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<br /> e d esl ned undergtands�- � �thig; i'
<br /> NOTiCE OF DEED REST.R1CTiONS: Th un e� ,.g__ ,th t>.._,., p�r.m,t:may:be,subJ�cE:to ,deed.�.restrt�tions � _
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<br /> whioh may�be=more�i�estriative>tti�n'Caiunty��r�g�ilst�ons.�TFie'.underslgried`assumes=�espon�ibllity�for�compliance�iith`any��`..-";ry
<br /> applicabfe deed rest�ictbns. .,_...:,._ .,�: L -� � ' • � � .: r� . . _
<br /> IJN�lCEMSEQ�GONTRACTORS AND CON�'RAC�'C!R RESPONSIBICETIES: -°!f'=th���owtier-has=`hfred;��a"con#�actar ar
<br /> contraotors to undertake work, #hey may>be,�re�qutred<;to:be;ltcensed ln:.accordance.wEth state.and;lo�al..tegulat(ons,��if the=� =- � _ •
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<br /> contractor I§ noC ltcensed�as'tequlred;by law� kioth�the owner and=ccntiracto��may be°clteii�far��a�misdemeanor v!olatton
<br /> under state law. if the owner ar tntended,;c�on,tractvr;are;:uncertatn as to what iicenstng.requirecnents_<may-�apply�fior:�the-- .��;�-•°��
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<br /> fntended work,ti�ey are:advlseii to contac#:the Pasca�ounty Building.`tnspe�ctian Dhiision--Licensinjg 5ection et 72T-847-
<br /> 8008. F,urttiermore� If the awi�ier''tias'tilredma�con�raatiir'atic�ntractors, he !s aclvised to heve�the contractoKs),:sign. �
<br /> po�tton� of the "contractor Block° of thls._application-tor._whlch�.they.vv11.1:be..r.esponslble.-.-lf�you;,as,#he iivirner'sigii-�a§'�t�ie�`` ` -
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<br /> cont�actor� that�tnay be an indicatlon tha#`he ls �aot.properfy licensed^and`�is'��iot�ntitled to permttting priulleges in Pasco .
<br /> County. � i ' � . . . . _.. � - ,. �. :�4, � . ..
<br /> TRANSPORTATtON�iNfPACT/t1TtL:i'TiES�1MPAC�aN�I�ES�OUitCE RECQVEEtYfEES:��'i�e undersigned understands
<br /> thatTransportation.lmpact Fees;ancl.R�cour.se.i2ecavery.Fees niay:apply�ta,the�;construction�of ne_w_b,uiidings,.change��of"���`�- �:
<br /> use ir� existing bu!ldings,�or..�.expan'�i�i��of7iexlstii��:'��tilldings� as spec�ted.tn Pasco County O�!lnanae number 89�0T and.
<br /> 90-07, as amended.�.;Th_e undetsigned also;•�urtdersta�ds* thatt�'such fees,�:asl�maj�`be�:d�e„w(!I;}ba tdenftfCed at the�time��of`� =~� -
<br /> permitting. It ls fu�rtlier understcod that Tra�isportatlon lmpact'Fees and'{ResourcenRecaYerj'rz��ees;must be pald prior to
<br /> recawing-a°cerfificate:of occupancy"mor�ftnai��.pavmdr;release:":if-the,proj�ct�,.doesznot I�vaiv�.a;=.certfficafe of occupancy�o�r��=";� � • =°�'
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<br /> power refease,�,tFte:,feesvmu�f:be�pa#d:.pt�or to�permit Issuance. Ft��thermore;°if Pasca:,County<1NaterlSewer simpacfi � ;����-��
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<br /> fees a�e due,.they mus#.be:pald�pr�or.�o.permlt:lss.t�ance_in.ac�cardance witfi�_apptfcabfe..Pasco��County;ofdinances. �
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<br /> CONSTRl1CT10N`L:IEN"4A11'�'(Cl�aptei�713�Elor�d��ta�tatea�;.�:aenended�:..If valua�on of work ls$2,500AQ=ac more, !.. ., ..,.,_,
<br /> certify that I, .the.•applicant;:<have.been,-.provided-�with�a=copy af-the "Flortda� Gons#nactlon� Llen .L'avu�--Hameownec's
<br /> Protectlon Guide" prepared by-tfie�Floi�lda Departmenf of Ag�icultare and Consumec.Affalrs. tf the appllcant!s sameone � ,
<br /> otherthanthe"owner", tcertifjr.#hat;t;�ave,otitainedRa�copy.of..the�above.xiescNtied�docurr�ent-and:.promi�ie�.in,good'_fa�lth•to . ,�
<br /> delivet it to.:the:'ow�iec":pi�tor;to�4oinmenceirr�ent:'�' ' .�� . °. i � ._ _,. '- , _ ` . .
