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<br /> NATtCE OF QEED RESTRICTIO�S: The anderslgne�t under�tattds°.�tiw#�#hl�.°��rmtf-.ri�ay,be,sub�ecfi to�"deed"_cestcictioii's°� .� ^ - -"
<br /> which may�be=more�%est�tctive=tha�Caunty�negulaflons:n�The unde�fgned`assui�es'resp�nsitiility for compilanc`e with ainy �� '``"'`�`�
<br /> app#Icable deed-restr3ctlons. ' �.., ...�- - " ", . . ': , r-- � �,�=
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<br /> UNLiCENSED�CONTRACTORS ANCi CCINTRIA►CTOR RESPONSIBtLIT'IES: }ff-the��owner'has-�hiredY�a"contractvr or �
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<br /> contractors#u undertake work, they mey.b,e�r�quir,e;dj:ta<be,ltcensed-In;accordance.wtth state.and;:lacal.regulation_s.:,"Ifrthe�� �� � �
<br /> +contractor ts�not l#censed as�Fe'qulced"by lainr, botii #he owrter anif=ccinffactor�rnay;fye--clted�for a=misd,emeenor vloiatlon
<br /> under st�te law. If the awner or Intended„cont_r,a�,tor are;;uncertain es to what Ilcenatng.require�nents:may�appiy��for��the`� -, � F�'
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<br /> intended work.#hey a�e��itvlsei!to coritact the,Pas+ca County Buililing`Irtspectlori.DfvlsEon-L6censing 3eation at 727-847-
<br /> 8008. Fii�ttiermore, if the awr+er'fias'hffed�a conl'acfa�'ar contractors, lie is �iivised to have ;the cantractor(s);,slgn . ,y., ,
<br /> portlons of the"contracta� Block�.,of_this�appllcatton�for:�+hichthey. will..be:.�regponsible:µ.If:you;�as-:#he owne��'`sign"as''the� � ` "' �
<br /> cantractor, that,�rrfiay.be z�n indicatlon#I�at'he°Is not.grope�y Ilcensed�antf�ls'riot ent�ed fa parmitt�itg prtuileges In Pasca
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<br /> TRANSP�RTATlON-1MPAGT/UTILIT�ES��IMP�kC't�ANb ItE$OUltCE RECOVERY��EES.�T�he under�lgite�"understands
<br /> #hat Transpartation impact Fees and:Reco.urse Recovery�Fees:mey�.appiy�ta�tfie,constnuction,af new.bufldings;,ychange�rof�'%�`'°' '`�
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<br /> use in existing buildings,�oc�ezpansi�n���of�exlati�iy.ibulldings� as speaffied.in Pasco County Ot�dlnance number 89-Q7.and
<br /> 90-07, as amended:,�,The undetsigned also,understands� th���such fe.es,-.a�t�najr:ae•:due;�,willt�be idetittfied at theht�me�of�=�, .�-'; :
<br /> per�ikting. It'Is furthier understood that T�i�isp�orkatlon Impact'Fees and'�Resource_:Recavery�Fees must be pald prlor to
<br /> rece�ving�a_"cecfiflcate��of-occupancy"�or��tnah-powe,r_.;�lease: :1f�the.projec#:do�s.�tio�Invotve=a:cetti�cate of occupancy;at"`.}}��,' `::
<br /> tinal paverer:r�lease,_the,;t'ee`s�mu�t''tie"pald;pr�lor to;,permit )ssu�ance. Ft��thermore;�tf:.Pasco,_C�►unty`°Water/Sewec��lmpac4� .�$������
<br /> fees are due,,they�tnust.be,.patd::prlo.r,to_permlt;lss,t�ance�ln.accordance.witfi�=�ppltc�ble Pasco�.Countywotdlnances. �
<br /> f�`OAlSTRUCTION"[:IEW'LAW�C118ptBrP T13�FIO�dB StBttit�8�a�amend�): if valua�an of work is$2,500.00;,oc more� 1�� � . =�:.�:
<br /> certify that I, the .eppllcent;�hav.,e,be.en�:provlded��with-�a�=copy�of the �".Flarida°�onsti�tictton� Llen .Law .Homeowner's
<br /> Pratectton Gu1de"prepared by,�tlie Florlda Ctep�a�menf of Ag�lcult�re and Consum�r:Affairs. i##he appEtcant ts somea�ne; ,. .
