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<br /> NOT1��,AI���D�ED�RESTRICTIO�IS:. The.undersf ned,.unde� tands,{ �fj{ {��b � � ''�;'� �.
<br /> i{,{ Gl'��I�,UO'� /i�����2� Y II p':i;..c�'-.;�wa4:�;.
<br /> .9. [�, h ,.�. :A�.. �:r�ay�be._�ubJe.c,fi;;to.:,,;deed.,�resl��ttoi�s,�.�.,�. ��
<br /> -- i^t::^ 4*' <a... ;'s;:a" ..ii* ����µ.x:�.�:. ..r-.:,�y, _;:�r.y'�:a.. ro.a'"'�r.�l.�.;�
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<br /> ic ma����:tie°:riiorelr+�sttiative:�tti�i��Gi�u��. ��iat�o�is<<�'�"Tha°�u�tlers�''n���as�ur»es�°:�es���onsi�tilii �:.for?'com��llance�:with>an .
<br /> wh h y +� , �►`��.._. 9 _. � �' � - Y� �
<br /> appliaable'.deed�restrta#bns. � --,��...;;;�:�,; _ °�� �� ,... ' ' -- . ._ __ ., a �.._�:.����.�-•ri��
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<br /> UPlLICEMSED�'�GONTRAC'TURS���ANb CON�'itAGTt?R-RESPt7►N�iBl�lTI�S:�-�<lf�-tli����orimer��ti$s'�t�iretl�aR'i��i,t+r�ctar or
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<br /> cantractors.to undertake work,.:#hc�y m,ay;bs;�r��u��retl;�to,���nl[cens+i3d�lit;acci�rilance:wlth.state�:end�local#:r�egulatlot�s��=lf�the��:=�r��-����
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<br /> contractor�i"s-not�llcen"sed��as��re'qulred,'.tiy law,�tiott��the�owner and-confractor=��inay-�'l�e�'cit�d f�r�i�}rnl�d,'emeanor vlolallon
<br /> under state law. if the awner.ar Intendedxcontra.�tor,�,ere;;unce�taln �as:to wfiat�Itcensfng.cequire�ent�f#mayr.�apply'�-for�'the�A�:,��=����°�
<br /> intended�wark,'ttiey ar`e aiivl§eii�"�o;cantsct'tti+��Pasco�Coonty 8uifiling�Inspecti�in�Diiri�l°pin�--C:�i�en_,sing Section et:727-&�7-
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<br /> 8009. �eiitherinore,�!f the�own�r`�'fi�as'�lilr�`�i c�StiViactor'o�contracfors, �he is aclvlsed ta hav�;the canfrac#or{s����,.slgn:�r>:U.:��
<br /> �n.
<br /> portians�of ther"contcrectoc.8lock'._of.;#hls�,eppllcettan�i'o.r..�whlch<;tt�ey,•.wll�;sbe�r,espanstble....,lf ycu;y-as�-:the own�i;s�n as the
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<br /> contractor, that�m�yr�be an indlcatlon�that'fiie 1s�n�t"piroperly"Ilceneed"antl"I� n�of'entltled'to pe�ltting pri�lleg�s !n Pascu .
<br /> County., , � ' • ; �:.,w.����.�:,��;�.�.
<br /> TRANSPORTATION=.ItYIPJ4CT/UTILCf1ES�1liA1�ACT�At�b RE�AU�tCE RECtiVEiZY�FEES�`�Tf�e`under`sig�ied under�t�nds
<br /> that Tra�ispartatton lmpact�ees�and;Recourse.Rec�very_Fees.�ariay.aPpiyztii�t�e:c:ons6vc#ion„of new buitdings,�change��afsf.}F>tiLM:���
<br /> use ln ezlsting buildings��ot:,eicpartsl�irt o�-`�k�sti�i���ulldtngs, as speclfled.in P�sca Gouaty Or'dln��ce n�mber 89-47 and„
<br /> 90-07, as amended. �'fk��.under�lgned also undetstands, th�it su�h fee�;.a���may�':��:due;�.vu11F�.be�den�fled at thee't1r�e�^of:;��:�{.``��`
<br /> -L 4�ij i�}i . R'..:i.� ,..�d..-»-1...1 ..._' j. x'.•"!$� i
<br /> permltting. It Is further understood that Tra�s�'oFtation Impacf Fees and���Resourc�e�;Rec�i�ery Fees:�.mu�t be pald prior to
<br /> receiving�a°cerffficate.�of��occupa�cy"'�or`�flnal�.piawer;�elease�"�:if�the.pro��c�;does�no�Involvekaxcertffical."e af occupancytor��'����':``,`;���
<br /> final pawer-rele�se;�rtFfe,�:f+�es�mu�!'tie paid:;prlor to:permit issua�nce. fw�thermore�fif�P�sc;�.�.�Counfji�;Vliater/$ewer;Impact> _:,,�*-�;.�
<br /> fees are due;�ttiey mustbe;�pald:;pr�or,�o,.perrnit'-lssuan�e-.tn.accord�ance with::apPiteatifi�:Pesco:CauMy�oririinanc�s. •
<br /> CON9�TRU�TIQN ClEN'�LAYV�Clieplgr�93,�I�ar�cla�3tatut��as am�nd�c!}: }f va{uation of work is�2�500.00�ocjmore,,1 �: . ,��:
<br /> certifjr that-�, #he�;aPpllcent,:-l�ve:be.en pro�ldeil��-wlth�a,,,coPY;:,of--ther�"Fla�t�a:.:Gonstrti�tton,:�LtenA':Law—liomeouvr�er's
<br /> Protection Gutde" prepared by:'the'Floi�lda Dep�rtment;.of Agrl�ulture and Consr�msrtAf�alr�. !f the eppllcant Is_some.one:��,;...;z-_:�--:�
<br /> � other#han the'o�m�r"� 1 cert h t �v ` �' Y� `._# '� „ _.�
<br /> iFy-t�,�t°�ti e:o�tafined�ascopY:of:#he'�ab.Qve:�des:crl,�eµa;ilt�ciif�eiht;and:pto�il�e:�lri;g'oo!�;�falttt•.to- :F.=
<br /> deiivi �:>. .. , ; ; �;��- .ti . ,�<.,. .,�.�., w-. _ . .. �. �..
