i
<br /> NOTICE`OF:DEED:RESTRICT Ni:O `The•undersigned i4pmersjands.that.this:permit may be.subject-to..,"deed"restrictions"
<br /> h. ' z r� :
<br /> which_riay be more restriotive:t ;an:Courttyrggulations The undersigned:assumes;responsibilityfior:;compliance:with any
<br /> applicable deed rpstnetions
<br /> tJN,LIC NSED C = TRACTOR$x s i s
<br /> . E O1V,W ; 1ND CO,NTRAGTO.R E I?ONS;�BIk�TIES .,If KtheF;ow:ner.has�hired a`�contractor:or
<br /> r.>S'•^7.1"a, f,'r• E"'...:..,....,... -•{•. s...tir!a„q:: R., ! ..<.!'`., 4. i.
<br /> cost actors#o:underte a work ;tiiie)r:may lie`rego�reci°to be.iicensed'iri accordance.with state::and'!Jocal`.rogulsitioryst,,a if-sthe
<br /> corjtract'i.:is.,not:-lieeose, sis:ragui�ed�tiy`law;ratioth:.ahe;owner.and::c ntractbr may i,e°;citod°for a.m'is,emeanor.violation
<br /> iindei`slate=:law.. e"awner;or.intended:.contractor'aEe uncertairi�as.to what licensing:xisquirements;may.appy:fCrithe
<br /> intendedwork;sttey,.are::advisei3to contacf'ttie'.Pasco:County^,Building, Irtispeetion=,Dlvisi�int;icensing`Section'a#72Z847-
<br /> 8Ul)9 urtherrriore. if;the:"owner;has.hired,.;,a,contractor .or contractor`s, he:is advised,to=have:the>contractor(s).sign
<br /> ;partions';of the"con..tractor 131oc C"'of this'application for`which-they:wlll'lie-responsible:--::If yyou,.as-the.owner sign as the
<br /> ci>j7it�aotor;'ahat'rriaysbe"an:indication:.that`-°h°e'is'not'pr operly;lieensed'and':is,-n'ot,entitled'to=permitting.privileges in Pasco
<br /> %County:.
<br /> wTR�AN:SPORTATIONS=1MP�AGT/UiTlLITI.ES<iMP.,ACT°AN'D'. SOURCE RECOVERY FEES °'The:undersigned understands
<br /> that;Transportatorjampaet'.1=ees:and Recourse'RecoveryEees mayappjy_to;.the;construction of.;:new t'uildings;-'ch'ange'-of
<br /> use'iriyexistirig'lpuiliiings, or',exparision:af:existing#i+uiidngs,,'as''specified'iii Pasco County E?rdinance:number 89,07:and
<br /> 90�07_as,amended:' Tlie`:unde signed also::understands;th tsu,ch$fees,--as;may:be.due;,Div I .be identified.at th'e:aime::of
<br /> perniittli g It is furthe%ttnde ibidd tl'et xOnsportation-'lmpac# i=ees.'ancl'Resource:Recoverji i=ees must:be:paiil'prior to
<br /> receiving;a.�:cer#ifica>eof�oceupan. y"or:final.powerrelease.,.;lf:the:projdct,daes no.�jnvoivea�certificate�of:;occrlpancy,,;or
<br /> =finai:poitier<re�ease;'tpe fees.must be paid.°'prior`#o permit.issuance:. Furtljermtire;if.Pasco County;;Water/Sewer Impact
<br /> fees:-arq,0u0 :ey must be�pai¢;pr Qr`to>p r mit ssuance:;in:accor:.'ance-witFi:applicabie;Pasco Countyotdinaiices
<br /> d:.
<br /> Cf]►N%TRUCTIO.N,, ,EN,,L`AVit d h*gtek 713;`F1 tatute$;�e:amer) d) If:valuation of.w er more„rt•
<br /> 3':.
<br /> tkie'a;�ryiioant;:have I}een }`'rovii ed viritla=a co Y''';9f::the'"-Ji.,mdaYConstruction Lidri"Ldii�=Horraedwr4ft
<br /> I?ratection Guide: prepared>t yal a Florida Department'of'Agriculture.antl:Consumer.Affairs.:..if.-the:applicant.i$:.solrieone'
<br /> other.,than the"airvner",YI certtf�ir that I have obtained=a copy:of the at ove,,descrlbed documentran ,promi6e--A good'faith`�to
<br /> delivetaf=toahe:"owner".pror#doiiimencement.
<br /> frONTRACTOR':S10VYN R'$AFFI,gA f ir:.Gertify:ahaf:all;.#he,:irafarmatigr!"inY:this:app.lication_.is',acc.drate.,4nd:.th' _-;0ll':work
<br /> X:. �,: ;- :F, d"v' a`me t-,';A .:.lira ion
<br /> 4uiit,b+~„toner crort plieGrce, it^ ..atl appl dabl#.,aw-s,regulatiii'g-L str uctiarti: on ng an .Iarid._ .e eJ p n pR. t o
<br /> hereby made`--to:,obtain apert it'to dog;work;-;arl aristalla,1on;,asAiedicatetl: Vicertify-that`:no.work.:or-'instaltatian :has •
<br /> commenced prior':ta issuance' f a:permit and`ttiat.aH work.will be:performed::to meet::sta lards.of all:laws.-regulating
<br /> construction;.County;and.CttY odw3ts;,':zonmg,.r@gulations; and,[pil-M development:regulations;in .the jurisdiotion:. 'I;also
<br /> certify that°i:uhderstand:::that the regulations=of..other-.goVemment•agencies may:apply.to.the in't6nded'-work -and that•if is
<br /> myresponsibili#y fo'iderifify'.wha =actions:l.must:-take to:be in compllance'::'Suct agencies:iitcl`ude but are.riaf:liiite,.otb::,
<br /> - Department:-of=Environmental Protection-Cypress Bayheads,:Wetland Areas-and'-Environmentaliy.Sensitive
<br /> Lands,-Water,Mast,w terTreatment:
<br /> Southwest ''Florida, ;'Cypress Bayheads, Wetland'`"Areas;' Altering
<br /> Watercourses.
