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<br /> !E 4R�DEED REB.T.I�CTtQT�S.. The.und�rslgn�d,under�tandsu�h�t�thl�� �xm�ft;may::be,sub�,a,c#:.to`deed"r�s�l�tlarts° `.�
<br /> B�t�}T1� ,; _ z �..,. , � �. t. .�
<br /> �p i.`�-'�4�i' i<��.`.i t.,.$.x.,d;,. K..�.: �'� �',. cv^� : ;da:,,i�:-s�:*
<br /> which may-;tie mor:e�res#a�ct(ve�tha�t�Cbuc��ly:i�g�:latfons.��Ttie�>underslgned'�as�um�s°responsftilitty�for"compliance•.with ariy"
<br /> applicable_.desd'restrfcttons.. � � ':,«.�_y,...;,,,.:�:_�....:.. ' _ " . ' �,+ �'w...l:';� rr,•�.i.�
<br /> �, . n ._..._...._._�..
<br /> UNLiCEMSEt?��CONTRACTORS-+.AND �CClN�RACTOR•RESPONSI�1CiT1�S:�:�°tf�=tiie�owrier�:fias'titt`edte�".coritiractor ar �
<br /> contractors.taundertake�,work;'tkrey.nnay.�bearequli�i�d:.to:,ia�;ltcensed°-ln;acc�airdanca:with;state.,andAlo.cal;:regulattoC�s:���if{,the�.J. K�-�= �
<br /> '..., .. . 4 ...,i.,a... 'rv�. .�4 . '*..�^.,iw r.. r: .e� `r,:�.+. . .. .... .....�, . � �
<br /> conUactar°Is�-not�tEcense��as�f�quli�if.tiy�t�r. batlr#lie awner ar,�d=confgsctarsmay b`sriclted�for'aimi�c3eirieanor vtolation
<br /> under state law. If the awner.ar Intended;�contra,�,torri�arei;.uncertaln as_to..wfiat�ltcensing.require�entsarr�ey��epplyrr�fo��'the`��������;��.�'"
<br /> j. ,.., ,
<br /> intended work,;t#iejr a�e,;aslvl§etl��to;�ntact:tt�e_�Pasco Caunty_:Bulldliig inspe�tlon D(vislon-�l:lcensing Sect#on at.727-8�4F-
<br /> 8008. Furtiiermore, tf #he own�r fias`fiin3+ii e cofitracEor�'or+coritractors� ite is advlsed ta have;'the cantractar(s)�,}:sign�y r=,7-t;.
<br /> portlans of th.e.�"co�tcector_Block".of,.this.,appllcatlan for_which..#hey.>wlll,;,b.eer,esponsible:���ifrycu,�as:the ``'ovvne��"sijgn as`t1ie
<br /> c4ntractor,that�ma�6e�n fidlca#lon t�iet'Fi�°-1s"iio#`:Pr��r�1lcensed"ian�'`Is"�not'eii�ed to�perr"i�ilEtliig�prtulleges fn Pasca � .. ,
<br /> Counly. , • �; 7:�;:;..y��a.��-� :.�1;�
<br /> TRAN�PORTATlt1N�IMPAGT/l!T!!#TIES��fMP�C'��A�t��ItESAU�CE RECClVEEtY•FEES:�'T�t��untl�rsl�ne�understaads '
<br /> thatTranspartation ImpacE F�svand,,Reco.urse Re�cavery.Fees,may�apply�to�t6e��consbv�tion:of nsw buiidings�:chan�e�icf="}"5:'�=�':=
<br /> use in existing bulldings� or:.expar�sibn<of��exlsli�,��bulldings, as speclfled.tn Pascq Co'unty O�+dinance number 89-07 and_
<br /> 90-01, as amended:,,.,;.,'�he underslgned alsa;�uRderst�cids; fha�:,such fees;�as�tnay���:=d�ze;��w111�-be ldeiif�fed a#the.tii�ie4o�`�: ^:r���'�;
<br /> permlNing. It Is fiir'ttie�understood that Trai�sryoFkallon Impacf�Fees aii�`��R�source.:Recoi�sry�Fees�,mu�t be paid prlo�to
<br /> receEving.a"cert�icate�-of.occ�pa�►cy":or:final��ower•;cetease:"'���the.proJ�ct�does=no��l�avolve�`a:ce�t�tcafe of occuparicy;c��-'•t,,��:��-'
<br /> ,....
<br /> flnai power.release,��titet;fees.mu�t��tie petd���pelor to;pemnft Issu�n'ce. F��thermore;�i��P�asco,Count�AWaterlSewer�Jmpact4.-::���:��;•�°
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<br /> fee�are.due;;:fiFigy;e��i�&.b�,p��d'p������a�;:pes��t=.ls�t�s�nc�,Ir�,���oc��ra�:wlt�:�ppll��ble-P��co:Countji.�oidinances, .
