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<br /> � csign�d ur�der�t�nds�X���t�#hls�p�cmlQ rt�,ayabe.sub)e�@ ta,"deed",restrlctlon�" :- -..
<br /> Nt2�'tC�OIF DEED�E�TRlCTION�. The u�de
<br /> whl�h may;��xmoie`-res4�lctive�4#�ian-Co��ity=��gul�ttan�:���TF�e���ar�de�l�ne.d�`as�ui���'re���nsQbOtty�t��Q+�mplt�nc�wlth any
<br /> appli�able deed restt�lictlons. �W :. � • . � ` ` "
<br /> UNLICENSED�CAN!'�RACTORS �AN6 CON�'�CCTOR��RE�PO�iSi��t:d`T0�5: ff�#he� ov��r has��hia�ed �'�:coritractmr ar
<br /> contraotors to undert�ke woric, they rnayb�:r.e,quired�.to:�i�e�.iic�nsed in,accordance.withstate.ancf•tocal,;ragulation5:.��if�tfie� � �
<br /> con#rac#or fs nat�Ilcet�s�cf�-as�requlred;`tiy lawt, 6otlr�the owner anii`c�nf�ctot°���iisy tiei�:clQed�for�$��imis�lemeanar vtot�Non
<br /> und�r state fav�. !f the owr���or lntended:;c.�ntrac�or:;ac�,;uncertaln �s to wh�t'Ilcensln_g-regufreEnents:�may�°�fpply��for-°�tt»=- • .
<br /> intended work,th�ay�re�dvised to coritacEttis�P�sco Cour►ty BuQding�lnspectton„DCvi�lon--L•tcensing Section at 7�7-84T-
<br /> 8009. Furthe�mare, if the owner has"'htred�e con#�ctor or contractors, bie ts� advt��d to have �the cantrac#oir(�):ksl8r� -
<br /> porfions of th� "ca�ntractar �loak" of,fhls..appt�cafion.fa.r.,which.thay wttt be;.r.esp.ons�bte.-,.if�you;�-as=:fhe �vi+iier_stpii'as"tfie� '
<br /> contractor, tha4�may be an Ir�dicatton that�tie 1s�nct p�operiy Ii�et�s�d �tt�c�'0s a��t�ritltied tia�per�iiikttng.privileges it� Pasccr ; .
<br /> C�unty. -
<br /> 'fD3AMSPORTAT1�W31�APACTlIJ1GSL�TIES�IMP�F�"��A�DR��t��OU��E RECOVERY�FEES: The undersignetl undeesta�nds
<br /> th�tTransportattor� impact Fees��and.Recour��.Recovery.Fees may��.appty.�to�tfie,constcuction.o�'ne�w.bulldtngs��chan����of„ ` ` -
<br /> use in existing bulidings, or,expar�si�cr��f.��exl�ti�ijg.�buit�ings, �s specified.in Pasco Couniy Ortdinance �umber 89-07 and,
<br /> 90-0�, as amer�ded.;...�he undetslgned e1so;�urtderstands; thsit�such fe�s;��as<�nay:�tie�fdue;;.wili;,�e iderot�ied at the��time��of�` ,
<br /> permltQ4ng. !�Is fu€ther underst�atl that T�a��p��tat4an Impa�f Fee� anda��tesour,c;e„9��cov�ry�Fees..mu'st be p�ld prior to
<br /> reae4ving-a:"c�rtificate.�of�occup�nc�"�or tinal��.powrer:�el�ase: :4���h�.proJ�ct:do�si,nait le�volve:a°�certff(cate of occup�nc�t��o"r'r:'�:... �
<br /> final power�release;-the°.fees mu�t b�e paid;p'rl'•o'r to.lp�crn6t isspance. ���thetmare;rl#P'asco;Caunajr:lNater/�euuer.�lmpact - a
<br /> fees are due,..th�y>:,must.b��paid::p�ior#o.p�rmlt;Is��Iance,�n.�ccordanc�w1tFr.�appllc�ble:Pasco'�Coun�ji��o�tdinances. �
<br /> CANST'RUCTI�fiI Cf(�N�t.d�iW�(Ciiepter T�i3� �I�r�da��@stut���as�rnendedj: Ifi vatua�on of work ls�2,SOOAO�or-more, i° �•
<br /> certify that 0, �he: appitcant; hsve-been .pravEdad with-a copy�af the '�larld��-�onstntction� Llen .Caw••—Nomeowner's
<br /> Pro�ac@ion Gtalde° prepared by tlte Flo�lda [�eg�attiment�of Agrlr�ltur���td �onst�tn�c.�.Affairs. E#the �ppiic�n4 ts someone, . _
<br /> other than the"owner", 1 ce�tify.that l�h�ve.abtiained`a'cs�P�;oi:�he�above:�i�sc�i��ddocuii�enk�an�..pr.oz�l�e,l�trgaod,falth,#o ,
<br /> deliver it to.the."owne�`:p�ior�to�coriimen�cement:' • - .
