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<br /> iT10E OF DEED=RES7RICTIONS: The undersigned�.und�r�tands�Ett�t�.t_hts,p�r�nlE,:may:be,�subJect to,"deed";restC)ctlons"r ._ _'_' _
<br /> ich may:tie�more�r,es�icfive.�tFi��-Gounty��latfoiti�:`TFie°.ilnde'rslgned�a��ume`s';respi�nsitillli�`�fo�compllance'with�.a�iy�`���� " ` .
<br /> �Ifcable deed�resMctiot,ns. � - ' _• , .��`'��`;=' " `:-� . �
<br /> ' -:;7 � �:;�::�;�._;=. ., , ._.. . .__ . , ,..:....��;�.._._;...
<br /> IUCENSED���GONTRAC�ORS�:AND�'..CONTRAGTOR'RES�hO`51BII��It1�5:=�:;If�tfie�Roin►ner°�has�=hired''a��'i;dritrector or
<br /> �tractors to undertake.wo�k�the -ma .;bef�qu.ired�to:be�llEen'sed.�in�.aixordance.withistete�and;local? ulaHons:��lf�the��f`, ��:-i`r
<br /> te9��.,_
<br /> �tractor,'.Is.�not�:licensed�as�re�"ul d�'y'law;.`tiotti'sthe'oymer'and'�contractorama�"tie��cite���for-�a�Ymi§de�neanor:violadon
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<br /> ier state law. If the owner or Intendetir,contra:�tor,.�ePec:uncerfaln�:as to-what�licenstng:requir�ments;may+sappijn'�:�fo�;=tlie�.�=-:�� _- � -
<br /> �nded"work -the -are�advised=to�contact'tFie'Pasco�Gounty;Bullding,-;InsPecHon:Division,_=Llcensing Sectiort,at.727-847- •
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<br /> )e. Furthermore;°ff�the .owner has`�hir�i!�a�conhactor'or�contrectois;�he Is advised to tiave;the ,contractor(s)_.stgn., _.,.r
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<br /> tlons of`the,"contrector Block°.�of thle.�appllcation�for,;whlch�they.will..be;re.sponslale.;:•It:>you;•:�as':.fhe`oiiviier�.stgn-�as"ttie=r''�` 4; .
<br /> itractor;.ltiaE�nay.6e'�n`Indtcation'tFi�it�he Is'not�.propeHy''iicensed�=and'is`�not'entitled"fo perrriltting privlleges in Pasco.F ..�._ •
<br /> unty. 4 . .. ° - -' - _.._.. -.._>:_ ._�.u.�...� ::_,.;;.,-.-r:r.-�.r;,:, ; ;
<br /> ANSPORTATION:4IMPACTIUTILI'FI�S-�'YIRAC'i'�AN6��I�ESO�I�tCE R�COVERY�FEES:�The�nndersigned�'unde�stands $.� -�
<br /> . ; - . �._ , _ :,�
<br /> tTransportation Impact Fees�and.Reco.ur�ee Recovery.Fees may:aapply°:ta�.:tf�e:constr,uctlon,of_;new buildings;.�change°of'�=='�`��=```°'" ,
<br /> � In existfng bulldings;�o�;�expa�isl�n{:of���iil�ti`�b�iiliNngs;as �pecffled.in Pasca�County Ordinance numb�r 89�0T and �=� '�,
<br /> 07, as amended.:��� undetsigned eiso�:.understands� th�it`suoh fees;-;as�tnay^'�be:°due;�;vuill�:be iden�ffied at the�time��ofi��>��r�=;:��`��- �
<br /> mitting. It Is furtlier"understood that Tra�i�portatl�on.Impact`Fees and aReaource''Reii�very�'Fees.musti be paid prior to ,
<br /> e6vtng,a=-•":certificate�,of=�occupancy"�or flnal�.power;release:i.if�the.pro)�ct;does:not�involve:a;.certiflcafe of occupancy�o�:�==��r���'•�" = ,
<br /> d power rrelease;,the�fees,,.mr��t:;be�:paid`�prlo."r';to_pe�mit issu�nce. :F��tk�ermore;4�if�Pascai�Coun 'Water/Sewer�:lmpact��: °•����• � �
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<br /> s are due,_.they must be:paid-p�`oc to,permit>Issyance-:In,accordance.wit�:appllcabfe:Pasco'�County��oi�dinances.
