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<br /> OTiCE OF�DEED:RES7RICTIONS: The:undersigned�_Under�tands;�tFt�t;thi�::��rmi�may_:be�subJect;to-°deed.".;resaictloi,is�,��;:,, _
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<br /> �hich may.,tieemore'�rest�ict�ie-�tha�t:Gounty��i9eg�ilatfo�is:�The`undersigned`'�a��ume'si!res��n'�ibiltty"forfcampllance�vifh�any "
<br /> PPlicable::deed�rest�lcflons._ ,_<�r:��-= ;s,�.- i - - - - - _ � , . -�
<br /> NUCENSED�fCONTRAC°FORS�`AND�`CONTRAGTOR�RESPOWSI�i�I��.�$:�`�:;If=�tie-;oinrnec�has`�hlred�'�a"cdititractor �or
<br /> �ke wo�k tFie ma �be:�r..� uired'ato;�Ge;licerisetl:in�.acco�dance.with_state�and;lo�al�;regulaHons�:;:If�tiieK���- . -= .
<br /> �ntractors to:underta _ �. �Y,�.3¢y�,�•>,-�;_,.,q.,�..,;;:> :.: � �.::,�;,:,-:,F.�::.:.,�;�;,,�a:�,�._�,�.:.,,r_-,.,:.r•�s� -
<br /> �ntractoc�:ls.not��ltcensed�as��requlre.d;by.law;,,both the�ovme�and:�confractor may:�be�cited forL�aFmisderr�eeno�violation _
<br /> nder state lauv. If the owner ar Intendedr.co.ntr,a�tor,,ere,.:uncertaln as.to vi►hat�ltcensing:requl�ements:;ma�;�appi�'�fti��tlie.}:��.y{°-�-" ;
<br /> ,5r:-�-..,-< .,,�;,...�._.;.,,,.:;,.
<br /> tended work;•they are=advlsed'to'caritact '��"���r F ��"" +' �'" �=:�.�.�� - .
<br /> ' ' � � ��the;:Pasco:.�ounty,Building�'Inspectton-rDhilsion=L•icensing�Section,at 727=647- ,
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<br /> )09. Funhermore;�lf�th"e-�.oviiner��Fias`Nired�a'-conhacto�-or contcactors, He 1s advlsed�to have;.tt�e_contractor(s)�,sign�r,..� .;f4_,_;, :,,
<br /> �rtlons of`the."contractor Block°.,.of.'this:_eppllcation�for�whlch�they�wlll�;be<,re.sp.or�sihle,.,�:l�::yoL;,.�as�.:fhe`oviirie`r'�.stgn:'as='tii'e" " �
<br /> mtracto�, tliat�inay=tie�an'"indlcation�fhat�he Is°'nofr:propeHy-llcensect and 1s''n'of�enqtled�to per'mit�ing privlleges in Pasco ' ,
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<br /> ounty. � ,..- , _ ' .� .. :;_. .�.:��.-_ ''".='; ` , -� ;;� - �
<br /> RANSPORTA',TION-.IMPACTNTIL�*IES��rMRACt ANb=1�S0U�CE RECOVERY FEE3:�-�Tit��under�iglnei�ur�derstands . " '
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<br /> at Tran'sportation Impact Feas:and.Recourse Recove.ry.Fees maySepplyv:#a tf�e constructlon;,of�new.,buildings;achangerof`�i`�`�N����� +: ..
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<br /> :e in existing buildi�gs;�or�expar�'si�mr..of+��ileHiip,biiiltHngs;`as specifled:in Pasco County��Ordinance num6er 89=07 and {:,
<br /> )-07. as amended..�R;.Th�undersigned`also�unders#ands� th��°such fees;;as::ma�be;due;�will��be iden�ified at the;timetof h>' `�.�-�, .
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<br /> �rmitting. It Is iurtfier'under`stood that Tra��portatlon.lmpa'ct�Fees and��:�Resour�ae Recovsry'`�Fee's:musti be paid prlor to `� , �
<br /> celving a."ce�tlicate.•of,occupancyA�or flnal�power��elease:��:l��•the.proJ��t;,does_no��lnvolve:�a:�.certiEtcafe.of occupaney�o�s-��'`���'���'' � � �
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<br /> ial power�release�.the��fe'es��:mu�it�b�"�ald-prfo.r�.to permit Is�u�nce. :Ft��t�ienmore;:�if Pasca�,•County�'Water/Sewer�ImpacE 4•�� J-°<.��� ,,
<br /> es are due;..they_:must be�paid.�.p�Tor to;:permit�issyance:in,accord'ance.;wit�.applicatite•Pasco':Gounty ordinances. �
<br /> DNSTRUCTION=I:IEN LIe11Y11(Chaptar 713�Flo�da�Statutes��amirided): �f valuatlon.of�work is�2;b00:0,0�or.more;.I�: � . .� .