<br /> C�NSTRUCTIOM'LIEN"IA-YV(Cfiapt�r 713�Florttla��tatutes�aa arnende�l): Itvsiva�on otWork Is�2;600.00�or more..�};�:!: =:��,
<br /> cerlify that�I, the�:applicant;.-heve.been providetl°with:�a--copy�.of.�the��"Florida°°�onstruction:�Lien�,lL`'aw-�Homeowner's �
<br /> Pro#ectlon Guide"prepared by�ttie�f'lo��a Deparfiner�t�,of Agrlcs�lt�re ai�� Cans,�m�er�fAf,talrs. tf fhe�app�[cant fs,someone-.,.,.:�y,;•--,:;
<br /> ot�er than#he'owner", I certifyr.th�t:I;.have,optaine�d"a�copyrof..#he�;abov.e:.des,crlti�ed�ilocuf�ent>and.;p,rumi�e�°in;goad�f�ith�,to . . -. �,
<br /> deliver IYto",the::;ovviie�:�:prlor°#o�i�rnmenceri^iiant��;;, • � . " ` •` . - � .. ,. . . . - � . .
<br /> C�NTRItCTOR'Sl4WNER'S AFFiDAViT: I.ceKiGy;:�,tt:iat::�it��the��iiif.ormatton��l���thia appltcatton i�accura#�.and that ail�wark
<br /> will'be done in compliance wtth all.appitcable laws regulating conatnrctlon� zoning and:�land�"develo�m�nt. Appltcatton,ls
<br /> hereby made, ta=obtaln:a.perm�t.,to;;do;wofk;?and�'1�istiatlatlan es Iridt�eted:F-°�`�#� cenityt that na wark�or tnstaltatlon�tias�° �
<br /> commenced�prio� ta issuanc� of��a� permif and that�:all rhrork wlll be pe►formed�to meet=.standards-aif:all laws regulating-
<br /> consMtctlon, Gounty and City codes, zantng f�gulatia�ns� and land d�vebpment r.egu#a�o�s��n�t1ie:jurlsdlctlon:��i 1.a1'so. -
<br /> aertify that 1 u�der�tand that the regulatlons of ottier gove�ment agencles may�apply�.to:.the��lntended.work� and that it(s '
<br /> my responslbtllty to identffy•whak.acttons I:must take,t;o,be,;ln{carr,lp!lat�ce:Y;3uchtagencleshlnclude'but�ate..not Iim{ted to::. =�-
<br /> - Department of Efiviranmental>'Protectiori-Gyp're'ss:'BayMead�; 1Netiand Areas and E�vtronmentaily Sensitive
<br /> Lands,Waterl!lVastewater Treatment. _. " �'� � ��� �.
<br /> - Southwest Flortda VYater Management�>:1�1s#r�c#-Wells;'�'°Cypt9ess:a8ay�iead�,- �Wetland �lreas, Alte�ng
<br /> Watercourses. � -�; .,>� ,r . -_ ' " " . , . . ,
<br /> - Army Corps o#Englneer§�Seawalls,�Docks�Navlgaiile Watetways. ;
<br /> - :Departmen#.:.of;He,atth�:;a8�,:,,Ret��bllitafive�.�;Services%Envitanrnen#al�F#ea1#h�Unit-Wet{.s;:V1�astewwater�Tr��tment; � `
<br /> Septic Tanks..u:- -- _ _ . . , . . . . .. . ,
<br /> - t��Ec�vtronm�n#al�Protec4�ari Age�cyr�4sb��ito�ab�t�mes�t� , .
<br /> Federal�AVlettonFAutho�ity-Runways:�,� � -
<br /> !wdetsland that•the�fiiilowing:rrestN�tl'ons apply fa tFie use of flll:•
<br /> - Use o�fill is n+ot aliawed in.iFfood�tona"V"unleas expressiy permitted.
<br /> - If the���ll-mate�lalwls �to�;�b.e �us+atl;`In:;Flood �one. "A", tt Is under�toad that�a drainage plan addressing a
<br /> °compe�tsating.volume".wlll bs submltted at#ime af�permttting whlch #s prepared by a professional er�gineier --- - -_-
<br /> — ___. —,YO�rvYi���u :aa....._c+x'.,4. .i�%M`,...a:�... —.:��.r._..—.. � .. . ----=--. '__ —
<br /> - f 1��6;��&r6 vi�;r��ri wd.
<br /> - ff t�� flH ma#erlal=�.ls�#o:ba,used�tn Flood �one "A" in�can�ectlon�wlth�e���ermlt��d buiEdtng using stem waiE,: ..
