'::f= . . . � v
<br /> t ..
<br /> „'^_;::x
<br /> � -
<br /> r;
<br /> fi M - "�;r�'• r.x. ,
<br /> a i
<br /> I O S. Th d i �_ _de ta s �t= �-: b o.�..d
<br /> IOTICE O�DEED R�Sti2_G`�1._,_�1, e un eT8�n un >�_ �,d �� ��rrra :,�ne ;b��su Qct� e.�d.��r st��,
<br /> e. tt� t� � J e c�� ��
<br /> r-.� `�'' r : .eE '`�c ��-tE h.»e�rlet a�'s;� �a.`�+- ;#^'.F ..�-'°�.''" 4.1�::Fa,4, •�-' -
<br /> rhich m =t��mo�t�ss�ctT�re.t�i�i�i�is.Gi�i�nE�i��a�ToPia�.-�fh��ti� ro1$r�'a�l'�ag�u �` �'` ... _�
<br /> ay:_ �"Y x`ineg;resp�i�"��b"!ly�=idr�1mpi�al��+ce�wlth-a►�y"
<br /> �ppl�Ciable;deed`re�MT�tbne: -.={:����tx;�.s:��a:,��:�:�a�:�: • _ ..: ,. -. . ,
<br /> �_ -- - - -- _ .F;;:, -� - -- - ti�;'= = - .
<br /> ..... . . .. ....
<br /> ,...,_.
<br /> INLICEN8ED=;:��M[R�!1��R$��A�1Q:,.CONTRACTOff`�R�BPOW$i�l��`t���:, `l��e�=ow�r'=1ias�tilred:��`�obri#iactor or
<br /> �ntracto�s to undartelce�vuark,t�eY nn��l►t��r�9i���tl��,o�a�license�}�n eccord� ceswtth:st�ta ana;titc�l:r.a�F�a��,.=r��#ti������ _�. ,
<br /> r
<br /> �ntract�-:i�':i�ot�lli;etiserl�a�:req�i`�t+ei�tiyl�C:�'boUi:`the�owrier;�iii��iiointiao`�oi�ihey�be,�i�d�#�e��n�laileixi�andr.�v'Iqfation
<br /> �nder s te law. IF th� aw�er or in .e' et�; ` - "'i �==�a= `
<br /> t� t rtd fi�,aj�tpir�sce.��ncert�ln�a�.to_wli�t�llr�neing:r� �Irexnetlf�:umaY�aPp!y��oi"��tf"i�r=�,�:;;
<br /> t -,��. %,�..��.�_: - �.. <. Q
<br /> �tended wbrk,ihe -�ir`e siJirl��d�t�u �` �� `�
<br /> y u c�rit�i��.�te=P�t�i::Co�i�ityr:�tultt�tng'inspecftoti':D�+Iston=4 n�1ng�Seati�r�et 727�4T
<br /> ,_..e,.._...:v:.._.:�s _,_�:�,.,<_,:. .7 y�- =�-i� fract h�".._ ;_ _ ���rte�!
<br /> 008. Fnrtf�ermore; if��ha}own�r>�t�a�r1il�it�aMcoti"�cfor'ot n "ors, �s ai�'iilsed�10_`liav !ie vc�Mrectior(s��-s�ign_..
<br /> ' ' �thl�, (�tlon�forFw?llcF��3h, wlll:ba-��e� a�sihle._�:1�-;.cuu�.:as.',thie"""�r�"at°�na��-�h�a�'`��`�`=<:�-:��
<br /> ortlons of'tha�_ contraotor Blocl�..of�`.., . �p! ..:.,,. ., r. .. eN. P Y ._�;�__
<br /> ont�actar, tfiat�ay tie�an�in�Icailon��tFi�f.ft��ls��nbt�`.�rope�iy°I(cense���and�s �ot`en�tted�'W`pemiiHfng�`p�taae�ges9n Pascv. .
<br /> ;ounty. � ;�. ,:. • _, ' : - , ' - .._ •=-;�-- -.-��=.
