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<br /> NOTICE_OF DEED RESTRICTIONS: The undersigned�understands�..that.this;permit may.,b.e._subject to".deetl"_restncti�is":yr";::�
<br /> which,may.;be:.more=.cest�ie#ive�,than�Gounty;cegutations:<kThe>,unders�gned�assumes�`responsiti�l�tyfor�ca�iipEiarice�iivfth ariy _ �i
<br /> �PPlicabie deed rest�ictions. ' ` -�,.��:�_� �7�n��i .
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<br /> UNLIGENSED CQNTRACT4RS AND CONTRACTOR RESPONSIBILlTIES: �If-the-owiier=lias° taired'��a'°�contractor or '�'�
<br /> contractors to undertake work;they,may.be required to besiicensed in accbrdance with.state and;Tocal.;cegulations.:,-.°if:.the��::--`,�
<br /> r t - a,.;:.,:�.:,.,..;:.<
<br /> oontractor is not-licensed-as required by`law; botti�the owner:and'confractor<rriay==6e��cited�for.a�misdemeanqruiolation� ..�;i-.
<br /> under sta#e law. If the owner or in#ended.:.t�on#ractor are uncertain as to what licensing requicemenEs:;may�apply:.for:;the:��;�"��`
<br /> � �, f.,�. . ..,-._��.
<br /> intended work, they-are•advised to contact'the'Pasco County Building'Irispecfion"D'ivisian=Licensing:Sectian at'727-847= " J='
<br /> 8009. Furthermore; if the owrier-'has'tiired`a coritiactor or cont�acfars, he �s advised to�{have the: cantractor�s).sign.�.a5`
<br /> portions of the contractor 81ock _of this application:for which they wiil.be-responsibie:�.-If�you,.as'the�owner sign:as°�tlie.'-'_��`,;'
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<br /> contractoc, that may be an indiaation thaf�he°is nat prope�ly licensed�and�is not`entitled to�permittiag privilegesy Inr,:Pasco;_._.�i
<br /> Caunfy. � r. - _ . � -_. ': :.::�:;,<,;>;ti�:�;y,o-,��:y
<br /> TRANSPORTATION�IMPACT/UTIL171ES�IMPACT AND RESOURCE RECOVERY FEES:�The undersigned understands -_ 'i�,;
<br /> that Transporkation Impact Fees and Recourse Recovety Fees�may�apply to the constr_uction,of.,new_buildings,°.c`Fiange�of�'-<���`r��
<br /> use in existing buildin.gs,,o�;expansion:of:eiiisting buildings, as specified in Pasco County Ordinance number 89�U7:,and : ;�,:'
<br /> 9Q-07, as amended. 1'he°undersigned alsa�understands;:that such..fees,�as:rr�ay�:,b.e:due, wi!!"tie;identified afttt�e^:tirrfe�oft�`�'���y;':.
<br /> permitting. �It is further�understaad that'Transportation tmpact Fees-and Resource�Recovery:Fees must be paid,prior fo - `.�;
<br /> receivin a "certificate•.of�occu anc " �� -.�:'
<br /> g p y�-or�final;,power celease. If the;pr.oject°does not�inv.olve a cerkificate of occupancy=or.�.�=-����,,
<br /> final power release;-the:.fees-must-be,paid`prior ta permit`issuance.,;Furtt�ermore,.if.Pasco_County Water,l.Sewer,�lrripac#;.-.�� ��;
<br /> fees are due,tfiey must be paid prior ta_,perrriif i'ssuance;in°accordance with'applicable_Fasco�Caunty ardinances, �'
<br /> CQNSTRUCTIOid��IEN�LAIN�Chapfef�713;Ftorida�Statu#es,as ameeded): If valuation of wor.k is$2,500:00.oc more,�;lr�:.;. `
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<br /> certify that 'I, the applicant,. have, been�.provided with�a copy-of-the�`'Florida �Constrwction; �Lien..Law�Homeowner's �
<br /> Proteckion Guide" prepared tiy tfie Florida Department af P+griculture and Consumer.Affairs. !f the applicant�is someqne:,, .
<br /> other than the"awne�',?I;certifjr.#hat i.:ha�e obfained a copy of�the abave'described aocurnen#-and,pr.omise�in goa.d;faithto.,.` ,,
<br /> deliver.it.,to the='towne�;.;priar:fo-c6mmen'cement. � ' �
<br /> CONTRACTt?R'Slt?WNER'S AEEIDAVIT:�;1�.eectify that all�the informatian in this application is accurate ancS�that alt�inrc►rk
<br /> will be done in compliance with all applicable laws regulating construction, zoning�and land-development. Application.is „
<br /> hereby made .to obtain,a ,permit to;;do,,.work and installation.as�icndicated. 1 certify #hat no�vuark or :installation;=has ,
<br /> commenced prior #o issuartce of a p.ermit and-�that all work wil� be perFormed ta meet standards af all laws regulating
<br /> construction, County and City codes, zoning regulations, and land develapment"regulations�in.the jurisdicti4n: _f~alsa
<br /> cer#ify that 1 understand#hat the regulations of other government agencies may apply to the interided woric, and that it is �
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<br /> my responsibility to identify what actions I must take to be in compliance. Suoh agencies include but are npt:limited.;to: '
<br /> - ,.Departtnent of Enviranmental::Pratectian-Cypress Bay�ieads, Wefland Areas and Environrnentally Sensifive �
<br /> Lands,WaterNVastewater Trea#ment.
