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<br /> NOTICE O�DEED REST.RICTIONS: The unde�rslgaed,under�tands�,;Eh�#ftF�l�}P�rmlt,:may he;subjeat,to.�deed".,restric#ioiis°�..�w,,..:.._..,�.
<br /> which may bie�more'.r.estfictiveXth���-Counly�regulatfons:��"The underslgned'=assumeszresprin"sitiility='for compllance�w►ith`a�y ' `, �� .�'
<br /> appllcabfe deed restrlcttons. � :. ...::,- :.: �;:_ �, � - _ _, . ; �: _.�- � ..
<br /> UNLICENSED�CClNTRACTORS ,AND CONTRACTOR R@�PON�IBI�1T1@S: xif°ftie owner`has���hired��a�`aontractor or
<br /> conttactors io undertake work�.they may:b;e:�reqirlred:�to.;�be:�llaensed-In accordance.with state.and�local:regulatlon_s.:��if�th`e���<' ��'-�
<br /> cantractor=ls-not ttcensed�as��requlced�tiy leVir,.bottrthe'owner and��co�ntsactor=inay�bei3�clted�fcr�a�iinisdemear�or vlolation
<br /> under state law. If the awner ar intended>,,,contra!�tor:,:are:iunce�taln as�to what Ilcenaing:require�nents�mey=�apply��:for.�the�'• �-�- ��� '
<br /> intended work.they are aclvlsed to contacYttie,Pasco�:Coun#y Buiicli'tig`lnspecttoii Dfiitsfon�-l:Icensfng�Sectian at 727-847-
<br /> 8009. �urthermore, tf the oviiner tias titi�iiii�a iaan�acto�"or coritractors, he ris advtsed to have the aantracta�(s),,sign ,
<br /> portions of the:°contracta�_Black° of this.applicatlan..for:which.ihey,will..be xesp.onsible.- .If::you;=as.:#he owne�'`sign''as'the� � �
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<br /> contraatot� that-tnay�be an indicatian that'he is tiot.prope�y Ilcense� and�ls�not erit�tletl`to permitting privileges !n Pasco
<br /> County. .. . ; ,,.w�::.�. . _ .
<br /> TRANSPORTATIQN.IMPAGTlUTIi:{TIES CME�AC'�ANb ItESaU1tCE RECOVERYfEES:�The unde�slgried-understands
<br /> that Transportation tmpact Fees and.Reco.utse.Recovery„Fees may�..�pplyt�tv tfie;cons#ructlon;of new.buildin.gs,:�change�of'� ` r=� "'�
<br /> use•in exi's`ting buqdings; or.aexpartisi�n>of�existi�i;g`.�u1l�ings, as specifled.in Pasco Cvunty Ordlnance number 89-07 and,
<br /> 90-07, as amended.,,.,The undersigned aiso�understands, tFia�t�such fees;-as�may:be�=d�e;;.will:�.�e identified at the�time�of:: �T� .
<br /> permitting. It Is fuYtFier unders'tood that Transp�ortatlon Impacf Fees and Resour."4e.�RecoVeryAFees,.musY be pald prfar to
<br /> rece�ving-a Yce�EiffcaEe=of-oc�upancy"or�fMal•power�;celease:��:4��the,pto�ect<:does:rio�lovotveaa�cert#�cate of occuparicy<flT-�`"�: .: .,
<br /> final powec release,�the�;#ees�rriu�t�be paldspclor,to,permit issuan'ce. F��t�termare;'if Pasco;County"1NaterlSewec��lmpact� �• .. . �
<br /> fees ars du�,.thep:must.�be�patd�:prlor�o perniilt�lssti�nce:inKa�cocdance wlkti'appHaatite.Pasco'.Countjr;orrlinances. -
<br /> CONSTRUCTtON'L"iEN'I.AYV(Ciiapter 713� Etorfida$tatutes�aa amendedj: ifi'vaiva�on of work is$2,500.00.•or more�_i �� :�:.�
<br /> certify that I, the..appiicant;-have:been-provideil �wlth=�a=�copy-of-.the_�".Florida�°Constructton Llerr:Law--Homeowner's
<br /> Protectla� Guide° prepared by�tne Floi�da Qepartmen#;of Agrlcul#ure and Cansumer.;Affairs. 3f the apptican#is sameone ._ : .
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<br /> other than#he"owner", I aert(fji.that_I:�hav_e.,abtainetlya�copy.of..the�;abQye�;rlers.crlCieddocut�entand:pr�i�iisi�;in,goad`:faith�-to. , ,.
<br /> deliver it to:,ttis.:'owne�'::prto��to�cammencerrien�:�'° . , � .,..� � . .. . � _..; . -._ --
<br /> CONTR�CTOR'S10WNER'S AFFIDAVIT: I.cei#t�y:.th�t;ali.the�informaticm:;ln�thl�appltaatlon is accurate and that all work
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<br /> wA!'be done in complte�nce with a11.appHcable laws regulating Gonstruction, zoning and�land��development. Appllcatton (s
<br /> hereby made to obtain.a permit�;to:dv:work�;and;tnstaila#lan as {ndl�eted:-����:1. ce�tify'tttat no work�:or installation has
<br /> commenced pHot to I'ssuance`of,a permtt"and that`.all work wlll be pertarmed�#o meet-standards-of�all laws regulating-
<br /> cortstruction, Gounty and City codes, zoning r$gulatlons� and land developmerit r.egalatlons'�fn"tiie jurlsdtctlart.� �1=.�1'so� �
<br /> certify that I understand:that the �egulattons of other�gavernment agencles may•apply�#a the_intended,work, and that it is
<br /> my responsibi#ity to fdentlfy�what,actlons I must kake:#o be,ln:.cotrfpllanae; $uch agencies lnciude-but-are:not limited ta: -.
