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N4TIC'E:OF:`DEED.:RESTRICT IONS:_The,undegsigrledFunde�s)ands.that.this permit may.be.subject to,"deed"restrictions" <br /> which may tae:Mbrfirestrictive-than:Cour<tyregulations: The:undersigned:assumes,respansibil%tyfor•.:cortptiance:wlth any <br /> opplicable�.leed::restrictions: <br /> UNLICENSED::;CONTRACTORS'1 :ND:;COT `ACTOR` PON;SIRIhTIE- df rthe°owner�.has hiretl==:a'?-contractor,or <br /> }: e,� „��{_ RA. ARE .. <br /> -*yt`r7.aa'4-`t,�f*: t'.T.i- =T a �> ^f' ,+.. ' ;,s�,.5r w.�. .. .. <br /> -contractors=ta urrd rkake;:work,:thiey;may he:require,Ao;be.licensed.j ri:accordance:with state:and:lot:at'reg aactons alf.the <br /> contractor.:s.nat°,I FePsed dais requi�ed4 y law;both:>the.:owner.%andscorrtract¢r may�::be'-cited;for-.a 1n%demeanor'violation <br /> under s#ate:-law.: Iftihe'owrrec.or,;lntended contrac#or arel'uncertain as ta:what licensing requirements.may:apply fof;the. <br /> in#ended Work '.tlae ,are:a uised.toco tact>`tf�e'Rasca.Coun auiCdih, ins ectiQn=�Dvisibt.-Lcensin Section'at,�722=8.4.7- <br /> r:800.9:. '.Furthermore;.if:the`owner:has, hired ai contractor'°or contractors, he is: advised' to(have:the-contractor(s) sign <br /> ,Qortions-;of the-"contrractor=Block"'of thin-application for:.which:they will.**bb,-responsible:-=If'you, as the.owner sign-as the <br /> zggri#Aotor,that-may& .an indication=.thi,-e:`is not..properly licensed and'is not,entitled;'to permitting privileges in Pasco <br /> County::.. . <br /> TRANS„'O�RTATIpN iM�'AC:T/UTi,I'ITj, S MPACT'AN'D RESOURCE RECOVERY FEES."-The undersigned.understands <br /> ..: .. . <br /> that°Transportattor•�.lmpact:Fees;and Recourse:,RecoveryFees may'rapply to:tte:construction yof new:buildings?change-of <br /> use in:existing buildings, or expartsiiin.:of',existing=:buildings,<as'speb ed;:ln Pasco•County Ord'irtance::number-M07:and <br /> as::amen'ded:;:.Ti a:undersigned'also:untlerstands th. !such-fees,.as-may,be:due; will-ba ider tife d.a'f�ihip...et:. <br /> :permittfrag'.=':lt:is fug#, et ands stood,ti at:firanspotfation Impact Fees an -­ esource.Recovery:Fees must be;paid:prior to <br /> receiving;a:°certi iicat4 of�&bupancy^`or final.power;release.;, if;the..,projoct};loos.-:not involve.:a certificate.dof:�accupaney.;or <br /> finat'u ovtirec:re�e"ase'ttie':fees Haas!b'e aid `r or. to- ermit iss�'a�ice. :p'rkl ermor G''_'Pasco°`Count Water/Sewer Impact <br /> ' <br /> p.., .. .. . ,. .. - p .. p. p: !, U e„if Y. p <br /> fifes:ace due;tileymustbe p2 pr quo,permit<issuance;,in:accor:0,6nce.with;applicable;Pasco�County:ordinances :: <br /> �- r , . <br /> C.CINSTJiUC IQ�I LIVU- ,AW'(Cl ito .'4-O;"F�orida"t6tutes,�s amended): If,:valuation;oi work:is:$:2;500.00,or mor,,e,J <br /> r" tx`t'_ :e 5 'a ..li n ,.' .:Ve``.l a _r=,vl: s : ri a C t- e ion'' Ieri:":L'"i+i H m iii+ er's cew ,h ,;.th.,, a ,ca•.t,1 a_ :.