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<br /> NO't'tCE 13F DEED RESTRI�TIONS: The undersigned,un�er�tan,ds�:th�trthls°p�rmlt�.may;b,e;sub�ect,,#o.".,deed"restrlctions" �- .
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<br /> which may tie;more�,rest�iattve,t#i�I�Couiify�r+egulatlon's:��TFie�uridersigned���ssumes respansibiltty for campitance with'�any" ' � Y'
<br /> appllcabte'deed.res@�lctlons. - :�.:,.- . � ' ' , � ' � .; - � , _ .,-.
<br /> UNLlCENSED CONTRACTORS AND CON3'RACTOR RESPONS181C;1Tf�S.t �°ff�#he��oinrner�h�as�`fiired.�a"aentractar or
<br /> contractors to undertake work, they.may;beire�qulcefd:�to,�be4ltcensed-In.accordance.wrtth state.andylocal:regulations:,�lf=thee= �'- :�:�'�
<br /> contractof.ls=not license�:`as�reqtileed"by law. bot#i'the ovfiner anid4confsactor�m�y be°�cited for=•a mistlemeanor vialation
<br /> under state law. If the owner or Intended:co,ntractor,are_�uncertain as to what Ilcensing..requireKnerrts;;may�,applynfar�'the' � �-��
<br /> fntended v�ork,thep a`re'aclvlsed tb corit�ct the P�sco Couqty Bulidliig'Inspectfonr.Dhrlsloir�,-ltcensing�Secttan at 72T-847-
<br /> 5009. Furttiermore, tf the owrier"Fias�`hilfed a�co�U�ictor ci�contractors. he is aiivlsed to have =the cantr,actor(s), sign. _...._ , �
<br /> portions af the�,°contn�ctor plock° nf..this�application,for.whlah.they.,will.�b�e:responsible:,�lf�you;jas�,the o��wner"'sign'�as°`the' -'
<br /> contracto�, tha#tna3r be an indFcation that he`-is nvt`piroperiy'licensed�ani#°�Is�not entl�ed tii permiittfng priulleges In Pasco
<br /> County. . � -� .,, . ,.. . �. . �;:�..__. _ .
<br /> TRANSPORTATION.lMPACTIUTfL:iTlES�lNlPAC'��AHb M�E�OU�tCE REt�OV�RY�FEES;�The undeislgnedYiiriderstar�ds
<br /> that Trar�sportation impact Fees and.Reco.urse Recovery.Fees rriay�:apply:.to�tite,:construction.of new_buildings,�change�'of�x' "=��•°}�
<br /> use In existing buildings, or-�expa��i�n��of'�ezistiin,g:�buildings,a§ sp�cifled.ln Pasco County Ordlnance number 89-0? andu
<br /> 9�-U7, as amended...�;;The undecsigned also3�u�ders#ands� that�such fees,�;as��m�y:tie:.,due;�wi11,�6e�dent�ffed at fher�tiiriewof�:�' ,;'•;'� °:
<br /> permitting. It Is ftirtFier understood that Traiisp'ortation Impact�Fees and�Resource:RecoVery��Fees,.mu�t be paid prior ta
<br /> rece�vtng-a'certtticate�of:occupa�cy"or�#inal�.power�:release.� :l�the.proj�c�:does�not irnolve.a:.ce�ti�cate af accupancy�or��-�:°_'_ f;.
<br /> finai power-�rele�se;„the>;fees�-.mus�t;�be paid":�pc�or to.permft Issuan'ce. Fu�#k�ermore;If Pagco.�County�`1Nater/Sewer�.lmpaat � � .. .
