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<br /> IAT'10E OF DEED RE�'1'RICTIONS: The-,�nderstgned:undetgtan�ds=;tt�t_ihi,s;:p��nit;may.<be,:subJe�ct�.t�"de�d°,,rest�.fction.'s°'�"" .
<br /> i ' s �. ' 3. 51 4 8:�i, t-..•... ��iy'�s
<br /> rhich-rriay:be:�mor+�:rest�ictir'►e•'th��r�Gounty{rieg�iletfo'ri�.rt'�Ttie`-rinde'rslgnetl'�a��umes�i�spon�ibilttji°tor�compli�ncewith'�any�f �
<br /> ippllcable;deed:resttictlons.:� � - .:�,: ��n,;�< _. � _ - -- - - _ : . - .
<br /> - �:t�, =f-, - - _ - - -
<br /> INI:ICENSED�.'CONT�ItAC�OR�=�:AND�°CONTRA�TOR`�R��POWSiP�141T1�St�.�=!€;�fie�owne��';hes-�sfiired��ya°�`coi�4ractor or
<br /> . ertake.w ,._ . . , , .
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<br /> �ontractors�`io:und° ork;rttte"_may<<tie,r�qul�ed�to;Ge:l�ensed;`In�eccor�ance':with.state:�nd��local',r u6�flon§:�,�If>tfie���<,= -
<br /> Y , .� . �.;....-• ._,_.._<:�...:� : :.� ��� e8�.:.�
<br /> �ntractor:,is:not;:llcensed=;ag requlred tiy,law,�both.the owner�,and�contracto�:imay�b�°-cit�d for°�� misderriea�or violation
<br /> �nder state law. If ttie-owner br`Intended>ao.ntra�tor�:a�e,:,:uncertain,aa:to-wh�t Ite�nstng:require�nents�;maya:epply`�fii�'-tiie��:;�,:=i_�:-,�
<br /> �t�nded=�nrork;�ihey:are adviseii=to:aoritact the Pasco�;Couqty�uilding�'Inepectlon�Divtslon-Llcenstng Section�:at 727=847-
<br /> _ . ..__ _.._,.,�..�.�,,:. .._ �� -- .��: _ . .:....p.-,��., �: , �... .. , . A-;:_�.�;�.;� -.�Ks)':>sign._,..,�-..�m ��.
<br />�� 009. Furtherriiore; If�tlie��owner�has,(if��d``a��conhacto� oT contfacfors� h�' is`advised�to Kave;_Ehe, contracto_
<br /> ,.v�..,J: �
<br />� ortlons of'the "cvntractor B.lock°..,of`thl�r.application�for.,,whtch=they wlll.be�te.sponsl6l�..�:,lf...you;,,as'.lhe`�owner'sign as`tHe� �� ���
<br /> ontractor�:ttiafma3r"be'�an�indication-tfiat he Is=not-�.prope�ly=Ncensed�and i"s'"not'entided^to�pern�itting'�p�ivileges'in Pasco '
<br />' ;ounty. ,t ' _ _ = __ .:-.� ..�...���.�,..� ::;,; t9,: .. . .
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<br /> '�1RISPORTATION.�.IMPACTIUTILITI�S�riNRAC'1'�ANd=�ItESO�JiRCE R�CO`V�RY-FEES;-yTh�-�ndersfgned��understands .
<br />� iat Transportatfon Impact Fees:and.Recourse f2ecov,ecy-Feesvms�y�:epply:s#a°,t�e�conatructlon,of:new bulldtngs;.�changeMof''�=j .;�;' �`=� :,�-,
<br /> se in exfstfng,bulldings;�,c��-;exparist��i:of���i.sti�b�iildings;`as specifled.in Pascq County Ordinance number 89-OT and �
<br /> 0-07. as amende.d:;,.:�h�.undersigned �Iso;.urtderstands� thait�such fees;�:�s��maj�"be due„fwiU��De iden(ffied at the�time�of����=���-`���
<br /> ermitting. It is fii�tFier understood that Tran�portatlon�:lmpact'Fees and�Resour.ce;Recovery�:Fees.�mu�f b� paid prlor to • �
<br /> �cetvtng a_"certiflcate::of:occupancy"-�or flnal�.power;release:�:If�the proj�ct�does`:not�involve:��;.certiflcate of occupaney°o�'-��':.��= �� ;
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<br /> nal powen:;celeasa;;the��fe,es�mra�t::tie'paid�pc�or�to:,permit Issuance. :Ft��tkiermor,e;�ff:Pasc�iCounty;�WateriSewe�:lmpact;:� - : �
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<br /> jes are due,..they;-must be�pald.�prior ta,permit-lssuance,In,�ccordance�wit�r=applicatite�Pasco�:County.oniinances.
