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<br /> MOTt�E AF DEED RESTRICT10�1S: The undersigned,unders�tands�:th�t:this;pgrmit�.may,be;subject,to.°deed"_restrictions" =r r ..
<br /> which may°be=mot`e=r.+ast�Ictive.�th�n��Couii�fy::regulat(ons: 'TFie�underslgned°assumesa�esponsitilllty�for�ompilance witfi�any
<br /> app4lcable deed-restrictians. . :.�.. „ , ,_ • ., _ -_ - - .- , ,�. � _.
<br /> UNLI�CENSED•=CONTR14CTORS .APfD CON�RA�T�R itL��PONSIB1C1TiES:' °t��the�awmer=has °hired"a�:can#ractor or
<br /> contractors to undertake work, they may:be;t�iqulre.d�:to.:be;licensed (n accordance.vuittt•staEe�.anc!�tocal,regulatlans.: =df�the>-- ` �
<br /> contrac�rr is not ticerised>�s�reqalred;by lauv�:both�t#ie owne� an�c�nt�actcr�may�ba��clted"for a�misiiemesnor violatton
<br /> �nder st�te iaw. If the owner or lntended co,n..tractor;are,;un�ertain as to what Iic�nsing.requirements emay-�apply;�for.tlie�= � �
<br /> intended work,�they a�e`�dvlsed'to cont�cf ttie-Fasco`County Bullilliig'Inspection;Divtslon--Llcetising Section at 727-84T-
<br /> 8009. Furttiermore, If the owner`tias hl�ed=�a conhacfor'or cotifractors, he is advised to have the cant�actar{s);.sign, ,
<br /> pnrtlons of the."contractar.Block°,vf,.#�is.:appligatton.foc,.which�.they wllt,,be::r.esponsible.� If.,you,-as�ths oi±me'r"stgn'�`as ftie �
<br /> contractor, #hat may be an indication that`fiie'is not.prope�y'lice�setl ari@�!s"riot'�ntl8ed to pe�miittirig privlleges !n Pasco
<br /> County. � � 4�f...T�<;.,� _
<br /> TRANSR�RT�1Tldt+l:lMPACT/UTll��1'IEa�Cl�PAC7��ANI�R�SOU�tCE RE�OVERY�FEES:�The undersigned�understands
<br /> thatT�anspartatfon Impact Fees and.Recourse Recove.ry_.Fees mey�:apply.��to�t�e.construction of new.buiidings,rchanget��of��° K t..• �'
<br /> use in existing butidings, or��expanslon�of�ezis#in�g�`�buildings.�a§ specified.in Pasca County Clydinance number 89-07 and
<br /> 90-07, as amended.r::The undersigned also;�un.d�rstands, #tiat��such fees�::.as,�ajr�"�tie��due;;;will,�be.identified at the�time�o#�, .,• �
<br /> , permitti�tg. !t is furtFier understbod that Tr�i�spartatlon lmp�ct Fees and''Resoarce RecoueryrFees..miist be paid prior ta
<br /> rece�ving a'certt�cate of�occupancy°or fln�l-power-.release: :If�Ehe pro��ct_does;not tnvotve�a�ce�tiftcake of occupancy,°o�-�'�`';... ,,�� �
<br /> final pouvec relea�e;the:.fe�s mu�t°�e pald:prior.#o�.permit issuance. F��thermare��if:Pasc.v,:Couniy�llVaterlSewec�;lmpact . •����•
<br /> fees ere due, they�_must.be�paid:prlor.�o.permit,issuanae={n.accordance wltFtjappllcatile Pasco'.County�ordinances. �
<br /> CbNSTRUCTi�N'CIEN�LAW"(Ctiepter 713� Flor�d�St�tut���as arrfend�dj: ifi'vatuation of wark is$2,500.80,ar mare,.4� - ,_
<br /> ��certify that ,1, #he �ppiiaant,:-have.been providad �with a��copy�of..the�°Eiortda� Canstrcaction- Llert.:t,aw Homeowner's
<br /> Protectlon Guide" prepared by.'ttie�Fto�da Department�of Agrtcuthsre and Gonsum�r.Affalrs. If the appflcant Is someone_, _ .
<br /> othe�than the"ownet"t !certlfjr-that I h�ve,obtatned�a�copy;of.the�above des.crltied#iocti�ent=and.promise�.ln,good:'.falth�to ..
<br /> deliver!k to:th�;"owne�"-p�loc-to��i:ornmencement�" � � ��� -. " , , �
<br /> CONTRACTOR'S/OWNER'�AFFICIAVIT: I.certify-:ftiat��fl.:the�,lnformat6qn::in�thi��ppltcation is accurate.and that eli work
<br /> �vill�be done in camptiance with all.appltcabie'iaws regutating constru�tiorr, zpning and:�land development. Applic�tlan is
<br /> hereby �nade ta obtain :a.perm�t�fa;do..�un,ark;,and �lnstsll�tion as tndicated:�: t:l� cettffjr that no work sor tnstatlation has' �
<br /> cammenced primP to lssuance of'a permit"anid that'.a#I�wark vullt 6e perFormed�to theet sEandatds-of a!1 laws regulating-
<br /> canstructlon, County and Cily codes, xoning regulatlans, and land development r.egulatlo�s=ln the Jurisdlction. I.also
<br /> certlfy that I ur�de�stand that the regulattons of okhe��government agencies may�apply�to the intended wark, and#hat it is
<br /> my responsibility to identify.what.acttons 1 must take.:to_be.ln:,c�mpliance.,, .S.uch.agenctes Include but-are.not Ilmlted to: •
<br /> - Depar"tment of E�1vir�nmental��Priiteation=Cypress.'Bayhead�, VNe�and Areas and Environmentaliy Sensitive
<br /> ` Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida WaEer Management �l�lstrtct-We!!s,'�-Gypress.�'Bay�heads; Wetland �easr Altering
<br /> Watercourses. ..
