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<br /> '� �ItICT10NS:�The=:undersignedF,undergtand��:th�t�itiis:�p�,rrni��may..Lbe;subJe.ct�,to,,°de@d"_;restitCctions°�n;j,,;: . ;
<br /> �TICE OF DEED•RE .T. , _
<br /> iich may,be,,more:r,est�ic`tive.�tha�i��G�unEq��regdlattoris:�`3The�un�ere1gned:'a�s�mesyrespri'�i�siblltty=for coinpliance with:any
<br /> � ,.� ,:=.�...
<br /> �pUcable`deed;:re�trlctions.� ` .:,�:_=-j;:;s:,,.;:•�:;r,;�;�-��. . ; . _ • _ _ _ _ _ _-_ - � .
<br /> S �D�'CONTRAC'FOR�::AND,-:CONTRAGTOR�RESPOW�IdILITI�$':==��'If�=�Fie°�owner`fi�s�-litre����g:;corihactor>or
<br /> �LICEN E . - - � .
<br /> � undertake;inrork ttte ma�tieare�: ulred�to�;�:e:hc�ns�d In:accQrdance_witt��state�:and',local,regulattons:�.If�tiie�`t-:��'-'��' �
<br /> ntractors�io. ,,_. Y Y:..:,_,..,.4.,,..s;�� ..a,.. � w-�:,.:.,...:�: ,ve:,.�-....�..-�.-:,�: ,�,...:.�..-�. - -- :
<br /> �ntracto�:�:ts;not•:1lcensed as;�reqUlcedFtiy:law,:tioth'�the.ovmer and=�.contcactoThrnay�tie;�cit�d��for�a�pmisderr�eanor ylolation , ; ,
<br /> st te law. If tlie�o�nrner o� lnterid.'e"tis,contra�for�'ar,e�,uncerfalh;as��.to what"Iicenstng;,requi�ements:;mayy`appijr�for:4tie.����.u����°����
<br /> ider a _ .. :.:_.. ... __.�.�.,.,;�.�.:..�. �,.... :. .- �.- -=-.
<br /> .� ... .:r:.in�r.';:v x_�.Y,n � . ....• �
<br /> ended'work;`they'are'advised�to:�`c'oritact`the>Pasco.,CountyrBullding�Inspectfon;vDlylsion-=Licensing'Section�at 727=847- ;
<br /> �09. Furtherrtiore; if tFie.owne��lias'�Filr�d"a co�ntractor�`o��contractor`s, he l� edvtsed to have;the .contracbr(s),sign,,,. _ .,,;;_ ��
<br /> .a -, ;
<br /> �rtlons of'the,;"contractor Block",of`this appllcation�for_whlch;.they,;.wiU.-be.fe.,sponsi6�le. ,I�you;�.as,,the`oiivii���:stgn'as�'the� <"� � ��'� ;ti, �
<br />' �tractor;�tFiet�iriay-be��n"�indication thet�he ts=not4.properly�licenseif`and'is'"noC�enfiBed`�to`pemiiHl'ngp�ivileges in Pasco; , ,.
<br /> wnty. ; :� . - - .._.._ �_:<.._ ._,r,:_.. .=:....,:� .: ,.>.,:.:,, i
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<br /> tl1NSPORTA'fION:�IMPACTNTILITI�S=�NIIRA�'t'.�AI�b��ESO�1aCE R�COVERY°FEES:'°T`he�understgned:iihderstands ��, i
<br /> �t Transportatbn Impact Feas:and:Reco.utse Recove.ry.Fees_,may�;epply�;#o:tf�e�construc8on_o�_new.buildings;�change°of`''������"�`���- .; .j
<br />� e In existfng bulldings;t�a��;expari'slb��of���ls��is��i�itltlings;"as_sp�cffled:In P�sco�County�Ordlnance number 89-07 and '� !
