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<br /> NO'TiCE-OF DEED RES'�RICTIONS: The unde�rslgned undet�#ar�ds��th;�t�t�is�l�nn�ti:mey.be�subject ta"deed"restr•ic�oiis", ,� �, . �
<br /> whicfi mayrvtie�moreyr�s�#�a�tive=t#ia��County�feguiafion`s,�=Ttie"und`ei�signe�`sssumes�'reeptinai6iiliy'for conip{Tance�rivltti`"ariy""..`"�'��
<br /> appNcable.deed�resMctlans. • .:' .:� - ..•-
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<br /> UNI.tCENSED�Ct}HT1tACTt�RS��A1�D GOAI�RACT�R�RESPONSI�D�;ITI�S: :ff}tbe��au�mer�has��Fil��d•�a"cont�atc#or or
<br /> contractors to undertake work,.they may�b,e:�r�quir�d.sta�be,llcensed In.aacordance:wlth,sta#e�.and;local;r�gulatlons:.wlfjthe�e ��� � ���
<br /> contractor�ls-not dlcettseii�<as�re�ul�et�;tiy faw,�bath-the owner a�d�'co�t�a�tor-�mey�.#+a��ctied`for�a�iritsitemesnor utala�an
<br /> under state iaw. if the owner or interided;yco,ntra�tor;�aee;,uncertain as M what Ilcenslrig:requlremeMs;may�appty�:for��the+r�_�•-=��°�
<br /> intended wcrk�they are advised to coritact tfie:Pasco-County,Buliding`inepecfCon DCvislon--t:lcensing Section et 727-847-
<br /> 8009. Furthemtore, If the ovmer 1ias�`fitFiad�a confri�cCor or coritrac#ors. Fie is acivised ta have�the cantrac#or(s}t..sfgn.: ,.
<br /> tl s .. ..b.",.W:�r',:x':.,�..cn'-h.;��. -- , •
<br /> portlo�s af the� contractor Block of this,�applicetion.:fo.r.:whlch.they,vitill..be,.r.esp.ansible.•.,-.If�yau;rasr,#k�e avurier�ign a� the'� �
<br /> contraator, lhat�m�y°be an indication that'F�e�-1s nct�:properiy lii:e�i�'+���ai�if'Is`riait'e�itlti�d to pemil�ing�pr�ulleges In Pasco
<br /> County. � .- .,��.;��:� ,. -,.
<br /> TRA,NSPCIRTAYlON-1MPACTNTILITIES�I�APA��'1'�AN�!-RE50�DRCE RECOYERY�FEES; '�he undersigned uriders#ands
<br /> that T�nsporta�ot�Itnpact Fees�and.Reco.urse.Rec�vi�ry.Fees rriey,apply;�t��t�e<consttvc�on:af new..bulfdinga,�change�{ofp��`��'.-.` �.�
<br /> use in existing buildings, or�eutparislorrrof�.�iiis#f�%g°�b�iiltHngs, as speclfied.(n Pasco County Ordinance number 89-07 and.
<br /> So-07, as amended.,;'x'h�und,et°slgned also�understa�ds; tlta��such fees;:�as;�mayr be•:dt�e;,rwill;be Identifleif a##hentime�of:`� �. : '
<br /> permitting. It is tur`tfi�r understood that Tra�sp'ortation impacf Fees and���Resource:;Reco�eiyvFees�.:must'be paid priar to
<br /> recelving.a.'certificatesot�occupancy"=orflnal�pcwer.Gelease:. :I��the.pcoject.doesA:rtot ir�volve�a;cert�tcate of occupancy�ot:�:,:�-_..,.,.
<br /> flr�al pawer rele�se;;the;fees mu�t�be�paitl;pr�or to_permit isst�ance. F��#�iermoce,-ff:Pascr�;�County:Vi/aterlS�wer,.�,lmpact - , , •
<br /> fees are due�,they�must.be.peld.p�lorto..permit;ls�.��n�a;�n.ac.�ordance�rltl�.�applloable�.Pasca��,County�ordlnances. •
<br /> CONSTRUCTION-C�E�!„l.A1N(C6iepter 713� FloriB�State�t+�s.a�amencEed): tf valua�on of work Is$2�500.00;or more�.:l: ,
<br /> certify that I, the: appiicant,��ha�e.been�:provided:�with a-copy�of��the��"Flortda-��an�tructtan� LI�n.:L'avw—Hameowne�'s
<br /> Protectton Gutde"prepared by ttie Fioi�da De�art�ent'of Agrtcultnre and Gansum�r,,�affairs. If the applEcant Gs someone , ._
<br /> other than#he"owner"� i cert�j►:that,l.h�ve,o.p,ta,inad�a'copy.otthe:abQvadescr��ed`dai�iti�ent�and:pro�t�o-�ln,gaod:�fa�h.to
<br /> deliver It to.the.'ownec"p�or'to�comme�icement:' � ' � ' ' � ._
<br /> CONTRACTOR"SIOWNER'S AFPIDAVft': 1.ceh;i�y�:tti�at-all..the;lnf.orrnal�an::i�t•thta appllcatton is accurate,and that SN work
<br /> will'be done in comptience with all.appilcable laws reguladng constructlan� zontng and�•land�develapment. Appltcatlan is
<br /> hereby made to obtain .a perm�t,.to do.�uuor'.k�,�nd :Ihstailatton as indf�atedv-..:1 ce�l;ify tf�at no work�or tnstait�tton has
<br /> commenced p�iar to tssuanae of�a permit��and #hat�.all work wlll be perFormed�to meet.standaTds-of all laws regula�fng-
<br /> construction, County and City codes, zaNng regulatiQns� and land development r.egulattons`in the jurtsdlcNon: ! afso
<br /> certify tha# 1 unde�stand#hat the regulattans of oti�ter�government agencles may�apply�to the intended wotk, and that it is
<br /> my responslbiltty to Identif3r•what.act(ans I muet•take:to be�in�compllar�ce, S.uch,.egencles_include�but��are.not Ilmited to: �
<br /> - Depattmen! af Et�vlronmental�Protecfion=�Gyprees.�Bajrliead�, Vfle�and E#reas �nd ErnrEronmentally Sensttive
<br /> Lands�WatedWastewaker Treatment. �
<br /> - Southwesk Florlda VUater Management: :=1�isUlct INe!!s; Cypress.'�Bay�teads,� Wetland Areas. Alterfng
<br /> tNat�rcourses. . .
