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�90T1C�OF DEED 13ESTf�8�TI0IdS: The undersigned,:UP1d9PSta1id5�,tB1�t�th0�,p�rm,it�,may.b�,subj�ct:�o."deed"�rest�ictiotis°,'.'.�;� � ..
<br /> which m�y°tie::inore��r.esttictive=t#i���Coui�ty��c+agr�la�(ons:„The�ainder�lgned��s'�ume���respo�slblBlty�`for�mpliance�wi'th'any" ��"� ��
<br /> �ppUcable d�ed restrictivns. . , , . _ _ _ �. .. .__ �. � � ° �
<br /> A ��RIivCTOR RESPON�I�ILITI�S: "�I��t�e�own�r�h�sKhire�d a.�contractor or
<br /> 6JNLICEN�ED�C6NTRa1CT�R5 AI�D G N
<br /> coniPac4ors to undertake work, they may;,be�r�qulr�.d::to::b�;;ICcensed (n accocdance.writh state.�nd�locat regulations:;:If the-� � ��-
<br /> ,._.�...,.�,:..�..._,i::.,•.�:.._
<br /> �ntractor Is not�Ilcensed�'����requieed:tiy oewv, botfr the owner and>conUacQor��may be clted=for"a'�misderr�eanor vlol�tion
<br />' under state I�wr. If the owner or intended�,;contra�tor are�ueacert�ln a� to what;li�n�ing;requir�menfi�`mayt�apply=for-�the�:���� - - �
<br />� intend�d aniork,�they are�dvl�ed to coritact ffie:P�sco County Bullding"In�p�c4lon D�vlsto�-Licenstr�g Section at 727-�47-
<br /> 8009. Fu�dh�rmore, If the owner`fias"Iilr�d�a�cont�acQor or con�ractoes, rie�s �dvr��a to hav�e>the canntr�ctor(s),.sfgn,,, -.
<br /> ...�.,_:. .,r-.. ::
<br /> �or�lons.of.the�contractor �lock° of.thls�applicatlon..fo�whlch..they�niill..be.•rospoe��lt�le:--�If.,you;:��s.fhe owirier��sign�as`�ttie"" ' "'
<br />�' cantractor, that�ay be an indication th�t`iie Is�not.properly`Olcens�d'and��is not enttbed to pePmi�tleig privil�ges in Pasco
<br /> County. � � ' .:,.::_y:.� : :..
<br /> TB8I�NSPOR7'/1T10N=6MPAC'TAIYILI�'IE��I�1PA�'1�ANb(�E�OIlR��RECOVEI�If°•FEES:"'�he ainder�ige��d"und��stands
<br /> Qh�t Ts�na�e����o�a Ir+npact-F��s�and.R����ar�e�.Recobe�.F���m���:apply�.to�tf��:cona#cuctlon,of n�w_buildings,:change�7of`�� � '•� '��
<br /> ... - - -
<br /> use in existi�g buildings, or�xpansian�of�,�iiis@ln,g;`:btiil�ings,�s sp�clfied.in P��co County OrdEn�nce number 89-07.and. -
<br /> � 90-07, as am�nd�d.:,�The undersigned �Iso;sartdersta�t�d�, 4haE=such fees;::�s�may;,iae:;due;;;wlll,�b� ldentified at the'�time�of°�� -���`" �
<br /> permit�ing. It is fti"rtFier under�tood that Transport�tlon Impaat''Fe�s �nd��Resour.ce;;Recoderyi�Fees�musY be paid prior to
<br /> . . e�ceivtng a_'cer#Ificate of occupa�cy" or flnal•-.powerr�l�ase: :If�the.pro��ck,:does,;not involve�.a:.certfflcate of occupancy,or'-'-�'�� � �
<br /> ,
<br /> final power r�l��se;._tFi�fees-mu�t`6'� paid:,pcior to.,permi4 Issuance. Fu�#h�rmor�;,�;Bf-Pasca�.:Coun�i�lNateriSeuv�r�lmpact� �- �-��
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<br /> : f�es are�du�,,.they�must:be�,p�td.priorto.p�rmit;l�sc�ance=ln_accord�n�writh:applicatile Pasco'�County�ordinances. �
<br /> CONSTRUC310N-LIEN'L.A�AI�(Cii�p4er 713� Flor»�S�atute��as aa��nd�d): If v�luation of wor�ls�2,500.00;or.-mor�, I, + ��_.�
<br /> cerlify that I, �he:-appiicant; h�v.e��been, proylded��w9th-�=copy-off�4he °Florid�°=�o�struction�-Lien .Lav�Horneown�r's
<br /> ' Prot�ction Guidep prep�r�d by the Flo�ida Departm�nf of Agrlc.ulQure and Con�u�ter;Aifairs. If the appllcant is sot+neone� , �• .
