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<br /> Nt�TIGE AF DEED RESTRiCTIQNS:. The=under�tgr�ed,und. .ta�ds�ttt�txil�l�>���m��:il��:be.sub�.e,c,,fi�#o�"deed"�restr`Ict�Ons"�:;..,.��, ..m.,
<br /> y a ` -� i e � ,. z �C-`S. r:9re�.� 'a .r'- v�,� rr-'$'d",.n` `�z.ri.as.. � � e.6a;>1.ro.r.a+�"''�J»+'.a,a
<br /> which may�'.tie�iiibre.�r�"str�ctive�t�a�GuunEy�r+agal�itPons The?underslgne.d%��s�umes�re�piin��'bfllty=�for.compliancia w,ith`=any
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<br /> applicable'deed=resMcttons. �:,fr��4:t��.�.:;,;�.�_�v .� • _ __. _ ,, �.�..A.- ., .�_-�
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<br /> UM1�tCENSEi?�.CGNT#�A��ORS,�ANb�COM�F�ICTOR��R@SPON" t�1�Ci1�S:�:-`>if��lte°,ciuvner` has`�hired"°a"cdrtit�ctar or
<br /> °�Itc�nsed=:lrt,:accor itce.with�stater.and,�a..� g. a. �< � :�.�-:
<br /> contractors to undertake work;;they nnay,b�:�requl�e.d:°_to.��b�v �,�` da I cal;r� ul tfa�_s.:�ff the' ����''v"
<br /> contr�c#or�ls'-t�ot`�ttce�sed�s�:,teq%ii�f`6y I�w,•.tiotl���the�ouNm�r atit�"cotafr�ictorsmay''6e�n��;for��t�iiistteme�inor v1olatian
<br /> under state Iaw. If the awner.ar Intended,co:nh4at�for�;are,:;�uncertaln �s:tai wfiat Ilcensing�requirements;�m�ayi:re�pty���r�tiiefi-���r�� .�-'?
<br /> Intended�inrork�.ttiey are`a�vi§�ii"to�contact•:#he Pasco Cdunty.BuQding'i�s�iectio�i Dlvislor�-l:lcenstng Sectton at.727-847-
<br /> 8009. Furtherrrtote;,'tf��Ehe�owtter'fi�as�'Filr+�^s�co�acto� or �orit�actors, he�is �duised ta have#he 7contra}.ctor�s)slgn,..=5�>,�-:-�rr
<br /> porkions of.the.r°ca�trectaraBio.ck".of;,thisa.appllcatlon',�for.which=:they.>�ul1l-.;be.�.r.esponsible.•.<<,If��you�_as�,�the owne�_s��gn�'a�"s"t1ie" �"""`�
<br /> contfi�ctOt;th8#�t1�f'b8 an ind�Catlon�tli8t'118 iS CIOt.�tOpe�iy 11C�[189d��1d"�Is nat ein�e�to pe�rtit�ing pr�1u�1'ege� tn P�sca .
<br /> COU11h/. °^' ' . �� _ ..,__ .�. , �. '_ . . . _. , -�.. �.._._.,.t s�...;;f::�w, i"�°.
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<br /> TRANSPORTA�UN IMPACT/UTIL{TIES£rl4f!l��t�'��I�E�[��RE�AUItCE RECt?YEELY FE�3;`"Yne�un�eis��eai,naerst�nas . �
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<br /> thatTr+�nsport�tlon Impact Fee�s:and.Recourse R�cavery_Fees.maYvapp�lY�#oti�e�consbvction�of..nsw.butldings��changi���af`�<�;����=�~•'���
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<br /> use In existing bulidinge;-o�=�expansUs�r�of�e�is�f�i�?�builtNngs� as speclfled.in Pasco Caunty Clydinance number 89-07 �nd__ .
