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IVOTICE OF DEED OtE3'PRICTIONS: The ur�decsignedunder�tands��.th�t:thl�.;p�rmit,may.b�.subJec�.to:"deed":restric#lons",:_.A:_,����'.
<br /> which m�y�be�more°rest�ictive>t#i�Fl�Courity�'+eg�il�trons°:•�The vndecsig�ed'�s�ume��respon'sIblllty"tor"compliance=�ri'th�any`' � �� �
<br /> appHcable.deed restrictions. ,.. ..: .;._: . ,., � . - - -_._ ., ,-�: . -
<br /> UNLICEIdSED�CONTRACTORS AND CONTRACTOR RESPONS7�ILITIES: If°tfie�owner has��hiretl� a"contractor or
<br /> contr�ctoes to undertake work, they m�y;be:�r�Jquited�;to:;�b�;ltcensed !n accordance;wlth_state.and:local�regulatlons.'.If°the� � _ �°��
<br /> contractor'ts not Iicensed as�requlred.`tiy Ia�V, both�th� ov�rner and con�ractor��may��6ewcited-for'°�°•�mi�ii�meanor viol�tlon
<br /> ueoder state law. If the owraer ar Intendedr;contractor�are_�uncertaln as to wh�f Ilcensing.requlreKnents�:may;apply-�or.the'-,��� • =
<br /> intend�d woNc, they are ad"vlsed to contaeE ttiet.Pasco County Bulldiiig:`Insp�ction.:Dfvislon-Ltcensing Section et 727-847-
<br /> 8009. FurtFiermore, if the vwner�iias�hir�d-a cont�ac4or or contractors, he is �dvis�d to have:the contracto,r(s) sign ,
<br /> portions of.the,`,'contractor 81ock° of this_e�ppltcat(on..for which..they,.will..be.r.esponslble.-:If.you�:as-:the owner sign`�'asFthe� ' '
<br /> contractor, that�tr�ay b� an Indicati�n thaY'he�Is�noY:properiy Ilcensed�a�itl�'ls�not'�ntiaed�to permi@ti'ng pr6vileges In Pasco _
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<br /> County. ,.e.�, �,,:�-
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<br /> T�ANSPOItT�T10N--1AAPACY/UTiUTIES>INIPAC'�AN�-(tESOUitCE R�COVERY�FEE3:` Th�undersigned-und�rstands
<br /> dhatTr�nspo�aQion irripact Fees�and.R�c�.urse.Re�v��.Fe�s_may�;�p�l��t��Q�e;�n�`►a��ii��;�Y.n�w_�uii�iing�,�char+g�����f°�'� ; . '
<br /> use in existing bulOdings, oc.�expartision�of�existiri,g.'�6uildi�gs, as specifled.in Pascv County Ordlnance number 89-07 and
<br /> 90-07, as amended._..The undersigned �Iso:understa[�ds, that:'such fees;:.,as,may�'�e�sdue;;wflir:be identi�ed at the�time�of�� � '
<br /> . permitting. IQ Is fiu'rtlier understood that T�nspo�tation Impacf Fees and°�Resour.ce;;Reco�ery��Fees,:mu�t b� paid prior to
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<br /> Peceivin a:'cerEificate-of�occu an - �
<br /> g p cy" or�flnal�-.powe.r_..:re e��e:. :i��the.pr�j8ct.;.__oes_,not involve:�a:�.certific�fe of occupancy or-�°�=���� �
<br /> final power rele�se;the fees�mu�t be`paid�;pelor to,pecmit issuanc�. Fu�chermore;�-1f Pasco:;Cound�i"Waterl$ewer:�.lmpact� � �
<br /> fees�r�due�.they_must:be�pald::priorto,_perrrtit;l§suance;In.accordance�.with�appllcatii�:Pasco�.County�ordinances. •
<br /> CONSTRUCTION�LIEN'LAIN(Chepter 713� Flor�da Statute��a�amended): If valuadon of work is$2,500.00:or mor�,-1� �.. ��.
<br /> certify that I, the:-applicant, have�been prov,lded:�with-a=copy�of the��'Florida�°�on�tructfon: LI'en .Law�Homeowner's
<br /> I Protection Gu(de" prepared by the Florida Department of Agriculture and Consumgr:,Aifairs. if the appl(cant is someoree� :. �� -
<br /> other than the"owner°, I certify_that I,,;h�ve..o.b.taitaed�a`co f.the�abQy�..descrlbed;docu�ent;and;;p�onilse�ln,good;fa�h,.to
<br /> PY:o.
<br /> deliver tt to the:"ownee"'p�ior�`to�comrto'encennenl:`,' '�� .- .
<br /> CONTFtACTOR'SIOWNER'S AFFIDAVIT: I.ce.'fify.:tli:�t::�ll thg;inf�rmation I��thi�applic�tion Es accur�t�.and that a61 wrork
<br /> will�be done in compliance with all applicable 18ws regulating construction, zoning and-land:developmeret. Appiication is
<br />; hereby made to. obtain .a permit.,to;do�=work�,and installatlon a� indl�efed:,_,.-=1. c�rtffy that no work=.or installatton has
<br />� commenced prlor to Issuance of a p�rmit�"and that:aEl work will be p�rtormed�to meet standerds�of �[i laws regulating�
<br />� construction, County �nd City cod�s, zoning regulatians, and land development regulations�In the Jurtsd(cNon:- 1.�i'so
<br />' certify that I ua�derstand that the regulatlons of othe�gov�rnm�nt agencies m�y�apply�.to the.:inter9ded work, and that It (s
<br /> my responsibility�to identify•wh�t,actions I must•take_:M,b�,in:.compllance, Such.agencles lnclude`but-ar�.not IlmEted to:
<br /> - D�partmenQ of E�vironmental�'Protec�ion=Cypress.'Bayhead�;�Wed'and Area� and Environmentally Sensitive
<br /> Lands, WateNWastewater Treatment. �
<br /> - �outhwest Florida Water Management: .DisQrict-Wells, Cypress.`��ayk�eads;- Wetland Areas, Altering
<br /> V'�aqercourses.
