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<br /> NOTIGE OF:DEED�RESTRtCTIQNS: The undersigned:.un.de,cstands:,tha#;this;permit may:be subjec#:to_ de.ed r�stnctions;,n:;"�.:;.,
<br /> which;ri�ia"::�e�more,.r,esfricti:ve�that�{Ca�iri �re��ui�trons�=�Thetr�rtdersi,`ne�tl�'assuri�es f�s` o7nsibi�i�''for�com`'�ian"ce with��a,ny.,�":; i.
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<br /> MS•;n�;�:=,�r.=szs:�'�`:'
<br /> applicaible.deed�restrictions. � . -.t.;.: ._ ,:--� .-... ;,�:;�...,-r:�_: .��X.:. ,
<br /> UNL[CENSED'�CONTRACTORS .AND CON>FEtACTOR RESPONSlBIl:ITI�S:��If`�the>>owiter�tsas��hi�ed�'�a,�cb�tractor or :� ;;
<br /> contractors ta undertake work, #hey,;may;;be;re�qu.'i�ed;:to be�licensed�in ac.cor..dartce with.state,°and:�local:;regula�ions�:��if:tt;ie��=�." �:� ' .
<br /> - i �1' e �as�re. kired`'b''taw tiotFi'�tMe ar`ivr�er�and`'co'Fltractar��ma�'i�b"'`ey�Eited�f6t�=a iaSiisd�tneanor-�iolat�on�� '
<br /> contractor s:�not icens. d , qu y , y �, � -�� ,;
<br /> under sfate�law. if the owner or,.inte�ded�contFac#or are�uncertain as.to what.(icensing�cequirements;��n'ay�4a�iply�f:dr�the:;F��=:: ;;
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<br /> intended workr.they�are advised�to�con�acf:the Pasco_Couniy'Bi�ii�ing��tnspecfion�DNis�on��L�censing�.Se.ction�at727=847- ti , �;
<br /> 8Q09: �F�rthermore�, �if the� o�nrner has�filrg�`�a"coiit�actor�or contractots, he�is advised to��have��the..contca�tor(�s;};.;sign�:;;,;;-;_ ;;� ;;
<br /> portions of the�"contractor:Block"of this application-.for�which��they wiU-:be��cesp.onsible:��If.you;'as�'ttie�``.o°vii%ier"sign�as�:flie���'`��;;� x;� +
<br /> ._. - _. . - . ...�..�>: :._ .
<br /> contractoc,"tHat-may 6e anlndication #hat he�is nof properl licerised�antl��is not entitfed`�to. ermitt�n� " � " '� �'
<br /> Y , P 9 Prlvileges_in Pasco� ..�{. kF i
<br /> County. � _ __. �. � .: -. _ � :�{><.�..,_1_��:�� , ;
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<br /> TRi4N5PORTATION�IMPACTNT1i:ITtES�tMP�i�T AND RESOURCE RECClVERY FEES:-�Tiie undersigned_under.stands_,.,_, ,:;. `.; j��
<br /> that i'ransportation tmpact Fees and Recourse Recovery Fee.sr�may.appfy ta�the.cons.truction_of�new.b.uil.dings,�cFia�ii`�e}of��T�'�°=� ,:� �;1
<br /> use In existing,btiiltflitg�,loc�expa�sion of�:e�iistiiig::Eiuiidir�gs, as specified in Pasca Caunfy�rdinance number 89�0� arid. -�� :�;:; �i
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<br /> 90-Q7, as amended. The�untlersigned�also unders#ands;,that such=�fees;-as;:may,b:e=due;wif!;be identified�y�t:��the�.�im�=:of.�=���_�_�� };;;j �a
<br /> permitting. If is further understood ttiat Transportation�Impact•Fee's�and Resource`�Recovery:Fees�must be paid:prior"to 3 '_< ;�
<br /> :: e a .:r.,;..i.,, s_.
