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Rl29T9CE OF�DEED'RESTRECT�ONS: The und�rslgn�d,understands�,th�t�this:{��rmit'may;be;subJect.to.mdeed",restrictions°��"":', � ' " '
<br /> which may�6e<more-r.est�Ictfve:-th��Gounty��reg�ilatlores:-`'Th`e`unde�lgn�d`��s`sumes-`respvnsibillty'for°cor'r�pliance"iwitti�any'��"`_�` �'�
<br /> a,pplicabie deed restricttons.- =. =�.,,��,_:;,;.�.'� =-°,- � , � � . _ . ��'" _ _ ...� .„_. �. .. .
<br /> UNLEC�MSED''COIVTRACTOE�S AND .CONTRACTmR �ES�ON�I�ILITEE�:� ��If'tfie��owner�has�'�htred�°a"cont�actor o �
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<br /> contractors to undertake work,_they may:be,r�quired<_to.?be,licensed;in:accordance.with�.state:and,local,regulations::-1f-the� � ��f '
<br /> eontractor-t§°-not licensed aa°-re'qulred'tiy law, tioth•`the�owner and�contractor��may��be��°clted=for�a"rritsdemeanor.violatlon
<br /> under state law.. If.the own�r or Intended;°,contractor�ere;;�unc�rtaln a�� to,what ItcensingFrequirements;may�apply��foc'tFie=�= -�• ' ��;'�
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<br /> intended'worli,=they a�e'advised to contact.th��_Pasco County�uilding7n�pectton.Division-Licensing Section at 727-847-
<br /> 8009. Furthermore, tf_the owner'Fias�`Ntred a cont�actor or contractors, he is advtsed to have;the contractor(s)�;sign_, ,,„ ; �
<br /> portions of the�"contractor.Bloc�",of.thls.:application�for:which�they will.,be..r.esp,onsible:-�.•If.you;�as::the oviine�x"sign''as�'tfie`"``" `
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<br /> cont�actor,�that�may'be an indication'that''he'=1s�hof:pcope�ly,licensed antl�`i§not'entitled to permitti`.n'g�pririileges In Pasco .
<br /> County. _ • • : : .Y,.:�, t , ._
<br /> T�M�PARTATION.IMPACT/UTILITEE�:�IMl�AC7 AB�b�lE��LlRC�R@tCOVERY�EE�:��The undersdgned�understands
<br /> thaYTransportation Impact Fees and:Recourse Recobe.ry.F�es m�iy�,�pply,:to�-t�e�construction of nevv_bulldtngs��+change�'of����=`��� '°
<br /> use in euisting bulldings,_or:.expar�si�n:•�of�ezistin;g,bu(Idings, a� speclfi�d.tn Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended�.j-,The und,erstgned �Iso;understands; that:'°such fees;<,as�:may;tie:��du�;:�wili=tie identifiled a#the�"timesof�j��£��� �•�``
<br /> permittfng. It Is further understood that Tra�isportatlon Impacf"Fees and��Resource�RecoverytiFees.:must be paid prior to
<br /> receiving a:°cerfificate.of,occupancy"�or flnal-powerrelease:��:1�-the.project:sdo�ss:not involv�:��c�rtfficaCe of occupancy.-ror=�-����y� ���
<br /> �inal power-_release;.•#fi'e�fees�mu`�t�be"paid:prlor to.p�rmit issuance. Fu�thermore;r-lf:Pasco,County�'lMater/Sewer,�lmpact •.•. � �
<br /> fees are.due;.:�they must:be;,paitl;p�lor to,permit'�i`ss4arice:in.accordance.viiit���appltcable;Pasco'Countji ordinances. -
<br /> C�M�TFtUCTIORI'�:I���I.�AfN(Ct��pt�r 713� Flmrad�3t��u�����s�ro��nd�d):� if valuation of work,is;$��500.00;ormore;:-1� �:;�:
<br /> certify tFiat :I, .#he _applic�nt;,-have:been_:provlded �wtth �a��copy�of:`_the '°Florida��Constrcactlon::Lten::Lav�--Homeowner's
<br /> Protection Gutde".prepared by:tiie Flo�ida.Department:of Agric.ulture and,Consumer,.Affairs. If the appltcant�is so`rneone -..: - .
