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<br /> �f NOTI�E,OF DIEED RES7'RlCTIONS: The_undersigned.understands�that;this,�pecmit e�ay<,b.e.suhje�tito;�"deed"..,:rest�ict'ioris:°94y;„;,::=-
<br /> whi.ch;;ma�;,be~more<r,estrictive��than='Courtt .re �ulatians.�`The'wndersi��ned assur�es Tes,onsibiC 'fa�r'cam liahce�wifh`:an'`,";"`����
<br /> Y, . Y 9 �' P tY P Y `•
<br /> appiicable deed r.estrictions. . . .r„t..yr,e�,-. .;•;�,,�n-_f.:�. ,
<br /> . : ::=..-�,.. --.- :..,�.:�-..:_...,.,..,��:,.>.. ,.; .
<br /> UNCI�ENSE�D;°C;BNTRAC'FORS AND CO.NTR�CTt3R RESP;ONSIBfiLIT1�5:--'if�•the�owrier�lias:-hieed=��a�;eonfractor or °} �
<br /> F- i
<br /> contractors�#o uridertake work;th'ey,may,berce�uir;edr#a be3licensec3 in accordance_with:sta#e;;an:d��iocai:�`reguiations::�:lf�#fie�i='�-:"_;
<br /> contractcir"is:notYlicsnsed a"s req_ulred tiy��law; bo#ti:�the ovimer:acid�co�itiracfor�ratay'-be�c�ted forr����rtisdemeanorviala#ion ° '
<br /> under state law. If the owner ar intended;:contcactor. are�uncertain.as;to what.(icensing�cequi�e'�mFer,its���ay->apply�for�th`�t�'>=W:=� �, �
<br /> intended wo�kr:they:are advised�to con�act�"fhe'Pasco_County''Buitdirig'`Inspec�ionD;ivlsio;n_-,�L'icensiny Section af 727=84�7= � ,.ti �
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<br /> 8009: Further•more, if fhe owner tias °iiiretl`�a�cont�actor or cont�actors, he�Tis advised�to;;have-tfi,e;,contractor(s),��.sign,^y�.;� ��'; >>
<br /> �� p ;a; .,�,,-r��,,u;���..s��.....,�>::,> ;.
<br /> portions of the contractar Block. of this application-.for which:they-w'ril.be:.responsible:=:=�If�you;as�Ytiie':awnersign�:�as�_.the��� ":r ,:;� �i
<br /> contracCor., that.ma be an lndication�that he�is'riot properiy l�censed��and��i's�nofenfitfed`-to perrrtittin� ' =' ���� '`
<br /> Y 9 P�vileges in;Pas.eo _�ti:,� �.; �
<br /> -:-s��::">^.r.,s;:r��4�•�:,::�s ?„°' ;
<br /> County. _ . .:.�� .: �`� -
<br /> TRANSPORTATION�IMPAGTIUTII:iT1ES�IMPAC7'AIdD RE$OURCE R�COYERY FEES: Ttie undersi�ned.understand:s :.,,.?� �r< �
<br /> �.:,.;�;.�._,.�. � �
<br /> that Transportation Impact Fees and Recourse Recovery Fee.s°�may apply to;the.cons2tuctia.n,ofs:new.buil.dings,.�_chan�geiof��`'�'�:=-Ty� �;':�;
<br /> use in existing buildings;{or-expansion�'of:ex�sting'�uiidir�gs, as specified in Pasco Coun�y Ordinance number 89 07'and r �,; �
<br /> 90-07, as amended:. The�.undersigned alsb yK;tde�stands,�that such.�fees, as;;may:,b:e,due; wiil:�tie;�ident�ed°�at:#lieu�im'e��of��'x�•��}��; ��,� �
<br /> I permitting. �It is further understood #ha#Transportation lmpact Fees.and ResourcefRer�avery,Fees,must 6e paid prioc.to :; ;;�;; ;
<br /> receiving a °certificate�af occupancy° or final power release. If the:p�roject does nat�nvolve.a certifcate of occupar�cy'�iitw:;�,-: s ,' K
<br /> final�pawer rele.ase,�;the,fees.must be-.paid prior. ta permit issuance.�.:,-Furttiermoreh.if:Pasco�Counfy W�ater/Sevuer;wlmpact�z.��- � �, �
<br /> fees are:due,:they,must,be-,paid prior to Rermit'issuance in accordance with�applicable.:Pasco County ordinances. � � �
<br /> CONSTRUCTiON�LlEtdtA1N(Chapt�er713;Florida 5tatute�,as amended): If vaivation af work is$2,500:00-..or�mare;�l;;..-;.- '. "