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<br /> �rtify that I,_;he,__applicant,....k�ave-�,b.een:�,,providetl.-_with..a�copy.of,-the;"Florida�-Constructlon�':LIeiL:Law;Homeowner's
<br /> �otection Guide' prep�red.by tMe'Flo�ld`a"Depertme�t�.of Agrlc.ultiire and Consumsr/kffatrs. If the appltcant is.sotneone. : .
<br /> her than th�`ouvner", I cert h� '"`;'' ' � � _, ��„
<br /> ffy.t t:l=have,obfalned-�'-copy:of..the,abQva.des,c�l�e°tl'clbcu�ent�and;plo�i,"s�:in�gQod-faitti.fo .
<br /> �liverltto:lhe;'ow�e�'�'prior�to�ccm'rii'encemerit:�.'i.,_, �°s. , . ", � .� �. °-_. _ _`-..�. .�. , :_ . .
<br /> ONTR�►CTOR'S/OYVNER'8 AFFIDAVIT:. I.,certffy;,�tk��t:al{,:the�.:informetion:i��thl�:appllcation ts accurat�:and that all vvork
<br /> ill'be done in compliance wlth all•applicable`laws"regulaNng construction, zoning andr,land�development. Appllcation Is
<br /> :reby made, to obtain.:a;.per�nit:;to.;;do,wotk;.;and;�ih�tallation as indlcated�.;:-°I-ce�ify�tFi�at no work=�:or Installatlon lia's
<br /> �mmenced�p�lor`to'Issuance of'a_peimtf�and tha€:all�work w(II be perFormed�to meet�stand�c+ds.�of:all laws regulating�
<br /> mstruction, County and City codes� zoning regulatians, and land development r.egulattons`�in�th�e`rjuelsdtction:r-�l��al'so�
<br /> �rtify that I understand that the regulatfons of other�government agencles may�apply:,to.the,intended:�work� and that it (s
<br /> y responsibllity to identffy•what.actlons�I:must�take;M b.e.�In:.corr�pllance�..,S,uch.agencies�include but�are:not Itmlted:toa - ��
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<br /> - Depanrtient.of Er�vtronmental��Piotectlbn�Gypress:�Bayfiead�; W�t(and iAreas and Envlronmentally Sensttive
<br /> Lands,WatedWasteuvater Treatment. �� . - ;
<br /> - Southwest FloNda Water ManagemenE.::I�tstrlct Wells; �Cypress.��:Bay��ads��� Wetland Areas, Altering� �;
<br /> Watercourses. - - . �_ - - � � ;;
<br /> - Army Corps of Englneers=Seawall's;Docks,Navlgatile INateriniays. �.
<br /> - Department of. Health�,.B,,;ReMabilltaNve;$ervtces/Envlronmen#al�„H:,e_altfi�Unit-WeII.s;,:Waste.water��Treatrrient; �
<br /> Septic Tariks:� -� _ ,.,��...� : - .. -, . . __
<br /> - U3 Environmental Protectlon Agency-Asbestos abateme�t..,,
<br /> - �.-Federal Avletlon:AutMOrtty,;Rumva,ys: -:-- - " � -
<br /> nderstand that.thetfollowang;�restrlctlons'apply'fo�tFie�se of flll:•
<br /> - Use�of flll Is not`allowed:ln:F1ood::Zone"V"unless expressly permltted.