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<br /> other than the"owner", I:certffy:t_hat i�.h�ve.optained=`a copy;of.the,above:,de,s.c�ibed:�document:and�.promise�`in:good:,faithto
<br /> deliver it to.�the.:"ownec'�.pi9or�to�commencementr'� " •' � � r � � ' - . �
<br /> CAN�'RACTOR'S/OlNNER'�AFFIDANIT: I.certi�y<:ttiat�,ali;.the�:lnf.ormatidn��in�thi�application is accur�t�.�nd that`all work "•
<br /> will'be done in compliance with all•appifcable Yaws regul�ting.construction, zoning and�land�developm�nt. Appltcation is
<br /> hereby made to obtatn .a.permit�,sto:;do,}work;$,and;�Installallon as indl�afed:��„�I certify that no work��'or Installation �Mas' - ,
<br /> commenced p�(or to Issuance of a permtf"`and that`all wo�k wlll be pertormed�to meet_standards of all laws regula�ing-
<br /> constructlon, County and City codes, zoning regulatians, and tand development tegulations=in the';jurisdtction:> I���al'so�- .•
<br /> cerkify that I u�d�rstand that the regulations.of other�governm�nt agencies may�apply�to the Intended.�vork, and that tt is
<br /> my responsibility to identlfy•what�.acttons I must take,to,be,in<,.compllance,�,S,uch:agencies Include-but�are.not ilmited to:
<br /> - Department of Ehvironmental>'Protectton=Cypress.�BayFi'ead�; Wetland Areas and Envtronrnentally Sensft(ve
<br /> Lands�W�ter/Wastewater Treatment.
<br /> - Southwest FloNda W�ter Nlanagement-:Dtstrict-Wells;'`Cypress.��Bayheads; lMetland Are�§, Altering
<br /> VVatercourses. -� , �
<br /> - Army Corps of Englneers=Seawralls,`Docks, Navfgatile W�terways.
<br /> - Department::of.:Health::8 .Reftabllitative�,•�erv�ces/Envitonmenfal�.Health�-Unit=VVeli.s; Wastewater�Treafrr�ent,
<br /> Septic Tan�s.__ , .
<br /> - US Environmental Protection Agency-Asb��tos ab�tement: : .
<br /> ' Federal Avlatlon:Authodty=Runways;. �
<br /> I understand.:that:the�folloinring:�estrictlons appiy to the us�offlll:• ,
<br /> - Use offill is nofallow�d'in�Flood�Zone"V"unl�ss�xpressly,permitted. • , - ' i � -
<br /> - If�the=-filf material�ts'to`be�usetl.:ln:-�Flood Zone. "A"� tt� is understood' that a drainage plan addressing a
<br /> °compensattng volume"will=be subm(tted at tirr�e oftpermltting which is prepared by a professional engineer
<br /> Ilcensed by�he,:State'of-Florida:. •�'� � _ • - �
<br /> - If ihe fill=materlaF�ts�`to�be�u�ed In Ftood Zone "�" in��connection�wlth�a�permitted building using steen wall
<br /> : constructfon, I ce�ti�y.that:fill=will:be,used.only.to.f111 the-area-�rithiri�the�stem��all: - ' � � ' '
<br /> - ' 'If flll� mat�rial"Is'°to be used in�ariy aPea���l��ce�tlfy that .use. ofgsuch flll will not adve�sesy �iffect adjacent
<br /> properties. if.use:.of_flll:is found;to�adversely:.affect adJaEerit`propertEes,.the owner may be cited 4or viol'ating.