<br /> ._M;
<br />'� �-07, as amende.d.,,,�;�h�.undetslgned �Iso;,urtderstands� th�t:'suoh fees;-,as,tnay^`b�:rd.ue�;,wllFh�e Identlfled at the�time'�of`` �����`�=�r- ' �; ;
<br />�� �rmltting. It Is furtfier understaod tf�at Tra�sportatlon�.Impac�Fees andVReaource Recoi►'.ery-'Fees.mu�ti be pald prlor�to
<br />�' �e�vtng,a"cerflflcate�of=occupancy"__or flnal,power:;release. :I�.the:proJ�ct;;do�s:riot�lnvolve.a=.certiflcate,of occupancy or�='�`��`A`<� � �
<br /> al power,release;.:the_:fees;::mu�t�'be��ald;�.prlor;to_,permR Issuance. -F•.-,t�lGther,more;��lf°�Pascm.,Caunly:Water/Sewer�;lmpact:.;���., �=°;��°. � ;
<br /> �s are due;_they�must be�pald.pi�lorto,permlt•Iss4ance:�n accordance�wlth;appllcatite.Pasco�County ordlnances. �
<br /> )NSTRUCTION`LIEN�'LAVI�(Chapta�713�FIoHd�Statutes�ae�mended); tf valuaHon of work fs$2,500.00�or�more;1 -�, _ ,
<br /> rttfy that I,..�#he._appllcant,_��iave,-�been;�.praovlded:wtth��a��copy�of;-:�e°-"Florlda•�°Constitiatton;.`Lfen'�:Law—Homeowner's
<br />� otectlon Gutde" prepared by�:4Me Flo�lda Depertinent;of Agrlc.ulture and Consum�ar_Affalrs: If the appllcant Is sotneone�, -,� ,
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<br />' 7er than the°owner"� I certffy,:th�t l;have.obfa�ined�a`:copy;of.the�above:.ries,crlped;docurnent�ahd;p.r..or�ts�:ln;gpod�,falth fo , -. ._..�
<br /> �liver It to.�:the:'owne"�'�:prlor!�ito4co�nriiencemerit�`-��r' =-"` �` " � � � -' ' ' . -:, . .. - _ ._. _�.-
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<br /> �NTRACTOR'S/OWNER'S AFFIDAVIT: 1 certlty:�tk�at:all:-th�.:lnf.ormatlon::ln thl�appllcatlon Is accurat�.�nd that all wo�k
<br /> II'be done in compltance with all.appltcable'laws��egulaHng const'uctlon� zoning and�land;development. Appltcation is .
<br /> �reby made to obtaln;a.permlt:,to,do,;wotl�,�and:�liistallatlon as Indlcefed:�-. `I�.�certffy-�lhat no�viiork`�or Instatlatton''lia's . ,
<br /> �mmenced p�lor to'Issuanc�of'a pemllt and that:all�work wlll be perFormed�to meet,standerds:of:all laws regulating-
<br /> �nstructlon, County and C(ty codes� z.oning regulattans� and land development�regulattons�In�tfie;ju�lsdlctlon:::� =1-:al'so
<br />� �rtlfy that ( u�de�stand thaf ihe regul�tlons of other�government�gencfes may�apply;to.the.lntended,work� and that it 1s
<br /> d responsibllity to Identlfy•what.actlons I mustk,.take;to be,In:.compllance.;.Such,agencles lnclude but>are:not Ilmited>to: � � - -
<br /> - Department of E�lvironmental:�Protecti€S%i-�ypress.�Baqhead�, V1letland�/�reas and Envlronmentatly Sensitive �
<br /> Lands,WatedWastewater Treatment. "' `' ,
<br /> - Southwest Florlda Water ManagemenE�::Dlstrlct Wells, �Cypress•��.Bay�i�ads��� �Wetland Areas� Altering j-
<br /> Watercourses. - � - - , - . � _ .` �
<br /> - Army Corps of Englneei�`s=Seawalls�Dock's, Navigable Waterways. �; '
<br /> - Department,,of ,Health;B,�.ReMatiilitaHve..�ServtceslEnvironmental•,-Healt�Unit Well.s;:.Wastewater+Treahnent;
<br /> Septic Tanks::.,: ..._ . ... ;. �,.. . , ; . -= -.
<br /> - US Envlronmental Protectlon Agency-Asbestos atiatement.;.
<br /> ..Federal Avlativn:AWho�ity=Runways: �- -- �
<br /> inderstand that the..follow�ng;cestrlctl,ons�apply to�the�se of flll:• -
<br /> - Use of fill Is not allowed ln.Flood::Zone"V"unless expressly permltted.
<br /> - If the flll-;mate�al��ls:`��'�be.:�usetl�ln_flood Zone. "A", 'IE Is understood-that a dralnage��plan addresstng a
<br /> "compensattng volume"wlll be submttted at�ime.of permlfting w61ch Is prep�red by a professtonal englneer
<br /> Ilcensed-by�tFie;��tateof:FloHda: °� � , _-�• - • . ..
