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<br /> NO'T10E OF DEED RES.T.RICTIONS: The ur�decslgned,unders�,tands,rth�t=thl�.°p�arm,i#may,be,sub�ect to"deed"restrtctions"_�... � �_�,
<br /> which may be;mone'�r.estFictive�th+a�t Caonty��i�egrilatrons. Ttie un�erslgned�assumes�responsibilt'ty.for�rcomplience'witFii'airiy'"' � ..
<br /> appilcable deed�restrlct{ons. . ...:.. t:,,. ._ ,. - ; - . . _ - ._. ° .� . . _ -
<br /> UNLtC�NSED=CONTt�ACTORS �AND CON�RACTOR�RESPQNS181t1T1ES:•-�If=fhe=°awner�has�fiire�fY�a:contractor ar
<br /> contractors #a undertake work, they niey:be,.re�qulred�to.;be;llcensed�ln acc.ordance.with state.and,local�regulatlons:��If°the�•-�� �=-
<br /> contfactor Is-nat Ilceriseil=as�requiced:'tiy faw� bo#h=the awnet and�cont'r`actcir�riiay�tie=ctted�for a'misifemeanar violat{on
<br /> under state law. If the owner or Intended�;,con,,_tr;actar ene,,�ncertaln as to what Ilcenaing.requlremen#s�may�:epply���for=the`�� • �� -
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<br /> intended�work�"they aie'addl'sed fo:cotitact the-,Pasco Courity_Bulliltng YnspecttonrD[vlslqtt-l:icensing Seatlan at 727-847-
<br />� 8009. FurtFie�rnore, if the awner`tias'Nired�a contractor oT;contractors. he Is aclvised ta have -the contractor(s)„;sign. ,; _
<br />' portlo�s of the:."contrackar..Block° of thls_appllcatlon.for_.whlch'they wlll.be.cesponstble.- If::you;:as.#he owner�'stgn`as the'�� �
<br /> contrac#or; that•may-be an ind�cation that'�ie=is no#.prop�t�y flcensed atid'Is��riot eti�i�eil tb permlt�ing priulleges In Pasco
<br />� County. � ; .�"� . ..
<br /> TRANSPQRTATIONAIMPAGTIUTIL{TlES'�MRAC`��AND-ttESQURCE RECOVERY�FEES;��T'he undetslgne+d uridet�tands
<br /> that Transportation Impact Fees and.Reco.urse Recovery�Fees msy-�.apply^ta ti�e'canstruc#ion of new.buiidings��change'of"����`��' �'
<br /> use ln existing bulldings;or:r.exparislon��-of�+extsti�ig',buUdings, as specl�ed.in Pascc� County Or'dlnanae number 89-07 and
<br />� 90-07, as amended,_.�'�he underslgned also:understands� thaifi�such fees�.jas�may:`�e�:d�e;:�will;�be identifled at#he�time�of�`� �-�-� `
<br /> l permftting. It Is furtfie��understaod that Transp�ortatlon Impacf Fees and�Resourae;RecoVery���Fees,must be pald prlor to
<br /> rece�ving�a°cecftficate-of occupancy"�or�flnal��pawer:�etease: :I��the proJect..�loes�.not involveta�cert�fis�te af occupancy,ar-<>`���. ',
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<br /> flnal powec.retease, the';fees�mu�t�tie patd;p�ior to.permit Issuance. Ft��thermore;°lf Pasco,C,ounty�Water/Sewec�lmpaat� •� ��.��,• ;
<br /> fees are due,.they.must=be;pald,.prlor to.permit�lss�ance=lnraccardance wlth�aPPltcable:Pasco'�+Gounty�afdlnances, •
<br />, CONSTRUCTlON'ClEN'�1.AYV'(Chapte`r T13,Flo�tda S#atut�a�as amended�: If valuaHan of work is$2,500.00,:or more, l . :��
<br />' certify that I, the-appllcant,::have-been .proylded��wlth �a-copy of`.the•:".Flortda� �onstructton'�Llen .Lav�-=-Homeowner's
<br /> Protectia� GuEde" prep�red by t�'ie.Floi�da Depa�tinet�f of Agricultu�e and ConsumerAt�ics. tf#he appticartt Is someone- . ,:
<br /> other than the"owne�", i aert�y.that i=.h�ve.obta.lned°a�c'opy.of..the:abova,des.crlbed�`�iocun�ent�and.p.r.or�ilse�ln,gootl':falth to �,3
<br /> deliver It to.tfiex-",owner"�:prior.to�commencemerit:-" .. - . . _.. .
