with�.state.and,:local;regulatlons: �If the�� � •
<br /> cantractor is riof tic�n'sed'as�requlred,;6y law, bottt the owner arid�contractor,:inay..be�clted for�a=misder�iesnor v!olattan
<br /> under state law. If the awner ar tntended>yconfcac.tar;are,;uncertatn as to what it+censing.requtremen#s,E`may.:epply��for�the== -
<br /> ; ., _ . ...,..,.w _... .�
<br /> 4ntended inrork, ttiey are aiivlseii to contact:the�Pasco,County_Bullding'Mn,epectlon4Dhilslon--Llcenstng Sectlon at 727-847-
<br /> 8009. Fit�ttiermore� K the awner`Fias`�tiirec! a•can�rac#o��6r coritractars. he is sclvised to have:the contrac#cr{s}_sOgn ,
<br /> partlons of the:°contractcr,Block" of thls appllcatlan for.,whlch they wlll:be ,r,esponslbte.= If..you,�as,ihe ovimer slgn"'as`flie �
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<br /> contractot, that�may be an ind#aatlon that'he=i�'not.pfoperly"licensed'ani!�Is`'Fiot entl�ed to permlttaitg prlulleges In Pasca
<br /> County. � h. . ' �;�:, .,�� .
<br /> TRANSPART�►TIONIlNlPACT/UTlLITIES�IMIPACT ANb��tESOURCE RECC�VERY�FEES:�The undetslgned understands
<br /> that T�anspartation impact Fees�and.Reao.ufse Recov�ry._Fees may':apply�ta:the;,canstruction,of new bulldtngs�_schange'"of=�
<br /> use in existing bultdl�gs,��o�-.expansl�n��.of.exlstin�i��uildings, as speclfled.ln Pascc� County Or'dinance number 89-07 and
<br /> 90-07, as amended.,_The undecsigned aiso=�unde�stands; ttiaf:-such fees-�-as:�tnay:��e�:dae;=wi11?be Jderitlf#ed at the�time`of�� °.
<br /> ermitting. It Is fiirtlier understaod that Tra�is ortatlon Im act Fees an.d�Resource Reco�e'` Fees_must be ald r(or to
<br /> P P p ._. rYV P P
<br /> receiving-a°ce�t�cate-of�occupat�cy°�or f�nal�pawer,�elease: :If`the.pro�ect:;does�.ririt Irnralve:a�.cert�+cafe of occupan'cy►�o�;.-:'� ,. :��
<br /> finat power:�elease,�#tie=:1'ees rriu�t tie`pald.prior to.permi# issuance. F�tt�termore;��if::Pasco,�Caunty"NVaterlSewet.�;impact• n
<br /> fees are due;they�musk be�,pald:prlot�o.permlt�l§sUance'In.accardance wlth appllcable_Pasco:-County-�ordinances. �
<br /> CONSTR�C'flON'CIEN-E.AV'i�(Cfiapter T13,1FIoHi1�Statate�,a�amended): 1�vaiva�on of work Is�2�500.00.:or more,,1� .�
<br /> certify that I, �he :appllcant, have.been .provlded �with a� copy-of�the�"Florida•��onstitictlon� Llen.Lavu---Homeowner's
<br /> Protectian Gulde" p�epared by tt�e Flo�lda Qeparkmenf o1'Agricultc�re and Consumec;:Affalrs. #f the appttcant Is sameane .-
<br /> ather than the"owner", 1 certify..that,t�h�ve..;otitaineid�a=copy.of.#he;abova.des.c�tbed:docuiir�ent;and;p�or�lser;tn,goad::faith.fo
<br /> deAver It to.'the:bwne�"µprioc:to�cammericementc`= � , .` , ` , . � ' ,
<br /> CONTRACTOR'S/t1WNER'�AFFIDAViT: i.cer.t�jr�:that,,atl��thei�;inform�tit�n:,ln�thi�applicattan is accurate and that a{I work
<br /> will�be done in compliance wlth all.appltcabl�s'laws regulating constructlon� zoning and�land�development. Appltcatlon�Is
<br /> hereby made to obtain .a.perm�tt.ta.,_da.;worlt:.,and;:Installation as Ind[�fed;.,.�;1 certifjr tha# no work�:or ins#afla#1an �ias
<br /> commenced p�lo� to Is"suance of':a permit"and that�:all�work wlll be pertormed to meet standards-of all laws regula�ing�
<br /> canst�trcttan, Couniy and City codes; zoning tregulatlon�, and land development regulattons�ln"the�jurlsd4ct{on. ( also
<br /> certify that I u�derstand that the regulations of other gaveenment agencies may�appiy�ta the..intended.work, and that it i�
<br /> my responsibUity to iden#ify•what.act(ons I must take:to be,.Tln;:comlpllancs.,.S,uah.agencles�Mnclude but�are.not Ilmited to: -
<br /> - Depaitmen# of Etivironmeritatr�Protection-Cyptess'`Bayhead�; We�and Areas and Envlronmenta#ly S�nsitlue
<br /> l.ands,Wai�rlWas#ewater Treatment.
<br /> - Sauthwest Ftortda Water Management-�':C3istrict We11s� Cypress.,�B�y_#�eads�, Wetland Areas, Alter�ng
<br /> Vllatercourses.
