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<br /> , N0710E,OF,DEEDRE�T.1RIC7iONS: Theunderstgned,under�tands�..thh�t_ittls�p�rmif,mey;be.subJectto'aeea',resUl,ctions":,..�y;.k;
<br /> . whloh may',be:mote��ltia#hie�thart Gountiy`t�itetfans:T#se'tii�der'sig"iistl=assumes��espatislti}liiy for:c�titiipliance vutfli arsy" .
<br /> - appAcable.deed reatrlctlons. • "c4 :,�_;'.:.' .� ' . � ' �
<br /> UNLtCEfi18EL1�GClN1RACttittS AND CONTRAC'fOR RESPONSIBIEIYi�Si °I€�ie�owner has�htred�a�'contractcr or
<br /> caniractors.fo undertake wor�c;they�iiay:be;reqsilred=M_�ie;l[t�ifsed Inyaccordance.v_utth state arsdntocat regulattons:->if=fhe . 4 ,
<br /> contractor l§-not Ilcenaed'as�requlreddtiy lew,tioftrtf�a owner.arfd=ccinGactorrmey be=clt�d�for'e�mT�demeanor vlolaUon
<br /> under state law. If the owne�ar intendedr,con,fraGto.,r,_ece.;uncertatn as�to what Ilceneing.regutremente,may=�appt��ior:ttie'�• � � :
<br /> �,�.,, .,.,.,. , � ._�_. _.. _. ,
<br /> Intended'iniork,they aFe aiivlses!to cSii�c!the,•Pasco Cot�nly_Bullding Ins_pact4ott,t�(v�slion--�(censing SecBon at 727-847-
<br /> 8q08. Furthermcire, It tha owner'Fias htreii'a cohlr�cto`r or c'ontractors, Fie Is advlsed to have the cantraator(s?�slpn, � ,
<br /> portlons of the`cantractor Btocl�.of ttrls_.appllc�tta»..#or_whtch.they.wltt:ba-cesponslbte��_it:you;-as:ft�a o�iiner"sign a"s the
<br /> ca�Uaotor,thet�rnay'be�an Indlcatlamthat"fie Is`noYproperly'tic`erised and'ls riot entlflsd kii pem"tltkltig'piliillegi�I»Pasco
<br /> C+ounty. t=5•-;,: �,..
<br /> TFtANSPOitTElTtt?N.IMPAG7lUTlIz1�1�S���VIlPAG"�ANb RESC?�J�2CE RECOVERY FEES:�'ihe urtdetsigned�taiiderstands
<br /> ihatTrensportaUon Impact Fees:and.Reco.urse Recovery_Fees rtiaj/�app1y:to�the;const�uc�on.o�.ne�r_bulldings,?chan�e�of": `'=: �
<br /> use in ezleNng buildtnga,or.exparislom-of�ztsfi"��biiildings,�as apaclfled.in Pasco County Ordlnance number 89-07 and:
<br /> 90-07,as amended.,��'The underslgned also;_ut�detstands;tti�E�suc�fees.;�s may;;�e��due;,vuNt,�be tdenti8ed at the'tiina�of': .,,r �
<br /> permlHing. It Is tu'rther unde�at�d that Tre�sportaUon lmpao�Fees artd=Resourae,:R�.ei'ji£Fees�.:must be pald prlor to
<br /> receWing a'cerfiflc�te:of•accupa�tcy�'or flnal=pmn+er:cetease;f:i�`ihe project�:,�oestniot�ttrvolve�a�;certiflqate of occupancy,or�':-�,.--
<br /> flnat wer release;the=�ees'rrau�f:tie Id- .tor toLL,_rmlt Iss�iarice. Fu�ther�noie;�ff.Pasc�n,.Goan VVaterlSewecrttm ct . ._ .
<br /> pa Re s� :. . �. � . � . . tY' P$
<br /> fees are due,..they,must be�pald:pribr.to,.perml�;Isayanee�n.acccManceywlth:appl1ca61e:Pasco County-ordlnances. •
<br /> CON3TRUCTIOTf C1EN`I.AYI►(Ctiepter Ti3,.FloHda Statutee,as sme�niedj: tf v,atuadon of work Is�2,600.00i.or.more,.I� ,.
