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<br /> �tC1TfGE QF DEEQ RE�TRtCT10�08: The. �td -�;�?�
<br /> u erslgned c�nder�tands�th�tt�tl�ls�p�t�it�maywbe:subjectwto'deed"�I�esf�icttot�s"�,,.., ..
<br /> , _ ,...�..r.:....,,._._ ...:_, .;;._ • . . -. . t ti� ,.._ .,t�,.�,�,s•��=,:, t�.�. �� u ,�. a� _ ..
<br /> which mayrtie°n�oreur�`st�xctive�=tli��'Ccunt�l=+regr�latton's:�'T�ie�`und�i�ign�e:d•r�`s'"sumes�r�i�p�in�lbiitty:tor co'rl�`pliance wltli`any
<br /> applicable des��restrictbns. ...�. ...- ... � . _ . ,_....,.. . •: .:�� . �. , �
<br /> UNl.ICENS'ED CONTRAGTt'3RS :ANO CON�RACTt)R�RESPONSt�ICIfi1�S:+ -tf�the�..awner�hes��.Eiired���":contr�ct�c or
<br /> contractors to undertake work, they may�be.�,r�qulr$dwto>.�be�llcensed In:_acc�rdance.with,;state�:a�d;�loc�I;regulatL4�ns::{�IfYthe��ti� � =-'°
<br /> e�ntr�ctor- 1� not�iicensed=as�-requlred'tiy�a�iv� botti�=#he owner�r��contr�i+�#cir-��mey�be�clted�fw��a'°�°rt�ils�temeanor vEoletion
<br /> under state law. if the owner or Intended;.;c.�ntractorUare:.uncertaln'as to what'Ilcenaing:requirements�zmay�s1ppty��for�the�� ���•� :���:�
<br /> intended worlc�they are advCsed to coritact the.Pasco:County Bullding:Jn�p�ctl�iii�DW�slon,-�t.lc;ensing Sectlon at 727-847-
<br /> 8009. Furttiermore, If the awner fi�s'hlred a con�c#or o� cariUactors� he is advlsed to hava �#he contr�ctat(sj .sign,. . .
<br /> Iication..fo.r.:whioh_the �, �<,-;����,,_.,.�,,�5� , .� .;.-
<br /> portians of�the "contractor Block" c►f.tMla..r�p►P y vvlll..be�:y.r,e�po�sible.-.,.If.= au;.as,:the ai'�ivne� sign'�as the'`` -° '
<br /> contrac#or, tha#•may be an tndic�tion tha#�he'ls niot:�rope�y`ilcensei,f�ani�"ls�riot etiti�ed'to perniltting�prlulleg��in #�as�
<br /> Counly. � . ;rv..,_;:- ::. . :�.::w.
<br /> TRANSP�RTAT�ON-IMPACTlUTlLlTI@S;INIPAG't��ANl���S�OURCE RECOVERY�FEES: The�underslgned uiiderstands
<br /> thatTrensportation Impact Fees�and.R�ourse.Recavery.Fees may�;sppty!�to�tf�e;constcuc�on�af newbc�ildings��change�af�`=�" ``"'`� '
<br /> use in exieHng bulldings, or��ei�parisi�irttof�}e�ii�ti�%g��b�ilidtngs� as specifled.(n P�sco Caunty O�dinance number 89-07 and
<br /> 90-07, as amende.d;�,;�lte understgned also.�n�ersta�ds, t1�a�E.�suoh fee��4��s sma�,lie��d�e;;>xnt111;�be IdentlEted a#thes�tim�riifr.� �.�° '
<br /> permitting. It Is further understood that Tre�rsp'a�tation lmpa�t'Fees and���Resource:;Reco�sry�Fees�„must be p�ld prlo�to
<br /> receFving�a."ce��fcat�.of occupa�ay'"-orfiftnat��pawer:�et�aass: :!�°the.proj�ct;;does;rto�ir�volve�a~csrt�lcete of cccupanc��a�°g=�'°�'�=", :
<br /> f6nal power reiease;>,tt�e-fees m��t�tie patd,p`rior to.per.mit iss�ance: Fc��#�ermote;-if.Pasc�€���Counfy�tNateNSewer..�.tmpact . • ����:�•-�
<br /> fees e�e due�.they:.must.be;peid:�p�or to.p..ermit�;l�syanee,�n..a�cocdance wltfi:appllcabl�a.Pasco��.County�ordlnances. •
<br /> CONSTRt1CTtON'C1EN'LAVI►(Chapt�i T13t i�lor�da 5't�tut���a�s�m�nd+�d): If valua�on of work Is�2�500.00��or-�mot��..1� -
<br /> cerlify that I� �he: applicent;, h�ve.been pro�ided wlth a=copy of�>the°�"Florid��°Can�tructic�� Lien :Law—Homeowne�'s
<br /> Proteatto� Guide"prepared by:ttie Fioi�da Dep��tfine�t'.of Agricuitt�re and Go�sum�er:Af[afcs. 1#tha appltcan#is sameone. :�, -� Y
<br /> other than#he"owner"� 1 certily�,�at,t�h�ve,obtatned�aA�°c'opy,of:the�abpve.�descrl��ed�tfocu�ent�and,p,roml�e,t�,good;;;faith.to .
