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<br /> 'T-.�y�a . ,
<br /> ' .-i„�#: ��' (�.:::�".'
<br /> NO'nCE OF DEED RESTRICT10�iS:_ T�te u�decsigned:undec�tands�;tlt�tt:th€�.��rmiE,may.be�subJect.to°deed"restrlctEohs :�.,�_..�.�.;.,
<br /> �._ �.. ._,
<br /> which may��.tie:more.r.e'sttictive�-than'Courity���+egulatlons:��The.under'signed"assumeaeresp�nalbilltj%r'for'campllance with�'any�`""
<br /> appAcabte desd�t�es#rlct{ons. _._.:1, ,.:,. � ; • . � _ .� . >,° J .
<br /> UNLtCENSED'CONTRACTt'�RS;AND CONTRACTOR�RESPONSiBtC:iTtES: =-ff=the�owner�hasx�hired��a�contrac#cr or
<br /> contractorsto undertake work, they may�;b.e.:requlred�to;bewllcensgd in accordance.with•state.and�local.,regulatlons:��If=ttie�a��'� '
<br /> conteactor is not�licensed�as�requlte"ti=tiy law;:bot#i�the'awt�er an�i'°:coiitfactot�may�tae'�cltt�d�fdr �'mis�lemeanar utolatlon
<br /> under state law. If the owner or intended;,contractor�are;:uncertaln_es to what (Icen�Ing.reguire,Knents;`may�^applyr•for'the'� �=°�; �,���
<br /> iMended inrork,ttiey are�advlsed fo ccritact the Pasco.�ounty Bullaing;lnspectlairi..Dlvlsloii--t.icensfng Sectfon at 727-847- A
<br /> 8009. Furtherinore, �if the owner�`t�as`filreii�ia con�ractof'or coritractors� he is adviseif to have�fhe cantractar(s)�sign,,,,. :.,;,q�,y,;;,
<br /> portions af the_"contractor Block" of..this_epplication,for whiah.-they,wlll..�be.tesponsible.-...if�you�:as-.#he owner stgn''as'the' -
<br /> � y . �. �_., -_.:._.,e,
<br /> contractart that�may..be an Mdic�fiiin that`FieTis iiot:properljr:llcensed�and°�IsTno#'eritftled to pem`tlt�l`ng pr6tii11eges tn Pasco
<br /> County. „ , '` - , 3� .::�<,.� . , ::.
<br /> TRANSPClRTATlON11MPACTlUT1�4TlES�1�lPAG'1=AMb RESOU�tCE RECOVERY�FEES:��Ths underslgned'i;inde�c#ands ..
<br /> that Transportatian impact Fees�and.Reco.urse.Recove.ry,Fess may':apply��.#o:the yconstruction,ofi new..bupdtngs�:?chan�e of�'��`�'-'���
<br /> use in existlng buildings,-o�:�expansl��rof��eziskin,g'�beiildings, as specifled.in Pz�sco�Caunty Ordinance number 89-Q7 and
<br /> 9o-0T, as amended. ;'The undetslgned atsa:�nderstands, #tiat�such#ees;�:as=majr_�e;rd�e;;wlll:=be tdent�ted at fifeatime$of=��:-�=`°°';.r ;
<br /> ermittin It is furtFier understood that Trans"artatlan Impacf�Fees ancfiResource.'Recove"�' Fees,muat be aid rior to
<br /> P 9, P� �Y� p p -
<br /> rece�ring.a'ce�#ificate af occupanay"or�finaF�power--Felease.r:1�-the.proj�ct:;does�.rio�Mvolve:a::cert�icate af occupan'cy{or�"�`�-�-�;>�`: �
<br /> flnai powec release,tMe-fees�mus�k:be pald;p�1or to:permit ts�uance. Ft�ttk�ermore;��if Pasco,.C,ounty`Water/5ewer�;lmpact ��-���41�
<br /> fees are due�.they_musk be:.pald.prlorto.permitrlssuance=ln.accordancewitt�:appltcable:Pasco��County�o�tlinances. •