<br /> .,�., :
<br /> ._.
<br /> oth�r Qhan th�"�vne�', I c�rtffy_that l�.haye:,ob�ln�d���eopy.of:th�s�b,vv�..rl�sc:ribed`:�tlocuri�.ent°and:;p.ro�cils�,In,good:;f�ith�.to - ,•
<br /> deiive�!t to:.the"ow�ec"`pHor.;to co'rnr'eien�e�inent:'` � . � ' ,
<br /> �ONTR�ICTOR'SlOWPI@R°�AFFID/�VI�': i.�e�i�.:.tn:��:�n.tne.inform�ti�n in•tfiis�pplicatlon is accura,te�rad Qha4�II work
<br /> will'b� done in compli�nce wiQh a!I appltc�bl� laws regul�ting con��ruction, aontng anii:l�nd�devetoprnent. Application is
<br /> hereby mad� to, obtatn .a permit�:to.:do.;;�ork�,and'I��Q�Il�tlon as indlcefed�-:.�-:1 c�'�tify that no work�.mr Installatdon has�
<br /> com�enc�d pPior Qo I'ssuance of a perr�iB"and that:all work wlll b� p�rtorr��d�40 �me�t:stand�rds of all la�v� regul�ting�
<br /> constructlon, County and City cod�s, aaning r�gulation�, and land dev�lopment r�gulatlon��iri the�.jurlsdtctlon:- I �I'so
<br /> certify that 9 u�derstand that fh�regulatlons of other gov��nment ag�ncl�s ��y��pply,•�to-th�_intend�d work, and that it is
<br /> my responsibilityxto identify.what,action�1 must•take:4o,be<in:.cor�pliance;.Such.agen.ci�s lnclude=but�=�re.not limit�d to: �
<br /> - D�p�rinnent of E�vlronmental�'�tection=Gjipress.`B&yh��d�p 1Ned�nd Area� and Envi�orim�ntaily Sensitive
<br /> L�nds,WateHWasQew�ter�r�atment. �
<br /> - Southwrest FloNda lNater Management: .Dis4�Ec�-Wells;' Cypress.s�B�y�ead�,- `UV�tland' /�r��s� Aitering
<br /> VNatercour�es. - •
<br /> - Army Corps vf�ngln�ers-Seaw�ll�, Docks, �av9gable lN�tere►rays.
<br /> - Depar@ment of,H�alth;:.&..Reh�b911t�flve:...S�rvtceslEnv�tor�men�I:.H��ltt� L�init Well.s, Wastewtater.Tre�tment,
<br /> Sep6lc�Tanks:. � � ' � - .
<br /> - US Environmental Prot�ction Agency-A�b��tos�batetr9�nt..
<br /> Federal�Aviatton,Authority-;:Run�+rays.� �
<br /> � ;.
<br /> I�and�rstand that the.following.:restrlc#tons appiy'to tFie us�of flll:•
<br /> - Us�of��ill is not allowred 1n:Flood�Zo.ne"V"un9�ss expr�ssly, perrnitted.
<br /> - if the �flif rnate�8al� is to b.e u�ed:.In.•flood Zon�. "Ap, It. Is understood that a drainage plan addresstng a
<br /> "compensaQing volume"wiil be submitted aQ time of=p�mpifting wt�fch is prep�r�d by a prof�ssional engineer
<br /> Iicensed by'�h�State ofiflotid�. � � -
<br /> - If�th� flll materlal�is to be�us�d in Flood �on� 'A" in�conn��Qon�wlth�a�permitt�d buil�ing using st�m wall ,
<br /> � cons�ctton, i c�rtiy that.fill�:tirlll:b.��used only.4o.f111 the are�within�the stem wall.
