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<br /> NO'n���F DEED.RES.T.RIGTIO S� The under�l ned;,under�tands�th�#,t#�s.} , If.m . -" " ' �`.<,,.��.'��::����-�"`
<br /> � „9 ,,.�.,, :.4- ,;A�?, .aY;:b�,sub�e,�>�to,Fd„eed;�res�,�ctlons r �.�,.,,
<br /> ,•-. .�,�.,._� �,a� .,..„.,:..',-..:-�.,..a�-,;,...o:r-' - .•°���.� w�t„ ,t'�:�� - - - .: ..°��.e
<br /> �;..:?.+��-
<br /> ..r , �. .. , �. . . � n`d ed���assum .:�..�� �.
<br /> wrhich may;.:be�mare:r�s�tffctive��th��Coun,ty+��g�il�tfons:}='i'tiek` g ' ��,:.�'�`" ' . .
<br /> u: er�l ri' es~:ce''sp�ns titllty=:fair coiinplian��:vuithsany`
<br /> epp!lCable:deedrest�icttotls. �' ;.t�:>f::..•;�,;�- .t� ' -- ' - __. . ._ @_��--�� ,. � --:�
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<br /> �7Ni.ICENSED�aG�NTRACTORS���tN�i:CON�RAC70R-RE�POFi�1�t��iTlt�S:��°if=ti�e~ouvne�r'�tias�µtitred�"a�`izi�ti�ac#t�r or
<br /> contracfors to undertake work;:they:may�be.�rep,trie;ed:�to;,�b�s�ltce��ed�lrt�;aaaordance.wtth;sfat�.and�;lnr.ail�cei ulatla s't�<�If�the-=���'���-:°:�¢ �
<br /> 9:.._.. tt
<br /> con#ractoT��ls••not�l"tc:ensed�as-�req�l�itl;tiy law,=6io,tt`�the rown�r ainf�contracto��;may��6��:cfted��.for��='�hisi�errieanor.vtol�tion
<br /> under sfate law. if the owner.or Intend�d?rc,o:ntr;a�tor��ar'e�:uncertain as:to.what Ilcensimga rsqulre�nen#s�xrin�ay�applj�.�for�'.'the�-:f��z==4��'�
<br /> �; . ,��._a �3. .�... '. _F,.j._ .. «y...r-._.,.i.:�"°"` "H:f'�Fr:.0
<br /> intend�d workf�tFiey ar�i'ad�vlsed`to caritact ttieiP�isco:Co�nty,Buifi!liig;.InspeCtloti�QtYlstol,�la.tCettsltig Sectlon�t?27-847
<br /> ..„,�.._,. .:. _ _ �
<br /> 8009. Furthermoire,if��the own�er'ii�'s�"hlr`eii a ca�iVac;to� or contractYors� he is advteed ta have ;the contractor(s)�,sjgnFKJ,r.:.,.::y;u
<br /> , �r.�
<br /> porllo�s•.of the:. cantrackor.:Black..,of,.,thie;.appllcettanafo�:�whlchu,they.:will.,�b��.r,eapon�lble.,�tf:you;�as�,lhe oviin�c ai�n es°the
<br /> �ontractor;°that�may 6e an indica#ion�tfiet'Fie�=is"nait.�ro�ietiy"Ilcgrise�"�nd"Is—riot entftlsd"to permlt#Ir�g.�►rheileges In Pasca.,_, , hu,:.
