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<br /> 410 3:. The und�csi r�ed,under�tands.th�#;this:=.p.�r=.mif�:may:be,subJect>to"deed";resUict.i.ons"sr..�..._.�;.�.
<br /> NOTiCE AF D�ED RI��.T.�G� N .h.,E::9 ., f�: {.� �;�:_,,...�.,r=.:. . r ,;-;.: .-
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<br /> which may��.tie<ri�iore��ri��triative��t#���i'Corinty_:�gr�i�t�ons�.�°The`�underslgned���ssumes�r�spon�ibitiiy��for.c�ciinpliancewifii�anjr .
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<br /> apPn�abi�:a�ea�re�t��tror,g: ..:�.�:::.::,:...;;�s=�.t ���p� ,-�� ..,... ....... . . � ....,. �x..._ :� ��
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<br /> _ RACTOR �ESPONSIBl�1TI�S:-�xlf=the-�o�mer':hasTMFilrec!"a�;c�ntt�ctor ar �
<br /> . _... .�.. . . . .. �..._ :
<br /> UNtICENSED•�CCjNTitACTORS�ANb C{?NT�, .
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<br /> tractors.to under#ake work,_ttts may�bsireqiilred.�to,�#���Iicens�tl._in.accocdance:wlth,staite�.and�local::�regulat[on.s_:��.if;the��:-. _. -
<br /> cxm ,, Y,� .�..�s";x_x.,��..�,.,.:;.;:...�.,,:.p..�._.,� f,.
<br /> contractof=ls�-not_Ilcensed�as��requlFeitr tiyA law,�:tioths-the ovimer and-con�racto'rX�may°�6e���ltetlstur;{�}�ml�d''emeanor xlalatlon
<br /> under state law. If the awner.ar Intended>.=con�ratictor;ere��:unc�rtal� �s�to.what Ilcensing.requlre�nents;m�y��aPpfj�:�fbr�the'���-�������a
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<br /> Intended woirk�tiiey are edvised'to�;i�int�ct�#h�;P.'a�co,Connty�aButtdin�;inspec#ion D�visio;,.n-�t•icen�ing Section et:T27-847-
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<br /> 8009. Furtfterrnore,�{i ttte owner�`Ft�is�"Nlrei!`a�cort��ractar sit�'ccntfactors. he is advised #a have�the can�fractobr{s��;,s�B!?�:;_�a,;:.:,,�,
<br /> portlons.ot_the.°contrectar._8lock"�.of>,thts,;appltcattonator.whlch..the►y,wllt,:beur.e�por�slble.rlf.-:you.-as�.Ythe,owrier�sig�I"n''as t"h'e
<br /> contraotor,that�may�be an Iridlcatton�ttiat'Fie�-1s not.p�ope�l`` Ucensed �e�itl�`ts not'en�tled to peiiririlttin ri�lle es In Pas!co ,
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<br /> TRANSPORTATit1R1�iMPAGTIUTILII'iES�(MN�►C��J4P���RE��1�ttCE RECtiVERY�EES:�T�he�undersigne�'under�tands .�
<br /> that Trenspar#��ian iteapactFees;s,nd:R�ca.urse.;R�cov��g/.Fee�..�iay�aRpiy��ta tfite:.construc#tan�of.new buildings,:ct�an�e��of=x2.``r.`�.:.r'
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<br /> use-In eiiisting buiidings, otx eicpar�sl6tr:�af=exls�in�?zlaultdl�gs, as speclft�d.in Pasc� County Or�dlna�ce number 89-�7 and ,
<br /> 90-07, as'amended..,,�Th� underslgned also;�understa�nds, thaitrsuch fees;�s�may�°b��due,T�wql3,=bs.td�int�ted at the�#ii�ie�ofµ�`�;-�'°l��`�:
<br /> permttting. It Is furttie�unde�stnod that Trai�ig��brtattan Impecf'Fees'and Resourae:Recouery�Fees must be patd pr(or to
<br /> recelving�a:"certl�cate�of oc�upa�cy"`�or fln�l�power��:ele�se:��:I��°the.pco�ect;doesfno�Involvet'a�.certfftcate of occupanay�}o"r`N�'��'���Y����
<br /> final power reiease�_.tttie�:fees�triusi�tia"p�id�,pcla�r to;permit Isst�ance. ,F��tk�ermore;�i�Pasco,County�'1AlaterJSewer�;itnpact=�->�<<a==`;�
<br /> fees are due,,they,must.b�a.pald;;p�fior...#a„petfiil�Isst�ance=ln,a+ccotdance u+i3ttt�:applfc�itit�Pascc.�Countji-ori3inances. •
<br /> CONSTt3U�'�t�N��:lEI�`�1dlt{�liapter 7'1S��1��'c!a�Q�ZuE+w+w,�s��ndac!): �f vatua�on of work 9s�2,500.00;or�more�,�i��.f. ;=::x:.
