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NCITICE OF D�ED RESTi31CTIONS: The undecslgned.unders�tands��;th�t,this:n.p�rmtt�:m�y:be.subjecfi$toy"ae�a"restrictian5"-_�..�};:,,��r,
<br /> which may be;more�re�'stficttve-th�n-CquntSr<�regul'atCons:��`The:u`�decslgned-=assur`ries�resp�nsibiitiy''far complianc�►witli any ' "'
<br /> appiicabte deed reshictions. ,r. ,�. _ . �. - . � •:�:� ��•�._.;:µ�_
<br /> UNLICEf�SEDa`.Ct?N7RA�TORS tANQ CUNT7".;�.� �. .,,., .� ... .. ...__ . .. ,,.....k _...,.._, ;
<br /> ,
<br /> �RACTOR�RESPONSIBI�ITI�S:� �!fi°the Hoavner has�'�htred�a�:cont�ractor ar
<br /> contractors:to undertake wo�k;,they may;be.>rerqulr�ed;Eo.;be..11censed ln�accordance.wlth�state.and:tocai�regula#lo�ns�=.lfrthe°', ' _ �
<br /> ,.,,.,,�;.�:.�.:. n
<br /> contractor�ls�not�ltcensed�as�•requlred�tiy law� tiott���the owner and-�contractor°�may�be��clted for a misdemeanor violatfon
<br /> under stete law. If the awner ar Intended;;contrat�tor.ri�arel,unce�rtaln as�to what Ilcenaing,re,qulrements,�may-=apply:;�fon�tfia'' -��� ta°:
<br /> intended iniork, tFiey aFe:�adv#sed�ci contact the;.�Pasco�Caunty-Buildin;g�Inspection�Dtvision--Licensing 8ecfion at 727-847-
<br /> 8009. ��urttiermore, �i# the owner'i�as�t�iro�'�a�contfactor or �ontractafs. he T� �clvised to hsve z#he contractoKs)<,sl9n.
<br /> ; portlons of the�"cont�ctor 81ock°.of.thlsa.ap►pllcatlon for;whlch..they.-wllt-.be.,:r.esponslble:�.!f:y,�u,-=as-:fhe o`wiier`sfgn"�s�'tlie ��,- � � ,
<br /> contractar� that�may�be an Indicatton"that'Fie`'ts not prope�ly�llcensed�ar►d�'Is�`not`entitled'to permltt!'ng privlleg+as In Pasco _
<br /> County. . . ��.�.:;:� ,. _ �..
<br /> TiZANSPORTA'f1CtN�:1MPACTiUTILITiES�11{ARAC'�ANb-RESCIUI2CE RECOVERY°�EES:y�The unde�signed�undersfands
<br /> that Transpartatio�lmpact Fees and.Reco.urse.Recovery.Fees;may5�ppiya}to�ti�e,construc#ian of new.b.ulldings;:change•:�of"�=."�'s� ��'
<br /> use in exlsting buSldl�gs,^�or�_ezp�r�si��-=cif.�existi�i����ullilings, as spec.�fied:lr� P�st� County Ordlnanca number 89-07 and_:
<br /> 90-07� as amended, ;:Th� underslgned alsa:.underst�tnds� thaE�such fe.e�;-.as�tnay;'be�jdue;;�wlll.5be tdentified at the°tlme5jofr�=. °Y-4'� `;
<br /> �.,�...
<br /> permltting. It I� furfher understood that Tra�sporkatlan Impact Fe�es•anrt`°�Resourcet�Recover�i�Feesh.mu�t be pald prlor ta
<br /> receiving a_"cert�icate°-of occupancy"or flnal�-power,reiease:;�':If�the,proJ�ct�wdoes�not involveza�:certffic�te af accupancy=o��.:=:4:�;•�'���
<br /> final power retesse;:the;fees-mu�t,''be�paid.,p�ior#o�permit issusnce. Fc��tktermore;��ff:Fascon County�lNaterlSewer-;Impact � . .
