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<br /> NOTICE:.QF DEED RESTRlGTIONS: The undersi n.e�tunderstand�.;tk�a#; V '-� `�''��":"��'���' ,
<br /> g, - - .�his;permit_may=be�subject�tq�".dn ii�'s_c�estri�
<br /> e. c�ionsw,.�
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<br /> .:ia°.r.,,.;�..,;;;,'^"C`'.jtT«,�`^::�`. _'s;a>r`.''°34'=, �id::,a,•::< . �'�5 �+ .eifi?'z.. ;.z.�,.>:�=.C.,;�;�:::i,
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<br /> which;may�ti;e�more;�r,esttictive;�thanECourity:regUlations:��The�unders�gned��`ssurne"s�5responsibit�ty'fior.rco�plrance"�vrnth_�an.y. Mt
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<br /> applicabie deed,cestrictions. � .; - . • - " �
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<br /> UNLtCEN,SED;:�CtiNT�2ACTORS` AND�CONTR�►CTOR RES.P.;�NSiI�IL:ITIES:,-�If�fheroiivne�`=fia's��=hired��a�contractor or
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<br /> cont�actors-#o undertake work; tF�ey,may,be.:required�to be;lic�ensed;in accardartce:with.staterand;:�locai:;t�eg,ula#ioi�s:::"�tf�.the����=4::r; ' ;
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<br /> •contractor�s.nbt af i�erised>as:°requiretl by`law,x both=the oinrner:=arid'co�ifractor�=may=�be�cifed far�aAY�rtistletnear�ar v�oia#ion• �.# ° ;
<br /> under state.law. 1f the owner.or,intendea.curatractor a�e�uncertain as.ta what.(iaensing_requ��eria�erits�s�nay�tapply;�;€oi�ttie:����-� n
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<br /> intended workr.they:are=advised�to`corttacrfhe,Pasco_Caunty'Bui[di�g:_Inspecfion`�D.iv�sion �L�censing S.e�tion at 72}7=847= ; ,; ;
<br /> 8009: �F�arthermore, if the owner�has °hired''a`cont�actor or contracto�s, he�is advised�ta`'have.-the.,�ontractor,,(s�Yvsign„<<;�� w� �
<br /> partions af the "contractar 81ack"_af this application_for wh,ich�they_-will..be.responsible,:=if;-.you, astthe o�wner''stgn as rthe ;� , : h
<br /> contractor., t�iat.riiay tie an indicaf�ori�#ttat�he��is`ncit praperiy ticensed�antl i's naf entifi�ed`�to permitting jirivileges_.in�Pasca�ll,,,;�::� �":t j;
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<br /> TRANSPORTATlON�IMPAC7lUTILITIES�lMPACT AND RE50URCE RECOVERY"�EES: ""The iirider"signed-under,starids_ �`� ��y"� �
<br /> #hat Transportation Impact Fees and Recourse Recovery Fe:es��may�apply ta:the..aonsttuctian-of.-newtbuil.dings,�_chaiige�a��'��``:=r ��.;
<br /> use in euisting�bui18'ings,�or�expansi.on of.exist'rng"buildir�gs, as specified in Pasco County Ordinance number 89=07 and, '}� ��
<br /> 90-07, as amended., The�.undersigned also u�der.stands,�that.such;fees, as�;may,�b;e��due;=will�be�;,id�ntified°�at:'tl�e'�time`�of'��tiYj'�;a` �>� ,
<br /> ' permitting. =1t �s�further understood that Transpo�tation lmpact Fees�and Resou'rce fRe�overy Fees:must be paid prior to ', ;;: �
<br /> receiving a °certificate.of occupancy° or fina! ppwer release. if th�:projeet does not invcilve.a c�itifcate af acci�pai;icyPor��>=;;�, '�;' N'
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<br /> final.power release�;ttie<fees-must be paid prior. to permit�ssuance.,�::furtliermore, if Pasco.Gour�ty W�terl.Sevuer�;lmpact;-:x�°` K
<br /> ; fees are:due,:tlie.y,.,must-be=:paid prior ta permit'issuance in.accordance with�_applicable,Paseo County ordlnances. �
<br /> GOIVSTRUCTtON LiEN LAW(Chapter77�3, Fl�arida Statutes,as amended): If valuation of work is$2,,.50,0;00._or.mQre;�:ls;..f,- • ;;
<br /> certify fhaf-1; the applicanf; have been. pravided wi#Y� �a copy,.af.the "Flarida "C:onsteuc#ion`='Lien :Lav�r-�Homeown�er"s ' �
<br /> Protection Guide° prepaFed-by the��for�da Department of Agricuiture and Consumer-Affairs. If the app(icant�is_��s.am.�one:.r, !
