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<br /> NOTiCE O�DEED RESTRICTIQNS: The aqderslgtxed;under�tands=;th�t<�hlg:�p�rmif;may:be,subJec�.to."deed",restrlctioiis"_.. ..__, .:�
<br /> . ., a _ ..... _..,.
<br /> which may:be>more`.r.est�rictive'�thain Caunfy�i�egrilatCons. �The'und`ecslgned°�assumes�°'resp'onsftiiltty'far`coinpllance witFi any� '
<br /> applica6le-deed-�estrlctions. � .. ` �
<br /> UNUCENSED�`CONTRACTORS �AND CONTRACTOR R@SPONSIB1LITtES: �•If tlie-�orivner�has�°hired��a"conMactor or
<br /> oont►aotors#a undertake work,.they m�ay.be.ice�quic�e,d�tto::be>Itcensed ln_accordance.with state.and:lacal,�regulatlons:<-1f�the�� �� � -
<br /> contractor:"i"s-nbt��llcenseil-as requlred.'6y taw, bo#h�the owner arid:=con#ractoT=may�be°°clted~for•a•misdemeanor vtolation
<br /> under state law. If the owner ar Intended;�contra�tor;are,:uncertaln as to what Ilcenaing:requlrements�;may�apply>�for.`tFie'��•� =�- �
<br /> tntended�vtrork, #Fiejr are"�itiviseii to coritact:ttile�Pasca Caunty,BuiEcling,'inspeict#on,Dtv�sfon--L•icenstng Seatian at 727-847-
<br /> 8008. FurtfiieTmore, if the oviirier has�htred�a�canUactor�or contractors� he ts advtsed to have the cantract�rr(s}, slgn.
<br /> porttans of the,�contractar.Block° vf,thls,_appllcatlon.-for,whlch.they.w1D>.be..r.es�anslble.� _If�you;=as:.#he oiivner'st�n�'as�lhe �' � �
<br /> ca�ttraatot; #hat�may Ese an Indlcatlon that`iie=ls"not proper3y licensed`and"ls�no#'eritit�ea to�parrnittl'ng p�iiilleges In Pasca
<br /> County. ` • z, _,��;
<br /> TRANSPORTATICIN-•EMPACTItlTiLIT1ES�11I1R14G'C�ANb itE�OU�tCE RECi�VERY�FEES;Tha underslghed�iiitders#ands
<br /> that Transportatlon Impact f�s�and.Reco.urse_Recovery:Fees may<<apply.#a�t�e�:construction�af new�buildings,F.change'of"��`-`�'� '�
<br /> use In existing bulldings,�or�expanst�n��cf��exlsti��'aliu!ldings. as spealfled.ln Pasco County Ordtnance number 89-07 and,
<br /> 90-U7, as amended.�.;The undersigned aiso:understands; thait:such fees,�;�is��may.'°be�=due;�.witi�6e ident�ied at the;'time5{af�: .;:,;:���~ .`
<br /> permilting. It Is ftir'tfie�understood that Tr�i�sportatlon Impact"Fees and�Resou�ce.Reco�ery�Fees...mu'st be pald prlor to
<br />'. �ece�vtng a"cerf#tcate.of-accupancy"�ar f�nal��pawe,r.�,�elease.- :I���the,proj�ct,:daes;not Mvolve,�a�certiEicate of occupancy�or��:�;-. °
<br /> y .._
<br /> ..., P , � _,, hermore�=1f:.Pasco;County..Water/Sewer��lmpact . �,,�:-.
<br /> flnal power-releas�,e;. the�.fees mu�t"tie� �aid ip�ior#o;permit Issuance. Ft��#
<br /> fees are due,_they:must:be:pald:pri�r to,permlttlss,u��ce:ln.accord"ance wlth:appl3cabte�Pasco':Caun�r�orclinances. -
<br />� CON3TRUCTION LiEN"tAW�(Ctiapter 718�Ffor�aia Statutes,as at�ended): tf vatua�on of work ls$2,50d.00tor more,-1 . ,.