<br /> ceriffy that I, ths-aPRllcent;:have,been_.�Foxtded w(th�a-coPy''of_the��'F.lo�tda Coristjuc�oi�;.:C1en L"av�—Homeavmer's
<br /> ProtecGon Gu1de°prepared by tFie Flofida Dep�rdnent of Agriculture and Consum�r,Affatr�. (f the appllcant ts someone .
<br /> other than the`oumer",!certify`.that-1_hf�ve>Wj�Jne",il�a�aiipy;of.#he;ab.ave�.deac�ibed,:�oaiin�ant;andwp�oitilse�'.In,gooc1 falth b �
<br /> del(ver It to..the,'�iVner"•:'piloi tacommeni�merit`�-' - � _ ,. . � _-,.�.
<br /> CON7'RACTOR'SJOYYNEIt'8 AFFIDAVIT: I.c,eitKy.:tki�at a_II,th�;lnfiormetlon:l��thla appllcaHon Is accurate.end that atl wark
<br /> wil!'be done fn coetpllartcx3 with all�appltcable t`s`ws regutaUng consWction,zontng and,land�deyetoprrient. Appllcatlon,Is
<br /> hereby made to obtaln.a.permtt:;to-:do.;wwt,�r;;and�insta!letlon as Indlaskibd�����1. that no worksor tnstattaftoit #tas''
<br /> commencdd p�io�to tssuance of'a perrij�k"antl that`all work wlll be performed�to�me�et_$�Aderds of.all laws regulating�
<br /> cottsWctton, County and City c�des, zontng regulatt��, and tand devaloptnenk teguiallons�tri the Jurisdtction.� t at'so
<br /> cerdfy fhat l understend that the regula8ons of otttergavemmenk agenoles may•app{y�ta the,lntanded.rvotk,and tt�at ii ts
<br /> my responsibltity to identity•what.acttons i muet take:b be,ln_campllance,,S,uch;agencles Include buf are.not Ilmited to:
<br /> - Qepartment ot EhvEronmental>Frotecttt�n-Gyrpress°Baj'rfiead�; Vfletlartd Aress and�Envtronmentatly Sensftive
<br /> Lands,WetedWasteweter Treatment.
<br /> - Sauthwest Ftorida Weter Management 'blsbict-INelfs; Cypres,s.`�9ay.heads; WeQand Areas, Altering
<br /> Wateraourses. •
<br /> - Army Corps of Englneers-Seawalls;Docks,Nevlgable Wakervvays.
<br /> - Department of„Heatth;� ftehebllfteHve,,ServlceslEmtronmentai Meal#h Untt Wella,:Wastewater�Treatment,
<br /> SspUc Taritta:..' � -
<br /> - US Envlronmentel Protectlan Agency-Asbeatos abatemen�
<br /> - Federal Avla#{ctt:Authotity,hRurnntays:-
<br /> I understand that the fo11o1iv�ng,resUlcdons'�pp{y to the use of flll:•
<br /> - Use o#fit�Is not allawed tn Flooc�rZone N"unleas expressly permltted.
<br /> - If!he�flll materlaf�is #o�6ie�used;�'in:flood Zone."A, it ts understbod that e drainage ptan addressing a
<br /> °compe�seting volume•w111 be submltted at ttme of-permlfting whtch Is prepared by a pro€esslonal englnaer
<br /> Itcensed by ttie State of FioHda: ' �" �
<br /> - , !f th�fllf materlaf Es-to be�nsed tn Ftaod�one'A"in��nnneclian�witi��a permiEted building using stem watl
<br /> constructlon,I certtiy.that flII;�N111:be.used only.ko.flll the arQa wlkhln:the�stemwall.
