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� � . q , , � <br /> -. , . t _ .�c. <br /> NOTICE dF DEED REBTRiGT10NS; The undecsigned;under�tands�;tha.<th1s���cmlfLLmay;be,subject,ta,°deed"�restr�ctEons"�� - <br /> wh(ch may�:tie=more:�restHcttve th��'Gountj,i.��g�ilsit�ons:�°THe�underslgnedkassumes;resp�nsibiltty�'far'com�lianae"with`�ny"``��"`""'`""y <br /> appllc€�bledeed:restrictlons. �- � �: �..,� _:,� :..>: - �: - -. .. .. ..... �: '. , ... <br /> UNLICENSED=".CON�ACTORS AND CC�NTRACTOR�RES�PtiNSIBIC�rTiES:= -•ff�the°�oiw+ner-has��hirei#��a c�ntractor or <br /> , . ,, . , .- . _ . <br /> contractors to undertake work, they ma •:be�r�qulre.d:�to,be;ltcens"ed'In-.a . ' rdance:with,state.and`local regulatl.ons.:���if the��-�'' � �:'y° <br /> Y -,- ...,. �! �..:,�.,_�,Y,�.a.,4..,�... .. . <br /> contractor.ls not 1lcenseif�=��-�requlroi�,"�lavir, tiath�the o�nmer�nd:'coai= . ctor;may�bsaclted�for�a�mistf�rineanor violatton <br /> under state law. If the awner ar Intended:,,r.Rntra�tor,are�uncertaln as t what Ilcenatng.requirements Rmay=�apply�v�for:�ttie�� � '�-�=r� <br /> . � � ,� _ .., <br /> T...... • ,.,. . y <br /> intended woi�k,tliey are advlged'rto=coritact`tt'ie'�Pasco�Cnunty�Building;'ln.�pect#on;Dlvislon�-l.tcensing Sectfon at 727-847- <br /> _. ,.}_.,�., <br /> 8009. Furttiennore, �If the ouvner`fias'Fiiroil a con�acfo��o� con�actors, he is advi�ed to have �the�c�ntractor(s},,.sign= „ r.� ,k <br /> portians of the.°c.ontractor.,8lack°.of.thiswapplic�tionrf.or:whlchnthey._will, eN,r,.esp.onslble., If..you,:as�#he ovimer sign�was'`tFie" �� ' <br /> contractor, that�rnagr�be an Indlcation that`iie Is'iiot grope��y-lica�sei��an�'�I's'�not.erifl#led.fo permiftirig pr6itlleges In Pasca <br /> County. ' _z �, ! • , �•„�,-;rk : . <br /> TRAN�PORTATlON-1MPACT1Ui'ILITIES>CNlPAC'�f�A�tC!ItESt�U�tC�R�C01tEltY fEES:��T�he�nders(gried�undetstands <br /> that Transportation impact Feas and.Reca.urse Recovery,Fees,may:�app7 .�to�tfie;consbvction:of new_bulldings,�change of`�=��=� '�,. <br /> use In existing buiidings� or:expar�si�'n^of�ezisti�ig:�buildings, as specffie�.tn P�sca�County Ot'�inanoe number 89-07 �nd <br /> 9o-�T, as amended,;�,Th� underslgned also;_utiiletstands, tliait=such fees,;;as,�nay:'b�:.due;rwllt��� �a��t��a at tn��t�m�;�a����: {5i:-�, <br /> permitting. It Is furtlier understood that Tra�sp'ortation Impaat Fees an.`��4Resour,ce'Rec`overysFees..mus� be paid priar fo <br /> rece�vfng-a"cerftflcate of-�occupa�cy":ar°#inaiypower�elease.��..1€�the.proj,..:�:.does;no�tnvoive<a::certlficafe af occupancy-oi�=�- ;���:;�.�° <br /> flnai powerwreteas�;�-,the�;fees;mu�t':tie"paitl':pclor#o.�per�mft iss4�ance. F� k�erma�e;�°if Pasco;County`Water/Sewer�;lmpact ��=-�.°��� <br /> fees are due,rthey.must.be:palid;prior to:.permit:fs.s,uance;:in_.accordance w th�appllcatite:!?asco'County=ordl�ances. � <br /> _ . _.