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<br /> M�T10E OfF°DEED RiE3TRECTIOMS:.=The u�dersigned;under�tands��th�tsthis;ep�rmit_may:be•subJect,to.."deed"rrestr,,icNons",`,,,�,.,,.,`~;f r,�,
<br /> wh(ch may.tie=more:�r.est�Ic�Ive��th����County4�regulatlons:�The��unde�lgned�`�§sume"s�`r�spon�itiility'�for{coPripllance�with`any"�' � � -
<br /> appllcable:deed.�reshicttons. = -�,..:::� ,;,-.,.;.;�.._.;,. . ; • . ,_� . ,,..: :..:_ _.,_ .:.: �. _<.:� . . ._ .
<br /> UNG�IENSED•�CONTRACTORS AND CONTRACTAR 93E�PQNSI�ILIT9�S:1� �°If��the��owner=has��`~hired���a"contractar or
<br /> contractors to undertake work,:.they may-�be.re�quir;ed:•:to.;�be:lEcensed:ln�accordance.with-state�.and4local:regulations.:�If=the��� ' - '
<br /> contractor�ts--not�ltcensed as°�requlred"by laiar;;both�the own�r and�conuactorimay��tie�°cited fo���a��misdemeanor violatton
<br /> under state law. If the owner or Intended;,,contractort are�unc�rtain �� to what Iicensing,.r�quirements�may.�apply:��ortliei�:����� ° �-��
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<br /> intended'work, they are�ad'vfsed to coritact the.Pasco County-BuIlding:Inspectton;Diirlslon;.-Llcensing Section at 727-847-
<br /> SOOg. Furthermore, iP the owner'has"hired'a conuacfo�'or aontractors� he is advtsed to have the contractor(s),sign_, , ;
<br /> portions.of the:"co�tcactvr:.BlocEc" of._#hls�appllcation,:.for�which,.they,will.�.bew.responsible..�:-If:you;:as:the.owne�'sign�as"tiie"" "� �� �
<br /> cont�actor, that�rriay be an indication ttiat'`he''is��not`:prope�ly'licensed antl`''Is�not°entitled'�to petmitti"ng�privileges In Pasco_
<br /> County. _ _ ' , � . . : ; .:�. �.x., ,.;..
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<br /> �'Ra4NSPARTAT10Id-IIlAPACTIUTILITIE��I�NIPAC7�A�D:�E�OURCE RECOVERY�EEE�:�The�unders(gned,understands
<br /> that Transportatlo� Impact:Fees�and.Reco.urse�Recobery.F�es m'�y��apply�rto�tf��,construction;of new.building's�tchange�'of`�����°���=`� r4°
<br /> use in existing buiidings, oc=,expanst�n��of+ei�isti��g:°�bu(Idings, �s sp�ciBed.In Pasco County O�dinance numb�r 89-07 and
<br /> 90-07, as amended:�,The undet�signed �Isor'understands; that'°such fees;:;as�may`be:�due;..wilY.6e identifiied at the>time=�of-��•'�����"� '`
<br /> permitting. It Is furtfier unders'tood that Trapsportation Impacf�Fees and��Resource�Reco�ery='Fees.:must be paid pr(or to
<br /> receiving-a.'cer�ificate°of�occupancy"�or��flnal-powerrelease:`:If'the.proJect::does:;not lnvolve�a�certifioate of occupancy'o��{`�^'��_'��'
<br /> final power release;��the=fees�mu�t'be paid.pr.ior to,;permit issuance. Ft��thermore;°tf:Pascok�County;lMater/�ewer�#Impact - � ,.. ,
<br /> feesare:due,;they�must:belpaid�p�idrto,p�rmit;Issuance=ln:accordance:wltFi���appitcatil�:Pasco�=County��o�clinances. •
<br /> C�N�TRUCTION°�:I�PI�LA�Ifr(C9�'�pt��713� Florld��t�t��c����s ato��rad�d): If v�luatlon�f work:is$2�500,OO�.or.<more;,l� �- �.;3�
<br /> certify tNat.-I; •the.�:applicant,Mhave%been°.,provided�=with�a�•copy��of_�:the:���"Florida�°Constructton�'Lien :Lav�—Homeowner's
<br /> Protection Gu(de" prepared by,tlie Floi�da.DepertmenC of Agriculture and Consumer;Affairs. If.the apppcant Is someone� :. .- : -,_
<br /> other than the"owner", I.certi6yr;.that l have:obtained�a"co " � � '''�'' ,
<br /> py,ofthe+above�d�scribeddocument;antl.prorriise;,in.good:;faith.to _ .
