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<br /> NCtTiCE t?F DEED RESTRIC'flONS.. The undecslgr�e��undet�tands:#h�t�#hls:pqrmlt�may.;,be:sub�e,c�,to,"deed".;restrickioris"T�...::..�,���.;��
<br /> which may�be�iriore�restir:tct(v��th���Counly�r+egr�lafCons:`�The:underslgned��assumes�'��espanslbllity';t'or.caiF�ip'llanr:e witli"any �"_ `""
<br /> appltcable.deed�restrlattons. • - -. _ � - - , - - - ,,.;_.. �_ . .:�
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<br /> UNLICENSED-�.CONTRACTCIRS .RI�D CON�RACTQR�RESPONS1BILiT1ES::'=°ff°tiie°�owner-has���hlred`ya-`cair�tractor or
<br /> cont�actors�to undertake work,.ttrey may..be;requlred:to.:tie,ltcensed Irt accordance.wlth,�tate.and�locadwcggutatl!a�,s.s��If�th'sr•�' � � �
<br /> contractor`ls:no# itcensed>`as're�lied'tiy law,'66#ti-the ownet and�contractoTrmay�be��r.lt�i!'for�a�misdemearicir vialafion
<br /> under state law. If the owner or I�t�ndedkcontr;actor;are.;uncerte6n a� tm what Ilcenaing;requir��ents�may�a"p"'ply.a�for.�the'�����•����,�°�
<br /> fn#ended�workF tHey are advlseii'to�coritact{tfie�Pasco-County Bullilliig°iitspectlon�D�vtslon--l:Icea�sing Sea#lan at 727-847
<br /> 8009. Furthemnore, tf the awner�'fias�`hii�cl-aycontracfoP cir coritractors, h��ts advlsed ta have 'the contractor(sj,,slgn,, ,,;e, „: .
<br /> portlans afthe��°contr�ctoc,8loak°.,of thlsqappllcatlon�f�or�whlch.they,.wUl,.b�.r.esponslble.•.,If.you,_as•,the ciwn`ec"�ign'�as'fhe`" :.�`;` �
<br /> _,M....x..�.>.x.:
<br /> contractar,�that t»ay be an iridication thaf'F�e�is iiot:proper3y licensed and"Is:iio#er�tl#led t� pemilfting ptirril�ge�3 in Pasca ..
<br /> County. � . _ , ..�. , .�.�_ _.,.>. �,... ..:=� �..,.f
<br /> TRANSPARTATlONsIMPAGT/UTll:1TlE�rfMPAGT�ANC?RESQU�tCE RECOVEEtY REES;T�he�untlersigned at�d��stands
<br /> that Transpartatian lmpacf F��s and.Reca.urse.Recove�yr:Fees m'ay.�;apply:to:th�ycon�tnicQ(an,of new bulldtng�,?change'of'�k��`�-������
<br /> use ln existing bulldings,�or�:expar�sl�n�rof=+eiitskin�:�bulltlings��as speclfled.In.Pasco County O�dlnance number;89-47 and
<br /> 90-U7, as amended..;.-T;,he undezs�gned a1so:understands� ti��t�such fees;�jas��tnay��e�<due;awlft:=be Idenfi�ed at thea'tiine��of`E~: :Y{:;,�-�"��
<br /> errnitting, It Is furtfie�understood that Tra�s ortatfon Im act'Feea and��Resou�ae,:Reeove" Fees,:mu'st be eild rlar to
<br /> P P p �,.. ry; P P
<br /> receE�rtng,a'ce�flflcate_of oc�cupancy"-or flnal-povuer�elease:� :l�_the proj�ct;:doe�s..riot Irnrolvesarcett�icate of occupanc�tlor:`::�°�=:;_" ,
<br /> final power-release;-'the-,fees mu�t��e�pald;pclor to.permft Is�uance. Ft��#hermore;�If:Pasca;.CountyRWater/Seu�rer�;lmpact� �•- ;�;�;•.�{
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<br /> feesaredue�_they.must:be*pald..prlcr#opermit�l�suance=ln.accordance:wtthappllcatife�Pasco�,.County;ordlnances�. �
<br /> CONSTitt1CT10N L1EN"t:AVa'"dCh�pfsr 7`�6���tar#da�tat�t�a��as ar�endl�dy: tf vaivation af�rork l�$2,500.OQ or�more,.1 -�:; . ;;�.�;�
<br /> cer#ify that,l, �he �appllcant;:�have�been-provlded �with--a�copy of.:the�"Elorida `Constructtan: 41en_Law Honneowner's
<br /> Pratec#1on Gu�de" prepared by tFie Ftoi�da Dsp�artmenf af AgrlcuEt��e and Consum�r;Affairs. If th+�appticant is someone- ; �, .