<br /> - Ar�ny Cocps Qf Englneers=Seawall`s,�Docks, hlavlgable Waterways,
<br /> - Department of Health;�8...Ret�ab,ttitative.,SerritceslEnvironmen�al--Nealth Uinit We11.s� Wasfeu�rater-Treatment�
<br /> Septic Tanks: _.... ':� � _ �-- .
<br /> - US Environmentai ProtectEon Ag�n�+Asbestos.abatemen#,
<br /> - Federal:Avtativn�Authority,.-Runways.� � '
<br /> 1 und�rstand that#he-following:restcl'cttons�apply to#he use of flll: -
<br /> - Use of fili is no#attawed in�Flood.Zone"V"uniess expressly permitted.
<br /> - If the •.fill` materlaf-'Is to�b.e used:7n.�Flood �Zone. "A", ft. Is understood that a drainage plan address(ng a
<br /> "compe�sating volume�w111 be submltted at tlme of�,perm�t#tng w�iich 1s prepared by a professional engineer
<br /> Ilcensed by the-State of FMorlda: - � � - . ,
<br /> - !f th� tilt�niater4af�_#s to-be�used tn Ffood�Zorte 'A" tn�conneo�Eon�with�a��errimltted bullding using stem wa!!
<br /> construction, t certify;that fl 1L"wll l:b.e used onty.to.fill the area within the stem>wall:
<br /> - If flll materlal is to be used In any a�ea; 1�aenlfy that use. of`such�flll wlll not ad�ersely a�ffeat adJacent
<br /> propertles, !f use of ff111s found_to adversely,�ffect adJa�ent�propetties,.the awner may be cl#ed for uio�ating
<br /> the condl#ions�..of the bi�ilding:perrrilt Issued:under tfia�attached �ermit-appllcatlon,.for�:lots�:less-than=one (1)
<br /> acr$whlch are elevated�by flli,an engineer�ed dr�lrrage plat�Is requlrad. . ..
<br /> If t am the AGENT,�OR.THE.OWNER; I,�promise_In_goad faifh#o infarm-the;awner of�the.permltting conditlons�set forth In
<br /> this affidav(t'prtor to'comme�acl�g constructlan. 1 understand #h�t a=sgparate permlt may be requ[red for elec4rlcal.wark,
<br /> plumbing� signs, wells�.paots;. alr.conditianing,-.ga�s�-or.ot�ec Insfall�tions nat.spea)#tcatly included�in.the appfiEcation. .A
<br /> permlt Issuetl shall be construed to be�a��llcense-ta'proceed wlth"tl�e�work and�not�as:authodty�to:vlalate;�.cancel, alter, or
<br /> set aslde any provistans of t�e tecti�iical-codes;�nar shall lss�aance•of a.permit.pcevent the Bulldirig CT#ftcia!from thereafter
<br /> requtrtng a correction o�f:errors ln�.plans; oonstructlan or vlolatlans of-any-codes: �very�p�ermtt-lssued=sfiall�become.invalid
<br /> unless the wo�k authorized.by such permlt:ls.co�menced•wlthln stx,months of permlt lssuance, or If work authorized by
<br /> the permit is suspended�or.,:abandoned•for.a,perlod of-s�C:�6}�inontti`s,'.after.the.time the�wot'k��s commenced. An extension
<br />' may be requested� In wri#Ing;�.fram tFie.�Bullding,Offlclal for a per(od-not•.to.exceed�"ninety�(90) days a�d-will�demionstrate
<br /> Jus#�iable`cause for.�the exfe�sion�. If wock ceas�as:for ninety.{90}cons.�cutive day.��.the 3�b��s constdeted abac�doned. �
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<br /> waRP11N� TC� oWN�R; YOUR.FAILURE.T�i,R�.COt2Q A.�NQTIGE:OF��C�MMEMCEMEl�T.MAY-1aESULT IN YOUR
<br /> PAYING T1NiCE:FC►R IMPROVEMENTS T�.YOUIi<PROi'ER�TY:�-�IF=YO.U{t�1�END:T�"aDBTAiN�fiNApE1NG;�ONSUL.T
<br /> WIT U D O. AN- ORN � FORE� �O � G� OU � =(� :`: `.:' • E , ' ,
<br /> 3�i.QRtQA JURA3:{F.S:1.17:03}. ._ . .. . , ., - - - , • M1 ,- - ,
<br /> 4WNER 4R ACiENT - CONTRNGTOR � - �
<br /> Su6s«ibed and s�nram M(or a#�rmed)befara me this Subscribed and'swam to(at afllrmed)�b�iota me ltils�
<br />' by r.s/C:L.ZbY , . .. ;
<br />, VYho Is/are personally knawn M.me.or has/have.produced Whols/are p.ers�onallyknown•to.me:or has/have�produced
<br /> as Iden��oaUon. as tden8�catton.
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<br /> Notery Public . � Notary Publtc_
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<br /> Gommis54onNa: Com ssl - a,�•�:'e"•�- �ACGil1F1_ir•�^5O S
<br /> �*� ;a� �.0"1ti115utiJ't.t�
<br /> :'a: Ex•,�res r,r-c.F�nber 12,2018
<br /> lVame af#Yvtatry typed,printed ar stamped Name of Nota '„ ��tlntedr�����ri "'81C�
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