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• � �. . <br /> NQ'F��E OF DEEQ RESTRICTIQ�DS: The understgned,„under�tands;;ttt�t,thls;p�rmlt::rmay.be,subJect,,to°deed'�restrictEohs":. - . ` <br /> which maybermore�r.estw�lctive�tti��Gouiity�,�nag�ilatrons.,�THe°:uiider'slgn�d�as§umes"�esp�insiblltty'=;for'com"`pliarice'-with'any `�""s"`` <br /> applicable,deed�restrictlons. � � _ . ,s ��� <br /> UNU+�ENSED=.C�NTRACTOI�S �AND �CCINTRACTOR RE�PONS1BILiTI�S: iff-the�owner`has��hiretl"�a"conhgctor or <br /> � ; <br /> con#ractors#o undertake work,.they,may=be;req�rired_ta,:�betlicensed ln�:accardance..wlth state.and,lacal;c�gulatlo,,ns.':�If`thef=-�" ���� <br /> COT1t1`8C#OT IS�F10t (�C8T3S8Cf�8S`=P@t�t11F8t��liy.law�.:6iott��#tie owner anil�~coiitractorFrriay be��clfed�tor���,mtscfemeanor vioiation <br /> under state law. tf the awner ar Intendeda:contrat�tor;are,.uncertaln as to what Itcensing.requlre�nentsW,�ra��y�f:apply�for=the r��• %��=�� <br /> .....-• .�...ap. h.<„.„,.r u <br /> . . .,,c .�....,...,�. _. _.... ....�� , <br /> fntended�work,tl�ejr ase�advlsed to`coritact.the.Pasco GountyMBuitding�fnspectfon_a�r#s1gn-l:tcensing Seatfan at 727-847 <br /> 8008. Furthierinare, �ff the vuiiri}er"fias'tiireii a icori'�ac'to� or corifractors� he is adv{sed to have the eontractoKs),,sign_ ;_ <br /> , _ .,:..,,,�, . , x.. -.. <br /> portians of the�.ticantr.actar..Bloak°_of.,this,.applica#ton_for,:whlch,,.they.will:.:,bew,responsible:� If.-you,-asM#he owner sign�'as"'the' <br /> __ �_ ..�._� .�.�� <br /> contrac#or,tliatJmay.be an indica#ion`that`iie=is�not`:�raperijr licen'sed`andTls�riotTenti�eil Eo permittfiiig pr�irileges in Pasca <br /> County. , . . . . .._. �;�: �- . .. <br /> TRANSPOR,TAT1C1Ni1MPACTtUTtLIT1ES•t�!lPAC��'�ANi�RESQt!lt�E RECQVERY FEES.��T�he undetslgne�diartdersfarzds <br /> that 7ranspartation Impact Fee�and.Reco.urse.RecoveryyFees may���applyr#a�the�construction;of new buildings�?change�of���``;���- �� <br /> use in eXisBng buildings� or��eiiparisidn�of:eiilstin�g:'ibuildings, as speclfled.tn Pasc+� County Ordlnance number 89-07 arid. <br /> 90-07, as amended.�:,Th�undecsfigned stso,understands� ttiait��`such fe.�s;-;as�,-may�:`be��due�=witF:�be iden��ied at the�timeaof:;- �_,�::•,`. <br /> ermittin It is fu'�tfie�understo'o''d that Tra�isportation �m act"Fees and';Resounce.'RecoVe"` Fees�,mus# be aid riar fo <br /> P 9� P �.. ry�_ P P <br /> eece�vin -a"ce�#ificater-.af occu n or�#tttal�� - - . _ <br /> S pa cy"� powe,r_.;release:�:1�`the.pro�k:does�:t�ot#rntotve:a::cert�icate of occupancy�-o���:���-:�_-�� � <br /> finai power release;;the':fees"nriu�t�'be pald;p��o,r#a rpermft Issi�ance. F��thermare;�If:P�sc�;.C,ounty�'INaker/Sew��-lmpact � _ � <br /> � r r ,�,�.,.� , <br /> fees are due�;tt�ey must:be,pald pHor ta.permit?.Issuanae�:9n..accordance w{th�app!lcatife:Pasca-.County.