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NOTICE OF.OEERRESTRICTIONS: The undersI6pgdun.g6ps,jands that.this permit may be subject to*deed"restrictions"
<br /> whfch maybe more restrictive than County rdgulations. The undersigned.assumes vesponsi iiity for•compliance.with any
<br /> applicable.deed restriofons.
<br /> tJNt:tGEti ¢< i!? fit CT lg�S> Np.Cfa(��tuIG QR t t?pN;tf l(+# ES .;if,the:crilm r-,has; contractor or
<br /> coi#t?aC'ors>t unit rt iTe'{Norrti'tfi'ay:may#ie;rieq re`il to tia'Iicensed in accordanoe.with state and ktcal regulatlQns'.lf the
<br /> contractoc Js,ribt;licep @0,1s regi iiad t>y'taw 3bttr the:awner.•andxortttadbr irtay .dtted:ov a misdemeanor violation
<br /> under,-'.state'1aw. if- owner or,intended.contractor aria uncertain as to,what licensing.req Irements ma
<br /> y«apply:for..ihe
<br /> intendedvork,,th ,ara.adv�SeYtKto dtlritaCt'tt e` asca Countyr;Buifding tnspaction Division—�C nsing-Sectibn at 727.;847-
<br /> 8009 Furthermore;:if cilia*.owner has,hired a.contractor oi<contractors, he Is advised to have the-contractor(s)sign
<br /> •portions•.of the:'contraetor Blocic''of:th'fs.'applibiailon for which.theywill be responsible: If y u,-as the.owner sign as the
<br /> ..garttractor,•tttat may tie'an:indicadon'thaf he4s not properly lbensed and-Is not•entlded'to permitting prlviieges in Pasco
<br /> County,
<br /> tAfi!I OR3/kTIQN1MPAC3`UTjt;i l S.9MPJAGTAiJi7RESOUftCE•RECOVERY•FEES: T erundersig led understands
<br /> that°Transpo tatipri Impact tees and Recourse Recovery.Fees may.appiy to;thec. onstructio ,of new;6uiiclings;change of
<br /> use in exltxUng.btiildings;or expaiislorr gf=exis6ny ttttild(ngs.as"specrfied'ih#t85Co=Coutiky`Ofrdinance number 8"7•and
<br /> f�0-07;'as amended.'.The:undersigned.also understands;,thak uch.fees,as may be due, i.be identified allhe-time.of
<br /> permitting;.:it=t5:fii►1he)pndei #ooclt7ittTfrEpoitaUori impact•Fees an&Resourca.Recove Fees must=be pald:prior to
<br /> receiving a'certNlCat"e q oicup ngj!''ar- inai,.powerralease. rlftith .Projt3otXfloes notJnvolve. :cerkiflcata,of,occtlparJcy..or
<br /> final:powei relhase,tlie';fees must!�e pald.jirior td.permit Issuance. Fbnhermorq tf<Rasco .ounty:Waterl$ewer impact-
<br /> fees:are:duc.they must-b�4,prioF3o p@ ..u"t.issuance in accbr- nce vAh':applicable:Pasco: ountyordtnances::,.
<br /> CQI RtlC i.Q[ ;1;jEN. 1Vll:(Ctr pt 7 3:;F orfd St>�tutesrt; s amerasled): If.vaivaU on. f work is$2 5,00:90 or more,.f
<br /> eertlfy'fhat`i,`-`tlisap_pli42int; have t?eeny5riivideit>wi#fi%a.cc►iY ot:the "Florida;ton"structi n Lieri.t_avl —Fibmeoamei's
<br /> E'roteption guide"=prepareif:by t#ie 1=lorida*Departmeht'of'Agriculture ah&Cohsunter`'Irs. if the applicant is,aomeone
<br /> other.than.the"owner",f crsrtify;that l.have abtamed a copy of the above described:document and proms'"e in good faith'tb
<br /> delivi#r.iFto the`ownei"j��to"cofimeitcemen#. '
<br /> CONTl2AC[OR•.S1C?11111 J R;S;;�1FFtQglpfF'=ficertifytha4alt,the;lnfonnatlon:iri:this application:s.accurate and.that.:aU'work
<br /> �nrlit;tte done`-id°cgrisplj fcewvith att ap lti il�ieifaws`regdiatta$: o s rgctiom zoniFl aitd fariil. evetoprrieht:: ."PiicaUan is
<br /> hereb made..to obta! ' a ICa rtify t
<br /> y permit to dogW.oric.;ar3iiiristallatiatr.;�as�#rad' tee. ice that no.work or fiist�l'afibn-has
<br /> commenced prior to Issuance of a.permit and'that all work'will be performedado.mest•.s*dards of all.laws regulating
<br /> construction,.County and, i � zoning-re9uiations, and;pWi-development reguiatiorlsin the jurisdiction:::"I also
<br /> ceftlfy'ffrat i understand-the. erreguTationsof.other.govemment agencies May.appfy to the tended work,and that-if Is
<br /> my responsibilUy to,.ident ty what actions I must take to be In compliance. Sudli agencies inclgdd but are not;litnited to: -
<br /> Department of.Environmental Protection-Cypress Sayheads, Welland Areas and Environmentally Sensitive
<br /> Lands;WaterMfastewater Treatment.