<br /> CONTRACT+DR'S►OWRIER'S ARFiDAViT: L c�arti�yc:#hat�all�the��inf.ormation::in�this appHcallon is accurate.and tfiat atl wark
<br /> w111'be done in campl(ance with all.appllcable�laws regulating constructlon� zontng and�land��development. Appllcatlon Is
<br /> hereby rr�ade_to abtaln-.a permi#;�to-.do.:wor,`k:�and�Insfalla�on as indt�eter�:�=:1. ceitify that no work`br instatla#tan h�s
<br /> I cammenced p�lo� M Issuance of'a pemitE`"and that�.all wotk wlll be pertormed�to meet standards of all laws regula�ing-
<br />; C4flStfttG�I4f1, Gounty and Cfty codes, zantng regulatlQns, and land developme�t regt�laitions�tn the jt�rlsdiction.� 1 a1'so _
<br /> certify that I understand that the regulations of other govemment agencles may�apply�ta the.lntended work, and#hat 1t (s.
<br /> my respansibllity to Identlfy what.actlons!musGteke:to,berin:.c4ri�pllar�cs. $uch agencles include but�are.r�at llmlted ta:. � ;
<br /> - Depa�tment of Er�vironmental=Protection'=Cypress.`Baj+tiead�,�1Ne�and Areas and Environmentatly 5ensitive,
<br /> Lands,Water/Wastewater Treatment. �
<br /> - 3outhwest Ftartda Wa#er Nlanagement- :I�tstrtct�Wetls� CyPrass.,+8ayheads, �Weftand Areas� Altering
<br /> Wateroourses. ' . "
<br /> - Army Corps af Englneers�SeawaAs.Dacks,tVavlgatile Waterways.
<br /> - Department of,.Health;�.8 .Rehabllitafive,.Serviaes/Envitonmental•:Health�Unit Wetl.s, Vllastewater�Treatment,i
<br /> Septic Tanks._. � �. - - - • _
<br /> - US Environmental Pro#ection Agenc�r Asbestos abatement. .
<br /> Federal Avlatton_Aulho�(ty=Runwa,ys;-� , � - , ;
<br /> 1 understand.that the�.foNowing=reslrl'Etions apply to ttie use of flll:
<br /> - Use of fi{t is not allowed in;Ftood:Zone"V"uniess exptessly permitted. 4
<br /> - If the.:fill-mate�fal'Is'to��'b.e-used.`In��Flood Zone. "A", tt Is understood that a dr�lnage plan addcessing a;
<br /> °compensating volume*will be submitted at�me of.penr�ltt�ng which is prepared by a professianai engineer�
<br /> Ilcensed by'the State of;FloFlda: , !� ,�; _
<br /> - tf th� #11! matetlaF_!s'to-ba�used in FRood yana 'A",In�cortnection�wlth�s���ermitted bulidi�ig ustng stem wall�
<br /> canstructlon, i certify.that flll:wlll��b.e-used only.to#111 tiie area withln the stem•wall:
<br /> - If flll materlal Is to�be used In any area; I �as�tlfy;that .use of,such fll! w!!! not adversely afl'ect adJacent4
<br /> propertles. !t use of fill is fovnd�.to advetsely:�ffec#`,ad)aae�nt properties�.the owner may be cited for viotattng`
<br /> the condl#ions.of the b�llding:permtt_Issued under th��attacfied�permit applicatlon��for:=lots�-less:than.one (1)�
<br /> acre wlitch sro efevatect�#iy flll,a�t engineer-ed dralnage plan is requlred. . ;
