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<br /> iT10E OF DEED.:RES7RICTIONS: The.u�dersl ne.d��undergtands�,�#F��t thls.. rrnit;�,ma be„s �`�'�°p'�'`�"' - � ;
<br /> , - 9 ,. G .�;1�: f„ Y: ubJectwto_."dee�,d".:1restrlc,tlons;„:,.-�:,,
<br /> „�4 _ - - .`,"i<. -;;-'r. _i� .a.,: ;t:. :{>dr`:,.��; �,F�.. ?lr.;'t:t: - 'l',,:;,:e� �r�- .
<br /> tch may,�be�more:restFlctive.��t���i��.Gounty���latf�ris::�The�unders1gned��a��'umes���eep�n�itilli,'tj�for"coinpliance�with any' � ,
<br /> �qcable'•deed;re�trictlons: ' _ .,.�,;-,>_4:;;�.n;;�.. . � . .. :�n,�;�:..- _ _.
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<br /> ILICENSED`�`CONTR,AC�:ORS�=AND`�CON'TRAGTOR RES!?OhI�Sf�ll�l`�1�3:���ilf`�:�Fie�owmer��hes��Fitted'=r��"corit'r`actor•or
<br /> �tractors to.unde'take wo�k�;the -:rine �tie;.r�quiredato:tbe>Itcens:ed':In�accordance.with�state�.anddo�al�renulallons:•,}If<tFie���-�-��r•��'.
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<br /> �tracto� is��not�:licensed;as�requlred�tiy`�law;:tioth�,tf�e,.owner�and:�:contnacto�ymay�be,�citedrfor=���`misden►eanot viailadon ,
<br /> ier state law. If the�owner or intende�r;con#rat�tor��a�e,�,unae�tain,;as,to wfiat'IlcenaingTrequi"re�nents:may�;appl�r:yf,o'�+.t1;ie=:�s-�T;��-�-��:�
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<br /> mded`work;'tliey are'advised�to°'cbntact:�the;Fasco:.!County.Building;'Inspection�Dlvlsion,=Llcensing:Section�at 727-847-
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<br /> )9. Furthermore; tf=the=.owner�haa'�hi`r�d'-a�contcectoF o��contrectors,"he'is advised to�have,tF�e ,contractor(s);,,stgnY,,,_,,,,.^,_,;,.. a
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<br /> tlons of the contrector Block".of'this_.appllcatiora.:for�whichFthey.:wilL,be:�e.sponsl6le.-..If.-.you;�>:as::.the^'oininer-�.slgri�as::the�" ��`" ��
<br /> itractor,�tliat��nay-tie�an`indication°th�t�:he�s�notr.properiy°Iicenseit and is�'not"enOtled�fo=pe'rmitting�privileges�in Pasco., . ., . . � •
<br /> unty. • . . . :_ ..._ . :. ._.,_ .._',.. :. _..:.�. . -. �f ;.
<br /> ANSPORTa'�ION:IMPACTNTiLI'�'I�S�I�NRlkC'��AI�b<I�ESO�li�CE RECOVERY•FEE3:-Tt��und'ersigned'�ur�derstands f; <:;
<br /> . . ,,; .;
<br /> t Transportation Impact Fees:and.Recouree Reccvery,Fees m`sy�yepply>.ta�tf�e constructton..of_new.:buiidings;.�change°-of"�F�°�`�'�1;;;'��`, ;; :,
<br /> � in existfng•buildtngs;��r7expa�ist�n��:of-�xlati��b�ill�ings;a§ specifled.in P�sco Courity Ordinance number 89-07 and '�
<br /> O7, as amended:,;,�:,�h�_undetsigned also,urtderstands, thgt�such fees;;as�tnay��be:.due'„rwill:;�e iderit�ied at the=time�of��'������"��`°
<br /> mltting. It Is furtiie�understood'that Tre�isportation.Impa"ct"Fees_and��i�eeoucce�Recovery�'Fees�mu�ti be paid prior to �
<br /> e4vfng a:"cerfiflcate.�of occupancy"--or�flnal�powsc;release:=-:1#��the.proj��t:,;does:notlpvolve.a;,certificate of occupancy�o�����=��=��="`' �
<br /> d power.,release,.the:;,feee�:mu�t�,tie':pald�:prl`o..r'to`pe,r,,mR Issu�nce. �Fw�thermore�;`�If.PascmF,Countyr.`Water/Sewer��lmpack;� �r:j�+=� �
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<br /> s are due�,:they_must..be,�pald..pHor to,:permit'-1ss4ance;:�n,accord'ance.<wit�r:appllca6fe�Pasco'�County=o'tlinances.