<br /> - Army Corps of Englneers�Seawalls� Docks��lavigatile Waterways.
<br /> - DepaMment af.Hea1t�;',& Re�aabllita�ive:SerulceslEnv�tonmental�Nea�th U�it Well.si°1tlF�stewa#er��Trea#ment,
<br /> Septic`Tanks:. � ,
<br /> �• US Env(ronmental Protection Agenc�t-Asbestos abaieme.n�.
<br /> �ederat Av.iatton:Authori#y-fiunweys.� -
<br /> I understand that the.follow�ng.restclritlons apply�to the use of flIL••
<br /> - Use of fltE 1s no#atlowei#in:Flood,�Zone'V"untess expressly permitted.
<br /> - If the flll material��is to-b.e uaetl:,`In.�Flood Zone. "A", It. Is understood that a drainage pl�n addresstng a
<br /> "compensaHng valume"wift be submitted at�ima+�f�permiftlttg which is prepared by a prof�ssiona! englneer
<br /> ilcensed by#he�tate:of'�fiorida: � � ,
<br /> - If th� flll material•.t's to be used tn Flood �one "A" In�cvnneatton�wlth:a permttked buflding using stem wa!!
<br /> consUuotion, t cettit'y.the#f�ll:u+all:be�sed oniy�fa..fitl the area wlthin�tha�s#ern waN.
<br /> - if fill material Is tb be used �ln any area� I �cettifjr that .usa of<such flll will not adversely affect adJacent
<br /> propertles. If use of_flA fe faund to adversely-,�ffect adJa�r�t'�prctpertles,.#h�owner may be ctfed for.viara#Ing.
<br /> the cond�tons:.of the bWllding;permit Is'sued�under tha aktached.�ermit appUcatlon, for:lots less;than.one (1)
<br /> acre which are elevated�6y All;��t englneersd dralnage plan!s requlred. .
<br /> tf 1 am the I�IGENT.FOR.THE��NER; !,>�iromi�e tn good€at#it to Eniorrr�the�owrter of the pecmitting c:anditions�set forth In
<br /> this aNidavtt�prlor to cammencing construcNon. 'I underatand lhet a ysepar+ate permlt may.be required far electrical�work�
<br /> plumbing,_stgns� welfs, pools,,a!r conditlonlcn�..gsts,..or.ot�e'r: fnstall�ttons not,spec�tcally Included-1n.#h��appltcatian. .A
<br /> permit tssued shall be canshued to b�e�a�Ilcense�to=proceed with ttie work end nat�as.euthority:to.��rrlate��canceal� alter, or
<br /> set aslde ar��provis�ons of tfie.technlc�l.;codes;�nar shall issuance�af a.p�rmlt.p�event th�8ulldlrig t�l�la!from thereafter �
<br /> requlr€ng�cocrecttan af errors fn�:plans;-canstFu�tbn.or vlolatlons of-any cades.� Every•permit--issued sfiatl-become invaild
<br /> unlesa the work authorized.by such permlt:�{s.cotrtmenced•wlthfn sf�c,m�nths of�permlt Issuance, or if wca�k authorized by
<br /> the permit-ts suspended-or.sbac�doned-#oc$:perlad;of=s�t�#�8}�irnonttis..afterthe:tlrrie�the�wor�tc�is cammenced. An e�ttenslon
<br /> may be requested� in writing;:from tNe:Building,i3�icial for a pertod.not�.to exceed�ninety'(90)�days and-will dernonstrate
<br /> justifiable cause for.•the extension: If wor�t ceas�ea.for nine�r.(9tf}cons.ecutive�days...the��ob�is.consldered abandoned.
<br /> WARNING TO OYVNER. YOUR.:�AIWRE-,Tta,:R�EC:OttQ:A;,I#I4TIGE�:OFr�COMMEMCEMEI�lT��MNY-RESWL7�IN°YOUR
<br /> P�1YtNG TWtCE,,�'OR�IMPRO�'EMENTS.�"�?-�X.�}t�It�P�PER'3Y:=�1��YAU;f��`E�lD��TQ���t3B�A1N�PIN�l���NG;'Gt3�SUl.T
<br /> IT A Q � -O Gs, , V a � . �..° . -
<br /> FLORIDA JUFlA�:(F+S:117.09 " � .� . ;:: , .,�. , • • ..,
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<br /> OYVNEIt OR AOENT . � " CON'PItAGTO
<br /> 8ubscrlbed and svwm (or efflrmed)before m th Subscrlbed'and'svwm�b ot'a�Irmed)�befot+e nte't!i!�
<br /> by .by... � �
<br /> Who isiare persanaliy knawn.M.m�or�hesthaye,producad Who,ls/are p.ersqna.11yknovm;td:,me.or#taelhave-produced
<br /> ae IdenUfloedpn. as IdentlBcaQon.
<br /> Not�ty Pubtic _ �otary Pub11c
<br /> Commisslon No: Comml�slon.No.
<br /> Mame of Notary typed,p�lnted ar stamped Name ot Notery typed,printed or stamped
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