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<br /> ��'�1C�QP DEEQ RE�'�'R��CTt��1�: '�"1�e at�dersigned under�tand��th�t:t�6�.:p�rmm�Ema�.be,sub�ect 40°deed"restrlcttons°
<br /> which m�y be<moro°�r.est�lctive-tha�t Cau�ty.r�iig�atatfnns:`The�undersl�ned as�um�s r�spc�nsibility'for compltance wit�t ariy �
<br /> appltcable d�ed restrlctbns. _ , : • -
<br /> UPd�.IC1�N����CONT�C'��R� �iN�► C�R�T��T'�������'AA�SI�i!l�ITfl�a:- --ff t#t� ae�msr has°�h1t�d � contractor or .
<br /> contractors 4a undertake work�they m�ay be:c+�quired�to.b�;l(cen�ed in.�ccordance.with stat��.�nd:loc�l regulations,. �if the -
<br /> contr�s:toc 1� n�#�Itc�tnsed �� requlred=by I�tnt, ba�the c��tner�ttd contcac�or inay�be�cited-for°�=misdemeanor ulof�tlon
<br /> ur�der�tate law. If ahe owner ar Intendedi contrat�Mr�are.�uncert�tn �s to what i6censing.��quireRnents may=appty�for the �
<br /> intended work,they�re advl�ed#o cont�ct the-Paeco County Bullding(nspection Dlirialon—L•IcensinB Sectton at 7"27-947-
<br /> �oog. �urthermoce� If th� o�mer�has nired�� eaintra�far vr aoritractors. in� is advlsed to have the contractor{s}:_sigr�
<br /> p�rtion� of th��°contractor glock" of thle:appllcatlon.for_which they will be.respon�ible..�lf yo�t,.as..fhe o�nin�r"stgn�as the ��
<br /> co�t�act�r, Qhat�n�t be an�nd3ca�ion that'iie�#s no4 p��erly�I�et��ed and 1� ngt en#lt�sd t��p�rrnitt�ng priirlteges !�a Pa�co
<br /> County.
<br /> �'R�i��EP�R"�'�Tf�M�I�lP!l��Tt�IT�l�I'l�ES�C�R���A�b��iES�I��C��E�QI'��I�Y�EE�: T�he undersigned unde�stands
<br /> that Tr�nsportation Impact Feas:�nd.Recaur�e Recoee.ry.Fees may;apply-tc��ti�e con�hvc#ion af new.bulldtngs,�char�ge o�
<br /> usa ir� existing buildings� c�r:expansi���of'exlstiris'�6uil�ings, as �pe�i#ied.in Pa�cv Cour�iy Ordinance number 89-07 and
<br /> SO-O7r as �mended. �`he�unde�lgn�d a1so.�nderstand�; fh�t:�suc�fee�._as��may�li��due;�will �e ldent�Eed at#�e�t�rr�e�o�- -
<br /> perrvi4tting. !t Is furtti�r undeo�st�od th�t Tra�sport�tlon Impact�ees artd�R�source Recade►y'Fees must be paid prio�to
<br /> cecetving a`�ertt�cate of�occupancy"or�fin�l�powe.r•=��leass. :1#.Eh�pro��ct�.d�es �iot-inbaol�re.a�c:certfficati�of occupancy.or=
<br /> fin�l power releass, ihe�fees mu�t tie patd.pctor-ta.permit iss�ance. 1F��thermate,�i�.Pasco�County:lNater/Sewer(mpaat
<br /> fees a�e due�they rreust be-pald.prior#a�permit-I��uanee=ln.�ccardance�witlr��appifcable Pasco�County ordinances. -
<br /> C�Ri�'�"l3�t�3'I��d�.g�h111�1Vlf(CDt�pt�e��13R�larti���t�tut��,�s am+�ndsd�: if v�luatton�f work is�2�500.00�or mare� 1
<br /> c�rtify 4hat I, #he applicant, had�-been pro�ided�wtth a copy� of the��"Elorida••ConstntcNorr Lten..Law Homeowner's
<br /> Prateation GuEde" pr�p�ced by�th� Florida Departmes�#�of Agrl+��attc�re and Go�umer-Affafrs. If the aggttcant Is someone
<br /> �ther Q�an th�"owne�'� 1 certtfy that I�have,abtainetl�a copy.of..th�abnde.r��sciibed.�tocuri�ent-and.p.r.omise�in,goia�faiih�o
<br /> d�live�i�ta the:'awnef":.prior to�comrti�ncemeint:' " .
<br /> ��R1'�'�CTCiR'Sl�WWIa11ER°�AF�I��Vi�': 1.ce�tlfy:.tFi�t�a11.thec.in�irmration:ln�thi��►ppltcation is accurat�.and#hat�11 work
<br /> wilt'be done in compliance with ail.applicabl� laws regul�ting constructlon, aoning and:�land�devefopment, Appitcatlon is
<br /> �er�by made ta obtaln .a.permit f� da. u�oitc:;�nd {n�tall�tlon ms l�td[�ated:.---'1 cerfifyr th�t no work:or lnstal�atlor� has �
<br /> comm�nc�d prlor #a issuance af a pennit�and 4hat.ali work vdill b� pertormed�t�i me�# standards of ati iaws regut��ing- ,
<br /> const�uctl�n, �ounty and �Ity codes, zontng regulatlnn�� and land developm�nt regulatlons�In #he jurisdlctton. !�also
<br /> cer�tfy th�t f uad�r�tand that the regul�tlons of othergodscnm�nt ag�nci� m�y�appiy ta the int�nded work, and that it i�
<br /> my responsibllity t�identify.v�hat.act(ons I must�takce�:to be�sin�corrlpllance: .5.uch.age�tcies fnclud�but are.nat Ilm(ted to:
<br /> - �?epacfinent of E�vtronrne�t�1 Prctecttor�=Gypri�ss.�Bayh�ad�; �l���nd A�e�s $nd Environmentally S�nsitive ,
<br /> Lands,l�later/Wast�ater Tre�tm�nt.
