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<br /> Nt1'1'IC�OF DEED RE�TRICTIONS: Tbe u�tderslgn�d Und�r�t�nds�;.th�t}#�ls.�ppcmlti.�m�ygbe:stabjec�;to;:�deed"�,eestrlctRoris°r .. _ �-
<br /> �hich m�y=be>mor+��rest�Ictive�tha�r�Coanty"reg�ala�lons:��"�tie"�nder�igr�ed�`�ssumea�re�panslbillty=for c�inpll�nc��with�any
<br /> applicable_deed resMctlans. �. m ...� � • .
<br /> UNILI�E�lSED COMTRACT��S �AW13 CON�RcAC't`OR �ESi�ON�tB�i�iTGE�S: ifi�•�he ��wner h�s�°6�ire'd���":ezonfractor or
<br /> con4ractor�to undertake waric, #Ftiay rnaybe:�r:�quired.jt�::be;,lic�nsed ira.�ccaedance.with state�.and;loca�;:regulaQion�:::itf=the�. ��
<br /> con#rac�or is�not 1lcensed as°requlrsd,"6y law� bct�i�'the bw�aet�nd��{;ontr�ct�rxmay°be�clted'fvc�a��rolsilemeanor ufolatlon
<br /> under state law, !F the av�nec or lntended;,;contra�tor:�ar�,uncertaln as to wh�f Ilcenaing;re�uirernents imay_:dpp�y���far�the� �
<br /> f�tended work� they are ad"vis�d to cantact th�Pasco County�uilding.In;spe�ttan,DCvision--l:Icensing Section et 727-847-
<br /> 8009. �urthernnore, If the owner fias�'hired a contractor o� corrotraators. he Ts advtsec! to have �#he con#riactq�{sj,;.sigrt,
<br /> .,., ..., . .
<br /> �orti�n� of the "coo�tracEor �loct�' of fhls,.appiicatton_:for;which.th�y wllt ber.r.esp.anslbfe.-.,,:if.you;-as-:#he owner"si�gn`�'as tfie" .
<br /> cor�tract�r, tt�at�m�°be ara ind�c�tkon that`tie Is not�:properEy licen'sed anii`:!� eiot eritltled to permlttfi�g psivifege�In Pasco .
<br /> County.
<br /> `Q'�►N�W�RTI�TIAN-1MPi4C41UTILITIES=rMP�►C'�AND-RE��U�tCE RECOVE�2Y•FEE3:� The ur�der�lgn�d�understands
<br /> tha�t Yransportatton lmpaat Fees�and.Recoutae.RecoVery.Fees m�y;appty�ta�ti�e:constructlon of new.bullding��achange�of�"= ° °
<br /> use in exisEing buildings, orrexpar�si�trrofsexis�in�'��uil�ings, as specifi�d.irr Pasco County Ordinarace numb�r 89-07 and.
<br /> 9o-O7, �s amettded.wTh�a undecsigned also:understands, that:•such fees;-;assmay:;be°rt�ue;;witl��be Ederif�ted �t fh��dtine;of . . �
<br /> permltting. !t I�iurttier understo�d that Tra�s�'o�atlon lmpa�t Fees at�claResource.:Recov.eijr�Fees;tn�ast be pafd p�rloc to
<br /> r�ce�v(ng,�.'cerEificate:of occupancy" orflnal�p�wer;Felgase: :If th�.proj�ct:_do�s�,nok invvtv�a��a,.cert�tc�te af occupancy�oi�t.'.�`�. .