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<br /> ather than the"owner", I certifj►„khat„I.ti�ve:o�#alned�a�copy;of:tbe:aboya.des.e�ltiied'tlocu�i�ent�and;pro�ilse�,tn;goatl:,falth�to , .
<br /> deliver It to:.the'owrier"�piriot�`toYc+ammeraceme�it�=,,': °.:°� . .- � . .. .. _ . . . . . • . § _
<br /> CONTRACTt�3R'S/t'�WNER'S AFfIDAVIT: i.�rt�y<;<that-atl:the�inf.ormatlon.;ln�this applicatton is accurate.and that a0 wark
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<br /> will'be done in compliance wlth �II.appltcable laws regiilafing constructlon� zonln� and�land`�development. Appltcatlon Is
<br /> hereby made ta obtafin .a permit:;to::da.=°w�t�it:<,and,installatlon as indtcafed:�.=.=:1.-certtfy ttiat no woric�°or Instaltatian has
<br /> commenced p�lo�ta Issuance of�a permit��and that�all�work wlll be pertormed�ta meet,standards�of�all laws regulaxing�
<br /> conshvctbn,, County and Gity codes, zantng regulatlQns, and tand developmen# regt�la�ons�tn the jt�risdtc#Eon.� If;al'so _ �
<br /> certify that I understand that the r�gulations of other government agencles may�appfy�#a the.,lntended work, and that it is
<br /> my responslbility ta identifj+•what�act(ons!mast-take:to be,ln�corrtp!lar�c+a..S.uch:agencles!nclude but:are.nat Ilmiter!to. • ?�
<br /> - Department a� Ed�vlronmental�P`riite�tion=Cyp'r`ess:`Bayheaii�,- Wetland Areas and Environmentaily Sensitive
<br /> Lands,WateNWastewater Treatment. - ' "
<br /> - Southwest Flarida W�ter Managemen�-.C�fsUict V41e11s; Cypr�ess.'_8�y.�eads; ;Weflr�nd Areas, Altering
<br /> Watercaurses. . " �
<br /> - At�my Corps nf Englneers-Seawalls�Dacks,Navlgable Watetways.
<br /> - Department.of,,Hea1#h .8 .ReFaabllitafiv,ie;�ervices/Environmentai-Fleaith Unit Well.s,.Wasteviraaters Treatment,�
<br /> Septic T�ntis...,� _ , ' ' � '- _ ._ ., ... _- ,
<br /> - US Envtronmentai Pt�otect�on Agency-As6estas ab�Eemen#.,_.
