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<br /> NOTICE OF DEED R�S'(RIGTlONS: The undersigned understands that this permit rpay be suhleck to"deed"re�tricklons"
<br /> which may be more resUictiv�tk�an CQunky regulaGo�is. The undersi�ned assurnes responsibility far co�-npiiance with at�y
<br /> applicabje desd.rastrictiorts.
<br /> U�iUGENSEp GOtdTRACTOR� A�Q GQ�yTRA�TOR RESpONS181L{Ti��: �f the owne� has hired a conkractar or
<br /> conkr�c�are ta undertake,Work,they�iay.b'e�equlred to he lice�sed iri accordance With state and locai regulati4ns, If the
<br /> cantrac{ar is npt Itcensed as required by iaw� bqth the owner and co�trackor may 6e c(ted fpr a misd.emeanor vlalation
<br /> under sta�e faw. if ihe owner or intendad sontractor are unce�ain as to y�hak ficensing requirements may apply fos the
<br /> intended wark,lhey are advtsed to contact ihe Pasco County�uilding Inspect'san pivislon—Licensing S�ction a1��27-847.
<br /> 8009. Furtharmore, if Ih� owner has hlred a cont�actor br contCactors, h� is �dviSed to haye the caritractor(s} sic�n
<br /> part{ons af the"contractor Riock"of ihls appNcation far wh{ch they wiil ba responsibie. If yoy,a�the owner sign�s the
<br /> contractor,lhai may be an indication that he is not properMy Iteensed an�is.nat ent.iifed#o permitting privii@ges In Pasco
<br /> � County. � �
<br /> , TRANSRORl'ATiOFt IMPACTIt]T(LITIES It�RAGT ANp RESOURCE R�C9VERY F���: Tha updersigned underslands
<br /> that Transportatlon lmpact Fees and Recaurse Recovery Fe�s may�pply ko the canstruetion af new bufidingg,change uE -
<br /> use in existing buiidings,or expanslon af eXisting buildings,as specffiad In Pasco County Ordlnance number 89-07 and ,
<br /> 90-07,�s amended. The undersigned also understands,that such fees,as may pe due,wiii be tdenti8ed at the ilme of
<br /> permitting. !t ts further understood that Transportatfon impect Fees anil Resnurce Recovery F�es tn�st be pafd prior to
<br /> recelvfng a°certiflcats of oecupancy"or flnal power release, If iha praject does nat involve a cedificate of occupancy or
<br /> flnal power release,the feas must be pafd prior io permit Issuanca. Futthermore,!f Pasca County WateriSewer lmpact
<br /> faes are due,they must be pald prior to permit Issuance in accordance wlth appilcable Pasco County ordlnances: �
<br /> CONSTEtIlCTtAN U�N I.AW(Chapier 713,Ftorida Skatutes,as amanded): if valuatfon af wark is$2,aQ6.00 or more,i
<br /> certliy tiiat t, the app0eant, have been provided with a copy af.the "Ftodda Constructlon Llen Law—Hameawner's
<br /> Protectian.Guide"prep�rad by the Florlda Depa.rtment of Agr{culture and Cqnsumer Affairs. if fhe appt[cant is somaone
<br /> oihe[�ihan the"owne�",(ce�tify thak i have obtainad a qopy of the above d@scribsd document and promf�e in�ood faith to
<br /> d&liver it to ihe"own�r"prior iq cor�imencement, �
<br /> G4NTRA�TdR'SIOWNER'S AFFIQAViT: 1 certify that ali ihe lnfocmatlon!n lhis appqcatlan is aecurata and that aii work
<br /> w{ii ba done in comppance wllh a!!applicabls laws regulating construction,�oqiqg and i�nd developmant. Applioation Is
<br /> hareby mada to obtain a permit to da work and Installation �e lnd4cated. I c�rtffy ttiat no work or instapation has
<br /> commenced prior to Issuance of a per��t and that af�work wfii he performed to meat standa�ds pE a!! laws regul�Fing
<br /> construction, Counfy and Gity codes, zopin� regulatlqns, an� land deyelopment regulaGons in tha jurisdi�t(Qr�. t atso
<br /> cerfify that!under,sland#ttat the regulations of oliier govemment�gencies may apply to tha intended work,and that it is ,
<br /> � , my responsibiliry to(dentify wh�t acE�onS I rr}ust take ta be�n compiiance, Such a�encies 1nGtuda hut�re not limlted to:
<br /> - Dapartment of EnYironmental Prgtection-Cypress Bayheads,�itjet{and Areas and EnVironmenfally SensiUYe
<br /> lands,lAlaterlWasteWaker Treatritent.
<br /> - Sgut�µrest Florida Water Man�gement District-11�eiis; Gypres� Bayheads, f/titet(and Araas, A�te�ing
<br /> Watercourses.
<br /> Arrny Corps of En�ineers-Sea�rail�,Docks,NaVigahle Waterways.