<br /> deliver it#o,tMe"own�r."�.`pfior toncomrr�encemen#:' � �. �• • -
<br /> CONTRACTOR'�IOWNER'8 AFPIDAVlT: i.cettli�r:::t�i�at>s11..th�,lnforrnatltm�:��•tht�appl6ca�on is ar.c�rate,and that aN work
<br /> will'be done in aompl(ance wtth all.appllcable laws regulating con$tructlan, zoning and��land°develapment. Applicatlan is
<br /> heroby made ta ob�in .s.permft=,to:do.t���and :1hsEaliatlon as Ind��ete�c�;.=-..��1�c:e�l;ifyi tha# no work=°or tns�flatton ttas
<br /> commenced p�lor to issuance oF a permlE""and #hat�.all work wlll be perfar�ned�to meet.standards�of all laws regulating�
<br /> construcdon, Coanty and CiRy codes, zoning regulatians, and tand devetepment r.egulaUons�in the-jurtsdlotton.- !�also-
<br /> certiiy that 1 uc�derstand that the regulations of ather gavernment a�enctes may�appiy�#o the irrtended wark, and that it is
<br /> my responsibility to identify•whet.actians 1 must•t�ke.:M be,in.,complia�cs,: Such:a�encle�_Includ�bu�•�are.not Iimfted!a: �
<br /> - Dep�irtmen# of Et�vlconmenta3�R�itect#on=Cypr�as�Bayhead�; ti�fe�end Areas and Ernrlronmentaily Sensitive
<br /> Lands,WatedW��tewater Treatment. �
<br /> �_
<br /> - Southwest Flor#da Ws�ter tVl�n�gement .:l�lsb�tot VYells, Cy�ress• BaY.�eads;, Wetland� Areas, Altering
<br /> Watercvurses. .
<br /> - Army Corps of Englneers-Seawalis,Docks�Navigable Waterways.
<br /> • Depar�m�nt of..Health'&. Ret�abllita#i�r�.:S.er;vtceslEnvironmen#�1 Ne�lt�i L1in�-Well.s,�1ti�astewater r Trea#merrt, .
<br /> S�ptic Tanks:. � - .
<br /> - US Envlronmental ProtecUon Agency Asbestas aba#eme.nE._. _
<br /> Federal Avlation:Aui�ior,iiy.=itunways.
<br /> I understand that the:follow►ang;:restrictibns apply'to the use of flll:•
<br /> - Use a€#itl ls not allowecl 3n:'Flood{�Tone"V"uNess expressiy permitted.
<br /> - If the fill material is #o b.e used>,ln..Flood Zone. "A", It Is underst6od #hat a draina�e plan addresstng a
<br /> "compa�sating voiume"wIB be submitted at#ime of�pers�ttting wMch i� prep�red by a professfanal engineer
<br /> ilcenaed by#he State of>�iotida. � . ',
<br /> - if ih� flll material�is'to.be used In Flood Zone "A° tn�conne�#I�n�wlth:a �ermlt#ed bu!lding using stem walf
<br /> � . constructlon� i certifiy that�11:�1l=b.e used only.to fill the area witil�n�#he�s#em wa11. ,
<br /> - If flll materlal is to be used in .any area, i �certlfjr t#rat .usa of`such flll wlll r�at adversely affect adJacent..
