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<br /> )TiCE OF DEED.REST131CTIO�IS: The:::undersigned:F,under�tand.s,�fti�t�iF,�la;p��rniE:may.be,:subje.ct,to;>deed�,rest[Ccttons.
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<br /> iich may:,tie�more:°reslfictive�tiia�i�Gi�unty�reg�ilatfori�: 7he;und'e'i!s1gned`�a�`su`mes resprin9lbilttj�!�"for{compliance wlt�-any " � '
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<br /> � Iicable=.deed;re�trictions.-- `� .:;-.- ,; ' � . , ,: < .
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<br /> �LICENSED"��,CONTRAC�ORS'°AND�,:CONTRAGTOEt RESRAN�I�ILITI�S':��'aff`-�he"�ovi►ner�`ti`�s�'ht�etl��'s���;cbrit�actor�or
<br /> �ntractoFs.to:undertakeY�work.:the{�-meV� ;be;:r�e;�Ered�to��,�.e�licensed;<In::accordan�e:with�state�:and`-[ocal: ��u0a�ions:t���:lf`:theK�=��`�'- �:;
<br /> .1 -/,..��..�I.;�rs;__f.�:.tl�I�^.,^y.;.i . ' y•}�3v:3^d,n�.:,-.:;",¢3v.a.,i:..,:G:iea4::-:':�-os..-.�i:.__�.�:.�. _ ...�....s.. . _ r
<br /> �ntracto�'<Is:�not.licensed"as��requlred�by law;=botfi the owner.and�Acontractor��inay-°be>�cited for���{rn"isd.'einearior-elolatlon
<br /> �der state la�nr. If.the owner or intende�>;contra�to��are,.uncertain:as.to what�-llcensing.:requtre�nents:;may=�eppfy��rrtlie�=;r�x==�=°-.�_„�� �
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<br /> ended'work;•they=are ativised`to-contact the Pasco;�Cout�ty Bu(Idtng�`Inepection�'Dlvlsion--Ltcensfng�Section,at 727=847- :
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<br /> �09. Furthermore��If�the�:owner has`'�hi`r�d`-a-ccititcactoF o�=contraaEors,'.he. is�'advtged to Fi'ave.�lhe .contractor(s);:sign,,.,. ;,, ,,,.._
<br /> �rtions of'the "contrector Block°,_of..this�a Ilcation.,forwhlch�the ,wlll:be;: es onslhle. :I o '#�`�'�"` � ` �" � � -�� {-" ?1
<br /> _ APP:.._ .� __ _. Y. _ � P . _ ,�y u;.,.as'.:the'aiivn�e�.stgn`�as''tiie,
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<br /> ntracto�;.thaffiiay=tie`an'indioation='thaf°he�ts�'not'`:properiy lioenseit'and'i�y'not':'�eri�Ned�fo'�peririftting�priiiileges`in Pasco„ _ ,.__. i°� �
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<br /> tAR1SPORTA'fION�IMPACT/IJTELItI�StII�RA�'��AW6=�ESO�I�CE�RECOVEE2Y°FEE8:�The understgned'�understands 7� ;
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<br /> �t Transportatfon Impact Fe�s:�nd.Recourse Recove.ry.Fees,m�y,eppl.y.:#a::tf�e:�onatruction.;o#;new.b,uildings;:�changerof!��-�� �� r -- �. .