<br /> - � -F�ederal Av.,latton;Authorlty,kRunways:� �< <. W �
<br /> t understand.that thewf6liowin�;rest�lctians appty to tfie use of fll1.•
<br /> - Use ofifitl is nat aHowed�in'FloodaZone"V"unless expressly_permltted. �
<br /> - If the,.fi0�materlal-1s�to��b.e-used:.ln-�Flood-2one. "A"� (t. Is understood that a draln�ge plan addrssstng a'+,
<br /> "compensating volume"wlll be submitted at#ime of�,permifting wF�ish i� prep�red by a professianal engineer�
<br /> Ilcensed by#he Stake�of;flarlda:� � -. � � �•�� ;
<br /> - If'the�f�ll m�terlal���s�to-:be used in Ftood �one `A" tm c�nn�ction�oi�th�i¢ermltted bt�llding using stem walis
<br /> aonstruation, l certify�th.at flll�:wall.b.e�used only.to.flll the area w(thln the�stem�wall:
<br /> - If flA materla!�(s to�be used tn anjr area; ( certlfy that .use. of,;such fll! wlll no! adversely afteat adjacent�
<br /> prope�tles. if use;of filf is#�und�,to adverseFy.�ffect adjaEent��prctpertie.s�.the owner may be ctted for ariolatingE
<br /> the condllions,�of..the buildtng;permlt�ls'sued�under the�attaofied.,.�ermlt �ppllcatlon;�for=lats�less than.one (1)�
<br /> acre-wt�la�are etevate�d�by t�11;a�r englneered dralnage plan Is required. • i
<br /> If I am the,AGENT FOR.THE OYMNER,.Itpromise In good f.atth ta Inform the awner af�the permlt#tng condltlans set forth In1
<br /> this affidavtt`pHar to commencing cvnstructlon. '1 under�t�ind thet a,s�parate permlt may be requlred for.electr#ca#'work,��
<br /> plumbing,=..signs,wetls�.pools;. air canditioning,.ga,s,� or otMer: instalt`�tions no�.spec�tcatty-induded�in.the application. .A�
<br /> permlt Issued shall be construed to 6e'�a�Ilcense'�ta�proceed witb tFie:wor'k and�:not-as:authoNty.to.vlolate;.:cancel, alter. ar�
<br /> sei aside aiiy pravtsions of tlie tectinEcal.cade�;�nor sh�tl tssuance�of a.permit.pcevent the Bultditig O#Ffdal from thereafter�
<br /> requtrin.g a carrectlon af:errorse In;plans; constFuctlon.or vlalattons bf�any codes. .Every'_p�ermlt�Issued`sliall be6ome invalld(
<br /> unless the work aulhorized.by such permlt:�ts.coEnmencedwlthln sf�c�m.anths of�permlt lssuanc+�, or If v�ork autharized byi
<br /> #he permit is-suspended�o�r•.abandoned;for.�a;pertod;of�six:f8}�manti�s:afte�;the tltne the�wo�k�i�commen�ed.. An eactensian�
<br /> may be requested,.In wrlting;>from.tlie:'B�ullding."Offlclal far a perlod:��ot.to exceed=ninely�(90)�days and wlll demonstrate!
<br /> �ustlf�able caus�for�#he extens#on. If work.ce�ses..for nlnefy{9�}cons.�cutive day.s,..#he jcb�is cansldered aba�doned. ;
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<br /> WARNING TU OVkINEf�: YOU��EAIUJRE-.T4..li�.GOltD,A:;.1�QTdGE:QF�CQMME�IGEMENT;M'AY=RESUlT IN YOUR} �
<br /> PAYtNC�TWICE,I�OR tMPROV�MENTS;?O�,YOUR::PROPERT1f:;�IF�Y0. �IiVTENCt�'TO`�QBTAIN��FINAI�ETNC;�CONSUI.T? �
<br /> WIT U � D O. � N � O El� FO.Et.��OR�1 ��� .�1 �� --�_ -- —
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<br /> �c,f}iif3r"i,f#AF�A�'(F:S.'P.1T:03 - — , „ � : . � . �
<br /> OWNER OR AGENT « QONTRAGTO � � �
<br /> b . tt�ned�erfa �me'�t$. � : !
<br /> Y } p rl� lo,.(��""'
<br /> Who Is/are personall,.kn to.me or has/ha e p duced Who.�are etso allyknou�m�to ' � �� �'.�� �� ?
<br /> n.a:or haafhave•�broduced -• < <
<br /> = as Iden$ftce8on. ss Eden1�icaHon. —
<br /> Not�ry Pubnc . � y Natary Publlc
<br /> Commisstart No:` Commtsslon.No, , , ,
<br /> Name ot Notaty typed,ptlnted or stamped Name of NoEa�y iyped,p�i»ted or s#smped �
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