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<br /> idt3T10E OF DEED i2EST62iCT14RIS: Th�undr�rsigned underst�nds fhat tt�ts perrnit may be s�bject fo"deeci"restrictions"
<br /> which may be more r�strictive than County reyulatior.s. T"'tae undcrsign�d assumes respnnsibil;ty for compiiancr;�vith any
<br /> ��plicable deed r�strictions.
<br /> URILIGENSECI Ct3�tTRACTORS ARSt3 �ONTRACTOR RESPOtdS#6t4.IT1E5: if ihe owner has tured a r.ontractor or
<br /> conhactors to undert�ke work,ihey may be required to be licenshd in accordance with state ancf local rec�ulalions. ff the
<br /> contractar is nat l3censed as required by Eaw, bafh the r�vmer and contr�cic�r may bc�clteci for��nSsdemeanor violation
<br /> unc�er stata iaw. tf the nwner.or interided contrac#or are uncertai�i as to what ticensinc�requirt�menis m�y appty ior the
<br /> intetuled work,they ara advisc�d to cnntact the Pascn Cc�uniy E3uilding inswcction C?ivision--Licansing Section at 727-847-
<br /> 8009, Furthsrmare, if tii� oevner has hired � contractor or contractors, f�e is advisad to havp tn2 cun2ractor{sj sign
<br /> pnrtlons at the"ecintractc�r 81ock"of this spplication for which#trey wi3l be resprsns�ble. If you.as ti�e owrtLr sign as the
<br /> contractor,that may be on indlca#inn#h�t he i5 nat prnperiy licensed and is nai entitied to permitting ptivileges in Pasco
<br /> County, ,
<br /> ?RA#t1SPORTA11O�7 iNiPACTfU7[LRIES 11+liPACT A#dC1 i2ESOURCE E2ECC?VE12Y FEEB: The undersigneci understands i
<br /> that Transporf�tion Impact Fees and ReGaursc Recovery Fees may ap�ly tn tho constructinn af new�buitdinr�s,cfiange nf
<br /> use in existinc�buildinqs,or expansion afi existin�buildings, as specified in Pasco Gotanty Ordinance number 89-Q7 and �
<br /> 94-�7,as arnendecl. Ti�e undersign�d also undersiands,that s�sch fees,as�ay t�e due,will be identi��d�t t}�e#in�e cf
<br /> p�rmi#ting. it is furEher understnod ti�at Transpr�rtation irr�pact Fees and Resouroe ftecovery Fer�s must be p�ld p�ior to
<br /> recsiv(ng a"certificate of occupancy"or tinal ppwer rete�ase. !f the projeci.does not invalve a certificate nf occupancy or
<br /> tinal power retease,#he Eees musl ba pald prior to��ern�it issu�tn�e. Furthermore.if Pasco Countyr�Vater�i6ewer impact
<br /> , fe�:s are due,they must be peid pr`sor tc�permit issuance fri�cc�rdanr,e with applicabte Pascc��ounty ordinanc<rs.
<br /> GONSTRUCTION LIEhI LAW(Chaptew 7i3,Flarida Statutas,as ametrded): if valuetiran of work is S2.500.00 or more,I
<br /> cer2i4y #hat 1� ihs �pplicant, havs beez� pravided �vith � copy of thc� "Fioride Constn�ct'son Lien Law--�}��csmeowner's
<br /> Protection Guide"ptnpar€�d�iy the Florida Departm�nt of AgricuCturo and Consumer Af�airs. if the applicant is somenne
<br /> other than the"owne",I certify that I have obtained a cap��of the above described document and pron�ise in good faith ta
<br /> dellver it to the"owner"prior to carrsmenaement.
<br /> CC}NTRACTt?R'S1�WlVER'S AFfiCt�VIT I cerfify ttrat ali the informalion in this application is accurate and fE�at a1i�rork
<br /> w�N b�n done in aampliance with all ap�licable i�ws rogulaiing construction,zoning and land development, tsppiicatiot�is �
<br /> hereby made to obtain a permii to do work and insiallation �s indir.atnd. 1 certi#y tl�at no work or ins#7llatiori has
<br /> commenced prior ta issua�ce of a permit and ihat all wflrk will be psr�t�rmed ta rneet standards af al3 Caws regulating. !
<br /> construction, Cnunty and City c�des, zoning reg�lations; and land ci�vc�ir�pment regul�tinns in the jurisdiction. i alsn
<br /> certity that i understartd that the rz�gula#ians of other gavernment ag�ncies may apply to ihe intended work,end tfrat it is
<br /> my responsSbil!!y to icienti#y what actians I mus#tske to be'sn con�pliance. Suci�agar�cies ii�clude bui are not limited to:
<br /> - D�partment oi Environmentai Prokectinn-Cypress �3ayh�ads,WeUand Arsas and Enviranmentaily�ensitive
<br /> Lands,W�ter/Wastewater`freatment.
<br /> - Southwesi Florida i�tafer Marac�erne�zi Clistriai-Wells, Cypress Bayheads, UVe!lar�d Fueas. Atterirzg
<br /> Watercourses.
<br /> - Army Corps of Engiriears-5oawaps,Docks,IVa��igabic�Watenvays.
<br /> - Depgr{rs�ent vf ti�alth & Rehabi{iitttive SeruiceslEitvi�•o3amc�tal Hc:alti} tinit-V�etis, Wasiswater Tr�attnent,
<br /> Septic'f`anks.