<br /> �NSTRUCTION'tIEN1AVIY'(Chaptar�713, FloNda Statutes�a$amended): If valuaHon of work is$2�500:OO.or-more;U�- r�� �:��.-
<br />� tify that I,, the..applicant,_�k�ave;been-;,pro.v,ided:with�a°cvpy.of�,the.°_F.Iorida���Constrt�cNon;:Lien�Lauu�---Homeowner's
<br /> �tectlon Guide" prepared by.:tt�e�FloHda'DePa,rtment�of Agric.ultiire and Cons�m�ar,,Affairs: if the appiicant Is someone.;,,,-,:= ��: �
<br /> er than the owner", I ceri�►.:th�t_I-.have,obfainedfacopy.of_the above..de,s,cribetl'dticu�i�,ent:and�°p_r.o,mis�:in;good:faith:M. ' _
<br /> Iver It to:.thew'owner"�prior��to�ccmi'nenceme'r'iE:�--`'� �tb7. � .. ` . .' .. � : . -. _ , .- `; ..'_ ... . - �• -.
<br /> �NTRACTOR'S/OWNER'S"AFFIDAVIT: I.cer.tity,�t�i���all��the-:Inf�rmation°In�,thi��applicatlon ts accurat��and that all work
<br /> �be done in compliance.w(th all.applicable'laws �egula8ng constructlon� zonin8 and�land^development. Applicatlon is
<br /> eby made;to, obtain�;a-;permit.,.to...do;,;w�tk.:;and:�lhstellation as Indicafed:i.����L.cen�yi �tfiaf no work';oc install�tton�h�s �'
<br /> nmenced p�lor to=lssuanc� of'a perinit�.'and�that:all work will be pertormed�to meet-:s.tanderds.of:all laws regulating-
<br /> istruction, County and City codes, zoning regulatlans, and land development cegulatlons=1n�the;jurisdtction.�:::�1-•al'so� �
<br /> tify that I u�de�stand that#he regulations of other govemment agencies may�apply_to.,the,intended work, and that it is � ,_
<br /> responsibility.to identify.what.acttons�I.must�_take.;to�be.,in:.cotrlpilance..Such:agencles-lnclude but�are,not Iimited,to: - � �
<br /> - Depaitment of E�lvlronmental�'Prote}cHon=`Gypress:'Beqh'ead�;'VVetland?Areas and Envlronmentally Sensltive �
<br /> Lands,WateNVUastewater Treatment. -, � � ,'
<br /> - Southwest Florlda Water Managemenk-:::l�istrlct Wells, 'Cypress.��.Bey.Fi�ads�, �Wetland Areas� Altering � .,; ��
<br /> VNatercourses. � - �- �• , . �
<br /> - Army Corps of Englnee�s=Seawalls��Docks� Navlgatile Waterways. .�° ��=
<br /> - Department, of,.Health;.B;,RetaabllltatWe.,Servtces/Errvtronmental;;Health,�,Un1t=Wells;-.:Wastewater�Treatment, �
<br /> �Se�tic Tanks.. '' � ' ' ,' ' � ._ • � . . �
<br /> - US Envlronmentel Protec8on Agency-Asbestos abatement.:.
<br /> - Federal Avlatlon:AutMo�lty;Runways: -� - - _ . �
<br /> �derstand that:the.follow�ng�restrlctlons apply�fo'the��t�se of flll:•
<br /> - Use of fill Is not�allowed tn Flood;Zone"V"unless expressly permltted.
