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; - ._ <br /> , � rs '.• ri <br /> RlOT1GE OF DEED RESTRICTIONS: The undersigned under.�tands�;th�t:this�p�rmitmay;be.¢subJect_to,"deed",restr„lcttahs"�= � ,. <br /> which may�6`e�nibre'Iresti�ictive��th�i��Cauiity i�eguiatfons:�The undei�slgned'�assumes,�esponslbilltji'for�cartipllartce wlth any ` " '��" <br /> applicable deed restrictbns. ' ..�.s.� ::� �� . - �;� . _ , � , � - - �-� <br /> UNLfCENSED�CONTltACTt1RS -ANQ CONTRACTAR RESP�NSIBIL:ITtES: -°If the°owner'hasafitred�'a�'contractar or <br /> contraotors ta undertake work, #hey may:be�req�ilr�ed=,to.;be��ltcensecl_In,a�cx�rdance.wtth s#ate.and,;tacal,reguiatl�ns:�-1f the�� % � . - <br /> , _, . . <br /> . .:.,. :;>........ <br /> contractor�ts��not`�Ilcensed�es�requlred°tiy law� doth�the'owner and�contractor5m'ay�be•-clted fvr���misd"emeanor xiolatlon <br /> under state law. if the owrner or tntended;;conhactor,�are;�uncertaln as to what 1lcaensingM requlrecnents;may�appty��for:>the`'� > �=i�' <br /> . _ ; <br /> intended work,�tliey are�advfsed tb contaat tiise�Pasco�ounty:Buitding.`inspecfion_Div�isiorrLicen..sing Section at 72T-847- <br /> 8008. FurEtiierinore. It the owner'h2is"Ii1Tec! a can�actoT"at +contractors. he ts arlvised to hsve �the con#ra`c#or(s).;;si9n, LL a,, ,r,.. <br /> porklons of the:°contcacto� 81ock" of thls,_a�pllcation for.whlch_they.w111-:be,x.esponslble:� If�you!-as::fhe oviiner s1�ii asrtlie ' . <br /> contraator; that•may�be an indicallon that`He ls not`:propa�ly 1lcensed'and''Is not entlNed�tb perinittl'ng priiilleges (n Pasco <br /> County. 3 " . - . � . �, . � . .. � �r:>;:� t. ;� <br /> TRANaE�ORTATitiN�.iMPAGT1UTiLiTiES'�i�NIPAC=�ANb RE�OURCE RECaVERY-�EES: '��'he understgned�understands <br /> that Transportattor� Impact Fees�and:Reca.urse Recove.ryryFees,may�:apply�ta t�te:�canstruction_of new buitdings,�change��of`Kr�;.�--°;� <br /> , . <br /> use In existing butldlc�gs,�or.�.expansl�n��o'�=eii�sti�i�:=�ulldii�gs� as specf#ted.ln Pasco County Ordinance number 89-0? and.. <br /> 90-47, as amended,f�'Ch� undetslgned also'understands; tti��`suah fees;�as��may�`�e�.due;;�wlN;be Jdentlf3ed at the�t�me�of}���= =-���� '- <br /> pe�mitting. It Is f�'rttie�understood that Tr�insp�ortatlan Impact Fees and°�Resource�.Recovety�Fees-,t�ust be pald prlo�to <br /> � - �..., . . . <br /> receiving��a 'certfficate-of-�occupancy"or final•�pawer�;r,elease: :If�the.proj�ct;�.does!:not.Involve:a�.certfficate of accupancy.�or- -{=��'.." �"�. <br /> final power_reteasa;�the;fees=:mu�t:�`lie paid"`,pr�iar to.permit issusnce. Fti�tk�ermore;-if Pasc,v:County�Water/$ewe[=;impact � -� .� <br /> fees are due�.they:must be-paldp�3ar_#o.p�rmit-lss.c�ance=:in.acc�rdance with:applfcabfe Pasco�.County.:or+dinances. - <br /> CONSTRU�71L?N"Cl�N l:AV4t{Chi�pter 7'13�El+��ds Statut���a��mende�!): If vaivatlon of wark Is�2,500.OQ;or:more,�.l� ; :;:;:_�, <br /> oertify tti$t.,I, the-appllcant,m have.