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<br /> NOTtCE O�DEED RESTRICTiON9�: The underslgned,under�tands�;#h�#:t�ls;: �rmif.ma ;be:sub ect.ta�deed"Jrestrictlohs"<<,..:.;_:y�:.;w
<br /> which may-.be.=more�rest�ictive�tha��Caunty-reg�latlons. �The underslgned��assumes responsibtitty for compllance with any
<br /> appllcabte deed=restrlcttons, ,�...� <,,:.;, :<<;. : . � -. - , • �� "��� . . .
<br /> IJNLICENSED•�CONTRACTORS�AND CONTRACTOR RESPQNStB1�ITiE�S:' ��If-t�ie owner has�°�hire�d��a�`cor�hactar or
<br /> contrac#ors to undertake work,-they.may:b.e:requl�ed:_to.;be,llcensed In accardance.with state.and;local..'egulatio_.ns:.�if�the=��� � ��`.�
<br /> contractar.�ts�not'tiicen'seif�as�°requlredr�6y iaw,=6o#h the owner and cant€actor-�may'��ei°�cEted for��a��mistiemeano�viola#ton
<br /> under state law. If the awner ar Intended.,;Pr.ontra�tor;:�are,;uncertaln �s�to what Itcenstng;requlrements;may�.apply��for�'the'= =° �-, �
<br /> fntended vvortc, they a�e adviseif ta coritact ttia Pasco�Gourtty Bu1ldingylnspection yQlvislgcl�-Licensfng 3ection at 727-847
<br /> 8009. Furthermore� 1f the ovvner iias Filred�a cont�actoT or contractors� he ts advised ta have the contractor(s),;,slgn, .
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<br /> porttons of the�"cantractar_.Blcck" of.thls,applicatlon_fo,r._whtch�they::wil!:be.-responslble.� !f.you�:as:.ihe oviiriec"sign``as°the �
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<br /> contractor, that-�may'be an Indication"that=fie is iiotYpraperly�Ilcerisei!�antl`i's�no#entlNed`�to petmittiiig prtvileges !n Pasco _
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<br /> County►.
<br /> TRANSPORTATIqN.1MPiACTtUTiLiTlES�lM@kC'�AN'��RESOUI�CE RECOYERY'�EES;`�The unde�sfgned-u�tderstands
<br /> that Transpoirtation Impact Fees and.Reco.urse Recove.ry„Fees tnay{apply:#o�ti�e;constructton;of new bulidings�:change of�=��"' �-� `
<br /> use in ex�sting buildings`,�ot�iexparist�r�r�ofae5"clatin;g',�ulltltngs, as specifled.in Pasco County Ordlnance number 89-47 and_
<br /> 90-07, as amended.r_.The undetsigned aiso;understands, thait�such fee"s;�;as,may�'tie•..due;�=vvifil:ybe idenfified at the��time�of�� �-' .
<br /> perrt�itting. It Is iu'r'ther understao'd that Transp'orkation Impact�Fee� and�"Resource:Reco�ery�Fees'.must be pald pria�to
<br /> r�ece�ving a'cer�i�cate�of oc:cupancy"-ar�flnal�pawer,celease:��:4f�the.pro�ect::does�:rio�Invalve<a�:cert�icefe of accapancy.�orr'�'-�.;"��:=:
<br /> flnal power release;:the°;fees_niu�t"be paid:�prlor#o,permit issuance. Fti�therma�e;�if.pasco;County'INater/Sewerslmpact � :�r��rm
<br /> fees are due,.they must.be<pald�prlor to.permit;iss�anc�'�n_ai:cordance with�.appltcetile,Pasco�•.County ordlnances. -
<br /> C�NSTRUCTtON'LIEN"I.AIIV'(Cfiapte�T13� Fiortda Statute,s�as amended): If valuatlon of work is$2,500.00.,ar more,:i� � ;,,
<br /> certify that I, .the.�applicent;-have-been :provideil--with=a-capy-�of:,.the•LL"I�lorida����onstntcti6a Uen.:Law--Homeowner's
<br /> Protectlan Guide° prepared by�ttie F1oi�da C?epattmer�t�of A�rlcut#�te and Consutner.:Atfair�. if the appllcant 1s someone , �s
<br /> other than the°owner", I certify_that 1-h�ve,:a�ta.ined�a'copy.of..the�abQvs-.�fes.c�lb�ed"ilocuii�ent�and`p�omise;�.in,gpad�:faith�to , ,
<br /> 4I$I1V8t'��tQ:t�l$:'OtN�B�.=�f'�QG=-�O�CA�TtRi@�iC8t1'1@t11tE t"`„ � _ '� � _ ,.. � '"- �_- ` -.__::. . • - ,. . _-
<br /> CONTRACTOR'S/OWNER'�AFFIDAVIT: i.certlty:�th�k�ail:.the;inf.ormatlon:tn,thi� applicetlon is accurate and thak all work
<br /> wili'be done in compltance with al{.appUcable laws regulating constructl�n� zonln�and,�.land�devefopment. AppllGatbn is
<br /> hereby made #o abtaln.a.perm€t;,#o da.:wotic:,and�instailatlan �s indt�ated:.--.::1, certify that no work=°or instaliation �ias
<br /> commenced p�lor to I`ssuance of a permif``'and that�:all�work wlll be pertormed�ta meet.standards-of all laws regulating-
<br /> const�ctlon, County and Gity cocles, zoning regulations, and tand devetopment regala�ons'=in the jurlsdlcffon. I at'sa•
<br /> certify that ( understand that the regulations of other�gavernment agencies may�apply-#o the..intended.wark� and that it is
<br /> my responstbility to Identify•what.acUons 1 must take.to be.ln�corr�plla�ce: 5,uch.agenctes lnclude�but�ar.e.»ot Ifmlted to; � ,
<br /> - Department of Er�vironmental�Protection=Cypress'Bayhead�, We�and Areas and Environmentaily Sensttive
<br /> l,ands�WaterNVastewater Treatment. � � '
<br /> - Southwest Flarida VYater Management .M�istrlct Vtle!!s, Cypress.�+Bay.heads;- Wettand� Areas� Altaring
<br /> Watercourses. . � ,
<br /> - Army Corps of EnglneersSeawaits�Docks,Nav�gabre Waterways.