<br /> aerllfy ttiat .I; #he :sppllcant<<:-have,:been .provldetl �wlth-�-a-copy�-.of_�.�thef;"Elor�da��'Gon�tria�tloit�-�ten•`Law Homeow�er's
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<br /> Protectlon Quide" prepared by'ttie'�F1��1da depertmer�t�af Agrlcultnre and Cansum�cLAffalns. !f the appltcant!s someone�>,.-.. r>,�-,�
<br /> �,• �., �
<br /> other ihan the"awner", 1 certtfy�;th�at:l-h�v.e.:otjta�tneitl"a��'opy:of:the��b�ve:des�c'rlbed'�l�cuCrr�ent'and:.p�o�'ilse�ln:;goiril�faith�to _ �. �:t,�
<br /> deliverit�#a�.tFie:�;owrier"p�ioT-tai�rrimencert�ent�`'� . � > - rt . - _. _,. _..�. . . - , . ._. _ . , _..
<br /> GONTRACTOR'BtOWNER'S AF1=1DAVfT: I.�rt�yr:�#ta�t>.�tl:th��ir�f.omtiati+qn�i��this application is accurat�.�nd that ali wark
<br /> w10'be done In compllence.wlth afl.appficable�laws regulating construc#1on, zonfng ani���,land`°devefopm�nL Application„,is
<br /> hereby made to.abtaln::a.permit,rto..�doA�aa,�fl�,��nd���tt�stalla#!on a� lridt�etetl:�=�t:1� ce�lfy tha# no work�or Instatlatlon 1tasF
<br /> commenced�p�lor to Issuance of''a peri�lE and that�:aA v�ork wlll be perfo�med�to meet�=standanis-of<��all laws��egula�ing�
<br /> aonstrruction� County and Cliy codes� z.aning regulatlans� and land development r.egulatlons=ln ttie.j.urlsdlctton:-�`I��al'so:`•
<br /> certify that 1 understand#haf the regulations of ather�government agenctes may�apply:,to,�.the_.Intended..work, and th�t tt ts
<br /> my responsibility#o iden#ify•whak.acttons i,must.t�ke�;b�be;tnwcorilpl,ia�ca:�;Such�agenfcies4inctude�bura�e:nat Itmitedto:_� -
<br /> - Depar#ment of E�vironme�ital'Prote�on=G�rpress:`Bay}i'eed�;'Vf%�end Areas and Enyironr;rtentally Sensitive
<br /> Lands�W�teNWastewater Treatment, . " '` � �
<br /> - Southwest Florlda VVater Manageme'nt�����l�isfr,Ict-.Weqs;"''"Cyptess;�=Bey��ad�� �Wetlanil� Areas, Rltering
<br /> Watercouraes. ,`� -,-�; :� � , _ . ' � � . �
<br /> - Artny Corps af Engineers�Seawail�;'Docks�Navigable Waterways. -
<br /> - De artment_of.,H.eaith�:;B:,;Re�iabifit��ve�;Seritic�s/��vitanmentai�F��afth°llnit:Welis;:'V1�a�tewater�Treatiment, £
<br /> �' ,�.....,:., x,��:- ��,- ,�..�., ��
<br /> Sepllc�Tantis:..,•�, , : _ _ �
<br /> - US Environmental`Protectton Agency-Asb�eatos�batemen� . >
<br /> Federal�Avlet(on�Authorlty;;ftunwayss` � � � .
<br /> 1 understand.that.the�:foticwirig:�rest�t'ctions apply fo ti�e use of flIL•�
<br /> - -Use af ilti Is not afiowed 1naFiood;�Z.o,ne"V"untess expressiy p�rmitterd.
<br /> - !f the-�1! matetlal=fs.�to'�e us�:`In .ffoad Zone. "A", it !s understoad ttiaf.a draMage pl�n addre�ssing a
<br /> "compensating volume"w#!I be submltted at#Ime af��permitting whlch Is prepared by a professionel engineer ' �
<br /> Ilcenaeid by'thie-,St�ti��of�Fl6tlda: • �� �� - -
<br /> - If th� flll��materlal�.i"s�`to.be�us.ed�in Fload Zone "A" In�connecti�n�wlth:a��ermltted ba(Iding using stem wa!!,, „
<br /> . construction, t..certify.t��t:filt:vVili�be�used onty.#o fi0 the area withln�ttae�ste�n�wa11: �
<br /> - {f f3ll ri1t�lt8Tl�If`Is'to 'be��US9d•iiY.8�y 8t�28� t �ceittfyr fhat:us�. of;such�flti witl r�ot adverseiy affect ad)acent . ..
