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<br /> `�- NO?10E OF pEED RESTRiC'ii�[�S: The und6relgned,under�tands;tit�t:ihts:��rmifmzsy_.be,sub ect,to"deed"restrictions"
<br /> whichmajrbe�more.r.e'sttlot(ve=ttiai►Gbu�ity�rieg�lat(ans:=The�rinde�algna8-sseurriea'respon"slbfllty"'idr'`'co'mpfiaticewrilii"ariy m "
<br /> epp}lcable.daed testrtctioRs. -_.:�. :� -,• • : . . ^ ._.. . .r„�
<br /> UNLICENSED•GONTRACTORS AND CON'�RACTt3R�RESPONSIIBILiT1�S: i�tlie�owner`hes�•hlred��a'cantrac#or or
<br /> contractors to underteke work,they may,b,e;rqqulred,=�to�beillcenaed ln eccordance.with state.and Io�al�regulaHons:~If the� �
<br /> <,,r,:,,a:�:=,;._
<br /> snnUactor ts not![cense�'as required'6y tauit, tmftr the owner artd-s'rontrsotor.;msy bev�lEsd�for`�°titisdemeanar utolatian
<br /> under state Imw. Sf the owner ar tn#erided=,cq,r,�}raator,;are,�ncertatn sa ta wt�et Itcensing:reguiremeMs„mayfsppty�for-the� -• -
<br /> intended wark,theji are"advisieil tb ac(ntacEtlie Pasco County Bulldiiig`Inspeictlon_Dlvislorr-Llcen9ing SecQan at 727-847-
<br /> &009. FurlheRnose, tt the ovmer l�as'hired a corilirecto�o�corilractors, hQ is advlsed ta have the can ,tractot(s),,sign .,..
<br /> _-a .
<br /> parttons of the.cvntrc�cto�8tacic_of.thls_.ap,�t!!ca@on_for_whtoh.they,wllt-ba=reapansibte.- If.-.yaiu,.•as.the ouiriier stgn"a'a't�e" '
<br /> contractor,thattnay tie�an IndlcaUon khat'fie�is not propeHy Ilcen"secf"and"Is'"not enq8ed to perrriitdng prii�ileges In Rasco,.
<br /> County. ._ � ="' -
<br /> 3RAM8FOt2TATtON.iMPAGTNTI�1'FIES�FNtPAG�ANb RESt}�1�GE RECOVEEtY FEEB:�'he underslgned iinderstands
<br /> that7rensportaUonlmpactFees:and.Recourae.Recavery_�eesmayapp1y�ta�tf�e;construcUon;o�new.bulldtngs,schangerof°°.'��:=
<br /> use in exlsNng buildings,or:eicpariglor��of��eiii�H�`�biuildings,as speclfied.in Pascv County Ordlnance number 89-07 and�
<br /> 9o-U7,as amended,.t:�3;t�e undecsigned also,uriderste�ds,th��`stich fees,;as:ma}r�i�:.dne;�wi1F,=be IcleMllted at the�time�of�. ..
<br /> perrnitting. It Is fur'tFriar understood thet Trensporta0on Impact Fees a�cf•Ree'ource;Fteeovsry-Fees,must be pald prior to
<br /> recel�ing a"certificate.-ot-occupancy"-or�flnalwpiower_.;celease: :it the pro�eek�oesiriot•Irntolve'�a,.certlflcete of occuparic��or-'�f'=` �
<br /> flnal pawer_retease,�iFie-feea�ti;ti�#-"6e pe(iI`�pi#or to;permit Issus�ice. F�t#�teYmmose;lE:Basco,C.ot�nfy'Waterl5ewac-:Impact • .. -,
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<br /> fees are due,;lhey�;muat be�p�td=p�or to.pemilt;lssyanee°in.accordance wlth�appllcabher Pasco'.County orclinances. �
<br /> COPISTRUC'flON'CIEN'LAYV"(Cliaptar T73,Flortda 8tetutes,es amendacn: !t valuation of woik is�2,50C1.00;or more,_1•, . .�,
<br /> certify ttsat.1, the eppllcant,_haue.been ptoytdeil:wlfh:=a coPy`of�fhe_:`F.torlda°Gons�ott�:Lteti':•L"a�—Eiomeowner's
<br /> Protection Guide'prepered by the Floitda D`eperfinent;ot Agriculture and Consumer;Rffairs. If the appllcant Is someone: ,
<br /> � � .�,.- :.:.
