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<br /> NOTiCE-��DEED:�RE�TRiC7iONS: 'The;.unde�csigned..under�#�nds°:#h�t;this;;p�rml�,may:be;�subJe.ct�to"de'ed"�reskCctlons"��� "
<br /> , �. ., � , � �, d �z � � ;.� - � , �����s�-'• .�
<br /> �hich may<be�more rest�ic#ive.;tFi��r�Coun�j%Jr'agFifatTot�s:'j:The�i�n�arslgned�RaS'�'.umes'�s��nsitiiiity.for'`cot�iipliance vvith any'�>
<br /> a �ltcsble:deed��es#rfcttans: -- , _ , . • , � , ,�,;,�k;.�.:, ; .
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<br /> UNLlCEN�ED���CQNTRAC''�OliS`'<-AND�'�CONTRAGTOR'RESP.9�Si�1�IT1�S:=��f���he`�ouvnef°h�s�hlred.:'�"co�i�actor or ..
<br /> , .
<br /> ' rs�to undertake°work the _'ma ::be{r�� ulMred:;to�;�i�;llcensetl;ln�a�oid�nce.with�state;and�lacalvreguratlo�ns:;�•{f�tti�:�T-�,.°�,::,,:�.
<br /> contrac#o . � .,...:Y .,.�Y-,.., _�q �.... . _ . . , . � . .
<br /> � . v, . i i ,.�. ._. +T.. �. ri ' .4' , ...n{i #ti:.F, .r`+c!...�..',.«�.z'.*c +. -,n.,�r:...•r � ,
<br /> �untractor:ts`not�1lcensed"a�.�required,tiy;law, batfi'#he^owme�a�d con�raetor�;may be��cit�dffor a�ini�demea�ot� violation
<br /> �nder st�fe ia�v. if the oi+vner or intendedt con�a�tar�are,unQertsiin as fo rnrhat licensing�requlrements may�appiy=�foc'thes��*�-j^���'�'
<br /> 'ntended wark;�#tyey�are a�vlseai to txmtaEt#fier,Pasco`Co.urityyBuitiiing lnspec�on Dtvlslon-=Licenstng Sec#ion a#727-�4.7
<br /> 9009. Furtttiexinare;.:tt°tlie�:owne�°F�ai's .til�ei! a cont�acfot�or�con#r�ctais�."Ne��s.ativls�d to'�have,�the contr�actor(s,),slgn.4,..:;_.,.,.-� .
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<br /> �nrtians of the:_"ccmtractor Block'_'.of-:this�,appibatlon.�fvc;whlch�they,.wlU.;.be:�esponsit�le..:=,lftyou,�,--es.`:>#he own��stgn:��as"tlie"`��> ��. ;
<br /> �antractor;-ttiatr�r"iay-tie'an`indlcatlon�tfiat he�is ngt�:property 1lcensed�and`isy'riot`�'en�INsd'to`petFrilttirig prluileges in Pasco.;
<br /> �aunty. � ' •- _ �� , . , � , .:�.;>-,t<:,;;.:�::�:;.:��,-.. :
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<br /> 1'R�►NSPORT/�T1f3N:riMPJ�CT1UTii:�'CIES:=i�'IPAC"C AR�t����SCl�laCE`RECOV�EtY�FEE�:-"�i��un�er��ne��understands ,
<br /> :haE Transpartatlon lm�act Fees�end.Reco.utse RecoYer.y.Fees,m`�yt�pplys#Q tC�s_ccnstruction,ofi,nevu:.buliiiings;?ghange^of�*`�:;:`'". .,
<br /> �se in exisNng°buitdings,:ar�>expa�isi��n=:of`texis#i��balldi�igs, as�speclfi�d.in Pssco Counijr Oi`dlna�ace_tiumber 88-07 and
<br /> �0-07, as �mende,d.,.STh��undersiAned �Is�}urttl�rst�nds} tha�!such fee.s►�as�:ma�r'b��s.due����wlll���e iden�t�led at the�time�.of�': :.$`. .<;-:��_.
<br /> �ermitting. It is furtfier unde�stcod that Tracisporfatian:Impact"Fees and�Reeoun� Reic�eryj-Fees.,mu�t be�pald_prlar ta �;
<br /> •ecetving.a."aerfNicate-ofoccupancy'°�or>fln�t�.power:release.���.1f��the proJ�tc�udoes:no#Invotve<<a.certtE.i.cate af�occupancy.;or°�:;- .;r°` �
<br /> �nai pawer�rete�se;;::.the�;fiees:mt��t��l�e�pai�=pT�or_ta,permft ts�i��nce. ;F��thermare;;�ifPasc��.County{�ItlaterlSfewer-�impact:�r� ._ � . �
<br /> `ees are due,,tMey:�nust_be�paEid..pt�`or to;parmlt Isst�aric�ain accordiance;wit�r;apPilaatile:Pasco>:Caunty o�rdinances.