<br /> deliver It to the:"owne�',:p�io�°fo�commericementc''`- . �' '� � '�� � , "= ' . , -
<br /> CON4RACTOR'�lOMINER'�AFFIDAVIT: I.certi�y�;tti�t;all,the,;inf.ormati�n�:in'�thi� applicatlon is accurat�.and that�all work
<br /> �ill'be done in compliance with �II appltcable`laws regulating construction, zoning antl��land�development. Pappl(catiora is
<br /> hereby made_to obtain .a p�cmit�;to.;do;;work�4sand;ifistallation as indi�ateds�,•_'I cenffy that no work��or tnst�llation��fias'
<br /> commenced p�tor to issuance of a permit""and that�all"�o�� v�lll be pertormed�to meef.standards of�all laws regulating�
<br /> consQructlon, County and Cily cod�s� zoning r�gulatians, and land development regulatlons��tn the .jur(sd(ction:�� (<also
<br /> certify that ( understand that the regulations of other�government ag�ncies may�apply�to the intended�ork, and that tt is
<br /> my responsibilily to identify•what.actions I musf t�ke,:to,be,ln<;cornpllance:�.S,uch agencles include-but=are.not Iim(ted to: - :
<br /> - De artment of E�vironmental>'P'r`otectton`=���"pr�ss�Ba�he�d�; i'Netl�nd Areas and Envlronmentall Sensitive
<br /> P CY:..,r ... y.., y
<br /> Lands�WaterMlastewater Treatment.
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<br /> - Southwest Fiorlda W�ter Management::District-Wells; �Cyptess.� B�yheads; Wetland' Are�s, Alter(ng
<br /> VNatercourses. - .
<br /> - Army Corps of Engtneers-Seawalls,`Docks, I�avigatile Wat�ntiays.
<br /> - Department. of:Health.;.B.ERehabilitative�._.Servtces/Envftonmental�.Health-Unit Well.s; Wastewater Tre�finent;
<br /> Se�tic'Tanks:.. � ' � � _
<br /> - US Environmental Protection.Agency-Asbesto�abatem�nt:.._: � �
<br /> - Fede�aFAvlatlon.AutFiod,ty=Runways:: - ' -
<br /> I undea�stand:.that'the,folloiiving;�esirictions apply'to the us�of flIL•• , �
<br /> - Use.of filt is not ailowed in<Flood=Zone"V"unless�xpressly.permitted. � • - � ' '
<br /> - If the.-:fil(r�ater(al�=1s •to-<be used.�In���Flood�Zone. "A", It:_is understood"that a drainage plan addressing a
<br /> °compensating volume" w111=be submitted at tir�e of�petmttting which is prepared by a profess(onal engineer -
<br /> Ilcensed by�the,=State'of.'F�ottda.. -- �� -: �_
<br /> - If�ihe�fill�material�.ts`to be:used in Flood �on� "A" In�conn�c�ion�wlth�a�p�rmitted building using stem wall
<br /> construction� I certify;that:ftll:�rlll.be;used.only.to.�lll the area wlthin�the�stefn.wall: �
<br /> - ' If�flll 'material"Is to be used in any area; l�certify that use. of�such��flll�will not adversely affect' ad)acent
<br /> properties.. if use:.of fill is,found��to.adversely.�ffect-ad)aEent°properties,.the own�r may be ctted for violaQing,_
<br /> the condl#fons.:'of.:the building`.�permit,is"su�d=.under tlie"at�ached_.permit �pplication;::for;lots.less.than one (1)
<br /> acre wFilcfi are elevatetl�by flil; act:engineered dralnag�plan Is required. • •
<br /> If I am the AGENT_�OR,TFOE�-01RlNlEEi; I;promtse In.,good_faith to(nform tfie�owner of�the permit8ng condittons sefforth tn
<br /> this affidavit�prtor to'�comriienoing construction. 1 und�rstand theta�separate permit may be requ(red for elect�ical�work� , _ .
