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<br /> NOTICE t�F�DEED RESTRiGT10�S.. The under�Igaedlunder�tands��Et�t�this;p�rml�:may:,be.subj�ct, " N 17`,.:- .
<br /> tO.,;t�8�.�1'8$�ftCt�QflS :`;
<br /> .;,f.,.,.,s..,..;;�x-r _ �.<�.«..-..,.,,,:;.��.�.�::,:_,:�,.;�,-��--�_J�. �.F.;:.....��;-,.:�a ��y..=:�.;;...<..:�.-:';.
<br /> which may'tie<rniore�:r.estf:iative=t�ia��coun�y..�,iaEron$:��n�..��a�re����a}�a�sumea resp�tnstblBty-for=compliaiice"wtth�any� � "- �
<br /> appllcable;rdeed-tes#c;ctlons. ,. n,::,,;�>.;,;�:�,_,�.�; .,:.:�<- ���,. ' , , �. '� s ' � v.._m.<. ; � �:,f;� ,. . r
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<br /> UNltCENSED-CONTitACTt'3RS ANE�;COMTRAC'�'OR�RE�PONSIBIt�t'T!E'$:��=If=t�ie-�ovimer`�has�'-�iti'et1�=:a':ixintir�ctor o�
<br /> contractors to undertake work, they maytb.e.;r,�.quir,ad:5to,be-tllcenseitl:.in.:accordance.wtth•state�,aniJ;local„regulatlons:��If;�the!4,��, ,.
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<br /> cor►tractor=ls�riot'liceitseds�as-`reqiilci�%t'tty l�vir, bottt=�t1ie owner ai=iii coiitr+aetor{�inay��be�clteda}f�r ��iiiistl�me�nor vlala�on
<br /> under state law. If the owrner or Intendedw�con„tra�tor�er,"e;,uncertaln as ta what Itcenstng.requtre�nents,;mayr;apply�fiar6tiie;-�-,-;: � ,
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<br /> tntended workr they are advlse�#o contact.the-�Pasco:�County:8ullding Vnspectlon¢Dtvlslon=�l:tcensing`Sectlon at 72T-847-
<br /> 8008. Furthermore, tf�the owner`�iasY`ttired}a ccn�actor ot'cflntcactors, he''ts �dvlsed fo 4iave�t�ie contractor(s),-slg». .-
<br /> porttons of the "contrector.81ock".of.thfs�ap,pllcetion.r.f'ar.whlch.they.Ywlll:.,be.r.esp.onslble.�,.tfr,you;.:as:the_aivirnei��`"sljqn'=�as"''fhei''�`�-"�_='�-�
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<br /> contracfar; that�may�be sn indfcation'�tliet'he"�s"naE proper1yN11censed"arii��ls tio#�'en#iNeil`to pemiifting�priullege"s`In Pasca
<br /> Couny. ' , . • . :;�.,;...,�r:�., •,.
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<br /> TRANSPQRTA't'lON-1MPACTlUTl1:ITIE$�CMP1�1G'��ANb lt�SOU1tCE RECOYERY�I=EES: 1'�he underslgned understands
<br /> that Transportation Impact�ees.and.Reco.ur�se.Recavery.F�es m�Y�eRPly;�to•t�►e,cons#ruc#ion:o�new_bu�d#n�s,�change�'of��;r.`$���.;;; ',
<br /> use In exisNng bulldings, or:.expan'slor�,�iSff�`ei�ls'ti��btillilings,'as speclfled.in P�sca County Otdlnance number 89-07 and !!