<br /> Counky. rv • _..., . . �_ ' . . ,. . _. .. . .,.__.�.�� �...;.:�:..��rv.,�:.�.�
<br /> 7Ra1NSPARTATIl�N:IMPACTfUTiLIT1ES;CMl�l4�'���I�6�RE�t���tC�RE�QVEEtY�FEE3.�'T�e un�ersl��ie�ur�derstands
<br /> thatTranspartation Impact fees,and,Recourse..Recovery_Fees,�mayxapply�to�ti�eY;lconsbvctton;of new butldings,vchange��bf=�Y`�"`��=����� �
<br /> use in.exisNng buildings,.or��expansi��of-�e�cis�i�g'�bulli'tings. as sper.lfled.in Pasco County Or'dtt�anae number 89-07 �nd,
<br /> 90-�7, as ame�de{d.,.�;,Th� undei�igned aiso:-understai�ds� ttaat�snch fees,:,as�may����due;;w11FKb�.ident�Eed at the�xtii���af=:�4=��=;;;'�.`;:
<br /> .: 1r��.,.:, -. tR,_„�w„
<br /> permltt(ng. It Is furtfieP under�tood that T�sii�sp�orkatlon Impai�t"�Fee� anit"�i�esource'�Rec:o�ery�Fees�.mu'st be pald prla�to
<br /> receWing.a�"c�rEi�fcate:af�occupaflcy"�af'fin�power;�etease:��°:If�the.pro�#_�d,oes�not ltavclve�`a�:ce�ti��ite of oc�cupat�ii'y.�?or�E.�';�����`_;'
<br /> flnal power.�retease;�tF:ie-:fees�rnu�t��tie-paltl,�pci±�t to;permR lssuan'ce. ft��ther�more;°:1f:P�sco,.C.ouniyr�lNat�rr/Sewer:�lmpact��.���.�t:t
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<br /> fees are due;_they.mustAb�aapaltlnpiloc,to,.pemtlt:lss.uarice;:ln,aaaorclance wltt�:appllcable:Pasco'.=Countyt�arillxtances, -
<br /> CON��UCTtON�C1EN LaHV(Chapt+a�T18�EIaN'da Statutes�as arn�nd�d): N`valuaaon of work is�2,500.80�ar r�ore;-1���s ����.k:
<br /> certify that<J, #he..��appllc�ant,:-have�been:provlded �wlthr aL-c�py;.of_`thei�"Florida~Constructton� Llen�:Lav�w--Hom�owner's
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<br /> Protecti�n GuEde"prepared by:ttie"Flo�da Oepsttmer�t�of Agricult�re and Consr�m�rf:/kfCalrs. If the �ppltcant l�.someone;�,...,,•_::.-z<
<br /> other than the'owner"� I certltyf.th�t�l;have>oF�tainetl�ayaapy;of..#he�ab�ve�des:c�lbed��'ocui:i�enC��nd;p:ro�ilse�:ln�aooa�falth�to .. ., - :�r
<br /> deliver!t`to:.t6e<',ciwner�'p"riot=ta�oin�riencearient�'.; • � � , . .� � - _,. _. _ :
<br /> �ONTRI4CTAR'S/OIMNER'�AFFIDAVIT: I.c��#�"y�;tfi�#�ati:,th���lnformatti�na,l��thi��ppllcatlon i� accura#�.�nd thak all work
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<br /> will'be done in compliance with all.appllcable laws regulating constructlon� zontng and��land`�developm�nt. Appltcatlon,!s
<br /> hereby made:to obt�ln�:a.permit�,,#i�:.�do�£�wo���and;t�iatal�ation as indt�a#�.d:��4`=1� +certify t�iat no work�or instaltation�fias�' -
<br /> cammenced p�ior to Issuance of:a permlt��a�nd that�:all �vork wlll be pertormed�to meet-standards-of�>all laws �egula�ing-
<br /> consbuation, Count� and Glty codes, zoning t�egulatlans� and tand development r.�gul��ons�'in-the�jiirlsdictlari;=��!�al'so� -
<br /> certify that 1 u�derstand�that the regulatlons of ather�gavernment agencles may�apply:,#a,the:lntended.wark, and th�t tt Is
<br /> my responslbl#lty#o lden#Ify•what.acttons l,must�take;:,tat be.=ln{corrlpl#�nce a,Suc.h}agetaicles-lncf�de�bu#��ai e:nat llmlted to:_:� - .
<br /> - Depaztment af-ErnrironmentalF�l�tofection=Gyipress."Bayhead�; VV�lU�ilend Areaa_and Enylronmentally Sensitive .
<br /> Lands,Wai�rM/astewat�r Treatment: ,,, � i " " ;� � �
<br /> - Southw�st Flartda V11�ter Man�gement�`::�is#rict:Vldells; '=Cyptes.s.' Bay.#�eads��� 'Wefland� Areas, Attertng .
<br /> Watercaurses. ,} .`>'-_ - - � ., � � - � , • , • -
<br /> , ,. :�u
<br /> - Army Corps vf Engfneers�Seawalls.�Docks,M�v#gatile Waterways. . �
<br /> - .Departmentr�of;,Heal#h�.,B,;;Rel�abllitat)ve;.�S�rvtces/Ertvitanmen#al:t-F�ealth�Uhit_W�e11.s;=�Vlt�stevitatersTre�tment;
<br /> Septic':.Tants�:.__ . " _ - � _ _ ,', -�_,. _ - .. � .
<br /> - US Env�ronmgntal�Prote�tian Agencgr:Asbestas�bafemen�, � $
<br /> Federal Avlattun�Autl�o.�lty�;Runways:�. '
<br /> I undecstaitd.that:ths:fcltowing;rest�lctlons appiy tiit tFie use of fllt:� �
<br /> - Use of fl111s�not atlowed in.iFtoo�o.Zone"V"untess expressly permitted.
<br /> - If the-xflll�material��ls��to'be used�ln.:Flood�2one. "A", (t Is unde.r'sta�od that`a dralnage plan addressing �
<br /> "a�mpe�sating votume"wi11 be sutiml�ted at#�me of�permitting wttleh Is prep�'ed 6y a professional engineer:. . -
<br /> � Ilcensed.tiiy;�ltie;�tate of:floflda: � , � . .; .. . . -
<br /> - tf.th� f111::�na#erfal=ls-to-'�e;us�d tn Flood Tone 'A" in�connec�ion�vitlth�$��termltted bt�lldlt�g using stern uttall., :_.
