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<br /> OT10E O�DEED.�RE�7EtICTION$: The;undersignedR4ndergt�nds�:th�trthi�:: �,�: it::r�a ;:be., rr" ". `"'�"�"��'��`�����"
<br /> � .:+., _P. ,�'!,n, .YY� ,subJe,c,t:,to.,deedn;cestrlct(ons,,:..,..- -
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<br /> � _���" .�etres'�(ctive�fh�-`�i��Ci�un�''`�" A'18tfoitis:��:The�-.�ndersl'�ned�`a�$umes��s 'ongibiU`'�:fo�`�com`Ilance'`.': •=a �.�"'-
<br /> hich may�.tie;,mo, . , . ., 8 h!r�g�. 9 _ .. .� ty P with riy
<br /> PPlicable�deed;:restcictlons. ::,,.>-:;�;� � � _ - �-r�rF,¢-gr; �.,:w_..;
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<br /> NL`ICENSEt'1�.GONTRAC7:ORS_��AND,�`CONTR�ICTOR=�RE�IsA�iSlP�it�i����S`:'�;��If��the��ownet��tias�Yht�ei�����'c��hacMr or
<br /> �ntractocs to undertake�.,work the =ma :,tie::r� u'Ired�to��e.�ll�eris�l�ln�.acco�dance.:iHtth�sta`te:and=local:re�ulallons:���lf�th��<='°�:�.Y� .
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<br />�� �ntractor'°:Is;;not��.11censed�:;as::requlred;,by`law;:botF�-:the:.'owmer'.and�scontracto�`�•may��titi�-clted=�fo���a�iiilgdetneano��vtolatlon ;
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<br /> nder state law. If the ovvner or lhter�ded�,.conh,a�to,���ere�uncertaln;as to what�licenstng,requl�eRnents;�may,�appl�r>;fo�'the��;�;��-q��=�{'
<br /> tended'work;-they-are�advlsed;to�i�ntact%tFie`;Pasco Coutityr,Bullding�'Ins�iection DI`vlsfon,-l.lcenslr�g Sectton_at 727=847- ,
<br /> )08. Furthermore�~If�'the�:owne��has`hilred`a�aontracto���or�contrectors;"fie'ls advlsed to=have;.the contracbr(s);slgn;,,h� .,.,,,,_ k,
<br /> �rtlons ot e "contractor Bl..ock°._of_�thl�xappllcatlon��for whlch�they,.wllL�be��e,spo I � �r'f"�-��`` ��`" ',,. -, '`r:r;�
<br /> th - - - - ns 61e: ;,lf:you;•.as�:fhe`own�F`-sign:�es°tlie�.' ;�
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<br /> mtracto�,..tFiat�•may�be•an Indicatlon-ttiiat_he`Is�notr:pcope�ly'llcensed�and`Is'"`n'ot`�`entltled`�M'�perri�iffting p�ivlleges'In Pa,s.,co
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<br /> RANSPORTA'TION.�IMPACT/UTIL�'�IES�rMRAC�'�AN6��tESOUltCE�RECOVERY=FEE8:��Th����ndersHgned`understands . >:�
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<br /> atT�ensportation Impact Fees:and.Recourse Recovery.Fees may�epplykta�tf�e:construcdon„of�new.:bulldtngs;.schangekofX'���'�"`����'_�- �u �
<br /> :e in eXlsting��bulldings;�`.ar�.ezpansk'iir:Qf.��ilsti���icilltNiigs,�as specffled:In P�eco Count`y Ordlnacice number 89-07 and
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<br /> )-07. as amended..�.�h�.-undetslgned�+alsorunderstands� thalt�°suoh fees;,.as�tnay�'�e:due�;;�nr,ilF��e ldentffled at the�time�.of'��'� � � �-1 .
<br /> armltting. It Is furtfier'unders"too�d that Tran�portatlon.ImpacE`Fees andsResour.i;e,.Recovery��Fee's:�mu�f 6e pald_prlor to . ':a_;
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<br />� cetvtng a�"certiflcate•;o�=vccupancy"--or�flnal�.power:=,release:� :I��the.proj�t;;does�no��Invol�e�a-.certlftcate of occupancyyo��-�=°: �`5j-h�`� °
<br /> ial power�,release�„theyfees:�mu�t•�tiie��pafd:�prlo�`.to permlt Issu�nce. :Fc��thermore;<�ff:Pe9cd;,County'VllaterlSewer;�lm act�;����-� ._ , � . .