<br /> 80-07, as amestded:i;:Th�undersigned also:�trtdetstac�ds; t�i�E`�sacsh fees,�as�,�nay:�e�d�e;;s,�allhtE`se�denl�ied at the�tlme`�of�::�;��,,��`-,,, p
<br /> permitting. It Is iu"rtlier underetood that Tra�sportatlan Impact�Pees.anrtxResource.�Ftec��r�ry:�,Fees�.mua#-be pald prlor to `
<br /> rece�ving a'certtficate at occupancy"�or�tlnal=power.release.� :�f`�1@:pTOJBG�;d083;f10t It1Y0{YB�a�c�rtificate�,;of occt�pancy!or:::."_.-�t;�.:�� �
<br /> final power.release;;tHe:fees�mu�t�be petd":;�pcloF".#o;.,permit (ssuance. Fi��fhermore;��f-Pescv,County`11VaterlSewer=,impact;,> ;_��c;;�,
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<br /> fees are due�;they musk:be;pald;prlor�o.,per.mit Iss4ance=ln.ai:cordance�wlth:appllcatile_Pasca�-County�ordlnanc�s. �
<br /> CONSTRUCTtC►N"ClEN'LA11V{Cii�ptar 713��lor�da Statate�.�s ame»ded}: if valua�on of wcrk fis�2�500.00:or<mare._.1:�.�:.. :�.��.�;
<br /> ceHity tFi�it_.1, ��he.�appllcent;�have„been tprovlded��with--a�copy��of_:the=�"Flo�lda�'�anstivctlon>.Llen`L�aw�—Homeowner's�
<br /> Protecfio�Gulde" prep�red by,tlie F�a�da Depar,tmet�t:af Ag�cultt�re and Consumer���ttffalr.s: If the eppllcant Is someane�:�i :�,. ::., _.
<br /> other than the"owner", I certlfy;.th�t:I:�.h�ve�dbta�tned"a}eopy.of..the�,�bQva�des,crl,bed�lacur°r"�ent�and,pr�mise;.in�.;g.a.od:;faitti.:to _._, -,
<br /> �` '4, : �.f..._.-J . ... I..7�:L..reJ.t°yrte� .�4.� . . .. - -.
<br /> deliver It tci�tlis<<"owrier.""piioir��to�ib�inienceii#ent:°: � , , �. ` _ - . =.. � �
<br /> CONTRACTOR'S/OWNER'S AFFiDAYlT: i.c,e.Gtityr�;tiaat.all�.fh�,inficirmatl+�n::i��.thl�.appllcatian is accurate,and that eli work
<br /> will'be done in compllance wfth all.appllcable laws regulaUng construcUon, zoning and,°land��developm�nt. Appllcatlon Is
<br /> hereby made:.to.obt�ln..a:permit,,fc:;<do=:w�fk::.,and,lhstaf�ation as IndE�efed:.��<:�=1��cettl�y tha# rto work�or tnstallatlon��#tas� � �
<br /> commenced p�lor to Issuance of a permit�an`d that�:alljv�ork wlll be pertarmed�to m�et.standards�of all laws regulating-
<br /> consfructlon, CounEy and Clty codes, zoning rsgu#atlons, and land development re�ulatJons-ln the;��srlsd(ctlan;-...l�.a!'sv
<br /> certtfy that I understand that the regulatlons of other�government agencies may�appty,�,to th.e,,.lntended worlc, and that it is
<br /> my responalblllty to Identity•what.acttons I must�teke to�be�ln�corrlplla�ce,,�Such.agencles�lnclude but�are.not Ilmited to: �
<br /> - De �rtment of E�vtronmental>�Protectiori=°'���press.'Ba"aFiead�; 1Ne�and Areas end Environmentall Sensi#ive �
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<br /> Lands,WaterllNastewater Treatment. ,._._� �
<br /> - Southwest Flar�da V4tater Management`:I�ista�ct:INe#Is� Cypr�ss. 9ay#�ead�, Wet#and Ares�s, Al#erlt�g
<br /> Watercourses. � �
<br /> - Army Corps of Englneers-Seawalls,`:Dock:s�t�avlgable Waterways.
<br /> - Department �of;:Health,:.&,,.ReF�abllttafive�>Servlces/Er�vironmen#af �t�ealti� Ui�it_We1[s�:Wastevrtafer�Tresfinent, �
<br /> Septic Tantis.- . '
<br /> - US Envlronmenta#Protectlan Agency Asbestos abatemeryE:.: �
<br /> - Federel Avlat(vn$Au1Morlty,;.Runways:�� , � ,
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<br /> !uriderstand that.t#fe..foltow�ng'rFest�lcf�ons apply�tc the use of flll:•
<br /> - Use of fitl is not atiou+red in;;Fload.•2one"V"uNess expressly permitted. ,
<br /> - If the�flll fnaterlaF�ls' #a<b.e used:`In:�Fload-Zone. "A"� tt Is understood that�a drainage plan-addresatng a
<br /> "campefisating volume"will�be submitted at#ime�of,p.e�m�ting wEalch Is prepared by a prafessior�al engineer t -
<br /> Ilcensed by`the�tate cf Flotlda: � �� ' �f`" � �� ' .
<br /> - If th� iltl materlal.i�`to be�u�ed In Flaod �one 'A" ln5 connec�ion'�with�a��permitter! bufldiitg using stern wal!
