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<br /> NOTICE ttF DEED RESTRICTIONS: The trnder�signed undet�tands°xth�#;1hls< �r:mlf-�rtay.be,,sub eat,to..deed..-,restrlctions ;;.. ;��.�
<br /> which may�6'e�mare;restFlctive=tha��Gounty'iregr�latfons:�°7he°undei�slgne.d��assu'rries-respansibility fiar`compiiance�with�any `
<br /> appllcable deed�restriotfons. .F:v...: ..._.. �,• .- -- � � . ,_ .. . -,._..._ ._,�. � . :<� . . .:...,�.
<br /> UNLICENSED�CONTRACTORS -AND CCINTRACTOR RESPONSI81LiTiES:�:ff-the��oumer�has�°fiire�d �a`"contcac#ar or
<br /> conlractors.to undertake work; ttrey,may be:r,�qt'rlred�to3be:�lfaensed In;accardance.wtth state:and=locai;ce�gulatl.on.s.:�=1f'the• �„ -� �--'
<br /> contracEo�fs not Iii:enseif as�requir�sd:�tiy 1�r, aot#r�the owner arid`icontractot majr tie�cl#ed�,fot-a'=snlsdameanrir vloie�on
<br /> under state law. If the awner or Intendetl�,�contractors ere_�uncertaln as to v�rhat'Itcenstng.requirements�may-•°eppty�`��for:�tlie%°•u�=::•=''`
<br /> trttended"work,tliey are advlsei!to.c�intact t1ie,Pasco�Gounty.Building"'Irispectton;Dlvlslon,-l:icenstn�Sectfon at 727-847-
<br /> 8009. Fur#tiermore, �if the owner'iias"�htreid�a contracfo�'6r contri�ctors� he is advlsed ta have�the contractor(s);.sign . ,,;: ,..
<br /> �.,�..r . ,,,�. ,
<br /> portions of the_"contracto� Block" of.this�applicatian.for_which._they.�will..be..tesponsible.�=lf.=yau,�as:the owner slgn`�as'the�` ` ' ''"'�
<br /> , _ ,..�... .s_ ..
<br /> contractor, that may be an indtcat�on that�`Fie Is�rioY:p�ope�y'1lcensed�-and�i's not en#i�ed�to permit�ng pri�lieges In Pasco ;,
<br /> County. �� __.� �-w• -.- ,. �.'``°
<br /> TRANSPC�FtTAT10M=iMPACTIUTILITIESECNlR14C"�AN�?-RES�QURCE RECOVEEtY-�FEE�:'T�he undersigiied'iitidet�stands
<br /> that Transpartatian Impact Fees and.Reco.urse Recovery,F�es may�;apply:�#o�tF�er''construction,;of nevu,butldtngs��changetof��`��`°�''r
<br /> use In exi`sting buildings�-or��expansi�i��of}ei�lstin�g;�buildings� as specifled.Ir� Pasco County Ordinanoe number 89=07 and-
<br /> So-UT, as amended.�,:Th� undersigned also;un�erstands, ttiat:=such fees,�;as=�tnay�:�e�:due;�w111�6e tdeiitifled at#he�tlme�of==_£-"l' �::
<br /> permitting. It Is hir`ther understood that Transp�o�kation Impact"Fees and";Ftesource'Reco�sry�Fees..musi be paid prio�to
<br /> receEvtng a:"cerfl�cc�te=of-occupancy"or f�naF�power--release: :I�the proj�ct:;.does<:iio�invoive=a�cert�ic�tie of or.cupancy$ot:��-�;�'if==<�,
<br /> flnal power:release;::the;fees�-mu�t be�patid`,pc1""o.'r to,permit Issuarice. �t��k�ermo�e;-�if:Pasco:�County�`lNater/Sewerl:Impact� � :k-:���-
<br /> fees a�e due�.they must.be-pald:.prfor#o,.permlt:lssuance:in:acc+ardance wtth.appllcabte Pasco�Gounty>o�3lnances. •
<br /> CANSTRUCTiON°CiEN'LAYV�Chepter 713�Ftor�da§tatut���as amended): tf vatuativn af work is$2,500.0O.:,oc;more,-;i�� °�., •-„�..