<br /> :ONS`fRUCT10N'�IIEtV`LA�(Ctiaptar 71'3�Flortda'Statut�s,�s.ameml�d): if valuallon of work is$2�SOO:O.O�or.more;:l_, ;J �__-::=;
<br /> ertify that I, the__applicant�.�have;-;b.een:.>provtdeil;with,a--.copy�;of::�the_"Florida��Constttiction��Lien�.�Lavw—Homeowner's
<br /> �rotection Gutde" prepared.by•tFie"Florlda Department�of Agrlcult�r� and Consum�r/kffairs: tf the applicant is sotneone,, .--: ��f:-
<br /> ther than the"owner", I certi(y�th�t�4l;:have�.obt�ine�}a��copy.of:the abode:rlesc�ib�tl��cur�ent�:andyp.r.o,�ise�:in;good�,faith,-to: ._ ._.
<br /> eliver it toithe:"owne�"�°p�r,ior'to=commenc�merit:��� - - �"`, �� . . --. .. '� � - - - "-� .- _ � -
<br /> �ONTR�►CTOR'�%OWN�R'S A�FIDAVIT: l;certify.tk��k:all:�thg-,Inforr�ation�i��,thl�,appllcatlon is accurate.and that all v�ork
<br /> r1li'be done in compliance with all�appitcable law`s regulaHng construc8on, zoning and�land�;development. Appitcation is
<br /> ereby made, to �obtaU�:a.per;mit;.;to.:,,do�,?wofk;a,and"in�fallatlon as indicatetl:::,�l:certity�tiixat noT�wark`�o� Installatton�has
<br /> ommenced`p�lor to'Issuance of'a`penntt"antl'that�.ail'uvork will be perFormed�to meet•standacds_of.:ell laws regula�ing-
<br /> onstructlon, County and City codes, zoning regulatians� and land development cegulations"in Ythe:Jurisdiction.�{��I��also��
<br /> ertify that I uaderstand that th� regulations.of ot�er�governm�nt agencies may�apply_;to.,the,intended:work, and that it ts ,
<br /> iy respons6bilily to identiiy•what.actlons.l must�take:M be;,in:.compllance,,.,_S.uch agencies�include�but=are_:not Iim)ted,to: ; , �
<br /> - De artrtienf of EnvironmentalYPratectt�in`�°�`"'ress:Ba�head�;�1Ntetland tl��eas and Envlronm'ent�ll Sensttive " '
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<br /> Lands,WateNVllastewater`Treatment. �, ,_:- "" � " ' _ °
<br /> - Southwest FloNda Water Management;{::17istrlat-V!lells, ���Cypress.' -BayFi�eads�;� 'Wetland Areas, Altertng� '
<br /> W�itercourses. -.._ . � . ,
<br /> - Army Corps of Englneers=3eawalls;`Docks, Mavigatile ll�aterways. '
<br /> - Department,mf:Health:,$z.�ReMabilltafiye,Servlces/ErnriConmental.�F�ealt�:Untt:Well.s;-=Wastewat�r��Tre�tnient, �
<br /> Septic�Tanks� � . :.. �._' ' _.� _ ; -_ . ; ; . . .
<br /> - US Environment�l Protectlon Agency-Asbestos abatement. .. -
<br /> �_Federal Avlation;AutMo�I.Iy,-Runways:� �� -- - � � . � �
<br /> understand that the.folloaring;restrtctlons apply"fo�the��se�of flIL•• - �
<br /> - Use of fill is not allowedln.F�lood�Zon�"V"unless expreasly.permltted.
<br /> - If the..flll,;=mate�lal�;ls:�%:°be:�used:�ln:.:�lood .Zone. "A", �tt.1s�underetood that~a dralnage plan addre�sing a
<br /> "compensating volume"wlll.be submlited at time of,:permitttng wlilch Is prepared by a professlonal englneer -
<br /> Ilcensed by=th'e�tate�of,Flo.Flda: - � � � . - -
<br /> - If ih�,_fill.materlal"�i�.�.to-:be��used In �lood �one 'A" tn5 connectton�wlth':��`���rmlhed building usi�g stem wall
<br /> � constrvction, I,certify that;fill;Yiall:t�e�ua�d only.to.flll.the,.area.withln-;the�stem:wall. . - --
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<br /> - If"�flll`=mafe�lal"=1"s�to'�tie`�used °In�any-area;`�I��certlfjr that .use. of such��fllf wlll"not adversely affect adjacent
<br /> p p .se�of fIIIFis found to adversely.�ecf adJaEent�_prctpertles,.the owner may be'clted for ulolating
<br /> ro ertles. If u
<br /> the condlllons��of-tlie.�ti�illdl,ng;.permlt Cs�ued:u�der tlia�at�acfied_�ecmlt::�pplicatlon�.for�lots_less tban:one (1) .