��_.,.e+ ...A_o,.ded.with::a,;copy'of:°the„Fio...d ons cut k a a ea n <br /> :Protection�Guide+pr. pared'>'by fl e�Flo-dda'}DepakmeriC'of-Agriculture and:Consurner�`Affai&.. �•I1f:the:applicant s soirteone <br /> othertlaaiathe".ouuner", lcertify-that:i:haue:rititained::acopY:gf the'above:describeddocumentand:promise;in"good faith`to° <br /> deliver it foah .owner"':priorlo:'oorrimencement. <br /> CONTRACTOR'S/QWN R'S;AFF'ip.%1-;iT 4I.Carkif .chat all ahe;infarmatiba^, 1'#his a licatian is:,accuratesan-dahat=all`:work <br /> aF�..:t: V Y.. ,..ter PPx.:, b <br /> wil' f:' `rn v m f: A` i' 'ti 'ri"is <br /> dQrie_tial co „taila'p wtlt..a l appttcatite,}lawstregalati g.:ce is ructiarr di4 ng;andtJarid,..de eJop erx .ppl pa b <br /> hereby::made:ao.:.otitain a:permit`to ,dofwork.:,andinstallation;.asiridicated: l certify that no.work:'or insfaliation .has. <br /> commenced<prior.°to issuance-of a..perirait-:and`that all:_worlcrwiIf-be:performed::to:meet.S of-ards:of,all:taws.regulating. <br /> construction,;Oounty:and; :jtx� od0_,zoningMregulations;,an ,�ijq d�::devetopmenf'regulations In the jurisdiotion ;I,also' <br /> certif 'that°-1=understarid:that#iie:regu7atians-ofl:other;:government agencies.may>apply_to.tMe.:intended:work;:and`that'.it is <br /> my responsibility;#o iderifify'.what-actions:l-must:-take#o:be in compliance::'Suciaa�encies;irici'i�de but'are not lirttite„o:ta:;s <br /> Department ofT'Environmental'Protection»Cypress Bayheads,�Wetland'Areas and`-Environmentaliy':Sensitive <br /> Lands,:WaterMastewater.Treatment. <br /> Southwest 'Florida Wator.:;aManagement• •Distrlct':-Wells; Cypress Bayheads, Wetland :Areas; Altering <br /> Watercourses.- <br /> - . 1. teArmyCorps.vfEngineers- w arwas <br /> ntHea & lEhirormetaH ealth'UnitWlls,;,; aseter,',Treatrent;ert t.Depm Wv ;> <br /> Septic Tanks: <br /> .:US`Environmental;Protectigri,Agency!Asbestgs::abaternent::.. <br /> er-a AvijQiW•Auth6f#y R nwayd.;':• <br /> I: riderstantll-'s", >folfowing''restrictions:apply.to the use of fill;G„ <br /> ;UseofLllsis snot alowed';in<Flood ZoneV"`unleas,eXpressly'.permitted. - <br /> - If'th* F`flII rnateriat;'is`1:#0: be, tased'-in; Flood Zene.:."A", its is:uridexst+ od'that:=a :drainage:'plan addressing a <br /> compensating otume"';will`be submitted::at tune_of.;permittih which is:prepared by'a:peofessional engineer <br /> If`the fill:material .is;ao,;he:used:`in Mood Zone;,"A :inx connection.with-a permitted:building using stem wall w. <br /> consfracttori .t ceCkify#Iiat flit�ririll;lie:uspd onlyad�;t I,,er*ea;within:.the:stem_Wall, . <br /> if°•fiiJ maternal-.is.to be used m::any:area, I certify that`-use of 4such'flit will not::adversely:affect.adjacent <br /> properties..Jf:use;df.