<br /> 'RANSPORTI�'�ION�=I�IAPACT�UTIL�'Ci���INll�d�'I'`-At�a:�E30�i3CE t��COV�ttY°FEEB:-':?fre`�und'e�l�t����unde�stands
<br /> �at Trengponatbn impect�e�s:8nd.�Reco.ur.�se.RecoVer�.�e�as maY�ePply�to::tt�e.�c�ngtruatla�:_o#;nsw�huhdi��;:;chan�e�'of =�`:y°s' �'
<br /> .. �, ; .. _ ,. . - : -
<br /> se In ezig�ng�buildinge;.qc����si����'e�iJ�''��'���itil�llf�gs:"ae`spectfled.tn Ps�co Co~unty`Oi�dinar�ce rlumder g9-07 �nd
<br /> 0-07� as amende.d.;;�'F�+�.undetstgned ats�trt�derst�i�¢s,tt�lt�suck fee�;�_�tsU:ma�F��:�d�te„��yill�t�e tden�ff�d at We�;tlme'�'���>�A�r="#��
<br /> . �_�., _�. . y =�,�j `
<br /> ernnitdng, it is further�nderstood'that Tre�i�p�rfallon]mpect�ees andn�Res�ur�ae,.Rei��isry:�Fess.,�u�t'tie pald.prlor to
<br /> acet�Ing a:'�c�ficate�of-o�pan�y"�or.flne��power,retease: .:1f',the pro��dces:not�:l:nvolve�=certificate_�f occupan��ra�:���;-��-_ . .
<br /> nal power°��feaee.:tt��:�fe�sr:�n�E`=13��p�ai��:pYbr to permit Is���1�ce. ,fW�armore���ifi.�Peacd;:�un�i¢Vl�ater�&ewet$f:lmpact-s.� , ,
<br /> .. . .
<br /> !es are dt�e,_�e��must,b���lt�prfpt t�.spet�l�=l�sttance��n.s�iavrd's�ttce;;�ii1t�:�ipPltcatiia.Pasco��County=dnilnances.
<br /> :ON3TR�lCT10N`CIEN"l:I�IIV��C�ep't�r�71�,Flor�'da_'St�tates,�ameeded): it valuadon of work Is aZ,5�E1:�.D�or;mor.e;:i� -.� 1�t:= �
<br /> ertify that I� the�:epplfce�t, �ia4te beet� pr�ov_t�detl with.a=copy•of:the 'Flotlde•��Cons�tlnn'�Ltett°_L�iv--Homeowner's
<br /> .� �,� �,
<br /> �rotecHon Gutde" prepared l�r,tt�e Flortda�DapB�ment�cf Agrlcult�re and Consr� r�Affatrs.� if the.appllcant!s sotneone: .. �<-,. :_�
<br /> ther than th�"owner`, I certNY th���;t��ve ob�iJned�.a�.�opy.of..the�bQ��.des;crl�e��tt}tfcu�ent���d;pXol�!1s$,iit;g�io�';�I�h�to:. . .:..�.
<br /> elfver It tv�h�;"own��"rp�tor�fo�c0iiii�%i�t�i`c�me��`� . � . . -r. , . ` ; . , "�, : �
<br /> , - .. , . ,. ,.
<br /> �ONTRACTOR'�IOWNER'S AFFIDAVIT: L:s�i��tti�at;all;�the��Infi�tm�Ntrrx:>ia��tta1�apPllcatlort t�accurat�:�nd that all'work '
<br /> rill'be done in compllance witf�all:appllcab[e 1a�is regul�drrg construc8on� zoning an��land�develop_.,me�rt. Appltcallon Is
<br /> ereby made.ta:obtaln-.a::permi�;,tbxhdou_�ro�;�and'Iit�tallaN�n as Indtcete�ti�::.;�:�cer�l$i t�st no wortr.or Ins�llation�has= ;
<br /> ommenced'p�fo�to Issuancc�of a pemilt�n�th�f.�lf i+vork wlll be pertormed�to meet�standatds..of:all lews regulating-
<br /> onstructlon, County and �Ity codes, z�ning regul�flans� and land development r.egula8on�=lnTtti�=�ji�rlsdtctlon.=��1�-at'so
<br /> e�tfy that 1 u�derstand that.the regulatlons of other�govemment agencles may�app�ly:;to.the,lntended.work, and that it ts
<br /> �y responslbillty to identtfy what.acttona.l_m..ust�_take�.;to betln:,Eompll�nc,e.;,,Such;��encles-ir�Ei�de but�are:not I(mlted•:tos�
<br /> - Departnient of�Er�viranmental'Pni�e�N��i'=�r+e�=�eyh�eaa�;'�V�"��'er�i:Areas and•Ern(ronmentelly Sensitive
<br /> l.ands,WeterNVastewater Treatment. . �. .
