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<br /> t�{/� �F DEED RESTR1CTtONS: Tn�:una�r�z����.ur,a�r�rar,a�;th�t�thl�;;p@rmi�i.may:.be,,sub)ect.tt�..".,deed"�r...est�ctlans°� .
<br /> tSVE — ' .r. ,.�n�.r;, �r=r.k"'•7.' N^�'':.,�.cji''�'�'�,�5'l.::as�..i,:.;;. ' 'C:�,^:-., ':F'��` ..
<br /> ich ma �tie;more��r.est�Ictive.�t�i���County,'rre�l�tforis�:°`�The�'r'inderslgried'<a��'umeg{reisp�`nsiblli'tj��#or-compliance'�with,any` ,
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<br /> 7��GSb�$';.t��$if:T'@$�G�30115, _ :,t,�:f; �';4e'_�..,�.�'�;;�--:" ! ' - - - - -_, _ .�. , .-:. ,._ ,.r., ,.,..,...._..: ' ,.,;
<br /> IUCEN$ED';;CANTRAC�ORS�:AND'�CONTRACTOR RESPON�I�I�lt1�3:�r�=if�=tiae�owner�ha�'�hir.ed°����"coritrectar�or
<br /> e work :the ;me :;be:.r.e utr$tl:ito�be:,licensec!`=1n�:accordartce.iwith�state�.and`.laca!-,regu.l,atton5::�:if�.tiie�:h,°::'�;-,;;�,°� ,
<br /> �tractars to undertak , Yr Y., .,�.,�9._...,.:.� s : z- - -s..;..;�:��,-..r:....���,.ru: _ .. r . .: _
<br /> �tractor:;ls;.not�:ltcensed=a�;requtreil.Eby_law;.tiotYi�_tlie owner and�ccrtftactor�m�y�be��cltedrfor~�a�irilsdetinea�►ot vlotation _ ,
<br /> ier state law. If tfie owner or Intended>>!c�ntra�to,r�a�reYunaertaln-�as to what'llcensing,,requicements:imayr�appiy?.ifor��tfie=,�-;,���--����" `
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<br /> a�tded`inrork�t�iey�are advised to:coritaat tFie Pasca�outify,Buftdfng;'Inspectfo��Q�vlsloci--l.tc•ens1��.Sec#ton,at 727=84t
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<br /> )9. Furthernio�e,:�if'tFie=a�emer F�as"FiCri�d�'a conhar;tor'or conCractors,. he 1s �dvised`to have;�. e .cantractor{s)„sign., ,,,;
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<br /> tlans of'the_"contrector Block".of.`_thls^_appltcatlon�tor.,vvhlch,they,:.wlll.,be;:re.sponsl�le.�,:,li�you:�{as'_.#l�e:oinrnei�_slgn:�as''tt'ie : ' ;
<br /> itractai,#tist��riiay'be�ari intlicatibn th�it�:he fs�not':prope�jlicensetl�aiid is�.not�entitied�#c petini�ing pr�rileges,,in Pasca,. ;Y .
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<br /> ANSPORTA'�I�N.:IMPJ0.CT/ti'i'lE.�1'�fES�1MRflC`1NA�b`�I�ESQ�lRCE R�CQ11�EtY-FEES;�Tlf{a�un+derslgrre�"iinders#ands '".
<br /> t Trenspo�tatian Impaat Fees:and.Reco.utse Recove.ry-Fees may�apply.�,ta the i�onatructlon.,o#,new:builitlings;,sahange°of"�"�'°�" `�� .s �
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<br /> r In exlstCng bu!ldings;fa�r,<;expa�isf�r�i�t:of��e�ls#i��5�iiltllrigs, as spectfled.ln Pas+c+a County Ordlnance_number 89-07 and �
<br /> 07', as amende.d,;,:Th�.undetsigned aiso.;und+arsta�ds, th�l`suok fees;;as tnay�:�e.-due;;,witl:.be ideritffied at the`tiiiie�of�:,-A_,,;:r.,:,:-,...; ,; `
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<br /> mitting. It Is fu�r'ft�e�'understood that Tra�i�po�tatlon Impa�t'"Feeg andF�i��Bour.ae';Rei�►.e�i��FeeswinusY be pald prlar to '�
<br /> eEving a"cetflffcate�of�ocxupancy-"-�or�fltta�-pawer..=.�elease. �:1€�the pro��cct;,does:ti���irnralve.a�cert�cate af acc.�patiey=ar.:"��=;s,,�. ;
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<br /> d power_release,_#he��fees?;mu9t�.;tiisi paldr.prlor#o,permR Issu�nce. :F��kk�ermare,.�if�Pascmk:County:°Water/Sewerlmpact:: °-�••��
<br /> s are due��they_must be:pald p�lar to permiE•Issuan�e.tn_accon!'ance:wtt�:aPPltca�le�Pasco-County�:o%�Inances.