<br /> e in existtng buildings;;�ar=�eicpa�si�i�r�;of°�i�i.sti���iciiliH�igs;as spectfled.in Pasco County�Ordinance number 89=07 and � �
<br /> �-07, as amende.d4,.,:,'�t».;'undetsigned �lso.understands� tti�if:�suchfees„as�ma�r`be::dtre'�;tvuilli;�e identffied at the<ttme=of��fi° ��'��t�°":=`, ,
<br /> �rmitting. It is turtfie��understoo�d that Transportatlon.lmpa"ot'Fees andwR�sour.ae`R�ery�>Fees��mu�t`be�paid prior to �: i
<br /> �eEvtng,a"cerftflcate�of�occupancy"or-flna��.powec=release.-:If•the proJ�ct;;do�s?not�involve,a^c�rt�icate_of occupancy�o�r:`-��_�'" � ,
<br /> al power;release;.the.:�fees;:mu�i,t��tie`�paid�:pcior:to,permft Is�uance. �Ft��ther�more;��if`�Pascm,�County:WaterlSewer�:lmpact:��=-��.�FY�.�, � .,
<br /> as are due,,.they:must_be;paid�p;�r�orto;permit?ts'syance;�n.aEcordance'witf�,;appllcatite.Pasco'�County-oidinances. � �
<br /> )NSTRUCTION°LIEN LAV��(Ch�pter 773�Florrila'�tatu��s�as.�arnend�d): if valuatlon of work is$2,500:OO�or.more;�1::; � ���;t�
<br /> rtify that ,l, the,:appiicant,: �iave:been�,provideii;with--�-=copy�:of-�the°::"•�Iorida���CorisQ�uctlon.�Lten-Law---Homeowner's '
<br /> otection Gulde"�prepered by�tiie'Flor�ida Depertinent�of Agriculture and Consum�er.Affatrs: .If the appitcant is,sotneone .,_,_ ,�-��:
<br /> her than the'owner",.I cert �that:l:have.o fa)ned�a=;co .o ``� �'`'"`' ` '
<br /> ffY�_ _ b_ ,py. f:the°above.:�es.cFltietl��d�curraent�ahd;; romi�e�,:i"n�;g od;f�ith to ,. .�
<br /> �liver it to:the«'owne�:pNoF�;toFcomi�iencemeiit��- . . , �, . . ,-, , ._ . . _. ' " `..�',. �_p.".'. � �
<br /> �NT�4CTAR'S/OWNER'S AFFIDA10iT: I.,ceitify;etkiat-allzthg_:Ufonmatton_i��thl��appllcatlon ts accurat�:�nd that a'll9work
<br /> II'be done (n compl(ance with�all•applicable_lauv§'regulatlng con�tndction� zoNng and�land;deyelopment. Appltcation is ,
<br /> �reby made to obtaim:a..permtt.�to.rdo;;�yotl�;�and��installation as indl�eted:�;-, °I�..ceftffy�t�iat no�work"�or installatton��Fias ��
<br /> �mmenced'p�lor to'Issuance of a pemllt�antl�•that.all'�work �rill be perFormed�to meet.:stand�rds�of��ll I�ws regulating•
<br /> �nstructlon, County and City codes, zoMng regulattans� and land development tegulattons�In T the�=>)u�lsdiction:.��=i.also �
<br /> �rtify that ( u�de�stend that the regulations of other�government agenctes may�apply;to,the;intended_work, and that it(s
<br /> y responsibllity to Identi(y•what.act(ons lmust�.tske:to�be.in;conlplla,nce..,S,.uch;agencies�lnclude but�are:not Iimited,.to: � � �
<br /> - De artrrient of E�lvironmental'�Protetctt�n������"ress�B�'he�d�;1VYletl'and%Areas and E�vironmentally Sensttlde �
<br /> P -�P -::� �.
<br /> Lands,WatedW�stevveiter Treatment. '�:"'� - f �� `- °
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<br /> - Southwest FloNda Water Management::�I�tstrict Wells, �Cypress•' .Bay�i�ad"s;�"=VVetla�d Areas, Altering �
<br /> Watercourses. . . . ,. . _ � , - _ ��: `
<br /> - Army Corps of Engineer`s�eawaUs;Docks, Navtgatile Vllaterierays.
<br /> - Department_,of:Health:'&;Rehabilitefive $ervlces/Envlronmen#al_.Health-:Unit-.Well.s;::Wastewater�-Treatn�ent; ' " .
<br /> Septic Tanks::. ; �: � , ,. y _ ,. ' , _ �.
<br /> - US Environmental Protectlon Agency-Asbestos abatement. .
<br /> ��F�deral Avletton Authori�ty_;Runways: - - • ,
<br /> inderstand that theefollowang_�rest�lctl'ons apply to`the��se of flll:•
<br /> - Use of fiil is not allowed in Flood<Zone"V"unless expressly permitted.
