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<br /> ��EE�:RES, . 1CTIONS��,The: n .. ct , 'fi;�t� .m .:b�.,:, ..._deed:rrest�tcttons,..`..,`
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<br /> . , . _. .. . �„ ._;.,,.�_,. . . . ;. u de�rslgnedr, nde�#�n,ds�;t ;tht�x.�.�rm.i,t, .ay:a:�,sub��,�t.�...r�.�£.,..�• �.,,.;.,..�p�.,.>;; s�,:_.J.,..
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<br /> iay::be�ymore��restt(ctive�thel�.G�unty`�nagFilatfor�� Ttie`=.dnd"e.'�slgned��a��umes�'res'p�n�siblltljc`fo"r�c6tnpliarice�vvitli��any� � '� �
<br /> acable.deed::r�stricttons. . � - _ .� - � . . , - '
<br /> �C,:.i:-.<... `r ai"d:..�c�T:..S"..x
<br /> '*�:«:..*.ry��.i�. '2.M��f i ' • ' .� .e " f.N�....n.�v, .-.r •.� �A .� '
<br /> NCiCENSED�'CONTRAC'fDRS.�AND�CONTRACTfJR�.R�SPC1�i�SI81i;1<i��3`:���`�i€:�he �oiivne�=-�Fia�s=hired':"��ci�ititra�tor or
<br /> a�ntractors�to undertake-wcrk�_tFte ma ,',be,re� uired�ta��e.�licensetl;�ln�:accordance:wlth�state::and.local�r,e ulatlo�s:�:;lf�tfi�--f.` ,:�=
<br /> Y- Y.,:._ .a,4. - w.r;. �. � . .�.�: ��a�:... . � � � .9.:.,,,�.
<br /> antractai�„ts,_i�o#--.Ilcensed='a���reqiilce�¢liy"lativ,.tiotit�;#Fie`owner-ani��:contra�tvr�r�ay��be�cited�forry�i==mts�letrieana�-violation ,
<br /> nder state law. If the owner or Intendeti�;co.ntre�tor�ere,�uncertalin:as':td what ltcenaine ;qulrements; y�: pP,�r: ax��{-;���v��r
<br /> ,.. ,. :. .. _ _ . .r� .. ... ma. ;a.. I, �i�°w;th'e�::
<br /> S� .4'. � •�,,�,.,...,er,,w... .
<br /> tended"work;�they are�sifvlseil�to�t�intact=fhe';Pasco�.Coui�ty�Build!%ig;Irtspectlon4Qtulslon�;tc�r�sing�3ec#bn at 727�7• ,
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<br /> 309. Furtherrriore; tf tF�e'�.owher tras"hiired�a�con"tracto�'a��contractors;�'he�is f aifvlsed}to{liave;.the ,cantracto s,,.sl n,,,,,, ,,��,,.. �
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<br /> �rtions bf'the "contreator pinck"..af_ttile appllcation.,far.:which_they.will be�r.esp,onsll�le, ;,1�you,�-as.._fhe`av+iner�stgn:��as''the~'`"`-", .
<br /> mttaatoT,-tFia#�may-6e�ari indlcat#orr�#hiat he 1s=not}�properly�llcensed and=�ls�not"eri�tled #o'penri�ting pr�rlle{�es3 in Pasco.. . r� '
<br /> ounty. ' .� �� = � - �- . � - ... ..� �, . .4, .,. .;;;N�.:,;,:,,�.,.,,..,:.., ;,
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<br /> RANSPORTA'flQN:IMP�4C7�UTiL1'�'lES:#tlY1Rl��7:A1��=1�ESQU�CE�REGt?YEttY�FEES;�T�t�inder�lgr�ed`�uirtderstands �� '
<br /> at Transport�tion impact Fees:and.Reca.urse Recov.�ry.Fees.m'ajr>epplyy#a tFre constructlon:of:new:buildtngs;:�change�of�=�-�'-f����y` ?' :
<br /> ;e in exisKng buildings;�a��,�ezpai�si�i`r�i��:of=�e�i(sNisig��ir�llitflngs;as�spealfled:i� P�asco,County.O�dln�nce number 89=07-and
<br /> I-07. as amended.;�.,,'�h� undetsigned alsa,understa�tds� tfisi�°su�Ft fees;::$s}:may��ia::dt�e;,,v�tlF:be i.dent,tfiied at ths'tiime°of�;`� fi:f:;;,;. , ;�
<br /> jrmitting. It Is furtfier unde�stood that Tre�sportatlan��lmp�cf`Fees and��Resourae.Rei�e�"y�"Fees�musti be paid prlor to ° ,
<br /> ceEvtng.a�"certi�catewof=oc�upancy-"--ar flnatv.�ower;rolease.::1�-the.pro���,does:nii#�It�vo�re<�:certi�os#.e,af occupaiitcy o�����i r'-'�- ,
<br /> ial power4release;.�the�Afees=mt��t~be;�ald=p�lor`to permit Issuance. :F,�,kt�i.ermare;i�ff`.Pasc�r,;,Countyr�Vllaiter/S.e,wer�lmpact�-� � . �a. , ;
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<br /> es are due,they;must be�patd:prtor to,.Perniit�iss4anae�:ln..a�cor�'ance W1t�r:�Ppilratile:Pasco':County+�onllnances.