<br /> acre-vrhlch�are%elevafecl�tiy;illl;:a�tenglneereddralnageplanls"requlred. • • , ,,
<br /> I �m the AGEN.T.:�OR:THEuO1MNER;�1>�proml'se�In„good falth to=lnform the�owner of:the.permltting condlt�ons�set:focth In
<br /> iis affid�vlt'p�for'to�aommeiicing consfrucflon:�"'1"�undecstand that e�separate permlt may be requtred for electrlcal work,_ >
<br /> ". .hs '..'at T^T' ^3'Yy. . '1
<br /> lumbing, signs, wells��pv,ols;�,alt.condltloning,.:gas�..ory otMec_Instafl��tlons�not.spec�fical�y Included-in.the�application. .A` � .., ���
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<br /> srmit Issued""stiall be conshued to be.a:llaense=to,pi�oceed wlth ttle work'and�nokaa,authoNty�to:vlolate,�zcancel. alter, or � '
<br /> st asld�A���!yavls!���of��tl�e�:#sclia�lcal:;cod�;�t�or�h�ll l��ua�c��of'a:p$rrr��Q�.p��6�e�$th��UIIddPly�iC081 f�PY1 th�PeafQer -,
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<br /> equlrin.g a correctton,af�rrors;ln��plans�;cons'tructlon,or vlolatlons�of'any codes:.<�ve_ry.:p�rtnit�lssu�d�shall3becnme�lnvalid ;,
<br /> nless the viiork author`ized':by�such permlt��ls-cot�ime�ice��wlthtn sst�cc,months.of:permft Issuance� or if work authorized by �
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<br /> ie pemn(t Is suspended.or,ebar�doned=for_a::�er:lod,ofislx�f8).montfis;.afferthe#lrine�the�work�ls cor�manced.'An extenston �
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<br /> iay be requested, In uirlting;,itom:'ifie;Butlding;Offtclal:.fora perlod��not:to:ex�aed_nt�i�ty.{90)�days:a�d�-wIII'.demonstrate `'
<br /> stlfiable c�use for.�the exte�sion�� If`wor.k ce�aes;for nlnety(90)c�ns.�cutl�e:day�...the Job�ls.consldered abandoned.� �
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<br /> IARNING TO OWNER;y;`YOUR:�FAILIJRE':Tta:RE.C;ORR;A�I�OTIGE;OF;COMMEAI�EMEI�T��N1AY;�:RESEILT�IN-.YOUR, �
<br /> AYING TWICE-FOR;IMP.,.RO�/EMEN:���Tfl'YOUI.�:F1��OPERTY:.?•I��:YO.U�1�4�@�Il�"T�°��HT�AIN-.FINf�i�1E1NG;"'CON�ULT
<br /> �IT OU - `AI�: O w F�`R �� -ECO D G��. �.O �IC ' ��`�'�ill � -- - = - --- -
<br /> .o�i��►�Ju����s��:��:oa� ` .. :> _. . . ...:�._ .�::.: .,: ._., . --
<br /> NNER OR AOENT CGNTRACI'A'< � '
<br /> ibsalbed and swom to`(or afflirned)b�iore me'lhls' Su6ectltieil'arid'�wa to(or afllrmed)�betore:me�thts .
<br /> bY �
<br /> ho Islare personally knovm to.me or�haslhave pro,duced 1Nho:["s/ere .ers nalry..kno "me.or.hes/have�pmdi�ced- • , �
<br /> � - as_IdendBcatlon::` � -�� � � . `as'IdenBficaUon. ',
<br /> Nolary Publlc Nota'ry Publlc
<br /> �mmisslon No: Comr�laslon o � � �
<br /> �
<br /> .••;:�Y:ova•. JACQUELINE BOGES
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<br /> ime ot Notary typed,printed or atamped Name of Nole ' :eB�e19
<br /> ;�a:' :;; Expjres:,Decerober 17_„2Q�8- �
<br /> . ��'�'„��tiF�°:�� BondedThru7royfvnlnauranea8GOJ8i•�019! _
<br /> w.o.����;,•. . -
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