�orifi�ances. � <br /> CON�TRl1CTtON'CiEN`I:AYV iCti�pter 713�Etor�tla St�itut�s;a�amended): if vatua�on of work is$2,500.00:,or mare;;I� =�:.� <br /> certify thak I, the.�.applicant;�have�.been pro_vided••wlth�-a-capy-�-of the•�'Florida°°��onstrucNon Llen�.:Lav�—Homeowne�'s <br /> Protectlan Gulde" prepared by,�ttie�Fioi��a dep�artmerit:�#-Agrlau[t��e and Consum�er,Affair's. If the applt�ant is sameone� ,. .-•;, <br /> other.than#he"owner", I certi�r�that l;»h�ve,.,db,�ined;a��capy.of the�abQve::riescMbed��ocurt�ent,and.p.r.omis�:.in;goad�.faith,to :1.� <br /> deliuer It to:#I�e<'o�nirier"�'p'riot'#oicoi�imeticement:''`. .,.. , . � ,. . ,. � . . - � <br /> CONTRACTOR'SJOWNER'S AFFiDAVIT: i:cer#tty.�:th;at;ail;theklntormatlqn:;l�•thi�applicetlan is accurate�nd that all work <br /> �'iwr <br /> will'be done in compliance with all.applicable law� regtalating cons#ruction� zoning and�land°development. Appitgatlan is <br /> hereby made to obtaln.a permit,:;to�;do,;work,{.and{instt�lla#ion as Indt�afed:.k.-:1� cectttjr that no wark-°or insfatlation has <br /> commenced p�lor to Issuance of'a pemiit"`and that`:all�work wlll be pertarmed�to meet.standards-af all laws regula�ing� <br /> cons#ruc#tonr Gounty and C��y codes, zoning reguiatia�ns, and land devebpmettt r.egtailatlons�tri the Ju�3sdicfian.> l�.aiso� . <br /> certiFy that I u�der�tand that the regulattons of other ga�rernment agencies may•apply�#o the..intended w�rk, and that it is <br /> my responslbility to Idera#i�jr•wh�l.acttans 1 must take:ta b��ln:.conrlpllance.<S.u�h=agenctes lnciude but�are.nat Ilmtted to:.. i � <br /> - ' Department of Er�vironenentat�Protec#ion=Cyp"r`ess.'Bayheati�;�1Nef{and Arees and Envtronm�ntally Sensi#Ive <br /> Lands,WatedWas#ewater Treatment. <br /> - Southwest Flartda 1t�ater Mat�agement�.(���trlct Wetts; Cypress.�'Bayheads, Wetland Areas, Altering <br /> Watercourses. � j <br /> - Army Corps of Englneers»SeawaNsR Dacks,Nav#gatile Waterways. � <br /> - Depar#ment of...Health::&,-'Ret�a�ititativei Ser•.vlces/Enyitonmen#al Health Un1t:Well.s� �Wastewater�Treatment, <br /> Septic Tanks:. _.� -. =. • � , ; <br /> - US Environmeritai�Ptotectian Agency-Asbeat�s�batemetrt, � , - <br /> - Federal�Avtattvn�Authotily,;=,Runuvays:��Y � '� ' � <br /> I understand..that.the.fcllowlrig:.:�estrl�tlons appiy to�tfie use of fllh� ' <br /> - Use of flti is not altowed�IrnaFioo.d,�Zone"V"uniess expcessly permitted,, z <br /> - . If the:fllf-mate�ial>�is"to���e�used:`In :Flood-Zone. "A"� �it Is understoad-that � dralnage plan addresstng � <br /> °compensating vatame"witt be submltted a##ime of;permifting w6ich is prepared by a praf�ssionai engineer <br /> Ifcensed by=the:�tate of'F�orida:. "� " - ' � � � ��= <br /> - . !f th�-fiEl materlal:�s:'ta�:bas used In ftood Tone °A" in�connec�ion-vi+lth:a �+�rmltted building using stem wall <br /> , constnuction,.l cerNfy;th.at;fill:i�all,be-used only.