<br /> receiving.a certificate of accapancy o�final.power release:, If the:pmject does nat Involve�:a certificate of:occupancy�o'rti����� =y >` �;
<br /> fina(:pawer reie.ase;;the,�fees.must be-,paid prior to permit issuance;,_:�urtlierma�e,.if,Pa�co.Counfy W�ater/S,ewer�,jmpact�::-��';� ' ji
<br /> fees are.due,they must.be..pafd pr.ior to.perm�t�issuance in;accordance�with'appiicati(e pasco Coun#y,ordinarices. � �;
<br /> C4NSTRU6TlON L•:IEN=LAV�1{Chapter71�3; Flarida Statutes,as amended): tf va(uation of war:tc is$2,50�0,O,O.or.more;,��r.:;,;�; _
<br /> certify that l, the•_applicant,.have been_,provided with--a cctpy�_of'�the°Florida' Cons#cuctiori-��ien .�aw Homeowne�'st� ;;,
<br /> Protectian Guide" prepared�by the�Florida Department of Agriculture and Consumer�Affairs. !f the applicanti is;someone;: ;
<br /> .. ,.._,, ,.,.;..._ ..r
<br /> other than the"owne�',;I,eertify that'I.have obtainetl a copy of'the above'�described'document=and pro�iise�;in;good;faith`:to ,
<br /> deiiver it.to`tlie>"owner".'p�ior'ta�.commencement: � � �
<br /> CONTRACTQR'S/BWNER'S AFFiDA1/IT:,::.I�ertifji�ffia#'all-tfie infor:rnafion in this application is accurate and tliat all`work �
<br /> w311 be done in compliance with ati applicabie�laws regula#ing construction, zanmg.and_land�development. Application,is �;
<br /> hereby rnade to abtain.a ,permit to-.do�vwork-and. instaffation.as'>indicated. E certify fhat na worlc ar:installafions�has r.
<br /> commenced prior• ta issuance of a permit and��th�t al! work wil! be performed to:rneet standardswof a!I laws regulating � ;;
<br /> canstruction, County and City cades, zoning regulations, and land d�velopment regulations in�.:the jurisdiction: ��!°�alsv -°� �
<br /> certify that I understand that#he regulations of other government agencies may apply to the.intended work, and that it is ; ;%; �.'
<br /> my responsibility to iden#'rfy what actions I must take to be;in compliance. Such agencies include.bu#are not;limited;to:. , t°' �
<br /> - .Department of Environrrientai:''Pr`.oxect'ron-Cjipress Bayiieads; Wetland Areas and Environmentally Sensitive ;=r �1
<br /> Lands,WaterlWastewater Treatment. � �� ��
<br /> - Southwest Flor9da Water Manag�ment Dlstrlc#-Wells; Cypress .Bayheads, Wetland Areas, Aitering � ;�`' ;
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<br /> Watercourses, , ', � �� `- '�
<br /> - Army Corps of Engineers-Seawalls, Docks; Navigable 1Naterways. . '°�`Y '�
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<br /> - Depactment,,of Heaith:;.& Rehabilitative.�Services/Enviroamental :Health tJni#=Wells, Wastewater Treatment; , . ,,
<br /> Sep�ic=Tanks. � � ''
<br /> - US Environmeri#ai Protection Agency-Asbestos.abatement. ' �,�,
<br /> - Federal Aviation�Auttior�ty-Runways. '
<br /> I understand that-the following�restric#ions apply fo the use af.�ll: ;,
<br /> - Use of fi�l is not a(lowed in F.lood Zone W unless expressty permitted. #-.