<br /> CAN�TRUCTICIN`CI�N'LAW�Cltaptkg��'13.Elorlda'�t�itut�s�a��men�ed}; Ef valuation of wark is�2,50Q.OQroc=traore;Tl:A• ;. � ��--.
<br /> �ertify that �,,.tFie_:applicsn�t;_::have:,,been_<•:provideii:,�,with-a�:c;opy,-:aof.i ythe:-°Ebrida�`�Co�sttictlon;:=�len��_L�u�--Homeowner's
<br /> �rateation Guide"prepared by.'the FIn�1da Qep�rtm,ent�of Agria.ulture and Consum�ar•Afifairs If the appllaant Is someone : .�-:� ..:_ •
<br /> ather than th�"owner", 4 certffjr:.that Ivhave:>dpt�tnei��a�'c�pY;of the��bave::deacrl�etl��d�tici�rr�ent�,and�promise}i"nA�ooa��faith�:to. , . _ . i
<br /> j@��YVr Et tV'��1@a�«vt�ri��:r`+��T���`�OFC�mmV�lVo�tt�i1{:w ., + 'b'�.z, < . , ,..t�'.:: , , a . . ;r':::a ;�^. ^ __'.. � .
<br /> COMTRACTOR'S'iIAWNER'�AE�l�AYIT: l,�9[t�[y�tklHt�81l;=th6FtltlfoLtt7�et10tri��.tfits.-aPplfcatbn is accura#�:and that ali work
<br /> nrili'be done in compltanoe wlth.all.appliaable:laws�regtilating construcUon, zo»Ing arid:�lsnd;,d�velopmerit. Appllcatlon is
<br /> �ereby rnade to. obtain�,:a:.pecMit;.�to„.do.�_wc�tk::,and;"litistallation a� ind[cafe.d:�:,::;1,-:certKyF�thatY'no`work��or; Installatlon��ti�s
<br /> �ommenced'prlor to'Issuance of`'a�pemiiit'and thaf`:all`work will be perFormed #o meet�;stan�arrds„of.�ll laws regula�ing-
<br /> ±onstruction, County and City codes, zoning reguiatians, and land davelapment°tegutafion��in��tiie;.ju�lsdtction.��.�l:�al'so°�
<br /> ;er��r th�t 1 uc�ders#and that the regul�tba�s of other�government ageneles may�apply:#a the„intended work� and that it is
<br /> ny responsibllity to Iderttify�what.actEans l.must:take:to be4f�;.compllancs,.rySuc:tr,agencles�inctud��b�t�are:no#timited:,to:
<br /> - De rtmenf of Et�vlronmental��Piot+a�ctt��i'� �`'`�ess:'Ba'head�;�1Ne�land�AFeas and Envlronmentali Sensfttve
<br /> Pe �YP� } Y� Y
<br /> Lands,WaterNVastewater Treatment. `�� "�� � � �" � f
<br /> - Southwest Fiorida VUater Ma�agemen���:l�istNct Wells� Cyjaress.�'�Bayh�ad's,� 'Wetia�d Areas, Altering ;t;
<br /> Wa#ercaurse�. :u. ,_. n... :. . , _w._. _ . _ .. , _ , .
<br /> - Army Co�ps of Engfneei��Seawalls;-Dack's,�I�v►gatite 11V�iEetvuayrs.
<br /> - Depa�#ment,of_,Health;:8;Ret�ablElta�ive,S:ervtces/Enxtronmental�.,M,.e.�itfii,;"Unit:We1ls; �Waste.water.z Trestment, �
<br /> ` Septic Tariks� : . : • , , - � . .. _. _ � . . ._ __. _.�._ ...
<br /> - US Endiranmental Prote'c#lon Agency-Asbestos abatement.: --
<br /> - , Federal Avta#ion;Autharity,�t�u�ways.�.. i.� ."•. �
<br /> urrderstand that the_fioHa�ving;;�t�lctlo�s"eRPiy`fo�tite�use�of fi31t:� �
<br /> - Use of fill ls no!'a!lo�wed in.F#ood,,Zone"�V"untess expr,�ssly permitted.
<br /> - It•�the fl!limateHal;':ls`��to°e-be��usei��ln�.�l=lood�-:Zoae. "A"� f#:".Is"�iiiaderstoot!-=that=a �drainage�pian addPessing a
<br /> �compensating volume" wlll.be.submi#ted at time of,-.permitttng uv6lch ts prepar�d by a profess(,onal�englneer '
<br /> licensed by#tie^St�ie�of�fla�lda:.: �' . - - � . ' . . ,�� � . .
<br /> - If the.fill_m�teriat=i��to,tie,.us.ed in �i�od"�one 'A" US connection�u�►ith:���err�ltted building usin� stem wall
<br /> ' constrvctior��,l,cer�i'y,that,f�i:r��ll:b.e;t�sed aniy.to.�il!#he�ac$a.within,the<stem-wati.' : _� , , `, �., ���.'