<br /> flnai power�r�lease;:the-.fees mu�t b�p�ld;p"r:ior to..permit i�suanc�. _F-,��Qh�rmore;�If P�scm,County�1Nater/Sewrec•:Impact � •
<br /> fees are due,.they..must be.paid.prior#o.p.err�it�:issu�nce::tn.accordancewitli:��ppliciabtr�:Pasi:o'�.County�ordinances. �
<br /> CGN�TRUCTiQi��1:9EN'I.AW(C1i�pter 713� Etartda�tatufi�a,as ami�nd�d): tf vatu��on af work 1��2,500.00.or more�..i �
<br /> certify that !r �he: appflcant,-have-beera provtded with�a copy af�the `Flarida� Cons�ttuctfon� Li+�n .I:avu=Homeowr�er's
<br /> Protectlon Guide" prepared by tFie Floclda D�partmer�C of�grtc.ultur� at�d Consum�ar.�.�ffalrs. !#the�ppltcant i� s�meone .
<br /> other than the"owner", I��rtify:that_.I h�ve^o�tealr�ed=atcopy;af:the��b�ve.�descrlbed�documentand�p.r.�r�i�e�.l�,goad;f�lth�o
<br /> d�liv�r it to.the.�"o�ncnec"=p�or'to�comm�ncement�:" ' .
<br /> �ONTi�ACT�R'S/OWN�t2•�AFFID�1Vii': i.cert�jr=:that=all..th�.,irrform�tian.i��thi��pplicatton 6s accurate.�nd that alt work
<br /> wi#f'be done fn c�mpliance with al! appl#cable taws regul�ttng construc#lon� z�nin�g and�•I�nd�deveimpment. Applicatlon is
<br /> hereby made ta obtain.a.perm�t�:to dc��wor'k;�,and .Ihs�ail�tlo� �s tndtG+�ted:==.°I ce�tify that no work�or InsEalia�tion has
<br /> commenced p�lor to Issuance �f� permit'�in� that:all work wlll be perf�rmed�#o �n�et standaTds�-of a!! laws �egu{ating�
<br /> �conshvctlon, C�unty �nd City codes, zaNng regula9tans, and land development r�guiatl�n��in the�jurlsdictlon: ( �Iso
<br /> certi�y that 1 u�derstand thaE th� Peguiations of ot�er government �g�ncle� may�apply�#a the intended work, and that!k is
<br /> nny respon�ibiii�+ta identify•w+Frat.�c�ions i must•#�ke:to b��in<.compilar�g�.. S.rach.ag�nctes lnciude bufi�ar�.not Ilmlted to:
<br /> - C7epartment o� Envlronmentat��Protectfar�tiCypr'��s.'Bayh�ad�,�tNeHand Area�s and Environmentaily Sensittve
<br /> l,ands,WeterMlast�water Treatment.
<br /> - Soutnwest Florida lNater Manageme�t .DistMct-4NeUs, Gypress.''Bay�er�ds,� Wetland` Ar�as, A#teri�g
<br /> Watercourses. ,
<br /> - Army Corps af Engtr�eers-Seaw�fls�Docks,Navigatile Waternr�ys.
<br /> - QepaMment of.Heaith;,.8 Retiabilitafive:Servica�/E�vifio�tme�t�i Nealth tlnit Weti.s� Wastev�rafer-i Treat�nent,
<br /> aeptRc Tatilcs:. � .
<br /> - US Env(ronment�l Protection Agency-Asbes4os a�atemenE.
<br /> - FederaO Av.1�Qon.Autho�it�y-Runways.�
<br /> I understand fihat the.fallow�ng:restrictians appiy'to the use of flll:
<br /> - Use crf flfl is nat altowed in�Ficrod�Zone"V"unless expre��ty p�rmitted.
<br /> - If the f�!# matsrl�! is �o be usesl:,!n-�Ftood �one. "A", it �s undecstood that a d�sa�n�ge ptan add�es�ing a
<br /> °cornpensattn� volura�e" w1ll b� sub�eltted at�im� of�perrr►ItQlrag wlilah Ds prep�red by � �rofes�ional eng�neer
<br /> Ilcens�d by the Stat�of�flarid�: .
<br /> - If ih� flp materl�l•is to be us.ed ln Flood �one °A" In�r.�nneetion�wl#h:a ���rmitQed building using sfem w�i!
