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<br /> NO'I'10E OF DEED�RESTRICTlONS: The underslgnedk,under��a�ds;tt�t.tk�ls���rmi.t,may:be.subJect to"deed"restrictions"
<br /> which may=be��maregresti:ictive��th��>Gor�rity�reg�fatl`ons:��The".und'e"�slgn�'d'"e"ssumes�responslb'titty°for compilance'vuitii`any
<br /> �PPNcable deed;resMctions: � � . .." :. ,. . � :
<br /> UNLICEN�E6�,C!�N':T�AC'�O�S:AND �CANTRACTt3R; RESPQNSIBil:ITtES: ��if�ttie�owner=h�s-hired°�e cantractor or
<br /> coniractors.,to.undertake woric,.,#hey.�may;;be:.r:eqtiE,.�;ednto�e�b.e�llcensed:iti�.accardance.wittt�st�te.�nd�local cegulatlons.. if kf�s
<br /> cantrac#or�:ts no#::1lcensed=as;requicec!"tiy.=:law; tiot#��the owner.ani���conUackor�,inay�be�clted�for a-�mtsdemeanor vtolatlon
<br /> under,state.lauv. -:If:the•owner or lntended�r.�,n.,�,tor,.ace,.:uncertaln as to what Ilcenaing.requirementa mayz=appty<��for the
<br /> intended work,they sre advisei!ta cantact'tli`�;Pasca:County Buitding�'tnspectlon:pi�iislon-L•icensing�Section.st?2T-84T-
<br /> SU09:�� Furthermore, �if�the�'e►wne�'�iias�fiired a con#r"actor or cor�'tractats, he-ts ai�vis�d 'to have.the cantracto s), stgn
<br /> ra K, ..
<br /> portio�s afthe "canfrectar�8focic° of:thls�applbatian far:whlcti they-wiil".be.respoiaslbte. If.�yau;.a�..the oiivner''st�ii�as the-
<br /> ,coritr�ctaT, that��na;r tie�an'inificatian thet:he�:ls:'not�:proper�y Ilcensed.and�ts riot en��ed-;to.perrriit�ng pitvlleges in Pasco
<br /> County. - � �� r - • ..:, • � =
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<br /> TRANSPORT�►'f10N�IMPACTlUT141'XI�S�rqA1�AC�:AP1b�i�E�O�J�tCE REGOVEEtY'FEES;�T�e untlersigned�understands
<br /> ; ,. . . : . �. ..�.
<br /> = that Transparte�tlon:Impa�t�Fe�s:�nd:Recauree Recovery:�iees_m�yrep�ly;.#o�#Fie�nstr.uction,of,new,buifdings��.chan�e;of
<br /> i use in existing:�buildtngs,�or�.expan�si�ri�r;of�;e�si��i�i��:���iittlings� as:speciffed !n_,P�sco�.:County`�t`cilnari�e number 89-+Q7 and
<br /> �- 9tI�7; asfsmende��,:�lie:undersigned a4�o;�nde�sta�►ds,�thal�suoh-!`ees;�as,�m�y,��:<�tue,�nrl1l..�e.,ldentlfied at�the�.tlme�of� -
<br /> , .�,a,,-,� �- -
<br /> E� � permitting.-�it'1s,�further:t�nderstcad�that T�spoctatlon'lmpacC Fees`a�.d�Resource Recovsr7r-Fees�must be paid prior to
<br /> s receWtng°a"certlflcat�.�of�occupancy� or flnak=power�elease. J��:the proj�ct;,does not I�volve�a:cettiEtcafe of occupancy-o�
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<br /> final power.release,;;Xthe;fees�;mu�t-�tie.�paidAprior:#o::permtt;is�uance. -.F��the.rmor,e;,�tf.Pascm���ountyaWate�/S�uv�r�;impact
<br /> = fee's=are�due,,they mus�be�paid�prior#o,permit'•tssyanca in:ac.�orda�ce .w.,itti�:applica6te:Pasca Caiinty ordinances.
<br /> I: ��CONS'n'tUCTtt3N�t1EN t%1'YV��ii�pter 715�Fta�td�i Ststute�t.a�s amendedj:.;tf valua�on�of.wark.is_$2r50D,00;or�mot�e;d .
<br /> � cectify that i�:#h�.:�,�PP1�C8ttt�::�:t�lt.�=•b88t1.Pt�ritld�id=W1t11.'�=COPY,'.Qf �tltHt�:'Florida��Construct[on�'l:ten`'l:aw=�.Homeowne�'s
<br /> ` Protectlan Guide" prepa�ed by the.Florlda Departme�t�of Agrtculture and Co�s�m�rAtfairs. If•tha;applicant�Is�someo�e
<br /> x,� ,. :.,... �,
<br /> � other Ihan th��"owner",,l�ce�tifj►',;�tii�at:l.�h�ve.opt�ined=a�copy,.of the:abo�►e.�e�cribed�lqcurt�entx;and,;pro�iise�inagood.�dith to
<br /> ; -� deliver it-to�the;�'owner�.prior�to�commenaemerlt: � : , ` � .