<br /> CONSTRUCTIC�N`CIEM"I.AVY''(Che��er 713�,Ftartda�tatutes�as am�nded): I#vatuatlon of work is�2,500.00.or more�.:i� ; ;=u�€:=
<br /> certify that I, �he. applicant;. have.�been_prov,l.ded:�with �a-copy-�of`�the �"Florida�°ConstrucNon� t:len �Larn�Homeowner's
<br /> Protectlor� G�ide" prepared by'tlie Fto�lda Departmenf of Agrtcultctre and Cansum�r�Affairs. If the appllcan#Is sameane� ,.. ,; :.�,
<br /> other than the owner", 1 certlfy-that,l�have-�:optalned�a-copy.nf.the:above.,described�'�docui�ent and;.pro,r�ise�:in,good.:faithto. _ :,;
<br /> deliver!t ta..the"owner."��prior to.commericemer"tt:' ..`,. .. _ -.. , .• y- ' - , , -
<br /> CL�NTRACTOR'S/OWNER'S AFFiDAViT: i.ce,�:�:tii,al.all�:th�;informattan:,in�thl�applicatton is accurat�,and that aii work
<br /> will'be done in compliance with all.appiicable`laws regulating construction� zqNng attd�-land�development. Appllca#!oR is,
<br /> hereby made to obtaln...a:petnt,�t:�to:.do.:wark:a;and}I�ista#lat#on as indtcefed:•:..:1 ceKinr�#hat no work�or tnstallation fias
<br /> commenced�p�iar to Issuance'of'a�permiif"and that`:all work wlll be perFarmed�to meet.st�ndaTds-of-all laws regulating�
<br /> constn�ction, County at�d City codes, zonfng r�gulatiQns� and iand development cegctlatlons�tn i3�e�jurisdtctton,_, ! al'so
<br /> certify that I understand that#he regulatlans of ather govemment agencles may�apply�to the,lntended.work, and that it is
<br /> my respansibility to Identt(y.what.actlons!must�teke:ta bstin:.corr�pllance; Such;agencles,lncluds-but�are.nat!Im!#ed!a � �
<br /> - Depa�tment of E�vironmentafi>�Protectton=Gypre`ss�B�yhead�; We�and Areas.and Environmentally Sensitive
<br /> Lands, Water/Vllastewater Treatment.
<br /> ,_
<br /> - �outhwest �torld� Water Managetrtent :t�istrlct Wells� Cypress. 8ey.#�eads��- Vltetiand Areas, A##er�ng
<br /> Watercourses. � - , .
<br /> - Army Corps of Engineers-SeawaBs�Dacks, Navigatile Wateruvays, �
<br /> - Departmen# of.rHealti�'8 Rahabilitative..$ervices/Ernitonmental Health Unit Wells;-Wastev�rater;Treatment, �
<br /> Septic Tanks:..:."' . . . -
<br /> - US Env�conmentai Pro#ection Agency Asbestos abatement.:
<br /> Federat Av.latton:Authocity;-Runways. � �•
<br /> I understand thak the:folloviring.'Festrfctlons apply�ta the use of fllt; j
<br /> - Use of fitl is not albwed in;Ftoad;Zone"V"unless expressiy permltted.
<br /> - If the.:flll mate�lal-is to� b.e usedn�in.:Fload -Zone. "A°, Ik is understood that a dratnage plan addressing a
<br /> "compe�sating valume"w1116e subm#tted at#ime of:permttting wlilch ts prepated by a prafessional engineer ,
<br /> Iicensed by`the�State of Florlda:' " '�� � � _ . ��
<br /> - If th��filF-rttaEerlal°is�to.bs used In Flood Zone "A" in>connection�wlth:a permltted battding using stem ural!