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<br /> II es are due,:they.must be�paltl pMor to�;permtt Issy�nc.erin,accord'ance,wlt�r appllcatife-Pasco'�County ordlnances.
<br /> ONS'fRUCT10N'11EN"LAlfl�`('Cliepter 713,FloNda:�4atutea��arn�nded): I#v�luatton of work ls$,Z,500:OO�or:more;=U�,: � :>�;,. •
<br /> ��tify that ,,l,,,qthe_:applicant,...;k�ave:,-�been:,;pro�lded:.,with-.a�copy,-,o,g,�the.."Florlda��Consttr�ction;�"�Llen:-Law�--Homeowner's
<br /> �otectlon Gulde"preparetl.by tMe`Florl�da`Depertment�.of Agrlculture and Consum,�r,Aifalrs. If the �ppltcant Is sorr�eona= ;,...;,_:;;--
<br /> her than the owner"� I certffy th�t I have,.obt�tn�����copy.of.the..abova<.desc�ltied'�tlbcu�ent;and;pfoml"s�xin�; ood:,falth�.to.;. ._ __-,- _
<br /> a0ve�It to;:thed"owne�:�pNor toFcommencement:'�'` � � .�� _ '�` � � . - ` �.�'".. , , �9. � ' -`
<br /> D�FTRdACTOR'S/OWNER'S AFFIDAVIT: I..,certi[��;�tkf�t�°all:�th�-:lnformetlora�.l��thl�applfcatlon ls accurat�`and that all�work
<br /> ill'be done in compllance wfth all.appltcable�laws�=�egulatlng^consfniction� zontn8 and�Gland,development. Appllcatlon is . _ _
<br /> �reby made,to. obtain-aa_.permlt�;to:;doy�wotic,;and:ln`stall�tlon as indlcated:�•:::�I certffy tFiat no�iivork=;or Installatton`has �' `
<br /> �mmenced'prlor to Issuance of a;permlt-and that.all'work avlll be perfomied�to meet:standards�of�all laws regulating-
<br /> ►nstructton, County and Clty codes, zoning regulattdns, and land development tegulattons�tn'-the�ju�lsdtctlon:�r �I°ral'so
<br /> �rtlfy that I u�derstand thaf the regulatlons ofother government agencfes may�apply�_to.ttthe.lntended:work, and that it is -
<br /> y responslbllity to Identiiy.what.actlons.I:must�take:to be,In:.00mpllance.;,.Such:agenclea�lncl�de-,but=are:not Ilmlted:fo,: -- �
<br /> - Depaitrtient of Etivlronmental}�Protecti�n==�ypress��Bayfiead�;`tiVetland rAre�s and E�vtronm�ntally Sens(tive '` ''
<br /> Lands,WaterlWastewater Treatment. - � �- " � �;,� ;;
<br /> - Southwest Florid� Water Managemen���.;l�istrlctWells; ��Cypress.��.Beyfi�ads;�� Wetla�d Areas, Altering� � ` ''
<br />' Watercourses. . - � . , - - ,
<br /> - Army Corps of.Englnee�s=Seawall's;��Docks�fVavlgetile Waterways. � `
<br /> - Department_kof.,Health:°�,,,Rehabilltaftve;:Senilces/Enyironmen#al;,Heatth Unit-lNells;,:Waste.water��Treatnient, �� `
<br /> Septic Tanks:.�,.. ,_ , < .�.-3=. . ..- ' ' . ". _ __ . ._ ._.
<br /> - US Envlronmental'Protectfon Agency-Asb�stos abateme�t. ,�., . �
<br /> - Federal Av.latlon:AutMo�ity=f�um�raysr� , -• � -
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<br /> nderstand'that;the..folloin►ing;rest�tctlons`apply.to�the�se offlll:• .-
<br /> - Use of fill Is not allowedln'F:;Iood.:Zone"V"-unless expressly,permltted. �
<br /> - If the�flllt mateMal�LLt"s�'to;;:be:tused-Jn:�flood--Zoc�e. "A", (t Ts under�tood=tha�t-a �dralnage�plan addresstng a
<br /> , "compensating`volume"wllf.be submltted at#)me`of�permlfting whlch ts prep�red by a professional englneer=' -
<br /> Ilcensed-by�,#he4�tate��of�Flotlda:=_ - - _���� ��� �: � .
