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<br /> N0T10E OF DEE�RESTRICTIO�S: The under�lgned,unde�tands�th�t:tt�l�.�p�rmi��may..be.sub�ect ta,"deed",restrtctlatis"_ .�p4....-,
<br /> which may=tie�more�r.estfictive.�th��CounEy`:r�igr�la`tCons:�TFie un�derslgned=as"sumes�responsiblllty�'for�compllancei�witFi-atiy� �`
<br /> aFp#lcable deed=resMctions. -. ���.:,•, ;,.:;-; -....= -, - � . .. ... __ ._. , � �:. . -. �
<br /> UNL.ICENSED•COMTRACTORS AND CONTRACTOR�RESPONSIBiCiTIES:� �°If�ttie�rnn►ner has�•hiretl���e`contractor or
<br /> oontractors to undertake work� they may<;be,;requlred�to..be;Ilcensed.In acc�rrdance.�nrith state.and,�local regulatlons:<�If<the�� = ��-��
<br /> cor�tracEtir ts nat-1lcetiserl=as roqulred."tiy laint, both�the owner.ariif��cortfr�actor�may°be�cited�fvr a.misifemeanor ulola8an
<br /> under state law. If the awner or intended�co,ntra�,�tor;er"e,:uncertaln as,to what Ilr,ensing;requlrements�meyL:epply';�for�the'� �°- =-��
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<br /> tntended"work,'they afe z�dviseii'to'contact�ttie Pasco CounEy,Bufiding,tnspectlon Dhrtslon�.-l=lcens#ng Sectfon at 72T-647-
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<br /> 8008. Furttiermore, if the owner�tias"'tiired�a con�iectai�'oT �coritrac#ors, he is advised to have the cantractar(s), sign. ,� . ,
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<br /> pnrtlo�s of the..°contractar.,Block"..of..fhis._.appllcation�for_which.they,..will.be.r,esportsible.- If:you,,-as:#he oininer_sign"as`ttie�
<br /> contrac#or, that irtay 6e an indicatian #hat'Ite'is no#':prope�ljr'11�+arised�ant��ls::nof`etiti##etl tm pettnitting privlleges In Pasca
<br /> County. - � ,;.z. � ,:: .-._ ,
<br /> TRANSPORTATIQN�IMPAGT/UTiLITlES=YMPAC'C�ANb�ltESOURC�RECt?VERY'��EES:��The understgried`tiiiderstands
<br /> that Transportatlon impaat feea:and.Recourse.Recovery.Fees may��apply:�ta�tfie;constructlon,of new.buildings,�change�of���`'���� ���
<br />�I use In existing bulldings;ar:expa►�`slon•��of=ei�tsti�i�:k�utldin�s, as specifled.in Pasco County Or'dinance number 89-07 and,_
<br /> 90-07, as amended....,The.undersigned also�undetstands; t1i�Et'such fees;�;as�may"be:..due;;�wi11�6e ideritlFed at the�'time�af�`;{ ����x '
<br /> permitting. It Is fiirthe�understood that T�i�sporkation impact'�Fees and;Resource�RecoVery��ees:.must be pald prior to
<br /> t8C@�VIt1g�8°cerf�icate.of�occupancy".,or�nat�power=release:; :i�°the proj�.ct:;does:rCot Invoive:a�:cert�icafe af occuparicy4o�.:.�F.�_.��=.
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<br /> flnal pawer.release;:ttie;fees�must;'ti�e'`paid.prlor.#o;permit issuance. F��thermore;�If:Pasc.v;�G.ounty°°Water/Sewe���impact �� :.t•�.°•��
<br /> fees are due,..they must.be:pafd�prior�o,permtr�lss,uarice�Jn.accordaRce wlttr:appflcatile=Pasco.Couniy�oriilnances. •
<br /> CONSTRUCTiON'I:fEN't.AYV"tCh�pfer 713,FioNda Statutea��s amerrdadj: Ifi vatuatlon of work ts$2�50p.OQ:or more, i �� .,��_
<br /> aertify that-I� the .applicant;-hay_e:been,proyided�-with.�a-copy�of:the�°Flarida� �onstructlon' Uen :Law. Homeowner's
<br /> Protection Guide" prepared by#tie.`Fioi��a Qepartment,of Ag�lcuit�re and Consumer�A,ffalrs. if#he appttcant is sameone . ; .
<br /> other than th�°owner"� I certifjrthat;,l.•h�ve.o�;talned�a�'eopy;of.the�above.des.crl�edtlocurr�ent;and:prumise-�In,good�:faith�to .
<br /> deliver it to:the:"ow�ie�'Wp9rior#o�cotiiiiteiacemenE:'�',,4.�_: - � ` : - - _ ,...: . .: .-. _ - . .� `
<br /> �CONTRACTOR'S/OWNER'S ARFiDAViT: i.cectity;:tii�t,ail..#he��iM�rmaticm:;l��thl.s applicatton Is accurate.and tha#all work
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<br /> w(II'be done in compltance with all-applicabie�laws regtilating construotion, zontng and:�land°developrnent. Appltca#ton is
<br /> hereby made to obtain.:a pecmit,:toydo,,wai�k�,>and,;�installatlon as iadE�ated��..;1.certify�tha# no waric�:or [nstaliatton has�
<br /> aommenced p�lor to Issuance of a pemiit"'and that':all�work wlll be pertormed�to meet standaTds-of all laws regulaxing-
<br /> construct�anM County and City cades, zoning regula#ianst and lanci developmettt r.egttla�ons�lri the Jurlsdlctlon.- 1-�a1'so .
