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<br /> M�TtCE OF-DE�D RiESTE2GCT80MS:, The undersign�d�under�t�nds:t��#�this;p�rmif�.may:be,lsubJect,to"deed"restrictlons°;�` ` "" _`_
<br /> :,.., ._,..�:. . .:•,�-.,. < . _ :., .. . _. �.-_.. ..; .. �...,.,:,,<_....-„<;.- - . _. „ ,o_
<br /> .,. .,.�..,:>.r.:.
<br /> -�- _. 4�. �..... :.:z..�.„.,,, ,,:. ,,_., ;.;.s ,,., ...:�:. ... .... . . ..
<br /> which may�;be:more`,restFlctive>th��=County}�reg�ilatlonss�'"7Fie�undersigned��ssumes�.re�pon��titllty='fo��compli�nce'tn►itFi=any""" '�
<br /> appllcabie:�deed:rest�ict(ons. .:-,.,..::�;3,;��:�.;` s..;�,. ,., . ° , ., .:_::. � ., .
<br /> �............ . ... ..
<br /> lUCd�.eCENSEDJ'CONTRI4CTOR� �AND CONTRA►CT�� �E�PON�IBILITIES:�+���If=tlie�-owner:has��`hir'�d�ya'''contractor or
<br /> eontractors to-.undertake:work,;they.may�,be;�requtred:_to::be,licensed.'In-.accordance.with�state,and;locail:regulations:����if=the•� =' �=�r
<br /> contractor is=not Ncensed �s�-required;tiy law; both�the owner and��contractor=�rriay�be��cited�for�a"misdemeanor violation
<br /> undar state lau�r.. If the own�r or Intendedreontr,a�torv�ar�;,uroc��taln �s to what�llcensing.requirements;mayrapply��for�:tfier�.<<�•� -�=��`_
<br /> in�ended'vvorli, they�are_advt§ed to'contact.tlie�_Pasco rCounty,�uildtng�In�p;ection�LDIvislon-Licensing Section at 727-847-
<br /> 8009. Furtfiermore, fP�the owner'has`htred �a�aonl�aato�'or contra,ctors� he Is advlsed to have'the contractot(s) sign., ,,, _
<br /> portions.of the "contractor Block" of.:,thisriapplication�_for�whichrthey_v�eill:.be..responsibieM1,.,,.lf.jyou;_as athe,oviine�"sign�as`tfie'�`"�" "'
<br /> cont�ac#or, tliat.�rnay be an Indication tHat`iie"is`nof.prope�ly'lic�ns�d�anil"Es�riot"entiti�d to permitting.privileges In Pasco .
<br /> County. - _ ._ . .. , _ � .. . ._ ._ _.. . ..� : _
<br /> �'Rd�fd�PARTATION.:I1dIP,ACT/UTs�ITIES�IR�II�AC'1'-A�b��E�OURCE R�ICOVI�RYlFEE�:��The�und�r�(gned"understands
<br /> that Transportation`lmpact'Fees and.Reco.urse'Recobery:F�es m�y�,applya to�tF�e constructfon,of new�buildtngs���change•of"F'�� ��� �s'� _
<br /> use In existing buildings, or-:expar�sion:•of�existin;g;builtltngs, �s specifled.in Pasco County Ordinanc� numb�r 89-07 and `
<br /> 90-07� as amended;.:.,The. und,ei�stgned aisocurtderstands, ttiat��such fees;�as�may;�e�:due;�;wlll:}tie IdenQif(ed at the��tiine°�of�=�`�-•����' �'`
<br /> permitting. It is furtFier understood that Tra�sp�ortation Impact Fees and'�Resourae�Reco�ery��Fees:must be paid pr(or to
<br /> receiving=a.°cerfl�cate�of�occupancy"�or�flnal�power.release: :If`the.project:;does;,not Involve�a%certificaCe of occupancy�o"r-�°�-� `�- �
<br /> flnal powerrelease;��,the-.fees�mii�t 6e paid'�;prlor to.;,permit iss�an'ce. Furth�rmore;-if Pasco:County;'Water/�ewe[p:lmpact� �- �H���r�.�
<br /> fees are.due;..they�must-:be::paldApN�c.to;,permit:,lssuance=�n.accordance:.viiith'�app116able-Pasco'County�o�ilinances. -
<br /> CORl�TRUCTION'L'Il�6�'I.AW(Cli'�ptee 713�.FlorJd�S�t�te�t������r��n��d): If valuation�f work is�2,500.00.,or more,:I� - ., _
<br /> certi€y that I;••the.�:applicant;�=hav.e-:been:provided:�with--a� copy��of�:the�'"Florida°�Constnaction���Lien`Law—Homeowner's
<br /> Protection Gutde" prepared by,�tlie Floi�ida Departmenf of Agricultur� and_Consum�r,Affairs. !f the applicant ls,someone; ,. >F �= •:>
<br /> other than the"owner", I.certify�;that:l�h�ve,.optained�a copy;of.the`4above::desc.ribed,�docuiiaent-and.promise��in;good';faith..to . .. .