<br /> C�NTidAC'POR'�/OWiNER'S A��IDA\liT: I.ce�tiffy:�:#h�t,ail.the��lnf.orenetlon.ln�#hl��ppllcatlon is s�ccurate,and that�11 work
<br /> wii!'be don� in cotnptiance witP� a�ll.applic�bE�I�ws regu(�Qing construc#ia�t, zoning and��land°deveic�pmen#. Appitcatlan is
<br /> he�e�y made .ta obt�tn .a pe�miti,to=do..work:a,and�{h�tialiation as indt�at�d:�• :# ca�tify that n� woric-°or {nstaltation has
<br /> cc�mme�ced pPlor tQ Issuanc� of a permif.,�ntl t4�at.all waPk vulll b� �etf�rm�d to meet sta�tdatds o�' al� laws regutatln�-
<br /> construotton, County and City cades, amnDng regulati�ns� and land davet�pm�nt regulatl�ns tr� Qhe Jurlsdlctlon. !��!'sa
<br /> certlfy that I u�derstand th�t the regulatton� of other governm�nt agen�les may�appty�to the intended wark� and that It(s
<br /> my�esponsibiiiiy to iden#ify�what,acfions I must�take:to be,tn�camplia�ce, S,uch.agencte�s lnclude but-are.not Ilm(ted to:
<br /> - Qepartm�n# of Er�viconmentai=Protection=Cypr�ss.Bayh`�ad�, W�i�and Areas and Ernrironme�taily Sensttive
<br /> l.ands,i�t�aterJVitastew�ter Tteatmen4. �
<br /> - Sauthwe+st Florida� Wat�r IVDan�geme►n� .I�Istrlct VNPe!!s; Cypress.'�Bayh�ads,� i�letl�na� Areas, Altering
<br /> Watercourses. -
<br /> - �rmy Corps ofi Engtnee��eawaits, DocOcs, Navigable Waterwa�ys.
<br /> - Depar#ment of.H�a9fh:"8..Ret�abtli#�five;Servic�stE�vironmentai=.Heaith Unit WeBs;�Was�ewtater�Tre�tmen4,
<br /> Septl�T2inks.. .
<br /> - U�Enuironment�l Protec�lon Agency Asbestos sbatement.
<br /> Feder�l Aviatton.Auth�rity:.Runways.
<br /> i understand that#he.following.reslcictl'ons appiy�ta the use�f fMll:•
<br /> - Use of fiH is nat a1l�awred in:Fiood;Zone"V"un0e�s expres�ty perenitted.
<br /> - #f the fi11 mater�a!-1s ta�b.e used:,in Fl�ad Zane. "A", tt is understbod that a drain�ge plan addressing a
<br /> °compe��ating volurv��" w�li b� submftted at�6rne of<pect�iEt3ng e�rhlc� is prepared by � professfon�l engineer
<br /> Ilcens�d by#he State�of��'lorlda. .
<br /> - If ih� flll materlal.is to be used Era Flood �one� 'A" ir��c�nn��kion�wlth�����rtnitt�d building using stem wall
<br /> � �onstructi�n, l certify that�il:vuill:b.e;used only.to.flll th�area withln:the�s#em�wr�ll. .
<br /> � if fitl rv��terla{ is to be used in any area, i �certify #fi�a# .us�a af such fitl wrill not adv�afs�ly afi'ec4 adJacent
<br /> praper�les. If u�e of f!!1 i.s foc�nd ta advense�y.�e�t ad�a�sr�t��properties,.the owner may b�i cited for vi�ia#ing
<br /> th� condl�o�s..of!�e bultding:p�rmat l�sued�under tha attac�ed:�rrre�it �pplicatlon, far:lots iess than.ane (9}
<br /> acre whtch are elevated�tiy flll�a�t engCneered dr�in�ge�plan Is required. .