<br /> - 3outhwest Flo�lda W�ter ,Manageme�`°::l�ls(rlct Wells, �Cypress.�+.Bay�ei`ads�,• Wetland Areas, Altering
<br /> vVatercourses. . � -
<br /> - Army Corps of Englneers�4eawafl§;.Doclts, Navlgatile.Waterway�.
<br /> ,:
<br /> Depsrtment.,of�:Healkh_;;��Re1��tiMll,ta�tv�a>:Set�ilcealEmr)wnmenla[�_H��It�:°lihtt:Well.sr::Wastewat�r.�°Tregtrrien�, ' �
<br /> -� , Septic:�`ariks:=_ °._ ' -. . � ' - .. - _
<br /> - US�Emrfronmer�tetf7ot�oUon age�y Asbe�tos.�tiatem�nt. �. _____. _
<br /> - � Federal�Avletlon�Auttaarlty�tifniudye: •
<br /> - _. ... .
<br /> understand that the�foltawing:-resttl`ofio�is'aPpty�to the use of flll:• - - '
<br /> - � �: Use:.of:t�ll;ls..�o�allowe�d�ln°..FfoQd�Zs��e"V"unless expre�,sty permltted;::� „:�, . . � - . .
<br /> - N ttie flll•Km�lte�i�l:�^is�°�.tio:.�b�:-,usei�=4.rn:•flood Zone. 'A"� It (s underetobd ihat'-�"atalnage plart addre�"stng a
<br /> "compe�saiing volume"will be submftted at 8me of•p�cmlftl�g wfilc:h Is prepared by a professtonal eng(neer �
<br /> ltce�sed by;tlie���teqE:�bflde;. � � :.> . ,
<br /> - If ih�:flll�materlaFLLi�=ta�:be t�s�d�In �lo�d Zone 'A° In��connectton��lNltti�i'��er.miHed bi�lldin� usln� sfem wall
<br /> ' . constructto�.l;.cerNfy:,that;:fll1?fvv�l�b��sed only.to.flll the_�ce�a:wlthln�the:s#em:�wall. . � ,
<br /> - If flll�ii��ite'lalr"t��fa'.ae��used��tn��:ary��ane�; 1'�+i��tlty lttet usa of sucti"�II viiill.rtot adversely aftect ad)ac:ent
<br /> ' propertle�, ,If.'use-of fIII;Is.;f�und�.�to adVere�al�r.8ff�ctiadJ�Een��pr�pertles�.the owner may be cited for vlol'ating.