<br /> - if the fiil material :is ta be used in F1aod Zane "A", i# is understaod that a drainage pian addressing a;
<br /> "compensating vofume" will be submitted at time of permitting which is prepared by a professianai engineer' '
<br /> licensed:by the'State of Flarfda. ; � ,
<br /> - !f the fll material is to be used in Flood Zone "A° in connection with a permitted building using stem wail;
<br /> construction, I certify.that fill will be used only to fill the area within the stem wall. ; '�,
<br /> - tf fifl� materiat is to�6e used in any area, I certify that use of such�fill will not adversely affect adjacent# ;. �';
<br /> properties. If use of frlF is found-to ady�rsely affect atljacent properties, the awner may be cited for viaiating; ���: ! �
<br /> #he eanditions:�of:Ehe:buiEding permit issusd under=the attached_:petmit-ap.p(icatian, foc iofs�Isss #han one (1); �;` � `
<br /> acre which are eEevated by fiiir an engineered drainage plan is requi�ed. € �4 �,�
<br /> If! am.the AGENT FQR:THE QWNER;_!�promise in goad faith ta inform the owner of-the�per�rtitting conditians set forth in's � f�; �j
<br /> this affidauit prior fo commencing construation. I understand that,a separate permit may be required for electrica! work,.�_ ,:ry �,
<br /> plumbing, signs, we(Is,; pools,..ai.r.,uconditioning,..gas,;:.orothe�,ins`�allations not specifically included in the application: A.= :�� ;�; �
<br /> permit issued�shati'be�canstrued=to�tie a license''to.procee�`with'fYre warknand nof-as.autfiori�r.ta viola#e, ca�cel,�alter, or; ��� �:�
<br /> set aside any prov�sions of tfie'technfica!codes, nor shall �ssuanc�af a permit prevent the Building 4fficial from thereafter t ; ; �
<br /> requ9ring a-correction of.er,rors:in�:plans;�cortstr_uction or:violatians of�any.cades.--Eve-ry perm�it iss�red shaif become invalEd; �;:'i �•�
<br /> unless the work authorized by such permit is oommenced within,si�c manttis of permit Issuance; oc if work authorized 6y;: 4;; �,
<br /> the permit is suspended.or abandoned far;a�p.eriod..of-six(6).�rrion#hs after the time the work i�commenced,JAn extenslon� ;�� I �
<br /> may be requested,�.in�writing, fr_'om.tFie Building�C3ffi'ciaF for a period:not to exaeed ninety (90) days and will demonstrate ; ��:=A �.�
<br /> just�abte cause for.the extensian. ,;#f work ceases for ninety(90}consecutive days,tfie:jab is considered abandoned. t i; ��
<br /> WARNI[�tG"T0 01NNERC� YOl'lR:,�AILURE,��TQ;;R�C.O.,RD�.A-.NOTICE QF C.OMMENGENifNT�MAY=RESUI:T_IN YOUR'`_ �iMr y
<br /> PAYING'TVIIICE.'FOR:,;IMi?R,OYEMENTS,�TC)YOUR.�'RQPERTY.; IF YOE�J��INTEND=TO+OBTAIN''FlNANCING;CONSULT � �,: ��
<br /> WiTH YG1UR'LENDER�COi�AN ATI`ORNEY BEFfSRE`REC.ORDINGYOUR'�NOTICE'O�`=.CO ENCEMENT. _°�. ;,; ;
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<br /> FLQRiDAJURAT�(F.S.ii7.Q3}-. = � • - • � , �
<br /> OWNER OR AGENT CONTRACTOR {:����� ,
<br /> Subscr�bed and swom ta{or af�rmed}before me thts b� a wom ta(ar ed}before:mQ'�is��� /� 1 j '
<br /> by �by � �G�A--�f �J ��_,GCJ"C,._-t�,l
<br /> Wha is/are personally known to me or.has/l�ave produced � Is/ re ersonally known to me or has/hav produced�— �_ �
<br /> as idenUBcallon. as identificatlon. '
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<br /> Notary Pu4!!c �-' �-� Notary Pub}Ic
<br /> Commisston tVo. Co sion No. �
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<br /> Name of Notary typed,Pr�nted or stamqed Elame of ` � ��i��6 ,
<br /> ' `� o�o' Expires De�mb�12¢0!8
<br /> � '•:�P;;;:»° aoa�,rnn�r Ce � .
<br /> T +�yFainlnsvrance8p�,3g�r•70f9 �
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