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<br /> other than the°ourner",;I certify that;l__have obta�ned a copy of the above.de�cribed',dooumenf�and:.promiseYin goo,de�faith`.to: . „
<br /> deliverit;to`tF�e°owner"�p�ior�to-coaamencement:' � �
<br /> CONTRACTQR'S'/OWNER'S AFFIDAVlT;. l;cerkify that all.the information in this application is accurate and that alf inrork
<br /> � wril( be done in compliance with all applicable�laws regulating construction, zoni�g and land-development. Applicatian.is ��,
<br /> hereby�rnade to obtain a:.pecmit #o�do;:work �and installation as �indicated, I certify fhat no wo�k or:insfaltation�ha`s ;,
<br /> commenced priar to issuance of a p.errrii# and��tha# ali wark will be performed to.meet sfandards�of all laws regulating 'i
<br /> � construction, Caunty and Ciiy cades, zoning regufations, and land development regulatians in°:the jurisdiction: ro�1`�also %�; ��
<br /> certify that I understand that#he regulations of athe�governmen#agencies may apply-ta the interided wor#c, and#hat it is ��w 4`
<br /> my responsibility to identify what actions! must take to be�n.campliance. Such agencies�ncfiade but are not<limited„ta:. '
<br /> - ,Department of Environmentaf:''Pr:atection=Cypress�Bayheads; Wefland Areas and Environmentally�Sensitive ���:� �'
<br /> Lands,Vllater/Wastewater Treafinent. � s s
<br /> - Southwest Flarida Water Management District W�II.s, Cypress .Bayheads, Wetland Areas, Altering -�' i
<br /> Watercaurses. z , r'4 �
<br /> - Army Gorps of Engineers-Sea�ralls,Docks;Navigable Waterways. :�; ��
<br /> - De a�tmen#.of H�alth.,& Rehabilitative.Ser,v�ces/Environmen#al .Health _Uitit=Wells, W�astewater.Treatrry�nt�. �<. ��
<br /> Sepxic�T�anks.� � �'
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<br /> - US Environmental Pcotectian Agency-Asbestos.abatement. , ;,� ,
<br /> - Federa,l�Aviation-Authoci#y-Runway,.s..
<br /> I understand that�.the fo!lowing�restricfians apply fo�he use af fili: ' i�
<br /> - Use of fill is no#allowed in Flood Zone"V"uNess expressly permitted. � ;
<br /> - If #he fi1F inateriaF is to be used in Flood' Zone "A", it is understood that a drainage ptan addressing a;
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional eng�neer; " ;
<br /> ticensed by the Sta#e�of Fiorida.
<br /> - ff the fili materiai is ta be used in Fbod Zone "A" in connection with a permi#ted building using stem wall{ ���
<br /> construction, 1 certify.that-filf'wilf be used only to fif!the area with'rn the-stem wa1i. . , _
<br /> - !f �II� ma#erial is•to be used in'any area, 1 certify that use of such�fitf uvPll not adversety affect adjacent! `
<br /> properties. If use of fill is found to adver.sely affect�adjacent properk9es, the owrter may be clted for violat�ng; '�� f�'
<br /> the conditions of�the:building,pe�mif issued under the�attached peCmit.applicatian, for lots less than ane (1}f �;�: ��
<br /> acre which are etevated by fill, an engineered drainage plan is requi�ed. � �,,, }-.`
<br /> If I am.the AGENTfOR.THE OWN.ER;:I:promise in_goad faith to inform the owner of�fhe�permitting�conditions set forth in? :;
<br /> this affdaVit pr�or tio cammencii�g cotis�ructian. ( u�nders#and tha#,a,.separate permi#may be required for elecfrioal wack,;. F;- �
<br /> plumbing, signs, wells, poflls, a�r.;condit�onfng;:�gas,..or ottie�'installatians not speciftcaily irtc#uded in the applicafian, A�. : :�� sY; '
<br /> permit issued shall'be`consCrued°to�tie a license�to procesd'iarith the work and not as.aathorl#y-ta violate, cancel,alter, or; �Xk ��
<br /> y provisions of`tfie"technical codes, nor shall issuance of a permi#prevent the Bualding Official from thereaf#er� �'``
<br /> se#aside an � ��
<br /> requiring a correc#ion af-ecrocs in:plans;�consfruction..or.-viola#ions ofany�codes.--Every permit issued shalf become invalid; i�ti i`�
<br /> unless the work authorized by such permit is cammenced within six months of permit issuance, or if work authorixed by� �,:;t '�'�
<br /> the permit is�suspended.or-abandoraed�for a period;of:six{6}'months af#er the#tme the worlc i�commenced. An.exfension; - � �1;wT ���
<br /> may be requested, in writing,.fcom tlie Builii�ng�0#icia! for a period noE to exceed°ninefy(90} days and vu�lf iiemonsfrate; �,; t
<br /> justifiable cause for the extension. If,,wor.k ceases for ninety(90)consecutive days,the jo6 is considerec!abandoned. � '_� �
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<br /> WARNING`TO`OWNERc- YQUR:.FAt�URE,TO ,R��ORD�;A NOTtCE QF COMMENCEMENT�MAY�RESULT IN YOUR� T`r� `j
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<br /> PAYING TlM1GE:'FQR�lMP�20VEM�NTS�;�,TQYQUR`:PRI�PERTY:�:i�,Yo�r�INTEND=T0�8BT�A#N;:FiNANCING'; CONSULT �
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<br /> WITHYC?UR"LENDER Cl`RYAN ATTORNEY BEFbRE RECO�tDlNG'YOUR N4TICE��Ofi=Ct�MMENCEMENT ' y: j.�
<br /> FLORIDA JURAT(E.S.117.03). - � , ,. , , , . = „ . , � _ . ' ,:',
<br /> OWNER�R AC,ENT GONTRACTOR >i '
<br /> Subscribed and swom to(or afflrmed)befote me thls Subscribed and swom to{or af�rmed}before me this �- f
<br /> by by
<br /> Who{s/are personaAy known ta me or haslhave,praduced �_Who islare personalfy known to me ar hasJhave produced �
<br /> as Identlftcatlbn. as ldentlflcaUqn. '
<br /> Natary Public � Notary'Publlc
<br /> Commtsston No. Commisslon No.
<br /> Name of Notary iyped,printed or stamped Name of Notary iyped,pdnteci or stamped .
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