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<br /> NdTICE;OE D��D�RESTRICTION$: The�undersi ne.d;,un er,s � � .� `�,����:�:°��-���:
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<br /> ,g,. d tands:.that�.this;: ermit~r�aybe:sub ect��to:�".deed"restncYions• �''_��.
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<br /> = � �r� ```la i=� s:��T ,ur��ersi 'iae`�=assaii��s�res�`o•s16�tiL�"'-ifor.co�ri`,`'I�arice:�inrifl��an:;
<br /> whrchxmay.;�e.`iiiorer.r.estr��ive�=tli�rir.Cotinty� egu t on he. g. :P � tY R Y"'
<br /> applica6le deed'restrictions. _ � - ` "'�<'��'rv-
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<br /> UNLLCENSED� C4NTRAC'FORS°AND` CON'TR�►C'Ct?R R�SPQNSI�IUTIES:�= If�yt�ie-ovurierµ�ias`'=tiireiclua�zcontractor or
<br /> cantractors�to undertake work, they:may;be,required:-to be?licensed-:in accor..dance witti.state.and�`locai°;regu{at'ians:,x:��lf�,th`e���"'����'
<br /> � :_.:':�F,,,p.,�"..zu: _'=:`?:.. - - _ - ..:d�vx'.r"'..:i,x`�.:ro:;:;i.g>-5:.t:.s.-;.�,ti>�c:;.:t,'�i;:w.,_ ..::.. . - ,
<br /> contractor is.not�licensed-as�re.quired by lav�, botli:-the ovv�aer�-and°�conEi�actor-mayYbe�ci#ed�foc>.a;-rnisdemeanor-Violat�on:� =� _
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<br /> under state 1aw. !�the owner or,ir�tendec�},contcactor. aFe�uncertain as ta wha#.ticensing.,r.eguireriaents�;rrtay�;apply<for;:th"e�r�;��; ;.
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<br /> intended work;.they:are�advised,"fo contact the Pasco,Couniy'B,uitding.'Inspectian;Division»W-Licensing.Section at 727°�-847� ry�
<br /> 8009. Fur-�[ierriiare, if the owner has°tiire�`Ya= co�itir�ctor or confractors, he is advised to;�;haue ttseK,.coritrac.tor.{s)�..,sigr�:..s::�;" ��
<br /> porkions of the "contractor Biock°;af this.appiication•.for--w!hich�.they wiii:be-resp.onsib.le::>if,you;{,asY`tti.`e��;owner"sig=nf;`as-tlier'` �'� ,,`;
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<br /> contractor.,`that may be an indication�th�t he�is not properly licensed anii��is not enti�led`�to.permltting privileges.,in�.:Pascb,.w;_,;; ';��i
<br /> Gaunfy. . - � �;.�:=Y�=y.;Af,,:�.,, ;>,;
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<br /> T�NSPORTATION MMPACTI:UTILITIE� IMP!A�T AND R�SOURCE RECOV�RY`FEES: �Tlie�undersigned.understands , , ,.� �.j4
<br /> #hat�Transportat�on Impact Fees and Recourse Recovery Fees may;apply to:the.cons.truc#iort�c�f new,buil.diiigs,charige�of�f`�=�; ��;
<br /> use in existing building,s,•or�,ezpar►siDn of�:exis'king 6uildir�gs, as specified in Pasco County Ordinance number 89�Q7 and. �:��
<br /> _90-07, as amended: The•un�ersigned also under.stands,�that such.fees, as fmay_-,b:e.due;'wit! �e;.identified=�atythe�tiEii��-ofx��=�'�� �
<br /> permitting. if is further understoad tha#�Transpartation fimpact Fees-arid ResouTcerReco�rery Fees must be paid p.r.ior to < �{�'
<br /> receiving a "certificate.of occupancy°-or final.pawer release. If the.project daes not involve:a ce�tificat� of oc�c�pan`cy�o�����F`�';� :;� �
<br /> fnal�,pawerrele.ase,.;the-fees-must�be_.paid priorto perrriifi�ssuance.,-;FttctFiermare,.�f Pasco:Cour�tyiNa#erlSe�nr�,erF;vlmpae#�,:r�h�.',
<br /> fees are due;-they.must.be..paid prior to;permit issuance in;accordance with'applicable Pasca County ordinances. �
<br /> ���tSTRUGTlQN�LiEN L�#1l�{Chapter T1�3;Florida�ta��a#es,a�amendedj: if uaEuatic�n af war:k is$2,50Q:O,O.o�.more;,l;h:,� : _
<br /> certi#y that 1, the applicant, haye been. provided with-a copy�.of,the `:"Floirida Construc#ion�k:ien Lau�Hameowner's
<br /> Pratection Guide" prepared�by the�Florida Departmen#of Agriculture and ConsurnecAffairs. !f the applicanfls:som,�one,,
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<br /> atherthan the"owner", I cerfify.:fhat:l�:have obtained�a copy of.the�aboye'descr'itied`documeinti and:pro�riise�in goad;faitii�to:..;..
