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<br /> NOi10E CiF_DEED.REST.-RIC'CIO�iS:. The,under�lg�ae�,unders�tands�;th�t�,thl�:���rm��;:may;;:be;sub�ec#Fto;:"deed"`r,esf�ctlans"�.`r:�;:�:s.;�
<br /> which may�'be:'more��`r,�sttictive'�t#i��t%Gourit��;regra,lat�ons The`}�un`derslgne�tl��assumes�`re`sponsftiilitjr�for-com`pliance with any°""..`...`'��`
<br /> appllcable:deed-restrictlons. :��;:i�.;:�..;»;,�. • =�.-:.:. ;. ' � �� �nt �=��._:�:�.,;•�<�>:;`%
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<br /> �JN�tCENSED-�CClNTitACTC1RS:AND.CClN�ICTOR�RESPONSt81CITi�S:�=stf°�r��`ouimer�has�"�tilr�ct`"�":ct��itiractor ar
<br /> contractors to undertake work;:they.,mey.,,berir�qulred::to.�tieryllcensed;,lrt;acc.ordance.with�state:,and:lacal:r� ulatCans:��Iffthe�.:�=. .-.'€��
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<br /> contractoc�ts-not~Itcens+ed�a���requi��t'6y law,�lxottr�tt�e'awner�rid<=coiatractaTs�may�#ie"+�teilY.for�=a`4misdeTriesnor v1olatton
<br /> under state law. If the awner.or intended>��contra,ictor��ere�,uncenaln s�s:to,uvh�t Iicensing.r�qulre�nents�may��applya�cir::�ti�ie���•-rv�.=��-=-^r�
<br /> k. � . �. �a , � ., . ' ' ..S'.'s �J "y..:�..r..e. ...._ ...�,.i.up
<br /> lntended�work�_ftiey.aie advlsed�to�contact tli��Pa�co;�ounty�8u!!ding:rinspectlon;�Dlvlslon,-l:Icst�sing SecNon at.727-847-
<br /> 8U09. Fiiitlierntaire,'If�#he owner'tias"Fitri�c1�a aotitraicfor or coritrectcr�� he�is�adrrised to have;the conztractar(s}�:sfign:,��,.�;-�:.,
<br /> portlons of the:.contcactor.:Biack',.of,thlenappllcatton._for whlch�:they,..will�-bearesponslble..,:If>:you;,as�:the ovirn�r-s��n e� the
<br /> contractor; ti�et�maybe an indica�ain'tliat'Me�ls°'�riot'.properiy'llce�ise�!"antl''Is:not"erifltledTto permlttliig�piiullege� in Pasca,,:::..,f,,.�
<br /> County. , ,� , • .T. . . ._.
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<br /> TRAN�P,ORTATI�IN.lMPACTIUTILII'MES�I�RAG'1'�ANb=RE��IlR�E RE�OVE�tYfEES,�°T�he untleist�ried understands
<br /> ;
<br /> thatTransportatEon Irr�pact Fees and.Reco.ucse.Recovery_Fees_,ma"y,.�.appty:�#athe�ccnstructton:of nQw.buitdtngs,�chan�e�afi°;z'�"'':��=�='�
<br /> use in.ezisNiig building�; o��expaitsl6�r:of�eSiislin;g.�builiNngs, as specifled.in Pasco County O�dir�ance number 89-07 and_
<br /> 9o-U7, as amended:;,;'�e t�ndecslgned atso;��itiderste�ds; t�ait�such fees;4as�may":���:.due,.t�wllFabe Ideiitt#led at#he�tiiiie�of''�°�.���'�'
<br /> �. 'i ..�"`Y. A, i i'3:. !' 'Y
<br /> permitting. It is iiirthe�understcod that T�aingp�orkatlon Impai�f`Fees an�'`�Resour,ce;,Reco�sry='Fees.mus# be pald priar to
<br /> recelving-a"ce�ftflcate�.of�occupafiay";or--flttat�.powe,r=�elease:°:I��the.proj�ct=;�oes�no�invoflre:a.cert�icafe of accupart�y�o�'��`��'-`�.�'_�;��'
<br /> final pmr+ver refease;��tties�,fee�-mu�,t�be peld;�5pr1+�r#o�permit issuarice. �Ftitthermare;�tf:Pascc�,�County;V�laterlSewer�:lmpact�� ���.<��,���
<br /> fees are due;;they:must;be�:pai��prior.�o,permiltlssuance��n�accor�ance wit�r�:appltcetile:Pasco��County��anllnances. •
<br /> COMSTRUCTION'C1EN"I.A111f�Ctiap#�r T13,Ftat�ide�Statutes��a�mended): Ifi valuallon of wark is�2,500.QO�.o,r=more�:,1� �;� .:-::�:_:,
<br /> certify tHat ,1, .#he�� applicent�:-hav_e:be.en providetl��with�����-capy°..of=the��:";Flo�ida���onstivctton�=Lien�°:Law--Home�uvner's
<br /> Proteat{on Gutde°prepared by�ttie`Fi��i�a Deparfine�#:of Ag�lcutt�re and Consum�er�kfFal�s. If the appltcant Is:someone �,�.:,-.:_�-:*
<br /> other than#he'oHmer" I cert �- �``� '' .