<br /> fees a�e due,.they�m,ust:be=paid�prlor„#o^permif:issyance=:ln.accordance with.appltcabfe Pasco�-County�orrlinances. � �
<br /> COIdSTRUCTtClN°�lEN`LIRYV(CFiapter 713�Ftort�a$tateate�,��mendea�}; if valuallon of work is$2�500.00;:or more.;:F��: _.r,;s;° �
<br /> cer#ify that I, -�he.-applicant;. have->be.en proyided=�with a �copy of.:�the:�"Florida°�Canstructlon�_�Glen°Law Hameow�ar's
<br /> Protectlor� Gulde".prepared by�ttie Floi�da Depiartmenf of AgrlcufEure and Consr�m�r;Affairs. If the app!{cant Is someone:�-. • .
<br /> other than the°owne�', I certify-th�t.i;.h�ve,ob.tatned�a�copy;of.#he�abov��e,sc�ik�ed"document;and:p.r..o�ise;in,good�fa�ith-fo �. �;
<br /> deliver It to the.�"oYirner"�:pi�oc�:to�corrimencement.',; ` _ .. " , � .`. , =:t:�. - .. � � -
<br /> CONY�tACT�R'S/OWNER'�A�FIDAViT: i.ce,r'tifjr::#iiat>.all.#he�lnfarmatian�ln.tht�appltcatian is accurate and that all work
<br /> will'be done in compilance w(th all appitcable laws regulating construc#ion� zoNng and,_land�developm�ent. Appltcatiora is
<br /> heteby made to ob#atn.�a.permit;;to;do:�wark,..�nd I�istailatlon �s ind{�s#ed:�.,��1 cettify tliat rto work?or tnstalta#ion lias
<br /> commenced prior to issuance of`a permit�and.that'.all work will be performed�to meet.skandards of all laws �egula�ing•
<br /> aonstructlonT County and C3ty codes, zoning regulatiQnsf and lar�d development r.egiala#ions�tn'tfiie:Jr�rlsdictlon.- I��Iso -
<br /> cerkify tha# i u�derstand that the reguiatians af other govemment agencles may�apply�to the_int�nded.w�rk, and that it is
<br /> my respon�ibility to identify.what.actlons 1 must�t�ke:M 6e,ln:.corr�pllar�ce;.S,uct�:agencles-Incfude but-are.not lfmited to: _ -..
<br /> - D�partment af E�vironmentaf>�Pro'tectEon=Cyp'ress'Bayti'eaii�;�VVetiand Areas and Environmentally Sensittve
<br /> Lands, llVateNWa�stevv�ter Treatment. ' �
<br /> - Southwest Ftorlda Water Management�:Dfstrtct:ltVelts;" Cypress.r Bay��ads; V1►etland Areas, AI#e�3ng
<br /> Watercourses. , ,s � � �
<br /> - Army Corp�af Englneers=Seawalls,Docks,Navfgatile Watecways.
<br /> - Departmant of.H+eatth�:,� Re�aabilitafiv�;$ervices/Envitonmental.-Neatth Unit Weil.s; �WastevKater�Treatment, -
<br /> Se�tic Tanks:_ '� " : - -- ,
<br /> • US Envlronmental Protect�on Agency-Asbestos abatem�nt. �
<br /> Federal Avlatlon_Aulhocity,=Runways:��-� ' �
<br /> !understand.that.the fallouvlrig:.Festrlctlons appiy fia"the use of fllf:
<br /> - Use of fiii is not aliowed in;Ftood;Zone"V"unless expressly perrnitted. �
<br /> - if the:-flll. mate�laf is to be used:In-�Fload Zone. "A", (k. is understood that a drainage plan addressing a
<br /> "compensating volum�°w�ll be sub�itted a##ime of�permtttirag�nr�lch is prepared_by a profes�io�tal engineer
<br /> Iicensed byy#lie�t�te of�Florida: � � - - � �
<br /> - f##h��f�ll mat�rtal�is°ta�:be;used In �lood 2one 'A" in�connec�lon•vv3t��a��ermltted buitding.using stem wall
<br /> . consUuctton, I certify that fiil:wJp=b.e used on�y to.fll)the area wiithin�the�ste�n=v�ll:
<br /> - !f flll material�is'to b� used'In any area, I certify tfiat .us� of:suah�fill will not aclversely affect adjacent
<br /> praperties. if use_af_fill is,found ta advers�ly:�ffect adjae�nf pcopertfes,.the owner may be cited far rrioi'ating
<br /> the condllfons_of.the building�.permi# fs`sued�under the4 attached._permit a�ppllcatiQn;far lots�:less-:than_one (1)
<br /> acr�wlilait are elevatetl'6y�!!,a�t attgineer�ed d�alnage ptat�is requlred. ;
<br /> If i am the AGENT FOR THE OWNER; I;�iromise In,good falth to inform the�owner of=#he permttting condltlons set farth In
<br /> this affidavlt�pnor to�comrr�eracing canstructlon. ! uriderstant! thet,a�separate petmit may be requl�ec!for etectrlcat work, . .