<br /> - Southwest Florida Wa#er Management District Wells, Cypress� .Bayheads, Wetland Areas, Altering `i
<br /> Watercourses, . �
<br /> - Army Carps of Engineers-Seawalls, Dacks, Navigable Waterways. � �
<br /> - Departmen# of Heal#h & Rehabilitative ServiceslEnviranmerttal.:Heatth Unit Wells, Wastewa#er. Tteatment,
<br /> 5eptic°Tanks. . �
<br /> - US Environmenta!Protectian Agency-Asbestas abaterrient. ' . _
<br /> - Federal Aviatian Authority-Runways. , �
<br /> I understand that:the,following�.re`stricfions apply to the use of fill:
<br /> - Use of filt is not allawed in F1o,od Zone"V"uniess expressly permitted.
<br /> - �If the fill material is to be used in Flaod Zone "A", it is understoad that a drainage plan addressing a
<br /> "compensating volume" wi41 be submitted at time of permitting which is prepared by a professional sngineer "
<br /> licensed by the State of Flarida. '
<br /> - If the fil! material is to be used in Flaod Zane "A° in connection wi#h a permitted bui{ding using stem walf
<br /> construction, t certify that fill will be used onty to fiit the area within the stem wal(.
<br /> - If fill material is to be used in any area, I certify that use af such�fill will not adversely a�fect adjacent
<br /> praperties. If use of filt is found to adversely affect adjacent properties, the awner may be cited for violating
<br /> �the coniditions of-the building_permit issued under.the attached permit application, for lats-less than one (1) '
<br /> acre which are elevated by fill,an engineered drainage plan'is required. �
<br /> 1f I am the AGENT FOR THE OWNER, ( promise in good faith to inform#he�owner of.the permitting canditions set forth in
<br /> this affidavit prior to commencing consf�uctian. I �tnderstand that a separate permit may be required for eleotrical work,. '
<br /> plumbing, signs, weils, paals, air conditEaning, gas, or ottier�installatians not speci#ica(1y included in the applicatian. A, :, ,
<br /> permit issued shall'be construed to�'be a license,ta proceed with the work�and not as authority to violate,.cancel, alter, ar
<br /> set aside any provisions of tlie technical cocfes, nor shall issuance af a permit preuent the Buitding{)fficial from ther.eafter
<br /> requiring a carrection of errors in plans, construction or vialations of�any�codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced.within six months of permit issuance, or f#work authorized by �
<br /> the permit is suspended ar abandoned for.a�period..of.six(6}inonths after the time the work is'commenced. An extension �' ;
<br /> may be requested, in writing, from the Building Official for a period-not to exceed ninety(90) days and will demonstrate
<br /> justi�able cause for the extension. ,If work ceases for ninety(90}cansecutive days,the jab is considered abandaned:
<br /> WARNlNG TQ OWNER:; YOUR �AtLURE TQ RECO,,RD,,A.NQTtCE OF COMMENCEMENT MAY RESULT tN YOUR
<br /> PAYING TWICE'FOR tMPROVEMENTS�TO YOUR:PRCIPERTY�.. IF YOU:INTEND TO�OBTAIN�FINANC(NG, CQNSULT �
<br /> WITH"YOUR`CENDER�OR AN A'TTO�RNEI(B�FCbRE-R�G.ORDIfdG YOUR�MOTI�E'OFk�OMt�lE1�CEMENT:
<br /> F�4RidA JURAT(F.S.117.03) �
<br /> OWNER OR AGENT� rY1iJeY� L • �!!IP� CONTRACTO� � �- " (� / .�
<br /> �ia�bed and swam to b e me this Subsc'bed and swo ta(or #orc��me this -
<br /> �`t 7 by t g3 1'7 by
<br /> o i re erso a�ly k or haslhave produced ' ho is/ar@ pe�rsonalty kno. t r as/have.produced
<br /> �a��� as Iden�fica6an. I2L� b�t u�G`c�;� as iden#ificaUon.
<br /> - � ���t. Nohary Public u�'� Natary Public
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<br /> 1 mmissl ��Y p��4 4tQ�I i tan N �•'e�''��. JACQt1ELIN QGES
<br /> `' •f�. C :..iV�BpGEg — �,• :�: ssion 22
<br /> _": `•*"= ommission#FF �;;� ,Q; Expires December 12,2018 �
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<br /> Name of E�{�(pr ..' + ao e 7 �2����� Ndt118 Of NONd nnnre�cas4a�s5.lots
<br /> hN?roy Fain Insurance 8pp.3B5.ypf9
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