=beecti provlded �with=a copy- of_the�:"Flor�da� �onsttictlon� l:teri _Law -Horneowner's <br /> protectlon Gulde" prepared by�tFia Florlda Department�af Agrlc,ulture and Consumec;Aft�irs. If the appltcant ts someone,.: �.� , <br /> , ..� . <br /> �ther than the`awner", I aertifj►;.ihat,t;hav.e..optalned�`aseopy.of:the{abova:des,c�l�ied docuii�ent�and;.prorxilse;;ln,goo'd::faith•to _ , <br /> deliver it to:ther'`awner":.pcior to ccmimencement:;;` - ' ; :. : .. . _ .. . . <br /> CONTRACTOR'Stt�WNER'S AFFIDAYIT: t c�ert�jr::that=alt,.ths,;fnf�rmatitm:lmthi�.appltcstian is aacutat�a.and tha#ali wark <br /> wi!!'be done in compllance wittt atl.applfcable'laws regulating construa#lon� zoning and��land�developm�nt. Applica#ian 1s <br /> hereby made.ta abtain..a.permita.,toTM_doti.wo�lc�and InstaUatlon as indt�efe�r::�.l ceKifjr"tha# no work%or Instaflation t�as - <br /> commenced p�io� to I`ssuance of'a�perrritt'"and that.all Vuork wlll be perfo�med to meet standards-of atl laws �egula�ing� <br /> canstrucfion, Caunty and City codes, zoning regulatlons, and land development regulatlons��in the Jurlsdtctlon:- ( al'so. b <br /> cer#ify#ha# 1 u�ders#and that the regulations af ati�er government agencies may�apply�ta the lntended work� an�that it is <br /> my responsibifity ta tdentify�wttat.actions i mu�t�tske:ta be;In:,compliance�Such�agencie�include but°�are.nat iimited.ta: : ��. <br /> - Depaitment of E�vironmental��Protection=G�+press.`Hsyliead�; V�FeN�and Areas and Envfronrr�entally Sensitive <br /> Lands,WaterMfastewater Treatment. ' <br /> - Southwest Florida Water Managemert���::�listrlct�llVells;� �Cypress.'�`Bayhead's; Wetland� Areas, Altering <br /> Watercaurses. , .- �. � ..� , <br /> - Army Corps af Engineers=Seawalls,hDocics, Navigable Waterways. <br /> - DepaMment.of,.-Health;;;&,,Ret�abit€Eative.;Servtces/Er�vironmen#af:..Meatth U�it Well.s, Vllastevuatery Treatmerrt, <br /> , Sep#Ic Tanlis�:..y '' .�: , ., . , , - - - _ <br /> - US Envlronmental Protectlon Agency-Asbestos abateme.nt:_ - <br /> Federal�Av_Iatlon�Auihority,:,Runways:� � � , - <br /> 1 understand tha#:the.fottowfri restttictions a . 1 #v the usa of fllt:� � � <br /> 9. PP Y <br /> - Use of ffll is nrit alfawed in,Flood:Zorte"V"unless expressiy permitted. � <br /> - !f the--fil!"matetlaf=ls �to`be use��'!n :Flood �one. °A", *it is understood�that a drafnage pla� 'addressEng a <br /> °compensat(ng volume" will be submltked at�me af�per:mitting which is prepared by a professfana! englneer <br /> Ilcensed by'#he�State of`Flo�lda: - � � � _ - . <br /> - if ih� flil materlahis to ,be:used tn Fiood �one 'A" ln+connectlon•wlth�a"�permttted bullding using stem wall _ <br /> ' construction, I certify;that flll:wttl-b.e�used oniy.to fitt#he area withln the steFn-wa11: '� <br /> - If fill materlal 1s�ta be used in a�ry area, t �certity tha# .use of}stieh ti11 wil{ r�ot adversely affect adJacenf <br /> propertfes. !f use of f1l1 !s founc�to adverse�r:�ffec#adJa�ei�t-�properties,.the awr►er may be cited for uiolating, <br /> the cond�ions..of tha bullding�:perm!