<br /> 90-07, as amend�d..:;Th� undec�igned also:�un�le�s#a�ds; tti�#�suct�fees;xi�ss��may���Yd�e„��ui1F�6e ldetili�ed a##he�i'�ie�of=��.=;.�=�=;�`
<br /> permitting. It Is further'understood that Tra�spo�ta8on Impa°��F�es an°�'-`ResouiQe.sRec'oVs`ry�`Feest,m.ua#'be pald prlor to
<br /> recelvfng.a•cetflfiicateMof'occuEt�it�y"�,ar'�tlna�-�awer{Eelease.;`:i#'ttte,project=..d�oesr,no�itavotve.<a=:cettifica�e of occupat�iiy�o���=:�j�`��.•'
<br /> finai pavirer�release;��tii�e�,fees:mu�t tiie pai8;.pclior#o permft iss.uance. �F�xthermace��if:Pasco�_County"1Nater/Sewer�:lmpact�-�°K,����•:�
<br /> fees are due,:they;must,.be�.pa.Id;p�for,��o,.pertYtilals,s..u�ance��n.accordanc�wit'�:applicatile�Pasco:County�onitna�ces. �
<br /> CON�TRUCTION'C1EN"LAYV(Cliepter 713�Flar�cl�St��t��as am�nd�cij: if v�lua�on ot'uwork is�2,500AO�ar.l more�.;i:-::; .-;��4�:=
<br /> certify tHat� ,I; �he::applicant;�have-.ti�een .proxidecl �wlkh �a�copy-:ofr�thel�".Flofida��Construc.tion��Lten-.:Lavv Homeowner's
<br /> Proteatbn t3u�de"prep�red by��tl�e F't��da D�pa�me�t;of Ag�icul#�re and Consr�,m�r�A,ffatlrs.; 1�#he�pplEcant Is.someone:;,..:,�...;,�
<br /> other than#he`owner",,i cert��.,#h�at,I.�,kiave,apt�)ned-a t�py:of..#he,above�described tlocu�ent�and,ptor�is�,in:g�od,;faith�to d. :t..,
<br /> deliver it to'.t�et'�iwne�:�pilQ�`toicoi�ri�iericemen't.`��,, `�, . :; .. � .�' . .,� " �_ �. • = . ' , . �
<br /> �ONTRACT�R'S/01011NER'S AFFIDAViT: I.ceiki�y;�;tti�a#,�:ali`the�,irif.orm�tit�tir�i��thi�appiicetion ts accuret�.�nd that�ali wrork •
<br /> will'be done in compliance.wtth all.appitcabie�laws_regulating constructlon, zpning and;�land�:develop[n��t. Appttcatlon,is
<br /> hereby made ;#o�obfaln::a;pe:^entt:�;�to�.;;.da,�:a�o,�:;x�nd=�t�ista#1$tion as 1n�t�af�id;x=,-1� ceKiFyi that no work�or tnstaliation fia� �
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<br /> commenced p�to`r b i"ssuance of� perrriit and that;�all�work-wlll be pertormed�to meet=standards-ofi��all laws regula�ing•
<br /> cor�sbuctlart, County �n� G1ty cades,.z�ning regulattans� and land devetopment re�utatlons�"1n-t�e��:u�sdtctiort:��z'°1=�a1§o.:•
<br /> ce�tify th�t 1 understand thaf the�regu0ations of atF�erigavernment a�enci�s may•apply��tp.the,.intended:work� and that It ts �
<br /> my responsibiltty#o Identlfy•what.actions,I.mu.st�take��toj be;<i��cottlpllat�c�ce�qaSuch 4agenfcles°Uclude°but=,are.not llmited ta:.� - r ,
<br /> - Depar#men# of Et�vironmental.`Pirotectio'ri=�yp�ss�Bay�iead�; Wettand Areas and Environmentafty Sensitive
<br /> Lands,WaterNVasteuvaterTreatmenk. ' �.,. ' �� '" -� ��'" "
<br /> - Sou#hwest Ftorlda W�ter Managei�ient=:;.1�fs#ri�tr1Ne11s;��'�t%Yptes.s.`��B$y.#�e��;� 'Wetlar�d� Areas. Aitering
<br /> lNatercouraes. .y ..:.�* r;.� i ; :., : � .,,,� , _ ... . ,
<br /> - Army Corps Qf Englneer��Seawalls.'Do'cks�Navigatil�Waten�vays. , .
<br /> - .Depar#menty,,o,f:•;Me,alth�,B.,,Ret�ai�llitative,;�Seniicesi/Errvironm,ental�-F�ealth=Uitit:Wettsi s�VVt�stev�itert•Tna�tment; . . .
<br /> S�pti'c'�Taiiks:..�: - - � . • I _ .� .� �
<br /> - US Enuiconmeirt�l�Protectian Agea�y-As�estas abatement:.. #
<br /> �Federai Avlatton_Authori�/,=RunwriaiV s: � ��
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<br /> 1 understand.that�thevfo!lowing=;resUfctlons apply tc�tlie use of flN:
<br /> - Use of�tl:is no#a8awed in;FtoodsZone"V�unless expressly pernnitted.