<br /> cert(fy that I, the..applicant;�-have.b.een .provided��with=a=capy of.`�the��"Florida~Constructton� Llen'Laver—Homeowner's
<br /> Pratection Guide" prepared by�tFie Flor�da Department of Agrtcult�re and Consum�r.;Aff,alrs. 1f#he appltcant is sa`meane�-:,:, ;. ..:.
<br /> � . .. .:.
<br /> other than the°owner", I certtfy�that I have.abta.ined�a'�icapy.of.the�abpve.described tiocui�ent°and;p,romise�in,goaa._faith�to - �
<br /> del�ver it ta the<`owner."�:p"rior.:to�coiiimericemerit.,�,� ' :: .. - � . _ ..
<br /> CONTRACTOR'S/OWNER'S AFFIDAViT: I.c_e,�tt[y;:tii:at�alf�th�;lnf.ormatlon;.in�thl.s appllcation is accurate�nd that all work
<br /> will'be done in campliance with ail applicable laws regulating constructlon, zoning and��land�deyelppment. Appllcatlan is
<br /> hereby made _to obtaln.a pecm�#;=ta:do�-wo�Yand•tnstailation as indt�afed:�::..<I, cartify.that no work~or tnstallatfion fias-
<br /> commenced prior to issuance of'a p+ermif�"and that':all work will be pertormed to meet.sNandards�of all laws �egula�ing-
<br /> constructlon� Coun#y and Ctty codes, zoning regulati�ns� and land devetopmet�t r.egalat�ons�in tt�e �u�isdictiort:� 1-.also �
<br /> certify that I understand that the regulations of olher government agencies may�apply�#o the.intended work, and that it is
<br /> my responsibAity to identlfy.wttat.actlons 1 must•t�ke:ta be,fn:.c�nrrtp!lartce.,Such,agencles�lnclude bt�t��are.rtot limlted ta ,
<br /> - Department of E�vironmentat=rProtection-Cypress:`8aytiead�; Vtle�and Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewate�Treatment. �
<br /> - Southwest Etorida Water Management::-�D�s#rfct Wells; Cypress.r+Bay.heaifs� Weftand' Areas� Alfering
<br /> Watercourses. . � �
<br /> - Army Corps af EngfneersSeawallsi Dacks,hlavig�tite Waterways,
<br /> - DepaMmen# of,Heaith:&��Ret�ebllitative SeniiceslEnvi�anmen#'ai..Neaith Uhit Weil.s, INastewater Treatment,
<br /> Septic Tanks.. � � ' - � .
<br /> - US Environmentel Protection Agency-Asb�st��ab�temer�t...
<br /> Federal Avletlon:Authority-Runways:� �
<br /> i understand.that the.fotiov�ing::i�estricttons apply�to the use of f11l:
<br /> - Use af flti is not allawed in�Flood;Zone"V"unless expressiy pe�mitted.
<br /> - If the flll meterial is to be used:�in �flood�Zone. "A", (t is understood�that a drainage plan address(ng a
<br /> °compensating volume"wil! be submitted a##ime ofi:pe�itting which is prepared by a prafessional engineer� -
<br /> Iicensed by'�he State of-Florida: ' - � .
<br /> - If th� fill-materlal�is�to be�used In Fbod �one `A" 1n�cannection�v�►i#h:a perm�#ed bullding asing sfem wal!
<br /> � constructfon, I certity.th.at fill:will.be�used only�to flll the area within:the•stem wall: _
<br /> - If fil! material is-to be used tn atiy a�ea; 1'�aenity that .use. of suah fl11 wil! not adversety affeat ad}acen#
<br /> ' -� properties. if use of flll is found;.to adverseFy.affect adjaEerit��propeNies,.the owner may be ctted far viotating �
<br /> the conditions_of the bWllding�:perrriit Issued�under the_�attacfiad�ermit appl(catian, for.lots.less,than.one (1)
<br /> acre whrcn are e�evatea�by��t,��engtneer�ed dralnage plan is roqul�erd. .