<br /> er t-#o.-.the'�"ow"rie�":�pi�ior;to=comi�iencement�T" , .
<br /> GClNTRACTQR'S1C?WNER'S AF�IDAVIT: i,c�r,tlGy;,,ft:iatslli.th�:,irif.orm�tiidn�l�Tthi��$ppltcation is accurat�.and tha#�ail wark --
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<br /> wlll�'be done (n compl�ence-with all.applicabl�lawrs regulating cor�strua#lon� zv»Ing a►iif:�laiid=�devetvpm�nt. Appli.catlon is
<br /> hereby made�,tn: abtal�i�:a:pernn,it�,,to,:�do�;wo�:�,and`:t�istallatlon ss Iridt�ete�����'�:1� ce�tifjr that no work�`c�r Instatlatlori has �
<br /> commenced pr1o� to Issuance afi`a'permif'and that�.all work w911 be performed�to meet,-�tandar.ds-of�:a!! laws regu(a�ng�.
<br /> cflnstnrcti�n, Coun#y and Ciiy codes� zaMng regulatians, a�d land devetapment regulatlons�In�tlie Jurtsdlctlon:�f'=f�al�o= -
<br /> certify the#1 u�de�stand that the fegulatbns of otiter�gavernment agencies may�apply,ta::the.elntended.work, and that It ts
<br /> my responsibtlltyr to ldentify•wha#:ac#tan�I,must,.take ta be;slr�*fca„rt,tptla�ce:�x8uch agencles�inctude�but=a�e:not ilmited ta:_�_ • � -
<br /> - Depar"tment af Er�vlronmental:'ProtectionlGypress:'��ytie�d�, �11'eNend Areas and Envtronr,;nentally Sensitive
<br /> Lands,Water/W�stewatef Treatment. �, . - „"' ` �. �:
<br /> - Southwest Florid'a Vllater Manager`r"tb'nt��:�1lstcict V►leps;'=`�Cjrptess:�Bay�ead�; Wetland` Areas, Alter�ng :
<br /> �dNatercourses. ;,,fr, _..� .-.�i :.�:; ::,�;,i.= � �,- . - � _ , - - ,. . . ,
<br /> - Army Corps�f Engtneai`s��Seawatts;'Docks�Navigatiie Wate�v►+ays. � .
<br /> - Department�.afu,Nealth,;,&,,,.Ret�ab�litative,;,aSentice�/Ernr,�.ronmentals.��althpUnit dVelfs;=Wastevirater�•Tre�finent;
<br /> .>�,,.
<br /> �S'eptic.Ta�it�s:�._`: .. ' .._. F ` '. ' ...: `-. ._ � ._ _ . . .
<br /> • US Envlronmental Prots�ctlon Agency-Asbestos abatement�, r
<br /> Federal avleQon:Autho,rityaKur.�waays:° �. „
<br /> 4. ,..�.,,. ,_ .�.r ..,
<br /> f understand.that�the:foltovv�ng;restaic#lons appiy`fci#Fie use mf fllt:�
<br /> - Use of`fil!ts riat afiowed in i�tood�2or.te'"V"unless expressiy permitted. �
<br /> - If the:�=flll� ma#eila4�.ls�fo��'tie��used>�in.;Fbod�2o�e. "A", t#. Is understcad that'..a dratnage pi�� addressing a
<br /> "compe�sating valume"wr#II.be subr�ltted at�Ime►of:permitting whlch is grepered by a professiona! engineer �` �
<br /> Ilcense'tl �'th�e=.�tate�of�Flo�fde�: � � • .�; .'�
<br /> bYv.