<br /> - If tNe-�1�11 rtiete�ial��ts��to�°b.e usetl:7n:;Flood��one. �A", tt� is understood thaf=a drainage pl�n addresstng a
<br /> "compe�sating.yotume*,w111 be submltted a##1me of�petmtfting w�iich is prepsred by a professianat enginee"r,- `
<br /> Iloense�al.tiy'tlie;.�tat�qf�Flo�ide: - _ . � .,°
<br /> - !#th� fl!l���m�tertalw:is''to�tiei.used In Ftood;Zone 'A° In��conne�ion��vlth�a�petml#ted bt�lldtng asln� stem watt.,
<br /> conshuction,,.l-certify that�.fill:a�illl:b�e used oNy�#o flli the area�withln��the�stem-�wall: _ �
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<br /> - if fll! 'iriateNal�ls�to tie�used In��any aree� 1 �aectify that .us� af�such flll wNl nat adversely aife�t adJacent
<br /> proper#les...if:use:,of fi11 ls��;fo�nt��ta.-�dve_tsety;.,�ff�ct;adjacent;-prciperti+�:��.tt�e awner may be clted for vt�tattng. ' _
<br /> the condWonsYof�tfie b�illding�`permCt I�sued��u�de�tlie��at�ached,��rmlt:appllcatlan�for�lots�:less�:ihan�one (1)
<br /> acre wfileti are elevated`�liy flll;_a�t.engineer�ed dralnage plan�s requl�d. • ,
<br /> If i am the AGENT.FOR;TM��:O'YVNER;;I;.promise,ln„good;.f.alth to infarm°�tFie o.wner of��thia permitting conditlans.set forth tn
<br /> this affidavik prlor to��commeiaoing.consttvcNan. !under�it3aiind thet�a�s�p�rate'permit may be tequl�e►d for eteatricaf:work. - .
<br /> �:..a � �>�..�.s ,�.�
<br /> plumbing..stgns� w�tls..,Poais,..ait`cand��ontng;:ga�s��.or:oti��r Instali�tr ns no! spec�fiaaliy included-in.the�applic�tton. .A-
<br /> permtt Issued�hall be const�:ued to ti'ei'�a�license�,to���`�roceed wlkh�`tNe�wo�k and`.:nat�as:authoHty:b:_violate;=cancel� alter, ar
<br /> se#asOde�n funs ofyttie.tec�h�lc�l;codes;;nor stiaillssu�nce°of a.pecmEt.pcevent the Butldlrig C?f�tcia)fram thereaf�er �
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<br /> � requirin,g a;one tlon�af;errore in-, lans,;::consfructlan>o�iriolattons of-any�codes:�,:�very�p'ermit��l.ssued�shalf tiecom�r�invaltd
<br /> unless the wark authorized.by such pe�mlt:�i�.corx�men�ad�wlthln s�i�Cc��t�o�#hs of�pecmft lssuance, or if woric autharized by
<br /> the permlt is suspended��or�:abar�doned;:fnr-a.,periotl�of,�ix�f83'monfiis�efi�er,the�irr�e the�wor�k��s com�nenced.. An eutenston-
<br /> may be requested� In.wri�ing;�irom,the.;Building,Offloi'al f6r a period•-ndt.to exceed'rMnet�r�(90j��days a�id�w111"demonstrate
<br /> �ust�fabte°cause for:•the extenston. i�war�t ceas�es�for rilnety.�90)cans.�cutive day.�,..the;�ab_Is consEdeted aba�doned. .
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<br /> 1AIARNING Tt? OINN��t: YOU!'�ti.�AiLfJRE,�TQ.:l��,CORQ:A>I�d,,Q��lG�:Q��Ct?MM��t��IR!lEt�7'�;�!'AY=:RESULT IN°YOUR �
<br /> PAYtNt3 TWICE�FC►R�iMPRO�tEMENfi��.Tfl,Y�3U1�;:.PR4�?ERTY.���I�-;YOU?i�TEM�1L1ti�T���B�'AIN;FIN�iE1N�;�CINSUI.T
<br /> WIT G �O AN� O �' � �R� �}, ,... ..�. - �. ... ,
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<br /> FLQRtDA JtlRA�{F.S::t:lT:03} " _ , .'�, ,.._ „ ; . � . _ .�. �
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<br /> - - - .�_� _ �—.�_ .�-- -__ .�_ ,- . . _:�... - � `��- - -- -.__ _____._,_�__ _ ______
<br /> OWNER OR Ad�MT ,. . Cl'�N'd'RAGTO r� _ .
<br /> Suhscxfbad arn!swom to(or�flttmsd)befar�me thts { Sn 6ed stid' to{ot rttt�f}� .nttt�ri�.
<br /> br ' !��f'7 b'� ... . . , .. •
<br /> W�io Is/are persqnally known.to,m�or has�have,prcduced . � -Who _ ,, p.e nYa �CrtoWr��� nte;o�.#laslhav,e��roduced ••• .
<br /> . ' as'I�entl8i:a80e. � � ' � ��r'�i�� es Ede»tlNca�art.
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<br /> ` Nat�ary Publta II L���� Plotary Publfc
<br /> Gommisslon No` . II Commisaton• o, ,.�•,,,,,.,, .
<br /> ��: 's:; Commission#FF 150422
<br /> Name o0 Natary typed,pdnted or stamped II Neme of Notary r e� 8 -
<br /> t�sarance8pp.385-7018
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