�_ , <br /> CONSTRUCTION ClEN�t:AVil{Cti�pter 713��lor#tla St�tutes�a�amen ed): tf valuaHon of work is 52,500.00;or mpre;t� �;z;� <br /> certify tfiat -I, -the applicant,�have been provided��with-a��copy�of;.the�".Florida-Construction�:L-ten :Law—Homeowne�'s <br /> Protectton Gulde° prepared by�tKe Fioi�tla Dep�ttmenf of Ag�lcultu�e an Consttm�c,,Attair"s. 1##he appttcant is someone��.,.. _, <br /> ..., . .. . ,. <br /> other than the°owner", I certifji4that.,l;�h�ve,,optained�a�aipy:of.thetaba�ve:. es.critieid:�docui�ent;;and;promise��in,gaad,:faith.to , <br /> .. . . <br /> deliver It to::ihe�•.,.owner:*�piior._=to>comrrieticemerit:"r� �"`. .� ' .` , ' . .� " � _ . <br /> ,:.. . . . . . . _ ..,.,.,,�, , ., ; <br /> CONT�tACTOR S/OWNER S AfFIDAVIT: I.cei�kiiy:�that;ati.,the�,lraformati_ ��,in�thi�appltcation is accurate and that atl work <br /> will'be done in cam liance with all.a Iicable'laws re ulatin constructi n, zonin and:�land°'devela,me�t. A llcatlon is <br /> P pP 9 9 9 . . �.. � P _� Pp <br />( hereby made_ta ob#ain.,.a permita;to:,do_w�ilc;�.and,�ins#�Ilatlon as Ind�. ted���,.�1� c�it�y'r that no work�.or tnstaHatlan fi�s <br /> commenced�prior to Issuance ot'a permit""and that=:all��vork will be pe�rmed to meet.-standards-of all laws regulating� <br /> construetton, County and G�ty codes� zoning reguia#tans, and land dedebpme�t# r.egt�latlon"s�in the ju�isdtctian,= 1��ai's.o� <br /> certiiy that I understand #hat the regulatlons of other government ager�cl s may•apply�to the.intended w�rk, and that it is <br /> my responsibility to(denttfjr�what.aottons 1 must take:to be,fn:.corrRpllance,5uch:agencles lnalude but�are.not ilmlted to: : # • <br /> - Departmen# of E�vironmental�tPratection=Cypiess.Bayhead� �Ni/ettand Areas and Environm�ntatty Sensitive <br /> l.ands,Water/Wastewater Treatment. ,� : . <br /> - SouthwesE Ftarlde W�ter Management .D�s�1c#-V1lells; � pres�. 8ay.heads�� Wettar3d Areas, AAtter3ng <br /> Watercourses. � � � �� <br /> - Army Gocps o#Englne�rs-�eawalls�Docks�Nav(gatile WateruVays. ' <br /> - Department of Heafth:;.8,Ret�abltitafive.Servicea/Ernitanme �al=FleaRth-Unit W�at{s; 1Nastewater Trestmerrt, <br /> Sepflc Tanks:. ` " :� � '.. " . ; i <br /> - US Envlronmental Protectian Agency-Asbestos ebatem.e,nt.:_ � = <br /> _ Federal:Avlativn:Authority.yRunways��.:;;.. `, � � <br /> f understand,Ehat the..foftowing;�r�strJctions aiRPty to ttie�use of fll{: ; <br /> - Use of fiti is nat allawed in;Ftood.�Zone"V"unless expcessty_p rmltted,_ � <br /> � - If the�:flll"mateHal�:ls`to��`b:e�=usetl��ln-�Flood-Zone. "A", It. (s understood that a drainage plan addressf�g a <br /> ! "compensating voium�°rnrlll be submlt#ed at#ime of 7perm3ttlt��wiilch is prepared by a professionat engineer- <br /> � Ifcensed by�#he:State of:�lorida:. ;s' '' �� - .� � . ; <br /> - !f th��f3A mabarfal�.ts-to�-.be�used In Fiood �one "A" in=conn ion�vi►lth�a�ermEtted buildl�ag using stem wa11 <br /> � constructton,, 1 ce�tify;.that,fill:wall:b.e�used only.to.fill the_area w thln�the stem�wall: ' <br /> - if flll material�is=to'be used�°!n anjr a�ea; 1 �cet#Ify that .us of such�flfl wlll not adversely affect adaaceni <br /> properties. If use;of fil) is#o�nd�to adversety:�ffe�t ad)a�cent��pcoperties,.the owner may be cited for vto�ating ` <br /> the�condi#Pons:of_the biilldtng'.