<br /> � construction,.l certify;tiiat:tUt:wail:b:e>used only.to.flll the area within�the��rtem��wail: • ,
<br /> - � If fill mateiial'1s-to '�e used in�any _area; I �certf�r that .usa af;such�fll! wlil not adversely affe�t adja�ent =
<br /> propertles._If�.use;_of f111.�Is::f�t�ncF_to-adverse�y;,�ffect adjacent'prc�pertles,.the awnar may be cited for vtoi�ting, -_
<br /> the condl#lons.:of�the..bullding'pernilt•�Issued�under tlie'�it�acFied;_�ermlt_appllcatlonM�for°lots�.less�than:one (1)
<br /> aare w�iic�i a're elevated��6y�Il,,��t.engineersd dr�lnag�plan�S required. • ..
<br /> if!am the ACENT�OR,TME•:OWNER;;I;promise in:.good,.f.aith M infor�n�the a.wner of�the permitting condRlons set forth In
<br /> I thts aftidavit'prior to commeracing construction. 1 understand#hat�azs+�parate`pecmlt may be tequtred for electrtcat:wark, .
<br /> ,.�„_ k��:�� �;
<br /> ptumbtng,,slgns, wetls�,paotsi«a1r�.cond��aning;-.ga,s,�;or.o,fher insfaft��"�ins not.spec�taatty Included�in.the�apptication. .A _
<br /> permft Issuetl �hall be coiristrued to:`b`e a'Iicense"•to'��roceed with"tNe.viiork and not�as:authoHty;b:violate;�xc�ncel� alter, ar
<br /> set aslde any`ptavE�Eons af the.#echntcai_cade�:�nor shait issu�nce�of a.permtt.pr.�ven#the eulldlrig Oft3clat from therea#ter �
<br /> nQes� he�k atiitho zed b such ns�'�mi��tFuatiot�..oc.violatlons of�any�codes:��°�very�p�rmtt=�lss'ued�stiali�tiecome��invalid
<br /> y P commenaad within s�c.,mo�ths of�permft Issuanae, ar if work authorized by
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<br /> #he pennit is>suspended�ar;ai�ac�donedufor a;perlad�o€�six��)�mon�s��fte�the ti�e.the�wortc�ts commenced.. An e�ctenston
<br /> may be requested�in.writir.�`g�•�:f�am,:tHe;Building,Offlclai�far a pefriod..not.to exceed"�ntnety�(90j��days a�d��wlll�demonstrate
<br /> Justifl�ble'cause for:�#he exfen�lo�. If wortc ceas.�=far n1�e#y.�90}cons.ec�tive:.day.�t..the job�is.consldered at�a�doned. • •
<br /> WARNtN� Tt? OWNER: YQUlt..E�ILURE;:TQ,.i��E�GQRQ.A�MC►T�1G�:�F.�Ct?MME�f��ME#�=.NtAYsRESU�T�iN�-YOUR �
<br /> uPA. 1FtNt�TWiCE;.FOR�iMPRO�/EM�N,�`S•:Tfl%�X,OUR4�P�L3RER�T:1F:�,1��=Yy��{U��=1s�'�E�I/D.�:TQCr�,�/8�7'�A1N�FINi�►��fN�;'C.QNSUL?
<br /> ■•� � O� FD ti, m,"�'VVR'' M a��'"¢`W' -.,---- '_
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<br /> �R.ORIQA JURAfi�{p,S:�t:17� } � ,., � .
<br /> OWNER OR AOEN .. _ � . . CONTRllGTO /�/ �
<br /> Subscxibed and Sgr�flirt�)be�aro me � Subsc�fbed'snd'svw t aflt ra e'ft�tb '
<br /> ;�.-i-17 b�t�r,ri/� 3c.�'t��' � a:�-,�� .,.by. -. � � �_._
<br /> Wfiol a�e pers�nal avmto.me.or.haalhave,produced , Who.Is/ p.e�s�pn�,elly_.��t •to.me�er�t� .� •r.�•�rr,dix;ed � -
<br /> �'Gt}Yt(l�.r�-�� :as 1d'en�RcaBori. ". - - ���t`U�t tIJ�� � es tdenK�cation.
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<br /> �N� ubflc . � L�'"'�- ���� Notary Pubilc
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<br /> Comm on N �` •�'��"j��••.. JACQUE E BOGES Comm1�an•No, .:,.r.M,:.�
<br /> s�: �� . . �-�13`'�t8tr#i�-i�56�rz`ry�— - .
<br /> ^�pcember 12i GO�S `�`Q�i;hPY'?yB��� JACQUEL.I�• �� ��i j
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<br /> Name ot Natary typed,Printed ot stamp Name of Nofary typ _�i .,� �ed:,_...�,: ;`r.' '�718
<br /> �'••."`�- ,`. j } f .385�7d18
<br /> ��'�ipi1����Q�,� BondedTh, ,.:=a^ -
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