<br /> - Department of E�vironmental>�Pro�tec#ion=Cypr�ss.'Bayhead�; Vlletland Areas and E�vtronmentatiy Sensitive
<br /> l.ands,WaterMlastewater Treatment.
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<br /> - Southwest Flarida Water Management.C?is#r�ct-Wells� CYRress. Bsy�eads;- Wetiand` Areas, Attaring
<br /> Watercourses. `
<br /> - Army Corps af Englneers-Seawa!!s*Clocks,hlavlgatile Watetways.
<br /> - Department of Heaith;:& .Rei�abllltattve,ServiceslEnvironmentai�Heaith Unit VVeli.s�.Wastev�ater��Treatment, �
<br /> Septic Tanks..� � . , � , :
<br /> - US Envlronmental Protectlan Agency-Asbestos abatement. -�
<br /> Federal Avlatlon�Authority=ftunways.�� _
<br /> t understand that the,foilointing�rssUlctions apply#v the use of f#i!:
<br /> - Use of flli is not ailawed in'F1oud-Zone"V"uniess expressly permitted.
<br /> - If the �A mate�iai- ls to�`b.e usetl_.In :Flood Zone. "A", It. is understood that a dralnage plan addressing a
<br /> "compensating voiume"will be submttted at#ime of:petmifting whlch Is prepared by a prafessional engineer
<br /> Iicensed by'#tie State qf'�Morida: � � � �
<br /> - tf th� f�ll materla#-:Ia to:ba used In Flood �one 'A" in>connection�w1th�a{�ermitted 6uiCcting ctsittg stem wall
<br /> ' construction� (certifiy:that,flll.wall:b.e;used only.to fill the ar�a wlthin:the�stem�ralL• ,
<br /> - If fill materlal Is to be tised�ln any area, ( �ceKify tfia# uss af'such flll will not adversefy affect ad}acent .
<br /> praperties. If use of filt is found_to adverse�y:�ffect adja�erat�-propertles,.th�owner may be ci#ed for vlolating
<br /> � the cond�ions of the buildtng:.permit Issued�under tfie:altacFied.,permit applicatlon,.for:lats�less than.one (1)
<br /> acre wtiEch"are elevatei!'!iy flll,�r.t englneer�d dralnagc�ptan i�requlred. ..
<br /> If i am the AGENT FOR.THE OYYNER;,I�.pmmise in good faith to fnform the owner of�the permitting conditlans set forth in
<br /> thls afFldavtt`p�fo�to�corrimer�cing construetlon. i uridersfand thafia�separate petmit may be requ[red for etectrtce# work, �
<br /> plumbing,._signs, we0s,:poots; air.conditioning, .g�ts,.or othe� install�itions not�spec�icatly lncluded�in the application. A
<br /> permft Issued shall be cortstcued to'ae'�a'license'-ko�proceed with tt�e:work and not::as:authoN#y::to.vlolate;.:cancel� alier, or
<br /> set aside sitp pravtstons of tF�e te�nlcal-.cade�;�nor shalt tssusnce�af a.permlt.proven#the 8ulldlrig t�tflclal from thereafter
<br /> requiring a coRection,Qf..errors,in•plans; constructian or violatlons of�any codes. .Every�p�ermik=lssued�sFiall�become invalid
<br /> uniess the work authorfae�.by such permit��is-carnmenced�wtthln s�Cc.,months of penntt tssuance, or if work authorized by
<br /> the permit is suspended�or:abandoned-for.a';periad,of sbc E�)�mnnfiis after the;tirt�e the�wcrk�ds commen�ed. An extenslon
<br /> may be requested, In writing;,:from.'ttie,Building,Offictal for a peNod.not.to�exceed-ninety�(90)'days a�d�-viilll`�demonstrate
<br /> justi�able'cause for.�the extensior� If woxk ceas��for ninefy�{90)cons.+acutive:day.s,_the job�is consfdeted aba�dotted.
<br /> WARNING TO OWNfR: YOUl�.-FAtL.URE TO.R�Ct)RD_A,�lOT�ICE�:O�.-GOMMEMGEME�!'T<MAY-RESU�:T IN YC1►UR '
<br /> PaY1NG TwICE;�oR IMPROVEMENTS�.T�O;YOUR:PRC�PER-.TY.��IF°YO.tJ�li�'�END�TO-��TA1N�-PIN�AcpEYNG;�CONSULT
<br /> W!T U D O AN�►TFO N O.��.� -OR�1 f�; OU ' �, C '� .:� •.� E T• �
<br /> �:.._--., -�_=_... _�:�_-�_-== �,._�_.�>__,�.__,�_,.--.�__ _.___ _�_._._ _ ---- - .__ -
<br /> FtQRlpA JUi4A�(F,��1.1�.03}--- —._ __� �.: _�_.__ ., ..: " , / r ��
<br /> OWNEF!OR AO�NT CONTRACTG ��/
<br /> Subsaibed and awom#o{ar aiflrmed)bafare me Urts Subscttbed and`avuam=ta{at afflnnedrb' re me'ttii�
<br /> by �by - '
<br /> V1►ho Islare pe[sonaliy known ta.me.or has/have produced Who:ls/are p.ersonallyknown•to•nte:or haslhave�produced •
<br /> ' as td'entl8ce�a�. . � as ldeni�ica#ton.
<br /> Notery Public . Notary Publlc
<br /> Commisslon Na: Com�Gsslon_No,
<br /> Name of(�totary typed�Printed or stamped Name of Notary typed,pdnted or stamped
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