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<br /> , cer#ify fhat I, the�applicant,.have .been. provided with a copy.:af:the "Florida �C:onstruetion��lien .La�-Homeowner's �
<br /> , Protectian Guide prepaFed�by ttie fforida Department af Agricci(ture and Consumer:Affairs, If the applicant�is;s.ameone;,:, ;,
<br /> other than the"owner",;#.certify_that.l-have obtaiiied a copy of the abave�describetl'dacumerit and:pcom.iseain gaa,d±faitFigto'� �
<br /> deliver,it.to`ttie=°own,ecn�prior�:ta-conar�rie�c�m�nt�: ' ��
<br /> CONTRACTOR'S/OWNER'S AFFIQAVIT: I;certify that'alk the infarrnation in this application is accurate and that a!C work
<br /> wiil be done in compliance with all applicable�laws regulating construction, zonir�g�and land•development. App,lication..is �
<br /> hereby rnade ta obtain,a..permit ta .do:;work-and installatian as" indicated. l�certify �hat no woi�k or:insfaltatioiiN ha's ��
<br /> commenced priar to issuance of a p.errriit and��that all work wiil be performed to.meet�standards�of all iaws regulating , 4i
<br /> construc#ion, County and City aodes, zoning regula#iarts, and land devefopment regct(a#ions irr #he jurisdictian. °�I��aiso $ �±
<br /> certify that I understand that the regulations o#othe�gavernment agencies may apply to the interided r�rork, and that i# is , ;;:; ��
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<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include bGt are not;limited=,ta:. .; ,
<br /> , - ,Department of Environrnsntal°`Protecfian=Cyp�ess Baytieads; Wetland Areas and EnvironmentaAy Sensitive :;:' �{
<br /> Lands,WaterNUastewater Treatmen#. � "' ��
<br /> - Southwest Florida Water Management Disfrict Weils, Cypress .Bayheads, Wetland Areas, Altering �; ;�
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<br /> Watercoarses. ',Y� ;;
<br /> - Army Corps of EngirieersSeavtralls, Docks;Navigable Watenrvays. , ��
<br /> �:a.� ;�
<br /> - Department.of Health.,& Rehabilitative ServiceslEnvironmental.��Nealth�=Unit�1'1/ells, Was#ev�rater.Treatment;. '; ;�'
<br /> SePtie:Tantis. � . :�
<br /> - US Environmental Pcotectian Agency-Asbestos.abatement. � . - �;
<br /> - Federal Aviafian�Autharity-Runways., ` ' `'
<br /> ! understand that=t}te fo!lowing°restrictions apply to#he use of#i11: ' ,
<br /> - Use af fill is nat a(lavued in Flood Zone"V' unless expressly pe�mitted, ! ;
<br /> - lf the fill material :is to be used irt Flood� Zone "A", it is understoad that a drainage plan addressir►g a,
<br /> "campensa#ing volume" wrill be submitted at time of permitting which is prepared by a prof�ssiona! engi�iesr-., � ,
<br /> ticensed.by the�$tafe of Fiorida. �
<br /> - if the fili ma#erial is fa be used in Flood Zone "A" in connection wifh a permitted building using stem wall�
<br /> construc#ian, 1 cerkify:#hat f!!will 6e used anly to frll the area within the s#em wal1. � , �
<br /> - If fill materia! is�#o �be used in any area, ! certify that use af such�fill wilf not adversely affect adjacent; ;`;
<br /> properties. If use of flll is faund to advecsely aff.ect-adjacent properties, the owner may be cited for vialating; --Y „,�
<br /> the�conditions of:#he:`building,permif issued under the attached permit.application, for. lots�less than one (1); ;�
<br /> acre which are elevated�by fill, an engineered drainage plan is requi"red. `�; �i
<br /> #f 1 am.the.AGENT FOR THE OWNER;�l:promise in,good fafth to inform the owr�er af the permitting conditions set forth ini � ���" r"�
<br /> #his affidavi#-prror to commena�ng"cbnsfructibn. i:understand tha#a separate permit may be requ'rred#or electrical wack,�. �;" `�
<br /> plumbing, signs, weNs, poals,�air,.conditioning,.gas,.<.or ottiei lnsta!lat�ans not specificaEly included in the application. A�. �-< ;;,i ��
<br /> permit issued shall�'be�canstrued=to='6e a license'to proceed uvith the work and not as�authority.to violate, cancef, alter, or+ �: �
<br /> set aside any provisions of`the-fechnical codes, nor shall issuance af a permi#prevent the Building Official from ther.eafter# �� f l
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<br /> requiring a-correction af ercors in.ptans;=consfruction.or violations ofany�codes.=-Every permit issued shalf become invalid; °; ��
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<br /> erntess#he work authorized by such permit is cammenced.within sqc manths of permit issuance,�or if work authorixed by; �y�, �.
<br /> the permit is suspended.or abandoned#ar.a�per�od�af six{6}r►io�ths after#he f�me the work i�commenced. An ex#ension; .; ��
<br /> ma be re uested, in�writin feom.tfie �uildin �O�cial far a eriod.no#to exceed n3ne ` �
<br /> Y q 9, � ' D �Y (s0)tlays and�wi11 iierrionstrate� `: I�
<br /> jusfifiable cause for the extension. ;If,wock ceases for ninety(90)consecutive days,the job is considered abandaned. ; >'�,ry ��
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<br /> WARNINC T{3 OWNERt,_"YOUR:FAIL,URE:-T,O.R��ORD,A�NOTIGE 4F C.CiMMENCEMENT�MAY�RESULT� IN YOUR� �� �a
<br /> ,-�..... _<s. � .. � s�� �-�i
<br /> PAYING TINICE.'FOR:°lMPI�OYEM�NTS;�TO YOUR:;PRt}PERTY:>.iF�YU�F�INl'END�TB-OBT�AIN=FINANCiNG;CBNSULT � :" ;j
<br /> WITH'YC1UR"`LENDER�OR'AN�IATTORNEY B�FORE REC.ORDING'YOUR•NfJTICE'OF$�= MM�N�EMENT. . �
<br /> FLQRIDA JURAT(E.S.1.17.03) , ' ' � . .. -
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<br /> -�iAf�IEP�OYt At',�PdT � — . - - - -- _ _. - CQNTRACTOR -------- ,.
<br /> Subscrlbed and swom to(or affirmed)before me this Su scdbe and sw m to(ar affirmedJ�befote}�e this .
<br /> �Y ..�eZ���j�bv_ ./,3r-c��r�za��.L'�r b a n
<br /> Who islare per�anally known to me or.haslttave produced �. Wha Islare personafly known.ta ma or hasThave produced ;
<br /> as idenUftcaNbn. as Identificatlon. �
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<br /> Rlotary Public � � � Notary Public
<br /> Commisston No, Co mission No. ��-1' � � �
<br /> ��_�f C�l/?� �U���� �
<br /> Name of Notary typed,prinked or stamped Name of Notary typed,printed pr stamped
<br /> • ` •'���¥;�k p�BRAElAINERUFFELL
<br /> y `�'� �� `�,;:Gammission#GG 045343
<br /> * � _°�x�ires(Vovember l,2628 -
<br /> �'' � 9nndaslTl�uTrcyEainfnsu�annr,ee644�38�7414
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