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<br /> NQTfCE 4F DEED RESTRICTIQNS:. The underslg�aed.,u�a�r�tanas��ttt�t;thls>�p�tmif may4be,sub�ect:to,y°deed"vrestrlctloti',.s°, �� _;�j°,`,
<br /> which may-;be��mote��r,e"sth(ct(�re�tha�County'iqeg�ilat(ons. �'TFie�under�igne.d�assume's'responslbiltty='far`coinplianc+�`with a�9y �� ��
<br /> applicabte deed'restrlctlons. , :.. ' .: � � � � �.. _ : � . _
<br /> UNi.tCENSED�CONTRACTtlRS :AND Ct�NTRACTOR RESPONSIBILITIES: �=f€�the��avmer`has`�fiireii 'a �c:ont�actor or
<br /> coM�aotors to undertake work, they,may-.b.e.:re�qu;ired,to::be;ltcensed ln.accordance_with state�.and_•lacal,rogulations:�if�the�� �' � ���-�
<br /> contractor is not licenseif-as�rr�qulred=:tiy law� tiotli the�owr�er and>con#ractorfmay�be�ctted for���mis�emeanor vlolation
<br /> under state law. If the awner or Intended�,contra�tor;are,:uncertain as to what Iicensing.requirements;mey=:applyr.�or.=the� �
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<br /> fntended iiviirk�thejr are"aclvlseil;"to'cciritact the,Pasco Connty_Bullding:.inapectlon�Dlvlslon-l:.Icensing 5ection at T27-847-
<br /> 8008. FuttFiermore, if #h"e avirner' tias�tiir�ed`a conVacfof'o��contraators, he is advised to have -the cantractar(s),,sign , ; , ,
<br /> portions of the:"contrector Black°.of..thls,..applicatio�-for.which,.they.wilt b.e...r,esp.onslble:- If:you;�:as�he owne�sfgn�"a's"the'
<br /> cantractor; #1�at��may Eie an indica#iott that�'fie is`not.properlji ltcensed-a�iif�IsYiiot en#ltleci to permit#Ing�priiillegeis tn Pasca ,
<br /> County. ' .. .. . , ,<:.1.�.. .
<br /> TRANSPORTATlON-1MPACTlUT11:i"�IES��CMPAG'�ANl��ItESO!l�tCE RECQVEEtY�FEE�: The�und�rslgned�ur�derstands
<br /> thatTranspartattan impact Fees and.Reca.urse Recavery_Fees rriay��appty�,M�t�e,�construc�on_of new_buitdtngs,.changercif='�'t � :t�= 'A`
<br /> a ,.,
<br /> use In exisNiig bulldings;�or:.expar�si�n�rof�e�iisti�i�'�builditigs, as specffied.in P�sco County Ordinance number 89-07 and
<br /> 90-�7, as amended;,:;The undersigned also:�uRdetstands; thait�such fees;.;�is�tnay�be:tdt�e;=wll�abe tdenti�ed at the�time�of`� u .
<br /> permitting. It is tu'itfier understood that Tra�isportation Impect Fees and�AResource;Recovery�Fees.mu'st be paid priar to
<br /> recetving-a "ce�f�tcate.of accup�ncy"-or�#inai-power;�elease: �:4��`Ehe.project:;does�.no�tnvoEve�a�.cert�tcate of occupancy��or�=:�:�_ � ,
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<br /> finai power.:release,=�,the:,fees:mu�t;`be paid`;pcior to„permft issuance. Futtk�ermare,�If:Pas,co;County��Water/Sewer�,lmpact � ����_, �
<br /> fees are due;_they_must;be=pald:,pcior�orpermit:fs.s.yance:ln_accordance.wttli�appttaabte Pasco',County ortllnances. �
<br /> CONSTRUCTION"ClEN`i:AiN{Chepter 71�,�tor�da Statut�s,�s amended): tf vaiva�on of work is�2,500.00:or,mpre,,.i° . - ��,:
<br /> certify tFiat I, ihe.-applicant,-have.:been provided��with.--a�-copy-=of:the .".Florida��Constivctian� Lien�Law--Homeowner's
<br /> Pro#eotton Gulde" prepared by=tlie�Flo�tda.Dep�rtment.of Agrlcut#�re and Consc�m�r.Affairs. If the�pp[tcant Is sameone
<br /> other than the°owner", I cert(fiy;that.l:_h�ve,obtainedia'���ciipy.of.thefabova-.des.cNbed tJocui�ent°and,p,camise:.in,goad�,faith.to ,
<br /> d@IIVBC It t0.�il@;`OWl18t"..pt!�Of'iMYCOfT�iti!@fiG@tii@fit: '` _ . .. _. - -' ' - ,. . . _ f. .
<br /> GONTRACTOR'S/OWNER'S AFFIC►AViT: 1.certify.�,th:a#�.a1l,the,,lnformatiqn:;in�thi�application is accurate and that ali veror'k
<br /> will'be done in compliancs with all.applicable laws regulating oonstructlon, zonfng and��land�development. Appl(cattan is
<br /> hereby made ta obteln .a.permtt.�to.�do�wor.`k;and�insfalla#ion as Ind{�a#ed;.>�:1� ceitifjt�that no work-=:ar Instatlafton Fias
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<br /> commenced p�tor to I'ssuance of'a�perrtiit and #hat.all work will be performed�ta mee#_standards�-of all laws regula�ing-
<br /> conshvctlon, County and City codes� zoning regulatia!ns, and land devebpment regtslaUons�In the jurisdfation. l:alsa
<br /> certify that I understand #hat the regulations of other gavernment agencles may�apply�to the.lntended wark, and that it is
<br /> my responsiblHiy ta Identtly�what.actlons 1 must�take:to,besln:.corrlpllance;�S,uch agencles Include but�are.not Ilmlted to: :
<br /> - Department of Et�vironmental>fProtectton=Cypress.'Bayheaci�, titileHand Areas and Environmentalty Sensitiv,e
<br /> Lands,Water/Vllastewater Treatment. � �
<br /> - Sauihwest �{artda Water Management.Distrlct Wetts; CYpress.Y.8sy#�eaiis; �Wet#and Areas, A#tering
<br /> Watercourses. �
<br /> - Army Corps of Engineers-Seawalls, Docks,Navigable V4laterways.