<br /> deliver-.it:to't�i:e-"own.er".:prior::�to.corr�mencement:" � � ' � � �
<br /> �t1NTt�ACTOR'�IOV{1NER'S AFFIDAVIT::t:l,cei�tify�tliat a11'tfie infbri�taticin in this application is accurate anc!that all`work ,
<br /> will be dane in compliance with all applicable�laws regulating construc#ion, zoning and.land•.develo�pment. Application,is
<br /> hereby_.made to obtain,a.•�.permit��=#o�'.cia;,�work �and_.installatian as`tindicate�: '1-certify fhat no wocfc or.�r�stailationA ha's '-
<br /> commenced prior to issuance of a p.ermit antl��that aii work wiil be performed to:meet.standards-of all laws regulating, " ''
<br /> construotion, County and Ci#y codes, zoning regulations, and land development regula#ions�in�the jurisdiction: a�l`��also
<br /> certify that t understand that the regu(atians of other government agencies may apply-to the.interided woric, and that it is a;;j
<br /> my respansibili#y to ide�tify what actions I:rr�ust.take.to.be.in compliance,�Such,agencies include but�are not:limited�to:.4 � ��'�
<br /> .. i f t'.:.,t,�r.i.1... ir..y . .�. �
<br /> - _Departrnent of Enviroti'ttier�itaF�-Rratectiort=Cjrpress BayFi�ads, 1Ne#land Areas and Enuironmentally Sensitive =
<br /> Lands,Water/Wastevua,ter Treatment. � � � ' `��'
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<br /> ' - Southvues# Florida Water Manag�ment Distr.ic#-Welis, Cypress- .Bayh'eads, We#lartd Areas, Rltering � ����
<br /> Wa#ercourses. � � � ` `
<br /> - Army Corps of Engineers=Seawralls, Docks; Navigable VVaterways. � ' ��:-;
<br /> i - Depactment;.of Health:.,.& Rehabilitative. Ser.vices/En;rrironmental_<.Health�.Uni#-Wells,�Wastewater`Treatrnent; ,,
<br /> Septic-Tanks. ' . ;
<br /> '� - US En�rironmental Pcotection Agency-Asbestos.abatement, ` _.