<br /> deliver it=to�.the;�'owne�"::p�ioc�to�commencement:'-:''. . � �' . . . , ' � . ; ' •
<br /> CON4RACTOR°SIOMINER'�AF�IDAVIT: I.ce�tffy<;th:at,:all�.the�.�lnf.ormation�;in'�this �pplication is accur�te and that�II work
<br /> will�be done.in compltance wlth ail.appltcable{laws regulating constructlon, zoning antl��landydevelopment. Appltcation,is
<br /> hereby made,�to obtatn-.a.per,mit��to��do;,;:work;,�and;ihst�llatlon as indt�afed:���-�:I certini that no work���or Instaliatton tias'
<br /> commenced p�to'r to Issuance of a�p�rmit"and that:all�i�ork wlll be pertorm�d�to meet_standards-of�all laws regulating�
<br /> construction, County and City codes� zoning r�gulations, and land development regulatlons�tn the;jurlsdtctton.= h=al'so•
<br /> cerQlfy that ( und�rstand 4hat the regulatlons af other�gov�rnment agencies may•apply;to the intended.�ork, and that it(s
<br /> my responsibility to identlfy•what.actions I must•take:to,be�ln,;compifar�ce,Y;S.uch;agencles Include=but�are.not Itmited to:
<br /> - Department of Er�vironmental�'Protectton-Cyp�ess. 8ayfi'ead�; 1l�etland Areas and Environmenta�lly Senslttve
<br /> Lands,IMatedWastewater Treatment.
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<br /> - Southwest FIo�Pda Wa�ter Managemenk>:District-Wells;`�Cypres.s.� B�yheads; Wetland Area§, Altering
<br /> Watercourses. ,,.;,. � - � �
<br /> - Army Corps of�ngineers-Seawalls,�Docks, Navigable Wat�nnrabs.
<br /> - Department. of;Health:::�.:�Rehabllltative�,:Seniices/Environment�il{,Health Unit-�Ueil.s; Wastewa�ter=Treatment,
<br /> Septla Tanks:. � " � • , � .
<br /> - US Envlronmental Protectlon Agency-Astiestos abatem�nt: � �
<br /> Federal Avlatton:Authority=Runuvays: " . '
<br /> I understand.that:the;followtng;�estrlctions apply'to the us�of�IIL•• , ` , � �, , , , __ � „
<br /> - Use.ogfili ls-nofallowed in;Flood�Zone"V"unless�xpressly permittsd. �- �
<br /> - -If-the`-:fiil r�aterlal�is'to���be:-used:"In.:Flood�Zone. "A", It. is understood'�that a drainage plan addressing a
<br /> °compensating volume"will be subm(.lted at�ime of;petmltting which Is prepared by a�professional engineer � �
<br /> Iicensed�6y the,�State=of�Florida.. ����� + ���' . �
<br /> - If ihe flll mater(al�.ls=to°be;used tn Flood Zone 'A° in�connec�ion•bilth�a�permitted building using�stein wall
<br /> � . construction, I�certify.that-fill:wall.be;used only.to.fili the area.withln the�stem�wall:
<br /> - �' 'if flll�mate�lal`�is'to be�used In any e�ea; l��c�rtlfy th�t .us�. of,�such fill wlll.not adversely affect adjacent
<br /> properties:__If.use;of f10:is,found-.to adversely..�ffect�ad)acent,`properties,.the owner may_be cited for violating,
<br /> the condifion's::ofmthe.bi�llding�':permlt�.issue`d,under tlie'attached_:permit �ppllcation;-for:lots�less 4han:one (1)
<br /> acre wHfcfi-a"r8=elevatetlzby fill,�n,engin�ered dralnage�plan is required. • •
<br /> If I am the AGENT FOR�THE�OYYt�ER; I;promise�In�good_f.alth to inform:the:owner of��tfie permitting cot�dit(ons set.forth tn
<br /> this affidavtt'prtor to commencing conshvction. 'I und�rstand that=a3separate�permlt may be required for electrical�work� .. .