<br /> aertify that I� the.•appllcant,�have-:been provlded wtth�-a=copy�of��the°�"�locida� Constructlon.-:Llen :L"'av�--Homeowner's
<br /> Protectton Gu1de" prepared by�t�ie'Flor�da D`eparf�menf af Ag�lc.ult�re and Cansumer,:AfFairs. If ths appllcant ts someane .
<br /> otherthanth�"owner", I.certifji,.that_I�have:aptalned`'a�copy;of..the:above:rfes.c�lbeddocu�ent�and;p,rn,misi�uln,gaod:falth�to :
<br /> I delhrer it to.�tiie`::owne�':pirlor,to%coitiriieRcemerit:' � � ,. � � :
<br /> CONTRACTOR'SlOWNER'S aFFIDAViT: i.ce�ti[j►::;ttiatsall.the,lnformatton:ln�thl�appllcatlan Is accurate and that atl wark
<br /> will'be done in compllance wl#h all.appllcable'laws regulating constructlon, zoning and��land�development. Appltcatlan Is
<br /> hereby rnade. #a obtain .a permit��to:rdo.�work:;,and instaEtatian as Indl�ated:�� �:1. certify that no work�or installation has
<br /> commenced p�lo�to I"ssuance of'a permlf�and� that.all�work wlll be performed�to meet-standards of all laws regula�ing-_
<br /> constructian, Gounty at�d City codes, zoning regulatiQns� and land developmettt teg�slaUons�tn the Jurisdlction.- 1 a1'so� _
<br /> certlfy that I uaderstand that the regulatlons of olher�government agencles may apply�ta the.Intended work� and that it is
<br /> my responslblfity to(den#Ify�what.acUons#must�Eeke,to be�ln:.corrl�}lance..;Such ageno#es inctude but�are.not Itmfted ta:.,� -
<br /> - Depa"rtment of E�vironmentaf�Protection=CyPress:'Bayhead�,�We�and Area�s and Environmentally Sensitive
<br /> Lands,WateNWas#ewater Treatment. ,�
<br /> - Southwest Ftor�da WaEer Managerrment:�}3sUlct:Wells; �Cypress. 8ay.heads;- Vtfet#and� Areas, Alterit'tg
<br /> Watercourses. � ` ' �
<br /> - Army Corps of Engineers�Seawalis�Docics�Navlgable 1Naterways,
<br /> - Deparkment of:Health;;,8,.Ret�abltitative,,Servtces/Envitonmental�F�ealth U�rit WeQs� Wasteukater Treatment;
<br /> Septla Tanks:. '._ � . � ..� -- , .
<br /> - US Environmentel Protectian Agency-Asbestos abatemen�: . � -
<br /> Federal�Avletion:Authorlty-Runways:� � �
<br /> 1 undetstand.that.the.follciwing.restrtctlons aipply to the use of fltl:•
<br /> - Use af fill ls not allowed ln'Flood;.Z„o,ne"V"unless expressly per7mltted.
<br /> - If the-�flll` materlal Is �to be usetl:In.:Flood Zone. "A"� It. Is unders#ood��that a dralnage plan addressing a
<br /> °compensating volume*wiil be submitted at�#me of:permitting wfiich is prepared by a profes�iona) engineer
<br /> Ilcensed by`the_State of-Flotlda: � - `
<br /> , - 1#th� flll materlal-ls to-be�used In Ftoad �one 'A" in�cnnnectton�wit3i�a��ermitted balfiding using stem walt
<br /> � ' conattuctton, I cer�fy that flll.w�ll.be used only.to:flll the area wtthln�the�stem-�walL- •
<br /> �� - !f flll materlal�ls�to be used !n any area� 1 �aecttfy that .use af�such^fltl�will not adversely atfect adjacent
<br /> ' properties: if use�of fill ls found to adversety:�ffect adjacent��prc�pertles,,the owner may be cited for vioraking
<br /> ' the condl#tons_of the bi�lltllrig:permlt Issued�under the'attaafied�permlt applicatlan� for.:lats:less.than.one (1)
<br /> ; � acre wfiici�are elevated�by fl1#;an engineer�ed dratnage p�an is required. . • .
