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<br /> NOT#CE C3�DEED RESTRICTI4NS: 'i'he und�cslgned.under:�tands=:th.�t�thls<A�rmif��may.be.sub�ecl;ta".deed"-.restNctions°:�� _:, --_'..�
<br /> whioh may°.ti'e<more�r.est�(ctive-tli���Cour�ly�regulatfons: The��unde�signed��assume�'responsibillty.for"cotnppance witti�any"� "� "�`"
<br /> appllcabledeed.resb�ictfans. �.. � . � . ;, �- _ , ; � , . , . , �,..�- , , f.w ._.
<br /> UNI.tCENSEQ�C�NTRACTURS.�11�D CONTRACTOR RESPAFiSiBItITiES:� -if=the•owner°has°�°i�ired��a"contrac#or or
<br /> contractors to undertake wotk; #hey may;b.e.�required.to.�b��:lfcensed in,:accordance.uuith;state�:and�local,;tegul�itlons:.�If-the�� ��',� �`� �
<br /> contracto�=ts-nof li4enseii-es�rreqtilred,`kiy lavv, bo#h ttie'awrrer and==contcactor�may~be�-cttec3�.€or��a misilemaanar violaflon
<br /> under state law. tf the owner or Intended�,contractor;are:jwncertaln as to whaf Itcensing,requirecnents�;may�apply��'or4:tFie`°��� -r� ��"
<br /> intended wortc,they are advlsec!�to ca�tact:ttie�Pasco�Cotinty Buili!ing:;lnspectlon.DIXIs1on�-Llcenstng Sectlon eE 727-847-
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<br /> 8009. Fu�ttiermore, if the owner`fias"hired�a�contiracfor oT contractars, �he is acivtsed to have�the contrac#or(s),_sign,. , _, ,;;
<br /> portlons of the �contractor Block" of this,.appllcation..for�whlgh.they..will.be..r.esponsible:-.,IfS�you,�as:the owner"sign`�as�fiie�� ' " '�
<br /> contractor� that�may be an indicatlon Ehak'he`is-not:propet�iyr`Ilca�isecl�attd�Is�riii#'entttied to pertrilttfng�p�iullages in Pascrar
<br /> Caunty. . . _. ._ ' . v., . . �. _, Y .__ . - � _
<br /> TRANSPt?RTATION:IMPACT/l!i'li:i'�IES�(MPI4G��AND RES�URGE RECOVERY��EES.�`The underslgned�unders#ands
<br /> thatTransportatlon Impact Fees:and.Recourse.Recovery.Fees mey.�,appiy,fo�the,consbuction;of,new.,6ulidings�„change`of''�` ° =�:�`:�
<br /> use In eiri'sting bulldingst or�exparialon<<of�ezistirig abulidings, as spectfied.in Pasco County Ordinancs number 89-0? and,
<br /> 9t?-07, as amended.,�:,The undetsigned also;understat►ds, thaE`such fe.es;;as��may�:�e::.due;;^w�il�be ideriti#ied at file�time�ot'-�-�-&=�:_�'
<br /> permitting. It is furtlier understond that Tra�sportation Impact�Fees and�Resource�:Recouery4Fees;must be paid prior ta
<br /> receEving a°cerE�lcate�of accupancy"�or�ittal�powerzreiease: �:I��the.�roj�c#=;.does�itot i�vaive=a�certi�cate of occupancy�o��,-��.-,;:_{,.
<br /> flnal powec release;the_,fees-mu�t;be�paid�p�lor to.permit Issuan"ce. Ft�kthermore;�ff Pasc��.C.ounty"VliaterlSewerr;lmpac# , =::Js• �r��
<br /> fees are due,_they must be=pald;prior.#o.permlt-.lssuari�e�ln�a�cordance.wltt�.:appllcatile Pasco�-.County�a�cllnances. -
<br /> Cta►NSTRUCTiC?N�LIIEN`LAW'(Cli�pter 713� Flortda Statat+�s�as amended): tf valuatton of wark is$2,500,00;or:mare,..:l ��; -��a�
<br /> certify tFiat I, �he applicant,:-have, been proylded �with--a~c;opy�of:#he�"Flortda� �onstn�ction��Lien :�av�—Hameowner's
<br /> Protecttar� Gatde" prepared 6y tfie�F�oi�da Departmet�#�af AgrlcultuTe and Gansum�ar.:Affalrs. 1##he appticant Is sameone:.;...; , �::<
<br /> other than the"owner", I cert(fy�.th�t,;l-h�ve.obt�ined�a�'copy;of.the�above..descrlt�ied;tiocu�ent;and;promise��in>good.�faith..to �_ . �. ,x
<br /> deliver it to the:""owne�=p�ior°to�co�iiraenceiiierit:'' � . : .. - , ,. . , , , �_.
<br /> CONTRACTOR'3/OWNER'S AFFIDAViT: i.c.ertify:tFi�at.all.,th�:in�ormatton��i�•thia appttcatlon is accurate and that all work �
<br /> will'be dorte in compliance with aU•applicable'I�ws regulating canstruction� zpning and��land°development. Applicatlon is
<br /> hereby made ta obtain .a pernn�#�,ta_da:worfc,;�;and.installatian as indt�a#ed:��.=;f• certify tha# no work��ar 3nstaflatlon iias-.
<br /> cammenced p�iar to Issuance of�a permiE'"and that:all�wark will be�pertormed to meet standards-of all laws regulating�
<br /> construction, County and Clty codes, zotting tegutatt�ns� and land develapmer�t regalations�i� the Jr�rtsdtcflon:- I�a4'sa.