<br /> - US Envirortrnental Protectian Agency-Asbestos abaiement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand th�t ihe finllowing res#rict3ons apply to[he use ofi�t):
<br /> - Usa of(ilt is not aiipwed in Fload Znne"V"unless expressly p�rmiited.
<br /> - if tha �N material is tn b� used in Flood Zone "A", it is unders#arad that � drainage ptr�n addressing a
<br /> „cnmpensating votume"will be submitted at tirne ai pQrniiitino wl�ictl is�arepared by a professionai enginaer
<br /> lice��sed by the 5tate oi�Iqrirla.
<br /> - )f the fili materiai is to bo used in Fiood Zpne "A"in connee.tion wiih a permitted building using stem wail
<br /> construction,t ce�tity that fl3t ti�riiE b�used only to fill the 3rea witi�in the stem walE.
<br /> - 1£fill meterisl is ta be usc�ci in any erea, � certify that us�: of such flil wilf not adverseiy affect �adjacent
<br /> praperties. If use of fill is found to�dvers�ly affer,t arJjacent praperfies, the nwner may be cited for vlalatinc�
<br /> the candi2ions of the bui#ding permii issued ur�der the aitac��eti permit�pptication,{or Iots less#han one{1)
<br /> acre wh`sch ar�elev�t�d by fiill,an enc�ineered drainage pfan is requirpd.
<br /> if I am the AGENT Ft3R THE OWPIER,!promise in goad gaith to infom�the owne�of tha parmitOng conditinns set CoRh in
<br /> this affidavif pri�r tn cornmandng ca��strt�olian. i understand tha#�sepHratfl p�rn�it may k�e required(ar�lectrical work,
<br /> �1c�mbinp,sic�ns,wel3s, ponls,air cc�ndiii+�ninq,gas, or c�itzc�r instatiations not spec�catty incl�ded in th� appiica#inn. A
<br /> permi#i5sued shali be constiued to bs a license to prooepd witt7 the work and nc+t as authority to violate,cancel,alter,or
<br /> set sside any provisinns of the kechnical cados,not s4iail Issuance of�p�rm4t prevent the Building Offic'sal from thereafter
<br /> requ�ring a carrection af errass in plans,consvuction or viaiat�ons at sny cpd�s. �✓ery permit issue�shatl become inva(id
<br /> unless the wark autharized by such p�rrnit is commenceci within six mnnths of permit issuance,e�r it work autharixed by
<br /> the permit is suspended or abandoned far a pQriad oi six(6)manths a(ter ths time fhe tivr�rk is commencod. An extension
<br /> may be requesi�;d,In writing, fram ths Builclir�g CI(ficia!tor a period r�ct tca exceed ninety{90}days and wili demonstra�e
<br /> justi3iabi�cause fnr the extensian. if wc�rk cer�ses for ninety(90)consecutive days,lil�Jbb i5 COnSid2red abBndOri�:d,
<br /> W�1E2NIPIG TO C?WNER. Y£iUR FAiLURE Tt7 l2EGORCI A�IC?TtCE C5F CQfiflME �t�'!'MAY RESULT]N YOUR
<br /> PAY#NG 1WiCE�Ol2.tMPF2CtVEl�ENTS 74 YC}UR Pi2CfPERTY. IP YC)tl tNTENd O O TAlR4 FIi�AAJCitVG,Ci}NSUL7
<br /> WiTH Yt3UR L NDEFt C1R AN ATTORN�Y BEFORE ECORDII�G YQUR NOTI E OF {�MtYIENCEMENT.
<br /> t=LORlDA JURJIT{F.S.197.43} ���'/'
<br /> OWh3ER OR AG$AIT�� �""���_�n..�G70R____,�
<br /> . .._._ --
<br /> SubsCrih[ad and swa tn�ar s�ffirtnod efpre me thls Subsorbnd and sworn;o(or nfifiin d)b�rCare i_i�ttiis
<br /> bY 4 �'.✓� by K t ��-
<br /> 3o Isfara p�srsanatly nawn to ma zrr hasJhave praduced Whoysrare�rsrsc�sliY u�o;4;r io me w hasfiaYe praduc:.-�d
<br /> v�;,�y /Y(�+.�5i' as idc�nt;3icati�n. _ ��" �s identffir.aiian.
<br /> (c�������`'�ui�+� .,._� ��„�,,NotaryPublic
<br /> Con'imission hlo. Commission dn. ���V��y_____
<br /> ���/,Z�rG � q���Z _,�._.___... ..___--_l� JW`1150't
<br /> ame r Na ary rypeil,prinietl or sfampcd Name ot tJotary ty ed,printea or sterr;;+�zd
<br /> •<�i:��,.,: Ta�Yt�tor�taa�t�tt�Fz „�::"~ corr��KNsar�
<br /> �r�;.
<br /> :;k��• �*c MY COMMISSION#GG 081040 '%�• �;. MY COMMISSION#GG 071072
<br /> •��Q`' EXF3FtES:March 8,2Q21 -ai�pa? £XPlRES:F86iU2ty 8,2021
<br /> yy:,�d��g.•� Bonded fi�u Notary Pu6Re Un�ierwatters i;pd t�°•�� Snnded Thn�NotarY Public Undeiwriters
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