#,lssued-u�der tfie attacfied permit.appltcatton;ftyr_tots�:less�-than.one (7) <br /> '� acre wFilcFi'are elevated�tiy illl,a�t engtneer•ed dralnage plan Is requlred. <br /> If!am the AGENT FOR THE�OYVh1ER,.I;promise in gpod f.atth#a Inform the ownec of-the permltting condtt�ans set forth tn <br /> fh�s afffdavit'priar to camine�cing constrt�ction. '1 undersCand thet a=separate.permit may be requtred far eiecMcal�work, . <br /> plumbing�..signs� we!!s,,:poofst.alr.condittoNng„9�s,or at�er lnstalt�tiaiis not.spec�lcalty inc#u�ied-in.#h� application. .A <br /> permR Issued ShaU be coiistnaed.to be��a�Ilcense to�proceed wlth ttle work ansl;notaas:authoNty-.to:.vlolate;�-cancel, after, or <br /> set aslde any"provlslons af tFie.teclinlcal.cod�s;�nor shall Issuance�of a.permlt.pr.event the 8ulld[rig Officlal from theceafter <br /> requiring a correction af errors,in�plens� constructton.,or violations of-any codes:� Every�p'ermtt Issued�stiall-tieci�me�-invalid <br /> untess the work�uthorized.by suah permit:is-commenEed within six�months of permlt issuance, or ti work authorized by <br /> the permit is suspended or�.aba�do�ted�for.a�;perfod;of�six:f8)moriff�s.after the#itt�e the�work�fs cominen�ed. An e�ctenstan <br /> may be requested, In vurlting;;afrom tt�e:'Bullding,Offlclaf for a perlod.not to exc�iBd"�ntnety-{$0)"days a�d will demonstrate <br /> �ustlfiable cause fior.�the extension� If work ceas�s.for nlnety(90)cons.ecutive da�s,.the�ob�is constdered aba�done�, � <br /> 1MARNiNG TO aWNER: YQU�..FAiLWRE:Til.,,R�ECt��2D;A:�N07'ICE�:OF.�COMMEMCEAAENT�:MAY RESIILT-IN YAUR ' <br /> PAYtNG 7Wi,C..E:.�OR-1Mi?�ROV�MENTS•Tfl,.�tOU�:�:PRI3PER=TY:�IF�Y011}tN�EEt±1��TQ���BTAiN��fiNApi��NG;'CQNSULT <br /> WIT � . Q � A 'ET N �.�_ . - <br /> . r::� _� <br /> Q �t C; ElU ., ,G ,C� r. . E ,__- -�- -- -- - <br /> FLORiDA;lfii"tA�`,-(�. �. 03)� "-.— _".t_ - .. - - - � � . ._ . . . <br /> �.. � �� . . � <br /> OW[+lER OR A4�N7� . � ����i'u�L CGI+lTt�A�TO <br /> Su�crlb � nd swc or aflirtne��bef r me thls S s�rlb and' m {ot affltm�eid b�fora me Uil� <br /> 6-1-1' 'f� 1:... 5���'' �J'j� . .."'� �,. L. i Q _ , <br /> V�ho Is! persona!!y lcnovm �me_or hasthaue.pncduced Who.tst�Ee p@ at' lctiawn• me�or.ftaslhavs�paaduced, . . <br /> "�=�-----=� as Id'en�flcatlon: ` ' . � as tdentlflca0on. <br /> ` y <br /> -- Nbtary Pnbttc . Notary Publla <br /> Com sion o: Co . slan No. <br /> ,r��ivp�••.,, SYLVIAA.CAMPBELL ' ,,���'��`ra��.,,' SYl•VIAA.CAMPBELL <br /> Name ot No _ o �� GG 112934 Name olldotary ' , or � n�GG 112939 <br /> �:'"9 0�;= My Comm.Expires 1uf 19,2Q21 'i'�� �`�^ My Comm.Expires 1u119,2021 <br /> ��''�°�,�'�'' BondedifiroughNatfonalNotsryAssn. 1'"'�O�F��•••' 8tuidedthroughNetinnelNoteryAssn� <br /> ��! <br />