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<br /> NQTICE OE DEED REST.RICTICINS: The uttder�lgaed t�ndet�tands;th�t;thts.:p�tmlt.may be:sub�ect to°deed"testrictlohs"
<br /> which may�be.more:r:esttdctfve-thaFl�ounty.:r��agr�latCons:`The�underslgned�`assuriies�'r'esp�nsltiillty�far"complianccei'wiifi�iny
<br /> applicabie deed resMctlons. •
<br /> UN!lCENSED CONTitACTORS AND Ct1N�RACTOR RESPONSIBiC1T1ES: If the awner has�•h3red s conhaatar or
<br /> contractors ta undertake work, they may bs:r,equired.�to:be•:Ilcensed in.accardance.with state.and•lacal regulatlans. �If•the�
<br /> con#ractor ts not ticensed �s requl�ed�tiy law, bath�the owner and�cor�t�ector..may.b�..clted�for a-misdemeanor vlatatton
<br /> under state law. If the awner ar Intended�co,n,,Ua�tor; a�e�;uncertatn as to what Ilcensing.requiremen#s;mayx:appty.�-�for�the
<br /> intended work�they are advlsed to coritact ttie Pasco County 8uliding�InspecUon Cihilslon—Ltr�nsing Section at 727-847-
<br /> 8009. Furthermore� K the owmer has'hlr+er�1�a contrac#o� or coritractars. he ts aiivlsed�to have #he conUacMr{s), slgn
<br /> portions of the "cantractor Bloak° of ihis applicatlan for which they will be responsible.� If yau, as.the owner``sign''as'tlie ��
<br /> co�tractor, that�rnay be an indPcation that�Fie-is not prope�iy ticensed anc!�is not ent[�ed tb petrn#�ing pri�iieges in Pasca
<br /> County.
<br /> TRANSPORTATION.IMPACT1UTtlITIESd�MPAC"��ANO-RES�URCE RECOVERY�FEES:-T�he undersigned understands
<br /> that Transportatian impact Feas and.Reco.urse.Recave.ry.Fees msy':apply,>to�ti�e consfruction of new bultdtngs, change�of`
<br /> use In existing buildings, or,.expansi�n•rof��existin�g�buifdin�s� as specifled.in Pascq County Ordinance number 89-07 and
<br /> 90-07, as amended. ;'G'!ie underslgned alsa understa�ds; t#�at:�suct�fees�•:as��may�be�.due,:EwiEl:=be Identified at thent�me.of;
<br /> permitting. It is furtlier understood that Tnaaspo�tation Impact Fees and°Resource Reco�eryMFees mus,t be pafd priar to
<br /> recewing a"cec�i�cate-of�occ�pa�cy"or flnal•pawer.:retease, :I���the pro��ct�..�ioes:not Involve<a-�.certiflca[e'af occupa�cy.or-
<br /> finai pawer release;.the fees mu�t�be paid petor to permit tss�rance. F��thermore;�if:.Pasco County iNater/5ewer�Impact
<br /> fees are due,.they.must be-pald-pNor to permitflss�ance=ln accordance with��applfaable Pasco'.Couniy ordinances. •
<br /> CQNSTRUCTiON CiEN"l.A1N(Gti�pter 713,Flor�da Statu#es�a�amended�: �f v�lua�or�c�t'work is$���OO.00:�or rnore, l
<br /> certify that I, the applicent, have.been provided. with a copy vf�the� `Flor(da� Cons#ructlon Llen law—Homeowner's
<br /> Protecttan Gulde" prepared by�tt�e Fio�da Department�of Agrlc.ulture and Consumer�AfFalrs. !f the appllcant Is sameone �
<br /> other than th�"owner", i certiry.that t;have.ob.tatineitl�a'copy,of..the�ab�ve.des,erlbed tiocur�ent�and.p,romise�tn,good,fatth.to
<br /> deliver It to.the:'owner�prlo�to�cornmencemenE:" � .
<br /> CQNTRACTOR'SlOWNER•S A�FIDAYIT: 1.ceitity;.that�.alt,the�.lr�form�tton,lflrthl�appltcatton#s accurate;�nd that ali wark
<br /> will'be done in compitance with all.applicable laws regulating construc8on, zon(ng and��land-devalopment. Applicatlon fs
<br /> hereby made to obtaln.a.perm�t .Eo do_�ot1c,.and instatlatlon as Indt�ated:• :1 cer.titjr that no work=ar Instaitatlon has
<br /> commenced prior to issuance of a permit and that.all work wiil be pertormed�to meet standards of all laws regutating�
<br /> constructlon, County and Ctty codes, zoning regulatiQns� and tand d�velopinent cegula�ons�in the Jurtsdiction. ! al'so
<br /> certify that 1 undersfand that the regulattons of otiter governmen#agencies may•apply��#a the intended wark, and that i#is
<br /> my responsibility to iden#ify.what.actlans I must taka:to b�,in:.carr►pliance: S.uch agencles include but are.not iimited to:
<br /> - Department af Etivlronmen#a1�Protectlon-Cypress.'Bayhead�� Vlfe�and Areas snd Environr�entatly Sensitive
<br /> L.ands,Water/Wastewater Treatment. �-
<br /> - Southwest Flarlda Water Management .C�1sWct We!!s� Cypress.Yy 8ayheads;- Wetland Areas, Altertng
<br /> Watercourses. "�-
<br /> - Army Corps of Engineers-Seawalls� Daaks, Navigable Waterways. _,
<br /> - Depactment of Heaith�& Ret�ab111Eative Ser+rEceslEnv�ronmeri#al�Nealth Unit Well.sr Vltastewater-Treatment,
<br /> Septic Tanks. � ,
<br /> - US Envlronmentai Protectlon Agency Asbestos abatement,
<br /> Federal Aviatton-Authortty-Runways. �
<br /> 1 understand that the followlAg,restrictlons apply to the use of flll:• - �
<br /> - Use aftill is not allawed in.Flood Zane"V°unless expressly pern�ltt�d.
