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<br /> NOi'iC�.�F DEED RE�TFtiCTlt?�DS: �'he tatndersig�ed.under�t�tnds°:tl��t:thls„p�rmlt_may be.sub�ect to_°deed",restrictia'ris° _ �
<br /> which may�tie��more�`r.esttictive-ths�n Cotinty r�igulaf(nns:•�The un`rlerslgtied°as"sum�s-respr�nsfblllfy`for`�compllanre'with'ariy _
<br /> aFPNcable.deed res#tictlons. . ., . . � ..: :: . � � - . . �� � . _.
<br /> UNltCENSED�CaNTRACTflRS AI�D CONTRAGTE3R RESP'CINSIBILITIES: -!f��1�e ovvner4has�°hired���a c�nt�ac#or or
<br /> cont�actors ta undertake work, they nt'ay<be�r.equl�e.d.to�be�licensed:in:�ccordance;rruith state.arod•local_regulations: �Ifrthe• �
<br /> con#racto�"ts riot lic�nsed'as`requlred�6y law, batl� the owner and eoriUactorYinay�be�clted`.far'a�misdemeanot v1olallon
<br /> under state law. If the owner or intended;.contra�tor;�ere;�unce�tatn as to what ilcensing.re,qutrements,may�appty4for."ttie- - - =
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<br /> ir�tended�nrork, tfiey aie aiivised:to`cairtt�act:ttii�;Pasco Cqunty,Bullding.InspectionrCiivislon,s-l:(censing Sectton at 727-847'-
<br /> 8008. Furthermora� if the owtier f�as"tiifed�a conlracfrit'or contrac#ors, he is advtsad ta have th�e conttnactor(s}t,s3gn.
<br /> portlons of the�."contrector.6lock" of..,thls..appllcation�for,which,#hey.wlll be_r.esponslbie., ,If::you;�as,the_owner vsign''as`tlie `
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<br /> contractor, that may be an indicatiitri that'he�'is`not p�ope�ly'Ncen"ssd"aiic#�1s"not eritl�ed�to perr�ltting pri�ileges In Pasco
<br /> County, � � ' � : � �:;. . � . .
<br /> TRANSPOitTAT10NdIMPACT/UTlL11'IES rIMPAC'�ANb�tESOURC�RECOVERY�EEE�: The undersigned-understands
<br /> ihat Transportatbn impacQ Feas��nd.Recoufise Recavery�Fee�niaytappiy:ta�tft�;con�tntct�an of new.buildirigs,,change:`of� ��°'� �
<br /> use in eiiisting buildings, ar`-��expansi�n��ofhei�isti�%g,'�liuildings� �s specified.in Pascq County Or'dinanae number 89-07 and
<br /> SO-07. as amended.k.;The undersigned alsos�undetstands; thait:�suc�fees,:as:�may��e�,due;:�wi11;�e ldenf�fied at the�:#lirieeof-�:
<br /> � permitking. It Is furtlier understood thak Tra�sp'ortatlon Impact"Fees and�Resounce.:Recorrery�Fees;.mu'st be paid prtor to
<br /> rece�ving-a`cer�iflcate of�occup�ncy"or final�power;�eleass. :if�the.proJ�c#_.�ioes;,rio�Involve:a��.cert�icake of occupancy{ar : �
<br /> ftnal power-release;th.e fe�s-mu�f�tie"patd,p'r.ior tor,permit issuance. Ft��tt�ermare;�If Pasco,.G,oanty Water/�ewer.�lmpaat -- �-
<br /> fees a�e due,.they;must,be�paldrpr'lor#o_permlt��lss�ance-.in.accordance witfY.�rpplfcatile:Pasco'.County o�tlinances. • ,
<br /> CONSTRUGTtOM�I,IEN`I.AW�tGtiepter T13�Flor�tla�tatut��'�s�m+en�f��j: if valuattan�#v�ork is.S2�500.OQ�or more,:1 ..
<br /> cerlify that I, •the applicant,.-have.been pravided �wtth~a copy of#he�"F.lorida� Construction: Lierr_Law:Homeowner's
<br /> Protectlan Guide" prepared by'the Fior�da Departme�t�of Agric.uitt�re and Consurner;At�atrs. If the appllcant Is someo.ne ., -.. '
<br /> other than the`owner", I�erttfir�that I�have.obtatnetl�a capy.of.the=abave�.des.crlbed'�locument-and.promise�:U,goa,'d:`.faith.fo. - �
<br /> de4fvet It to.'the.='owne�=pi�ioc-to��commencemerit:� � � . . -_ . � _ _ , ,. . _
<br /> CONTRACTOR'S/I�WNER'S AFFI�iAVlT: 1.certi[yc:that-ali...th�tlnfarmation.in�thls appllc�tian is accur�te.�nd tha#a!1 work �
<br /> � will'be done in compliance with all applicable laws regulating constructlon, zontng and:land development, Appllcation fs
<br /> hereby made to obtain�:a pe�mit=Ca,,do:wot��,;and°•install�tian as lndl�afed:. =:1, cen�fy that no wortc��or Instailatfon I�as
<br /> commenced p�lo� ta Issuance of'a permiE'and that�:all work will be performed to meet-standards-of all laws regula�ing-
<br /> construct�an, County and City codes, zoning regulatlQnst and land developmenE regulat{onsr tn�the�jurtsd(ctlon. ! al'so
<br /> oertify that I uaderstand that the regulattons of other�government agencies may�appiy�to the Intended work, and that it is
<br /> rny responsibility ta identH'y�what.actlons I must t�ke:to be�ln<.corrlpllancs:.,Such.agencles-Include but�are.not Ilmited to:.�
<br /> - Department of Environmentafi==Protectiari=Cyptess�`8ayhead�,'We�and Areas and Environmentally Sensitive
<br /> I.ands,Water/Wastewater Treatment.
