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<br /> IdOi"I�E OF QEED RE3T.RICTIflNS:�The uriderslgned under�t2�nds:,ttt�t:thl��p�mtif�may�be�,subjecfi.to,"deed"restric��io�i,s";;;.�;N._r.,A,.
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<br /> which may be��more��restticttve�-th��Counfy�r�eigriletfnns:� Ttte`=underslgned°�assume��'re"spr�nsitiiltty forkcomplianc�wltii"any "'
<br /> appflcabfe:deed-restrictlons, , ,.;�., _ � � -- �. 4 ... _ ., ...-�
<br /> UNLICEtdSED•TCONTRACTORS ,AND CONTRACTOR RESP'ONS181LiT1ES:�=°if-the��oi�ner°has�hired��a�`cor�tiractor or
<br /> contractors ta undertake work,,they may;b.e.�r�ryqulced�to.:be.:llcen�ed ltt accorilance;with s#a�e:and,Ylocal:tegulatiosas:-��lf�the• -' _=--
<br /> contractor�ts�nat ttcerised:-as required,`tiy�avv,�tio#t�'#he owrt�artd=cantractar�may^bei�ctted fcir��a misi�,em�ranor vlol�tian
<br /> : �
<br /> under state taw. If the owner ar Intended;,.rrantrat�tcr�are,a.uncertein as to what Iicensing.r�quirements�:may:.;applyF•�cr=�tfae'-=�°-�<_���-�=
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<br /> intended wortc,they�re advlsei!to contaat_the.Pa�ca County Bullili�g.plrispectlon DhrlsEori-�.Llca�nsing Sec#ton at 727-047-
<br /> 8008. Furthermore; If the owner fia�"hired'�a aon�acto� o�contractors� he fs edvlsed to have�the contractot(s)_.sign_„ : ., ,,..,
<br /> : �A'�,,.'t.. _4x..'.'�e}!C
<br /> portions of the"conkractot..Block".of,thlswa}�pilcation.for.whic.h_they,wlll,.be.responslble.�= If:you;:as.:#he owi�er sign as'tlie '` �
<br /> contractorr that��may°be an Indication that`iie-1s fio#:prope�y'licerised'antl��is"naf entitled�to permitting priiilieges in Pasca . �
<br /> County. � � . - _ .. . .��_._. ..�. a..... .._ _.� ,
<br /> TRA�NSP�RTAT�ON�IMPl�GT1UT1�:1'�IES��MPAC'��AI�€���tE�9�1�tCE RECC►VEEtY�EE�;T�he underslgned understands
<br /> thatTransportation Impact Fees end:Ffecour�e.Recavery.Fees_tn`ay.appiy��to�the;constructPon:of new_bulidtngs��change-of```�` �'� '"�
<br /> use in existing bulldirtgs, ar;�.expansi�rr=of�ezl�tiii�'�buildtngs, as spec�led.(n P�sco County Ordlnance number 89-07 and
<br /> 90-07, as amended.,,.>>The under�tgned atso;understands, #hait"such fe.es;��as��majr'iie��due;Gwitl;<�e ideriti�ed at the�;time�of-�", .r,'�;°�``
<br /> e�mitting. It Is iiir'tiier unders�ood that Tra��p�ortation Im act Fees and"�R�eource.'Recaive" 'Fees,:mu'st be aid rior to
<br /> P p w, rYp P P
<br /> fece�vtng a°cerft�c;ate=of-occupancy"or flnal��power:release.� ��#he pro�+�t:.�aes:no�tnvolve;a:cert�icpafe of occupanc��a��.=-;t�' ,
<br /> final power-release;>.the=;fees=mu�t�tie patd;prior to;permit is�uance. Fu�t�ermore;°if:Pa�co,County��lNat�r/Sew�r,.lmpact �,-- <<,�� �>��
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<br /> fees are due,they�must..be�pald=prior�a permlt;lssuance=lnuaccordance.wlEFi�.�aPPllca#i!e Pascc.Caunty oiti3lna�oes. •
<br /> CtDMSTRUCTION�t;tEN'LAW(Cii�p4er 713, Fiar�da�tatut�s,as annended!): ii valuatlan of work is$2,500:OQ.oc�more�.i� �� w��,�.