<br /> - If the �flll material is ta�be used: In.�Flood Zone. "A", It. is understood that a drainage pl�n addresstng a
<br /> "compe�sating voiume"wIH be submltted at Ume af.pert�ttt.�ag wlilch is prepared by a ptofessfonal engineer
<br /> Ilcensed by the State of'FioNda: ,
<br /> - !f ih� till material-is'to be used in Flood �one 'A" !n�connec�ion�with�a�permitted buHding using stem wall
<br /> � _ construction, l ce�tily that fill v�11i:b.e used onty.to fi11 the area wtthln�the�stem•wall:
<br /> - If flll mate�lal (s #a be used in any area, ( �certlfy that use of such flll wlll nat adversely atfeat adjacent
<br /> properties. IF use of fill ie fonnd to adverseEy=�#fect adja�ent prc�perttes�.the awner may be clted far vloCating
<br /> the condifions of the bi�ilding:permit Issued�under tha attached�ermit appllcatlan, for.lots less�than.one (1)
<br /> acre whlch are elevated•by f!!l�an englneer�ed dralnage plan!s requtred. . �
<br /> tf 1 am the AGENT FOR THE t1WNER, I;promi�e In goad faith to infarm the awner of�the permltting condltians set forth in
<br /> this affidavtt'prior ta� commencing constructlon. I underatand #hat a�separete permlt may be required for elecMcal work,
<br /> r:..�..
<br /> plumbing, signs, weilst.Aools;_alr condltlonEnB..9�ts, or ot�er: Install�tions nat.spec��tl�y inslu�ied•tn.th� appllcatian. .A
<br /> permit issued shall be canshued to be a'lice�nse to��proceed with the work and not�as:authority to violate,�aancel� alter, or
<br /> set aslde any provistans of the technlcal-c+ad�s;�nor sha{I lssuance�of a.germlt.pr.event the BuAdlrig C�#fi�i�!from thereafter �
<br /> �eq�irtng a ao�reettan nf errors in.pians, constructian or vlolations of any codes. �very p�rmit tssued shatF become invaiid
<br /> unless the work authorized.by such permtt:°Is-commenced•withln sUt months of�permit Issuance, or if wairk_authorized by
<br /> the pernttt is suspended�ar.abac�doned far.a;pertad af�s�C�{8}monfi�s.aftec the tlrr�e the�wot�lc��s commenced. An entenslon
<br /> may be requested� In writing, fram the Bulld#ng,Official for a period�not to exceed:ninety(90) days a�d�'will=demons#rate
<br /> �ust�iab#e cause tor:�the e�enslon: tf work ceas�s:far nineqr.�9Q}cons.�c�tive day.s,..the�f ob�is-c+�nsldeted akaador�ed.
<br /> WARNlNG TO OWNERs YOUR..�AILURE�TO.,R�EC.QRQ A.,MOTIGE:OF,�COMMENCEMEMT�MAY=RESULT IN YOUR
<br /> PAY[NG'TWtCE;FOR iMPRQYEMENTS�T�YQ�lR�:P�tt3PERTY. -1�°YO.U;It�'€�D`'TQ���O���iN�=F1NFA'�I�tNG;�l3NSUlT
<br /> WIT A t, -p :, a
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<br /> FIORiDA JURA�{F;S: Y:Q3}�r-"`.___.__ _._�__.,�._...__ • .
<br /> ,;t - --- - .- - --- - - - -�• -- - - - —---
<br /> OWPIER OR At3ENT �''»�?- CONTRAGTO
<br /> Sub cxtb and swom M ar aflinn d)befor me thls ' Stibsq�be�and' �to(ot afllrmed��b�efote me�tfiis
<br /> - -1 b ` . . t, !!}=1 r3" ��s��'����_.Gr!f5u�r�fG�^
<br /> o Islare �sonally kn b.me or haslhav�produced Who.le/are p�rsonally ki�o ta me or tias/have•produced •
<br /> as Identlftcadpn. as Identlficatlon.
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<br /> �-- - Publlc . � tary Publtc
<br /> ti•� '�P'���,,; SYLVIA A�CAMPBELL ,..��iv p�'••,, SYLVIA A.CAMPBELL
<br /> Comm slon w�'�� Comr�IssionNo. ;� °%= lic-Stateofflorida
<br /> : + + = �� �� _
<br /> :•; ;•� �Commission�GG 312939 €•� •= Cammission#GG t 12939
<br /> ' ' oe: M Comm.Expires1u119,ZOZ1
<br /> �d8R180r�10 �� nQ�d��I�r�alNotaryAssn. N8ma0lNolelrytyped, Il� ,4(� IIIpIDdedthraughNationalNolaryAssn.
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