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;�� - - _ -_:�_�.:�,_--:---�.. <br /> � • ' . <br /> � :ei F..;'4 <br /> NO'iiCE OF DEED REST.RICTIONS: The.undersigned,undena�ands;th�t.this<pRcmlClnaybe,subJect,to;`deea"restrlcUqps".,'._a;,._,. <br /> wt�tch me}i:tie=inoie��rtlatt�ctiire=t�artt;otiiiCy�•1'�gulst�iiis. 'f#ie"�ii�dei�Tgned`asSemes"re'apdii�itillityvfor"coi�ipllance�vu�th airy - <br /> appllceble.deed re�Mctions. �.•:,.� , . . • ,. .� :_._. ' ;.:. '._ <br /> UWLtCENSED•`CONtTRAC'PORS.AND CON;RACT012•RESPfJNS18tL:iTIES:���ifi�4he4owner�has�hlr�d`�a":contr'actor or <br /> cont►actbrs ta andettake work,they Riay,ba:ceguir�ti:�to.:be�fcense8.fn sr.carders,c:e.with_state.anil;tocaf;regulattons:rrtf�the� � � , <br /> conlracto'I�-not�Ili�nseii.ea�rpqui►ed.Yiy law•tiotF�=the"owner and�confracto��may be�ctted-tor`amisdemesnor vlalatlon <br /> under state iaw. 1f the owner or iMertded��carttraetorare:�mc�rtein as to whsf licanetng_reguiremertts;mey:eppiy-:ior�tFie'� •�� •�'�° <br /> intended wark,they aie iadvlsei!to idantacE Rtie.Pa_sco:Cau»ty.BuNdCtig'l`rtspectlon�Divl`s.lo�-1�.lceirtstitg SecBon at 727-847- <br /> 6oq9. Furthermore, if ttie wvne� lias''hlret9'ei contracCor o�contractors, he Is advl�ed to have�the contractor(s)�sign _; ,L <br /> portion�af the,bontrector,.8lock"of this..appilceUon:for,whtch-#h.ey,witl.be.�esponal6le.�.•It.you,.ss�.the owrsier 3ei�n�asttie" `� � <br /> contractor,thet�inay be•an Indiaatlon that'fie is��iot properly�lli;tiesed and'is nof"eri8de"sf to perinitHng prii`rileges In Pasco . , <br /> County. ' .. ' �..._ ._...� �.a::.o-c ;._-� <br /> TRA�tSP4RTA'EiON•lMPA6TtUTiL1'FIES=fMPdG'�`AHt!-RESOTJttCE RECtlYEEtY FEES:�'he;underslgiied uriderstands <br /> that Transportatfon Impact Fees:end.Recourae.Recovery.�'eea mey;appiy;to:tF�e,conatruction o�'new_bulidings,?chan�e�of>`°`•=- �= <br />' use In exteNng buttdings,ot,:ezp`anslorrof��e5�i'stii��tiuiltNngs,as apec3fted.tn Pasco CouMy Ordinance number 89-0?and. <br /> &o-tl7.as amended,,T,he und,etsigned also;ur�derstends,U(�E�such tee�:,as;majr,�:dnerwill.��e IderitiRed at the`�iiie�of�' =_�•"•'� <br /> permifting. It Is hii'ther understood that Trai�sp'ortation Impacf'Feea and�Reaoutce�;Recd"v�'ry�Fees..must be pald prlor to <br /> rece�ring a.'certNic�te:of ocxupancy"oi�^finai�power,retease: .IE�the.proJect.does+tiot�irnioiveaa�certifl'cate of octupancy;a�:;':,:���"` <br /> flr�al power_release,the:tees_mtist.be�pald'�pilor ta;permlt Iss4�arice. F.utttier�na're;li.PagcAoC,onnty-VltateriSe�nrer�lmpa�t «,>.,,.- <br /> fees are due;.lhey;musl be:pald�pNor to,permit:lssUanea.in.,acconiance v'vlt�-appficatile.Pasi�'�County oidtnances. • <br /> I CONSTRtICT10N"LIfFi`LAW(Gt�eptdt TiB,F#a�da Ststutss,�a ameededj: if valuation+df work is�2,500.00;or•more,l� �� <br /> certtfy that !, the appllcanR;:have.been.ptovttlei!