<br /> certify that I,-the.�ap,plicant;. have-been proylded with--a-~copy�of`the "Flarida� �onstructlon'��L'len`.I.aw�-•Homeowner's
<br /> Protectian Guide" prepared by tlie Florida Departmenf of Agricultc�rg �nd Consumec;.A.ffairs. tf the appllcant is someo�te: .. .,, �,�
<br /> mthee than the"owner", I certtfy.that I h�veyobtained�a'copy.of..the;abov�..rles,c�ibedtlocument-and;p.r..o�iise�:,i�ti,good'faith�to . , �:�
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<br /> dsliver It ta.ther owrye�'�prlor��;to�aQii�mencemerit:`. . _ . .
<br /> �ONTRACTOR'S/OWNER'�AF�i�AVIT: I.ceitiiyr•:tti�at=ali theklr�formatlon:Jn�th1�appilcatton is accurat�and that all wcyrk
<br /> will'be done in compliance with all.app8cable laws regulating c�nnstruction, aoning and�_land�deyelopment., Appltc$#ton is
<br /> hereby made to obtain .a.permit��#o do�work;d�and��Instailat�an as indt�eted:.�:.�:#• certify that no work�or tn�taila#ion iias .
<br /> commenced'prior b issuance of a permit"and that.all work will be pertormed ta meet.standards�of all laws regula�ing-
<br /> constructlon, Coun#y and Ct�y cades, zoning regulations, and fand development cegt�latlons�ln tFie:Jurisdtctton.�� 1==at'so._
<br /> cer�ify that I u�derstand that the regulattons of other�government agencies may�apply;to the Intended,work, and that it ts
<br /> my respansiblltty to identifjr.what.aations 1 must�take:to be�ln�c�rr�pllance�_;S,uch.agenctes-inatude but=are-.not limt#ed to. : -
<br /> - Department of E�lvironmental��Proteetion'=Cypress:8ayiie�d�;�1NeHend Areas and Environmentaily Sensitive
<br /> L�nds,Water/Wastewater Treatment. � � � ' -
<br /> - Southwes# F{a�rtda iNater Management�:Dlstrlct:WeNs;` Cyptess. Bay�e�ds�� Wefland� Areas, Altering
<br /> Watercaurses. . � - • - � ' �
<br /> - Army Cocps vf Engfneers-Seawails�'Docks,Mav#gatile Waterways.
<br /> - Department of� Health.:,8;Rei�abilltatl�e;Ser;vtces/Er�Yironmenfal,.Heal#t� Untt Well.s, Wastewater-Treatment, � �
<br /> Se�pttc Tan�s... . `" .. `. _ � _. _ � __. _--
<br /> - US Environmental Protection Agency-Asbestos abatem�nt ,
<br /> Federa)Avlatton.Authorlty�;ftunways: _ -
<br /> 1 undecstand that the.4�ltow�ng.�res#rt�tions app4y'#o the use a#flli;�
<br /> - Use of fili is not allowed in:Fiood:Z,o,n�"V"unless expressiy permitted. �
<br /> - If the�flll materlal- !s ta b.e used.`In.:Flood Zone. "A". !k. is understood that a drainage plan addres�ing a
<br /> °campensating votume"wilt be submltted at#ime ofMpermitttng tinr�ilch is prep�red by a professionsl engi�eer�
<br /> Iice�sed byY�he State�af.Flatida � - '
<br /> - If the fill�material�is to be used tn Ftoad Zone 'A" in�cantt�#ion�wI#h�a�ecmltted bt�ltding ttsing stem Kratt.
<br /> ' construation, I certify that�II�.wJll.�be-used only.to.flll the area within�the�stem>walL � �
<br /> - � If ilt! makerlal is to be� usei! in any ar�ea, 1 �certlfy that .use of 'such f111 wH! not adversefy affect acljacent
<br /> properties. if use of fiil is found ta adversely.�ffect adJaEent pcoperties,.the owner may be cited for ariorating
<br /> the condi#ions.of the b�ilding,permit.Is"sued"undec the'attaahed„permtt��ppllcation�:for:lots�less�than.one (1)
<br /> �are wFiicti�re elevated�5yt#�IR a�t engineer�ed dralnage plan is rerqteir�ed. .
