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<br /> MOTiCE�E DEED t�E�TReCTION�: The u7�dersigned,unders�tac�ds;Qh�#�4hi�,.p�cmit.maytibe.subject to"deed"r�stelctlons":
<br /> which r�ay b�,r�or�.rest�(ctive.�th�n CounQy��egial�tCo�g: �7h�undersigned�-���ui�e�'respDn�ibiiity for corr�pliaric��vv�th"�ny ` ' "
<br /> applic�ble deed_r�s�ictions. .. :� .,�, : . .- � ' • , , . _ � � �� '
<br /> IARILICENSED�GONTF�IC1'ARS -�6ND CONTI��TOE3 ItE�PONS1�StSTIIE�:�=-If='#he �owner�has�'hir�tl"a =contracto� or
<br /> con4ractors to und�rtake w►ork, they m�y�be:r.e�quire,.d:.to-be,licensed ln�accordanc�.with state.and�local:regulations:�,If�the � �
<br /> contractor ts not Itcensed as'reqtalred'tay I�iiv, both�the o�ner and�oonQracto�f may��be��cited for a�mig��meanor viola�lon
<br /> under state law. Bf the owner or int�nd�d;;contractor,�r,e�unc�rt�ln a� to wh�t Itc�nsing.requlrement�.;rr�ay�-apply�`foc.the .� -� . -� -
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<br /> Utend�d in►ork, tHey aee advised to coril�ct:tFia;Pasco County,Building�ln�pection.Dtvislor�..-l:icen�ing Sectton at 727-847-
<br /> 80�9. Fu�th�rrraore, tf the ovener�has�hl�ed�� cocitracfor oP'contracQors, h� ts advesed to h�ve the �nt�actor(s) .sBgn .
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<br /> portions of the "�ntractor Block�.of,thia_application..for.vbhich_they.will be�,cesponslble., If.:you,_�s..the oiivri�r stgn�as the'`
<br /> contractor, Qhat-tnay be an indicatfon thaf'Fae 1s not:propePly licens�d"and-�is not�entitl�d`to permitting privNeges In Pasco _.,
<br /> County. . ' .._ .. , .. >:...; , � � .
<br /> T�1N�POItT�TiON�IAAPAGTIIlTILITIES`IMPA�7 AM�f�E�OURCE tiECOVEEtY�FEE�:� The undersigned uriderstands
<br /> 4toat Tr�nspo�t�tion Impact Fe�s:and.Recourse.Recovery,Fees m�y..�<apply:to�t�e constndction_:of new_bulldings�rychange�'of' � =- °' �
<br /> use in ezisting bulOd9�gs, or��expartsi�n�-of.:�xi�tin,gLb"uildie�gs, �s speclfied.Sn Pasco County Ordinance nurnber �9-07 and
<br /> 90-07, as amended. ,7�'he. undersigraed also:und�rstands, ttiat`�such f�es,-�s��rnay_=tie�=d��;.°:wlll:=b� (deriti�ed at the time�of -L'�� "`
<br /> permitting. !t Is fi�rther iand�cstood th�t Tra�spo�t�tfon Imp�cC Fe�s and�Resotarce'Recovery'+=Fees.must be pald pr6or 40
<br /> recetving-� °certifisate�of�occupancy" oe�flnal�power:rel�a�e.�:If�Qhe,proJ�ct.:do�s;not fnvolve�:a�.certfffcate of occupancy o�"'��"� "'
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<br /> fin�l povver releas�;;the��,fees rriu�t tie"patd p�1or to;permft Issuance. F��tk��rrnore;�if:Pasco Couniy�Vl�ater/Sewer��lmpact� � � � .
<br /> fe�s are due,,they_must.be=pald..pNor to,permit�•Issuaince°in accor�ance-wltFi applic�bfe_P�sco'�Countji ortlinances. �
<br /> �ONSl'i3lDCTION'LIEN°I.AW"(Ch�pter 713, Elor�da St����ea,��m�nde�9y: If v�luatlon of work is$2,500.00:;or more,:l� --._�
<br /> certify 4�iat I, the �ppiicant� have<been .provided �wi�h-a-copgr- of°dhe��"FEorida��Constructton� Ll�n °L'�uv=Homeowner's
<br /> Protection Guide" prepared by the Flotida Deperfinent mf Agrlc.�alture and Consumer�.Affairs. If the appllc�nt is someone-
<br /> oth�r than th�`owner", I cer��y-that,:l h�ve::obtaine��a�copy.qf the:above>.r���crlbed�docum�nt;and,p.r.omise��.in,good faith.to .
<br /> d�lover 9t to:the"ownec"�.p%9on:to�cornmencement:'•'� ' ' � � � ' ' - , , ��
<br /> CONYId�1CT�R'Sd019VNER'�A��IDmVIT: I.certify;:th�t-ail:,the�xlnf.ormation.:ira�this application is accur�4�.and that all work
<br /> will�b� done in core�pii�nce wriQh alE applicabl��I�virs regulating con�tructlon, �pnirog and�l�nd`development. ApplQcatton i�
<br /> hereby made to obtain_.a permit;Co do�work;::and lnstallation �s Indl�efed:=.�°I: c�nffy that no work-°or Instaliatton ha�
<br /> commenced prior to Issuanc� of�� permlt and that all �rork w911 be p�rtormed to meet.standards-of �II laws regulaking-
<br /> construction, County and City codes� zoning �egulations, and Eac�d d�velopment regtalatio�s�dn the jurisd(ctton: I aEso . _
<br /> certify that 0 under�tand that the r�gulations of oth�r gov��nmer�t ageneles m�y��pply�to the.intended work, and that it Is
<br /> my responsibility.to Identffy��rhat.�ct3ons I must t�ke:to bedn:.corrlplla�cs: S.u�h agencles include but�are.not Iimited to: ;
<br /> - DeparQment of E�vlronm�ntal Protection=Cypre��:°Bayli�e�d�, VUeN�nd Areas arad Erntronr;raentally �ensitive
<br /> Landsp W�terMlast�water Treatm�nt. -
<br /> - Southw�sQ Florida iMater IlAanageQnent. .DistrBct-�Veiis, Cypress.'+Bay,heads;� lMetland" Areas, Alteeing
<br /> Watercour§es.