<br /> - If ih��fltl �maferiai•�ia�to.tie�_us.ed in Fload Zone 'A° in>conneo�l�n�virlth�a�•p�rmitted building using stem wall, ,
<br /> consbvction,:.l.cectify;that:�it:i�r�li:6�e=�sed.oniy.to.fill th�area-withtn��the�stem�w�ll: . -R
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<br /> - tf fll! 'matei�al�.is��#o be used-!n ariy .aree; 1 �c�i�ify„th�t .use. of;such tilt w111 r�at adverseiy affect adjacent . .,
<br /> propertles,;�.IF..us�:.af fll!•Is;fourt�_to-edvets�aly,:.,�ffect a��a�ii�#«prdp�rties�.the awner may be cited for vt��ting. -
<br /> • , il,�,�.d.� ; : � .....-.; _
<br /> the cond�lons•;.of�the bwllding}p�rmlt lssue�<�u�det tfi�'��ittactied:k�etmlt:�pplicatlon,�for�fots.!e"s��tt�an:�one {1)
<br /> acire wHlch`e�e elevatetl'by:flll,a�r,englneered dralna��plan Is requtred. •• �
<br /> if i am the AGENT:FOR.�TME>OWNER;;.I�promitse�.infgood�.f..alth to inform��th�owner af�the perniltting condftions set forth In
<br /> this affidavit'prtar to coinmer�ctng conshvction. "i understand thefi a�sep�rete?permit may be tequtred far electrlcal:,woek� � .. .
<br /> plumbingf.si�ns, we11sF„pools���lr� condltioning�=:g�t�;�,or:other Instetl�'�I�ins naE�spes�ftcalty in�lu�ded•in.the�appiication. .A �
<br /> permlt Issued�ha�ll be conshued to'`be'a`Ilcense`�ta=proce�d wlth`tliei_viioik antl_�nat-�s::euthorlly��to:vfol�te;<pcancel, after. ar
<br /> set astde�any�proiiislons of tf�e.technlcal,.cadeis;,nor shall Issu�nce�af a.permlt.pr,event th�Bulldtrig C?#�!c!a!from thereaft�r �
<br /> cequiring a correc#ian a#,ecrors:in-�plan.s,;.�constivctlon...or�irlalatlons of�any code�:.�very,p�armlt��Issued stialF�fiecoirie��lnvalid
<br /> unless th�wortc aiitharizeit:by such permit:�is.caxnmencedwithin s�c;m,onths of:permlt issuance� or tf work author(zed by -
<br /> ttEe permlt!s suspendad�or�aba�do�ed�lio�-a�,perlodfo€;�ix��}�mantt�s"aftet:#Fie:t�rr�e#h��work��s comrnenced.. An�xtension
<br /> may be requested..ln.wr�ing�:�•fiom-ttie;8ullding,Qfflclal°for a perlo�rnot-t4 e��'tinf�ety'(90)�itay�`s�id�u+ill"demonshate
<br /> Justlflable cause ibr.�the extenston: If work.ceas�e�:for nlneqr.(90)cona�cutive:day.st..the jeb�ls consldered aiba�doned.
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<br /> V�ARNING TO OWNER: YO.UR;.�AIi.E1RE::T4..R�CO�2Q,�A:=,�OTJGE:OF,�C,C�NIMEN�EMEII�T.;MAYrRESUL'iyIN��YOlJR �
<br /> PAYI[�It�'�WlGE;F.OR.tMFRO�VEMEI!M:�'L��.T�n�f!�UR;:P�k?"ERTY:'�t�$:Yt�U$t�1h�D�TQ��6p�A'IN�FiNi�-fiiE�NE3;_'C.ONSULT
<br /> WIT Q F!�. k . ;,, :� s }, . .
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<br /> FLORIdA JURA��F: ....,. ,. .. _.>,.�, .- , �:A.. :�_;:�.�: ._,., �; � �r,-::,,;,,,.�, _. . ,.
<br /> ( Si•:t17:03).° -- • , . .�:.--
<br /> OWNE�OR AOENT,. .. � CdNTRAG'�O - .
<br /> 5ubsaibed and swom lo(or a�irmed)before ma fhls Su be nd'surom� o ' rmed me� "
<br /> t� �, � ;�tl!
<br /> �v ��1 1 ..,�y...,, . ���,-°._.��r^�t�.. _._ ' .�..
<br /> Wfio Islare perscnalty knownlo�m�.oc:ha�Ihaue:A_n?duced :Wha:lstars per�o. t _ K me;.oc.tleafiav,e:proditced.��
<br /> . `ae Id'eriU8i�8pn. " �T�l�i� ��� as Identl�caUon.
<br /> Not�ry Fub}tc . �./C>��'�. 0`=��ll,t./�.1�� Jt��Notary PubUc
<br /> CommisslonNa:` Comn�lealon•Na._ ��T (�ll�.�'J
<br /> �b� ��ri� �2c1���.
<br /> tYame of Notary typed,prtnted o�s�mped Name af Natery q�ped,pdnted or stamped
<br /> � � - , ,
<br /> p��r�ni
<br /> i�;>��•• DEBftA ELAINE RUFFELL
<br /> � ;'�a �'';,Commission#GG 045343
<br /> =y;r,�P,��Expiras November 7,Zd20 . .
<br /> .�d�it4�� Sondedth�u7royFatnlnawa�e8DD�385-7019
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