<br /> - Department of Heaith•�.8� ReY�abtlitative..Servtces/�nvironmentai:.Health Unit Well.s. Wastewater Treatme�nt,
<br /> Septic Tanks:. � � � � :
<br /> - US Envlronrnentel Pro#ectian Ager�cy-Asbestos ab�temen#. ��
<br /> Federal Avlatlon_Authorliy-Runways.
<br /> I understand that the.fcflowing:restrlctiaits ap�iy to#he use of fflf:�
<br /> - Use of�fili is not ailowed in��Flood Zone"V"unless�xpressly permitted.
<br /> - if the fill mate�lal. is to be usetl�'ln=:Flood Zone. "A"� ik. is understood that a drainage plan addres�tng a
<br /> "compensaEing volume*will be submitted at#ime of�permitting dvhich is prepared by a prafesstonai engineer '
<br /> Iicensed by the�tate of'F�otida. - - �
<br /> - . 1# th� t�ll material�:ls to be�used in Flo�d Zone "A" Im connec#ion�wlth�a�permltted building using stem wa11
<br /> . constnuction, I certify th.at flll:wJli.be�used only.to.flll the are.a within the�stem�vuall:
<br /> - !f tfR material Is�to be ased fn any area, 1 �certlfy #fiat .use of=such flli w311 nat adversely affect adJacent
<br /> properties. If use of flll is found.to adverse�y.�ifiect adja�ent��propertles,.the�owner n�ay be cited for a�lolating
<br /> � the condlfions of.the buildi�g':permit issued under the�attactied,�ermlt appllcatlan,.foi:lats�:less 1han.one {1}
<br /> acre wt�tch are etevated�Eiyi flll,an englneered dralnage plart ts required.
<br /> If i am the AGENT,FOR THE_OIMN�R;,I;.priimise In good faith to inform the�owner of the permitting conditlans,set forth in
<br /> th�s aff�davlt`prtor to commeracing cons#ructtan. [ ande►�stand#hat,a�s�par�te petmit may be requtred for electrfcsl'v+rorkr
<br /> plumbing, signs, welfs,_poots;,.air condifiontng,.ga�s��.or other lnsta�l�#tons not,spec�laally included-tn.the�application. .A
<br /> permit Issued shall be canstrued to'be`8`I1C@1139-14,proceed wJth the work and not-as�authodty�to,.vlolate,�cancel; alte�, or
<br /> set sslde any pravlsbns of fhe tectiaEcal codes;�nor shatt tssua�nce°of a.permlt.pr.event N�Bulldirig C�icial from thereafter
<br /> requiring a.co�rection af errors�in,.ptans; consttictlan or violations of-�ny codes:� E�ve.ry��p'ermit'issued sFialFbecome invalid
<br /> uniess the work authorized.by suci� permit:�ls-co�menced•wlthfn s�c months af permlt Issaance, or if work author3zecf by
<br /> the petmif is suspended or.abandonedYfor:a;period�of�sUe:(8)�manths.efter the Nr►�e the�work�ls commenced. An extenstan
<br /> may be requested, In writing;.ffom.ttie.Building,Officlal f6r a period.:not.to.exceed��ninety�(90j days a�d-wltl demonstrate
<br /> �usti�able cause for�the e�ensiort: If work ceas�s.for nirte#y.t90}cons.ecutive day.�...the job�is.r.onsidered aba�doned.
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<br /> � WARNlNG TI� QWNfR; YaUR_�AttrURE;.T�,RE.C.Q�2D;A.:;,l�fO.T;dGE;OF:COMMBMCE'sME(�T�NtAYt.RESULT iN YOUR
<br /> PAYtNG TWICE:FOR�IMPF,tOVEMEI!!TS•�TQ�YOUR�:PRI�PER-TY.,:IF°YO.tl;lld�T@1�1D'TO'�BTAIN��FINAI�EING;'C.ONSUI.T
<br /> WIT U D �O: AI� � ORN �-. �1. Ei, _� �s;� -l�►U ' � � - �. : . . E - . �___ _ _,___- -- --
<br /> _`FCORIDAJ!)RA9'•(F,S.1.b� �. . _-,:_. .,r,. .. .'_ . .. ,-. ,
<br /> OWNER C1R A08NT : ""'''����'�""""� CONTRAG'FOR����`�"��u�-�-''L- �
<br /> � 8ubscribed and swom M{or aflinned�before me Nrts Subsc�ibecf and'swom�da(at aBttrrted}�b�fot�e rrte Uii� .
<br /> Who islare pe�analiy known M.me or ha�lhave produced Whals/a e onal known•ta nts;or hesfiave-produced �
<br /> as 1d'en8flca8ari: ' as tdentlficatian.
<br /> fVotery Public . � otary publtc
<br /> Commisslon No:` Coinrt� sR .�to. ,.�;R�'"Y�y6�c+ JACQU INE BOGES
<br /> :;;• ,,p;; Expires December 12,2018
<br /> 1�38�t�O�1dOt8�Y tYR�i P�nted or stamped Naine of Nate:y typed
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