<br /> properties: If use of till ls founc4.to advers�Fyr._r�#fect adjacer�t`�pr�per#ie��.the owner may be clted for uia�ating
<br /> Ihe condiltans..,of the b�tldtng;permit:Is'sued:under the.�at�ached.�ermit apptfcatMan, far�:lots•less.than one (1)
<br /> acre whicfi ere elevated�6y tJlt,��t englneer�ed drainage pian is r�qulr•ed. ;
<br /> tf i am the AGENT.FOR.THE OWNER; i;.p'romise tr�goad faith to Inform the owner af�#he pecmitting conditions-set forth in
<br /> this aHidavit prlo�to comrnencin8 construcNon.•'I un�ei�tancY thet a separate permit may be required.for elect�lcal�.wark,
<br /> plumbing,..signs, well�, pool��,slr.condffior�ngr�.g�ts,:,ar o#t�e'r. install�ttons n��.spec�icsatly Included-in.#Fie�applicatlon. .A
<br /> perm(t issued sh�ll be canstcued to�ie`a�llaiense�ko;praceed wlth tiie yiiork and not•as:�authoNiy,to,vtol�te��cancel, alter, or
<br /> seE aslde any provisl�ns of ihe.tectinlcal.codss;:nor shall lssuence�af a.permlt.pcevent the Bulfditig t?#flciat from thereafter �
<br /> � �-- ;_
<br /> regu3rtng a cor�ection af ecrors.ir��pt�ans;-canstructian.or viotattons of�any cod�s. �very�.permi#�issued siiall became invaild
<br /> unlesa the work authorized�by such permlt>is.co�nmenced�wlthtn st�c,m.onth� of�permit issuance� ar tf wark autho�ized by
<br /> the petrrt�t-Is suspende�f��or.�b�do�ted-f,or.�;pettodr�of�s�C:#�)inon#iis s�t�r th�:tirr�e�#he�work��s commencod. An extensian
<br /> may be requested, fn w�iting,�;hom #Iie:Bulidtng,afficial for a peNod�not•-to exc;eed°Pnir�ty(94)�d'ays and�-wlll�derinonstrate
<br /> �ustlflable.cause for:lhe extension: if w�rk ceas�e�.for nlnety.t90}cons.ecuEfve�day�s...t�e�ob�ls.consldered aba�doned. -
<br /> WARNING TO CIWWER: YO�UR..�AIL.IJRE<,T�J.,:R�C4RQ.�4,>,�0710E:QF:�COMMEMCEMEM7:M'AY�RESUlT`IN�`YOUR
<br /> PAYING TWiCE;;FQR-1MP�tC3V':EMEI�'S-.T�l�:Y;diJi.�P.,#�PER'IY:=;1�=:YOUx11�"�E�t}'�TQ-��iB�T'/�tiN��FM1At��tNG;°CONSUl.T
<br /> tT �► IJ !x+, �i -G.�3 ,pl,i '. i-: �• , .
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<br /> -- .FL�RIDA Jl�FaA�;�F<S:� �a:�3 --- - -_-___ �•• . _ . : .. _..
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<br /> � _ �. - ---•- - -�- - - � _ -- � -
<br /> OWNER OR NOENT- _����� �I.! 'r�i_�-.._ CbM'RACT4 � .
<br /> bscdbed and swom M( afflnned)be or�me thls Subscrl6ed and' �b�(ot afflmte 'b' me't1it�.
<br /> '�r7'�`r l�.�1 1--. =`71l5't.�-r�'r' - '"_. �t .• . (. �
<br /> Vlfio Is/a ers�y known .meor�ha�lhave.produc�sl • Who.lel� tsapelly�Cno. n�e:.orhaelhave-produced •
<br /> as lilentlwi�tlpn. as Identlflca@an.
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<br /> Notary Ptabite . Natary Publlc
<br /> Co mis�lon Na.� � r�Isalon�Na�
<br /> (dame aC Notary " ar at�lf4yibd CA BHIi. Name af Notery lyped, ntgd��r�yamped
<br /> :�:�**� �a, NataryPublit-5tateafPlcrEd� , ; �w� Pa ••, SYLVIAR.CAMPBELt
<br /> ,' tOmmissian N GG 112439 �_�"`�+ Natary Public—State of Flor'sda
<br /> �• ' . a Commission�GG 112939
<br /> �����: MyCamm,Expireslui19,2021 '�;^., �:' MyComm�Expire�1u119.2tlzt
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