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<br /> �T10E OF DEED;RESTRICTIQN$: The underslgnedrunder�tan,ds�:tF��t tlais�,pprrnif�:may,be.�subJect.td��°deed".restClctlons"T`"� `" '
<br /> -- �,:.,:.:.�,- �E� ::�a,,,:,,..�.s�.,,�t,:-:'���:r,•.,n..,;�•:.,,.:a:�,._,-:;::<°:a.�.:r_:,�:: �.�; 1..::: .
<br /> ich may;:be>mor+e:r,esttl"ctive.°t����Gountylre��ilaCfoits. �The;:iinde'rs1gned'�assumes':resp�nsitiility:forcompliance�with�any` ' ' '
<br /> - � - • �
<br /> . , -
<br /> �Iicable'.deed,resMctlons. .. >: . . .,<. " . ,, . . - . .,.
<br /> .._..,,..�_.._�>,.,,.�,�;�:>,��:�, .
<br /> . : •� ��. .4��1 .
<br /> ILICEN,SED:�<CONTRAC�OR3�=AND`•CONTRACTOR':RESPONSiHII�ITI�$':=�-�:�lf��he�`�ovirner°�ha§``fifced�''a"i�r�tractor.•or �
<br /> �tractors�to undertake work,�ttt�y_-mey;be��r�q�ired=�to:�be.Itcensed:=ln�eccQrdance:with�.state;and'�local:regulaHonS:i�<If.-��the����`r+`���:'�:
<br /> � .: . . . .,___. 1..:,_..�._�. ...:. .:::... .r.�...._ .. ...
<br /> itracto�"Is:not�.licensed;:as`"reqtilred<tiy law;.tioth';ti�e�owner�and=:contracto�Nmay�be-°cited_for`armisdemeanot vlolation
<br /> ier state law. If the owner ar Intend"edl+contra�tor�a�ea��unaertaln�as_to wFiat�licensing;requirements;:may�,appl�c�sfo�;''tti'e;_�5•:=Y;�-�-���:�,;'��
<br /> � � �>:t._,,,,,•...;,..,.���,
<br /> . :, ., . _ ,;.�-...�..pt.,.,__..._._. ..
<br /> :nded avork,=tfiey'are advised to�adritact:tFie.�Pasco-�County Bullding:'Inspection:;Dliiislon-Ltcensing SecElon at.�27=847-
<br /> )8. Further`riiore��ff=tFi`e�.ouv�ie� has''tiir�d'�a�cont�acto��`o�aontractors, he i� advlsed to have:.the contractor(s)�,slgn ,.,.;._,,,..,_. � '
<br /> tlonsof'the"contractorBlock".,of`thia;eppllcatlon�fur,�which�the.y...wlll.be,.r:e.sp,o�sl�le...,li.y,ou;•��as'_,fhe-'oviirier::stY'ri:'as'tlie' �� '"' `�
<br /> y.__ ,_.___,.-.:.._8 f, .
<br /> itracto�; tliett�rnay�be�an indicafion=th�t�he i"s'not:propeHy�Hcense'd and is�"not"entidedJto`'per`"mitting ptivileges'in Pas,co._ ,
<br /> unty. : ; :- � , : - . - : .:.::_,:.��;:;,,w:,T.;.:,_; �:
<br /> ANSPORTATION:IMPAC:TNTILITI�S:�lY1MMRl4�'t',AI�b�I�ESO�1�tCE�RECOV�RY�FEE8:°�Tit�°�undersigned'`understands �:; �.�;
<br /> t Trensportation Impact Fees:and.Recouhse Recovery.Fees,may:}apply�.#a�t�e conatructlon.;of new_buildtngs;.�change�of'"�<`;�°`:�'�< ,-; -
<br /> � In existing buildtngs;<a��'�ezpa�isi��:of=�ex�sN�b�iildings� as'specifled.in Pasco"Couniy-0rdinance nu�nber 89-07 and .
<br /> 07, as amende,d.;,:w�h� undeisigned aiso:urtderstands, thaf�`suohfees;�,�s,�may�'be:-_due;:;tw(Il�;be identtfied at the�time�of,���' ''='�° "" ��� ,
<br /> mitttng. It Is turt�ie�`understood that Tre�isportatlon`.Impa"ct`Fees and=Resource Recoiiery�Fees inu�ti�e paid prior to : ;
<br /> elv(ng a."cer�iflcate:=of�occupancy"-�or•flnal�.power:release.:-:If�the.proj�c�;;does:not.invoive�a:.certlfl.cate of,occupaney.�o�'�������r~`� �
<br /> d power;release;-the�_fees�:mus%t;`be�paid'=pcior;to��permit Issu�nce. :F��t�er�rnore;;�if�Pasce�;�Caunty'Vllater/Sewer��lmpact;� = � �;^:,��
<br /> s are due,.,they,must bespaid•:p�ior to.;permit-lssyance-�n.accordance:yult�.appllcatite-�Pasco'County'ordinances.