<br /> construction, i certify that fili:�rlll�:b.e used only.to.fill the area within�tha�stem wall: ' �
<br /> - It fill material�is to 'be used in any area; 1 �aettity that .use. of such fIA wifl not adversely affect adjaae�t
<br /> propstties. If use of fil) is fonnd ta adverseyr.,�ffect ad)aEer�t�properties�.the owner may be cifed fiar vlorating,
<br /> the cond�tans_of the building':permit issued`under the attached_permit applicatian��far.:lots�less-.#han:one (1)
<br /> acre whlcli er.e elevated�5y�if!!,a�t.engtneeraad drs�tnage pian Is required. --
<br /> if i am the AGENT.F.,OR�THE OVIINER,.I�promise In_gaod falth to inform�the owner of�the permltting conditlons�set farth In
<br /> this affidavtt�prlor to cammencing cansttuctton. :I undersfand that�Yseparete permlt may be cequired tar electrica!work,
<br /> �.�.._..�.
<br /> plumbing,.signs, welis,;poots, alr conditlaning,-..g�s,,:or othar. insfall�tions nat•spec�icalty included•in the application. �A '
<br /> permit Issued shall be construed to be�a�Ilcenset to�-proceed with tF�e work and nat-as:authodty._to;vlola#e;�'cancel, alter� or
<br /> se#astde any provisEons of�the tec#�alcat-ct�des;�nor shall Issuance�of a.permit.pr.event th�Bulldlrig O#Ftcial frorn thereafter
<br /> requlring a correct(on af ercors,ln:plans; canstriiction.oc violations of�any codes. �very,p�ermlk�issued'sfialFbecome�invalid
<br /> unless !he work authorized.by such permlt:�is.commencedwithin sf�c.,months of�permtt lssuance, or tf work aathortzed by
<br /> the permit is.suspended or.sbar�doned-f.oraa:periad.:af�si��(8}�monffis:after;the,tlme the�work�is cori�men�ed. An extenslon
<br /> may be reques#ed,.in wriUng,�:from'tlie:Bulldtng,Officfal for a pertod�not.to.exceed'=nitiety-(90)�-days a�d wi!! demonstrate
<br /> �us#i#iable'cause for�the extenslo�: N'work ceases:for nine#y.{90}cons.ecutive�days,..the f ob,is.considet�ed aba�doned.
<br /> MIARNING TQ OWNER: YClU#�,FAIUIRE��TQ.,R�Ct��tD�A.bM4TIGE:OF.°COMMENCEMEMT.:MAY-tRESUlT IN YCt�UR '
<br /> PAYING TWiCE;FOR:IMPRQVEMENTS�,TU:YDui.��.PR't�3PERTY:�IF�Y�.U�IN�END�TQ��OBTAiN��FINAt��fNG;'CONSiULT
<br /> WIT A � I� �1RE4� °O G�' 0U ' �G E ..
<br /> _- = - - . . . �
<br /> -- FLORlDA JilFdA�={F.S�>t- t?3}=_---- --�--„�:T=:.��,�_: _-—--� - . - �- . - �_�...T�� — - --- ------�--— ---
<br /> OWNEtt OR Al�BNT . . :�"'�?��' CONTRACTC! � �
<br /> ��safb�nd or af�r�ted}b�im�thls S�b�b�d and' m�{ot afl3 � efcorea ftee'##it�
<br /> V?l. -o.+�_�•� � ,�3'L.�f
<br /> Who Is/are rsonelly kn me or;haslhave produced Who.ls/a, ersonellyknown. e;orbaslhav,s•produ+ced �• .
<br /> � as td"enUftcatloe. as iden�flca#ton.
<br /> f , S �
<br /> �� Notary Pubilc . __ Nofary Public
<br /> Com ss q�� ` E Comr�l�slon- .
<br /> •tPRY AUB�i
<br /> :r°� `c+; NOtary Pubiic-5take o(Fiarida _,.�o`�"Y p`B<<;-; Notary Public-State ot Flarida
<br /> .
<br /> Mam ,} � i�'i ��P�t3G230 IVame of Nata t�d 1� e
<br /> .��'%�O��Cb�`�, Bonded Throu h National Notar Assn. =:� o`: Commission#FF 03423�
<br /> "�` g y '�0;;:��, Bonded through National Notary Assn.
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