<br /> �NSTRUCTION�'I:IEN�LAV11�(Cfiaptier 773'�Florida�tatutes�s�amerrded); rf valuatlon of work is$2�500:OO�oc mor,e;:l: :=- _r,-. _
<br /> lify that I, �he_.applicant,_=have�.�.treenY:.pro�ided::,with:��a-��copy,<-.of�;the;�'Florida��Constiuctton�;'Llen_�Lauu—Homeowner's
<br /> �tectlo� Guide" prepared by�the Flo�ida Dep���rtmest�t�,of Agriculture and Cons�mac.;:,.,Affairs,. If the appllcant is someone: -; :-- ;�: •
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<br /> er than the"owner"� I certifj►,.:ih�t�;l:have,obf�ined a copy;of:the�above:describetl dbcument:and_;p.r.o�l,se��tn;gQod;:faith;�to: ._...._.
<br /> iver it to�:the�'.owner":prio�'to�commencem'e�it�s�_r;; ��:.:.. . .. . . ...� .�.:-�. :- ,�`:.- ,: „,:.;. : ��� .:_.. :�_ r_ ,;_�. , �
<br /> �NTRACTOR'810WtdER'S AFFIClAVIT: I.,ce�tffy:wt�i�k°aiE>the;i�ocmatimrin�thl�application is accurat�:�nd that all work
<br /> 'be done (n compliance.with all.appiicable'laws regulating const'uction� zoning and:�land=.development. Appl(cation is .
<br /> eby made to.,obtain.,a:;permit;�_Co;..dos;:,wo�1cN.;and°liistellation as indtcefed:��,,���ls�_certffy�tFiat no-work`:or Installatlon� has '�
<br /> nmenced`p�lo�to'Issuance of a�pemilt"and thaf:all'work will be perFormed�to meet�standards.of.:ail laws regulating-
<br /> istructlon, County and City codes, zoning regulattans� and land development tegulatlonsa'in�'tfie;Ju�isdlction:�::==P�also�
<br /> tify that I u�derstand•that the regulattons.of other govemment agencies may�appiy��to.the;intended work, and that it is -
<br /> responsibility to Identity•what.actions I.must�take�:b betln:.compliance�,Such-agencles�.include>but are_:not Ilmlted�to: ;
<br /> - Depaitrtient of Environmental��Pi�otectldn'"Gypress:'Baqheads�,'Vlletland�i�reas and Environinentaily Sensltive -
<br /> Lands,Water/Wastewater Treatment. ��" �
<br /> - Southwest Florida Water Managemeri��..:I�tstrict Wells, �Cypress.x�.Bay'.��ads; �`�Wetlac�d Areas� Aitering � - �
<br /> Watercourses. �' ' � ' ' � �
<br /> - Anny Corps of Englnee�s=Seawalls;Docks� Navigatile Waterways. '
<br /> . .. ._._ � .:
<br /> - Department of.,Health�.8,.ReMabilitative.pSenitceslErnrtronmen#al;Health Untt-Well.s;Waste.water�Treatment,
<br /> Se�tic Tanks::.`°' � '' . - , . �� .� `.-
<br /> - US Enirlronmental Protectlon Agency-Asbestos abatement. , -
<br /> .Federal Avlatlon:Autho�liy�Runways. --
<br /> �derstand that,thetfollow�ng;restrtcflons apply to'the t�se of flll:�
<br /> - Use of fill Is not allowed tn_Flood;tone"V"unless expressly.,permltted.
<br /> - If- the flll;mate�lal:°Is'�to-�be used:�ln.:flood Zone. 'A"� tE ts understood'-that�a �dralnage��plan addresstng a
<br /> "compensating volume"wlll be submttted at�lme�of permftt(ng whlch is prepared by a professional engtneer '
<br /> Ilcensed byther�tate��cf;FloHda: � � �� • . .
<br /> - If th�..flll.:mater'laf�_Is;_to;be�used In �tood Zone 'A" in�connectlon�wlth`:a��permltted bulldlr�� using stem wall
<br /> ' conatruc8on,.,l cenify that,filL�rall.be;�sed only.to.flll the..area.wlthln�the;stem�walL _ . -
<br /> - " If"flll .mate�lal=�Is'to�tie°�used "tn any��area;"f�certlfy that .use. of sucfi"flll w111�not��adversely affect adjacent , ,
<br /> propertles. If,use�of flll,Is,found to adyer.sely.�ifect�'adJaEedt,�pntpertles,.the owner may be'cfted tor vlotating• _
<br /> the cond�ton§'�of;�.tFie tidllaing�permtt lssued-tunder the�'at�a�hed„permit�appltcatlon, for�:lots less than.one (1) .