<br /> �NSSTRUCTfON'tiEN,LAVIt(Cfiapter 713�Fior#da'$tatutes�aas emended); tf valuadon of work Is.$2,5q0.00aor:mor,e;J� ; � ;�-.��
<br /> tify that �, the.applicant,_.krave-�tieen-,provided.with.�-a��copy_:of;:�the_,�"FIo�Ida•�•Consttictian�`�Llert-Lavw-Homeowner's
<br /> �#eotbn Gulde"prepared by ft�e'�FIor3�a t?eParttraer�t�of Agrlcutti�re and Cansr�m�sc:A.ff,alrs: 1�the appllcant is sotrteone: :,.,, _-.�.�� ,
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<br /> er than thQ`owner"� I certifjr..;.ih�t;i;hav.e:,ophtned�a�copy.of:the:abQve:.d�s,c�ibe�d�:�Iticui�ent�and_:p;ro�l.se��in;g�Aad��:faith:to.; _ �
<br /> fver it to�#herowne�'"�prlo��to.wco'tntrie�ceitrie�it:: r' �. ` , . : ,, . ._.� ." .." � `'="`-_ _ . ` �.:�. � .
<br /> �NTRIICTOR'SIOYYNER'S AFFIC�AVIT: l.,ceiktiy�tbak alt°�the��:informetlonf;in�,thi�appllcetlon fs accurat�;�nd th�t all work
<br /> �be done in campliance.wtth all.app!lcabfe laws�regt�Mating construction, zpning andrland�dev_elapmen�. App!lcatfon is ,
<br /> eby rnade ta, obtain-:a�.permit,._to��do,,.war1�;;,and;V itisteliatton as indtcete��:`�-:.;1.� certify�tfiat na worii-��or. ins�aitlation�fias
<br /> nmencetl�p�lo� to Issuance of'a pemitt'�and th�f:all work w(II be perFarmed�to meet.:�.stand.ards,:of.all laws regula�ting-
<br /> �struc�or�, Caan�j+ and C3Ey codes, zoning rogui�tlans� and Eand developmer�t r.egula#ions�ln�thie:�urlsdlction.�.=�1:a1'so�
<br /> tlfy that I uaderstend that the regulatlons of other�govemment agencles may�apply::to.;thew.lntended:work, and that It(s -
<br /> �esponslbilily to ldentlfy�wh�t.actions 1.must_t�ke:#o be�ln�cotrlPlfance;.,5uch;agenctea=laclude bu#�ars:nat Ilmi#ed,to: , ,
<br /> � y . �. .yt :e, f.,.i,..-,;.,
<br /> • Depairtrtien# of E�1vlronmental=Profecti�n�Cypress.'Baqhead�; 1�'lell'and-�Areas and Envlronmentally Sensitive
<br /> Lands,WaterlWastewater Treatinent. � .� � � - �
<br /> - Southwest l=torida W�ater M�nagerrien� ..:t�is#rtct-INe1ts, Cypress.x'8eyli`�ad�,=`.°WeNand Areas, Aitering �
<br /> Watercourses. - - �� ' � . ;
<br /> - Artny Corps of Englneers=Se�walls;Dacks,NavJgabte Watertinrays,
<br /> - Depar#ment,of,.Hea�th::�,�Ret�a�illtative.�Senilces/Envfrqnmen�al•Healtti�Uhlt-Wells; Waste.water Treatment, '
<br /> Septic Tariks. � .. � , �', . i� , . _ .
<br /> - US Enviranmental Protectian Agertcy-Asbes#os abatema�t. -
<br /> �..Federal Avlatlon AutMonl,ty=Runways: � � _
<br /> �decstand that.#he:.fotlovu�ng.restric#�ons`apply'#o�tFie ase of fllt: -
<br /> • Use of�fl is not allowed In Flood;Zpne"V"unless expressly_permltted.
<br /> - If• the flll�materlal.`Is��fo_�e:::U$@C��I�1•�IOOi� -ZOR@. �A", !k. Is understoad=#ha#-a'dralnage�-plan add�essing a
<br /> "comp�nsating vatume"wili b� submitted at#ime'of permitting which is prepared by a professiona) engtneer
<br /> Ilcensed by,#hea�tate°of::Florlda: �....� -.
