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<br /> NO'nCE A��DEED RESTRICTIONS: The.und�r�lgned;under�tar�dsm:t�t�txthls=��rmiE�=.r.rmayr_be,sub�ecfi>to,�deed"�resUlctlons°:`µ�..,..,::�.�
<br /> which m�y:'.�be=moi?e.�r�'�tt�ctive��t#ia�'Gouri�y';�ag�Mat�ons::.�'The^under�lgned'assumes�responsltifltty�for�coFn'pUan'�ce`with�2fiy �-
<br /> appllcable:deed;re�trictions. � ...:,:.:.:==���:s;:3,'a�.�-�..::,��; ". • _ . ...., ..,. � .�n--�---... .. =� ��.�.:..4 �,-.,_.�..�r
<br /> t�N�.iCENS�ED•nCONTRACTCfRS�:I�Nb �Ci�NTttACTOR�-RESPONSIBICiTtES::�:tfi�t�ie�°�ovmer" h�s'�tiiretl"`�"cairittactor ar
<br /> contractors to undertake worii,tFrey,rriay,beirequ;li�,e:dAt6.j�beoltcensecl,lr��aacardance.with�state�.and=local;:regulaH._o..ns:t�:lf�the�'�:�`:- .-��
<br /> cor�trac#or=1s�-ndt'licerised==as-i�equi�`tiy law,�tio�`ttie ovmer a� conti��c#oT=�rrisy°�#e��a�ed�.far=�r�ml§clemesnor vlalat#on
<br /> under state law. If the owner.or Intended,}a�co.n#ra�tor_are;,uncerteln as to what Ilcensing,cequirements,lmay�?epply1�for�ttie�;X��°�=��=:`N
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<br /> Int�nded vvoifc,ttiey are'advl§ei!`to ciintact.�ttie�Pasco:�Gounty Bufldingainspectfon4Dlvl�ilqn-L.icensing Secticn at.727-847-
<br /> 80�9. Fuc#hermore, tf��the ouvrter`'h2is�`iiii�d�a�caii�actoT 6��corittactors� he is advised tn have,,the,can$ractor(s),�sign�,.l,,.�,_r,.;,, ,
<br /> portlans of the�,°cantcector.:8lock' mf..,thle,:,appllcattanTfor.,whlchn.they-wil�,.b.e�r.esponslble:-:Ifryau,.mas�.,the_ovimer,sign as the�
<br /> �ontractor,that�may be an indic�tioi�'t�iat'fie Is�noE"pr��iei�y':Ilcensed an�'Is"�riot�sntltlet�=to permltt�ng priullege.s 1n P�st� ,. . ,.
<br /> CDun�. " ' 't ��.a'-;:F`u'r. .�� 6_:,8dx
<br /> TRANSPbRTAT14N=lMP�4CTtUT!l:6T1ES�1�lP�aCT�A1���RE��UltCE RECQYEEtY fEES;'Yhe�untleisf�iiie�unders#ands
<br /> that Trenspartation 8re�pact Fees and.Reco.ucse.Recovsry_�ees.maj��;sppty<#o�tbe'kconsbucti.on;cf new�bulldtngs�fchan�e�'of�#``'�'�v`���`�
<br /> use in�exis8ng bulldings,`o��zexparisl�ir�of��iklati��:•�bulli�ings� as epecffied.Ir� P�scv County Or'dtnance�number 89-07 and:
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<br /> 90-�?, as amencl,e,d.,.:_;Th� �ndecslgned also;,uridar�tands; ti�ait�such.fees,bas�may�,t��due,c�tittz�6e 1+denti�ed at the��time�of:����:�``����'='r
<br /> permltt(ng. It Is tuirtFieir�nderstood that Tra�s��ortatlon Impaof Fees aiiit`Resour�ce�Reco�ery�fees�mua# be pald prlor to
<br /> cece�ving�a'ce�tlElcate:ot�occupa�t�"'.ar��flnal�pawer-�elease. .1�the.ptajec#:.doessno�Irnrolve.a�c�rti�cate af occupaniijt=o���'�":"°=�;r
<br /> flnai power.release;��tiie-;fees�irius�t�ae"paf8;prlor#o;pecmlt Issuarice. F�ttk�ermare�:If:Pasco,.County�lNaterl$e�►er:lmpact=���>,w��:��
<br /> fees are due,..they.�m,ust,be-pald,pclor.ta,,p�rmitrlss.t�ancei�ln.�ccocdance;�ii�ltf�r::appticable:Pasco'>Caunty��o�dinances. -
<br /> C�N�TI3UCTtOA1`t1EN!„�.A�lV(Ctiapter T1S��tot���Stat�a���n���a�nd��): I#vaivatlon of waric is�2,500.00;or..�more;;}I�° �s ,•:���y:.