<br /> - If the flll-mate�lal_.`Is`�fo`:be:;usetl:=ln:flood -Zone. °A",'It Is�'understood{that�a`dralnage�-plan addresstng a
<br /> "compe�sating volume"wlll be submltted at#lme`of permltt)ng whlch ts prep�red by a professlonal englneer"
<br /> Ilcensed by�he��tate�of;Flotlda: � ���
<br /> - If tfi�.flll.�materlat":Is�to::be=used tn �lood'Zone 'A" in5 connectton�wlth�:a���ermitted bulldlr�� using stem wall
<br /> � conatniction,,l;certiry that fill:viclll:be:�sed only,.to..illl the..are.a.wlthln�the:stem�wall.-
<br /> - 1f flll=materlal��ls�fo�tie��used�`ln any-ar�a;��=1'�certlfy that .use. of sucFi'"flll wlll'.not adversely affect adjac:ent
<br /> propertles. If_use:of,fill is found to_adyerselyr.,�ff�ci''adJaEent�>propertles,.the owner may be clted for vioCating• , , �
<br /> the condWons'�of..�tFie bulldl�ig:�permlt Issued:under the=�at�a�hed_.permlt._�ppltcatlon, for��lots less_1han.one (1)
<br /> acre whlch ere�elevafetl'by,illl;��r engtneered dralnage planYls requtred. • . . •� _. �
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<br /> �m the A6ENT;FOR..THE�O.WNER;;I,�iromise'In. ood.fatth to�lnform the�ownet:of:the:,pecmltting condfttons set forth In �-
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<br /> aifidavlt`�prlor to��commenoing�conshuctton:""1"un.derstand"tFiet a�.ee,p,�arate permlt may be requtred for elecMcal work�; . - � ��
<br /> nbing, signs� wells,,:p.o,ols�,:alr.cond(tloning,.:gas,;;or:,otMer_Inst�l�'a�tlon"s nct•spec�lcalty lncluded�In.the�appllcatlon. .A ; - ,
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<br /> nft Issued`s1iaA tie�:consitcued;to'`be;a�llcense:to:•proceed wlth`�tfie vi►o�k and nok:as�authoNty_to•�ylolate,��cancel;�alte�, or ;'; "
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<br /> aslde any provlslons�of'tlie':tecfirilcal:cqdeg;�nor shall Issuance�of�a.permlt:prevent the 8ulldlrig O#ficlal from thereafter - ,Y ;,
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<br /> ilring a correction-.ad errors;ln:;pl.;ans�,,constii�ctlon.or vlolatlons:of°any codes:,:•Eyery_.pertnit Issued-shal4:become lnvalld y:"� �,
<br /> iss the work��authoNzed�by`��ucH permlt>�Is-coiiimenced�wltF�In sUc..months:oi�-permit Issuance, or tf work authorized by . ''
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<br /> permlt ls suapended�or..abandoned:fo�a�:�etlodrof;;slx::(8):montF�s;aftertHe:N�e the�work��ls commen�ed. An�extenslon , -;: ;,
<br /> � be requested, In vvrlting,.irom the BuIlding;OfflElal:�for�a peNod not;to.�exceed�nlnety{90)�:�ays�a�id�wlll'deinonstrate ;,� !�
<br /> fiable cause'for.�the"extenslor�. If�work.ceases,for nlneqr(90)cons.ecutive:day.�...the Job�ls�consldered aba�doned. • :,{ `
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<br /> RNING TO�OWNf�tc `YO�UR;_FAILIJRE�TQ:;R�EE:O�t�;A�:(±107�1.GE:.OF�=COMMEMEEMENT.;,MAYrRESFJLT.IN YOUR - ; : �:
<br /> hNG TWI.CE;FOR.IMPROVEMEN�B�rTO:.YOUtt::PROPEI�TY:r:1��YO.tIaIN��D�Ttfl°;�iB3?A1N�,FIN�Ai�IEiNG;�CONSULT � `� '
<br /> H Yt9UR�C:Ek�DER�Ofr�AP�-A�POR@�EY� F�R�,fi�OR�I�iG�]�011l�`NO��,'��Ii�EP1C��— ----- —----- .
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<br /> cxlbed and swom to(or alflrtned)b'efore me fhls � " Subs�lbeti'and'svwm=to(or afl1rtned)�before�me�thl� ;.. ,_
<br /> Is/are ersonelly kn to.me or�haslhave prvduced Who�l's/a .personal .knoum�to me:oc;Fla�lhave produced •
<br /> -- ae�Iden6fli�Upn: � - ' � � �' '.,�s ld'entlflca8on. �
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<br /> No , � X Nofary Publlc
<br /> Ill Sf0 0:' •"'+'o"'••, � QUELINE BOGES ""'�� ' �
<br /> �• - 4�� Com Ion.N .••'�ti'.•'�PY�''••. JACQUELIN OGES
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<br /> :�; :,<: Ex ires December 12,2018 9 :;a; .:�: Expires December 12,2018 -
<br /> !oI NOtQry lyped p ' � s Ide1118'Of R�OtBry � In:uranee 800•385.7019
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