°fllrjs:fpund to.a affect:adjacenthproperties;:the.;owner. maybe rcited"for'vid'11 ting <br /> .t oxonditionsbf tt%e tulldin3g:peimit;:issued under:the:attached`-.permitappiication;°for tots less°::#han one,(1�) <br /> ed acre;:whichare:elevat ;by fll;:an,engineered cl..airiage plan:is'required. <br /> If'I>am-the AGENTf FORiT IE�OV1fl ER,T it in se 6`good�faitr}:to-in he., of the;permi#j%..conditions set'forth in <br /> this:affdavif'prior tb:cornmencing,;cOnstr4tction: i understand that's separate":permit may.be 1.required for.eteetrical work; <br /> plumbing, signs;::vitells pools, air:;candltigning,:.:gas,.:or.:other ltlstallations°:Hof pecfically..included:.in tFle'}application:�''A- <br /> permitissued:shall'tie�cons#rt�Iedta.be a?License''ta�prciceed,with�the-woi•k:artif riot as authorityto•violate;-;car'*cei,bite<r;�r..:,: <br /> set aside any provisions of.the:technical:codes;:nor sh.`all:issUanbdilof.a permit-prevent,the Building.Official from thee$after..:,, <br /> r i iris .a;correct'io' `:f`errors:5irit iaiis cxinst a coon or�viola#i—:6t,an`::codes.;:Every.,,permit,fssuedKshail:become`'invaGd <br /> eq....._,,:g... .. ., Ii. Y.. . <br /> unless"the 6' authorlied.'.1i ;such permit is'commenced yi+itfiin'six months:of*'.ermk-issuance,:or,:#,;work autlio ' ed;ai, <br /> Y ,. . p n Y <br /> the+pert fit is susperide dr abandon'eii i i'a,;per )4-,,;six)''months after^°tile:;time'tite,:work-:is commenced:='An'extens on <br /> maybe requested;,in.writing, from",the BuHdmg.Officnal-for:.;a;,p rlod:not=to-exceed-:ninety'(90)-days.:and:will.demonstrate.. <br /> justiiiabI.& "se for.the,etctenston ..,If work:ceases:for..hihety(90)�;consedutive'days,the.job is considered;abandoned-.: <br /> WARN N'G::TO;:OWNER y.YO.UR;,FAILURE;'TO'RECORD:'A �IQTI E O,F:C,QMMENCEMENT,MAY RESULT;iNI Ai K. <br /> PAYINGS CEs QRI PRLYEiM.EIVT'�f:TOYCIWD'-? OPIFYOU�INTE.; 1'I;Q!?QEIN�tRiNAN; )NGYCONSCILT: <br /> � ,. y <br /> :WIT YO ;L1rNDE`R 0.11AN ATT.Ui2t E:lt ZE�FC>`RE'1~tE�Ot�DiNG YOUit`N07iCE�C1F�-CONItV111E=�C:1=I1tti=NT <br /> 'FLORI�t?A JURA .�F:.S'`c�C17:03), <br /> OWNER OR:,i4GEN 1 M, l�Xi ;'...^ CON:7R11C,TOR <br /> r 'BJY ! , <br /> Su scri ed;and=swo' to(pratiffli?n?Qd)'b: forte, 'Is;;.;.•= 1 ' . S",bs qed ntlt'woya{�rrried)tiefoie <br /> 1`Lt�; ' ueCr2�'11 1 ?�;i _'t l'.�11 - _ GP.�. t <br /> Y.:` <br /> Wh leis erso a)ty known;to=me'.ocaiasJha've produced: ho i !a "p neon known'to rije,oraiasthave'AToduced:: <br /> as•Idenfification. � asAdertifioat dn' <br /> Notary Public Notary'PUblic':. I. <br /> Commission No. Commission'No: : <br /> Nameof:Notary:typed,printedor roped NameofNotary.tjip'ed`prin - <br /> - <br /> pi-OS MALDONADO <br /> .:'. DO CARLOSMALNADO <br /> Commission <br /> Commission#GG 346275 ,:=Expires dune', 2020 <br /> ^` Q"Expires June tB 2023 'r~~�"•= <br /> +�•.,,,.•Pi p , •;fNF� 8ondedTivaTroy'rainhtsurance$OQ-305d018 <br /> fi4pfk°'' Bonded Thru Troy Fain Insurance 000.38won <br />