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<br /> NOTtCE;QF DEED RESTRICTIONS: The.undersigned_understands that#h(s peemit may be subject"to°deed°�r�stri.ctio�s"�,:
<br /> whicii�.i�tay<be�-.rrtvr:�,:resfrtctive::tlaan,County.-r.eg�lations:.:l'lie;:unde�signied�assuines responsibillty:..for complian;+�e:vvi�h:���riy;�:,_,,,.
<br /> app�icabie deed cestractlons.
<br /> UN�l.CE�±lSED�GQN°TRA�TCIRS AI�tD CK?NTRACTOR RESPl�NSIBlLITIES: !f the owner has hirsd a contractor'=or - �-��
<br /> con#ractors�.to underkake wark, they may be:requlred to be I(censed ln accordance with state and°tocal r�gulattons. If the
<br /> cantractor�Is>not.lic.ensed.as:_.reqwfred�tiy law;�.b'oth�the owner,and:contractor may be cited f.or-a.-.misdemeanor��vlola�ian�:� =°
<br /> under state law. .If#he owner or'intended confractar are unce�fain as�to whaf Ilcensing reqr�i�ements may apply far the
<br /> in#e�ded�work, they are�advised-fo contact tFie�Pasca County BuElding Inspectfion Division.--GPcensing Sectian at".�27-$4�7-=.•.
<br /> 8009;� 'Furthermare, if:#fiie-owner has hired a contraator or contractors, he (s advtsed to have the can#ractor.(s} slgn
<br /> portlahs:�of.the "contractQr Block" of thls applfcatEon for whfch they will be respansible. If you, as the awner_.sfg�;,as:;tk�e, ,
<br /> conEractor,`that ►i�ay be an 4ndication that he is not properly Iicensed�and is not entitied to permi#ting.:privileges'(n�Pasco" °`�
<br /> Cou..nty.� � •
<br /> TRdNSPORfiAT10N'IMPACT/UTILMTIES IMPACT AND=RE30URCE'RECQi/ERY FEES: The.undersigned unders#�nds �
<br /> that�Tr.ansportation impacf Fees and Recaurse i2ecovery Fees may apply to the constructian af new buildings, changexaf: ,
<br /> use'in ei��sting b�ilding�;=`or=.expansion�of ex(sfing buildings, as speci�ied in Pasco County ardEnanee�number 89=07�`ar`i3�li"""'; ;
<br /> 90•07, as amended.. The ar•idersigned also und�rstands, that such fees, as may,be due, wiR! be identi�ed at the tlme.of
<br /> permltking. It is fu�ther understoad that Transportatlon Impact.Fees a�d Resource RecoYery Fees must be pa�'ct'pr`Ibr"�t�'y�
<br /> �ecelving_a:_"certifleaCe.of-occupancy° or flnal.power refease. If the pcoject doe,s nof involve a certificate of occupan,cy.,or
<br /> finaf�.powe.rwrele.ase,�the.fees.must-be patd.prior fo permit:issuance. .Furthermore, if Pasca Gounty WaferJSewer"'�li�np2�cf�°�""`�
<br /> fe.es>.;ere;.due;.ttiey;must.�e:,p.aid.priorto.,petmit.issuance_.in accardancewith appilcable%Pasco County`ardinances:��-� � :-3j � -
<br /> CO�ISTRU�TION�'LIEN LAW(Chapter 713� F{orida'Stafu�es, as��amentled}: if valuation of wark�ts$2;500:40 or mara, R
<br /> certify`-that'"f; the: applicant,.,haye _been-;prov4ded with a,copy of the "Florida Constcuction L�L',R L�W'=-�HOLI'�,@DVItt�BT?�,3���-- ��
<br /> Pratection,Gulde" prepared"by°'the Florida Depa�tment of Agriculture and Consumer Affairs. "If thie applicant"Isi someone.
<br /> other.fhan.the°owner", I certify that l�have�.obtained�a copy of the above:descc�bed°document and�promise (n goad-:faith::to:,; <.:
<br /> deliver°ttfo�#lie-°vwner"�p�ior�ta eorrrmencement: � _ _, _ -.
<br /> CONTRACTOR'SI�WNER'S AFFIDAVIT: t cectify fhat ail the information in this appiication is ac,curate and�fhat�al��wt�Tk;�-
<br /> wili'be done {n complianae with a11 applicable"laws regulating coristructlon, zoning and land development. Applicatfon is
<br /> hereby,�:made to=°obtaln a;permlt tp do work and'installation as dndlcated. I. certify�that no work or installattoc�..;,:has.
<br /> commenced prior to Issuance of a permit and tha# all work wfl! 6e performed to meet standacds:of all laws r�gul�ti�g'
<br /> constructlon, County and City codes, zoning regulatians, and land deve(opment regulafions in;the jurisdicfion, ,I.aiso
<br /> certify that I understand fhat fhe regulations of otfier government agencies may apply fa the infended work,�and��tii�#��if�.is.=
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies inciude bu#are not iimited to:
<br /> - Deparkment of Environmentai Protectian-Cypress�Baj�tiead`s, Wetiand Areas and Env#ronmental4y Sens��ve°
<br /> Lands,Water/Wastewater Treatment.