<br /> � - Federal Aviatiorr;Auttiacity-Runways; � `
<br /> !undersfand that:ttie-fo!lowing:restrictions apply rto the use af fil1: '
<br /> - Use of ft(is nat atlovved in F.lood Zone"V"unless expcessly perrnitted. � ,
<br /> - If the fill.�matenal �is to be used i� Fload Zone "A", it is understood that a drainage plan addressing a
<br /> "campensating.volume" v►rilt be submitted at time of pecmitting �rhich is prepared by a professional engine�r �
<br /> licensed.by the'State-of Florida. � ; "
<br /> - !f the fil! mate�ial is to be used in Flood Zone '"A" in connection with a permitted building using st�m wali
<br /> canstructian, I.cerfify-that fill will be used anly to fill the area within#he stem wal1. ,
<br /> - If fill material "is�to .6e used in any area, I certify that use of such�fill will not adversely a�Fect adjacent
<br /> properties. 1#use of fili is found ta adversely a�'ect;ad]acent properties, #he owner may be ci#ed for vialating:
<br /> the eonditians-of':the:building permit.'issued under the�attached permit:ap.plication,_fo� lots•less than one (1) ,:�
<br /> acre which are elevated 6y f11,an engineered drainage pian is requlred. 4r°;
<br /> If 1 am.the AGENT FOR THE OWN.ER;.I:promise in_good faith to inform the owner of.the�permitting-conditions set forth`in � �=.;
<br /> this affidauit prior to commertcing coristruction. I understand that,a_separate pemtit may be required far eleetrical wack, ;:;s
<br /> plumbing, signs, weils,,.pools, air,conditioning,;gas,._ar atFie�'installa#ions not specifically included in the application: F A. '-.. ;,.�;
<br /> permit issued shall'be�consfrtied�to�tie a'license�'to�.proceed'with.th�-vuork:and not as.autharity.toviolate, ca�cel, alter,�or s�
<br /> set aside any prov�sions af`tlie"fechnical codest nor shaN issuance af a permi#p�event the Build�ng Offic9al from#�ier.eafter ��Z
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<br /> requiring a correction of�errors�in<plans,`�_construction ar viola#ions of any�codes. �Every permit issued shall'become invalid ;;:}
<br /> unless the work antharizedJby such perm(t is cornmeneed within siac manths of permit issuance, o� if wock authorized by� - " ��_
<br /> the permit is�suspended_or abandoned for:a�period�of soi(6)monfhs after the time the work i�commenced. _An ext�nsion �''i
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<br /> may be requested, in writing,;from tlie Building~'Official for a period.not to exceed•ninety(90) days and vtril! deriionstrate ,..h-
<br /> justifiable cause for the e�ension._,tf wark ceases far ninety{90)cansecutive days,the job is considered abandaned. ; ;.;;
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<br /> Mf�►RMING`TO C?VdrN�R; __Y4UR.�AILURE-'T,O:RECQRD;,A<NOTIGE.OE GO,MNIENCEIIt1�NT MAY�RES[Il:T IN YK�UR
<br /> PAYi1dG TWICE,'FOR tMPi�QVEM�NTS,�TO YOUR PROPERTY:; IF YOlt�IN'FEND TO�OB�'F�A►IN-FINARtCING;;CONSULT
<br /> VNITM Y4UR'LENDEFt OR,AN ATTaRNEY�EFORE��REC.ORDING YOUR'�NCITICE;�OF�COMME[�CEI►AENT�" ',
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<br /> _ , FLORIQAJUF2AT_{F.S.11.7.Q3}_. �. _ � --� .,.,_ :.. . _ -----
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<br /> OWNER OR AGENT , CONTRACTOR���M �� .
<br /> Subscribed and swiom to(or a#�rtried before me fhls Subscribed and fim to ar af�rtn fore ttiis � "
<br /> bY S h eV�i l., �I d.�C�
<br /> Who is/are personally known to me ar haslhava praduc:ed Who are pers Ily_known ta me ar has/have produced , � •
<br /> as tden8ficatlon. as Edentiflca#Ian. -
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<br /> Nokary Publia � Notary Public ;
<br /> Commisslon I�o. Cam i ian N . '
<br /> a ,••':�"Y e�e�,. JAC
<br /> Name of I�otary typed,Printed ar s#amped Nams of N �+ r�►��'s�4� 5d422
<br /> ,,�, �",�: Ezpires Decemb
<br /> aF�,a, er 12,2018
<br /> - � ��� Bonded Thru Troy Fain Insurance gpp,3�70t9
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