<br /> certify khat 1 u�derstand that the regulatlons of other government agencles may�apply�to the.lntended v�ork„ and that it is
<br /> my cesponsibi#ity to identify•whak.acttons!must•take:to be=ln:.cotrfpllance: S.uc#�agencies lnctude but-are.nat Ifmlted to.. ;
<br /> - Department af E�vironmentafi=�Proteclion-Cypress.'Baytiead�; 1lYetland Areas and Environmentaliy Sensittve
<br /> Lands,WateNWastewater?reatment. �
<br /> - SauthwesE Flarlda Water M�Ra�Bti1@!t� .C?�5#�Ct-1N81IS, Cl+press.Y.8ay�eads; Wetiand� Areas, Alter3ng
<br /> Watercourses. ' ' '
<br /> , - Army Corps of Engineers�SeawaitsR Doaks,Navtgatile Watecways.
<br /> ' - Department of. Heatth,';& Ret�abilitative�.Services/Em+ironmental:-F#eatth UniE-Weli.s� Wasteu+r�ater Treatment;; �
<br /> 8e�tic�Tanks: - - R - �- � .�
<br /> - US Environmentat Protec#ion Agency-Asbestos abatemet�#. , •
<br /> ' Federai AvlattanAuthority,=,l�unweys}� � • � � �
<br /> ; t understand that the.foiiowing�res#rlctions appty#o tfie use af flii:� ;
<br /> � - Use of ifll Is not allowed 1n:��Flood,._;Zone"V"unless expressly.permitted. '
<br /> '� - If the fll! mate�ial-!s�to''6e usetl:'�In::Flood�Zone. "A", tE. is under`stood that a dratnage plan address(ng a
<br /> I "campensating vatume"will be submltted at#ime af:permitttng wh€ch is prepared by a prafessianal engineer
<br /> Iicensed by'tlie�tate of?Flo�ida:� '� . � � �
<br /> - If fl�� f�ll�material�Is�to�ba�used tn Flood �one 'A" in�cannec�lon�wlth�a�permitted bn11d1ng using stem wa14.
<br /> ' construction� I certify.that flU:w�ll:b.e used only.to.flll the area w(thin�the�stem�walL `
<br /> - if fl!I materla!�Is to be"u�e� !n any area� 1��cectffy that .use of',such f!!I wiil.not adve�sely affect adjacent
<br /> ptoperties. If use�,of fili is found.to adversely,afFect ad)acenf�pra�pertie��.the owner may be ct#ed for vioia#Ing.
<br /> the cond�lons�of the b�ilding;permit-issued•under the�atE�ched:permit appUcatton;�for_Jats less-.than.one (1)
<br /> aare whicl�are etevated�tiy fll�;a�t englneered drainaga ptat�Is required. � • �
<br /> If i am the.AGENT.�OR.THE OWNER; I�prnmise In good f.aith to Infarm tha awner of�the permltttng candftlans set forth in`
<br /> this affidavit p�ior ta commeracing constrnotion. 1 utiderst�ind that��separate permlt may be requlred#or etect�tcal'wark.-0 .
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<br /> ptumbing,,.signs,weils�.poois;,air condittoning,.gas, ac attiec instalt'�Nons no��spec�ically included-in.the�appticatton. .A�
<br /> permit Issued�hall be constcued to:be'a'license`ta�proceed with tFie,work and�nat�as:authoNty..to:vlolate;��cancel� altec� ar�
<br /> se#aside any�pravisions of the.tectintcal c�de�; nor shall lssuance�of a.permit.pcevent the Bulldlrig C�icial from thereafter�
<br /> requiring a conrectlo�af eRors-in„plans;�conshuctian._or vialations of-any codes: Every�petmit�lssued'sFiall-beaome inv�Ud�
<br /> un#ess the work aufhorized.by such permit:�4s.co�menced�wtthin siX�months of�pertnit tssuance, or tf work autharized by;
<br /> the permit is suspended�or:abandoned;for:a;period�of sUr:F6)monfF�s,:after,the:tim�.#he�work�is commenced. An eactenston%
<br /> may be requested� In wrfting,:from fFie;8uflding,Oftiofah f6r a pe�rlod.:not-to�ex'c'eed:ntnety�(90) days ai�d�will demonstr�tei
<br /> jus#�iable'caeise for.�#he e�ension: If work ceases,far ninety{90}cbns.ecutive�day.sr.#he Job�ls consEdered aba�doned. #
<br /> WARNING TQ QWNER; Y�Ul�..FAIUJRE<.TtI.R�.C4.E�'iD,A�=,1!�Q��:�GE:Q�.�Ct�MMENCEI!l�ENT,MAY�RESt1�T IN�YOUR;
<br /> i*AYING TWICE;FOR�IMPROVEMEN.'�S:TO:YOUi�::PROPERT':Y:r�l�°YQtJ�1�1'�END�T����JBTAIN��FINAwE1NG;'CONSUI.T!
<br /> WIT � -AIV�A� O O.E�.. ..A!�! f��- �U ' ° � E -- _ - - - ' - -
<br /> F�.OR{C�A JURA�';{F,S:t17.D3}. _ � , . _ - , , _;
<br /> OWNER OR AOE[�!� COM'RAC'i0 � �"—
<br /> Subscribed and swom ar aHirmad r�me is Subscxibed and'svuo to o afli }-b` �me##9i�
<br /> (2-?f7 by ' � S� (�.=.7-/ ?� .by... • . - .— c .fa
<br /> ��isl�te perso e y k own to.me or:has/have,produced WhaJ�r personalqt oam�tc,me-orheslhave�produced •
<br /> j�Q`�.i� � ` as 1d'enU�ceBpn. G��n c`Rat�dr3 as IdentiBcaUqn. _
<br /> Notery Publlc . Notary Publlc
<br /> Co � is on N Coinm .No. .
<br /> Natne of Notarry iyped,ptlnted or stamped Name of Notery typed,pdnted or stamped
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