<br /> acre whlch are�elevatetl'tiy�;fllt;�rt englneered dralnage plan ls�requlred. • • . -
<br /> �m the A�3ENT.FOR_THE-OYItNER;'°I�proiaiilse`In goo,d falth to�lnform the�ownec:of:the:permltting condftlons set forth In ;t'�
<br /> affidav(t`prlor`to�commenoln8 cons{ivctltin� "I"understand°tFiat.a:aep��rate permlt may be requlred tor electrlcal work.; ;�; �;
<br /> nbing, signs� wells,::poolsi_�.alt zcond(tloNng,.,gas,;.ar:,otk�er Jns#���I"ons:nok spec�lcelly Included�in.the�applicatlon. �A , ._ � :; ;;
<br /> nit Issued shall tie con�hued to`be,a��llcense`-to.proceed wlth`�tFi'e�.wo�k and not-as:_authoNiy.to violate,�can.cel� alte�, or �. '�
<br /> eslde any provlslons-ofi'tMe:tecfinlcal.,codes;�nar shall tssuance�of a.permtt.prevent the Bullding O#ficlal from thereaRer , -:` ;.�
<br /> �Iring a conectlon af:eRo[s;ln,pl,ans;`c6nsftiyc�lon or vlolatlons of�any codes. ��.very�permlt.lssued��hall�become�invalid �� i�,
<br /> iss the work authorized`by such pe�mlt:is-co�iimence��wlEhln sGc months,of;permft Issuance� or If work authorized by � ��- !,
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<br /> permlt Is suspended:or.abar�doned#o�:a::��clodYof;=slx::(8):montFis�after the.tlrne the�work��s commence�. An extensto� . , ;,
<br /> � be requested� In�wrlting;:-irom''tFie Bullding;Offlclal..for'a perlcd::not�to.exceed�nlnety�{90)�:tlays��a�d�wllf demonstrate '�.� '�
<br /> fiable cause'for.�the"exfen`slori;�If�work.ceases,for nlnety.(90)cons�cutive:day.s...the job�ts�consldered aba�doned. ''� !'
<br /> t:,.; `.�:� = .- �..` ,.,,__:: ,.�.: ., ., - - . � ':; �,,.
<br /> RNING TOn dWNER: YOUR.FAILlJRE'TQ::�R�EE:OltQ;A:Ii�OTIGE;OF�:COMMEMEENIEM'f.;NFAY<RESULT IN YOUR -
<br /> �INt3 TWI.CE;FOR IMPRQ�EMEN�B;TO;;YO.U�:PROPERTI(:z:IF�:YO.U�I�'�E�ID:^Tt?��iB3?A1N'3FINiAi�lE1NG;:�-CONSULT _ �_
<br /> w vne�r�'r��D������APt`�i�BRF��1P����RD1�f�;;�1fOiJ�'��i�;�°QFt'�Q �li�(ERq ��_---- =- - --
<br /> tIDAJURA'�•(F.S.t1.7..03} . . ' - , ' -.- -. .
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<br /> IER OR AOENT � . C�NTRAGTG�t_ - • �
<br /> crlbed end swom to(or aflirtned)b'afore me thls ' Sutiealtied'and'�wo (ot'afflrm� � �re�me�tl�I9 .
<br /> by ' . '
<br /> Is/are personelly known to.me or haslheve produced WMo:ls/ere,perso ,lyknowrtr• me,or.has/,have-�toduced �
<br /> ae:ldentlflca�pn:" � �„as IdenBflcaUon.
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<br /> Notary Publlc . % v�G � otary Publlc
<br /> nlsslon No:' Ccm�leslon. o
<br /> :.�ti�""�e�g.�,, JACQUELINE BOGE� � .
<br /> �of Nofary typed,printed oratamped Name of Notery typ �ii _e ion ��p�zZ
<br /> ;;,,R,��,,; xp es ecember 12,2018
<br /> Banded Thtu Yroy Fain Insuranca 800�3A5.7p1g
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