<br /> - Army Corps of Engineers-S��walls,�ocks, Navigab0e Waterbrays.
<br /> - Department of Health�;8, �Ftehabilitative Servic�s/Environment�I..Health Untt 1Nells,:Wast�vdater�Tre�tment; �
<br /> Septla Tanks:. . � � - - � _
<br /> - US Environmental ProQectlon Agency-Asbestos�batement.:. �
<br /> - Federal AvlaQvn_AuQhorfty=Runways5'� - _ �
<br /> I unders4and thaQ the folloaiing:.restrictions appiy to tiie use of fillE:
<br /> - Use of ffU is not allowed in�Flood;Zone"V"unless�ttpr�ssly perna3dted.
<br /> - If the.--flll materi�l is to 'b.e-usetl.'In���Flood-Zone. �A", IQ is under�tood that a drainage plan addressing a
<br /> �comp�ns�@Ing volume"will be subr�itted at time of�p�rmlttir�g which (s prepar�d by a pr�fessfonal engQneer
<br /> Iicens�d by'the State qf;Fio�ida: � � � � . •
<br /> - If ihe 8ill materia! es to-:be used in Ftood �on� "A" in�connaction�vui4h�a perrnitted building using �tem wall
<br /> � construction, I ce�ti�j+.th.at fill.w�ll-b.e-used only.to.fill the ar�a withlra th�s4em•waEl: -
<br /> - � if flll rtnater0al is 4o b� used In any area� 1 �certify that .u�� of such flll will not adversely affect adJacent
<br /> p�op�rtle�. If us� of fi91 is f�und.to addersely.�ff�c4 adJa�nt properties,,the owc�er may be clted for vtofaiing
<br /> the�condl�ions.:of the bu6lding,pecmlt Is"sued und�r the�attached,permit applicatlon;�for:lots�.l�ss than.one (1)
<br /> acPe whfc6i aPe elevafed'by flil; a�engtne�red dealnagc�plan is requtred. , �
<br /> If I �m the AG@NT EOR TM�OWt��R, I;promise in good faith to inform the odvn�r of�th�permitting condftlons set fmrth In
<br /> thi� aifidavtt�prior to commeracing constructlor�. I under�ta�nd that a separate perrnft m�y b� requtred for elect�ical work,
<br /> plumbing,_signs, �noells, pools; air conditioning,-.gas, or otFaee install�tlons nol.spec�ic�lly included�in.the applic�ition. .A
<br /> permit i�§ued shall be constnded to b���license'to-praceed vv6th tFi�viwork and not-as:authoHty_to..violate;�cancel, alter, or
<br /> set aside eny�prodisions of ih�t�ch�lca9 codes; nor shall Issu�nc��of�.p�rrroit.pcevent th��ulldi►ig O�icE�l from 4herea�ter
<br /> requlr6n.g a cocrection af errors in_.plans; const�ctlon or vlolations of-any codes. Eveoy�p�armit-lssued sfi�l9 becotne 6ndalid
<br /> unles� the work authorized by such permit:is-co�rtoenced•t�rttht�.s_fjc.month� of permlt lasuanc�, or if uvmrk authorized by
<br /> the permit(s suspended.or:abandoned�for a:period;of�six�.(�)rr�ontt�s,:after'the�time the�wopk��s corr�menced. An extension
<br /> may b� ��quested, in writing, from�tNe.�uilding.Official for � period.not to.exceed��ninety(90)�days a�d�vorilf�demonste�te
<br /> justi�i�ble cause for.the extension, If work ceas��:for ninety.(90)cons.ecutive day.s...the)ob�is considered aba�adoned. ��
<br /> VV�RMSNG 7'O O�!lNER; Y�UP�.�AIL.URE.TO.,I�ECO.�t�.A:.�OTI��:O�:,.COMNIENC�EVIENT�.1�FAlf°RESULT IRl Y�UR
<br /> �AVING 11NICE;FO�:IRAPi80VEIIPIEN.�S-TO,;YO.t���:P���PER�7;V:��lF°YO.U=INT�0.D�TA���TAIN�FIPFi�1t��1NC;'CONSlULT
<br /> !!�€a3 lJ D O: AId� '1"r06tNEY� FORE�,- -O�� G�� OU °� , ���C 'OF`. �. E E . " T• �
<br /> FLORIDA JURA�(FcS:9.17. . - . — - -- - — �;— _: . . -
<br /> Oifl1lBVEtt O!�AOENY ` CONTIB�CTOR �
<br /> Subscribed and swom �Pflrtned ore me thls Subscribed aexi' m� (ot aflirmedpbefore me'tlit��
<br /> bY .b ..
<br /> WOio isfare personally known lo.me.or:hasR�ave.produc�d INho.lsl�re personally kt�own•to me.or h�s/have�produced •
<br /> �a Idbntlflc�tlon. es IdentlflcaUon. _
<br /> Notery PubEic . Plolary Public
<br /> Commission No: Comrnlsslon.No.
<br /> Name of tdotary typed,p�inted or stamped Id�me oi Motary typed,printed or st�mped
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