<br /> � ,,;
<br /> n Mr..�s.A: . � . .�=. �
<br /> other than the"ow�er", I certl ,that.l;have.obtalned�a�copy.of.,#he:above.-.descrlbed;docuii�ent=and�.promise��.ln,good'falth.to � . �.;,.
<br /> fY .._:
<br /> deliver it to:the;'awner.":.prior��hi.xcomrt�encemeril:�' . } , . . : __
<br /> COMTR�►GTOR'SlOWNER•S AFFIDAViT: i.cer,tify.�:ttia#-all�:th�ylnformattdn::in•thl�appllcatlon is accurate�nd ths�t all work "
<br /> will'be don� in campliance wlth all.appllcable 1aws regulating constructlan� zoning and��land'�development. App�!lcatlon Is
<br /> hereby made to ob#ain,-.a:pecmit;:#o:.do;work,;and�:ihstaliatlan as Indi�ated:,=:.•I�certify that nof wark�ar tnstall�tion tias'
<br /> commenced prlar to Issuance of`a permlf��and�that.all work wlll be pertormed to meet.standards•�of all laws iregula�ing�
<br /> construc#ton� County and G1ty codes, zoning regulatl�ns, and land devetapmer�t cegtilatiaris=in t�ie.Jurisdtctton::=1�a!'so-
<br /> certlfy thak I understand that the regulattons of ather government agencfes may�apply�to.the Intended,work, anc�that it is
<br /> my�esponsibi#ity to Iden#{�y.what,acttons!must-kake.to be,ln�aarr�pl#ance;�;Such agencles lnclude bu#�arer.notllmitec!to: � .- •
<br /> - Departmeo�# of E�rvironmental-'Prote�iiori=Cypre"ss;`Bajihead�; 1l1%N�and Areas and Environmentaliy Sensitive
<br /> Lands�Water/Wastewater Treatmenk. � �
<br /> - Southwes# Fbrld� Wa#er Manageritent�::�Dfs#riat-Vttelts; °CYPress.2_8ayhead's; "We#iand' Areas, A1ter�ng
<br /> VVatercourses. - �
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<br /> - Army C�rps ot Englneers-Seawatls*`Dacks,Navtgable 1Naierways. .
<br /> - Depar#ment of,Hea{th�;i�,,Retrabllitatl�erSer,vices/�r�vironmentai�-Hi�aith�Unit:Weti.s� Wastewater�-Tireatment,
<br /> Se�tic Tanks:.` .. " _ - ..- - - � ,
<br /> _ ---- US Envlronrrien#a1 Protectlan Agency-Asbesto�a6afement. - - -- -- - - - - - ' - - -
<br /> Federal AvlattonAuthorl .f�unwayss� .. �
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<br /> 1 understand.that the.follaiiv#ng:resUlctions apply to the use of flll:•
<br /> - Use of�ti ls not allowed ln'�Iood-Zone'V"unless expressly permltte�d. .
<br /> - If the flll"mate�lal-Is fo-be usecl�In :Flood Zone. "A°� It Is understood that a dratnage plan addressing a
<br /> "campensa#ing votume�will be submltted at.#ime of permitting vvhlch is prepared by a professianai engineer " "
<br /> Ilcensed by'�he St�te of-Florlda. ;� , .