<br /> the cond�t6iis.��:tMe.ti�ill�fuig;�`pet►itlt I$stiedfunder the�atfact�ed_�ettt�ittieppUcatlo�,,fae�ots:less_��an.�one'(1)
<br /> _ , , . . �
<br /> ac�e whlcFi�ere`et`evated��r`flll;��engir�eered dralnag�plan[s requ(red. . •�
<br /> - ' �
<br /> I am the AGENT.FOR�THEA1MNEi�;;rl�r�oi�Cs�`tn;�good falth:to lnforna�the�owner;of;the,;permltting:cbndl�ons;s�t forth fn
<br /> ds affidavtt�pNor�to camm�'eracl�ng�cona�uctft�r� '1 und�rsfani�tftet s�parate permlt may be requtred for etectHcal work, ,
<br /> tumbtng� sigi�s�.welfe� pos�lsi aU�condlttoNng.,gas. or,otl�er.tns�a�f�t�`ons"nat.�pec�fiaally Induded•In.the-•appltcatlon: •A
<br /> ermft tssued s`�alrli�`con��d::to`be��a"�I�cense:to�pr`.�ceed wil�tti�h":'iivork�gnd not:�s.euthoriiy�to vlolate;�c�nc�l;�lter, or
<br /> st as)d�arry�provtsrons�ofltie`:technlcal:code�;�nor sha11 Issuance�of�.pertnit:prevenf tkie Bulldtrig 0ificlaffrom thereafter �
<br /> �qulrin,�a correclton•.aL,errors;in;_pl�ns�;��o'naftictlort,.�r vtolattons�of�anyr-codes:::��ery-p�eltanit�(ssu�d>�hall°,b�me-invaNd � "
<br /> nless the work authorixed by such permlt�s commenEed•wltfiln,sbc months•of•pertnit Issaance, or IF work authortzed by
<br /> -���,� .:�
<br /> �e pemntt is auspended ar:�bar�do�edtfor a���iodTof etx:($):mantfia�:�Re�"the#Irtle�the�wcrk°�as commeri�t. An extenston - ',
<br /> �ay be requested,.ln wrltl�g�=from:`tfie�Bi�lldf�tig,Offi�l�(;�f4r-a perloil;;nbt�to<exse�ad`rit�ty_°�90)-:ids�ys::a�d:w11C:_deinon�t{ate �
<br /> stiflable cause for.�the eittension: If'wark:ce���e�ibr nlnety.(90)aorlsecuttve:day.s;..the Job�1s:consldered:abandoned. � �
<br /> _� ._...... : ::., �:.:..._ ... _ . _ - - - - - - - -
<br /> ,..
<br /> ._ . .. ,.....: ,.. :_.. :...,,,:
<br /> fARNING TO�OW�IEI�:' �YO�R��.A��I:UkE-T�1:;:R�E.�0.�3��A<A�TI�;'OFsCnMMEMG �ME �Yf� ,
<br /> �� f ,, E _ I�f'l,�A ;RESFiL-T�1N-:YOUR.. _
<br /> AYINo'�N10E.�OR�IMP�O�E`i41E�`�T�?����:P.�QP�I�'t'1�,��1�XC��1l��lD,'T���1N��1�fi�W�ING��GOIVSULT
<br /> - ;= - - - ,•�;
<br /> .ORIDAJURAfi(F-.3::.'�17:091 ---... '�_� . _.._. _ - ' . , .� - . , . --_ :. .._.:,. _ .. __ � -- - - - -- --�---
<br /> , .,: .. . ;: :.. :. .:-
<br /> �: ,,: ..
<br /> NNER OR AOP.FIT." . ._: ... .:.... ... . Ct�N�ACT����. ... �,..-.:;.." . :: ' '
<br /> _
<br /> �bsatbed and awom oF ati�medp-betore me 1� . : Sutiei�ltie�'atid`ewo 'aMrinedpb�fot+�:me-tl�illdc•� -
<br /> by , � -- .. •. , •
<br /> Ib is/are�peraor�r knovm to.me orhaalhave produr.ed._ Who�lcla�ers e� �wr��tCi t�a;orff�h�v���. �
<br /> :. ... , . . RN_ , ,.
<br /> kn m;.sri�.- as;ldenOAcuUdn: --- _ �ict.�►�v� - "as'id�n _don: .
<br /> .. _
<br /> i • . � ' ' , - .
<br /> � Notary Publlc . � ct8ry Putillo "
<br /> �mm�slon Na'-- GG 6Z 1(')�1�-f - Cummtstiton:No. ��m O�-l,(��{ ' . � .
<br /> kr.��.e .P��sl'P�- _ = ;1Ca�'i'e. P�a�cfP�r . , _ ,
<br /> ime o/Nofary typed,printed � Ne�mi of Nolery�qrped,prtnted or etamped
<br /> • ,,��i. �,, Katie Boster . ,� -. a���'�(��,• � Ka�a Boster
<br /> �� �=Commission�#GG021094 � ��Commission�GG021094
<br /> �` "=Expires:August 14,2020 ;•�: ;fxpi�es:August 14,2020
<br /> �''��, o�e��.��`'� Bonded thru Aaron Notary '--, �
<br /> �,,,,�„„..� �c�a�� Bonded thru Aaron Notary
<br /> ",�����►��� -
<br />
|