_vtitittt�a copy ot:the�•Flodda•ConsWctton i.leri L'auw-Homeovmer's <br /> 0 <br /> Protection Guide'prepa►ed by.�tfie��Fforida Qepartrnent:of Agrir.ulture and Consumer.:,Nfaira. If the eppllcant ts someone ,���.. �_� <br /> ather#han the'owner",i certtFy.lh�t;l�h�ve tibtained;�'cop}r;of..fhe:ab�rre�esoiibec��tocument�and;p,romise:tn,gaiod��faikh to „ <br /> delhre�It to the:"owrier"'piio�:to�octrirneriCeritetiR:�'. � ' � . , - <br /> CONTRAC70R'8lOWNER'8 qFFIDAVIT: L c��i#Ky;:.tliatall the,IMormsUon:ln this application is accuratb.and that all work <br /> w!1!'be done in campllertc:e arlth aA.eppiicabte i`aws reguleting construclion,zpning and lsnd°deyetapr��nt Apptication 1s <br /> hereby made to ohtaln.a.permit�,#o•_do.;wofk:and�ihatallatlon as indlCe[ed.s-�I.ceitffy that no wark°ar_lns�Ua$an iias <br /> commenced prior ta issuance of'a perri►tf'and that:a0'work will be pertormed�to meet.standards�of all lews reguladng- <br /> consWetlan, Couniy and City,codes, z�nfng regutations, and tand devetopment reputations`in Uia jnrisdtction:� 1-ai�o _ <br /> cerUfy that I understend that the regulatlona of ather govemment agencles may�apply�to the lntended warlc,and that t!Is <br /> my respdnsibtiity to Identity.what.acUons 1:muet•teke�to be,in�comPlianca•;.Such,,apencles includ`e b�t are.not Ilmited to: � - <br /> - [)eparttnent ot Environmeri#at�{�rotocftati=Gypress:'8sjrhead�;Wetla�tti Areas.and�Ernirorimentetiy Sensfttve <br /> Lande,WatedWestewater Treatment. <br /> - Southwest Fiarida Wster Management:Dist►ict-llVells, G�ptes.s.L 8ay}�eads;� Wetlend Areas, Altering <br /> Watercaurses. - � . <br /> - Army Corpa of Englneer"s-Seawalls;Docks,Navigable Waterways. <br /> - Depsrtment of,Heatth;;8 Reh�bliit�tive;ServtceslErsviionmente) H�satth tinit Wetts, Wastewra#er-Treatmerrt; <br /> Septic Teretts:.� _ . . :. <br /> - U5 Environmentel Protection Agency-Asbestos ebatement <br /> - Federat Aat�tFon Authocity=Re�rtiv�ays:�� , <br /> f understand.tt�at the followirtg.:iestrlct�ons apply to tkie use of fl!!:• <br /> - Use oiflll la not ellowe�In:Flood,Zane"V'unlesa exp�es�ly permitted. <br /> - if the>�fifP matetle! ts to be aseil.tit:f:iood-Zane.'A, it ts undeietbat! that-a dralnage plan addresstng a <br /> 'campeasating volume"wil!be submlkted at tlme of�pet�itting which la prepared by a professlonal englneer <br /> licensed by,the.Stake of floHda: � � <br /> i - if th�fi11 matet�laf�ts to,be us�si tn Ptood ybne'A"tn��onnection�wtth��permitted buitding usirrg stem wati;, <br /> consbuot[on,I certify that tUl:�rlll:h�e�sed only.to.flll the area wJthin:the�stem wa!!. <br /> - if flll matertei ta t6 be used•th�.eny