<br /> - if filt materiat is to be ueed�`lii.any area; 1 aertlfy that.usa of•such�flll wlll qot adversely affect adJacent
<br /> propertfes. 11 use of f1!!ts found to advers�ly,�ffect adJaceri�-proper8es,_the awner may be cl#ed fior.viota�ng
<br /> the condlllons,,iif.the bulltll�ig'permft Is'suetl�•under ttie`altactied��ermlt apFlkatlort;for lotsless�than:one{9)
<br /> � acre whTcti'era elevafeii�tiy�II;�n�nglneered dralnage pran Is requlred..
<br /> If I am the AGENT FOR-THE C9WNER;,Itproiitlse!n good falth to lafarm#he owner af the pemiitfin�candiUocss set forth In
<br /> thls aHidavlt prlor to comiriericing consbuctlon. I underotand#hat�a�separate permtt may be requlred for elactrlcal work, ,
<br /> plumbtng,.signs,wells,,,poats,.atr_.candiUaning,.,gas,.or•ati�er tnstal��tions no4.spec�ftaal�y InEtuded�In.the�applfcallon. .A
<br /> permlt Issued�hall be consf►ued ta 6`e�a'llcense'-to,pioCeed wlth ttte woik anil notas-authoriiy:to�violste,'cancet,atter,or
<br /> set aslde arry provisions oF lhe.techolcat co,des;nor shall lssuance�af a.permlt.prevent the Bulldlrig Oiflclal from thereatter
<br /> requlring a correctlon ci-e�rars,fn�plans;coristtitc#ton or vlatatlons ofi any codes,~Every�pemtft=tsaued`shali�become Invalld
<br /> unlesa the work authorlied•by sucfi permlt>is.commenced�wlthln ssf�cc-mnnths ot permlt t�soance,ar!f work authadzed by
<br /> ' the permtt ts suspended or�:abandoped�for�a';pertod:of six(8)montEis`'efiter the Urae the work Is commenced. An extenston
<br /> may be requested,!n wr(tlti9;�ftom_ttie'.;Bultding.Otflcie)fcr a�ertod=nat-ta-e�ed�nEn��fy-(90}:days aiiit-wily demanstrate
<br /> Justltlable cause for:the extenslon^ tf work c�aaes,tor nlnety.{90)cansecutive da�s,_tk��Job�la c�ns[dered abandoned. •
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<br /> WpRNING TO OWNER; YOUR:.FAlI.URE�C!R�C4Jt�,A;ND�GE:QF.-G�MM6N�EMEttYi°�•MAY�RESiJtT�IN°YOUR
<br /> PAYING 7WtCE:FOR:IMPRO.,V.EM�f�l7'S�-T�r1�Y�1FJ[�:PRA�Eti-TYi�IF�.XO.U=1N�7'EM�ILTt�Ta"�87'Al 'FINECNE1NCs,CONSUl.T
<br /> 1M tj O ii' L� " � Q[t - ,
<br /> ,. : ., ` ..,� ,.,:.. '�, . , '_:•:,, :,� .:,�;,... . : '
<br /> FLORIDA JURA��(F�S:-117.09) .
<br /> OWNER OR AOEN7 CQ��p .� _ ' '
<br /> 3ubaai6ed ami aarom ta(or atffrmedj 6efore me ihts Subealbed`end' (or'afll rb e'fhlb�,
<br /> by .
<br /> Whots/anepe[scnattyiNowmta.ma.or;hneAmveprqduced. VYho.te/a onal . lome.orhaa/haveprodiiced
<br /> esld'e�tlflce8qn. astd BftcaBan.
<br /> Nofery Pudltc . /Lf'-. Nafaty FubtEc
<br /> Commiselon No:° Com b n.No.
<br /> . ��,,,*'",,,•. JACQUELIN6 BOGE5
<br /> NameaiNotarytyped,prfntedoratamped Nemeo[Notary :*�p , e��jgg0�
<br /> ;a ot: Explres pscember 12;2018
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<br /> �•�`"��ry y��� 8aidnd 7hn�7�oy Foln Inauranu 8G�365J018
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