<br /> other than thp'awner",I cerNfy�th�t I;hBve,cip�ined�a�copy;of..the;abpya,desoritied;daaif�►enk;and.ptqr�iiselti,gpod'taithto
<br /> det(ver It to the'owner`:piior�to�c�aifners'c�meti�t:= , " ... `", �
<br /> CON7RAC70R'S►OWi�ttER'$AF�IDAVIT: 1.ce�tity.:Uiat;aii�.th�;Informatiom.ln:tFtla application ts accurate.and that all work
<br /> will'be done in compliance wNh ali.appllcable laws ragulaUng constructlon,zpning and land°dev„elopment. Applicatlon is
<br /> hereby rr�ade to obtaln.a.permSt�to,:do_;wotka,and;tfista�ta�on as tndtc�fecE�r=1�ce�llfjr Bia�t na waticyar tns�ttation �ias -
<br /> commenced pttor M{ssuance of a permif"�ind that�ali'work will be pertormad to riteet shandards�of sll laws reguleting-
<br /> constructlon, County and City codes, zoning regulaRlnns, and land development tegulations�tn the,JurisdlcUon. I,al'sd:
<br /> aertlfy that t ufldersland Ehat the regulaftons of other govemment sgenc�es may appty�ta.the.lr�ters@ed warEc,and that it Is
<br /> my responstbitHy to tdentity.whst.acUons i must�take.:to,be,in,cortlpiiange:.S.uch,agencles irtclude tiutare.not Ilmfted to: �
<br /> - Department of E�lvtronmenta6 Pnritectton=Gypresa'Bayhead�;IlVedand llreas and Envlronmentelly Sens(tive
<br /> �ands,WeterlWastewater 7reatment
<br /> - Southwest Florida Wa;ter Management:dts#rict:Welis, Cypress`Beyheads; Wetland Areas, Alkering
<br /> Watercaurses. �
<br /> - Army Corps of Engf�eers-Seawaits;�ocks,IVavtgable iNaterways. ,.
<br /> - Department,,af�Heaith;&.ReAa6ilitafiv,e Servicea/Erwironmentai NeatEh Unit Well.s,.Westeurater Treaiment,
<br /> SepUa TanKs": �
<br /> - lIS Envimnmental Protacttort Agency-Asbestas abatement '
<br /> Federal.Avtatton:Au#haciiy;R�nways:-�.
<br /> I unde�stand that the,fvlloinrintg:restrirt�ons eqply to Uie use of flll:•
<br /> - Use of till I�not allowed ln.FloodrZqne'�l"unteas expressfyi parmltked.
<br /> - if Nse-.fifl"mateilal-is #o`be use�l:•tn:flood Zone 'A', it ls understcod that a dralnase plan addresstng a
<br /> 'compe�saUng volume°will be submftted at Ume of•pe�ifGng wtilch ts prepared by a professional englneer
<br /> Acenaed by'the Stateof'.RIoHd"a: �
<br /> - , 1#fit�fl11 mateiNal is�to�b�=us�ti tn Ffood Zone'A°[r�connec�Ean•wlth�a pexmitted bnitding using stem wa{i
<br /> cunsbvclfon,I certify that NI�.iNJll:b.e used anly.to..tlll fhe ar.ea within�ihe•stem wall.