<br /> - � -1f=flf!"ima#e�la!`:Is.��to�;be�;us�ai!`;�n�any�atea;�I�sertt�r that .use. of suctt`fltl�`will`r�ot��adverseiy af�ect adjacenf
<br /> properties. If,use,af flll,ls found�.to �dversely.,�ffeaf'atlja�er�#�>prcmpertles,.the awner may b�ctte�d far violating
<br /> the oondlHgnsYoi tHe b'Wilding�:permlt issued:ru�der the�att�cfied_.�ermit�e�ppBcatlon, for:lats less�#han�one (1} �
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<br /> acre which are�elevated-�:tiy`tlli;.ar:t er�gineered dr�iinag�plan ls requlred. • . �,
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<br /> P!am the AGENT:FaR,THE�=OWi�ER,°l,%proint`se tn.,good;fai#h ta inform=#he�eawner,:of5the.psrmitting conditians seYforth In .;4
<br /> �is affidavlt`prlar to coriitfier.icing�aonst�uc��iri:Y""1`urad�rsfeFitl�tttat ay��p�arate�perinit may be requtred for etecMcal work�,, �f:
<br /> �,�,..,.
<br /> �lumbing, s[gns,.wells�,pvols;,alr..condltloning,.,ga�,.wor:.ot�at.lris�at ons no�.spe�fls�#iy lnduded-In.the appiicatlon. •A �''
<br /> , £ . .... _.... �..._ ,.,.,..,�.:. . ;�;
<br /> �ennit Issued shall'be:.aor�sfcued to.be:'a'Iicense�:to;rproceed wltb�tttia:viiork etid nok�as4authodiyato_:vlolake,_cancet; altec, ar
<br /> et aside any�provisions'�af�he�teclinlcal.:cndes;�nor shail issuanc'e�of a�.pei�mlf.pr.event tt»Bulldtrig Ol�lcla!from thereafter...� _;�
<br /> aquirin.g a correctton_.af erro�in;ptans;{cons#tuction,orvlotatlons�of�any-codes:. .�very;petmtt:lssued��FiallPbecomeinvalid :.�;
<br /> nless the�rark author'lzed�6y sucFi`petri�lt:�is-coErtmenceid�v`vfthin sF�c.:months�of;permi#issuance, or if work�uthorized by . ��
<br /> ✓�.�r.�,r r n�, i.I
<br /> �e permlt!'s suspended:ar.abar�doned;.for::.a;p.er.iod;of�s�c���):montFis<after��fhe time Nte�wat4lc��s commence�i. An eac#ension , S=-
<br /> iay be requested� In-writing,:-frqm`ttie'�Bufllding;O�iclal�,far�a per'tos�unot=to..exceed�i�lnely�80)�.�lays.a�d�will"demonstrate : ?
<br /> �stifiab0e cause fior.�the extenslor�.�"'Ifwork ce�ases:for nlne�r(90)consecutive:day.sr�the Job�ls�conslde�ed ab�adoned. , �''�'
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<br /> VAIRNING TO ClWME�tc"� Yt1Ut�.FA1l:�RE`=Tt�:,R�ECt��ti�;;A� . ,5't�GE�;.OF4 COMM�MCEMEMT;;�NFAY�RESEILT�IN YOUR `�;
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<br /> _�1Y1(M!'�TINl.CE.FQR IMPttOVEMEI��'$rT0,�f0�lR�P��PEt�TY.��IF YO.U{11�"�Et�Q"TG=�{AIN�FIN�►pE:MiG;CdN3ULT _._ :.
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<br /> .OR1DA JURA�'�(F.5:1;1,7,.03) . . . - �-, � ; >,, .°:`, .. .. .
<br /> NMER OR AO�NT , . � , , CQM'!'RAGTOt�, .r�tc.'�i�'�✓Gi��
<br /> �bscribed and swom M(or aiNrtnedj b�iore m�fhl� Subectitied'and'suw ffl ed)�b�to e� I@�, �
<br /> �r ,�y .".�°r�°���'Jo,�r�.���-�/'�
<br /> 'ho Islare personelly knowo to.me or•haa/have produced Whc�}�fare erson�ity.�snow�i�ta,rit�ror:hastt�ave��ttaduu:erl •
<br /> � as;lden$fioaUon: - : .rr-'� .:��p��°'i(�.cr�t�.C�r�,,,: as lden8flcation. '
<br /> Nataty Publlc . Notary Pubtic
<br /> �mmissRon hlo:' ' Gbmm si .No �
<br /> ��'i�:Y:di�••, .JAC E .
<br /> �rt�e of Notary typed,prtntad ar s�mped Name af �, ; ,�,,�;p�ipt�a�49�0422 ;
<br /> =°: ';o�".EX�11f8S.��C$(TI�}2(;�`�,:24,�$�,�'',
<br /> - . �'!ip,:�;°.°�� Bonded,ihmTroKFajn,lnsure�c�BOQ;�95�tOtQ:-
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