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Nt?'�'1GE @F DEED R�STRICT���d$: The u�de��si�n�d��der•�t��ds�:th�tt;th�s����tmlt:m�y:b,e.s�b��ct;to:"deed":restrict3ons" .
<br /> whlch m�y�ba�more°res��aotive�t6�a�r`County�r+e��lattons:��The°undersigned°k�ssumes'responslbllity°for'"c�rnpllance with �ny
<br /> appAcable deed-restrictfons. �. �.- • _ . .
<br /> UNILBCENSE�-COMTRACTt�R� ��kN� ��id�'RACT+�R �t��PC1NSIBIC:1'�iE�: If��fhe�owner has°��hir�d�.a.;c�hactor or
<br /> cont�actor� to undertake work, they may;b.�,�requir�d:to�be:rlicensed I��ccordance.vuith_state�.and•IocalxegulaQl..o,ns:.,�lf°the�• ��' � _� �
<br /> �on#ractor Is n�t llcea�s�d�-as�required=6y tai�t, bath-'#he owner and�coiit�acfor-�•�ay be�°�t#ed�f�r�a'°�rrfl��emeanar ulot�flon
<br /> under state law. If the owner or intended;;contractor;;are.,�uncertaln as �o wh�t Ilcen�ing;,requirements;may�:afpplys�fcir:�the� �
<br /> fntended work, they are advised t�caritact ttie Pasco��C�uotty��Ili9ing'In�pectldn.Dfvlslon--!�.{censtng Sectfor�at?2?-847-
<br /> 8v09. Furthermore, if the owner'tias�'hitred�"a canttact�r o� corttractors, he is advi��d ta have �the contractor�sj, sign
<br /> portlons of the °�ontractor �lock" of.thle..application..for.,which.th�y wrill:�.be�...r.esp.onsible.-,�.If:.you,=as�,#he,aviirier°stgn~as'the �- ,
<br /> �vn#ractor, that�may be an indica#it�n th�#�'he°1s nat:properiy ilcenses! ��i�"l� nat enti�ed�to pen�tltting�pr�uileges It� Pasco ,
<br /> County. . : .;-:- .
<br /> 46tANSPORTA`[ION-!NlPACT/U-T#{:ITlES°�IMPAC't�AND-1���0�lRGE R�COVERY�FEES: Th�underslgned�tindersk�nd�
<br /> thaQ Yr�nsport�#lon impact Fe�$and.R�ca.urse.Ftecove.ry.Fees r��ty=apply�;t��t�te_con�tcuctiean;af new.buildings.,:s�han�e��of':.. ,, .
<br /> us� in exi�Nng buildings, or�exparisiorrtof�+ezf�#i�r,g��buildings, as sp�clfled.in P�sco Caunty Ordinance number 89-07 and,
<br /> �0-07, as amended.,,�..T;,he �ndec�l�ned aiso;unders#ands, #ha�:•such f�es;�,��tr�ay_b��,dt�e„�witl;#be ide�it�ted at the'timerof�' _
<br /> permOtting� It is �rther und�r�tood that Transp'o�ta�lon Impact'Fee� and��Resoueca;Reco�ery�Fees,.mu�t be paid pNar to
<br /> rece{ving��."cet�lflcate.of�oscupa�tcy" o��4naF-power�.�'ele�se►: :i��tha.pr�ject:.��es�:not invotve�a:-cert�i�ite of occupancy�or��'.•_. ,
<br /> finai power�release; tiie-,fees must"tie paid,pc�oo�to,perrnit Is�u�nce. F�k#k�ermore,•if:Pasco,�Coun�y�lNaterlS�wer,�.impact -� �
<br /> fees are du��..th�y�.,must�b�-pald:.pclor to.pePr�it��is�4�i�e�:�n.�c�ord�nce wlth�appllcable:Rasco'��County�ordlnances. •
<br /> �0►N�TRUCTiOtd�C1EN'LAtOt1�{Cfi�p#er 713� �tar�da�tattatea��a amend�d�: if vatua�an ot work is�2,500.00:ar more� { .