<br /> fees at�e due,.2t,iey:must:be�paEd;.pr�or_�o.permit,issuance..inua+ixordance_witi�;applicatife<Pasuro'•.Caunty ardinances. •
<br /> CONSTRUCTlON'ClEN�t:i4V91��Chsgt�r 713,Florti�a Statut�s�a�arnendec!); !f valuallon of work ls$2,500.OQ:orr more,.:l� � _4.=:
<br /> cartify that .!, ,�he appltcant,.�he�e;,b�en-provlded �wtth��-a::copy�nf°the�;"Florlda:::�rins#ttictlort� L-`ten:�Law -liomeowner's
<br /> Pratection Guide" prepared by'ttie"Flb�lda Department;of Agrlc.ulture and Consumet.:.Affair`s. If the applicant ts someone,-< =.:«�.�
<br /> other ihan the"nwner", i certify;that�l.;=h`��e:obtained�a�-eopy;of,#he'r�bova�des.crl�e'�;docuriaent�and`:p.r..o�itse�,ln,good:faith..ta. ._ .. �..
<br /> deiiver it to:.the"awner"z:p'rior.to.coinmencemen#:�'�'� -" ` - � . - -- ' - � - . .,.
<br /> C4MTRACT+OR'SlOWiaER•S AEFIDAVlT: 1.ce�ti[y:,tfi�t>sll..#he�;lnformation:lra�thi�.appltaatian is accurat�and tha#ail wnrk
<br /> w!!I'be done in complJance wlth a!!.�ppltcab�le I�inrs�ri�gulating cons#ruc#lon� apning and;�tand devefopment. Appiicatlon fs
<br /> hereby made:tn abtaln_a.permit�.to.�do:,worl�;.�,�na���;s�uat�on as cr�ata���a;��.�:!- cert�that no work�o� Instatlation f4as
<br /> commenced prlor to Mssuance'of:a perriiif``antl that`.all work wUl be�performed to meet.sk�ndards:-of:all laws regula�ing,
<br /> constcuction, Caunty and City codes, zoNng regutatlans� and iand deveiopment cegulatlons�tn the�-jurisdlctton. I`�al'so � �
<br /> certify that I ufiderstand#hat the regulatian�of other gavemment agencles may��ppfiy�#o the.Jntended worlc, and that it is
<br /> my responsiblfity#o fdentify�what.actions 1 must take.#o be�in..cott'1pli��ce:,.S.uch agencies�inctude-but=are_.not timited ta:.
<br /> - Depanment of E�lulronmerital'Piotectto�Cypress:'Bayt►ead�; UVetfand l�reas and Erniranmentaliy Sensitive
<br /> L.andsy W�ter/Was#ewater Treatment. `
<br /> - Southwest Florlda Water Managemen� .District-1Nells, Cypress.�+Bay�eads;- Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af EngMeersSeawalls�Docks, Navigabie Waterways.
<br /> - Department o_f,.Health'�,Ret�abilttativ.e $ervlces/Environmental F�eatth Uitit Welts�.Wastewater�•Treafinent,
<br /> Septic Tar�lis:. ' ' _ �
<br /> - US Envlronmental Protectlon Agency-Asbestos abatement... °
<br /> Fede�al Avlatton Authorlty-,Runweys: � �
<br /> I understand that the hillowing:�restirictlons apply to-the use of flll:
<br /> - Use of�iil is not aifovved in�!Flood�Zone"V"untess sxpressiy permitted.
<br /> - If the :filf makerlaf-Is ti� `be usei!=`In.�;�lood Zorte. "10.", it ts understoad that a dtainage plan addressing a
<br /> °compensating volum�"wlll be submltted at time nf:permlfting wlilch is prepared by a professiana! engineer
<br /> Ilcensed by the�tate af�Flo�lda � � , �
<br /> - If ihe till materlai�is to be=used in Fiood Zone "A" irr cannec�lon�wl#h�a �errriltted�buildi►�g using stem wall
<br /> ' construcfian, I ce�tify,that f�i:uV�ll.b.e�used onty.to fiil the area within�#he�stetn�vuall: ,
<br /> - tf filt meteriat is to be osed' in �any area, F.cc�ntfy that .use. af°such fit! witl not adversely affect adjacent
<br /> propertles, If use of_flll I�..foqnd:to adversely.�#fec#adJa�+a�ak�propertfesi,the awner may be cited far viblating .