<br /> - If th�.flll:mate�lal`_�=to;be�.used�(n �lood �one 'A" In�connectlon�wlth�:a'�pe�ntitted building using stem wall
<br /> conatrvctlon,,.l.certify_that fill:virall:b�e.�sed only.to flll the.arQa.wlthln•;the�stem:walL _. _ .. ,
<br /> - �If�flll=mafe�ial��Is�to'tie'�used•In any �area;�1"�certlfy that .use. of�such`fllf w111.r�ot adversely affect adJacent
<br /> ' propertles. If use of fllf.,ls founc#to adyecselyr.,bffecf'adJaEedt��pra�pertles,.the owner may be'ctted for vloCating•
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<br /> the cond{ltons;�of,the`b�illaing�permlt tssued'under tfie'�attacfied_,permit�gppltcatlon,.for�:iots less�than.one (1)
<br /> _..... , ;
<br /> I am the AGEN�FOR THE OWNER,in�i�omtse Irn g od_fatth to 1nf'm the owner�of:4he..permltting condftlons.set forth In ��� •
<br /> s affidavlt'prtor to�commencing constructlon. 1 undetstand that a�aeperate perinit may be requtred for electrical work�; `���
<br /> �mbing, signs, wells,,�poolsi�alr.co.nd[tloning�.:gas:,or•otMer Ins't�l�lons no�•specftically Included-in.the�appflcation. •A , , ,., ,
<br /> :rnnit Issued sfiall 6e�.consrtiued to'be�a'Ilcense�to:�proceed wlth`�tNe°.work`end not�as~authority,to:vlolate;•cancel; alte�, or �„
<br /> t aslde any provlstons ofithe:teoFinlcal:codes;�nor shall Issuance�of a:perm(f.peevent the Bullding Officlal from thereafter �, �,'
<br /> qulring�conectlon nf eRors;ln�:plans�,'coristructlon;or Vlolatlons:of�anyr codes:, ��very.=p�ermlt:lssued•�h�ll bec�me invalid � ;_.,
<br /> �less the work authoNied�tiy sucF� permlt��ls-comrtienced�wlfhln.sfx::months�ofipermlt Issuance. or If work authorized.by .=-
<br /> 3 permit i,'s suspended,or..abandoned�for-a�:�eriodrof;slx�EH)�montiisy,after the Nr�e the�work�ts commenced. An exlenslon -
<br /> ay be requested, In wrlting;:,;f�om:tFie�Bull'ding:Offlclal-.fora perlod�not=to..ex�eed�nlnety{90)��ays e�d�w11�-demonstrate ����
<br /> ►tlfiable cause'for.�the exfenslon�� If wark.ceases�tor nlnety(90�cons.ecutive:day.s...the)ob�ts consldered abandoned. . %E
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<br /> • . �., , ._._. ::. ,. ,. .. , .. ,= -�_ .. , - �:�:
<br /> ARNING TO OWNER:`�YOUR.FAILWRE Tia�REC:O�tQ.:A�:(�OTI.GE:.OF�;COMMEMGEMENTaMAY=:RESULT-1N�YOUR�. : .- ;;:;
<br /> 1YING TWICE:FOR IMPROVEMEN�'�=;TO:�Y-OC�i.,t�.�;P..ROPERTY:���:1�;:YO.U�IiV�'��E�ID^TQ��B�?AIN��FIN�A`I�IEING;��ONSULT ''��
<br />_IT YOUR L D �O O �s.•ECO � �.�� OU �C '` '_-'—--
<br /> JRIOAJURA�•(F.S:1.17.03} . � � ' - __ �
<br /> fNER OR AOENT CONTRACTO ..
<br /> �scdbed and swam lo(or a(flrmed)beforo ma thls Subeaib 'end' (ot; tfl ed)�bafore;me'tli . ,
<br /> by � .by � . . . ." . � -
<br /> �Islare pe�sonally known to.me or�haslheve produced ��pQ n= ly kn wn:tt►me or.haslhave�produced_ •
<br /> - as lden6flca8pn�- - 'L: . °f2.c L�-� � . es ldentlflaadon.
<br /> ��� _ � _ .
<br /> Not�ry Publlc _ � �' ' ' Notary Publlc
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<br />�'� nmisslon No:' Comrrila on o.
<br /> ;��,..'vB��,� JACQUELINE BOGES -
<br /> ne ot Nolary typed,printed or stamped Name of Note " e ,o; � ber 12,2018
<br /> �%�OF 1f��a`` Bonded Thn�Troy fain Ineuren�o B00•385•1019
<br /> Illll 1
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