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<br /> NQTICE OP DEED RESTRICI�ONS: TP�e underslgaect,under�tands=�tt��t,thl�°p�rml#�:may.be,subjecf to;"deed"*restrlctlonsR �.;:t:;t-�;,.
<br /> which may�,be�more���e's't�Ictive�th���Counly.`+regril`atforis:���TFie'uiiae�i��ea a9'sur�ie9��e�pcin9ltiil'ftji;far"complianae=with any` w `
<br /> appllcable deed restrtct{on�. �:.�.;.. ; �., w << : . • ,. _. _ .... . � . ..., .�
<br /> UNLiCENSED�'Ct�NTRACTORS AND CCtNTRACTOR�RESS�ON�#B1LiTiE�S: �•if�-the�overner'hasy�htred��a"conhactc�r or
<br /> contractors to undertake work, they maybe.;r�qu,Ir�e,d:.taqbe,:llcensed�In�accaPdance.with state.and�local.regulat[_o..ns:��If�the�� = ����''
<br /> contt�actor ts=nat�llcensed=as'requlred'tiy laui►� boih the owr�er arid conf�ctor°rrr�ay=.be::ai#ed�fora=�i»lsdemeanor vta#atian
<br /> under state law. If the owner ar In#ended;,�orntra!�tor,area.uncertaln as to wh�t Iicensing.requlrements:;may��-apply��j�for:�klie�--��=- �--''
<br /> , �....�,., ...,LL._ ��._�-.� .�
<br /> intended�w6rkF�tFiey are�advlseti fo caittact lFi�e.P�sco County�BuHdliig.'Inspectton Div{slor��,-l.icensing Sectian at 727-847-
<br /> �009. Furfhermore, if #he� owner ttias��iiired a'con�ac#tic oT'contractors, iie is advlsed to have the contractoKs),,_sign,. ,_
<br /> ,�,.t,��.....,...t,,,., �
<br /> portians of the.,"contractor Blaak" of this,�application_foc.which�they:wil�..be,..re.s�ansible.• If yau;=as„!he oiiv'tier_slgn'�as"'the� ' ± �
<br /> _ _ �._-�.. r_.
<br /> cantractor; th$t�ma�y�Eie an indication thaf°he°is not`:prtrper�y 13cerised�and`�Is'�not entl�es�'ts�pertnitting pr�tirlleges In Pasc�
<br /> County. ' � ; cs°,:,...��Gr, � n:.,
<br /> TRptNSRORTAT10N;1MRACT/UTIL�'`l�lESsC1YlPAG't"�=r�Nb IfiLSl�URCE RECQYERY��PEES; The ua�derslghed"iirtders#ands _
<br /> that T�ansportation impact Fees and.Reco.utse.Recovery.Fees�m'�y;apply�to:the�construction:of new_buiidtngs�tchan�e�'of'��`"`��'i'� `'�
<br /> use In exisNng bulldings, or._exparisi�i�irof��xlstin�``,bulldings. as speatfled.in Pascca County Ordinanc� num6er 89-07 and�.
<br /> 90-�7� as amended.t.;The undatsigned aisa;,understands, #tiait:�such fees;�as;�may::be=duei:�wilF�be Iderifi�ed a#the�time�a�r:: ti<<�'-..=<
<br /> permitting. It is fu'rttier unde�stvod that Trar�sportation Impecf�Fees and�Resoucce,iReco�eryxFees4must be pald priar to
<br /> receivfng�a'c:er#tficate.:of-occupat�cy"��ar°��fnal•�povuer;r,�lease:�--:I��th�.proJ�ct�doesf:rio�lnvofve�a�cert�icate of occupan�t'ort==:�"$.J.--.":,
<br /> final power release;�the°;fees�:mu�t�tie pai8':pclor#o.;permft issuence, F��tk�ermare;�.ff:.Pasco;,:I�ounty�lNater/Sew�r��lmpact - �.�. ..