<br /> ' conatructlan,� icerttfy;thatflll:iNlll�ba,usedonty.ta.flllthe,areawithtn�the�s#e�nMralL '
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<br /> - ff flll mate�la! Is to be used tn ariy `a�ea;�1'-cettlfy that .use. of'such ftl! wlll not adversely affeat adJacent
<br /> praperties. If use of fll! is..�ound.to�adverrseFy,�Pfect aaJaEent�prc�pertles�.#he awner may be ctted for vlo��#ing. , �
<br /> , .d. �..,, �.-.
<br /> the�condi�ians:af the_bulldl`rig�:permit Issued�under tfiey�ttaclied permlt��ppltcation, far�:lots:less:#han.ane (1)
<br /> acre whlch are elevated£tiy f�ll;a�t ertglneet�d dr�lnage plan Is�equiteil. � .
<br /> If I am the AG�NT FOR THE OIMNER,..I;�iroirilee,ln,;good,falth to Inform-the�owner af�the pennitting condtttons set forth tn
<br /> th(s aff�davlt`pnor tfl camme�acing conslrucUon. 1 ut��etst�'iid that,a•.separate permlt may be requt�ed for elecMcel'work� .., ,
<br /> plumbing, signs, weils,.poots;, atr.conditioning,-.g�s;or�bt�et Insta���ians:no�,spec�i�a{�y lncluded�fin.#t�e�apptica#iori. �A � , .,- :
<br /> permlt Iss�ued�hall be consMued 10 be',a''llcenselto��pi`oceed wlth the�wo�k antl�'not�as:authoNiy.;ta,vlolate;�cancel,.alter, or ' . `'
<br /> set aslde any'pmvlslans ofttte.techtitc�l:cod�;�nor shall lssu�nce°of a.permit.preven#t�e 8ultdlrig{}#ficlel irom theteaftec
<br /> requlrin.g a_coRection•af ecrars U�:plans;-const`ractlon.,or.,vlolatlons af-any�codes: .�very•'p�ermlt?lssued shall become•invalid
<br /> unless the�woric authotlzed.by such permlt:�ts-co�menced�wlthln s�Gc,manths bf permlt lssuance, or tf wo�k authorized by
<br /> $� .
<br /> the permit ts suspended�or•;eba�doned,for.-a;period„vfeix:�Ei)=monfiis.:.�Rer"the ttme the'wa�k�s commenced. .An ex#ension
<br /> may be requested�.ln wrftlh�g�from.tti�.Bullding,Offlclal�for a perlad-not to�exceed`nlrieqr.�(90)�days a�d:=wllr-,demon�trate
<br /> �ustiffable cause fbr�the extensto�: If vuar.k ceas�s:for nlnety.{90}cons.ecutive:day.sr..the�ob�ls c;onsidered aba�tdoned:` ,
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<br /> VltARN1NC TO OWi�Ef�: Yt}U#�;FAILIJRE�TC�„RECt?'RD A:,�a�ic�;o���G,aMMEMC�MEMT,�:t1�AY�RES.,U1:T fN�wYOUR
<br /> PAYINO TWICE;FOR.iMP.RfJ�%EM��N�S�:Tfl:,X�'Jl•iR�P#�3PERT�Y:,k�1��.YqU�t��'E�1D:TQ���B'�AIN`;�iNil�pEiN.C�i;��ON�ULT �
<br /> �9'si�'i' - -- - t�- O a'� ti i3�D �lp �^ � .� • - - —I
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<br /> FLQRIDA J1.FRA�:(�:�14T.03} • ' - , ;. _ ,
<br /> OWNER QR AGEh1' CCdNTRACTAR
<br /> Subsc�ibed ared svsrom to(or ai�rmed)befare me this Sub�cxlbed'and'swom-to{ot'af��nned}�befota me ltii&. . -
<br /> by ,by... , . .
<br /> Wha Is/are pe�sonally,known to•me.ar haa/f►eve.pmduced Who.le/are p,etsonallyknovm•to.me:ar Ita�lhave.•praduced • �
<br /> ' as IdgnBflcsiton. � � as tdenB�caHon.
<br /> No�ary Pubtic Natary Public '
<br /> Commisalon Na:"°'" Goittr�4ssion Na,
<br /> (darae ot NoEary iyped,printed or stamped Name af Natary typed,printad or atemped �
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