erea, I�certNy that.uea af�such'flll will not edversely affect adJacent <br /> propertles. !f use of f111 Is fcunct.ta advers�tyr.atiect ad)ec�rst�pr�per!les,.the owner may be e#ed for.vlatattng. <br /> the cond�ioas.,of the.bulidtng':permit is�ued�under ttie�ettached.permit appllca8on;for,lals lass.than:ane(i) <br /> acre whlcti ere etevated�tiyr fi11;�n englneered drelnage pian is requlred. <br /> If 1 am the.AGENT�QR THEtiYYHER;.i�romise in good,falth to Infarm the ownet of-ttre pamsitting cand�ions sef torth!n <br /> this eftidevit prlar to comine�oing constriicUon. "I underbtend thete�aeparate pennR mey be requlred for etecMcal work, <br /> plumbtng,_signs,welis,.Poots,.air condtttonln8,.gas,ar othei instelf�ons not.epet�ftiicatty induded�In.the applicatlon. .A .. <br /> permit issued shali be construed to'be�`Ucenae-tow�iviceed wlth`ttte work end not�ea.autharity:tq.vfolater c�nc�.ailer,ar <br /> set aside=any"provlstons of ttie.tecFioh;al.codeg;nor shall issuersce•af a.permit.prevent the BaOdlrig ORidel irom thereatter <br /> requ(ring a cartection�ertors lrr.ptan�;-conshuctian orvtolaUons of sny cades:.�very<pBrmit=issued-sti�ti tieeome tmralid <br /> uniess the work aaihorized:by such permit�l9.commenced•wlthin sfac months ot pertnit lasuence,or If wark aulhorized by <br /> ihe permit 1s auapended or;abandoned-f,ora;peHod;of,�sl�c:(8)�inontfis sitec t�e time.the�wotk��s cartimenced. An extenslan <br /> may be requested,in writing,-_fcasn ttia:Bsiliding,F)�lcfal tbr a ped�:not-to exeeed nEiiety{90)"tlays afld viiiit demons#rate <br /> Jusklflable'cause for�the extension. It wark ceases,for nlnety.(90)cons.ecuthre•dayer.lh�job_is cansldered a�andoned. <br /> wARNING TO OVYNEt�; YOUR��AfU1RE�Tt1.1t�E�GORQ:A.f!lO�tGE-OF=�COMMEM��ME�t�',IYtAV•RESUE:T�EN'1tOUR <br /> PAYINi3 7WICE;FOR�iMPltOVEMEM7S:.T�1,1f,QUi�P�#OPERTY+�,IF�YCty�ll!1�IDt�TO'�!�`)B�19N•*FIt��1E1N�;�CO�ISULT <br /> WI E's, - -� - <br /> RORIDp dURA�(F.S.177.03j � , . ,,, � � _ . <br /> �WNER OR AGENT . CQNTtiAGTOR`'�:. "``-�'"�� <br /> sub�uteed am!ewom M iK�ilirtn�dj Yetore me ihia Sybaalb end� tot'e e� me' "is <br /> by Y 2^ .by... <br /> Who ts►aro petaonaliy iutwm io.me m,femslheve prqdyced V�RZpadprepe�on,ity ow�1D_tnA o� edhave pmdi�ced . <br /> ' ee 4dentlNcaU4n. 'j'G,r��,�.��tC ce,aaG.�aa id�UftcaUon. <br /> - r <br /> j ,���,,,,,r <br /> NofslyPt7bpc . 1 :�. �.re- '.«-!'�p�?�. 3�`ti�'oi,?:oya� '1,Q�.Q��M�r� <br /> Commisafon Na^ com ��n.No �,.... � ;�';_ �Qmmiss o���BpG�s. <br /> = .,2418 `�ag,�;,q".'' XPrres Dece#FF 15U422 <br /> Nar(�e of iVotery lyped,pTlnted or stemped Neme of Notery lyped,ptlnt t etempad ..ranca jp19 �� �T�OYFeinln�s��Ce Z018 <br /> � 12 <br /> , .;:�x,�::�.�.y�:.. <br /> ��es-rors <br /> � ' - <br /> I <br />