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<br />� - - ff�•the:filli mate�lal�:;Is:_:to-'be.:��used-Jrt:flood�.-.Zone. 'A", Ik.�Is undecstood=4hat-a dralnage plan addresstng a
<br /> "compensating volume"wlll be subm(tted at#lme of;pertnitting whlch is,prepared by a professlonal englneer '
<br /> Ilcensed by�,tfie�;Stateof;FloFlda: - .�
<br /> - If th�_fill_:mate�lal�'ts.,:ta�be�used�in �lobd Zone 'A° in+connectlon�wlth:�a'"�permitted bullding usin�g stem wall
<br /> constructlon,_I„cerNfy thet,flll:wall:ti�e:used only.to.f111 the.area wlthln=the�stem_wall. . •
<br /> - If flll-mateilaf�1s���to°`be��u9ed°tn�°any-area;°f�i�rtlfy that .use. of�sucFi'flll wlll�t�ot adversely affect�adJacent
<br /> propertles._ If„use:of f111,Is found to ad.,v,ecse4y:;�fffecf'ad)aEer�t��prctpertles,.the owner mey be'clted for vloC�ting•
<br /> the�condllions,`�;of.the:ti�illaing�ap�rmtt I§sued:,under tfi��attacfied.,�ermit�appllcatlon;for�:lots less�#han.one (1)
<br /> acre whlch ere ele'v'afetl'tiy;,flll;a�t engtrteer�ed dralnage plan"ls�requl�ed.
<br /> am the AQENT..FOR THE-O.IMNER;:'I,�roml'se'In.good f.atth to�lnform the��ownet.of-�the,:permltting conditlons.set forth In
<br /> 9 aifldavtt`prlor to commencing�consfr'uctton:�"1'ut�d:erstand-that e�separate permlf may be requlred for elecMcal work,. . ;�,r
<br /> imbing, signs, wells,,,:pools,,�alr..condltloning,_,g�ls,;.or;otMec.lnstali��tlons�nok spec�flcalty Included�in.the�applicatlon. .A
<br /> �.,.va s.� i i
<br /> rmlt Issued shall�be cons►ttiued to be°a'Itcense�.to proceed wltl�'�the wo�k and nok:as;_authoNly:t_o.:vlolate;��cancel; alte�, or �:-,
<br /> �aslde eny provlstons°of the:teafinical:.codes;�nor shall Issuance�of'a.permtf.p�event�the 8ulldlrig Offlclal from thereafter
<br /> �ulring a conectlon-af ertors_In;.plans�;;corist�uctlon or vlolatlons�of'any=codes: ��yery:p�errr�lt:lssued=shall:become�invalid � "
<br /> less the work autfioriied�by sucl5 pe�mlt':��Is.commenced�rvwlth(n.s{x,months of;pe�rnit Issuance, or It work authorized by ';; '
<br /> �pemnit is suspended,or..abar�doned�f:orna�:�er;iod�of�,ei��(6),monE�`is'aReR=tFie.tlme�the�wowk��is commenaed. An extenston ���
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<br /> �y be requested, In wr.lting;:.;from'tFie�Bullding;Officlal:.for a perlod::not=to.�ex�eed'nlnety{g0):�lays°�a�d w111:=demonstrate 7:i ;
<br /> tlfiable cause for:the extenstor�."If wock:ceas.es.for nlneqr(90)consecutive:day.s...the�ob�is�consldered aba�doned. , �''
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<br /> `f�.!'� '..f_f-•` �'�.'.i. . . .
<br /> IRNING TO'OWNER:�'�YOUR`.��AILURE��tta.;REC'ORQ;A�bTICE,�.OF_-CGMMEMEENIEI�T�NtAY:RESULT�IN��YOUR.
<br /> YING TYVICE,FOR:IMPROVEMEN�9_Tf?;YOU.A��.PROPERTY:.:�1�°�YO.EIr ItiF�'E�1D!�TC�B3''AIN��FINif�filEtNCs;"C.ON3ULT '
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<br /> NER OR AGE i �p�Rp�p_,.
<br /> scrlbed and swom to ' 'fflrmed)tiefo m Ihls � ' Su"sdtiti 'a swo = (ot'afflrtned)�b' re, e�ffitA �,
<br /> by /
<br /> ►Is/are personelly k to.me or�haalhave produced Who:Is/e ,,p. ,on ,�Cnown-to mezor haalhave�pmdix:ed. •
<br /> 6 as�IdentlQcaU4n. . , - � . • Id'entlBcadon. ' -
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<br /> Not�ry Publlc . �-�C.�' � Nota'ry Publlc
<br /> imisslon No: Gbm I on. . � �
<br /> ,�,,,,,
<br /> ,,••'1��'�yAi••,. JACQUELINE BOGES -
<br /> ie oi Notary typed,printed ar atemped Name of Notery qip *p ,� �on
<br /> _"�� - Expires December 12,2018
<br /> � -:�� 'a:
<br /> . ..p„,�c�„°�P�� Bonded Tlw T�oy Fein Insuranee 800.i85•7019
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