<br /> If I am the A6ENT FOR THE OWNER;.I;proiinise in good_f.atth ta Inform the owner of�the permitttng canditlans set forth in
<br /> this a#fidauit'prtor'to-comrne�ctng constructlon. i"underst�nd that s-s�parate permit may be tequited fc�r etectcical'work, , . .
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<br /> plumbing,.signs, wells,.poals;.air conditioning,.9as;�:or,oti3ec ins#ali�tlons nak spec�icatly inciuded�In the apptication. .A �.
<br /> perml4 Issued�hal! be construed to.b'e a'Itcense'�to�proceed with"ttie vhiork ancl not��s.aukhoMty:ta;violate,�'cancel; alte�, ar
<br /> set aside any provislons of the.technlcal.cade�;�nnr sh�111ssua�cesof a.perml#.pcevent the Bulldirig�'iclat irom thereafter
<br /> requlring a correction af errors In.plans;-aonsti�uction.or violations af-any codes. Every p'ermtt�issued"slialFbecoine invalid
<br /> uniess the wo�k authorized.by such permlt:�s.ca�menced•wlt#in sf�cxmonths of perm4t l�suance� or Ef work aa#harixed by
<br /> the permit is suspended or..abandoned-for a;period,of�sUc(�)montFis,:after the.#ime.the�wa�k�is commenced. An e�ciension
<br /> may be requested� tn w�iting�._from tHe.BuAding,Offlcial for a perlod�not=to exc"eed'nineiy�{90)=day§ ai�d-virill demonstrate
<br /> jus#�iabl+e cause fior.the extension�. If work ceas�:for ninety.{90}cons.ecutive day.s,..th�)ob;is conslderod abac�doned.
<br /> lMARNING TU OdNNER; YOUR.FAIUlRE,Ttil,R�EfCCtlttD A:_Nt?TIGE:t�F.�COMM�MC�MENT;MAY-IRESUl:T IN<YOUR
<br /> PAYING TWI_C,E;.FOR.�IMPMtOVEMENTS�-Tfl.YOUR::PR�pERTY:�•1�°.YOU�1�1'FEI�ID�°T�'��BTAIN�=FINAI�EtNG;'C.ONSU�»T
<br /> WIT D O: N A O FOR =. -QR� E"s:�. O R� � =C ''O ' °,< � � ��1M .. �'::.�--- - _.
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<br /> F�ORtDA:lURA�'(�':S:��03} � ` - _ . .
<br /> OWNER OR AOENT�17z-Q-. . ��,/Gt�.�u/IZ.Z�},,.. CONTRAGTO -
<br /> 8ubsc�tbed an bswam ta r af�r�medj befare e#hts Se���bo,d and' 'to(�afli�pbefote me ttit�� ,
<br /> , b, � � ��, �.
<br /> YVho Islare rsonally kn to.me or;haslFta�e produced Who.is/a erson�liy hi�own me:or haslheve-produced • �
<br /> as tdenUflci�Bon. �s ideraiNicatlan.
<br /> 4 r
<br /> Notery Public . Natary Pub1lc,
<br /> Commfs Commisslon.No.
<br /> ,�;a• �
<br /> ,�, Pav a������ ' .
<br /> �'r. ,o; � �tarv Publfc •State of Florida
<br /> iVame 1� =�tG�4�orsta�rp�d.►ui t 9 2017 tdame of No t5� =� ==�t��[ar �
<br /> r �; .x, . . y IC-St2t8 Ot FfOTIGB
<br /> :,', Pc Commission�FF 034230 , �
<br /> �i��o����� _ � �`w �; My Comn� Expires Jul 19,2���
<br /> Bonded Throuph,Natlon�l No►uy-Assn: %� 'o;: Camnussion#Ff d34230
<br /> • - ,�`''%�w�'�� Bonded firough Nationa�Notary Ass�l: ,
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