<br /> cerkify thak I understand that the r�gulatlans of othe�government egencles may�apply�to_#he_intended work, and that it is
<br /> my responsib!llty to IdenElfy•what.aatlons 1 must�take;ta,be,ln�cor��!lar�ce.:S.uch.agencles include but�are.nat lfmfted!a: 3� , - ,
<br /> - Department of E�vironmental��Protection�-Cypress.`Bayhead�,�WeNand Areas and Environmentatly Sensitiue
<br /> Lands,WatedlNastewater Treatment.
<br /> - Sau#hwest Ftorlda Water Management:�Dls#rict:ltVells; Cypress.`8ay�ead's; Weflandr Areas, Attecing
<br /> Watercourses. -
<br /> - Army Corps of Engineers=Seawails�'Docks,Navlgabie Waterways.
<br /> - Department of,Health�.8..Rel�abi(Itafiv,e„Seniices/Environmental Heaith Unit Wel[s,.Wastewahar�Treatment, f
<br /> Septic Tanks:._' ' � � . - _
<br /> - US Environmental Protectlon Agency-Asbestos abatement. � ,
<br /> Federel Avlatlon�AuthoNly=RunwaysQ �
<br /> i understand that the..following:rest�i�ons appiy#a the use o#fIU:
<br /> - Use of fill Is not atlowed in'FloodrZone"V"unless expressty permitted,
<br /> - If the fill mater'lal is to 'be used;�in.�fload Zone. "A", tk. is understood�that a dralnage plan addresstng a
<br /> pcarnpensating volume*wilt be subml#ted at#ime oftpermit#tng w�ilah is prepared by a professiona! engineer '
<br /> Iicensed by`the 5tate of�Florida. ' � �� ( . -
<br /> - If th� fl11-ma#erlal-Is�-to be:us�d tn F1ood Zone 'AA ��4 isV�F��Ion•with�a �ermltted bullding using stem wali
<br /> � construction., i certi.fy,that fill�.wall:be-used only.to.fill the area within the�stem�wail: �
<br /> - !f fiN matetlaf is to be used in ar�y a�ee� 1 �cettlfy Ehat .use. of�suc� fll! wl11 not adv�rsely aff'ect ad�acent
<br /> properties. if use of fill Is found to adversety:�ffect adjaEent��:prvperties,.the awner may be cifed for viatating
<br /> the condi�ions.of the building;permit is"sued=under the attached }iermit �pplication;for:lots�:less�#han.ane (1)
<br /> ar�e wtiich are eleva#ed��liy f�ll,a�t.engineer�d dralnage ptan is required. .
<br /> If I am the AGENT-FOR THE OWNER, M;promise In_.gaod_faith to inforra#he owner of•the permitting condftions set farth in
<br /> this atfidavtt�p�tor to�comine�acing consh�uc�an. 1 untlerstand that a-separate permlt may be tequtred for electrlcal'work,
<br /> plumbing, signs, welis,,�:poais;.air conditioning,.gas��or.otMer tnstall�tions not,spec�tcally included-1n.the�application. .A
<br /> permit Issued shall be conshued to be'a�iicense'to=proceed witli ttie ywork and not-as:authoHty_to:violate,�cancel. alter, or .
<br /> set aside any pravlslons of tlte tecFinical codes;�nor shall issuance�of a.permlt.p�eve�the Bulldlrig O#�iclat from thereafter
<br /> requiring a carrection raf eRors in�plans; constriactlon ocvlolations of-any codes. Every�p�etmit=lssued sfialF become�invalid
<br /> un4ess the work authonzed:by suc�h pe�mlt:�is.commenced�w{ttt(n sf�c.months of pennit tssuance, or if wark authorized by
<br /> the pe�mtt Is suspended�or;abar�daned;f,or.a�;period,of six�f$)mon#iis�after the time the�wo�k�is corrimenced. An extension �
<br /> may be requested, in viMting,�f�om,tHe.�Building,Official for a perlod=:not-to exceed�=�ninety(90)��days and-will�demonstrate
<br /> just�iable.cause for.�the extensior�. (f work ceases:far ninety.{90}cons.ecutive day.s�..tFte�ob�ls consldered abandoned.
<br /> WARNING TC► OWNER: YOU{�..FAILURE,TC1,:R�ECQRO.A::MOTIGE�:OE.�GCyMMENC�ME�T.AAAY=RESUl:T�1N YOUR �
<br /> PAYIN(�TWI.C,E:FOR�IMPROVEMEN'�9i�Tfl;,YOUi���.PROPER�T1fa���IF�YO.U�i�ITEI�ID'-Tl]''�OBTAIN��FINAI�IIEfNG'�'CON'.s3ULT
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<br /> Fl.OR{gA JURA�(F.S:i.1T;j�3} � " -
<br /> OWtdER OR AOEN a " ��'' �/f� CCyNTRACTOR %� �'r',�q ..,�it�.. �.. _�-i�....f
<br /> SubscrEbed and swom ta{or a{�rmed}b me thts Subst�bed srsd'swarrrto{i at af�edpbe�fiote me'ttii�
<br /> by .ey,. �
<br /> Who!s/are personaily knowm to.me or:has/have pqo!duced Who.ls/are p.ersonallyknown•lo me;or heslhave-produced � �-
<br /> as Id"en�8ca8on. ' as tdentNlcattan.
<br /> ��,,,'•, t�'c� � ` tery Public . ��� �� ►.,C7 Nof�ry Public_
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<br /> Name af Notary typed, *N`, ��;stamp�issi�i�.� �' 2� Name of Notary e_i� f+�a����`��:�
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