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<br /> NOTiCE QF DEEQ REST.RICTIONS: The underst ned,under�tands:t�t:#h1�° ,rmit:ma b,e,sub ecfi to deed"restric#lo�s"�_ .. , ._._.�
<br /> which may�be�moreMresttictive-th��t County��regulatron's:'�The°underelgne.d��assumes�reapnnslblllty�for compll�anc'�with'any -" "
<br /> appllcadle deedrest�lctlons. ,.:.�..,.;, .,... : ., � . . .. ._.
<br /> UNLICENSED°"GtiNTRACTORS �AND CaN�RACTOR RESPONSIBiCtT1ES:�-=1f-the�owner has-fiired��a`contraotor ar
<br /> contractors to undertake work, #hey may:b;e,,�re�q�;lced:to.;be,llcensed In accordance.v�riith.:s.tate.and;lac�l^regulatlonss��Ifhthe�� ° ��
<br /> contractarls-nat-Ilcensei!'as�requlred;6y law, botti the awner anit�ccintfactort•may°6e'�ctted�for�a�misclemeanor viol$tion
<br /> under state law. If the awner ar lntended�;co,n,ptr;aGtor.;are,,.uncertaln as to what (lcenaing;requlrements amay�_apply��for�the> �� � �'
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<br /> intended wotk.they are adulsei!to coritact the�Pasco Counky_Bulldtng'Irtspect4on D[vlslon-L•icensing Sectlon at 727-8d7-
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<br /> 8009. Furtnermore, if #he avirner'has'tiired`a contracto� or carttractors, he Ts advised to have :the cx+n.tractar(s), sign.,, ,
<br /> portlona of the "cantractor Block° of thls�appllcation.-for.whlch�they,wfll-.be.r,esponslble:,:If:you�-as.#he owner`stgn"`as`the `-
<br /> contrac#or, #hat�ms�r..be an indicatlon that'fie is noE�p�periy llcensed��and'�is��riot enf�iet3 to pet�tnitti'rtg prtulleges 1n Pasco
<br /> County. „ :;,.. *�,_ ., ,�..;-
<br /> TRANSPORTA710N•IMPAGTIUTIUT�ES�CMRACT'ANl�RESQU�tCE RECOYERY`�PEES; The�under�tgned unders#ands
<br /> thatTransportation impact Fees:and.Reca.urse Reaovery.Fees,ma"y,�.app{y�ata�fi�e�construction.of.new_buiidings�::change of"=• �`-� '�
<br /> use In euisting bulldings,�ar�exparisiom�of.tiexlsti�i��ibuildin�s, as speclfled.in P�scq County Or'dtnance number 89-07�and .
<br /> 90-07, as amended.,,,,�he undersigned also,understands, tha�f=such fee�;�<as<may:be�adue;>=wiE1Y6e ldent�f[ed a#the�'time�o�; � -
<br /> pe�mitting. It Is furtMer understood that Trai�sportatlon Impact'Fees and;Resource.:RecdVeryMFees..must be pald prlor to
<br /> rece�ving-a•ce�f�{cate=of accupancy":or�#inal�pawer;r,elesise: :1�-the.pra��ct:does;not InvolveGa:cert�icate of accupancy�o���-::a.,•,•--
<br /> flnal power release;�_the:.,fees�mu�t"be patd�pr1o�to;permlt tssuance. F��thermore;�if:Pasco,Gounty°`1Nater/Sewer=;lmpact • : ��
<br /> fees are due,lhey.rr�ust.be.pald-prlo[to.permlt�lssuance:ln.accordancewltli.appllcable_Pasco'�Caunty•otrllnances. •
<br /> CONSTRUCTiON"I:IEN"�E:AYV�(Chapter 713� Elor�ida�tatutas,as amended): !f vatuation ot work is�2,500.00:or more, 1 �� -�:;�� ,
<br /> certify that I, �he �appllcant,-hav.,e been-.pro�lded�wlth a=copy of`the•�"Florlda �Constructton� Llen_Lav�--liomeowner's
<br /> Protectlon Gutde" prepared by tl�e FIoi�lda Depa�men#�of Agrlc�[#�re and Consumer-Afifatcs, If the appilcan#ts someone .