<br /> ,- Departmenl of Healtt� & F2ehabi!(tative ServiczsiEnYiran�nentai Health Ut�it-Welis, W�stewater Treatmsnt,
<br /> SeptiG Tanks.
<br /> US�nViron�enta!Prolection 1��ency-Asbestos�hatement.
<br /> - Federal Aviaklon Autharity-Runways..
<br /> !underatand thst�he fo;towtng rastrictions spp�y�o the usa of flll:�
<br /> Use of flll ls`nat allowed in Flaod Zone"V"unies�axpressly permitked:
<br /> - if the fiil material is to_ba used !n.Flaod Zone "A", it is understood that � drainage plan addrassing a
<br /> "compen§aUng valuine"wii)be�ubmitied at tlm�of partnit!!ng which Is prepared by a professionai engtneer �
<br /> ticensed hy tha Stale of Florida.
<br /> - if the fiii materisi is to be used In 61ood Zone"A" In connectlan with a permitied building using �tam wall
<br /> construcUon,(certify that fiii wiii be used oniy to fill the area.within Ihe stsrn waN. ,
<br /> - tf 81i malerlai is to he used In any area, { cartify that use of such flll wtii nat adversely affect adjacent
<br /> ' properlles. If use of fiii is found to adversaiy affeCk adJacent propertles,the owner may be qited for viotating
<br /> ' ihe condlklon�of the bUilding permit issued under the ariachsd permlt appUgapan,for tats less than one(1}
<br /> �cra wh{ch are elevated by fii,an englneered drainage plan ts requked.
<br /> If t am the AGENT FQR TriE QWNER,1 prqmise in good faith to inform the owner of Ihe psrm{kting condftlons set forth in
<br /> this affldavit priar to commencing construcUon. !understand that a separate permft may he required for atectdca!wark,
<br /> plumbing, slgns,waAs; pools, afr conditfon{ng, gas,or othe[Instatlatlons nof speci€ica!!y lnclyded tn tha appllcaHon. A
<br /> permtt is�ued shall be qonstrued to ba a Ilcense to prQeeed with t�s work and not as authortty lo violate,cancel,atter,or
<br /> sak aside anjr pravisfons af ihs technicai codes,nqr shall i�suanca o(a p@rmlt prevent ltre Buitdfng�Officiai from thereafter
<br /> requir[ng a correcklon of erro�s!n ptans,eottstr�ctiori or Violatlons of any codes. Euery permlt 1$sued shaA becoma Invalid
<br /> untassYhe work authodzed by such permi,t Is comme�ncec!wlChin sIx rsionths of perr{tit issuance,ot if wo.rk autho�izad by
<br /> tha pefmit Is suspended or a6ando��d for a period af six(6}rrianths�fter the tim4 the worlc is commenced, An extension
<br /> may be requasted,in wrlUng,frori�the Bujlding O�icial.for a perind not fo exceed ninety(�0)days and wlll demonstrat�
<br /> - j�stifia�le c�use for the exten�fon. if Worfc ceases for nineky(9Q)cbnsecuffye da�rs,tha Job is considered a�atidoned.
<br /> I�UA�iNIN�,�T43 aWN�R: ..,_, , AtI�UI�E TQ RE�OFtD A MOTICE OF�O�tfMENGEM� 'i' MAY RESULI'IN YQUI�
<br /> RAYlI�G TWlGE FO. •�OV, �ITS TA YOi��P�,dPER,TY, tF'YQU IN1"Et�D T_ _ ,{t��INA�lCIIVG,GC3NSil�T
<br /> OU L O Q H BE�.O E Gt3 G Oi.l t3 �G E CE
<br /> FLORIDA;IURa7jF'..:"�'i7:� ... .__.,...,._.,.,�,-.._.._.,._.__..._..._._....._..w_.-..._...._. ....... _..-.._. '
<br /> 4WN�R dR AGE T GONTRACTQi{�
<br /> Suhscrlbed gnd�w , med)6e ora ine ifiis ' Subscri6ad and s' ' o a�rmed)betbra trie'fhis" '" "
<br /> by
<br /> Who isl$re p�r5oneliy known "'me Qr haslhava Rrodused Who.islar e'rsonally kn to m'e'or hasAiave prodGced �
<br /> , @s tdenliFicatian. as ldanttOcati4n. .
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<br /> Noiary Pu6I(c � Na ary P.uhiic
<br /> CommtsSion No. Go� is o
<br /> . .�;5'.:Y.e'�•'
<br /> ='�' `�'"= ommissiori#FF 150422
<br /> Name ot Notaiy typad,prini�d or siemped Naina of N sf�¢y ;a4i�e�t�e�cem er ,'
<br /> ' o¢•` 8ondedShv7myFrinlnsuranco8d0�385d019 ,
<br /> ����Pt,��,
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