<br /> fees are duet_they:.musk..be�pald::pilor:tc permit�lssuanca�:in_accordance wltt�:appltcatile Pasco�.County ordinances. �
<br /> CONSTRUCTION'CIIEd�`�:AW'�Cii�pter 713�Flor�da St�te�M ss am�ncfedj: If vatua�on of wortc is�2�500.00;ar.mor.e, i ;., ::-::t�
<br /> certiry tFiat I, -the •appllcant,:have,,been-providecl�•with-�a-capy-of. the��n�lorida� �onstructtan� Lterr`.-Law Homeowner's
<br /> Protectla� Gulde"prc�p�red by,'tF�e��lo�da Depet�#t�rae�t of Agrlcut#�re and Consumer,.:Affalrs. 1#the appticant is someone�_: -� - -:�
<br /> other-than the"owner", I certifjr��#hat,;l�h�ve.obtained{a�"-aapy;o#..the;aba�va:des.crlbed�tfocu�r+ent;:and.p�omise��.in,goad:,faith•to. --._
<br /> dsilver it ta�Elie"owiier.":p'rior:to�car�ftriencement:`, : �. , . � �_ _
<br /> CONTRACTOR'S/OWNER'8 AFFIDAViT: I.cert�jr�rttiat�:all:.the�informatitm:,in�thi�application ls accurate.�nd that ali work
<br /> wlll'be done in campliance with all appUcable laws regul�ting constructlon� zontng and��land�development. Appllcatian,is
<br /> hereby made #o obtain .a permif:�.#o::do..�worlc.jand;��;st����tion $s inar�tea_�:<.-1 ceitifyt that no work�or installation Fias
<br /> commenced pr(o�to Issuance of a�permif"and that.all�work will be pe�formed ta meet.standards-�of ail laws r�gulating-,
<br /> constructlon, Countyr a�d C�ty codes, zoning regula#ic�ns� and land devetopment regt�la�ons�tn"tt�e jurisdtc#ton:- t�:a#'so- _ �
<br /> certify that I u�derstand #hat the regulation� of okher government agencies may;apply-#o the lntended wark, and that it is
<br /> my responstbllity to fdentity�wh�t:aotlons f must°take:to be�ln:.a�rtlp!lance..,;�uclt.ageriales lnclude but=are.not tfmtted to.. •
<br /> - Department af E►�vironme�ntal`�Protectioii=Cjipfess°Bayttiead�;`Vitetland Areas and EnvironmentaNy Sensithre
<br /> Lands,WateNWast�awater Treatment. x �
<br /> - Southwest 'Ftor�da V1ta#er Management���:Dfs#rict-Welts; �Cypress. B�y.�eads;- Wettand Areas, Altering
<br /> Watercourses. . . -.. � , . . �. -
<br /> - l4rmy Corps af EngineersSeawalls�`Docks,Idavfgatite 4N�terwa�ys.
<br /> - Department.of_;Heatth;;,�.:ReF�abititafiye,Services/Enviconmenlal:�Fieatth Ui�it Well.s� Wastevu�ater�Trestment, �
<br /> Septic�Tanks:...` , , ,. _ , . . :
<br /> - U5 Envlronmental�Pro#ec#ion Agency-Asbestos abatemenf.
<br /> �Federal.Avlatlon;Authorl,ty=Runways.� ; . � -.
<br /> i understand that.the:toftowing:�restrlefloris appfy to the use o#flN:• �
<br /> - Use of�II is not allawed in�,Flood;2one"V"unless expcessty,.permltted,
<br /> - If the�fill�.materlal--is to'be used:'In.:Flood Zone. "A", It. Is under"stood�that-a drainage plan add�essing a
<br /> �compensating valume"will be submltted a#�irrie af-perm�#Ing w�teh is prepared by a praiessionai eng€neer � �
<br /> Ilcensed by the State of'F�o�lda: � � �� ' _ . .-
<br /> - If th� flll material�Is to be used tn Ftood �one 'A° In�connec�ion•w1#�i�a�eririltted bullding us�ng stem wali
<br /> � constcuction, I certify:that ftll.wlll.b.e-used only.to.flll the area wlthln�the stem.wall: - .
<br /> - If ftll materla! Is to��be used Itt any area; ( �aertlfy that .use. af°su�h�fll!�wll# not adversely affect adJacent
<br /> properties. If use of fiil is tound�to adverse�y:�ftect adjacent«pcoperties�.the awner may be ci#ed tor viota#ing
<br /> the candEtions_of..the bulldtng;permlt Is"sued'under the:��attached permltrapplicatlon;�for.:lots�:less_than.one (1)
<br /> ' acr$wFiicfi ere elevated�byr flll,a�t,engEne�r�ed dralnag�plan Is r�qulred.
