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� <br /> � . ,� � +- <br /> . .. . .,. • � _ . . . :.�...:.::...:.:,.,;: .h:.��..,....�..-,.::�._ ..,�..;.. �:.. .. - _,. •.��-�.�:��.,��� .:���.. ,:: . � ,. .:.-, �;:. <br /> NOTICE OF DEEQ REST.RICTIONSf The underslgt�ecf,undet�tr�nds�ath�#s#hl�;p�rmlt=may.be:sub�ect.to:,.deed...restrfctions"�._._. _._ <br /> which majr�be>more�restrlctNe:�t#a��°Cauiitjr•�regulatfons:'�TFie�uNdecsigned�assume�'responsibllity<#or�compllance wltfi any��` � � � <br /> applicable desd-restrlctions. � .....:...:::.:� ,,.. . � , __ , _ _ _ .. � ..� . . --� <br /> UNLtCENSED°CONTRACTORS �AND CON�RACTOR RESPON3tB1LITtES:� -=t#-ttte��ovmer has-�hlced���a�`contractvr or <br /> i contractors to undertake work,.they may,b,e;reiquired�.to.�be:llc�nsed ln_accordance.with state.and,�local.regulations���If�khe�� -�' � - <br /> C contractor ts�not licensed-as�-requlced'6y lavir, bath #he cnnmer and con#ractor-=tiiary�be�ctted�fw�a=misdemeanor vlalatian <br /> under state law. if#he owner ar Intended:.cs�ntra�,tor;are;.uncertaln as to what Ilcen�ing:requiremen#s;may}�apply�.��for=the� �=� � -'�" <br /> . . ,..,..„ <br /> intended woik�they are�sdvlsed fo coritact the.Pasco Caunty Bulliling'InspecElon,Dlylslon--!_iaansing 3eation aE 727-847- <br />� 8008. Furtliermore, tf the ainrner��tias�titTeicl`a ciin'hacto�`or confractors, he is acivised to have �the cantractar(s),.sign. , <br />� pnrtions of the."contractar.Block`" of:thls._applicatlan_fo_r..which.they. wIQ.be.-r.esp.onsible.� If you, as=#he oitine�'stgn''a§`�the� <br /> _ _ . _ . � _.,. W.,_.��. <br /> cont�actar, that�r»ay..be an Ind€cation #hat`Fie'is no#properly liaensed�anc!`�Isyriat ent�eil"to perr�ii�ing privlleges 1n Pasco . . . <br /> County. ` �. . , ;,:,., ;, ,_ . <br /> TRANSPQRTATIC�N=IMPACTNTlUTlES�(MPAC'fi�AND��tE�tIURCE RECQVERX�PEEg:"The und"ei�igcied'ur�@erstands <br /> ihat Transportetion lmpac#Fees end.Reco.ucse Recavery.Fees may�;appty�Yta�ti�e construction of new.b.ulldings,�change'of'�' `'°` �'= <br /> use in existing buildl�gs,�or:�exp�r�si�n��of.eiiisfi�i�=bulldings� as speclfled.tn Pasco County O�Ilnance number 89-07 and, <br /> 8Q-�7� as amended.,�;�'he undetslgned atso:understands, #1i�t�such fees;_�as��rrtay;;b�•...dae;=will;�tie Identifted a#theatime':of� .. _x.. � <br /> permitting. It Is fuY'tlie��understaod that Transporkation Impaot�Fees and,Resourae:Recovery�Fees..mu'st be pald prior to � <br /> fece�vfng-a"certificate=ot�occ.�pancy"�ortlnal�power_..release:-:4�=the proj�ct.:does:.tiot i�volve<a;cert�Ei:a#e of occupancy oc��-:=:,�, ' ; <br /> flnal power.