<br /> propertles.. 1�use..of;flfl ls..fonnd.to:adversaaEy:,��'�ct a�j��ent��prctpertfe��.#he owner may be citad far vi��ating. �
<br /> the cond�Po�swof�the bi�lldte�g�>permlt�=lssueid�u�det tt�a�'.aitta'ctied:_�e►rmlt�-�ppltcatlon�°foi:lats:less��than:one {1)
<br /> acre wFilcFi""are elevated��by flll;,��t,englneered dralnag�plan!s requtred.
<br /> tf t am#he AQENT FOR�:THE�OtiAtNER,.l.promtse ln;good,.f.alth to InformFthe owner of�the perrriltting conditlons set fotth In
<br /> thls affidavlt'priar fa coinnier�cln�ci9nstrucNon. t u�td�r�tani9 that,azs�parete�permtt nnay be requtred for electNcal work� . ..
<br /> �k�?^i. 37Ta ,
<br /> plumbing..s(gns� weNs�..:paols;..al�'cond�tlonlrtg;=:g�s,:;or.atheT Inst�ll�f�'ons not�spe��t�alty inclu�ted•tn.the�application. .A -
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<br /> permlt lssued�hall be construed to be e�1lcense�to`-proceed witla'thie.�work and:°not-as:�uthorlty-ta vlolate;��c:�r�cel� �Itet, ar
<br /> set aslde any�provlslons of tfie t�cli`alcal c�deis;;nor shall Issu�nce�of a:p�rmlt.pr.event the Bu!ldMg O#�lda!from thecea�ter �
<br /> requiring a co�reciion:-afyerron�ln,ptans.;.consfruction:.or.irlolatlons of�any�codes.��Wery�p'ermlt=�lssued s�tialFti'eac►me�lnvalld
<br /> untess the wark authortzed•by such permi#��ts.commence��withln_s#X.,,mon#hs of•permtt lssuance, or iF wa�k authorized by •
<br /> the permit is=suspended�or,:sbandan�d::for�;perlod;o€�six�:�)�inonf�s�:sfte�:.:tha ttrrae.the�wo�k��s commenced.. An extenslon
<br /> may be requested}_In.wrltlr;ig,..:fiom,t#ie;BuHding,Oificlal'for a perlod�not.#o excee�'=ntnety�{90)�day� ai�d�will�'demanstrate
<br /> Justl�able'cause for.�the extenston; !f work ceas.+e�=for nlneqr.�90j cons.�cutive:dey.�...lh,jab`ts considered aba�doned.
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<br /> 1i�ARMING TA OWN�R: YdUR�.FA1tURE::;TtS.,,R�ECO�tQ;A#I�ICMT�ICE�:OF:�COMMENGEMEI�T•:MAY=RESt�ILT`IN��YOUR �
<br /> PAYINC�B TWlGE:t=0R�1MPRO�EMEN.�'l��.T�Y�.U_it>.p�ORERIY.�'�i�°:YD.Uat�''f'E�D+���Q��OBT�IN��FiNiAM�iN�;'CONSULT
<br /> WIT Df P� O t'��:}� _p :, �t.. - - :�:- ., —_
<br /> FI.ORIbA JURA�=(F+S:;t1 .03}.,- �- . _ � , .. . �� � . „� � ..i.�;, . , , . . . . .
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<br /> OWN�R OR AdENT � . CONTRAGTQ "' f
<br /> 3ubsalbed artti swa M(or a ed)before e Subsctlb�d and' �to(ot afllrtnedj�b" ' ��tne tht� '�—��
<br /> :Z'1`?,1 bv _ h1 L 1Y115Lft�''9 - - '"' .. -�h�� ,�.,
<br /> Wfio lelare ersonallyJ�owt�to.me.or:haslhaue.ptoduced . Who.islass .erson811ykttouupr. .me:.or,:ilaefisv,c:praduced �•
<br /> a"s Id`endflca80ri. ' ' _,�_as IdenBRcaBon.
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<br /> r � Not�ry Aubita . �_:.� Notary Publlc
<br /> C sion N ;,, '~'`'"'i""�""�'"��' Com selon.No. �
<br /> s,�`�r��+�„"�":"'"—"°'�'k�1°y!-C7k�P8Ett'-'+ pa����•u, SYLVfA A.CAMPBELL
<br /> � `;.�' `�_, Notary Pubilc�State of Florida ,�.�� v"�,;
<br /> Name of Noia � fdame ot Notery brped,prin � � Mjr Gomm.,Expireff Ju!t 9;20t 7 .
<br /> -��,�n�.�.' Commission�FF 434250 •;� r Commission�R�F�034230
<br /> � ��������" , Bbnded Yhrou gh Na tlo q a f N o t a ry A s s n. �•,�o�r�.+•°
<br /> �tn��.+• Bbnded'ihrough Nation8l Notary Assn:
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