<br /> 01VSTRUCT119N`1:IENxi:AV11(Chapt�r 713;Fiortds'�tafu#�a,�a aen�ntl�dj: if valuatlon of work is$2�600:OQ�or�more;•<I;� :- �._�,: ;,
<br /> �rtify th�t_I�._the_:applicant,.,�iave��been�.:.,provldetl==wltFiKa��copy:of�-_the�-"Fiorida•��ConstivcNon�:Lien.:Law—Homevwnar's
<br /> �otectlon Gulde" prepered by tF�e Flo�da Depa.,rfi�enf of A$rlcu}tt�re.and�Canstt,m�r•AfFaits; If the appticant is someona ,. :;, ;.s-
<br /> her than the"ov+mer"� I certifys_th�tJ�bave,.obf�trie���i�'copy:af:the,abQve..des,c�itiie��:�dticu�ent�end,pro�ii,se�ain;gp6d�.fraith;.fo..; ._ ,... .
<br /> 3�11l8t��tQ:��18r"t}tl{Rt81""'=�G�OPa;�0��4tt11'l18�1C8ti1B11t:` '"�`"'`� ' • ,._. , r. . .� - - ' �. ... � _. `.- _. . .
<br /> 01�TRACTOR"S/OYYNER'!�aFF11�AViT:. i.cei�ti[y:�stki�ak,at�:=#he�;lnformatlon:.l��thl� applfcatlon is accurat�:�nd that all work
<br /> f�.,...
<br /> ill'be done in compliance with all•appllcable(aws�regulatlng c�nst'uct�an.zqnln�and�land�developt»ent� Applfcatlon Is
<br /> �reby made tc� obtatn�fa,.permitnto;;sdo;f:w�fi�s�and;.l'ri�ta�latian as indlcefe�l:�.:`) cer#t�ji�'ti�at no iivortt=:or instaltation iias
<br /> �mmenced p�ior to issuance�of'a pemilf�and�•thaf all�work will be petformed�to meet�standacds:,of:all laws regulating-
<br /> rnst�ctlon, County and City codes, zoniog-regul�tlans� and land developmer�t reg�lattor�s�`in`tFi��>Jui�lsdtction::°,�1�al'so .
<br /> �rtlty that I uaderstand that the regulatfons of other�governm�nt agencles may�apply,;to...the�intended:work, and that it i§ � '
<br /> y responslbllity ta identlfy:wh�t,acttons l.mustit�ke;ta aesln:.cor�p!lancQ�Such egenctes-lnciude but=ace:na#llmtted.to: _ : t �
<br /> - Departrtie"nt of E�vironmental>'Prote�ctiTin'�C�+press.'Bayh�ads�;EV�ieU�nd{Areas and Envlroncnentally Sensitive
<br /> Lands}WateNWastewater Treatment. ' �
<br /> - Southwest Florida Water Manags�nec��.;�fsErtct=Wells; �Cypress.'�'.Bay��atts��� 'Wetiand Areas, Altering �
<br /> Watercourses.. ., . _ - , � :.i
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<br /> - Army Corps of Engtneer3�Seawall�;�.Docks,Nsvigatile Watenivays. � ;
<br /> - ,Department_of.,Health�:,�;;,Rei�iabilitative.Service�lEnvironmen;tal:�Mealtti :UMt:We�l.s; Waste.vQaater�Treatnnent, ~
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<br /> Septtc Tanks:,.,. . .,;. : ; � � � • ,. -. ,
<br /> - US Enviror�tra�nGai Protection Agency-Asbestos abatem,e.nt.,.. . . �
<br /> Federal Avlatlon:Autiao�Ity�Rumivays. ~ - � `" _ ---.
<br /> ndees#and that the:foliouv�ng,`:restriEtlons.apply'tatfie use of fltl: .. . ,
<br /> - U'se of flll-is.'not all�wed,in�Fload;Zone"V"unless�xpressly„permitted.
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<br /> - If.ttie_flll�µ'meteri�il':'is=�to;�be�,used=>lie��f Iood,.Zone. °A", �If. is undecstood�that a draln�ge plan a�dresstng a
<br /> "compensating volume"wilf.be submitted at#�m�of,-�per:mltting whtch is prepared by a professionai engineer
<br /> Iicensed bY;thee�tate�of;Flofida:, _ .. .� .� ..