<br /> cerlify that I, lhe.•:appllcant,:�-have.,been pr=ovldetl��wlkh��a~copy-.of-�the�:".1=1o�lda~Constivcttori�-Llen�:Law--Homec�wner's
<br /> Protectlon Gu#de" prepared 6j+�t�ie Floi�da Depart�me�t'.of Agrlc�tt�re and Consca,m�r�AfFal�s. tf the appllcant 1s.sameone:.,.;.•.:..<Y�
<br /> other than the`owner",,I certiFj►,�.th�t:l�tiave,obtainetl"a��i�ipy;of:#he4ab.ave;des.crlbed`:�'ocu�ent�and:p,ror�lsi�`In;good:,faltF�to .,.. �- :s�
<br /> delive�It"to:.ttie::'owi�er"piioi�fa�comtitenceriieitt�;,s. ,. , , �. - �M . . _-. . . � . . ._ -
<br /> ��NTRJ�CTOR'SiOWNER'S AFFIDAViT: i.cei�tity��#f!i�at:ali�•.thec�,informetlor�:l�r�#hi�appllcatlon t� accurat�.�nd that atl work �
<br /> w(II'b� done in campliance with all.appllcable (aws regulating constructlon� zoning and;lan�`developm�nt.�Appl[catton !s
<br /> hereby made:to ob#atrt��:a.permit�,�#o:�;do�wo��,and:t�istall$tton ss in�i�ete:�:r:;��l� cettt#y thet na wark�or tnstalt�tfion tias� .
<br /> commenced p�io� to Issuance of.a perrriit'�and th�t�:alluwork wlll be perFo�med�ta meet-standards-�of:all laws regula�ing-
<br /> �anstructlan, Gounty and Gity �des, zoning regulatlo�ns, and land devetopmer�# regtita�orisR Iri�tFie jurisdtc#1ari:t-='�t=-a1'so== -
<br /> ce�lfy that 1 u�derstand that th�r�gulattons of a�the�gavernment�gencles may�apply.�.#a.the_vintended.work� and that it Is
<br /> my responsib!ltty to ldentfFy�what:actlons I:mt�st�t�ke:to be:4l�=compl4a�ce�,Y:S,uch:agencl�s�lnclud�b�t�afe;not iimlted�#o..• �
<br /> - Department of E�rvlronmental:'Pro'tectiori-�'`�"ress'Ba�iiead�``1l{le�and Areas and Envlrorimentatl Sensltive
<br /> �YP,:,... .. y. ' Y
<br /> Lands,WaterlVUastewater Trealment: .... �� "' ' � �
<br /> - Southwest Florida W�#�r 6utanagament=�.t7P�#r1ct-Wells,'`"CYptes,s.��8eyliead��� �Wetland Areas� Altaring
<br /> Watercourses. - . :�- - . , .
<br /> - Army Corps o#Englneers�Seawall`s��':Dacks,ld�vfgatile Watarvvays, .
<br /> - t3epar,t,ment:�of.,_Mealth�.,�,,,Rel�abliltafivi�;,eSer�utces/Environmen#�ItMealth°Uhtt:Welts+�Wastewater��Treat'ment, '
<br /> Sepftc`Tan�s::.... . � ' . ' .: . _
<br /> - US Envlronmerttal�Prot�tctlon Ager�cy-Asbestos�bateme,n� �
<br /> - Federal�Avlatlo�.Autho�lty.=:Runways::
<br /> !understant!.that.the,:foltowtng;i�estrlctlons apply�to t�ie�se of flll:
<br /> - �Use ai`flll is not,atlawed iniFlood,�Z.o,ne"V"unless expressly permltted. '
<br /> _- If the-:flll�matettalµ4ls�"fo�'tie usei�i;�In�:flvod�Zone. "A", tk !s under"stood that-�a dr�lnage pfan addiessing a ,
<br /> "compe�sating vofiume",wiil be submi#ted at#ime of-per•mitting w6ich is prepared by a prafessiona) engineer� "
<br /> Ilcensed.by�the�tate�of:FM6flda: , - � -�• �-
<br /> - . �f-th� t�ll'materlalY:ls�to tie�used in Ftood �one "A° �n.�cann�c�ian��vtth�$¢ermltted bi�ilding using stem wa11, .,
<br /> . constructton,:lcertify;tliat:fill:�iaA:be;used only.to..flll the ar�a�wlthln�the�stem-wall: • �
<br /> - If flll mate�la!`t� to be�used in•.anp area;' 1 �ae�tlty that .use bf�such fll! w111 not adverseiy affeat adfacent ,
<br /> proper#tes.. .li..use:of fili,is fot�ncF�to.adverst�Fy��ffec#adja�:ent�;pra�per#tes�.the owner may be ctted for arlbCating. -.
