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<br /> NC►TtCE OF DEED RESTRICTIONS: The undersigne.d,:understandws;that:.this;permit may.be.:subject;to;`deed�rre'.stnc#iot�„s�;,,_r�,..,
<br /> wliich;;ma}r�b,e moce=:cesUictive'tiaartfCaunty�regufatioris:�"Fhe�un�ders�gne��assui�iess�"�espotlsib��tfy�for�co�r�pllatic:e�wi#h any``'" ',
<br /> applicable dsed restrictions. _ - ,..°:�x;'�:�.`�"`.."'' °
<br /> UNUCENSED��CONTRACTORS AND CONTR�►GTC?R RESPONSIBILlTIES:�- �f°-the�bwrter;has��t�ired���a��contr.actar or
<br /> contFactors ta undertake work, they.rrray,:;be,re�uired.to be�licensed in accardance with state and�local regulations�'��If�:the�r=�• ;�
<br /> contractor is<not.licensed.as�reyuired'by'taw, botli�the awnec��and"contractor�may��be�cited>=fors,a�misdemeanor vialatian.
<br /> _ ; : �
<br /> under;sfate law. )f the owner or intended cgntFactor are uncertain as ta wha#.licensing requi_rer;nents;,rnay3�;appiyrfo��ttiEz�;=:- ;
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<br /> intended woxk,#hey-are advised to contacf the"Pasco Caurity'BUiidsng.Irispection'Divisian-�L�cerising Section a#72�:�847- _
<br /> 8009.� Fur-thermore, if the owner has�hlreii`-a cont�acfor or cont�acto'rs, he is advised to :have the.contractor(s.);;:sign.,:,. ,,�.
<br /> portions af the "contractar Block° af this applicatian_for which they wiA.be.responsible;_:If:you, as.`ftie�iiuvrier'�sigii�"as�'tlie �' � �''
<br /> contractor, ttiat may tis an indication�th2it he is not properly licensed antl�is not entitied�to permitting pri"vlleges:in;Pasco,y. .,fi ;,
<br /> Countjr. ' ,' � ' .� -
<br /> TRANSPORTATtON�tMPAC7l.UTILtT1ES IMPACT AND RES�URCE RECt3VERY FEES: The undefsigned understands ' ,
<br /> �ss,•:s{.,:;.;:
<br /> that Transportation Impact Fees and Recourse Recavery Fees°may.appfy to:the constcuction a.f.raew...b,,uilclings,cFi'arigeFof'�'='"'hu _.
<br /> use in'.existing builtlings, or�expansion=of;_exi'stir�g buildings, as speci�ed �n Pasco Gou�ty Ordinance number 89-07 and �
<br /> -���r
<br /> 90-07,;as amended: 7he•undersigned also.understands, that�uch fees, as`�rnay�b:e.due; wi(!"bei identified��ati�thye9time�:of`fx�°�''� "
<br /> permitting. -1t'is further understaod that Transportation impact Fees�and Resaurce=Reeavery Fees must be paid prior to
<br /> receiving a:"certificate-of accupancy" or final.power release. If the:project:does not;inv.olve a�certificate of occ�apan`ey�?orr��"-� �
<br /> final::power releas.e,�tlie•fees.must be,paid prior to permit issuance....Furthermare, if.Pasca Gounty W.ater./Sewer,:lmpaet�>°�• '
<br /> Pees are dus,.they m_y_st�be_,paid prior ta permlt issuance in,accordanc�.with�appf ica�le:Pasco:Coun#y ord�nances.
<br /> CONSTRUCTION�LIENtAW(Chapter 713;�Florida Stats�tes,as amended): If V�IU8ti4�t 4f Wd�'IC!S$2,5Q:O.QO:_or..more;,a�..�- :
<br /> certify;that I, the �applicanfi, have been. provided with a copy,.of the °Florida Constr.uction �Lien .Lawr--Homeowner"s rv
<br /> Protection Guide" prepared�by'#he Florida Department of Agriculture and Consumer:Affairs. If the applicant isrs.om.eone,�„ ,
<br /> ather tiian the"owner°, I certify that i.have obtairied a copy of the.above desc�i6ed'document�and promise�in.goo.d':faitFi'#o-`.�'
<br /> delive�,it to'tfie:"owner";piior:to commencement:
<br /> CQNTRACTOR'S70WNER'S AFEIDAVlT; I:certify that a!F the infacrnation in this appiication is accurate anc!"that alr work
<br /> vulll be,done in compliance with all applscable�laws regulating construction, zoning�and fand-devetapment. Appiscation is
<br /> hereby.i made ta obtain, a._p�rm(t to do:work-ar�d installation as indicated. i certify fhat no work or:instaltatlo%t�has
<br /> commenced prior to issuance of a p.ermit and-�that all work will be performed ta meet standards�af all laws regulating
<br /> constructian, County and City codes, zoning regulatians, and iand development regulations in`�the jurisdiction. �I.�also
<br /> certify that 1 understand that the reguiations of ather government agencies may apply to the intended work, and that it is
<br /> my respons�bPlity to identif}r what act�ans i must take to be in compliance. Such agencies inciude but are no#.limifed.to:
<br /> - :Department of Environrriental:''Pr.ote�tian-Cypress BayFisads; Wetland Areas and Enviroramentafly Sensitive
<br /> ` Lands,Water/Wastewater 7reatment. ,
<br /> - � Southwest Florida Water Management District-IA[ells, Cypress- .Bayheads, Wetland Areas, Altering .