<br /> �NSTRUCTION`LIENIAVIY"(Chapfer�713� Flo�tda Statut�s�a�amended): tf valuatlon of work is$2,500.00�or:mor.e�,.l� : :�- .=�..
<br /> tify that I, 3he_applicant,...bave•.:been::�provided=�wtth-�a �copywof,�the:�"Flortda•�°Construction"Uen'.:Law.—Hom��owne�'s
<br /> �tection Guide' prep�red by'the°Flo�ida Qep�rtment�of Agriculture and Consumar/4ffairs. If the �ppllcant is sbmeone-;�:,,� .- �,: , �
<br /> ., ._,.� :. , . ,..
<br /> , Ky� , , abova:rlescrlpetl��dbcu�ent�and;proml.se:in;gQod',.."ith:to:: _
<br /> er than the"owner" I cert th�t�.I.hav.e.obfQ�ned�a:copy,of.the: �
<br /> Iver it to-theH'ownec'"�pNo���to�comir�encefnerit3�`,. ,_,'`�,; . � - . _ „ . �.. .�.- , :� •..�. '._ '- �
<br /> �NTRACTOR'S/OWNER'S]eIFFIDAVIT: I.ceifify�itkia�ail:�th�-:infocmat(orrin�tl�l��applicatlon ts accurate;and that all�work
<br /> �be done in compliance,with all.appllcabfe'laws�regulatlng construction� zoning and�land:,development. Application is
<br /> eby made to, obtain :a:,.permit..to;.do,,wofk-�:and:`ihstellatlon as indtcate�:h�::�<I;,certify�that'no iniork';ot installation°`fias � ,
<br /> ,. .,•,,,�.. ,w _. ,
<br /> nmenced:p�lo�'to`Issuance`of a pernilf�'and that'.alf work will be pertormed�to meet.-standards.of.°all laws regulating�
<br /> ist�uction, County and City codes� zoning regulatlans, and land development�regulaUons=in�tFie:ju�lsdtction.-�~i��al'so
<br /> tify that I u�derstand�that.the regulattons of other government agencies may�apply'_�;to,the.intended_work� and that it is �
<br /> responsibiNly to Identit�r�what.actlons I.must<take:to besln:.cotr�pllance..,Such;agencies:include=�but�are:not limtted.to.
<br /> - Departrtient of E�lvironmental�'Prote`c��n=�jrpress:°Bayfi'ead�;'WeNand-Areas.and-Ernlronmentally Sens(tive `
<br /> Lands,WatedVflastewater Treatment. "; � ' "
<br /> - Southwest FloNda Wate� Mahagemeri��..:l�is[Nct-Wells, �Cypress.'f'Baylie�ads, Wetland Areas, Altering �
<br /> .____Watercourses. - - � � - � � '•
<br /> - Army Corps of Engineei�s�-3eawalis;Docks, Navlgable Waterways. � ' . .'
<br /> - Department, of.Health: �,:ReMatiilltafive„Sen+lces/Emlronmen#al�Health,.Unit-Welis,:-Waste.v�rater��Treatment, `
<br /> Septic Tanks:� �� � ' � � � _
<br /> - US Environmental Protectlon Agency-Asbestos abatement.;-
<br /> Federal Avlatlon�AutMocQy:�unways. �- - ��
<br /> �derstand that the.following;restrictlons�apply to'the�t�se of flll:•
<br /> - Use of fiil is not allowed in Flood;2one W unless expre�sly.permitted.
<br /> - If�-the flil_materiak�:is':to'':be�;used:�in flood.Zone. 'A"� It Is understood�that e'�dralnage�plan addresstng a
<br /> "compe�sating volume"vvlll.be submitted at�ime.of-perm�ting which is pr�p�red by a professional englneer''
<br /> Ilcensed by#he::�tatg�of�Flo�da; .. : �
<br /> - , If th�.flll..mate�lal'�.is�to;be.used�(n I�lood Zone 'A" in�connection�with.�a���ermitted building using stem wall
<br /> conatruction� t;certifjr that fill:v�all:b.e.t�sed only.to..iill the:.area.within�the�stem wail.