<br /> - 5auth�rves� Fior�da Wat�r �Ilanag�ment:{�is#�i�4-�1telis, C�tPr�ss.r.B�y.he�ds; Wetland Areas, Altering
<br /> tMatercourses.
<br /> - �►rmy Car�s of Engtneers-S�aw�lis� D�cks,l�avigatile Waterwa�ys. .
<br /> - D�partment af-He�l#h�� Ret�ablii#a#ive �etvic�sl��tvironivie�fal 1�e�tEh UinBt V!►e�lE.�,.VVaste�ta#�r�Treatment�
<br /> Septic Tank�. � � � � �- _
<br /> - US Emricanmental Pr�tectton Aget�cy-Asb��tos abat�ment._.
<br /> , - Federat Avtatton:Authority:Rurnnrays,
<br /> t und�rstand ttiat.the following.�restricttans apply to the use of flp: �
<br /> - l�a�a a�fitt Is r�ot altawed in F1ood'Zone"V"uNess expressiy permittad.
<br /> - If th��flll material- ts to be use+d_in �Flood Zone °A°, it. is understaod that � drainage plan addr�ssing a
<br /> "compe�tsating volumeW will be submltted at#irrte of perm�€#tng w�lch i� prep�red by a professfonal engin�er �
<br /> licen�ed by the Stake�of'Florida: , � � � - ,
<br /> - !f ihe #ill �naterla) Es t� be used In �iood_Zons '�g in�connectEon-wlth�a�ermltt+�d buflding using stem w�l!
<br /> � con�truation� 1 certify that flli-wllt-b8 t�se�only.#o�Ii the area within�the�stem wai}. - ;
<br /> - If fill materlal is ta be used-in�ar�y acea, 1"r.erttfy t�at use af such flll vuitl.no# adversely affect adJacent
<br /> � prop�rtl�s. IF use of fili �found ta adverse�:a�c��d�acen€�propsrtles,.the awner may be cifed for.viorating i
<br /> �he contl�ions.of the b�ilding=perrriit Issued�under.tt4a attached_permit application, for:lots.less than.�one (1) '
<br /> aare wMch st�elev�ated-6y#I!!,_a�t engtrteer�d drslnage plar�fs ret}u[r$d._ - . . �
<br /> ff t.am�he J�C�NY FAR THE,t'�WN��t, I�.promise tn good faith#c�i�i�rm tite owner of the��permitting cond�ions seg forth in '
<br /> this affidavtt'prtor to commer�cing construction. -1 understsnd.thafi a pseparate permit m�y be required for electricat wark, i
<br /> plumbing, signs, wel1��.Poo1s;.alr canditioNttg;-.gas,-�or a#her. #nstalt�ttorts not spec�ically instu�fed-in.fhe application. .A '
<br /> permit issued shall be canstrued to be'a'ilcense to�proceed vaft�i the work and not�as:aukhority.to.violate,cencei� alter, ar
<br /> set�,slde�try prov�slons of the:#�chalca!r�des;�nor shaf! issuance•o#a.permft.pr.event th�Buitcllrig fl�ltda!�from th�reatter ' �
<br /> � requiring�c�rreation af errors im�plans; corrstructian or viola#lons ofi any codes:- Every permtt�l.ssued shail become invalid �
<br /> uniess the v�ark authorized:by such permit�ls.commencsd�vuith(n si�Ertonths of�permit Issuanc�, or IP work autharized by
<br /> fhe p�rmif ds suspended•or:��ar�don�d-far�;perlod,of=s�c-(8}-manths aft�r..th��ir�e the�worlc��s commen�ed. Ar�ex�enslon
<br /> may b� requested, In writing,from tFie�Building.Offlcial fot a periad=not to exceed=Nnet��(90) days ��d��wili derrionshate
<br /> ]usttfiable ca�ase for_�the extensio� I#wor�ceas�s:for nlnetJr.{SO}cor�secut€ue days,_th`j�b��s.constdered aEaa�doned. ;
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<br /> �ARl�9�lC 3"1� �l44:tMl�R; YOUI�..FAlLURE..TO.ItEC.O�D A-N!?'fIGE.O�°COIIPlMI�NCEM�AEt�T�NtAY�REStlLT IIN YOUR {
<br /> �AY1Mt�`T�i'tCE:F'�3i�-0�ili�itQVI�MEN'�`S-Ttt XQUi�:�RQ�ERiY 1�°.YO.U�I��ID'i'fi��TA1N�flNi�,t��1NG;�Oi�SUl.T
<br /> °�ViYai�l'' l� . C1 :O. AM' TTAR'.NEl�� lFARE�R -OR�31 Ca-= �U ' _�C� ;��� [�� E C � -
<br /> ��ORIDA JEtR�3'{�,5:t1 3 _ "_ - __. " _ . ` _.
<br /> iSWNER OR IOCiENT CONi'R�1GT0
<br /> Subscrlbed and suvom M{or a d} fore m�thls S� scri ed artd'swom or afflrmedpbe#ots ms tt�s
<br /> by r7-r�-1 _ - .
<br /> �1lho is/are personally krlown to.me ar�haslhave produced VUho.is/�r rso Ilyacn �tv tne or haslt�v�� -- �
<br /> as ldentlflc�ticn. ��-�� �
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