<br /> - if,.tFi�.fl11:.mate�lal";1�-ta;.be used In �food"Z,one 'A" 1�}��ottnec#ior��tt�th:a���r'ermltted baild�ng using stem wa�t
<br /> � conatrruuctton, I,cer;Nfiy that fill�:w111:ti�e.used only.to..T1q the..area;withln�the�stem?wall.. _
<br /> - !f fll! msteital�1s�to'-tie��tiseif :In any�ar�a;'1�certlfy t#tat .usa af siacti'fi1C wlll not`acivetse{y affect�ad�acen#
<br /> prapertles. tf,use�af flli Is found to adverse��r�,�ffect adja�ent���pra�pertles�.the owner may be ctted tor yiofating• r
<br /> the condltiqns:,of:tFie`ti�iili�tng:;pi�cmlt Issued�under tha�at�ached,permlt,�eppltcatlan�:for�lots less:than.�one (1} ; ,
<br /> acre whtch ate'�eievafetl�ti`y;fltl;.a�t e�gtneer�ed dratnage ptaii�ls requir'ed. . ..
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<br /> �m the AGENT.FOR;7HE:OIMNEM�;;'I;:prc'imise'In good falth to�lnfarm the•owner�:of.the.;permltting,condltlans.set forth In �-; ��
<br /> ! aftldavtt`p�tor to=coi»rtienctng const�icttoit:"1'undetstend tFi�t a;separate perml#may be requlred far electricsl work, ;� ,,
<br /> nbing, slgns, wefls,.;pools,,atc..condtflontng,.,g�ts�.or,other Inst��i�on"s not.speciftcatly lncluded•in.the�appllcallon. .A ;�
<br /> nit Issued�sha0"be;cottst%ued.torli�i��a'Ilcenser.ta�proceed wltti`ttie wo�ti�end nok:as:_authoNiy-;to.violate��cancel;altet, or � _ ,'
<br /> eslde any provlsians�of�-tFte:tecfiiilcat:cade�;�nor shalt Issuanc.��af'a.permtt.prevent the Buildirig C�icial from thereaRer,..,� .':, ;
<br /> ilring a conectlon ai;errors�ln:plans;�ca�nshuctlan orvlolaUons.of�any-�codes: :�very�p�armlt-.tssued�shall become invalld � �:-' `'
<br /> fss the wotk�authorized°!�y such periinit:�s-co�iimer�red�tn+t#tttn s�t,�mottths of�-petml#Issuar�ce, or It work authorized by .. ;;; �;;
<br /> permit i's suspended:or.ebar�doned for-a�;pettod;,ofssl�e:(�)�monffis;�Re�the:tlrine�the�work�as commenced. An-extenslon -' �
<br /> ► be requested� In wclting;.�from,'lhe-"Bulfding:�iflclal.for-a pe�lo�:;n�t-to:.ex�eed;�nlne!"y{90):�days:a�d wllf=deinonstrate ,:;? �,
<br /> flable cause for.�t�ie extenslon.��Work,ceas.es�for ntttety{90}consi�cutiv�:dajas,..the)ob�fis�cons#dered�ba�rdoned: '"; ��
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<br /> RNIN� TO'OWNf�t:;`.Y�,UR.�AIl:URE��Tt�1;.R�.G= ' = M•: :- 4 . _ �
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<br /> �NG TWICE=FOR IMP.ROVEMEN�'JT;Tfl:.Y�,UEt P,RQPEf�T1F.:';IF�:YO.EI�I�'EIwD:"TQr1�iB�'�AIN}FINApEt�IG;�ONSULT :
<br /> U D� `�O A �TO� s �O �a�� ��C '�'�• �Ell�l� NT�_._.--- - . . `�'� -
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<br /> tlt�A JURA�'�{F.S:1.1.7.03} , ; ,; , - "� > .- . . ..
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<br /> IER OR AOEN7 COMTRAGTO� .� "
<br /> albed and swam tc{or aNlrmedpbefora me#�f� ' ' StiSsaEbed'and'swotr�• (at'afRrmed tore me�tht� , .
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<br /> bY >�by rc�n�,v�o : S�a�c���
<br /> Is/are per�onally knawn to.me or�hasthave produced VYho:ls/ere.personallyknowri�td,m.e_oc�fa��p dr�o iaced. �
<br /> -- as-lden��ce�on:�- - <• � ` ,asld�#i�caHo�:
<br /> Notary Publlc . � Notary Publlc
<br /> nlssMn Na.' t;�omn�Iselon.No. .
<br /> ofi Nataty typed�Prtnted or stamped Name of Notary typed,Arin#ed ar afamped
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