-release;;the�;fees-mu�t tie"paid",prlor ta:permit Issuance. F��thermore;�If PascowCaunty"INater/Sewer,<�Impact �- �a� �-° ' <br /> feesaredue,.they.must-be-pald:.p�lor�o.permit.iss�it�nce�in.accardancewlth-appltcatite:Pasco'.County��orilinances. • <br /> CONSTRUCTION'I:IEN"I:AV{►{C118pt8t 713�EIONd�St8#Ut88�as amen�i�d): if vatua�on of work is$2,500.00:or more, i� � �=,<< <br /> certify that I, �he. applicant,-haae.,been-.provided:�with~a-copy-of:the�"_Flor(da-��onstructton��Lien .Law--Homeowne�'s ' <br /> Protectton Gulde" prepar�d by the Fioi�da Depe�kmen#;o#Agrtculture and Consumer.:Aff�ir's. 1##he sppiicant Is someone .<<:� <br /> ather than th�"owne�', 1 certifji.,th�t J;;h�ve.obtalne'd;a eopy.of..the,above..rfescritied�;docu�ent;and;promise�,ln<goad:.faith to , . <br /> , .,.. <br /> deliver It to:.ttie.'owner":.p�iocrto=°c�mmencemerit:-'�, �_:; , _ . - , <br /> CONTRACTtiR'S/OWNER'�ARFiDAVIT: I.certify�;th�t�.ali�the�ir�formatidn�:in•thi�appilcatton is accurate and that ali work <br /> will'be done in compliance with all.appltcable laws regulating canstructlon, xontng and:land�development. Appitcation is <br /> hereby made tc� obtain .a.permit:�to�:do.:wa��`k4and;lnstallallon as indt�eted:�:..::1. cectify #hat no work=:or installatton has <br /> aommenced pr'tor to Issuance of�a perr'ritt"and that�.all work wll) be pertormed�ta meet standards of�all laws regulaking� , <br /> construction, Gounty and Gity cndes, zoning �egulatfQns� and land devebpment cegtslatlons�ln the Jurisdtc#iort. I�:ai'so _ � <br /> certify that I u�derstand that the regutattons of other gov�rnment agencles may�apply�to the intended work, and that it is � <br /> my responslbility ta identify�what.actions i must take:to betln:.contplla�ce:..Such:agencles!nclude but=a�e.not{Imfted ta: ; j <br /> - Department af�E�viranmental�Pro#ectiotrCypress`Bayhead�,�V�teHand Area� and Ernrironmentally Sensi#ive , I <br /> I.ands,WateNWastewater Treatment. ,_ ' <br /> - Southwes# Ftorlda Water Management ;Dfstrlc�Welts; Cyptess. 8syheads; `Wettand Areas� AI#e�ing, <br /> Watercaurses. - ' � <br /> - Army Corps af EnginaersSeawalls,Doc#cs,Navlgable Waterways. , <br /> - Department of,Heaith:'.& ReE�ab�litaflve ;Services/Emrironmental�.Health Unit Wetis� Wastevwater�Treatment,' <br /> Septic T�enKs.. � ` " ,.. _ , _. . - ` � <br /> - US Envlronmenfal Pm#ectlon Agency-Asbestos aba#emen#. _ ; <br /> Federal Avlat(on�Authorl,ty=Rurnvays,�� ,; ' <br /> !understand thaE the.followang;rostrlEtlons apply to tlie use of flll:• ' <br /> ' - Use of fitl is not allowed in:�Flood-2one"V"untess expressly pemnitted. { � <br /> - if the:fill �mate�lal-Is��to�`tie useds In��Flood-Zone. °A", '(t is understood that a dralnage plan addresstng ai <br /> pcompensating volume"w111 be submltted a##ime afypermifttr�g wh�ch Is prapared by a professianai engineer�. <br /> � Iicensed by"the State of'Florida: � ° � � �- . ; <br /> - 'If the flll materlaf Is'to�be�used In Ftc�od �orte 'A" It��connec�ion�wlth�s��erm�tted bui#ding ustng sfem wa1l� <br /> � construction, I certify