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<br /> plumbing;.,signs; wells,.pools;,air,.conditioning,:gas,.�oro#he'r. insfall�tions nol.speciflcally included�tn.the appltcat(on. .A -
<br /> permit issued shall.be'construed to'be a�Itcenserto��proceed with tFie wo"rk,and.not-as:�authoNty�to;vtolate,°cancel; a�iter, or
<br /> set aside�ny:provistons of the technical codes;�nor shall issuance�of a.permtt.pcevent the Buildirig O#iictal from thereafter
<br /> requfring a.correction_Qf errors;,in..plans;constn'iction orviolat(ons of�any�codes:��Every'p'enntt:issued�shail-become�invalid
<br /> unless.the work authorized.by such permlt:�ts.commenced�wlthln,sUt.,m.onths of�permit issuance, or tf work authorized by
<br /> the perm(t-is suspended=or-:abandoned;for a�;pertod.of sixjEB)�montf�s;;atter;�the tlme�the�work��s commenced. An extenslon �
<br /> may be requested,ln uHriting;-�from'tfie_Building,Offlci�i-foc a p�riod�not�.to•exceed'=ninety��(90)`days and�dvill demonstrate
<br /> �ustifi�ble:cau�e for.�the extension: If work=ceases:for ninet�.(g0)cons.ecutive day.s,..the Job�is consider�d aba�doned.
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<br /> liV�1RMIM� TO O�lfNER: YOUR..FAILWRE;;;Tt�.,�REC.OEtD,i4:�NOTIGI�;OF<-COMMENCEMENT�:NIAV,�R�SIJLT-IN�XOUR
<br /> _ Pde1Y1NG TN►ICE;FOR IMPf,tO_.VEMEN.TS:,TOhYOUR::PRL�PEi�;Q'.Y:sY�IF°:YO.U:>I�1TEt�lD��T��O�TAIN��FII�A(��fNG;'C.ONSULT
<br /> WIl`� Y 0 - = D �O.- f� TTO R! � OR��. CO � �;;. .g� a ,A ;� �..� � � �� T, .,, _
<br /> FLORIDA JURA�,(F.S:..117.03) - . � -, , _ _
<br /> ' -- - - --- - --
<br /> OY!►NER OR AOEIdT. COIdTRc�CTa •a � �
<br /> u s ed an b�wom. o mt�ty bef re e thls ' S c d� d's rmed'b tlii�
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<br /> 1Mio is/are pe nally _ wn t e or;haslhave.p d.ced I, a e, onally me or hes/have�pro uced •
<br /> as Id`entlBcetlon. ' e�idendflcadon.
<br /> tdotary Publlc _ ►`� � Notary Publlc
<br /> Commisslon No:_ �c�l--�C��� Comr�Ission.No. � '7
<br /> Name of Notary typed,printed or stamped me oi Notary typed,printed or stamped
<br /> ,��;;';.•.., . L JENE BLACK .��';':y-..,, l.JENE BtACK
<br /> =�'' � MY COMMISSION N FF 24�'i�95 '�''����= MY COMMISSION ri FF 243095
<br /> ��'�,,d; EXPIRES:OotobOr 2D,2019 � `+� `*` -EXPIRES:October 20,2019
<br /> p'� �� gondedThNNutanP�b��cUnderw!Um'S fi "••',?' F �''0. BondedThruNoaryPubGcUnderwritets
<br /> . �3 �'f,;gch , '�Ri��•'�.
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