<br /> If I am the.AGENT�OR THE OIMNER, I;.promise In.good f.afth#a Inform the awner af�the permltting candlttons set forth(ni
<br /> this affidaVtt`p�lor to aommencl�g constr�ctlon. �I understEind that a�s�parate permlt may be rsqulcec!for efectrlcal work,
<br /> plumbing,.signs,.wells,.poots;,alr condlttoning,.gas, or atMec insfallaitions not�spec�tcatty inctuded-in.the appiication. •A�
<br /> permlt Issued"shall be coi�shued to be�a`Itcense to`proceed wlth1tNe�wark and not as.authoNty;to.vlalate;�'cancel, alte�. ar;
<br /> set aside anjr�provEsions af#he.teicFintc�l codes;�nor shall lssuance3of a.permi#.prevent the Bulldirig O�ficlal from thereafter�
<br /> requlrtng a correctlon af errors in;plans; cons#Fuctlon.or vlolatlons of�any codes. .Every petmlt�ls�ued sliall beaome�invalid;
<br /> unless the work authorized.by such permlt:is.co�nmenced�wlthln sf�c.�nonths af pennit Issuance, or If work authorl�ed by;
<br /> the permit is suspendad or,.abaRdonedMfor a period;nf�six��)�mant�s;:after ti�e time the�wc�k�ts commen�ed.. An extenslon i
<br /> may be requested, In wrltlrig,.from tNe:'Ruilding,Offlclal for a perlod�not to exceed ntnety�(90)-days a�d-wlll'demonstrate;
<br /> Just�iabie'cause for�the e�ctensiat�: 1#work ceases:for ninepr.{90}cons.�cutive�days;..th��ob�is.conslderad abac�do�e�. �
<br /> V4IARNING TO OWNER; YOUt�.�A1LtJRE�.T4.1��.CQt2D,A.MOTIGE�:OE:�COMMENCEMEI�T�,MAY�RESU�T IM�YOUR1 !
<br /> PAYtNG TWiCE;�OR=iMPROVEMEN..T,S>Tfl;af'OUR�:PROPERTY.:-�IF�YOU;iN"�E�iD�'TQ'+08TA1N��FIN�`►N1EiA1G;'C.ONSULT; �
<br /> WI7H U D �O /�N� O FOR � OR� f� OU ' �C `.� r� ` � ;
<br /> Fi.ORIQA,lURA�(RS:�1Z:03j � _, , ... - - ; -�,-.,,-.; - — . .�_. . _. ----—--_-- — --. __--__ _ '
<br /> OWNER OR AGENT� � l� Y� �j
<br /> CONTRACTOR_ `-'" -���r"'7� �� I
<br /> Subsr,rilbed a d swom fltm�ed)before s Subscr�bed and'suwm= (ot a�f�mn )�befora�ie � � .
<br /> I,,� -22r/�bY ' -J�=Z�- ' "bY� �I ���.v� ���.��
<br /> Who I Je p rsona y , rnm to.me or,ha ve praduced Wh�J s�/are p.e�so�nal known•to.me:orhes/ha�Y � duced • � '
<br /> �G.r�;l.cPrrS�`c�-as Idendftca�ori. a�L,�A�r}�r;�c�t..cS�.�._ as Identi�ca#ton, _ ,
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<br /> Notery Public . Natary Publlc �
<br /> Cammissl No ������ �� Co on�N :
<br /> '*� �'�' Commissl��6�'�����,"� „���,,. 4,
<br /> Name of Nota � +:,,,,.. : � �F ,���� Name of Notery _a� � n;�c� �#FF 160�22 =
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<br /> +•� ��• i :;� �,; Expires December 12,2018
<br /> � ' ' - 'a;;PF e„'��� 9ondod Thru 7roy Fein Insurenoo 800•3B8•7019
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