<br /> - If ihe.flll.�mate�talY:Is��to-be.used In �lood_�one 'A" In5 connection�wlth"�a��per•mitted building using stem wall
<br /> constructto.n.;,l'certify_that;ftll��irJll.b�e;used only.to.fllLthe..area.wtthln:the�stem�wall. -..�. .
<br /> - �' If flll'"materlal�==ls��io���6e�=used�°In�anq-°area��f�certffy that .use. of such �flll wllf not adversety affect ad)acent
<br /> propertles.. If use:of,f(Il,is found;to ad.v,etsely;,�ffect`<ad)aEent��proipertles�.the awner may be clted for vlolating.
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<br /> the condWons��of;.tf�ie:�b�ill�ing�:p�rnilt�issued;under tFie:�at�acfied._�r►nit�-�ppltc_atlon, for�lots.less�than:.one (1)
<br /> acre whlch ere��elevafeil:tty,:fJll;.�R englneered dralnage�plan"ls��equtred. :;
<br /> am the AGEN.T..FOR�THE-0IMMER;"I:�romise'_�In good falth to'Inform-the•ovmerof;the.p.ermltting._condRlons.set forth In ==�
<br /> s a f f i davi t p�lor-to•°.commencing consftucflbn: ��f�understand:that a�ae��rata permlC may be requtred for elecMcal work�, '` �
<br /> imbing, signs, w�lls�Fpvols;,,alr_.condltloning,,gas,.:or,oth�r Instal��tlons"not.spec�lcal�y Included�in.the appllcatlon;. .A _ '
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<br /> rmlt Issued sfiall'tie�conshued to'be��`'llcense:#o�proceed wlth`'tNe�v±iork and not:as�authoNtyrto:vlolate,�cancel;.alte�, or �.��
<br /> �aslde any provlstons�ofi-the'tectinlcal:�codes;�nor shall issuance_of`a.permlt�pcevenf the Bulldlrig Oiflclal from there�fter , >.:.
<br /> �ulring a,conectton;af errors-in.plans,�constivctlon,orvlolattons'of'any�codes:--�very.p�errrtlt�;l.ssued-shall�becdme invalid �
<br /> less the work authorized`:by sucfi permlt.�ls coFrimenced�wlttiln sUc�;months�ofE permlt lasuance, or If work authorized by ���� '
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<br /> �pemnit is suspended or.abar�doned for a�ertod;of;sl�{8):monfF'is;'afteF�the#Irne the�work��ts commenced. An extenslon f i
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<br /> iy be requested, In writlhg;LLf�om'tfiesBilllding.,Offlclal�for a per'Iod:,not to.�exQeed>ntnety{90)�:�iays•a�d.wllf demonstrate ��� ��
<br /> tNiable cause for.�tFie exfen`slon�:"`If�wo�k ceas.es.for nlnety.(90�consecutive:day:s,..the)ob�ls considered abandoned. , >;� �
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<br /> IRNING TO`OWNE(t:''YOUR�FAI,LIJRE'�TC1rR�EC:ORQ,A�A�t�Tl;CE;:OF,�CdMMEMEEMEMTaNtAY�RESULT:IN�YOIJR �'�x F
<br /> YI(VG TWICE;FOR IMPR0;1`/EMEPt�3,Tfl YOUR P�OPERTY.r IF XOU I��D"�_TQ'�TAIN•�FIN�i�IEtNCti;:�CONSULT �� '
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<br /> NER Olt AOE �_. CONTWt4T0;� �''L�
<br /> scrlbed and ewo (or aflirme `b'e ore me thla" " ' ' S"� '`scrl6ed'arid' =to(ot alflrm�d)�before�me UiIA
<br /> by _ '
<br /> �is/are pe►sonell cnovm to.me or haalhave produced o.I's/e .erso: `lyknown•to me:or�tla�A�ave�piodi�ced. �
<br /> as:IdentlflcaU4n:",� - : - • , ' ' '. as`IdentlflcaUon.
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<br /> Notery Publlc . - �L�`� , ..
<br /> Notary Publlc
<br /> imisslon No: - � Cnm Is on.N . '
<br /> ie o(Notary lyped,printed ar atemped Name oi Notary 4yped,pdnted or�famped
<br /> " JACQUELINE BOGES
<br />� ' ' • .`;iA;,�PYs�,
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<br />, ;,� ;;: Commission#FF 150422
<br /> :�,:�:;; Expires December 12,2018 �
<br /> ���;;oFf�°�`�� BondedThruTroyFainlnsuraneoB00-385-7U79
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