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<br /> other than th�"owner", I certlhr that;l;have.oq#ainetl�a"�eopy;of..#he:ab�ve:rf,e.s.cNbed;�dociiii�ent-and.p.r.omise�ln,good'.falth�to _ ,.r
<br /> deliver It to:the.`owrie�'�piiar to�commericemerit:�';' " " � � . .. �
<br /> CBNTRACTOR'S/t�WNER'S AFFiDAViT: 1.ceitify�:that.ail.fhexinformation:,ln•this appitcatton is accurate and fha#atl wark
<br /> will�be done in compliance with all appllcabfe�laws regulating constructlon, zoning and;land=development. Appltcatlon,ls
<br /> hereby rnade to obtain.a.permit:•Co,do°wori�;,;and;iits#alla#ion as Intl[�ted:;..=°I ce�tify that no work��r instsllatton tias
<br /> aommenced p�lo� ka Issuance of�a permif"and that'all�work wfll be pertormed�#o meet.standards-of all laws regulating-
<br /> constrvctfon, County and City codes, zontng regulatlQns, and land developinent regula�ons�l� the jurlsdtctlon.- 1=;a4'sv
<br /> certify that t unders#and that the reguiatlons af other government agencies may�apply�to the lntended work, and that (#ls
<br /> my responsiblHty ta identify•what.acttons I must•take,:to,be,ln:.compllance� S,u�h agencles Include�but-are.nat llmtted to; +
<br /> - depaftment af Er�vironmental>�Rrotection=Cypress.'8aytiead�, tiNe�and Areas and EnvtronmentaNy Sensitive
<br /> l.ands,WatedWastewater Treatment. '
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<br /> - Sauthwest Flor�da UVate�r Management ..�tistrlct-Wells; CYPress. Bay�ieads;- INetlar�d Areas, AI#er�ng
<br /> Watercaurses. '
<br /> - Army Corps oF Englneers-Seawa!!s} Docks.Navlgable W�kerways.
<br /> - Depa�tment of_�.Heaith�,&_.Ret�abllitafive,Servtces/Env�ianmentat�.Heat#h Unit We11.s; Wastewater Treatment,' �
<br /> Septic Tanks:. , � � � � - - -� -- _ �
<br /> - US Envlronmental Pro#ectEon Agency-Asbestos abatement...
<br /> - Federal Avlatton.Authorl,ty,�Runways.-� .,: � _ ;
<br /> 1 under.�tand.that the,following::iestc#'ctions apply to#he use of fl!!:
<br /> - Use of fiti is not atlawed in°Flood,:Zone"V"uniess expcessly permitted. i
<br /> - If the:flll` mate�ial=is ��to<-6e-used:In-�Flood Zone. "A; tk�Is understood�that a dralnage plan add�essing ai
<br /> °compensating voEume°w111 be subrnttted a#time of:petmlttJng whlch is prepared by a prafessionat engineeri .