<br /> If I am the.A�ENT FOR,THE 4VIINER, I,.promise In good fatth to Infarm the ownec of the permltting condftlons set forth In
<br /> � this affida�it`pilor to commer�cfng.constructfon. �I understand thata-s�pa�ate permit may be requtred#or etect�{ca!work,
<br /> plumbing,_.signs, weils��poots;;a1r conditioning�:g�s,.or.otMe� tnstali�itions not,spec�icatly inclu�ed�in.the application. .A
<br /> permlt Issued shall be constcued to�b'e�a'Ilcense'�to�proceed with the work and not�as:authoNty.=to._vlotate�'cancel� alter, or
<br /> set aside er�y provislons af�the technlcal.r�des;�nor shalt tssuance�of a.pe'tmit.pceven#ftte 8alldlrig t�fftctat from thereafter
<br /> requtring a.ca�ectlon af errors In.plans; cons#ructlan,or vlolaUons of�any codes:� �very{�p�ermlt=l,ssued sliaD becotne�invalid
<br /> � unless the work authorized.by such permit:�fs-commenced�wtthin s[�c.mon#hs of permlt lssuance, ar if work authorized by
<br /> the permit is suspended•or.abandonecl,for:a:perlod;of�sUr:(�)mnnffis:after the;tlme the�work��ls commen�ed. An extenston
<br /> may be reguested� tn writ(ng,.irom_ttie.�Bullding,Offlclal for a peNod��not.to exceed nindty'(90)�days e�d�wl!!demonstrate
<br /> just�iable"cause fior:the extensiar�. If work ceas�s.for ninefy{90)cans.ecutive:day:s,..the Job�is considered aba�doned.
<br /> WARNtNG TQ QWNER; YOUl�..FA11.lJRE,TQ..R�FCQEtD.A;.1�O;T�GE:QF:�COMMEMCEME[a�TT:1V�AY�RESUtT IN�YC►UR
<br /> PAYING TWICE;FOR,IMPRO.V�AAENTS�7fl:�YOUR:.PRC�PER-TY:>I��.YO.U;1�1'�E�D�TQ�'C�BTAtN�'PINAIe1EfNG;'CONSIILT_ _ _
<br /> WlTH_. _ A1 - � ��► =Add��'t'[a W f3�Et - � G�� �74J .. , .;� .� ..�. ; , , . E___.-- . .
<br /> ..
<br /> F�OR10A JIJR11�"{F.S: .Q3} ✓ �. . .` , � - . �- -�.
<br /> _ , �
<br /> � qWNER OR AOENT � �Du�/ri�' . �^2, COMTRAGTO ,
<br /> ��/`! a bswom or si��j�tefore�'e thl� Sy��s ��aruf' ta{ot afflmsedpb re me tM�
<br /> `� �Yl t�� .b - � G.- �:(SP�i�'`''
<br /> Who Is/are rsonally knawn .me.or,has/have,produced Whals/are .e onally�ci�own, rrte-or tiaslhave�produced �
<br /> as Iden$Ri�B+pri. ° ` as idontlflcatton.
<br /> � �� .
<br /> Notery Publlc Nofary Publlc
<br /> C4 ss4on No: —s,�t�� mlaslon.No. .
<br /> •sn`,`�Y���.ff NotaryPublic-StateofFlorida
<br /> w VIA A.CAMPBELL
<br /> Nams ol Nolary a.t�'S .�pires lui t 9,2029 N�r�te of Notary kyped,p t{{�#' " ed�otary Public-5tate of Flori a
<br /> •.,,� o?;�• * •; Cammission#GG11z939
<br /> � OFF�,, yondedlhroughNalionalNotaryAssn. •+ ,
<br /> ��� ,N��OFFs°P�e� Honded hcaughNationaUNoaryAszsn.
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