-:perniit Issued-under the:�al�ach�d_permitappUcatbn;-foc~lots-:less�than°one (1�) <br /> acre wtilcii ar"e ele"v'ateci�tiy fllt�a�t engineer�ed dralnage plan�reguired: � , ' - .. <br /> If I am the AGENT�FOR THE OWNEit,.l�promise In good falth#o infarrn tfie ovvner of�the.permitting condi��ons set forth In <br /> this a�dadtt`prior to�cominer�ctng constructlain. f ynderstand that a�.s+�pa�rate�permlt may be requtred for.,elect�tca#workr _ <br /> .n.. ..�..,-.,r^� . <br /> ptumbing,_.sigos�._welfs�.:p.pois;,air,t�nditioning,-.ga.s, ar..ather instaii�ftionsi no��spec�taally {nciuded�in.the application. .A <br /> permR Issued 5hall be`snnshued.to�liesa�license`to�proceed with tFie work,and:notnas:,author,ity.:to:vioMate�pcancely alter� or <br /> set aslde any�provisf�ns of-tF�e tecli'iilcal.cad��;�nor shall tssuance�of a.pe i#.pc�evet�#the�ulldtrig C?€�dal�fram thereafte� ' <br /> � ;, ,.,�.;- „ � . _ w <br /> requiring a conectlan a�f eRors In;:plans; con�fruction.or violations ofany c des: .�very•�piermtk�issued sliall become inv�lid <br /> unless the work aufhorized.by such permit:�4s-co�nmenced�withtn st�c,mon hs of petmlt tssuanae, or if work autharized by <br /> the pernni#is suspendsd or�:abaradoned�.foe:a;period�af siae;�)�inorifiis,after, he tlrne the�work�s commenced. An extension <br /> may be requested, In writing;��:f"rom.the�Building Offlcial f6r a period=not-t �-excee�'=ninefy(90)`�days and�-will`demonstrate <br /> �ustl�abie�ca�ase for:the extensfon� If wor.k.ceas�es.for ninefy.{90)cons.ecut ne�day.s,..the�ab�is consideted aba�tdaned. ; <br /> a�- - .�,�' - - � -- ��� � � , � " _ i <br /> WNRNING TQ OWNfRt YOU#��EAlLlJRE:Tt1.,,RE.CQ�tD,A:�M:OTICE O,.-GQMMENG�ME�T�;I�AY-RE�'tl�:T IN-�YOUR <br /> P1�YING TWI.CE::I�OR-iMl?RQVEMEN�`S;T;O;YOUR4:::��lPEEi�'Q'Y:=-�1�°.Y�J��dTFND�>TO'�OBTAIN�FINaAP1E�fNG;�C.ONStJLT <br /> WIT U �� D AN° � O N � FO. E�,. O �:� OU ' ° �C�`a �. :� . ;E . <br /> - _.,:.,._, �..-, . . ... ...,.r .� <br /> ..__ <br /> _- IOF�I A.! RA9':(FcS: .17:Q3 -- __. ... -.., _ t_ .. ' _;..._::_�- � _ _ _ - - - - _ <br /> OWNER OR AOENT �, � . l;OP1TRAC70 �� �� ` � <br /> Su�sc►ibed aad swom M{or siflrmed}before me this Su 'sw� �{at ftf�t8fo s=lM� <br /> bv p : v� � ! e��el�. <br /> Wlio Is/are persanally known to.me or:has/have p►oduced Who.ls/a .personalty o.wn•tcr me=o a�produced • <br /> � as td'entlfli�8on: ' as de»t�3ca#tort. _ , <br /> . � <br /> � ' � . , <br /> Notery Publtc _ ���. Notary Publlc <br /> Commissbn-Na:` Co t��slon.Na, �. <br /> I <br /> Name ot Notary typed,printed ar stamped Name of Ftotary iyped,prin .� _ <br /> =z� -Cammtssion#GG�45343 <br /> �*: ,2020 <br /> , :��;, :Q<��cpires November 7 �7019 <br /> �''�.°f.;°;:c' gandadTtfnstropFainineutance80D-3 <br /> �5. <br />