that flll:�rall.b.e>used only.to flll#he area wlthln the�s#em�walL <br /> - if flA material�is to be used in any area, 1 �csrtify that .use. af;such fll! wlll not adve�sely aP�ect adJacent; <br /> properties. If,use of fill is#at�nd�.to adverseEy:�ffect�d)a�:ent��prttperties�.the owner may be cited for uiorating� <br /> the cond�ions�of_the buildtng:perniit issued�u�der the attached,��ermit application;:for_lots�.less�than:one (1)� <br /> acre w�itch�re elevated�6y flll,anr engltteer�d dralnage pla�t�1�requlred. . . i <br /> If I am the.AGENT FOR THE OIMNER; I;promise l,n,good f.atth#o inform the awner of�•the permitting aondftlons set forth In; <br /> thls affidavit'prlor to aomrnencing conshvction. I und.ers�land thst a�separake permlt may be required for electrlcal work,�� <br /> plumbing,.signs,welis,,pools;.atr conditloning�.gas, or other. tnstailitions not.spec�icatty included�in.fhe�apptication. �A; <br /> permit issued shail be cortshued to be�a�Iicense toYp�oceed wtth tNe work and,not as:authoNty�to,violate;'cancel� alter, ar� . <br /> set aside eiiy'provlsttins of the.tecti�itcal c�ades;�nor shalt tssuance�of a.permlt.pcevent the Bultdirig Oiflctal from thetea#ter� <br /> requlring a correction af errors In.plans,consti�uction,or vlalatlons of any codes:�.Every��p�ermtt lssued'sfiall become invalld; <br /> unless the wark suthorized.by such permlt.•Is.commencedwithln sF�c,mo�ths of perml#issuanae, ar Ef work aathorized by! <br /> � #he permiE is suspendad�or,:a6andoned;.f,or s;period;of�six�f8)�manti�s:aRer the time the�wa�k�is commenced.. An extenslo�i <br /> may be requested,.ln writing�.fram.tFie:'Budding.Otflcia'I-far a perlod'::not.to exceed'-ntnetjr�(90)"days a�d wiA demonstr�tel. <br /> �ust�iable'cause for.�#he extenslon: If wark.ceas+�s:for nlnepr.{90}cons.acutive:day.sr..th��ob��s constdered aba�doned. ' <br /> Y11ARNlNG TQ OWNEl�: YOUR..FAILURE--7t1=.RE,GOttD,A;.MO�'IGE:OF=•COMMENGEMEI►�T�.NFAY�RESULT IN YOURI � <br /> PAYfNC TW{C,E;:FOR:IMPROVEMEN:fi$•TO:YDUi�:PRt�3PERTY:�1F°YOU�Ii�"�Efi1D5T�'�OBTAtN�=FINI�wEtN6;'C4NSULT; I <br /> IT . D O: N� � O • FO.�+�� OR�1 �� OU ' : ,�_C "OF�rCONA1�lENCE�NfEN`�_—'='--.-.---�- ' --- = 4 <br /> -�:oRa�Aat����F.s:��T:oa�_ _ -- - . -__. . , t �. - � � <br /> f�./� � <br /> � ; <br /> 4WNER OR AGE�y�7�� �""�,-�-��� ,,,� CONTRAC _,� ' � <br /> Subst�ibed and swam ed)befiore tne lhts Subscxlb and' ot a�frmed}�befcit+e nte'ttii� s <br /> by y... . .. i <br /> Who Islare personally kncwn to.me or:,hasfiave produced Who.ls/�re:p. lyknown,to;me or_has!lhave�produced • � . <br /> as tdentlRcaBPo. � • as idenNl3caHon. - <br /> � , <br /> � Note Pubitc _ � Nota Pubiic � <br /> , ry ry <br /> Commtss4on No.`� Coinnnbsion.No, ; <br /> , <br /> Name at Nctaty typed,pttnted cr stamped Name oi Natary typed,p�tnted ar stamped <br /> _�;. <br />