<br /> the condl#ions��of.the;bulldirig:perrrilt�Issried�u�der ttia�atEacfied,�ermlt:appllcatlon�°for:lots�.le"ss�than'one (1)
<br /> acre wtilct�er�s ele'vated��6yi�tk��engMeer�ed dr�lnage plan is requleed.
<br /> If I am the AC�ENT�FOR Tk1��OWNEIt, I�.promise In_good�f.alth to Infarm°•the owner of the permltting condl#lans set forth In
<br /> thts affidavtt'pr1aP ta�comine�acing constructlan. �1`uiiilsrs4ai�d:that_a2separate�permlt may be tequlred for electrlcal`v�►ork, -
<br /> ptumbing,,signs� welta,.pootsi.ait`"conditioning;�:g�s;�or.oti�er":. tnstall�it�"qn� not�sp�c�laal�r lncluded�in.the�applicatfon. .A • .
<br /> permlt Issued shall be co'ristcue'.d to.;be�a°Ilaense'�to�procaed wlth'�ttie;,wo�k�nd�not as:authoNty:.�to:.vlolate,:'cancel� alter, or
<br /> set aside aiiy provlstons of tFie`tecltriical.c�d�s;;nor shall fssu�nce�af a.permi�.pr.event fhe�Bulldirig CNflctat from ther.ea�er �
<br /> requlring a correcNan af enors.in-.plans,�consfructlan..or.irlolatlans of-any codes:� �very=p�ermtt��lssued stialF•tiecome�tnvalid
<br /> unless the wrirk authoilzei�:by such perrt�lt:��s-commen�ed�wlthfn si�t.,mor�ths of�pern��t lssuance. or If work au#ho�ized by
<br /> #he permif is suspended:or�:abandoned�for:a�;period;�of�slx~;(8)�montfis:�:after the tlrne the�wo�"k�ls commen�ed.. An`e�ctensta��
<br /> may be �equested� In.writing;�fram,the:Bullding,Offlclal�far a perlodtinat.to exaeed"ntnet��(90)�d�ys a�d�viilA�demonstnate
<br /> �ust�iabie'cause for.�#tte e�ertstor�: I�work ce�s�.for nlr�e#y.{90)cons.ecu#Ive�days...the�ab;is considered aba�doned.
<br /> 1RlAltl�lNG Tt? �WNEf�: YOU�t,.FAl1�lRE:.:TC1,:Fi�CQRQ.AP1�lO�T1GE:��>�COMME�I��iME[+�T�NtAYr.RESUlT IN��Y�UR
<br /> Pd�Y1N1�TWI.CE,FCIR�IMPROVEM�W'1'�•.Tfl;�aF�U.R��:PRQ�ERIY:��1�°.YO.U�IhF�'EWD��T�`��BTI�IN�FiMiI�I�E1N�fs;.'CQN9ULT
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<br /> ;5_���nd swom to{or� gd}before me thts Su�sc�bed and` ot al3trm b � ` e ftii�
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<br /> Wfio Isfare rsanally knovm .me.or:has/have.prcduced Who.le/a� .ersnnaAy�Cn to:tne.;er:ttess�have•�frodi�ced •�
<br /> as Id�ri$�astl0�. � . as idenBRca�an.
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<br /> '��G�...�- - Not�ary Publlc . �� Nofary Publlc
<br /> ' Got►t�ntssRc o':••"'",•,a &YLYlA It.CAMPHELL
<br /> Co atan.No. .����t,
<br /> �r° r'-; Nofary Publia-State af Ptarida' � ..
<br /> =• " "•= - r s 19 2017 .�'� �_.Nafa►y Publfc•St�te ql F.lorida
<br /> Name ot IVo , q��#���i�fF 03�230 R}ame of Notary �' .. ission�Y Ff 034238 �
<br /> _' ��'���°����°�� Banded'Throuph Nptional Notary Asan. ��'��„� �'��, BDndtd�fhrouph Natioml NWary Asan.
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