<br /> Army:Corps:of Engi ears-Seaw;.Its;s Docks;'.NaVigal [cMaterways.
<br /> D"epartmenfi:of He,Ith;:&.Rehat ilitative services/Ehvirorimehl: Health Unit-Wells,.,
<br /> Sepfic Tanks:,
<br /> :US:E'pv[rgnmental;ProtectiVn°Agency Asbestos,abaternent::.. .
<br /> rplAjfattota,MAut[iaitX�Runways,;
<br /> 1 understantl tattfie>followlrg:cesfrictions;appiy.'to the use,of
<br /> :.. Use'offill#is not=allowed::iri:l=food:Zone°:V"unidSscexpresslynpermitted.
<br /> `If'fii�e'`flil°-material>:is'to: be used=`in Fload Zerie=:QA";: it.is`irtiderstood' that:a,drainage. plane addressing. a
<br /> °compensating.:volume":rwill�be submitted`.at time.ofpermitting:which:,is'.prepareo;by a:professional engineer
<br /> '-.iicer.#sed:�jr theSta#e:.of Florida: . :. \
<br /> - If the fill.material is.to be used:in Floods Zone"A�i=jn,,connection with'a permitted.building using.stem:Walla`:
<br /> constryctton,�.teortffyfhat fill:�vinbe=used ontyt6?tjlfyftlo,area;virithin;the:.stem:wall:.
<br /> 1f'fill material is£ to be•used in any;°area, t certify,tFiat use~of°such"fit! will`'not :adversety affecf.adjacent
<br /> properties If.tse,of�!ll�is?fpund to adversely,affect adjacentropertie #he.:owner.;maybe*rciteda:for.violating
<br /> ` the coiidit oiis=of#he=build nb:°�pecmit,issued-under:-the:.a#tac. 'petmltaplilication;for lots iess:than one (I)
<br /> ,.,
<br /> acre;:which;,are:@I$vatecl tiy::fll;an:engineered cCfainago glan..is`reouired.
<br /> tf t ani the AGENTF4RTHEiQW�111R,1;ptomise iri goodtfa)tFi:to°inform;the'yawner of the:permitting,conditions setforthiri'
<br /> this,affidavi# priar:Cb;commencir g;c nstruction: :1 understand that a separate permit may\be required for. electrical.wgrk;
<br /> plumt fng; signs;;arelLs ,-pddls: air=eanditloning,: gas,:.pvother,installationsa'not specifically.includedrin:.the°application'. A-
<br /> permit iss,u6d':shall 'tie canstrcie' to be a license to priaceed.with;the:wttirk:and iiot:as autFiority'to violate;.cancel, altero or=. .
<br /> sef,aside-4ny provisions:.of_the`:technical;co:des;:nor,sh`all:is'seance'of.afpermit•prevent the,B.uilding.Official--from�theroaffer:
<br /> r ufrti eq;• g a-:correction otetrors:,in".plans,:consfruc#ion or`violations`of..:any codes:;':Every permit issued.stiaii-becomeinvalid
<br /> unless the work4authorized.'a-y: ueh-,permit�is.:commenced:within siz months.of�'permit',issuance,,:or..lf..;wor,.k.authorjzed:l y
<br /> thearmitts.sueperfeedor.-.abadonedfot;a.periodof;;six(6),months after the time:the:woik;is:com'meneed An.eztension
<br /> may lie requesfed;:inwritngrom',the:Building,Offciat:for_ ro; :not.ta exeeed..ninety(90}.days.:and will'demonstra#e:;
<br /> justable;cause:for-the eytension:n;lf work:ceases:-for;ninety;(90).consecutive=days;:the.job is considered,; ilianponed.':
<br /> WARN N .:T4SOWNER YO,U <FAI RE 0:RECORD;A;NQTiCE.;OF<.C.OMMENCEMENT;',MAY:'RESULT;IN XMUR:.
<br /> „t 1 , � ,
<br /> PAYING=TiNjCE. ORIMPROYEary.�ENT`5' t?;YO.URn?ROPE., ( ;II� �OliNTINt?;'f~ 3QBTAtAf �NAI�;CMN.G'+CQIVSGLT'
<br /> WiT 144 b�1tt;4ti NDER,C1i2'AN:�ATT R IEli'13E iC RE REEQRI)1N �tOUi2�HOT,10E:OF C: iNIfi7iEIJCEIUILNT
<br /> OWNR.OR.AGENT: CONTRACTOR=
<br /> Subsoribec�aritF`,swom tk(olt affl[fined);b:"fore,'iNe'tfiis', sc�kef#;�ni:swor�sto';S9r afBmied);tiefo�e me th(s=
<br /> Who is/are personally+knownao:me.or tiaslhove prodiiaed'' Who ls*d personally kno e.or,ttiasltiaye•proluced:
<br /> as'ide�ffca#ion. as,(deptiflration:.
<br /> -Notary Public No#ary PUbllc,.
<br /> Commission No. 'Commission'No:
<br /> 'Name-of-War typed;'printed:orstamped Name,of Notary typed;pr1nfe.dd 0r'stamped_,
<br />
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