<br /> - If ftll matedal is'to be uaed�in�.anjr area, I certtfy that.use ot`'such fll!w!f# not adversely atiect adJacent
<br /> propertles. tf use af,f�l la fonrtcF#o advers�ly,sfl'ect sdJaaer��prcipertles,,the owner may 6a citad far.vtotating
<br /> the condlilons..of.the.builtlliig>permlt Is'sued=undar lha�attacfi¢d_permit��pplicatlan,�for.lots less than.one(1)
<br /> acre whicFi eie ele'vafed�by flil;a�t englneered dralnag�plan is requlred. ;
<br /> {f 1 am fhe At3ENT FOR.THE pWHER;.1�tomCse_tn,g�faitF►fo Infortn fhe owner af ths pertn{tt{r�g c�ndiUans set farth!n
<br /> this aitfdevtt`p�lor to cro�miiienciog conatriiictlail. 1 uniderafend thate:separate pennit may be requlred Tor eleatrlcal'work,
<br /> plumbing, signs,wells,,pools;,alr.condldoning,.gas,:ar•ofkjer Install�tt�ons na�•specJflcally inciuded•tn.the appltcaHan. .A
<br /> srmit issued�hat!be cotisbtted ta'be'a'license'to �
<br /> p pioceed wlth'�te work and not:as:authariiy hi vlolate;caticel,aSter,ar
<br /> set aslde eny'provislons ut the#eci�ntaat codeig;•nor sheit tssuance•of a.permlt.preveM the Bulidlrig Offidel irom thereafter
<br /> nw.;..,,.
<br /> requiring a carrection af•eRors in,plans;constivctlon or.vlolaUons of•arry c�des��ve.ry�permik�lssueii sfiell-become invaltd
<br /> antess the work asittiori�sdiby such permft�fs.commenced�wtthin_siXMmorz#hs of�pertnit Issuance,ar ti wark aathor�zed tiy
<br /> the permit is suspended oc-.abandonec!for,-a;perlod�of,�e{x,(8)monffis�efter;the;time the wotk ta commenced. M extensldn
<br /> may be requested,In w�idng;-,ftam tlie::Building.Offici�l for a period-not.to�exirteed"niriiety(90)'day§aad will�demonstrate
<br /> jusl�lable cause tor.�the extensfo� 11 w+ork ceases=for rttnety�(9g)r.onsecutive�days,.tk►e f ob�ls consfdered a6andoned. t
<br /> WARNING 70 OWNER: YQUR-FAILURE;TO,RF.C'.ORQ.A�t;W'FICE;OF,COMMENCEMEI�!'T�MAY�RESUkT IN YOU12
<br /> PAYlNO'IWICEFFOit;IMP1,itlwEMEI�t�S�1'�;,Yfi?UEFPitQPEt�7Y:�I�:Y�t!?lPF�'EMtD�'i'Q=�L?B=�'AU�t'��1t�i�ll+I�,;�ONSi!!T
<br /> �p . Q � �.� � , - .
<br /> FLORIDA JURAT(F.&t1R.03) . . _:< •:+., �.. . .. ........ . .. . .. . '�... ..: ,.
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<br /> QWNER OR AOENi � COM'FRA�TO ` �
<br /> Suhaathed and awam to(or aiRrmed)heforo me thia Su6spI�ed'a Yeflfrtnedt e �
<br /> M' ;5c
<br /> Who Islare personally,known to.me or.hadheue P►Oduced o I&lare o.. ry • me.orfiealh ve�p►od
<br /> ' aa tdenBRcaBori. ea tder�ltRcaH .
<br /> Nn#sry Pulr![c }��c
<br /> Commisalon No: m alon .��������. BOGES
<br /> �' �';�_ Commission#FF 1'5Q �
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<br /> Name of Natary typed,pdnted ar emmped Name ofi Nolery - r
<br /> °'a;�p• kQ:� 9ontled Thn+7roy FNn Insuranca 800.385�7019
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