<br /> - If-flll�mat�iial-is%�to=be��used"in any area;�'�f��ertify �hat .us�. of such fllf tivlll not adversely affect adJacent
<br /> ' properties. ,if use�of fill Is found to adveree4yr,..�ffect"ad)aEer�t��praiperties,.the owner may be cRed for violating
<br /> the condWons'�-of"tlie.bdildtng�;permit�l§sued�under the_atEacfied.,permit.�appltcatio�, for�:lots less.�than.one (1)
<br /> acre which�are>'elevatetl�tiy�flil;��r englneered dralnage plan"ls required: . . •�
<br /> am the AGENT.FOR;:.T:HE:OIMNER;°i�romise`In good'falth to�infocm�the�ownet�of�the;permitting:conditlons.set forth In � � ,
<br /> affidav(t�prtor to commeiaoing�constn��cNon: "`1`understanil tfiat a�aep4arate�permit may be requlred for elecMcal work�,, •'
<br /> nbing, signs, wells�;:pools,,ralc..condltioNng�.,gels,.or;ott�er in�t��itlons�not�spec�laaily Included�in.the�application. .A , � _ , ,.�� �;
<br /> nit Issued shalf'be`const%ved-to�be�a'Iicense�,to:�proceed with'�tFie''viio�k end not�as;_authoN„�.to._violate,•cancel, alte�, or ;", ,.�
<br /> �.. . .
<br /> eside any provisions of�'tFie'tecfinical=codeg;�nor shall Issuance•of a.permtf:prevent�the Bulldirig Offtctal irom thereafter �
<br /> ilring a conection.af errors in_plans:;;�c�nstivctlon or vlolations�of�.any--codes.��very.p'ermit.issued�s�hall�.become invalid � `� ��
<br /> iss the work authoriied�by suci� pe�mlt:��ls-commenced�inrtthln .sfx�months�of;permft issuance� or If work authorized by . �`; '.�
<br /> pertnit i's suspended or.abar�doned:for�:a�:�eriodYof-six�(�)�montFis;after tFie:tir�e�the�work�ds commenced. An extension �� '�
<br /> � be requested� in writing;;_from_'the'Building;O�icial'for a pe�lod.�not��to:�exceed-ninety:{90):;days a�d�wilf demon`strate x�� "
<br /> f.,., t
<br /> flable cause for.�the extension� If work:ceas.es,for nineqr(90)cons.ecutive:day.s...the job�ls�considered abaadoned.
<br /> RNING TO°OWN��t:'"YOUR:.:FAILlJRE TQ,'R�EC:Ott�.;:A�;.NOTl.GE:OF�-COMME�ICEMEMT�NtAY:REStILT.IN YOUR -
<br /> �.,.
<br /> 'ING TWICE:FOR,IMPROVEWIENI�S:�TO.;YOUR<:RROPERTY:z;;I��:YO.U{I�'.�EKID"TQ°<�BTAITd�FINApE1NG;;�.ON9ULT ���� `
<br /> OU • , :. D: . O., AI1�A�. O I� ��' FOR��. �
<br /> ;.0 � �;,:.p ;C �C E C �E � -—'- - -� .
<br /> tIDAJURA�•(F. 17.03} .. . . . ,. - . , � . -
<br /> IER OR AOEN -���G�NTR1iGT0 �
<br /> cdbed and m�to(or aHirtned)betore me this Su6ecrlbed'and' m•to(ot�afflrtned)�before:me�thf8 .� �
<br /> "7- by 7-7-1 6 .,by.. , ... . ,
<br /> Is/ar p,rs n Ily kn to.me or•healhave produced s/ p.ersonalJyknowrrto me:or:Mas/have,produced. •
<br /> _ � � �as!Iden6flcaUqn.- - ' ��,�;,?,L�,r.�c.jC.�v�Sz - ,as'Identlficadon.
<br /> ' � ��—� Nota Publlc Notary Publlc
<br /> nlss n o:' .,•��'sv"'•-. JACQUE INE BOGES Cnm�l slo . o.
<br /> _,,; ;.. ommission .
<br /> :�• :;�; Ex ires December 12,2018 ,,,.ti;�:'P-.,,
<br /> 1 O�N0� aui nsura :
<br /> ry ; a� Name of No �+$��r1q�� 150422
<br /> ' :� o: Expires December 12,2p18
<br /> �' PC
<br /> . . . ,�'•Ai��i��` BOMBd
<br /> Thru Troy Fe(o Ineura�gpp,�7019
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