<br /> If I am.the AGENT EOR.THE 01MNER;.I�pmimise In,goorvd fatth to Infarm the owner:of�the�permltting condl�a�s set forth In
<br /> this a�fldavtt"prior fo coriinner�cing constr�ctlan. 'I uniler�tatod that�a�s+sparate,per�reit may be reqntred for elecMca#'work, , .
<br /> ptumbing,.,signs, welts�„paois,:alr candltioning,.ga:s, or..other. Instail�tlons not�spec�ic�lly inciuded�in.the application. •A
<br /> permit Issued shalf be construed to'be�a'license'•-#o��proceed wlth tFie iniork.and not��as:authorlty.#o:vlolate;'cancel, alter� or
<br /> set astde any"provisidns of ttie.techn#cal.codes;�nor shslt Issu�nce�of`a.permlt.p�avent th��ulldirig t�ciel from thereafter
<br /> requlring a correctton af,eRors�ln plans; cons#ructlan,orirlolatlons of-eny codes. .�very��pienr�lt��lssued�'sliall-'6ecoine•invaltd
<br /> un4ess the work aatharfaed_by such permlt:�ls-commenced•wlthln sf�c:months of pennit issuance, or tf work authorized by
<br /> the permit is suspended or;abar�doned�for:a�;peHoduof�s6c(8)�mnM�is'.efter the tirt�e the�watk�ls commenced. An extenslon
<br /> may be reguested� fn wrtting�:from.tli�e:Bullding,Offlclal f6r a perlod�not to exceed�ntriety��(90)°days and•-wilC'demonstrate
<br /> Jus#i�able"cause for�fhe extenslot�. If work ceas�s.for nine#y.�90}cons.�cutiv+�.days,..th�f ob:is consldered abac�doned.
<br /> 11VARNiNG TQ OWNfR; YQUR-•�AIE.lJRE�TO�RECO�2D;A:,�ft?TIGE:OF.�CQMMEMCEIMEA�'t:MAY-RE�U�T!N YCtUR
<br /> PAYING TWICE::FCyR�iMPROVEMENTS•TCI;YOUR:�.PR�PER7':Y:���IF�YOU�1�1'�Eh1D:T0�'�JBT/�11N•`FiNt"IAP1E?NG;'C.QNSULT
<br /> WIT - �J - �I Ah��►� O N � FO.E�� - O �! G;: .OU ' ; ,a ..,. . :, . . E ,
<br /> FCORlDA JtlRR�'(F,S.1. ..�3) � ,� :�--.� - -.-�,-_�.,:___- ,_-_.:. - ._�r�:_;. -.,—�-_���r,: ::_:,�_�- .
<br /> QWNEtt OR AO�NT• CONTRACTO � �!/G�d�r.,G,�- -� -- - --- _- —
<br /> Su� bed and swom or a�i sd)be rqe me thls S scxlbed'srad'swa {ot ai�rmedp efore tiie#fii�.
<br /> 3��i'7 b�� �►�►�e � YYl lg�h�e,� �yy i7 .:;�y�/+!m�. . /Y�rsei' �.�„
<br /> 1Mio Isfare p�r�`onally kn to•me.or ha�/hade,produced. Who.ls/are pefisonallyknown• ttte�or Has/haver<produced •
<br /> as Iden��i�8o»;" ` as tdentlHcation.
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<br /> j,'��- `� '� otery Publlc . `f f� G�-�..� Notary Publ�
<br /> Com�ls lon tVa�: � Co . sion.No, . .
<br /> I ��"""" SYLVIAA.tAMPBELL
<br /> e,'1vKv Pu"'�., . . . .CAMPBE4L
<br /> 4 Name at Natar3'tyA ; r� � ssston s GG 3��439 (datne of Notery typed ".n�Public-Sta#e o Ftari a
<br /> * ` ' ' " •` Commission N GG 112939
<br /> `�;N� My Comm.Expires 1u119,2021 ;.„ ;
<br /> '''••'.FoF���� yondedthroughNatlanolNaReryAesn, �t`"�,, o';� MyComm,Explres1u119,2021
<br /> -- k"��;;�f,°�`''� BandedthraughNallonelNotaryAssn. �
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