<br /> C4NTRAGT4R'S/OWNER'S AFElDAYIT. I.certt�y;;,#hat�ail�th��}nform�ti�n::in-this appitcattan is accurate�nd that ail work
<br /> will'be done in compl[ance wlth all.appltcable�laws regulating constructlon, xoning and�-#and=development. Appiication Is
<br /> � . hereby made ta obtatn .a.permik�.,to_,do�-wotk.�and�installatian as indlcefed:��.�x-1� ce�tif�+ that no work sor Irtstallatlo� tias � �
<br /> commenced�p�io�ta i"ssuance of'a penr`iit�"and that`.a�l�work will be performed to meet standards-of all laws regula#1ng-
<br /> construction, County and City aades, zoning regulatians, and iand development regulations'�in the,jurisdtctlon.� I al'so
<br /> certlfy that 1 u�derstend that the regulafbns af other government agencles may�appty�to the.intended work, and#hat it is
<br /> my respo�stb!llty to�identtfy•what.actions!must�take;ta,be.,ln:.c�mfpilance:. S.uch:agenctes inctude but�-are.not limited to: � i.
<br /> - �epartment of'E►�vlronmental��Protecfton=Cyp"ress.Bayhead�, Vti'le�and Areas and Environmen#afiy Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Ftortda W�fer Managemant: .District Welis; Cypres�.��Bay.Meads; Wetland Areas, A#tering
<br /> Watercourses. I � ,
<br /> - Army Corps vf Engineers-�eawafis,�Docks,Navigatila Watarways.
<br /> - Depar�ment of,,Hiealth;-,& Ret�abtlltat.ivs,:Ser.vices/Envitonmen�l:,Nesi#h Unit Wells�,Wastewtater=Treatment,�
<br /> Se�tic Tank§:�e � � ` ", ' ! :..._ . . ; ,
<br /> - US Envlronmentat Pcotectlon Agency-Asbestos abatement.., - -- �
<br /> Federal Avietton:Authority-Rur�ways:�. ��� �, -� ; . ,
<br /> i understa�d that.the..€�ilow�ng:restrlotlons appty'to tfie use of fllt:• •
<br /> - Use of fill!s not aitouered in:Flood�Zone�V"untess expressiy,permitts�. � . .