<br /> c�r�ify that I, #he. �pplicant;-have�been .provided:with a copy of`the �"Florid�� �onstructibn� l:len:L'aw—Hameow�rer's
<br /> �ra��oQlon Gutdo" prepa�d by tFie F1�iid� DeparEment o�Agc0��lture �rtd Cos�sum�er.:Afi#airs. if�hs �pplicant 3� someone
<br /> other ihan the"owner", i c�rtlfy,th�t 1.have,ob.taOned`a°copy;af:the:abpve...descri�ed doicuii�ent°and.promi�e�„in<good:faith.to
<br /> deliver it to the"owne�:�p�iorA#o�comm�ncement:" . -
<br /> �{11dTR�1CTOR'�lOWNER'S A��IDAViT: i.cc�rtiiiy:�#h�t-all..the,lnf�rm�tl±m.ln°thi��ppticstion is�cc�r�t�,and#hat eii work
<br /> �►ill'be dor�e in c�mpliance with �II.applic�ble 9aws regulating constructian, zoning and��land deve�lopment. Appl(ca#ion is
<br /> hereby made to obtaln .� per�ni@�,ta_d�:w.o�`,lc.a.artd Ihst��t�tion a� Indi�t�d:� �1-ceetifjr #hat n� war��or install�ttbn �ias
<br /> comm�nced priar to issuance of a permlf and #hat.all wo�lc wiil be perFormed to me�et skandards•of all laws regulating•
<br /> conslru�tian, C�unty and Clty codes, zoning regc�latlnns, and land devafopment r�gulatton� In the Jurlsdiction: 1•also.
<br /> ce�tify th�t 1 und�rsf�nd that fhe re�gul��ians of other gov�rnm�nt agencie� may�appiy�tm the.int�nded w��k, artd that it is
<br /> my r�esp�nsibility to I�entE�r.what.��4(ons I must•t�ke:t�o be.in:.compliar�ce,. 5.uch:ag�ncle�Includ�but�are.not llmfted ta:
<br /> - D�partr�ent af E�1vEronmetital-�Protect#on=Cypie'ss.�Bay�i�ad�; V11e�end Are�� and Environmentatly Set�sittve
<br /> Land�, WeterMlaste�rater Tr�atment. �
<br /> - SoutF�v+r�st �lorida lflYater Ma��gePnent� :D��trfct We!!s, Cy'press.' �ayheads;� W�t#and Areas, Atter3ng
<br /> V1o�tercmurses. .
<br /> - Army Corps of Engin�ers-Seawalls,C)ocks�Navigatil�Watervvay�.
<br /> - Dep�rtment of_H�a�th:'.&. ReF�abilttaativ��Secvtc�slEr�v6to�me�tai N�alth Unit We0[si W�st�v�ter Tr�atr�nent,
<br /> Septtc Tanks.. _
<br /> - US�nuironm�ntai Proteatton Agency-Asbestos�batement.
<br /> FederaB Av��tivn.Au��iorily-Runyu�ys.
<br /> I understand that the fallowing.restri�tions apply'tb the use of flA:•
<br /> - Use of fflf Is no#allerwred 3n�Flood,Zone N"unless expressly pr�rmitted.
<br /> - if the fill materia�l is to be used;,ire �Fload Zone. "A", It !s understaod thaQ a drain�ge plan addr��stng a
<br /> °compensaEing vofume"wlll be subm6tted a#�ime of pertnit#[r�g wlilch is prep�red by � prafessian�� er►gln�er
<br /> Ilcen��d by#he State of�fioNda�: - ,
<br /> - !f thd fl!I matersal�is`��be used In Flood Zbn� "Aw ira�conn��llon�v�l�h�a•��rmitted bulfd#r�g �sing stem wati
<br /> . con�tructian, l certify that f�1:�ir�tl=b.e u��d�nty.to fi11 th�area within:the�stern v�rali. _
<br /> - If flit maQerial is to be used In .any erea� I �c�rtifjr th�t .u�e. of such flll wlll not adversely affect adJacent
<br /> pr�pertles, @f use o�fill fs foc�nd to a�rersia�y,a�ffect ad�a�ent��propeatle�,.th�owner may be cited for vlotating
<br /> the condi#ions..of the buildtng;permit is�ued under th�attached�ermit appl(catla�, far:lots less than.one (1)
<br /> �are whlch are etev�ted�by t11d,��t englneer�ed dr�lnage pian fs required.
<br /> tf 6 am the AGENT.FOR.THE:t�31P�N�R, 9,.�romise in gaod fal�h to Inform#he�owner of��#he permitting condftlons set forth In
<br /> this aftidavtt�pN�r to cmmmencing cpnstruction. 1 under�t�nd th�t�a=separate permit may be requlred for elecMcal�work,
<br /> �:..-��.