<br /> ff I�m the AGENT FOR THE OWNER, I;pmmise In good faith to Infarm the owner of�#he permitting aonditlons�set forth in
<br /> this affidavlt�prtor ta commencing constrnctinn. 1 uridet�taiid that�a;separete,permit may be requtred for efecMcal'wor�k, .
<br /> #�.,_�.
<br /> pfumbing,_signs, wetls,,,pooSs;, air cundifioning,-.ga:s,,oc.other: installa�tions no�,spec�fcally included•in.the application. .A
<br /> permit Issued shall be construed to tife�a�llcense'to=proceed wlth tNe�v�iork end_not�as:authoNty�to._vlalate,�cancel, alter, or
<br /> se#aside any"provtsfons ofthe.#ecttt�lcal-c+ades;:nor shatl issuance�af a.�rermit.pcevent the Balldirig t?i�clalfrom thereaftec �
<br /> ,�,. .,. .
<br /> requlring a conection af eRors In.plans;-consfructlan or vlolat(ons of�any codes:� Every�p�ermlt�l.ssued sFiall�become�invalid
<br /> unlass ihe wark authorfzed.by such permlt:ls-commenced•v+rlthln si�c.,tnonths of permft Issuance, or if work authorized by
<br /> the permit is suspended�or.;abandoned�for:a�;periad,af�s�C�.f�)manfiis�.aRer the time the�work�ls commenced. An extenston
<br /> may be requested� In wrlting,,_from.the��ullding.Offlclal for a perlod.�not-to exceed'�nlnety(9p)"days a�d-w�ll demonsUate
<br /> just�iabie_c�ause for.the e�tenston: If wor�c ceas�s�for nlnefy.{90}cons.$cutive�day.s...the�ab�is consldered akandaned.
<br /> �. _ . , r _.
<br /> WARNING TQ OINNER; YOUR.�FAIl.l�tRE:TO.-R�ECQ�2D;A:�i4TICE::QE��COMMEN�EME�T;Nt�AY�RESt1tT IN-'YC►UR
<br /> PAYING TWICE;:FOR IMP,RO{VEMENTS�Tfl:YDU1��PRC�►PERTY:'�IF�YO.U�IN'�E�D:TQ�i0BTA1N�FINApE1NG�'C.ONSULT
<br /> --lMd� -�- ld - �b A -- �!?� R! - Q►. �� -� � �s,Qi� - � , .,� .., :. . E ' �e - __:::.� .____..__-__—._—.
<br /> FI.ORIDA JURA�`:{F.S:1 .0 �'. . - � _ . 4 .. _ . . - . _ . . ._, .
<br /> OWN61t OR AOENT . CONTRAGTA K� �/J
<br /> Subsctlbed artd svvom M(ot atflrmed}before Is Subsa9bad�tu#'swom to(ot aiflrmed}'betore tne'tM$. . .
<br /> b� ,. . ,
<br /> Who Is/are personally knrnm M.me or haslhaye produced Who.f ersonal known•tcr.me.or hasdhave:praduced • .
<br /> ' as IderfUBaaUon, ' ' as tdentt�catton.
<br /> . _� �
<br /> , Notery Publlc . � Notary Publlc
<br /> Commisslon No`: Co lsslo .No.
<br /> � Q+:���i%�';•,, JACQU�CINE BOGES
<br /> fVame ot Notary typed,Ptlnted or stamped Name af NotarY ' �ti� r� �� F 950�22
<br /> =;� Q,: Exp�res ecember T2,2018
<br /> ''�;?d�;Q.` 9ondedThruTroyFeinlnsursnce8043g5.7018
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