<br /> - 1#th�_�Il.:mate�lal�:1��#0=be��us.ei� In �tood Zone "A" in;connectlot��v�t�'a���iermi#ted b�ltdl�g using stem wait
<br /> ' constrvc8on,.l,certify th�at_fill:�diall=b.e�sed only�to.�ill the.acea..wtthin�the.stem wail. .�
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<br /> - !f�-flli'iiiatet�al.;i's��#o:��tie'-�used:lrr=�any area�;=1�:�cettli�t �hat .use. of such� �il1 wlii r�at a�dversely affect adjacent
<br /> ' properties. ,tf use of,fill is forind.to adyecsely...t�fFectYadjaEen#��prciperties,.the owner may be cited for violating.
<br /> the condlllon"s';:of�ttie"ti�iillding�;p�rniit tssued-under ttie�'at�aclied�ermit�appltcatton; foc lots less #han:one (1) �
<br /> acre whEait ar��eleirafed'bY:fllt;:�r:t engtneer�ed dratnage pfan ls requtred, .
<br /> am the AGENT.FOR.THE.OIMNER;:'I�ifromise,in good_faith to=1M'orm the�owner�of��the,:permitting condft�ons.set forth In :,�
<br /> s afftclevif prior to commencing,constn�citon:...l`ui�iler�tand:thst ai separate permii may be requtred tor etectrlcal w+ark, ;';:; ;
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<br /> imbing, signs, welis,�po.ois,,;air.,condittaning�.,gas.,,�ar�,ott�e.r. Instal��itions not.spec�laai(y Inciu�ed�in.the appitcation;. �A ... �,.
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<br /> rmit Issued sFialf be-constttrued ta he�a`'license�to,pr;roceed with`tHe'viio�k and not:;as„author.tly:to violate..cancei. alter. or ;,
<br /> C aslde eny provlslons of�#�ie`�tecli�ilcal:cqdes;�nor shatl lssuance�tif a:pe�mlf.pievent#tie 8ulldirig t�#11cta1 from thereaf�er ,
<br /> �ulring a correctlon-af;errorszin�_plans,-;;construction,or violatlons:ofaany-ycodes:�=:�very,p'errrilt�Issued�shalf bec�rme invalid :
<br /> �ess ihe work author#zed�by siictt perrrtit':�Is=co��iericed wlthtn:sUc mon#hs;of.�permit tssaartce, ar#f�rark au#horizec! by �-'
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<br /> �permit is suspendad:.or,ebar�donedrfor-.a�:peciad:�of;.�elx f8).�mon�sr;aRer"the Ninte�the�work•�is commen�ced. An extenslon :�, .
<br /> iy be requested, in writitig;ftom the'Biillding;t3tflcial�for�a period:�not to.:ex�eied�nlnetjr{90):�ays�a�d wllf-demonstrate �:'
<br /> t�3abte ca�ise for.=the ezten`sio�:�If wor.k c�ss.�s foc nlnefy{90)canaacutive:clays,..the,bb�is�considered aba�doned. ``;; r
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<br /> iRNITtG TQ'CIWNERc�YCfUR',�AIL1;tRE�tl;,R�C��t�A4�.1�[QT�IGE;.OF:-GOMMEMCEMEM7'�NtAY-RESU�T-�IN Yt'�UR . '
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<br /> YING TWICE.FOR:IMP.RQVEMEN�'�,T+t?YCt�R�_PROPEI�TY:v:;I��YOU?1�4�E�D"TQ��3B�?A1N�<flNi�fi1�1NG;<�ONSULT ����
<br /> I" OU " D.. .�GI� A �T't'i N� �R � �:, ,p ;C ,;-, E „
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<br /> N�R OR AOENT CONTRAGTO ,
<br /> saibed and swom to(or alflrtned)b�fore rae thts Su`"sc�'Itied'ai�d'awatn=ta ot aftfnrred'b` ;m '#iit9�i � �
<br /> by ,by• . .
<br /> �Islare pe�sonally knovm to•me or haa/have producad o:l'slaRe nally,knowri�hf n�s:or�ha�lhave•pradi�d �
<br /> .: as ldenB�ca84�• - . ��- �.�"�:� es tileii�flcatlon.
<br /> �:� _ ,. �;�,,
<br /> Notary Publlc . .' / (.C�'/' � Nofary Publlc
<br /> imtsslon Na: Comm s .Pto.
<br /> ,,�Qtin�Y°v1�c,r JACQUELINE BOGES
<br /> �e ot Notatry IYP��P��tfld or atampad Name oi Notsry � q�� �8 mber 12,2018
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<br /> ����oF�F�g Bonded Thm Tmy Fan Ineurance E00•3BS•7079
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