<br /> - If th� #il! materlal�is to:be used 1n Flood �one 'A" in�connec�ic�n�wlth�a p�rmltted batlding using s,tem walt, :
<br /> � , aonstruction� I certify that�Il:�r�ll.�be<used only.to#111 the area wlthln the�stem�walL -
<br /> - If fiA materla! Is to be used ln any area� f .certlfy that .use of such flll witl �at adversely affect adjacent
<br /> prapertles. If use:of fili is fonnd:,to advers�ly:.�ffect adJa%ent��pr�perties,.the owner may be cited for vioi'a#tng
<br /> the condlllons_of the bullding�.permlt Issued-under the'attaclied.�armit appl(catlan;:far..lots.less�.than.one (1)
<br /> acr�whlcti are eleivated�tiy flIl,�rt englneer�ed dralnage pian Is requlred.
<br /> If I am the AGENT FOR THE OVIINER, I�pmmise In.goad_falth to Inform the owner of-#he permltting condftlons s�:t forth In
<br /> this afFfdavlt'prtor fo aommencing ciinstn�ctl�an. 1 undetstana that a-separ�te petmlt may be required for etectrl+ra!work,
<br /> pturniaing, signs, wetls,,poots;,air conditioning,-.g�s,�'or other instaii�ttoris not.spec�ically included�in.fhe�application. .A .
<br /> permit Issued shall be constcued to b`e a�Iicense`to�proceed wMth tF�e. work and not-as:authorlty:to:vlalate;'aancel, alter, or
<br /> �, set aslde any�provistans of t�ie tecliotcal.cad��;�nor shali is�ua�tc��of a.permlt.pr.event the 8ulldlrig Ofttcial fram tl�ereaftec
<br /> requlrin.g a,correction af etrors In;plans;-constnictlan or vlolatlons of-any codes. �very-perrntt�lssued�sfiall�becbm�e invalid
<br /> unless the work authorized.by such permlt:�3s-commenced wlthin si�c.,�months of permlt Issuance, or If work au#hcErized by
<br /> the permit is susp�nded�or.abandoned-for:a;perfad;of�s�C�)montt�s,:r�fter#he;tlnne#he�wo�'k�is commenced. An extenslon
<br /> may be requested� In wrtting,irom tNie,Bullding,Ofilclal for a petlod:not to exceeid'nttieqr=(90���ays and-vir1U demionst�ate
<br /> �us#I�abte cause for.�the extension: If w�rk aeases,far nlnety.(90}cons.ecutive.day.s,._the�ab�1s consi.dered abaadoned. r �
<br /> � WARNING T� QWN�f�: YOUR:.FA11.lJRE.T�.,-R�ECQttQ.A.N4TIGE.OF.�C�MMENCEME�tTaMAY:�RESULT IN�YOUR
<br /> PAYING TWtCE;.FOR.�,IMPROVEMENTS�TCI:YOUF�:.PRRLIPERTY:���IF°.YOU=1N'FE�ID�TQ''�BTAIN�-FIN�4(�E�NG;'Ct)NSULT
<br /> I, WIT U A '!7'O FQRL� � O �Q �.�t OU � = Y� 'Q ' �, . E ,
<br /> FI.ORIpA Jt1ftA�(F.S:t'17.03} � n _. ,. . ,.._ .._.,.t., ,.. _- .._
<br /> OWNER OR AOENTf�' 1_� _.~ ---~_ .�"c��V����, CONTRAGTOR r^�;��(s w��"�"��"� -
<br /> Subsc�Ebed andswo�t ta o aiflrm d)b tne this _' � Substxlbad and'�m�#�{ota ed b tti t�.
<br /> by L.,���.i G�-��,��at:�`uv �by . L.���� ��a�-�9-�-�.�i--v�-)
<br /> Wh lare pe onall-�nown to`rne or;has/have,p o�duced Who. re ere nalty k(iewm to nte�o-ha�have.•produced � .
<br /> . �Ct?a'[ as Id`enUifii�N4n. � _ ��.: ��2r�'t�.�Sa.. as td�n�ficatian.
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<br /> �t'` ' � Notary Publlc
<br /> "�:s'y"s;•. .JACQU INE BOGES �
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<br /> Com lon N 'P �`�= �si��,�zc r Gom� No. _ .
<br /> ;?;, xP,: Expires becember 12,2018 -��'�' Bf�:
<br /> _.: s:- Commission#FF 150422
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<br /> Name oi I�ota Name oi Notary iyped,�} ,�I�;�t� ganded Thru Troy Fain lneuranes 8Q0.3d5��019 -+
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