<br /> - Southwest Florida Watbr.-.:Mdnagement .DlstricfWalls, 'Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable+Waterways.
<br /> Department•of Health S,Rehabilitative..Services/Environmental-Health Unit-W Us,.Wastewater.Treatment;.
<br /> Sepik:Tanks.
<br /> US'Envirgnrfwntat Fr.otecUo.n Agency Asbestosabatement:
<br /> 't~ ei'i i2ltin�i utt oritY%,""Ways.
<br /> i.underatand #at'the•following restrictions apply to the use pf till;,.
<br /> - Use off11¢is:not BltoVvedin Fisrdo Zone'V""unles':sdiiplessfy permitted.
<br /> • If
<br /> fhe-fiiF.=dmaterlat ls.to.be used ln'Ftood Zone.-:* :itlis`untleaato6d that a_drainage plan addressing a
<br /> compensating_votUme",will•.be submitted at Urne of.permitbng:which.is prepare by a professional-engineer
<br /> licensed,bj!`he'State of.Florida.
<br /> If the°fill material Is to be used in Flood Zone;"Af:trrconnection-with a perm ltt d building using stem.watl- .
<br /> constrt#cUon I tttlEy¢hat fill yvilttie.used only toxt�[:fi*tarea;wlthin.the stem.wali.
<br /> - If 4111:1 2i6riat..ie.to:tie used In.any.area, i certify-tfuat-tile_'of=such fill will not adversely affect adjacent
<br /> properties. If use.of lili:.4s•found to.adversely a'fect:adjacent,iawpertigi5;She:aw4r.may.be-zitect for vidla'Ung
<br /> "'the.'cgnditlbns'bf:thib•.building permit Issued.under the atfrofied:permit application,for lots less:than one(1)
<br /> acre.which.are.etevatedby flil;;an engineeied.draiitsge plan is required.
<br /> If 1 am the AGENT4t=4R THE` WN0R;rp"N deli 1,n' good 4i ti.to iriforrtm,the Permitting the.per itting.con ditions set forth,In
<br /> this affidavit prior-to:corrlmencing•construction. l understand that's separate permit may.beJ*ui lred for electricat work,
<br /> plur ibing,sig.ns,.wells poots,air:=conditionlrrg,gas,.or other.-installaUons:not:.specifically::Included 4n:the applicat(ori` A
<br /> pbrnittl +ad Aall-tie�-ddnstrued•to be•a'licensa to proceed with.She work.and'noi as authoritito violate;.cancel,alier,,or,.
<br /> set aside any provisions of the>technical:codes.;nor,shall.issus)ni�.of•a;permit prevent the Suilding.Ofrfcial from tFtier #ter ,
<br /> regylring.,a'correc21 ,n,,,Of.�errorsin'jilansrconstructionorviolatldnsof.anycci}e&.•�Every-permftftsuefthall:become:ihvalid
<br /> unless-the work authorized'by s6ch,,psrmitls commenced.Within six months of perntit'lssuan ,or if;work-atithorized.by
<br /> the perrrift:is•s.us}rertded or abaniloriiEfd,fora period•of six(6)maMhs`aftertheime ttie. iscommenceit An extension
<br /> may Eta riiquesfed;In writing;from the Building Official for�gQpr&..d not to exceed ninety(90 days and will demonstrate
<br /> justifiable-cause for.the;extension.••:tf work ceases for nlneW.(90)-consecutive days,the.job is donsidered-abandoned.
<br /> WARNjNti TQ OIKNER.,.:YOUi3 A)j l E iO•RECORQ.A-f"l!l?Tt E.OF».COMMENCEMENT,MAY,RESULT'.,IN.-YOUR,
<br /> PAYdNG'` CfEi�•• If' fz ���':�,,.Y;t�;4lj�r'Pa! E, `� �7�'??�J�` t�1 ��. '`�i Gi�CONBULT:. .
<br /> OWNER OR CONTRpC.T.OR
<br /> Subaoribedand svtbiri to(gcaiflrr���ij before me thts. Silbsi anq:' f{or a µ me tits
<br /> Who is/are personalty"own�o me or�ia's7hava'produted �lNhisl onaliy known7o�a r .. produeed� �tt Dom Notary Public Statb of Florida
<br /> as identiReaUon. as id Ilflcafibn: x�' ; Christy Hicks
<br /> 8� My commissian FF 942&12
<br /> nd4. Expires 05195/2020
<br /> Notary Public Notary Public
<br /> Commission No. Comma No.- ) l
<br /> ��✓ � S��
<br /> Name of Notary typed,printed or stamped Name of Notary.typed.printed stamped
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