<br /> the_condi#fons.;of_the,bi�ilding�'permtt:issued=.under tHe=attached,p�rmit appiicatiom:=for:lots-less.than one (1)
<br /> acre�wlilcfi.a"re�elevatetl�by flll;�n,.engineered dralnage plan is required.:' • . , � : �. ' •� .
<br /> If I am the AGENT=�OR;THE OIMMEft;_I;promtse in go_od_faith to tnform°the�owner of.�the.permitt(ng conditions�seE forth In
<br /> this affidav(t'prtor to'commencing construction. �I.understand that-a�aeparate permlt may be required for electrical work, , . .
<br /> 4• n .y
<br /> plumbing,.,signs; wells�.,pools;, air,:condltioning,.gas,..,orotheP install�t(ons not.spec�flcally included�in..the appltcation. .A
<br /> permit issued shall.be'constived.to"fie�:a�license-to=proceed with�tNe'wo�k�nd�_not-as:-authoNty�to:violate;��cancel; alter, or
<br /> set aside�ny provisions of the:technical.codes;:nor shall issuanc��of a.permit.prevent the,Buildirig,Offlcial from thereafter
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<br /> requlring a conection;af;er�ors in;plans;�con§truction oc violatlons of��ny�code���.Every-permlt'Iss"ued�sFi�ll-become�indalid
<br /> unless the work authorized�by such permit:�ts-commenced�within.sfx..months�of�permit issuanc�, or If work authorized by
<br /> the permit Is suspended=or:abandoned;fora;period�of�six E8)�montiis�..y„fter;the;tirne the�wotk�ts commenced. An extension
<br /> a
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<br /> may be requested, in writtng;-;from the::BuUding,Official-for a p�riod.�not�-to�exceed=ninety��(90)�days and•will-demonstrate
<br /> justifl�ble'cause for.�the extension. If work ceas�es.for ninety.(90)cons.ecutive days...th�job;is considered abaFldoned.
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<br /> lM6ARMIR�G TO 0�9�IER: YOU9�:�AILWRE;,TO��REC.OEt�,l4rnOdOTIG��.O�1�COt�iM�NCfE11lIENT;RfId�1Y.:Fd�SUL� IM 'Y(bUR
<br /> P�AVIR�G TWICE:.FOR:IMPROVEMEN'�S:,TO�YO.UR��PROPERI�':1f.��:lE°YO.U�I�d�TE�lD��YQ���TAIN��FICt��1�l�tMG;'C.ON5UL7'
<br /> WIT • U D �O AN TTO R� �B FORE'�.� COR�S �� OIJ ' . � E`C! := �,.� E E � T. .'
<br /> FLORIDA JURA�•(F.S:�1.17.03 .. -, - • _ " `. -` - � - ,
<br /> OVNNER Ott AOEtdT =� - CO�dT�CTO �
<br /> Sub crib d and ewo to r a rme ) efore me�fhls Stib c ed'and's •to ow aflirmed)�before me ttiis. ,
<br /> Who Is/are p rsonali . e or:ha ve,produced , Who.ls/�re;pe ally known• me�.or hasih e•produced •�_
<br /> asldentl8cetlon. ' asldendflca0on.
<br /> _ � Notery Public . Notary Public �
<br /> Commisslon No.�"- ��►.y3 ��S Commission Rfo. � 1� O��Uti�
<br /> Name of Nolary ed Name of Molary typed,printed or stamped �f;=��'••"���?��;; l.JENE BLACK
<br /> ���E�K � ;;;y; • MYCOMMISSIONNFF243095
<br /> ,��!�� ' ' • '
<br /> :c°��' y'•''�'• YCOMMISSI�N�FF2A3095 ��'�,�;. �;° EXPIRES:October20,2o19
<br /> er: �i= � Q019 ;i ';::•`'� Bond ryPublicUn
<br /> �: " d? EXPIPES:Ociobet 20, ed Thru Plota derwriters
<br /> ., �r••..... PublicU�e�rs ..''.�.'"'�,�,� ,
<br /> ;q Rf��' Bonded Thm Ncta�Y
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