<br /> - If the-fiA mate�lal`4s"to�"�tie used:;!n:�Flood-Zone. "i4", �It�Is understoad that�a drafnage plan addressing ai
<br /> "campensating volumeW will be submltted at#Ime of�permtft(ng whiah Is prep�red by a professfar�a) englneer;
<br /> ticensed by`#iie State of-florlda:. ;- �� � . ;
<br /> - - tf th� fili material.is to-,be,used tn Fiood �one 'A°;in��onnec�ion�with�a �permit#ed buifding using stem wall�
<br /> consUucNo�,.i cerEify th.a#ft11�:wIt1-b.�-�sed anty#o fill the area wi#hin�the�s#em wall:. � �
<br /> - if flll materlat�is�to�be usea-!n anjr are�; 1 �ceniiy� ttte�t .use of such fitl will not adversely afFect adjacent;
<br /> prop�rties. If use:of�flll !s fot�nd�_to erlverse�y:�fFect!adJ��erat'�propertles,.the awner may be elted for viotating�. _ '
<br /> the�condi#ions.of._the bullding�:permtt issuedeunder the��attacfied psrmlt application;�for.:tots�.fess�.than one (1}�
<br /> aars whicfi ar'e elevated�tiy t1ti���t englneered drainage plan Is requlred. ;
<br /> tf i am fhe.AGENT�t3R.THE OWNER, 1,=promise In good f.aith to inform the owner af•the permitting candftfons set forth in�
<br /> this affidavtt�prfor ta comniei�aing construc�on. ( understand thafi a�s�parate permit may be required for electricai work,< < _
<br /> plumbtng;_.stgns,.we!!s,.poals;. a!r,condltloning..9�ts, qr o#l�er lnstall�#lons no!•spec�ficatty 1n�tuded�in ftte applficatian. .A� .
<br /> permit Issued shail be canstrued to'be=a'Ucense�to proceed wlth;tHe w6rk and nat°as.authorlty.:to.violster.cancei� aller, or�
<br /> set aside'amr�provisians of the.tectinlcal,c�odes;�nor shall Issuance�of a.permlt.prevent the Bulldirig O#�lclal from thereafter�
<br /> requiring a cortection af,err,ors in�ptans:;const�ructlon or viotattons of-any cades. .Every'permik issued§tialf become�irnaltd;
<br /> unless the wock autliat�aed.by sucFt permi#:�1s.commenced�withtn si�t,months of permit issuance� or if work authorized by i
<br /> the permit!s suspended.or:abat�do�ted-for.,a:perlod;�f sbr�8)monttig,.af#ier the ttr�e the�work��s commenced.. An extension#
<br /> may be requested,_In writing;:�from_thie�8uiiding,Official for a perlod,�not.#o exceeid'ntnely=(90)��d�ys a�ad=vioili demonstrate�
<br /> justNiable'cause fbr�the extension�. If wor,k ceas�es�:for nineqr.{90)con�ecutive�day.s,.,the job�is.cons(dered aba�doned. � i
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<br /> WARNlNG TO OWNEI�: YOU�..�AiLtIRE-Tt?.,.R�E�.O�tQ,A:;NOTtCE�OF��COMMENCEMEd�t'T-;NFAY�RE�ULT IN�YOUR! '
<br /> PAYlNG'TWIGE,;�QR IMPROVENIEN�'S-T�3.XlE}Ui�:P�PEf�'iY:�t�YCi.Ux1�!'fE�D�:TQ"iLfiBTA1N��FIPiJ�t�E�tNG;`C.ONSULT� �
<br /> 1!Vl7H Y�l�4�_ D O I+!t�►TTO :_ F�1R�1 _ -GR�? �G�� AU :' � � ,G "'= �{t� E T. . F
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<br /> FLORI�]AJURA�.(F:Sr1.17:03}. � � . - ---.. —_-_-'--_
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<br /> OWNER OR AOEPlT . CCIMTII'AGTQ ` � �
<br /> SubscAbed and swom to(ar a(flrtned)before me fhls Subecrlbed'and'swom� (o�`aflirmedpbetdre cne�tlit� F I
<br /> bY � .,by... _ ,. � . � i
<br /> Wlio Is/are personally kr�ovm M•me or:haslhave prqduced Wha.lslare:p.ersa, ily ksiown,-to e-or tiasfiave��roditced. • �. '
<br /> " as iden8flcatlP�• ` ' as[dentlflcaQoc►. --
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<br /> NoUary Publlc , ! ` Notary Pub�ic
<br /> Commisslan No;` Commteslon�Na. �,
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<br /> Name of Notary typed,printed or stamped Name of Nalery typed,p�inted'or akamped
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