#o.fill the are�a within�the�stem�waiL `� <br /> - !f fl!1 materlal�Isrcfo be use��-iri.any area, I �certify lktat .nse of suah fli! w111 not adversely affect adjacent <br /> properties, If use,of.fitl is foundvto adverse�y:.�ffec#adjacent pra�perties,.the owner may be ci#ed for violating. <br /> the�conditions�.:of.�the building;permft 1s'sued�under the:�attached,rpermit�application;„.foc lotsµle�s;than`one (1�) <br /> acte vulitct�at�a"elevate�'�tijr fltl,a�t englnee�d dralnagc�plan i�requlred. �� ; <br /> ff i am the,AGEN.T.FOR.THE�<OWN�R; I�.prnmise in good faith ta infiorm the owner of-the pecmltting condit�ons set forth in <br /> this aftidavtt prfor!o"�comiirier�cing construotlon. t uriderstand th�at aT-s�parate permtt may be requtred for elecE�ica# work. <br /> ��....--�, - <br /> plumbing,:.signs,,wetis,.poots;,.alr conditiontng,.ga�s, or oQher. Instalia�tions not.spec�ically included�tn.the application. .A <br /> perm(t Issuetl shall be construed,to'be`a�licer�se'to��proc��ad wlth ftle;viior'k end:not°as:author.tty�to.vlolate��cancel, aiter, a� <br /> set aside any provisions aftFie:tec#�iitcal.code�;;nor shall issuance�of a.permit.pcevent th�e Buildlrig CN�cial from thereafter � <br /> requirin.g a correcUan Qf erro�s�:in�,;plans,;:constructian,.or violations of-any�codes:�,Every•�p�ermit lssued-shall become inva�lid <br /> unless the work autharized_by�such permlt:•is-commenced•wtthin sfic�nonths of permft issuance, vr iF work authorized by <br /> the pennit is.suspended>a,r,:abandanedrf,or:a�period;of sbc;(6)�inontiis.:�ifter the;time the�wark�ls commenced. An e�ctensian <br /> � may be requested�,In.wci#M`ng;�from,tFi'e..'Bullding,Offlc(a!for� perlod�aiot�-#o.exceed'fnlnefy�(90)days �i�d-virlll�demonstrate <br /> ' �ustl#iabte cause for:�the extension: If work ct�as+es:for nUe�y.{90)cans.ecutive day.sr..#he)ob�is considered aba�doned. � <br /> , .. �" , ., • <br /> '� WARNING Tfa OV4tNfR; YQUI�,FAiL.L1RE:..'�'b;,.R�C.ORD_A��lQT�1GE:aE=�COI�MENCEME�T�IVtAYtRESit�LT iN Y4UR <br /> PAYING TWICE;f�CIR{1MPROVEMEN"�S;.TO.YOUR::PRCMPER7'Y:�IF�.YO.U=1iV':FEWq"TA��iBTA1N�FINA1�ElAfG;'C.ONSULT <br /> OR� G�� UU ' �G. �_. ..�. :_. . . E .. .,T, <br /> WIT D �O. AN� ;TO NEY O.�4,, ,� <br /> , .`_, :.- -, - .., .. _.. .. <br /> � Fl.ORIOR JtlRA'fi'=(F:S.-t17.Q3} �_'=, � „. _" . . , - . , , � , <br /> , . . <br /> - <br /> -OWPIER QR Af�EN7 :.,��: �� — —C�DMTRAGTOR '�- � . <br /> S�bscdbed and aworn M(or aflirmed}bafore me this Subscrlbed and'swom•to{at aflJrmed)�before me'ttii� <br /> by :.�,y..._. . <br /> Who Islare pe►sonally,knrnm to.me or has/have produced _ Who.ls/are p.ersonally lctrowmM.me,or has/havs:produced �• - <br /> ' as Id'entl�caUon. ' as tdentf�catMn. � . <br /> ' . � � <br /> Motary Publlc . � Notary Publlc <br /> Commisslan 1+l0:` Coin���lan.No, • - <br /> Name c1 NotarY tYP��P�nted ot ffitamped (d�me af hlotary iyped,Prlttted ot siamped <br /> �� <br />