<br /> lf 1 am the AG�NT FI�R THE QWMER,.I�.pcomdse In good f�IQh to It�farm�the�owner of�the permittln�condft�o�s set forth!n
<br /> this a9fidavit`p�tor#o caenmer�clrvg canstr+uctton. "1 un��rstand that:a:Yseparate�permtt m�y �ae requlred for elecMcal'work,
<br /> pfumbing, signs� welt�, poots;,a!�' +c�rtditlantng,.ga�s,, .�r oth�'r. lnsfali�ttan� not.spec�teaiPy inctuded�in tMe appticatian. .A ,
<br /> perm4t fs�usd shall be con�tc�ed to 6e�s�#tsiiense�-to'pr�c�ed wlth the wrork sr�d noQ���:authority:to.violate,�-can�et, atfer, ar
<br /> set aside eny provistans�f the techntcal.cndes;=nar shal!iss�ance�of a.permlt.pr.event th�Bulldlrig Qtllcie!from thereafter �
<br /> requtring a correcti�n af eRo�s in�:plans; const�ction ar vlol�tlons of-�ny codes. �ve•ry-�p�ermit�lssued sFiell be�ome i�valld
<br /> uni�s� the worii authmrized.by such permtt:�is.�womm�nced•within si�c..m.anth� of�permlt i�suance. or tf work authorized by
<br /> Bhe permlt is�uspended oc:abaradorted-for:a;per•iod of°s�C,(8)months.�fter the:tirt���ttr��wrork�is corrimQnced. A�oxtension
<br /> may be requested� f�w�iting,:ftom Etie:�Be�llding.O�icl�! for� p�rlt�d:naE.to exceed.nlriety�(90)'�days and-wtli=demorostrat�
<br /> juslifi�ble cause for.•the extensio�: If work ceases:�or nineqr.(90}consec�Blve day.s�..the j�b�Ps constdeted aba�doned.
<br /> �llAttNING T�`OIIVNER: YOnUR;:FAiLURE•Tt1.,:RE.COEtQ l�.MOTIGE�,CIF;�COIMIMENCfMEMT��AAAII''�RESiJL:P Ih�'XOIJR
<br /> PAYING'iWICE;�.O�iM1,sRtlVEMEN�°S�,T{l�YA.Ui�:�PRt�#PERTY: ,t��YO.Urti�i�'�E1�1t3�TO:��iBTA1P1�'=FIN�t�E1MG,'CQN�ULT
<br /> tf�dr�' �To N QR��• �? �';;� ,;0 � ` � .
<br /> F�Lt3t'�15iA�3tlr"�A�' �:'.� 57,G9j — -�,..�- � .. . - - - �,. . - - - , � a
<br /> t7Wl�EFt Oit ACiEt�IT ` . C�Nt'RAGTO G°��"� .
<br /> 4 9 bsqlb � d�Nrom or alflrme�)befor me Ihi� S b� bed'�nd'� � (ot aflitmedpb�fote rtie'tlil�
<br /> --��- _ r3� d.. Y31 / •I 5 :r�
<br /> MRio Ista ersanalky known e or:haslhave produc�d VYha.lsl�re . �sonalEy kitawn� .me;orhasthave•produced �
<br /> as Identlflcatlpn. as ldentlBc�tlan.
<br /> � �r�.. �. � � Notary Pabtic . �`. ' � ' � publtc
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<br /> misslo o; ,,,�� A PBELL Co mlealon.No. ���,�Y PV��p SYIViA A.CAMPBEII
<br /> —�.�e•'' Notary Ruu�1iG-State o1 Florida :: �s Y -
<br /> �i ; `';��•, =• ;•_ My Gomm.Expires Jul 19,2017
<br /> Name of No ry�typeil,: , �o�'� ��Ff 034230 Neme of Nolary fype ' . mp@ldmmission#
<br /> .�,-� it�iOFf����
<br /> � ?nnaed Through NatiOn�i Notaty Assn. ����«� Bontled tbrough Nat+anai Natary Assn.
<br /> ,.n�p��-t�'"R"�"�+i af^��Ir"�
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