<br /> plumbing,-signs,..w�lls�..pools;.,aic:condttioning,...gas�.,.,or�oth�c Installa'tlons not.spec�ically included�tn.the�application. •A-.
<br /> p�rr�it lssued shall be�construed to'b'e~a`license�to�proce�d with tNe,wo�k and�not-as:�authoHqc�to.violate';"cancel; alter, or
<br /> set aslde�ny provisions of the.technical�c�odes;,nor shall Issuanc��of a.permit.pcevent the Bulldlrig Official from thereafter
<br /> re�uiring a conection af.enors�in;plans;�constivction.,or vlolattons of•any�codes:-`Everypiermlt=ls"sued�sfia�ll-tiecome�invalid
<br /> unless the work authorized.by such.permit:�is.commenced•within,,st�..m.onths of�permit issuance, or t�work authorfzed by
<br /> th�perm(t ds suspended�or.abandoned-for�a�;period,yof�six;f8)�montFis;-:after,,the time the�wo�k�ts co►v�menced. An extension
<br /> may be requested�:tn:writ(ng;;�f�om tFie�'Building,Offlci�il�for a p�riod`not-.to�exceed=ninet`y(90) d"ays and�•�iiill demonstrate
<br /> justifi�ble'cause for�the�xtension: If work�ceases.for ninety.{90)cons.ecutive�days�..th�Job�is.considered aba�doned.
<br /> NNARNIP�C TO �VH�IVER: YOU9�:.�AILWRE;,T�.�REC,O�tD.An(�OTICE::OF.��CONIMENC�IVIENT,MAV�REStJL:T 1N�Y0UR
<br /> P�4YI�IG TWICE;F,OR-,IMPRO.VEMIENTS-TOhXzOUE�=PQtOPER'�'X:�:�IF�YO.U:tIN'FENID,�Y��`��TAIN�!FIRtAI��TNG;'CONSULY
<br /> WtT U D �O AM TTO N �B FORE�,�ECOR� G:� OU � � � E EIIN T' '
<br /> FLORIDA JURA�'�(F.S:1.17.03 , ' , . • . - _ ' - .
<br /> OIMNER O�AOENT �.: �.. COIdTIdd�GTO <� �
<br /> Su s bed and swom or afflrtned)before me this S�ibs rlb �and'swo (or aflirtned)�before me tfii�.
<br /> a �� b es �a . ,, . - -
<br /> �VNho Islare pers II kno .me or;has/hav ,produced . Who.ls/�re;p onallyknown• me or has/ha •produced •
<br /> ` as Id`entlBcatlon. ' � es IdendficaUon.
<br /> � Motary Publlc . � Notary Publlc
<br /> Commisslon No.� \ \ 0��71.�Q� Comml�sion. o. t`� o���u�S .
<br /> Name of Notary , or stamp�dENE Name of Motary typed,printed or stamped
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<br /> ��' � MY COMMISSION#FF 2'13095 _ L JENE BIA�K
<br /> �': • - EXpIRES:October 20 2019 ;�*'eva,'�;, 43085
<br /> �;�'�� publieUnderv+ritars ?�' :� MY COMMISSION @ FF 2 2019
<br /> .;� F:�' BondedThm No�3n =•-�a, �pIRES:Octobar 20, �
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<br /> ^ �;•' BondedThruNotazYPubGcU�enm �
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