<br /> i the�condl#ions.;:of the buildtcig:permtt-!s'sued�under the�attached,.�ermlt �ppltcatlon,.for:lots�°.less-than:one (1}
<br /> ac�e whicii are elevat'ed`tiy fJlt,an,er�g(neered dralnage plan.ls requlred. •
<br /> If I am the AGENT�OR•THE�OVV�NER;,I�promieie 1n gaod falth#0 lnform the owner of�the�permttttng condltlans set farth tn
<br /> fhis �ffidavit priar to�c+oimmeiacing canstrucNan. 1 unilers#and thet a�separate permit may be requtred for eiecMcai work,
<br /> plumbing, signs, welfs,:poofs;:atr.cor,tdittonfng�.9a�s��-or. othet instail�tlons noE.spec#ttcally include+d-in.the applicaticn. .A _
<br /> permlt lssusd shall be construed ta'be�a'llcense�to�proceed wlth ttie wotk ani!not�as�.suthorltyw#o,.vlolate.'cancel; al#er, or
<br /> set aside any-provisions af tlie teahntcal.cod�s; nor shall Issuance�of a.permtt.prevent the 8upolrig Clfftctelfrom thereafter
<br /> { ,, ... . .
<br /> requirin.g a.carrectian c�f errors;ln;plans; canstructtan orvlalattons of-any codes.°.Every°p�ermlt�lssued�sfiall•becr�me invalid
<br /> uMess the work autharizeif.by such permit:is.commenced•within sGc..months of permit issuance� or If work authorized by
<br /> the perm4t is.suspendsd-or..:abandoned;#or a;perlod�,of six,f�)�inar�s.after..the time the�wark�Is commenced. An extension
<br /> may be requested� In writln9;��f�om.'tFie>Bullding.Offlalel for a perlod�nat_#o-exi�eed��nliisty=(�0)�days a�id-vuill'demonstrate
<br /> justNiable cause for.the e�tenslon�. (f work_ceas�s.for nineiy(90)cons.ecutive:day.sr..#h��ab�is�constdered aba�do�ed. �
<br /> .: .:- .. ..,. . . , ,., � ,
<br /> WARNING TO C3WNEIR: Yt�UR..FAILURE�T�.,.REC.QRD�A:N:Q�'iCE�:OF:�COMIVIENCCME�'T;NFAY�RESULT=IN�YOUR
<br /> � �'�1YdMt�TVYfCE;FC►R:tMPRCJVEMEN'�'S�T;O;YE1�1Fi::P�PERTY:�IF YO��i�t'�DiT��`�Td41N=FINAN�i1�lE;;CONSUILT
<br /> tAPt1' .-- . � -�=�'----� - - — .�.E;. - � +��� c��P "� �?��� .< - � � . . . . _
<br /> FLORIDA JURA�'(F:S:1 . - - .. �.,` , . :;,.` - . ,
<br /> OWNER OR AtiEhT - COMTRAGTD
<br /> Subscrtbad and svwm (ar e �fore me thls Subscdbed and'swom=M t atflrme ��b�fore me Qil� .
<br /> by ..by...,. -. ; .
<br /> Who Islate pecsonally knrnm to.me_or:ha�ve.proc�crced Who,lsJare p.ersonally ks�ov�r►.ta tne or hasfiave:txaduced •
<br /> ' ` as Id"entlflcatlori." as IdentlflcaQon.
<br /> Not�atry Publia . Notary Pubtic
<br /> Cammtsslon No: Comnnlsslon�No.
<br /> Name ot Not�ry iyped,printed or stamped Name of Notary typed,printed or stamped
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