<br /> �.COPFTRACTOR'SiOWNER'�A�FIDAViT: l ce.�ti[y;t�i�t.a1EK.tti��inf�rmati,oi��i��tlxia:appltcatton.is acctfcate.;�nd that at!work
<br /> ,P.-x
<br /> � wi11'be done in�:campliartce��virbt�i=ai#:appitcab{e Iaws�teguEaNng cor�sEruccti�on, zoning=antl=�land;develapment. App!lcatlan Is
<br /> hereby macle,ta, obtatn :a per.mlt,to.dc►.,_�uatl�x.and installatlan as indtcated:f,-:1 cetlify tYiat'.no wqrk`�°ror-.Installatton has
<br /> commenced p�i����to�tssuance of-a perm(t''antl`�that':aq work�.:will�ber performed�;to meef::stand.ards of-:all laws regulattng-
<br /> r���=
<br /> construction, County and City cades� zoning regulatlans;.and=°tand tlevelopment r.egutations�in the�jurisdtcflan. I:at"sa
<br /> �certify that I uc�dersfand that�the.reguiatCons.of.other_�,government agencies�may�apply#o#he.°.Ufend+�d:v�ork;=antl�that i#is
<br /> my responsibitity to�identiiy•what.'ac8ons 1 must�take`to be�ln..coril�ptiat�ce;.S,uch a�et�ctes lnclude bu�-are.nat limited to:
<br /> p f 5:' . . , •k� h;e,�.:;_:: <
<br /> • • •.� ' ' .ru�s.�.n, u �
<br /> -` Depar.tment.af..Etiviranmentaf}��i�tit$ctian��res�°°8ayh�ad�;..Vttetl'and.Areas and Environcnentally Sensttive
<br /> Landsr VlfatertWastewiater Treatment. , = ' -
<br /> - Southwe�t Florida Water Management��::l7istr�ict=Wells; �Cypress•;�.Bay.��a�ds�� Wetland Areas�. Aftering
<br /> Water.courses. - - - ,,,� ,
<br /> - . Army Carps of Engtneers-Seawailfs,�Docks� Navigable�Waterway�. � �
<br /> - Depaetment- of Nea{th-.8�;Rei��btli#ativ.a Servic$�tEn�rironmenta{..,N�att#� Unit:YYeit�� .Waste.htatsr.�Treatment,
<br /> Septic Taiiks: �'�. � • � - ._ . .
<br /> - US,Environmental Pratect�cn Agency-Astiestos�6ateme.nt:
<br /> Federai,Avtetton.Aulhorlty-Rurnvays.~_: ' � � �
<br /> 1-understand that,tthe;,folfow�ng;,cestrt�ttons�apply fo=tfie�tse of fl1t:` �� '` -
<br /> - Use offlll is not aliawed�in Fload;'Zone"V"un4ess�xpress4y petmitted:,.,, ,a:.�.
<br /> - � if� the:.flltT rri$#atial;is..to:..be-rus�i;rfn_�ftoo`d'Zone:��"A"�'1�:�Is understo�d=�.that a`d�ainage pla►� addresstng a
<br /> ��� , "compensating;�volume".:wlll be;sutiriiltted at;�ime�of,p�rmitting`Whlch ts prepared by a professiana) engineer
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<br /> - Iicensed by.a#he;,�#ate�of Flottda:�. ` ' . .
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<br /> ., !f th� flll materlal�.t���to.be�used tn Fload:-_Zbne:'A";in5�connection�:�.with:�a�;{iermitte� buiiding using stem waH
<br /> � - constiiicQona I certifjr�#hat:fill:vvlli�ti.e.used onty.toiilt�the area.wi#hin�the�s#em�rali.
<br /> - if flll matertal is��fo��be used-ln>a�y area,�1 �certtfy that .use. af.:':sucti"flii �ui±111��jof adversety affect ad)acent
<br /> � propertles._If u'"se:aof.fitl is�found�:to adverse�y��ffect`a�Ja�ec�t��propertles,.•the awner may be clted for arlorating
<br /> the cond�to�s`xof;`the:ti�iftdtrig�;perinit Issued=uttder th�.��t�iched.permlt:raFRltca�o�;.for;lots iess�ihan:one (1)
<br /> `�,-..� �acce:w�ilcit�are�elevatetl�tiy,�;illl,��n englneered�drainag�.plan Is required: `�`��` •
<br /> If 1 am#h'e�AGENT..�.OR THEwO1MNER;:l�romise In,good fatth to tnform the�ownerYof>the;pecmltting�:conditions set forth tn
<br /> �.�.. �,._.,. . ._. __... , . �,
<br /> thts affidavtt`Prior to'commenc(ng canstructidrt; `1'unde�rstand fhaf a��s�par�tte`per'm�°rrtay be required for efiect�icai wark�
<br /> , :.,. '''y�s''�Z'�� .
