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<br /> NOTICE OF DEE�RESTitIC'TIONS: The u�dersignect under�tands�.th�t:this:��c�it�may.be_subJect to.,"deed",_restrictlons°:. ..� ... _
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<br /> which may be::more�:rest�ictive'�th��r�Couroty��r+eg�lat(ons:-The°undeesigned�as�umes�responsitiillty'for"core�pliane�=with any ` �� -�
<br /> applicable deed restrictlons. .. : •.,._. . �.,. • , •; ,. •
<br /> UPlLICEN�ED��CONTRACTORS AND COPITIZAC'�OR RESPONSI�ILIYIES:� -1f'the���wn�r has��hir��d�`a',conhactor or
<br /> contractors to undertake work, they may;be.;c�quir�d.:to:-�be:;llcensed In.accordance.with:state.and�local�regulations.�If°the�-� � -
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<br /> contractor ts�not�Ilcensed�as��re�qulred.°tiy law, both�the owr�er and�cont�actor��may be-tclted°.for���mmisdemeanor vlolatton
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<br /> under state law. If the owner or intended;�contractor;are,;uncertaln as to wh�f Iicensing.require�nents-mey«epply ior'�the���=�•��,� �� '
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<br /> intended work, they a�e adGised to contact ffie.Pasco County Building'Inspection.D�►lslon-Llcenging Sectton et 727-847-
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<br /> �009. FurtFiermore, if the owraer'fias��filred a con�ecfor or contra�ctors, he ls advi��d to have �the contracto,r(s),,sign
<br /> pvrtlons of the,"confrector Block" of.this_.applicatlon..for�vhich they wlll:.be�r:esp.on�lble.-:If.-.you;�as�:the oviiner"�Ig�i�`a� the"'` '�` `��
<br /> cont�actor, that tnay'be an indication that'iie-Is not properly Iicensed-a�d��is-iioE'eriti8eil�fo perm6ttl'ng privll�ges fn Pasco
<br /> County. ' � --'�•
<br /> TF�NSPORTATfON:�IMP�►CTIUTILII'IE�_IMPAC��A(�b�ftES4�RC� R���!l�t�Y��FEE�:�Th�e��d�e�!��e�d-u�d�r�.a�d�
<br /> that Transportatbon Impact Fees and.R�co.urae.Recove.ry_.Fees_may��epply�tc�tf�e;conatraictlon,of ne;.w,_buildtngs;:�ch�nge��of`�'� ���=•' -
<br /> use in existing buiidings, oc��expar�'sian��of���xistiri�g��buildings, �s specifled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended.,.Th� undersigned �Iso:underst�nds, that:'such fees;;as,magv.�e��due;;.wlil-tbe identifi�d at 4he��4ime�ofr� � �
<br /> permitting. It is f�artFier und�r�tood that Tra�spo�tation Impacf'Fees anst°�Resoucce;;R�covsry-Fees,must�be paid prior to
<br /> receiving-� °cerfi�c�te:of�occupancy" orflnal�powe.r.:rele��e: :If°Ehe.proj8c�::doe�;n�t involve�:a::c�ttificate of occupanoy=o�-�°--��~��
<br /> flnal power-release,tHe.fe�s mu�t be patd;prior to.permi� I�suance. Fu�tk�ermore;:If Pasco��C.ounty�WaterlSewec•:Impact �� �•
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<br /> fe�s are due,.they:must,b�,paid;prlorto.pecmit:lssuance��rn_accordance..writ��appllcatil�Pase:o�.County-ordinances. �
<br /> COtd3TRUCTION-LIEN'I.AYV'(Chepter 713� Florlda§tatuteg���mend�d): �f�►�luation of work is$2,500.00:or.-naore,._I � � �=;R..
<br /> certify that I, #he .applican4, have�-been provided �wlth a��copY oY the �"Florida�-Const�tictton:��Llen �.Lav�—Nomeowner's
<br /> Peotection Gu(de" prepared by th� Flo�lda Departmer�t of Agriculture and Consumec�Affairs. If tha appllcant is someone- :
<br /> other than the"oarner", I cert(fy.that I.;h�ve,.obtaln�d%a'cmpy;o0:the:abave.:�es.crib�d;docui�ent;and..;p�or�ise�in,good:faHh•to
<br /> deliver ft to:.the:"ownec"°'p�ior`to�commenc�ment:'�`J � � ` �� � � , " � �
<br /> C�N7RACYOR'�/OWNER'S A�FIDAYIT: I.certlfy.:that,:�ll.the.information:in�this applicatlon Es accur�te and that a01 work
<br /> will'be done in cornpl(ance w(Qh all appitc�ble laws regul�ting constructlon, zoning �nd land°developrvtent. Appltcatlon is
<br /> hereby made to obtain .a•permit �to:do_.�v.qck.:,and tnsteli�tlon �� indl�efed:-:�.-'1� certNy that no vvork��or Instaliat{on tias
<br /> commenced prior to Issuance of'a p�rmlE�"and that�:all work will be pertormed to meet standards.�of.all laws �egulating�
<br /> construction, County and City codes, zoning r�gulatlans, and land development r.egula4lons�tn the jurlsdtction: i al'so.
<br /> certify that I u�d�rstand that the r�gulatlons of other gov�rnment agencies may�apply�_to the_int�nded work, and that tt i§
<br /> my responstbility�to identify�whst.act(ons I must•t�k�:M,be;�in:.compliance;�:_S..uch:agencie�_include but•-are.not Ilmited to:
<br /> - Department of Er�vironmental:'Protectiori=Cypr�ss.��ayh'ead�; Wetlend Area� and Envtronmentally Sensitive
<br /> Lands,WateNWastewater 7reatment. �
<br /> - Southwest Florida lNater Manag�ment:�.l�istrlct 11Vells;- Cypress.c 8ay.heads; NVetland� Areas, Altering
<br /> Watercourses.