<br /> - Sou#hwes! Florida Water Management Dlstr4ct-.Wells, Cypcess Bayheads, Wetland Areas, Altering
<br /> Watercourses. � -�
<br /> - Army Corps.of Engineers-Seawall"s, Docks, Navigat�le Waterways. � r "> `".-
<br /> .-Departmen,f- af�Heaith -� Rehabilitative�$erviceslEnvlranmen#a4= Health: Unit=WeHs, �tVastewater Treatment, -'��
<br /> � Septic'Tanks: - ' � . � . . .. , ,... �•=r �.�.:_: .
<br /> ,___ U.S,_Envlronmental Pratect�on Agency-Asbestos abatement.
<br /> Fed�r.�l�Ai�iatio"n Authorfty=Runwa�s. � ` � -
<br /> I understand'�tFiat�#he following restrictfons app(y�Yo the use of fi(1:�- . `° � ' -
<br /> - -- - Us,e qf filt(s n`ot-allowed:in-Flo:od Zone uV"unless expressly permit#ed.
<br /> tf`fha fiii material�is �to be used' in Flood Zone "A", it is under.stood .that. a dra9nage plan addressing`�a
<br /> :- "compsnsa#fng.volume° wiii be submitted at ti�ne-.o#,permlttir�g whlch ts p�epared by a grofessional en�iFlesr; ;.
<br /> ..,. rlicense:d;4�ythe,State.of Florlda: � ,::;.
<br /> - If #h�`fll!`maferial is ta be used En Fload Zone "A" in connectlon w(fti a permiffed�tiuiiding=-using stem wafi`
<br /> - _° cons#uetion;•i�:certify ttiaf.fil(w(II_be used only to fill.the area within.the s#em wall. = �-
<br /> .;�rv If fll materia( Is fo be used in any area, i certify that use of such fill will nat-adversely-affect ad�acent
<br /> � propertie,s�.�If_use_;of.;..fil( is found:to,adversely a�f�ct�~ad)acent propertles, the awne� may be clted for vialafl�ig;f;:.�
<br /> � the cond9tlons.of fhe bu�l�fng permit fssued under tfie attached perm!#_application,._for�lots less than one�(>I;)-.
<br /> acre wtilch are eleva#ed by.fill, an engineered dralnage plan is reqw(�ed. �
<br /> If 1 am't�ie:AGEN'T F�12�'7HE OWNER, I promise:in.good faith to-Inform-the owner of the pecmifting.condi,fions set<for=fh.�in
<br /> this;�ffidavlt pr.lor�to comrrienc(ng construction. I,understand,thaf,a separate�permit may be requ�r�tl far eieetrica! wo�k,
<br /> plumliing; s(gns,,;weli,s;.poois,�air: conditivning;,.gas, or other instal4ations not specifically inciuded in the app4ica#lon:--:A� �:�
<br /> permit:3ssu�d shaii`be�eanstrued ta be a ilcense to ptaceed'�w4th-the work and not as author�ky to.vtolate,�.cancel, al��r;;'orxW��.�
<br /> set=.�;side;,any-.pravisions of.:the.technlcal-codes, nor shall lssuanoe of.a.permit prevent the;Bulldlrig;Official�fcom thereafter
<br /> requirliig a cor�ection of e�rocs In plans,�oonsfiruction�orviolatPons of any.eodes. 6very-permit(ssuetl�sh�ll:become�lnvafitl
<br /> unless #he.work autho�ixed by such permit is.commenced wi#hin six months of permit issuanae, or if work aut�o�ized by,. ._
<br /> the piecmltHls.suspeJnided:or.ab�nd"oned-foc.a:pecio:d=of six(6)>rnonths after the time#he work Es commenced. An exte��fonY:'_.,�
<br /> may be requested, in wtifing, fram the Building,afficial far a perlod not ta exceed ni'nety (90.)-days�°'an�l.wif! demons�ate
<br /> jwstifia�te;cause.for_the�exkension: `tf work ceases far nfrtety�(90)cansecutive days, th�Job is considered abandoned,.,.:.. .
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<br /> WAf��i.I��:.TUrONVNER::�.YOU.R;FAII:URE,TO°;RECORD`A`��NQfi1GE �F C.QMMEN�EMEN�7�;MAY i��S:U;LT IiV;;YA:�Ft�'�.�;.`
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<br /> PAYIN!�"'M�ICE FOR!MP'ROVE�MENTS TO YOU�i-PRbPERTY. tF.YQU��INfiEND-�'O�`t38TA'tN�FfiaiAN�IN.�, Ct3NSU�T
<br /> _ __._�JVlTH°Yt7�liR=�i�E D�R:=l3R.:AN:• ?T'!°ORMEX,BEFORE:R�CORL?i'G"YflUR`` `CITt•,E"#�FCC)MlNI�M��IV�ENT:
<br /> FLORIDA`JURAfi'(FsS:'1;f7.03} -; , � . � ,.r� - . . '
<br /> OWNER OR AGEN7 CON i Rl,��'�. � " '
<br /> Su6scribed and swom to(or affirmedj before me thls Subscrtbed and m o{or af�trried)�before:ms�th s-. . � • . : . .
<br /> -. -� . -;.:-tiy-�., —�y ' - --- -
<br /> Who,lslare personally known to'me or haslhave produced ' � Who`f's/are�personally�Known'to'me or hasfiav.e;prodr�ced ,, � _ ,
<br /> as identl�catlon. as Ident�ication. _ , . .., .
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<br /> Notary Pubila ' Nofary�'Pu6iic`' `
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<br /> Cammtsston No. Cammisslan No. . ,._ : �;��, ,
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<br /> Name of Nofary.tyPed,ptlnted or sfamped Name of Notary lypH,d,�printed'or•stamped
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