<br /> °.:'`.�„` ; rles,crl ;
<br /> , ify th�t 1;have,obt�ined�a=coPY:of..the:abQve:. ,,.tie�d`il�'ocuf�ent4and;p,ro�ise:`i�,gaodrfaith:to .. �,,
<br /> deliver it to:.the�":,owrie�:`prio��to�`cQri�iritencemeht��`", . . . ;'' .., � : . _. . . . - • - . , , -
<br /> ��NTRA�TAR*S/OWNER`�AFFIDJAViT: {.ce�ijr,�,Ni�at�:all:�tfi+��inf�nnattorr�l�>this appiication is�accurat��nd that aii work
<br /> will'be don� in compliance with all.appitcabie�laws regulating con�tructlon, zontng and:�land�developm�nt. Appilcatian is
<br /> hereby made_#o,obtal�i�:a.permit,�;�to;;,do�w;�;,�;,and�;thstallatlon as Ir�dt�ted:�::�:1� certity that no wor�rr�.or instaltatton fitias° .
<br /> aomm�nced p�lo� to Issuance of��a permit'and that�:all work wifl be pe�formed�to meet-standards.�df:all laws regula�ng-
<br /> constnlctlan� County and Gity codes, zaning regafatlans, and land developmettE regttla�otis`in�the=J�rlsdtc#iori:=-���1��a1'so-
<br /> cerEify th�t I ��de�stand 4hat the reg�ilafi�ns of ather�gavernment a�enctes may�apply::ta.the:.lntended work� and that It ts �
<br /> my respon�tbiltty#a ider�#if�•�rh�t.�ctla�ns l,must�teke,;to,be:Yin�cnnlp!lar�.,ce::,S,,uch�4agencles�lnclude'but-are�:not Ifmftec!to:.� - �
<br /> - Department of Et�vlronmental>}Protecttori=Gypress�Bayhead�; WeNand Areas and Envtronmentatfiy Sensi#tue
<br /> Lands�9Mater/�llas��ater Treatment. ` � ��� �..
<br /> - Sovthwest Ftor�da W�ter Nlana�eme�at':��1s#r,fct-Wells;��'"Gjrpress:�'8ey�ea�ls:-..Wet#and' Areas, Alter�ng
<br /> Watercourses. •,,Y; _ o -:,. .�-�.•r>:`.:t:= �� - . . . ,
<br /> - Army Corps af Englneers�Se�wails;ADocks,Navlgatfl�Watetuv�ys. :
<br /> - Department�of.,;Health,��;.,.�Ref�abllitatt`ve�;Servic�st�nv�ror�romental=.F#ealth�Unit:Wetl.s;�Vuastew�ter�Tre�tment;
<br /> Septic Tanks:.r _-':. , , ��. ��. �. `'._ � .- . -�
<br /> - US Envlroi�mental Protectlan Agency»Asbestos abatement. ` .. t
<br /> - FederaFA.vlattvn.AutMoMty;=fturniiays;°:� � � �
<br /> !undersEand.that:the.follow�ng;;reshfcttons apply ta t6ie txse of flll:�
<br /> - Use of�ll is not alicwed In.rFiood=Zon�"V"uniess expressiy permftted.
<br /> - if the��=�ll materlal��is�to���b.e� usei�;�`In :flood Zone. "A", It is understood tliat-a drainage plan addresstng a _
<br /> "compe�sating volume*wlll be sutimltted a##ime of�pe�mitting wtilch is prepared by a prof�ssia�al engineer-"
<br /> Iicensed tiy�the•�tateoffloflda; � � ��• ��� �
<br /> - !f th� flll��materiaf�.la''to:be:used #n FEood �bne °A° in�connec�ion�wlth�a���ermltted bultding ustn� stem watl„ .