<br /> piumbtng.;signs,:weits,��poois�:falr;c�ndi�aning;,:ga��,,ors:ot�er:.inst�lt�tioits.not:=spe�flcaily_included��in:the applEcation. .A
<br /> permit issued sha�ii.tie�cor�s�#�t�e.d:taYbe�apllcense to��p.roceed wltb tt►e►�wock and:nol,F;.��swauthor,iiy.to,:vlolate,.�cancel,alter, or
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<br /> set:aslde-ariy�prorilstor�of'tFie`tecli�ilcal.c+�d�s;�nor shall Issuence�af a:permlt:prevent�:the:Bulldirig..O�flcial from thereafter
<br /> reqaking.a co�rection�af:errors,in;-plans�;.cansfructlon�or:vlalation��of•any��codes::�r_E�ery�petmlt�[ssued�stialFtiecame invalid
<br /> unless".the'�wdrk aut�io�iied^by such permlt��Is�.cammenc,�d�wifhtn sUc m.onths;of�permtt_I�suance,.or if wark.aufho�ized by
<br /> t ,... ,�.._
<br /> ihe:permit.is suspendedLLor..a6andoned��for�.e::.:eriad of<six�;I8 ,months;..�attsrtha�:�rr���the�wa'tc��s ct�miinen�e33: An eactenslon
<br /> � \'� Y..
<br /> may�ba requested�_in,.yrri�ng,,irom the��Btiill�ing;t3�iiciai.for�a pertod�not�.ta�ex�eed��ilriety=(90)���ays--a�d��uirlll'�demonstrate
<br /> justi�atiEe;cause for�the extenslon�. If work:csas�s,fo=ntnaqr'(90)ccr�secutiv'e.`day.s�..the�}ob�is�considered aba�doned.
<br /> - ...,_. ,. . _ ;r:_ , ,. :
<br /> .t ,:a-,s. ,;,r,. _ �,3, -o-;�;,•� ..s: ;� - , ;_�.<;`,` :c�:•,..��:,::.;: �,��:-�� ...„�r;;:;-4,._•�..�i�°c�� ... �•„ �'; ,.
<br /> WARNING`TO`4W ��: Y�UR:;F<AIL:W,RE�;TC1,;R:E�:O�t�=.A;I�IClTI_C�.�E,��.O��COMMEN��NfEI�FT_,NfAY�RESfi�1LTIN�YOUR
<br /> �P,AYING-7WI,CE::F, R;1 P r;O,VEMEN�$;fT�O:YOUR P1���!Ei�TY:.w:.1�.YO.t11�'�1D�,�..�7�Qi�:�fBT"A1iN��FIN�ti1�1N�"r;C.ONSULT
<br /> IT' �U' �O � �> �E
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<br /> FCORtDA JUFtA;:,(F:S:tat1T: .3�.`; *..5�. .- - . � .. ._ _ . . ---- ,_ �_._____
<br /> �:OWNER,OR'a10ENT�,..:..,:,..� �; .. a.,. ...�..� ...;....±,r_.. . . .. . .�-CONTRfCC'f'OR{, �::, . .,.._-.'�.sr� ; . . '
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<br /> , , ;Subsaitiei!and.awom#o{ot aHi +�etore.me=lh� . `�: : `•-'�Subsc�l6�d�rpd'sw�m`.t�(or�fiirmed)`be�ore me�ttiib• . -
<br /> � by, . \_,.�., "'�:'�;,;'..<-.,,. ,:..;;byt;;..,,._ �;:.,.,:r .-�� Y: ::..,,,..
<br /> , �o Is! re personatly icncrwn tio•me,-or.�t►ei�ave.produced Wha.:islszr�:p�etsonatty:�town�ta;me:or=hasfiaye�prcdi�ced. •
<br /> �-•�1��-t:�?�i�..a:Q=-����s�idenUflaaUori:. �..,..i� -. . . . .. � .... - . ,, aa tdend8cadon.
<br /> �:� Notery Public�'� ..�.._.: . , ' ., ., � ' Natary Publia .
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<br /> Govnrr► n _ :�.�•"�` - _ • _ :(�omr�Is�lon�No.
<br /> _._ „��„� JACQUE . �., .. _ . . .
<br /> � �z.�=�:.^r�n., ission�#fF.154422 _ _ � ,=� ..��;-� _ . . .. ' ._�..�_. ., .. _
<br /> ` Name o}'N ,� ��8 � .�s.7o,e . ;iVame of Notary typed,`pi�nted or�temped „ .. ,- -
<br /> �.-�..- , s�� '�+°'�`,•`� Bonded Tlw Troy Fein nsurnnce S00 _ __.,., .. .
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