<br /> plumbing,..signs, wells, pvots,,air conditEoriing,�:g�s, or othec in�talt��ons nal.speciflcatly ln�iuded�in.the applicatian. .A- �
<br /> permit Issued shall be canstrued to be��a'iicense to�proceed wlth tiie;viiork and'not:as:authorlly=to:vlolate;.`cancel; alterR or
<br /> set aslde any`provisions of#he#echtiilcal cod�;�nor shall lssuance�of a.permlt.pr.event the 8uildlrig Qtftctel from thereafter
<br /> requiring a correc#lon af errors�In;plans; c6nstruction.or vlolations of�any codes. .Every•permt#-lssued�sfiall become invalid
<br /> un4ess the wock authorized.by such permlt:�ls_cornmenced�wlthfn,sGc_months of�perm!# lssuance, or ff work authorized !iy
<br /> the permit is suspended�or.aba�doned;for;.a:periad,of��c;(8)months';:aRer;the'tirn�the�work�ts commenced. An extension
<br /> may be requested, in wrriting;�,from,ttie:;Building,Cliflclal for a period.,not�ta-exceed.nitt�eety`(90)-days a�d�wlll�demonstr�fe
<br /> �us#€�abte cause for�the extenslo�:_.If work ceas�..for€�inety.(90}consecutive day:s,..th�Job�is aonsfdered abafldoned. :
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<br /> WARNlNG TQ UWI+IER; YOUI�,_�A!lUR�„TC1.=R�ECQ�tQ.,A�wN4�'tCE t1F>�GQMMENCEMER�T:Ni�1Y��REStilT`IN=YOUR
<br /> PAYING TWICE;I=OR iMPROVEMEN.TS-TO,YOUR��:PR�P�RT1F�i1F�.YO.U{IN'F ` :TQ'�OBTAIW��FiNA1��1NG;'C.ON9�UL�T
<br /> WIT U D A � A3T'ORN - .C'XRE+ � -O �; -OU ' ° � E �E � '
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<br /> -FEt?R A:!{1!@A�{F:S.347.�3� _ _= — __._ ------- .. ----_� _.--�=��.��.�_ _-_��.� _...., _ . _ __—_____.___ .-- -
<br /> OWN�R OR AOENT � �/yr/� '��--� CON?'It/t,CTO � ✓"� ��G�
<br /> Subscribed and swom to or al�Irmed)beforer me th!s Stibsafbed and's+� at nned}•betorei me`�ii�.' �
<br /> bv _ ,by. , ..
<br /> Who Is/are pensonally known to.me.or:has/have produced a re p, rs allyknown•td me or#�aslhave�produaed � t
<br /> as Idendfii��on. e��dent#fica�an.
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<br /> Notary Pubtta . Notary Public
<br /> Gommisston Na:� ,.��'��'�"•¢��;., JAC
<br /> Coin. i�sta . o. Q��LI E BQGE .
<br /> ;�. � # �x�ir��O�c� 50422 '
<br /> m��r 1�
<br /> Name at(Vofary typed,pr#nted or stamped Name af Rtotary iyped, r �'�u�n��c�u�.��e
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