<br /> plucnbing..s�gns� w�tlsF.poots;. alr condit�a�ning,-.g�s, .�r o#I��r. Install�tlons nol.sp�c�cally lrtcluded�in.the appttcation. .A
<br /> permit Issued shall be canstrued to be a°Iicense�to`-proceed with ti�e wiork and nat•�s.authority to vlolate� cancel, �It�r, or
<br /> set a�slde any pr�v4§fon�of the.technlcal.cz�de�s;�nor sh�il issuance��g a.permit.pc�vent tha Buitdirig U�fcial from thereafter
<br /> requiring s correction af errars in..ptans;-aan�friiction.or vioiatimns of-any cadea. �very��piermit lssued shail become invalld
<br /> unless the vrrork authorized.by such permlkis.co�menced�within s�c montha �f�permlt Issuanoe+ or !f w�rk a�th�rized by
<br /> fhe per�4t d�suspended oc�:�bandorted-for:a.pertod�of�sGt.{�}�montiis.after the:tlme-the�wsrk��s canim�nc+�d. An extension
<br /> may be r�qu�sted� In writirtg,;from the,BuildOng,C3fficial for a period:not.to exceed�ninaty(90)�d�ys ��d-will demonstrate
<br /> �
<br /> �ust�iable-cause for.the extensfo�: !f wrork c�as��:for nlne�t.{90}cot�s.ecuQ9ve�day.�...theti�ob�ls.cun�idered aba�tdoned.
<br /> �IIARNING TO OWNER: YQIJR.�AILiJRE,�TO.,.R�ECQEtQ A,,.MQTICE�:OIF�-COMM�MCCMEP�T,MAY-REv�i!!T IN�YOUR
<br /> ��Y1NG T1/�t10E.;t=tbR IMP1�t1V�lJEsN��'5�.1"�=Y{4llEt��.P.,RQ�ER'iY:�1��Y0U�1�'�t}��TQ%�C��AiN•'=FiNiI�M�'tt�IG;'CON3ULT
<br /> Y�i�T V '' �f �{J � �.��,, �O �� ��+i ,Au a. , r -_ � �. �F `,.' ' ' C , .. -
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<br /> FLORlClA JURA�;{P.S:_4.17.�03). " ' , - - _ __
<br /> - - -- - - . ,
<br /> OWF9ER OQt AQIENT 1 CO�"1'62ACT0
<br /> 3ubsalhad�nd swrom, (or aflirmed)beto, „th�{ - Sub� dbed and's�' {ow a nnedpb re ' �1� .
<br /> Vl��fbY Gt'l� ,c�� N7� Jvt-' �j�/�by-� , �i��;l�� � � L�i11� -
<br /> o i,/are personelly kttown to.me or haslhave produced Who.ls/are p.ersonelly known ta.rroe:orhes/heve.•prvduced �
<br /> e�ia��ne�evn. _ as tdenBflcaUon.
<br /> �� , '� , ` -
<br /> ,_j2 t.t .�G�1' 17. ��ofary Pabi�c . C� '' . Notary P'ubtrc
<br /> Commisslon No.; � 4'— (r.7 � � � �Commisaton No. � U �: � �
<br /> �l�;�it �/�a �� ;��w.�ll �i.�..b;��_ �-1�..�.i�-� �v��.�/ . �
<br /> Name o'�Nola ed n tT'�"' ""'' Name oi Nolary�ped,pdnt�d ar�tamped �
<br /> ��'*,�'s*' � �t�iA�t�ili+t��RUFFELt� ,,,�„�„i � •'°O•
<br /> =�' ' ��C'��"s��^�G�'045343„ � , �•��,a,�':¢�,�;_�D6�A�L.I�II�E RUFFELL
<br /> ��= �`�=��t��`�v�mb'er'7,242Q;,��� `' . ==:� .,�. •._Commisston#GG Q45343
<br /> �'� a+�°��'S�T;:rutre?fa;��:s�}anee800�385-78i9� : :;�'�"'" ��,�b,=Ex ires Nov
<br /> . ��N'NN�� ._ ,4'4 iL.ti.,� ♦ P. P em6erl,2020
<br /> }. . � . '' .:1���; �o�d�q`'� BoMied lhru Troy Fafn In�y�ance 800�85�7018
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