<br /> - Army Cocps of Engineers-Seawalls, Docks, N�vlgable Wat�rways.
<br /> - Department of.Health:;8._Rehabl8tative:,Set�vlcesLEnvironmen#al .H�atth Unit Well.s,.1�astev�raater�Tre�tment,
<br /> Septic�'anks..��� � � - .
<br /> - US Environmental Protection Agency-A�bestos abalement.,.
<br /> federal Avlation;Authortty;fZunways:
<br /> I understand that the.following:.restrlctlons apply#o the use of flIL•�
<br /> - Use of fiil Is not allowed In::Flood,Zone"V"unless expres�ly, permitted.
<br /> - If the.filf material-is to b.e u�ed�in �Flood Zone. "A", i� is understood�'that a drainage plan addresstng a
<br /> "compensating volume" wili be subrroltted at time of;pert�i�tJng wrhlch is prepared by a profession�l engineer
<br /> 9lcensed�bythe�taCe offlotida: ' - -
<br /> - If ih� flll materlal��is�to be.used in Flood Zone °A" (n�connection�with�� �pecmitted building using stem wail
<br /> ,_ const�ctlon, i certify that fUl�:will��b.e�used only.to.flll the a�ea within the�stem wall. �
<br /> - If ffil materlal Is to be used in any area, I'�ceitlfy that .u��. of such flll wlEl not adversely �iffect ad)acent
<br /> pcopertl�s. If use�of flll is fo�nd to advetsely,:�ftect adJ�cent�:propertle�,,the owner may be cited for vlofating
<br /> the condl#lons:;of:the building�'permit is"sued�und�r the:at�ach�d,�ermlt..appticatlon,�for:lots�.9ess than.one (1)
<br /> acre wfiicfi ere�I�v�ted�tiy illi, �n engineereo9 dralrogg�plan!�required. .
<br /> If i am the AGENT FOR THE�OYVNER; i;:pr"omise In good_faith to Inform the owner of��the permitting conditlons set forth In
<br /> thts affid�vit�prfor to commencing const�cfion. I underafand thate•,;separate,permlt may be requlred for elecMcel,work,
<br /> plumbing,__signs, wells,.pools;, alr c�ndltloning,..gas, �qr=dtMec Install�tlons noE�spec�leally IncOuded�tn.th��application. .A
<br /> permit issued shall be construed to be a�license'-to pr�ceed wlth'tFi�:work and_not:as.authoHty-:to:.vlolate;�cancel, alter, or
<br /> set aside any"provistons of the tecfintcal.c�des;�nor shall issuance�ofi a.permit.prevent the Bulldirig Ofilctal from thereafter � �
<br /> requlring a,correctiqn nt errors-inplans;-.cons.tructl.on.oc violatfons of�any�codes. Every�.p�rmit��tssued:sh�ll�becom��invalid
<br /> unless the work authortzed.by such perml#:Is.commenc�d•w9thin �Gc.m.onths of permit issuance, or If work authorfzed by
<br /> the pe�mit is suspended�ar;abar�donedfor.a;period-of�six.f�B)�montfis:aRer the tir�e the�wrork��s commen��d. An extension
<br /> may be requested�,in writing';:irom.�lhe Bullding,Officlal for � peNod.:not#o exceed'��ninety�(90)�'days �nd=vi►illJ demonstrate
<br /> justifiable cause for.•the extensioro�. If work-ceases:for ninety.(90)cons.ecutive•days�..th�Job�Ps.considered abandoned.
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<br /> II��RNONG TO OVIf1�ER: YO,UR...�AILWRE,,;T�..R�EC.O_RD,A;�[�041GE;:.O��COAAIIflENCEIVIE�tT fi�AY::RESULT�IN�YOUtt
<br /> P�►1fING 7WICE;FOR.�IMt�RO.VEMEPI.�'S;IO.;YO.Ui��PROPERTY: �I��.YO.iJ�IPI�'�EWD�-T���OBTAIN}FYNiAP��tNG;'C:ONSl1LT
<br /> WIT U � D � AN��►TTA N �� OR��,� �, ,p G:, :�� � � :;C. ;, : -; _.. E _ .._ .
<br /> FLORIDAJURAT(F:S:-1;17.03). � - ..�; - +,; ,.,«; :;. _..:,.. _ . .,..
<br /> OWN€R��M . r s . C� _ . O��` �� ,
<br /> Subscribed d-�(roo or afflrtned) re e this ___��--S[i �crl ot aflirmed)�befo me'tFii�.
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<br /> V►fio Is/are�pe►sonally known b.me.or;haa/have,produced: VNho.fe/are personel •known•to,me:orhasfiave�produced •
<br /> � � - -es Id'entlflcatlpn. � as identlficatlon.
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<br /> � , ,C� � .� Notery Public (.��-y� � Notary Public
<br /> Comm slo /o:• � , om�Ission N . � .
<br /> '%/? , �/ ��,�.Y.:I�BL,, GES •
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<br /> w��;�;,� =:' '�� Commission#FF 150422
<br /> Name ot N �r, ,�,pri��g�t��i?�5�~ � Name of Nolery P, �ed��Em er 12,2016
<br /> =�20;.• °��; . , F f�°.`' Bonded Thru Troy Fain Insurance B00-3B5•7019
<br /> 'Commission#FF 150422 •,P,;,,,,
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<br /> ,�:�,.•';; Expires December 12,2018
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<br /> `•,e��},�.�Q., Bonded Thru Tray Fain Insurance 800�385•7019 i;
<br /> ":.vaa+3.'�'r<,
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