<br /> - - Army Corps of Eng(neers-Seawalls,"Docks, N�vlgatiBe Waterways.
<br /> - Department of,.Health:;,&._:R�habllltative..SeevPcesLEnvironrnent�l:Heeltt��UniR9Alell�� Wa�tev�tater Treatment,
<br /> S�ptic Tanks.. � - ,
<br /> - US Environmental Protection Agency-A�besto�abatement.
<br /> - F�deral:Avl�tlon:Authonty-Runways.- .
<br /> I understand that the.followang:restrictlons apply'to the use of flll:�
<br /> - Us�of flll Is not allowred in'FloodiZone"10"unless expressly,,p�rmitted.
<br /> - If the -�II mate"rlal Is to �b.e uaed:;in �flood Zone. "A", i!. is understood`tha4 a drain�ge p9an addressing a
<br /> °compensating volum�" w611 be submltted at tirrae of�.permif4Jng which (s pr�pared by a prof�ssional engin�er
<br /> iicensed�by the Stat�qf Flotida. -
<br /> - If ih� flll materlal�is�to be�ttsed In Flood �one 'A" irr r.�nn�ction�with�a �permitted building u�ing stem wall
<br /> � cor�stcuction, t certify th�t fill�wllE:b.e�used only.to.f111 the area writh{n�the��te�n vvali. ,
<br /> - If fill maler�al i� to be used En any area; I �certlfy that .u�e. of such�flll wrEll r�ot advers�By affec4 adJacent
<br /> propert(es. !f use of flll fs fot�nd to advetsely:�fFect adJ�c�nt�;properttes,.the owner may b� cited for v(olating
<br /> the condt�lo�s-.of the build(ng;permit issued"under tha at�ached_�ecmit..appl(catlon,�for:lots-.less�than�one (1)
<br /> acre whicfi are elevated�by fill,a�t englneered dralnaga plan is requlred. . •�
<br /> Ifi 0 am the:AGENT EOR THE OWNER, I,:.proml�e tn good_faith to inform the°owner of the permitttng condfttons set forth In
<br /> this aifidavtt�prior 4o comm�ncing construction. "I undera4and that�a�separate;peronit may be requlred for electrical.wrork,
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<br /> plumbing, signs, wells,.pools;._air.conditloning,�.g$s,..or othec Install�tlans no1.spec�flcally included�tn the�appNcaQion. .A
<br /> permit Issued shall be construed to be�a`license�to��proce�d wlth'the work�nd not-as.:authoNty..:to.violate;.aancel; alte�, or
<br /> set aside�ny provisions of ihe.t�clinical.c�odes;�nor sh�ll issuance�of a.permlt.pr�vent the Bulldirig 0�ici�l from thereafter �
<br /> requlring�co�rection af ercors-in,plans; co�stiuction._or vlolatlons of•�ny codes:�.�very--permlt-[ssued shall�become invalid
<br /> unless the work authorized.by such permit:�is-commenc�d•with(n sGc.:m.onth� of�permOt Issuance, or If work autho�fzed by
<br /> the pe�mit-is suspended-or:ab�r�doned;for.e;petiod-of six;(B)�montiis,.after the.time the�work�is commenced. An exten�ion
<br /> may be requested, !n_wRiting;;:from.the:Bullding,Officlat for a p�rlod.:not:.#o exceed`��ninety�(90)=days and-wlilV demonstr�te
<br /> justifiable cause for.�the extension�. If work.Ee��es:for nine�y.(90�cons.�cutive:day.s,..th�Job�is.consider�d abandoned.
<br /> WARNING TO OWNER: YOUR.�AIL.WRE,wTd1.R�ECO�D:A.I�OTIGE�:OF.�COMMENCEMEPtT.AIrAY.RESULT IN�`Y011R
<br /> PAYING TWICE;FOR�IMPRO.VEMENTS�.tO,YO.Ui�°:PRDPERTY:��:I��.YO.U{Ilef�'.�'EWD�rT���OBTAIN�=FIN�f�EtNG;�C.ONSULT
<br /> If�IT U � D � At+� TTO N ORE+,�� • � G::; :OU :` � � ;G ' ;- :�, E . �
<br /> FLORIOA JURA��(F:S:1 : 3).-,-� . , .. .. .,, . . .. �- � , , ... .,_ _..• n ..
<br /> OWNER OR AOENT �/ O- n COWTRAGTO - �� ��
<br /> Subsalbed and�vaam (or aifirmed)befor f e}��s Sub�cribed and'swo to(ot af�ir)nedpb " me'tlilk.� J
<br /> by � -f/:D ,.by: � IIIFI `/J:. �f�'�r-U�^f/ '
<br /> Who Islare personelly . ovm to�me.or;hasR�av produced Who.ls/are p.ersonallyknown•to:me�or aa/have�p duced •
<br /> ` `- -ae Id'antlflcatl4�.�� as identlflcatlon.
<br /> Notery Public . � Notary Public
<br /> Commisslon No:'• Commission�No. �
<br /> Name o4ldotary typed,printed ar stamped N�me oi Motery Qyped,printed or�tamp�d
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