<br /> constructbn, i�certity.tliat flil:wail:b:e�us�d:only.#o fil)#he are.a withln�the�stem�wall: �
<br /> - If flA mate�lal�1s�to be used-In.any area; I �ce�tify.,that .use. af-:such #111 wlll not adversely affect ad}acent ,
<br /> properties.. If use:+of,f�ll�.is fot�nc#�to.advers�a�y�.�ffec#aaJa�n#�prctperties,.the awner may be cl#ed for ui�tating:' -
<br /> the cond�tbns�of�the bdildingrpermlfi-lssued��u�der tlie:"attacFied:.�ermit�appllcatlan,°foc°:lats�.less than:one (1)
<br /> acre wtitati ere eteveted��tiy flll,a�englneer�ed dralnage plan i�requlred.. . . .. ,
<br /> If i am the AC�ENT F�R�TM�OWNER;,I;.promise Inrgood faith ta infor�n`�the�owner of•the permltting condNlons set forth in
<br /> thts aftidavit`�pMo�to commeracing constri�ction. 1 understand thet:a�separate`permit may be requlred for electrlca}°work, . -
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<br /> plurnbing,•.signs� wells�:Poofs�.:atr.coafdittoning�k.9a�s;:..oc.otheT Install�tiions not�spe��tcally inctuded�in.the appticatiore. .A _
<br /> perm(t Issued �hall be coristrued to be�a"Ilcense`��to�pr�ceed with"ttie;viio�k and�not-as:authoNt'y.�=.to;vlalate;�=c�ncel�-alter, ar
<br /> seE aslde arty�provlstans of the'techntcal;cades;;nar shait Issu�nce°ofua.permlt.pcevent#he Bulldirig C�1daC�fiom theceafter
<br /> requirin,g a correctlan�af;eRors in-•pl�ans;:cons�#ructlan:.or..violaUons of-any'codes: ��very�=permlf�i,ssued'stialF6eaom�•�invaltd
<br /> unless the work authorized.by such peFmit:�s.co�menEadwlthin,s:f�c.,mo�th,� ot permlt l�saance� or if wark authorized by
<br /> #he permif ts-suspended�.or<abactdbnedyfar:e;periodrof�six�#8)�inantFis;:after the tir�e fhe�work�is comfnenced.. An entenslam
<br /> may be requested,�In writing,.irom:tFie�'Bullding,Offlcial�for a period..not.to�x�eed'�nineit�r�(90)titlays e�idMwill�demonstrate
<br /> jus#I�able'cause for�the extenston: If worlt ce�ses.for r�Mety.�90}cons.ecut�ue:day.��..th\�ob_is consldered aba�doned. .°
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<br /> WARNING TC1 OWNER: YOUR..FAIL.lJRE;:Tta�,R�C.ORQ;/�y[�tt?TIGE�:QF.�COMME�i�EME�+lT�:MAY�RESUlT IN=�YAUR �
<br /> ' PAYINt3 TWICE;.FOR,tMPRA�'/EMEN'���:SCl:�X:OUR:PR4RERTY:'�t�=:YOU=i�t'�ID��TE1'i0HTA1NyFiNiAME1N�;�ONSUL.T
<br /> WIT D APy TTO FO. t, •R�1 �u OU - :T` - . ,. �
<br /> Fl.ORlDA Jt1RAfi'�{F:S::l.l7• .� ,. .. . . ._.., . ,,. :•::_ ,, - ,.�_��-- ::�:� � . . ... ..... . ....�._. -�;....,, , .
<br /> OWPIER OR AOLNT .. CONTFt�1GTOR - �
<br /> Sub bed nd awam to �fllnned re ms thts StibscrEbed��nd'svwm=ta tat afNnned}�b�tcr+e trte lfii��
<br /> l�/�� by '` ^ts'�) ,�by.... _ ...
<br /> Who t are Le1�onelly.knnp��to�.me or.:haslhave,produced , - Who.ls/are:p.erson�allylcnawn•.to:ma:or.liaaThav,e.•prodix:ed- �•
<br /> _t��/�""��5 �..�C�T4+SG as fd'enU�i�Bpn." es IdenilNcsBon.
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<br /> .�F_�=_L. ��..�i otary Pubita . � Notary Pubilc
<br /> Commisslon No:`�./�-1 d���� Coms�tsslon�No,
<br /> ,G�� �c�'/N�'" �G/�'�'�/,�. . , .
<br /> lVame u�e� Nams of Notary typed,pdMed or statnped
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<br /> ' ,•�:#; . DEBRAEtA{NE RtlFFE
<br /> �'�'� �;;Commission#GG 0453A3 .. ,
<br /> :�,;;�,,Q E�tlres November 7,202Q -
<br /> 'a?oln;°��`` Bonde6ilwTroyFalttlnw2nceE4D-385��0t9 , _
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