<br /> Watercaurses. �
<br /> - Army Corps af Ertgirieers-Seawal�s, Dacks; Navigab(e Waterways. -,
<br /> - Department,.of Healih,t� Rehabilita#ive Seryices/Enviconmentai �.Flea(#h--Uhit Wells, Wastewater.Treatment,
<br /> Septtc`Tanks.
<br /> - US Environmental.Protection Agency-Asbestos abatem�n#.
<br /> - ' Federai Aviatian;Authori#y=Runway,s.
<br /> t understand that:the following�resfrictions apply fo the use of fip:
<br /> - , Use of fili is not ailawed in Flood 2one°V"untess expressly permifted.
<br /> - . If the fif!�:materia}� is to be used in. FloQd Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating valume" will be submEfted at time of permitting which is prepared by a professianal engineer "
<br /> licensed by the'State•of Florida. �
<br /> - If the fill materiat is #o be used in Flood 2one °A" in connection with a permitted building using ystem wall.
<br /> construation, t certify,that fi1(will be used�only#o fill the area within the stem wall. ,
<br /> - If fft-•mate�ial is-#o 6e used in any area, I certify fhat use of such-fill will not adversely affect adjacent
<br /> properties. !€use of fill is found to adversely affect adjacent properties, the owner may be cited for viola#ing .
<br /> the canditians.of=_the-bailding,permit issued under the attached petmit�.appl�catian, for lats-less than one (9} '
<br /> acre wtiich-are elevated by fill, an engineered drainage plan is required.
<br /> if I am.the AGENT Ff3R-THE OWN.ER;=1:promise in_good faith to inform the owner of.the permittfig conditions�set#orth in �
<br /> this affida�rit=prior fo�cammencin'g`cons"truction. i understand that a4.separate permit may be required for electrical work, _
<br /> plumbing, signs,.weiis,..poats,-.air.,conditioning, gas,:.or ott�er�instatlations not specifically included in the application. A. �- �
<br /> permit issued shall"be cons.Crued#to��e a license�:ta.proceed'witfi'the work and not�as:auttibri#}r-.to violate, cancel,;aiter, or `';
<br /> set asid'e any provisians�of"the�"fechnica! codes, nor shall issuance of a permit preven#the Buifding 4fficiat fram#tieceafter
<br /> requiring a�correction��of�err.ors>in:_plans;�construction or vialations of any"codes:-�Every~perniit issued�slia!!'become invalid �
<br /> untess.the work autharized by such permit is commeneed within six;months of permit issuance, or if work autharized by� '
<br /> the permit is�suspended:;or abandoned:for;a�period::of�six'(6)'rrtonths.after the time the work i�commenced. An extension� '
<br /> may be requested,.in�wciting, f�om�ftie Buifd9ng;tafficial for a period.not to exseed'ninety(90) days and will demonstrate �
<br /> justifiable cause for-the extension..,tf wor.k,ceases for nir�ety(90)consecutive days,the job is considered abandoned. .
<br /> WARNING'`TO`OWNER:.'.YO.UR;;FAILURE;T,O t.RECORD,A.NOTICE.OF�C.O�1lIMENCEMfNT�MAY�RESU�T-tN YCtUR - ;'_
<br /> PAYiNG TWiCE,°F�R�iMPR''OYEMENT$�TO YOUR PRdaPERTY.;,IF YOft�IfVFEND=T.0�0�7'�!!(�:��INi4���NG;CClD��UL�'
<br /> � -4��Qi°;��Yt3e�R�����iE�Z i�+R�i4��A'�CiRNEIf B�Ft�RE=REC.4R�ING YOUR'NCITI�E�'O+IF�.COMMENCEIVIENT.
<br /> - FLORIDAJURAT;{F:S:,11.7.Q3):., - � . . . . . , _
<br /> OWNER Oit AGENT��� �� .�'c�Gt�/� CQNT.RACTOR�;���r.,r/L. ,,/ZrrZa'.�d:-r``�'
<br /> Subscdbed�and swp�t to{or af�rmed)b re me Utls Subscr3bed and swom to(ar afhrmed efore rtie tfiis �
<br /> ..�-(3--1�'1 byX I�H-/�f�1� S'.- ..1�c�usC,�� .�-l�-(!g5 by ��t cr�--�4�-c3 =°'''! .1 r rt�Lf 5;�:tt
<br /> WhQ�lstare pe�son 1{y known fo me.or.has/have produced Wha is/are pe�sonally kno�rn ta me�or has/have praduced
<br /> G'7�'�#i`n,a. r „ L`( rce�.Seas IdenUflca�ar�. �{1 r,_r��+'!r�i}L. Lr t'_2nS�e... as identiBcaUan.
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<br /> .._ u���� ,,,�Natary' Public � G�_. Notary Publfc
<br /> Commts IV '.� � Com s n No. �
<br /> •a�iYri;a� JACQUELlN�Bq�ES ""
<br /> ;�•' �y ,;,qs�s"•�d�;.,, JACQUELINE BOG
<br /> Name of iVota_ y�i , t er i2 2018 Name of Nata � �,t � 8F t50422
<br /> r ;�,, xp res pecember 12,2018
<br /> '!�f���y' 9ondad TAru troy fNn fniurenaa 9003g5dOt9 �
<br /> �'�r�Q���� 8ondad 7hru 7roy Faln inswnnae gpp�gg.7p�g
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