<br /> - Sauthwest Flor�da l�later [ulanagement�=:C�istrlct:1t11eils; 'Cypress.`"Bay�eads; Wetland Areas, AlEertng
<br /> V1/atercaurses. ,,, ~
<br /> - Army Corps of Engineers=SeawaNs�'Docks,Navlgable Waterways.
<br /> , - 1Department,of.,Health::8,,Ret�ab111tative;.Ser.vlceslEnvtranmental�.Neal#h 13nit Well.s. Wastewater�Tteatment, '
<br /> Septic Tanks: `.' -. � :- ' �� � - .
<br /> - US Environmentat Protectlon Agency Asbestos abaEeme.n#._ -
<br /> Federal:Av,,latton Authority=Runways. �` �
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<br /> t understand that the fofloinrtng.��estrlctlons appty to the use of flll:
<br /> - Use of fiil is not aliawed in:Flood?one"V"untess expressiy permitted.
<br /> - If the :fill m�te�lal'is 'fo�`b.e used:ln �Flood Zone. °A", }it. is understoad that� a drainage plan addresstng a
<br /> "compensating volume°wiEt be submitted at#ime of{:permitting wli�ch Is prepared by a profess3anal englneer
<br /> � Ilcensed by the,St�te�of FMorida. . - -' �� ���-:°�. = , -
<br /> - if th� fill material��is to be�used In Flood �one 'A" in�connec�lon�wlth`a��{�ermltted Suilding using stem wal4
<br /> ' construction, t certify that fllLv�lq:b.e used only.to filt the:area-wtthin�the�=stem=wall:
<br /> - If fill �naterial !s�to be used In any area; l�ceitlY�r that .use of-such flll�will �ot adversely affect adJacent
<br /> properties. if use of fiH is#opnd ta advets�ly,:�ffect adJaEerit�prcipertles�.the owner m�y be cited for vio�ating
<br /> �he condl#ions..of the buil�ing:permlt issued:under the�altached_�ermit:applicatlan� for.lots�less than.-one (1)
<br /> acre whlch"are eievated by�1i;a�t ertgineered dralnage�plan is requlred.
<br /> If I am the l�GENT�OR.THE OWNER; I;.promise In,_goad fatth to Inform�the��owner of the.permitting condltions set forth In
<br /> this affidau(t p�lor to oommeiacing cot�structlon. '! unders#and thet a�separate permit may be requtred for electrical�work, .
<br /> ptumbing,_,signs, weUs,.poots;, atr,ccnditioning,.ga���-ar_other Instati�itions nat.spec�cally inctuded�in.the appitcat�on. .A
<br /> permit issued shall be const�ue.d to�iie~a'Ii�nse'�to��proceed with`'tFie'work and.;not-as:authoNty to:.violate;aancel� alter, or ,
<br /> set as3de aity provlsions of t�ie.teclinEcal-codes; nor shail issuance�of a.permit.peevent the Bu11d[rig C�icial ftom thereal�er
<br /> requirin.g a correctian af.errors In;plans; cons#ivctian or violatlons of any codes:-_Every;permit=l.ssued'sMaiF�6ecome invalid
<br /> unisss the wrork authorized.by such permlt>��.co�nmenced•wlthtn.ssf�cc{m�nths of permlt Issuance, or IF wark suthorized by
<br /> the pe�mit is suspended�or:abar�doned�for.a:periodaof si�t:(8j�montiis.:af#er,the t#me the-wa�k�is commenced. An extenslan
<br />.____.may_be_ceques.te.d,Jn�vr�ting;-fr�m_the:B�ilding-(�fflci�l #�r-a-p�rlod�not-t�a-exc��cl�ntn�#y--(g0)�d�ys-a�id-�iifl-der��nserat���-�""—
<br /> �ustifiab6e cause fvr.�the exfension: If work cease�,for nlnety�(90}cons.+�cutive:day.s...th�Job��s consldered$baadot�ed.
<br /> �ARNINC TO OWNER: YQUF�;FAIl.t11tE�TQ,R�E.C.O�t#�.A M�TtCE:OF:�COMMEMCEMEIIYT;MAY-l3E5ULT IN°YOUR
<br /> PAYING 71MICE:FOR IMPROVEMENTS�TO:YO.UR::PROPER-TY:::IF°YO.U�i�ITEND�TA'��'i�TAiN��FiN�A`I�fi�1NG;�QN�U1.'f
<br /> W17 U D �O AN� TTO N FQR�� � O �� Ga pU :' ; ;C ,(1 .:; :, • E '` � - T•. `�
<br /> FI.ORlpA JURA'�- F.S: 03 ' � - �• ' � : - .
<br /> OWNEROitAOENT � G~� . CbNI'RACTOIi,., �l-?''� .. �� .
<br /> Subs«ibed and svuom ta(or a#flrmed)before me this Stib bed aruf'sv+�otn�to{o#afl�tmedrb�fora me'ttitfi�
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<br /> Vtfio Is/are per�analiy knovm to.me or has/have,produced Who.lsl onally�kno •tts.me or haslhave-produaed • �.
<br /> � as Id"entlllc�Upri. as IdenUBcatian.
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<br /> Notary Publtc . Notary Pubtic
<br /> Commisslon Na.` Co' sian
<br /> ,�oti�::t��c, EL{ E BOGES'
<br /> ' _.: .�= Commission#FF 150422
<br /> (Yame of Notary typed,printed ar stamped Name of Notary tKpe ed December 12,2018
<br /> �''v,����Q•`��` 8o�dad Th�u 7roy Fain Insora�e 860385-7019
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