<br /> - Depar�ment af Heaith,.,.8 Rel�abilitafive Ser,.vicesl,Envitonmentat. Nealth Unit Wel[s; WasteHrater�Treatrr�en�, �
<br /> Septic Tanks.. _ . � � .
<br /> - US Envlronmental Pcotea#ian Agency Asbes#os abatement. `
<br /> Federal:Avlatton,Authority-Runways:�°,,� � � � .
<br /> t understand that.the.foliowfng:restrictlons appty°to�tfie use a#flll.• .
<br /> - Use af fill is not atiawed In'Ftood:Zpne"V"untess expressiy_permitted,
<br /> • If the.:�ll�'m�ate�lal�is"to� b:e used'�In:ti�Flood-Zone. "A"� if. is understaod that � dratnage pl�n addressing a
<br /> "compensating votume"will bs submltted a#tlme of��permifting whlch is prepared by a prafessianal engineer
<br /> Ilcensed by the;State of`Flocida:.�� "' �;� � � � � �=- � �
<br /> - , !#th� fili-matetiai-ls=to�:be�used ln Flood �one 'A° in�connea�ion�wlth�a�er.mitfed build3ng using stem wa11
<br /> � construction, i ce�ify.that.fiil:�rail:b.e-u'sed oniy.to.flll the area wtthln�the�stem wall: � , '
<br /> - If fill materlal-Is��to be used In any area; ( certtfy that .usa of such flll wlll not adversety affect adJacent
<br /> properties. !f use,of fill Is founc#to aduersely:�ffec#adJacent�prc�perties�.the owner may be ci#ed for viola#inH
<br /> the conditions_.of,.the"building�permit Issued�under tha attached��ermit applicatfon,:.for::lots��less than.one (1)
<br /> acre wtitef�ai�elevated'by fl1l,��t englneered drainage plan is requlred. . t
<br /> If I am the AGENT FOR Tk1E aWNER,.I;.promise In.good feith#o inform the owner of•the permitting condi#tons�set forth tn
<br /> tMs affidavlk'prior ta coinme�acing construclivn. i u�a��s��,a tnat��separate petmlt may be reqatted tor electrlcal work,
<br /> .�. t..,__,,,�.
<br /> ptumbing;,_signs, welis�:poats;:air,canditioning,.g�is, or other instail'r�ittons na�,spec�icaliy inciuded•in.the application. .A
<br /> perm(t Issued 5hall be construed to�ie��a�license`�ta�-proceed with tNe:�work end-nok��as:.authoNty.:to,vlolate;�,cancel, alter� o.r
<br /> set aslde aiiy"provlsions of tFie teclinEcal-code�; nor shalt tssuance�of a.permtt.pr.event the Butldlrig O�fldal from the�after
<br /> requlring a correction af.,eRors 41n;:plans;_constn�ctlan..or vlolatians of-any codes. .Every•'�p�ermlE issued sfiall become invalid
<br /> unless ihe wo�k authorizei!by such permtt:�is.commenced•wtthln sfX�months of permlt issuanae. or if work authorized bp
<br /> #he permit is suspended or.abac�doned-f,or a;period�of sl�c:�)innnfFis,:after,the":tirr�e the�woi'k�s commenced. An extension
<br /> may be requested, in writing;;firom.thie��Building,�fficial far a period'�not.to�exceed�ninety(90) days and wlll deimonstrate
<br /> �ustl�abie cause for:�the extenslon�. If work ce�ses,for nlnety.{90}consecutive:day.s�..the�ob�is consldered aba�doned. '-
<br /> WARNING TO CIWNER; YOUl�..EAILElRE•,TO.,R�E.�C►t2Q,A�;M�TdCE OE:�G4MMEMCEMENT�.MAY�RE�U�T 1N Yfi►UR
<br /> PAYING TWICE<�'OR=IMPRQVEMENTS,Tfl�YO,UI�;PROPER�IY:r�1��.Y0.�{I�t�'E�1IT:TQ��iBTA1N�fIN�►(�E1NG;�G.ONSULT
<br /> WIT U AN� � O N FO.E��.�, _ ;R�1 �:; pU ' ; ;�C , � ..- •" E ,E � T. -,
<br /> FtQRIDA.Ji1RA'!?=(F:S::117.03)_- - -� "__ __ _ - • , " _. - _ .. . �`-— - _ .. _ . -Y-- ,
<br /> OWNER OR Af3ENT ��L���.=T.:�- ���'J CONTRIACTO • � ^ �j,,,„..��
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<br /> Subsaibed�nd swom�o(or a�irmed}betore me thls Subsctlbed'erid' �► t ef�rmed)•befors me'Oif$�'��
<br /> by r1tt,�,�.� �(�,�.� ' ',., ..by�� r. .
<br /> 1Mio Is/are perso�ali nown to.me or'has ave pr!oduced Who.ls/are p.erson811y known tty me or haslhave�prodiiced •
<br /> ' �s td'entl�ca8on. as tden��catlan. - _
<br /> Notery Pubila . Notary Pubilc ,
<br /> Commissi�n No: C�inRit�stan.No,
<br /> IVame o1 Natary typed,pr�nted or stamped Name ai Natary typed,prtnted or s#amped
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