<br /> Ilcensed by'�fie State of=Flo�lda:. � _ �
<br /> - If #h� f�li mater#a#�Is to be�used In Fload Z�one 'A" In�cannection�vulth�a��er•mttted bullding using stem waliy
<br /> canst�uctimn, i certifjr.that flll;wall:b.e used only.to f11i#he are.a withln the�stem�wall: •
<br /> - If flll materlal Is to'be used In any ares, 1 �certlfy that use- af such flt! wlll not adversely affect adjacenti �
<br /> prope�tles. It'use of fill is f�nnd�,#o advetsely:�fFec#adjacent�prapertfes,.the awner may be ci#ed for vio�ating�
<br /> the condlllons�of the b�ll�tng;permlt Is`sued�under 1he:�attached„�permlt appltcatlon, for-lats.less=than�one (1)(
<br /> acre w#iich are e!e"vated�tiy 1�1�;a�t engtneer�d dralr�age ptac�is required. • �
<br /> If 1 am the.A�3ENT IFOR THE OWNER, I;promise In good f.alth#o f�form the��owner of•the permltttng canditlans set forth tnl
<br /> thia affidavtE�prtor to commencing con�tructlan. ! utiderstand #hat a separ�te permlt may be tequtred#or electrfca!`work,;
<br /> plumbEng,,signs� wetts,,pools;.air condltioNng,.gas.`or otMec tnstalt�ti�`ons not.spec�tcalty inciuded-in.the apptication. .A;
<br /> � perml!Issued shall be conshued to be'a�Ilcense�-to�proceed wtth"tFie,vv�ork and-nok��as:authoNty to,vlolete;�cancel� alter, ar!
<br /> '� set aslde any�pravisions ofthe.tech�lcal c�de�;�nor shall issuance�af a.pe�mft.pr.evenf th�e Bulldirig OlTtdal from thereafter�
<br /> requirin.g a carrectlon af errors-in;plans;-consti�uctlon or vlolatlons of-any codes. �Every p�ermlt lssued`sfiall beaome invalld�
<br /> unless the work suthorized.by such permlt:is.co�menced�w[thln sf�c.xmortths of�petmlt lssuanae, or!f work a�thorized by'
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<br /> the permtt is suspendad�or.abandoned,;,for.a;perfodyof�si�c;f8)montFis;:after the tirne.the�wo�k�is comm�nced.. An e�ctension
<br /> may be �equested,.In wrltln'g;.irom.tFie,`Bullding,Offlclal for a perlod:not to exeeed�nlneiy��(90)�days a�d-w1D'demonstrate�
<br /> Justt��ble cause for.the e�enslon. tf wock ceas�s..for nMety�90}�ns.ea�tive:d�y.s,..t�\fob��s consfdered aba�doned. i
<br /> �UARNMNG T4 QWNER; YOUt�..FAIl.t�tRE-.Tt1,.R�.GQ�tD.A,MQTdGE+DF.�COMM�i,lGEME�T�:NrAY-RESUf:T IN YUURt '
<br /> PAYINC TWtCE;FOR-IMPROVEMEI�a'S�TO;YOUR:PRi�PERTY.��IF�.Yf3.Uyl�1"fE�tD:T�'�OBTAIN��FIN�J�ii�ElidCti;�C.ON�UI.T�
<br /> WIT U D O. t� O PO. �,�, OR� �:' i�UR' � � E �E T' `
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<br /> F�ORIDA J!lRA�'>(F.S,1.17.03) ���``° ,. � _ _ ' G�^ . �
<br /> OWNER OR AOENT- � CONTRACTOR_• _ _ - -._ - -- i--
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<br /> -�u�sc`ribe�nti sworn�ci(o"r"a�iniedt aeia�e�ng fhts— ` �iibsaib'ed srul`�rtrto{o�afltrmedrbefore tna'ttii� °
<br /> br ,.by -. . _ .. .. . ,
<br /> WYio Islare personally known to.me or has/have produced Who.ls/are p., on�llyknown• e or hes/have•produced • ,. � �
<br /> as ldenU��Uari. as idttntlflcatton. - i
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<br /> Notery Pubtic . Y Notary Publlc
<br /> Commisslon Na: Comm si .t�o,
<br /> .�•;�iYes%a-. JACQIJELINE BOGES `
<br /> tdame ot NotarY tYP��PHnted or stamped Neme oi NotarY �p ���n FF 60422
<br /> :; �'a: Expires December 12,2018
<br /> , �'�;p���°:`��` Bonded Tlw Troy Fein Inaurenna 800.385�7018
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