<br /> - -If-the flll_�materfal;,:ts:�_to;.:be`:�used:-:ln:flood..Zone. "A"� It"is��undersfood��that��a �drainage'�plan addresstng a
<br /> "compensattng.volume" wlll be submitted at#ime'of permittJng wtiich ts prepared by a professional engineer"
<br /> Iicensed by�#fi'e'=�tate��of:Flo�ida: ::-� . �
<br /> - . If,ih�_flll mate�lal`_i��_to tie�used�in �lood �one 'A" in5 connection�with:a��permitted building ustng stem;wall
<br /> conatruction,,l certify that_flll:�uJll:l�s used only.to..fill3he�area-wtthin�the�stem wa11. ..- • -
<br /> - If"flll=inate�lal�'Is��to��be��used'in� �ny�-are�;�i��certify tha�t .use. of sucFi"fl11�will t�ot adversely affect ad)acent
<br /> properties. :If use;of fill..is found�to adyersely.�ffect"a�iJa�ent��:praipertles,.the owner may be'clted for a�iolaling , �
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<br /> the condWons`"of:tFie'ti�ilaing;p�rmit issued�,under tfie`'at�acFied.permit��ppltc;atlon; for:lots less�than.one (1)
<br /> acre wh(ch are-elevatetl=tiy,fill;�rr engineered dralnage pl�n'ls requlred:� • . �
<br /> I am the AGENT.FOR�TH�.:OIMNER,<=1�.�rifmise5in good:falth to�inform the owner:of,.the.permitting�conditions.set forth in
<br /> s affldavtt`prtor to�comriiencing��consttu6ti6n:�"f�unclersfand thet e;sep,��rate permit may be required for electrlcaP work,. F-y�
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<br /> �mbing, signs� wrells,,:po,olsivalr_.condl.tioning�,.gas,.,or::otF�er Instailatio,na.nok speclflcally inclusled�in.the application. .A ,, .._ �
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<br /> �rmit Issued stiall tie�;coitstiued fo 6e��a°;Itcense�to;proceed witb�'the�wo�tc:and no.t:_as.authoN �to vlolate;.�cancel;�alter, o� ���;
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<br /> t aslde any-prodislons��of'tfie teciioical:codes;�nor shall Issuance�of a.permlf.prevent the Bulldirig Ofticial from thereafter �. :.`�
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<br /> qulring a conecqon.Yai errors;.ln..plans�,`,coristivction.or vlolations�of'any�codes..���very:p'ermit�l.ssued��h�ll:become invalid L�°;
<br /> �less the wo�k�aut'hortzed by such permit�s-coirimenced•"veritF�fn,afx,,months:of;�permit Issuance� or tf work authorfzed by �"
<br /> �permit is suspendad or.abandoned for.a period=of;six:f6)�montlisr:after the�tir�e the�work��s commenced. An extenston `�
<br /> I �y be request'ed, In vvr,iting;;;from'the`aBuilding:�Otflcial�.for-a per`tod�notito:•exceed�ntneqr{90)r�lays=aiid�wllf:demonstrate ;�y
<br /> �tiflable cause�for.�the extensior�. If`wor,k.cea�es,for ninety(90)consecutive:day.s,..the)ob�is�considered aba�doned.
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<br /> ARNING TO�OWNER:�'�YOUR'':FAILIJitE'Tt1:'R�E.C:ORQ`:A;-1+lOTICE:OF:COMMEMGEMEMT;IVFAY�RESUlT�IN�YOUR. '
<br /> IYING TWI.CE:FOR IMPROVEI41ER���:,Tfl YOUtt PROPEI�7Y YIF YQt1,�;IlV��EWD"TO�;�iB�•'�AIN��FINA�IE1NG;cC.ON3ULT
<br /> I� OU = � O':=�1�� �� O (il�_ .� F }. � • 0 �=,_:p 1� : ..�..-�.. � • .
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<br /> JRIDA JURAT•(F. t1 ..03}� .."� 1 _ '— �.- -- - - -�- -_-y---
<br /> iIPIER OR AOEN /�s✓�.� ;6�����. .COM'R�GTO �. /!'M.� � //i' ,
<br /> �scrib�d and swom t or afflnned)' to mv fhla Sutiecrlbe��and� =to(or�aflirmed)�before.me�t�t� - .
<br /> by . �
<br /> o Isfare person�lly cnovm lo.me or•hasA�ave produced Who:ts/e►e:personallyknown•tolei�orr�ha�/have-prndi�ced •
<br /> as lden9flcatlpn. � - � � - . � .•" as Id'endflcaBon.
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<br /> Not�ry Public . ' � Notary Public
<br /> nmisslon No: Comnhleslon.No._ _
<br /> ne of fVotary typed,printed ar atemped Name ot Notary lyped,pdnted or stamped
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