<br /> conatruction,;I_cerHfy�th.at#ill:wlll.b:e�used only.to.f111 the area�wlthln�the�stem�wall: � �
<br /> - If ftll matetla}�Is�`tm tie�u�ed !it any .a�ea; 1 �ae�t(fy that .use. af;such fltf w111 nai.adverseiy aFFect adjacent_ ,
<br /> ' properti�s.r iF�.use:of;fill is�#o�nc��to-adversety;.�ff�ct ai�jaiEent�,pcc�perties,.the owner may be ci#ad for vlotatln�.- -
<br /> the condl#ion�i��of�the.bullillcig'perrrilt ts�ued.<u�der ttie':atEached,pecmlt�applicatlan'�for.:bt"s�le"s��:thar�:�one (1)
<br /> acre w1ilcF��ire elevated°tiy fllt,.,��t,engtne�red dralna�e pian 1�reqaired. .
<br /> If I�m the A�3ENT FOR;TH�01MNER',;I;.promise.ln_goodi_f.alth to Infarmfthe°�owner of�the permitting candftlons setforth In
<br /> thls at#idavit prfor!a cominencing conshvctlon. �1't�nderstand that�a�s�aparate`peemit may be requ[red for etectrlcal work. . ,.
<br /> plumbing,,signs, wells�.pooisi.,alt'.conditioning,.ga��; _or:o.,theT instali�ttons not�spec�ically included�in.the�applicatlon. .A,_ -
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<br /> permlt Issued shall be consfirued to'b"e�a�Ilcense`�to'�praceed wlth tt�e.�viirork�nd��not�as:,au�hoHqr:b:�.vtalate;��cancel,�altery ar
<br /> set aslde etijr�provi�Eons of#lie:#eahnlcal.c�ade�;;nor shalt Issuance�of a.permit.pr.event ft�Hulldi►ig G#fldsl from theceafter .
<br /> requlr(ng a correctton�af.�errors;ln,plan�s,.con�tiriictlon oc.vialatlons of�any�cod�is:��-.�very�p�arrr�it�-l�sued`stislF•tiecome�invalid
<br /> unless the wcirk aiilho�(zec! by such permlt:�ls_co�menEed•uvlthln,si�c��►tor.tths �f�permlt lssuence, or tf vvartc aufhorized by
<br /> the parmit fis suspended�:or�;sbandoned�for.a;periodhof<six:�B)�mantf�s=.aftei�the-ttme the�wo�k��is com�nenced,. An extenslon
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<br /> may be requested.�In.,wrifing,�ir'om,tFie,'Bullding,Offlclal�for a peirlod•not.to-exaeed'�nine�t�r��(90)"days ai�dvwlllµdemonstrate
<br /> �ust�iabi�=causs for.�the exte�tsion: if work ceases.far ninefy.{90}cans.�acutive:day.s...the Job�ts constdered aba�doneif.
<br /> WARNfNG TO QINNERc YOUI�rE.AIUJRE�>TQa:R�CQEtDaA��lQTICE�;Q�,�C,+DMMENG6ME�7'�.#tAY°RESL�lLT IN�YOUR �
<br /> PAYtNt'�TWIC��I�OR,:iMP!RO�EMEN'�'S•,�t�,,�f�°iUl'��PRC��!ERTY:�,I��YO.U�t��E�i1Ch�T��n8Tl�1N�FIN�pE1N�;'C13NSUL.T
<br /> , WIT D I� O �1. �Y, OR�1 :a. .FaU _ � , ...-- - - -
<br /> �toRtc►�..ru��•€:s:=,tt�.o� -, . .., .,., , .., ... .._ . . _,.,. ,u. . _..., � _ : :
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<br /> I OWNER C1R AO�NT ,. -. .. _. ., , , �ONTEtAGTOR � 1....%�� _ ..� : ,
<br /> Subscrlbed aad�wom M(or a�lrmed)befar�m�this Snbsaibed'and'svwm�ta{at aflfnnedrb�tOre me t6i�
<br /> by _b�....'�S`i,,.� I�:�,lac.� ,
<br /> Wtio Islare personally known to;me.or:haalheve,produceesl Who.ls/are:p.ersonally.lcnnown:to;nte.;or.tta�ltesve,p�oduced •
<br /> " sis t�eiiB�caBon. ` as klentl�c��on.
<br /> No�ary Pub11c . � Motary Publlc,
<br /> Gammisslart No: Coinn�laslon.Pto. ,
<br /> ' (Vame of(Vatary typed.Pdnted or atamped Neme of Notary typed,prtnt�d ar st�mped
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