<br /> � construction, i certiiy th.�t fiil:wiil:b.e used oniy.to.tilt the�rea within�the�s#e�n�wa�t. ,
<br /> - �f fil! �na#erlal is tv be used ln any are�a, 1 certify tfi�at .use of suah fiil wHi nat adver�ety affeat adjacent
<br /> propertles. f#use o#fiN 1s foun�to adverseiy.�ifect adJa��t�propertfe��.the owner may 6�cited for uloiating
<br /> !he cond�ions.of!he bulldi�g;pe�mit Is`sued�under the�att��hed:parmlt app�tcatiort;for 4s�t��iess tban.one (1)
<br /> acre whtch ere elev�ted�tiy 4111,���ngineered dr�lnage�pla�r is ee�qutred.
<br /> Of 1�m the�iGENT.�OR-TWE-OINMER, I;.prorrd�e In.good falth tm inform the�owner of�the permlhing condftlons s�t forth in
<br /> this a#fid�vit�prior to c�tmmeracMB construction. 1 understand that a-.�eparate permit may be required for elect�lcai�work,
<br /> 'J Y.
<br /> plumbing, stgns� WQII8�.p00fS�,81�.G011tlIt10ttlCt�._.9��, ar otlier tns#all�ttoris no�,spec�ltta#1� Included�in.#h��appticx�ti�n. .A
<br /> permi�Issued shal! be construed to be`a�Ifd;ense`�to`-proased wltb thi�work and not�as:authority�to,vl�lste,=cancel, after, or
<br /> set aside any provistons arf the.4ech�ilcal.c+ode�;�nor shali issuance��f a.permtt.p�event th��u!ldirig Ot�lcla!from thereafter
<br /> req�eiring a cor�ection af ercors.ire�•piane;-can�truc.tlon or.vlolatlons of�any code�. �very•�p'ermit-lssued-�hall�bec�me i�valid
<br /> unless dhe work�e�thori2ed.by such permtt:is.commenc�d��vfithin si�c monfh� of�permi#isau�nce. or If work autho�ized by
<br /> the permlt Is su�p�nded or.ab�r�doned-f,oc:��:perfod of�slx;��)mont��.after the:t1ma th��wrar�k�ts commenced. �n exfension
<br /> may be requested� In writlt�g,:.fro�n tlie.�u!!ding.l3(flcla!fbr a perl�d:not-#o�xceed:,�friety�{80j days and�wl�! demonstrate
<br /> Justiflable cause for.�the exterrsion�. If work ceas��:far nineqr•(90)c�ns.�c�Qlve�d�ys�..th�job�ts cansidered abandoned.
<br /> lNARNING TO CIWNER: YQUR FAIGURE••Tta.,.RECt3EtD;1�.,,M4TIGE:OFr•COMMEN��MENT,NFAY�RESUL4�IM YOUIt
<br /> P�YlNt3 TWICE;.,�Q�IMPRQ�dElV1��lTS�TO:;YQ.Ui�:P�flPERTYe=�1��YO.U;I�TEE�iD�TQ=+tfBTAiN�FiN�►W��NG;'CONSUL.T
<br /> 1A�IT D •l?. A 7T0 N t�E3��.� y O t�:, :tJ ' , � . z .
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<br /> FI.ORIDA JURAfi�(F.S:1.17.p3} . —
<br /> OWNER Oft AOENT ��t+fl`RAGTO �
<br /> 9ubscrlb�d and�wom to(ar affirtned)b�fore me thls Subecrlbed and'�waRo'to �mnedj'b�fonei me'ftii��
<br /> bY �'Y a� r ,.
<br /> Mfho Islase per�onaNy knawn.to.me or•hasA�ave.produced YVho.lslare personal9y ta.me:or heslhavs-piaduced �
<br /> ae Id'endAcetlon. �s IdendBc�tion.
<br /> Ptotary Pub11c . Notary Rubttc
<br /> Commission P.1o: Ccmmtsston.tdo.
<br /> Name of Notary typed,p�inted or stamped tVame of Notary typed,printed or�tamped
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