<br /> - Army Co�ps of Engtneers-Seawalls,"Docks, iVavigable Waterways.
<br /> - Department of Health;;8,ReFiabllttative�Servlces/Envitonmental Ni�alth Unit Wel[s, Wastev�tater=Treatmenf, �
<br /> . Septtc Tanks.. " . ' _ - �•. . -
<br /> ' - US Envlronmet�tai Pcotectian Agency-Asbestos�b�tement.
<br /> Federaf Avlatlon�Auther�ly=Runways.
<br /> I understand that the.following.-restcicttons apply t'o t6ie use of flA;� - �
<br /> - Use af flll Is not allowed In:Flood�Zone"V"uniess expressly.permittsd.
<br /> - If the fili matarial=is to�'b:e used �in ��lood �one. "A"� it. ls understood that a drainage ptan addressing a
<br /> �campensating vr�iume*will be stab�itted at#ime of;permitt{ng w61ch is prepared by a professlona! engineer
<br /> Ilcensed tty°#he.State of Flortda: . . , .. � .
<br /> - !f th� flll rriateriat:!s to.be�used !n Flood �on� "A" In�conne�fton�v�rltti�a���permttted buElding using stem walt
<br /> construc#lon, !certify.:that fill:w�p-•he used only.to.fill the area within�the�stem-waU:
<br /> - If flll material is to be used in any area, I�cen�fy that .use. of such flli will not adversely affect adjacent
<br /> praperties. if use of fifl is found.ta adversety:�ffect adjaeeat�propertie�,.the owner may be cited for violating �
<br /> the candifions..af the b�itdirig':permit tssuet��under tti�::attaciied_�ermit:apptication;.far io#s:less�than one (1}
<br /> acre wt�lcti ere elevated�tiy�!!,a�t engfneered dr�inag�pfan 1��required.
<br /> If I�m the AG�NT FOR.TNE-01f�NER; l�.�romise!n good faith ta�i�form the�owner of•the.permltting candltlons set farth!n
<br /> this aifidavR�prior Eo commencing constructlon. 'I understand that a�separate�permit may be requtred for elect�ical'work,
<br /> plurnbing,.signs, welis,,poats;, atr.condttioning,,gas�.or othec tns#all�tions nal•spec�icatly inctuded�tn,fhe application. �A
<br /> permit issued�hal1 be constiued to be a�`ticense=to proceed with`tt�'e.wo�ii and�not:as:authority_ta.v1olate,.:aancet, aiter. ar
<br /> set aside any prov�sions of the tect�ntcal c�des; nar shali issaance�of a.permit.pr.eve�t th�Buitdirig Olfilcta!fram thereafter
<br /> requlring a correction af errors.lm:plans;constiuctlon or vlolattons Af�any codes. Eve-ry-p'ermlt�=issued sfial!became inualid
<br /> unless the work authoriaed by such permit:�ls.co�menced�within sUt_months of permit lasuance, or if woek authorfzed by
<br /> the permtt is suspended�or-:.abandoned�f.or a;perlod�of�sGc�.fB)�montFis.efte�;tiie tlrne the�wo�k�is commenced. An extenslon
<br /> may be requested, in writing,:from the.�Bullding,C1�icial for a period:not to�exceed ninety�(90)days and�iritl demonstrate '
<br /> � just�rabte cause far.�the ext�nsiot�, li wark ceases:for ninety.{90}cons.ecutive�day.s,..th��ab�is.considered�bar�doned. � ,
<br /> V6IARNING TO OlfllNER: YOUl�-..FAIl.lJRE.TO.�I��EG.4RD A;�lOTIGE.OF�•COMM�MC�fi!lEMT�.MAY�RESURT�IN YC1UR
<br /> PAYING TWICE;.�OR�IAAIPitOVEMENTS:TO:YOUR:PROPER�TY;;�1��YO.U=I�I'�E�D�TQ"��TAIN'FIt�A'��tNG;�COMSULT
<br /> WIT U D � AN� Q N � Fl7RE� OR� �:; :U � , ;C >CI -;' ��: .
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<br /> �" -Fi:o�xa���t�i�_t�.s:�j�.g�� _ _�- _ _,._ _� _______ - _ — __ _- -
<br /> OWNER QR AOENT � CONTRAGTOR �
<br />! Subsaibed and swom ta(or alflrmed}before me ihls Subsaibed and`swam to(ot afRmtedj�befot�e me�ttil�
<br /> by .by
<br /> Who is/are personally knowm to.me.or•haslhave.produced Who.ie/ara p.ersonally known�ta.me or haslhave�produced •
<br /> as IdentlRt�Hon. ' as CdenH�catlon.
<br /> Notary Public , ' Notary Publlc
<br /> Commisslon Nq: Commtsslan.No.
<br />� Name a/Rfatary typed,printed or stamped Name ot Nota�Y tyAed+Pdnted or stamped
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