<br /> - If fill ma�terla! is�to b� used In any area; I c��Q9fy tha� .use. of�such �II will not advers�ly affect adJacent
<br /> prs�p�rti�s. If us� of flll ls found�to advetsely:�t�ect adj�cer�t��properfles,.th� owner m�y be clted for vio�ating .
<br /> the condlllons;of.the bi�ilding�`permlQ Os`su�d�un�er the:;�tfa'cfi�d.�ermlt��ppl(catlon,�for:0ots�.less:than.one (1)
<br /> acre which ara�Ievated�by f111,an,engln�ered dr�lnag�pla�Is r�qulred. .
<br /> li i am th�:AGENT-.FOR�TH��OIMNEtt; I;p�omise_,In good.faith to(nform th�°o,wner.of the permitting condftlons set forth In
<br /> Qhis affidav(t'prior to commencEnB construction. "I untleraf�nd th�t��:���parate;p�rrnit may be requlred for electrical work,
<br /> �-.�
<br /> plumb(ng,,_;sigras, welis,;pools;, alr c�ndttioning;-.g�s,�,or.otMee Install�tloris no�,speclfl�ally lnciud�d-in.th��appl8cation. .A
<br /> permil Issued shall be construedto�be���license`-to pi�ce�d with'the�wiork,and_not-�s:authorit�r:.to:vlol�te��`aancel; �Iter, or ,
<br /> s�t aside.any"provlstons of the.technic�l.c�odes,;;nor sh�il Essuance�of a.permlt.prev�nt th�Builditig O�iclal from ther�after
<br /> r�quiring a cor�ection af errors<in��plans;-construc#lon.or_.vlola8ons of�anycodes.,`.Ev�ry�-p�enr�lt��issued"stiall�become invalid
<br /> unl�ss the work authorized by such perm9t:�ds.cfl�nrr��r�ced•vvithin,sGc;.month� of�permit 9ssuanc�, or if work authorized by
<br /> the p�rrr9lt is suspended�or,ab�ndon�d,,•f.or.�;;p�rtod,�f slx°��)�enont�is:after the time th��woi`k�i�commenced. An extension
<br /> may be reque�Qed,,In:writing;,f�om.4tie;�uilding,'Officl�l�for� p�riod.:not fo exceed�'ntn�ty��(90)�d�y� and-will�demonstr�te
<br /> justifi�ble caus�for.•Qhe�xterosion. If work c�as��:for nln�ty.(90�cons.�cutive�day.s,..�h�job�is.considered abandoned.
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<br /> ��RNIRIG TO OYV�IElt: YOIUI�:.�AIL�IRE,:T�;,:R�C:O�D,A�:,f�0'CICE..O���COMMENCIEIVIE#�'T.�NPi4Y.=RESULT�eM'YOUR
<br /> ��YIPJG TVI�I�E,:FOR;�IM,PR�VEIVIEN�S�.T�:1f�0UI�.::P.RS�F!ERYY:,.;I��:��.U;IN��END�T�.��9@TAIN�,FIt�Af��PN�;�C.ONSUL4
<br /> l�ITH�Y�UR`I�EMD�R:ORA6���TORfdEY��FOR��R��IZ�1�i�S��OU���TII�E°Al�'CA114111�ENC�E�f1��tdT:� �',. .
<br /> FLORIDNJURA'f:(F.S:.1.17:03):.: �� - ;.. ,.. .,.,.,.,.�.. .._ . . .. ...-• : ._._ _ . .
<br /> OM!►NNEER OR AOEtd'� _ COMTRACTOR,;� . �� �� ��=—
<br /> Subscrlb�d and awom to{ar a�trtned)betore m�9his Sub�crlbed'ared's�rom`to(ot afflrmed)�before me'tFii�-
<br /> by lEfy 1 - -
<br /> lMio Islare per�onally,knovm to.me or:haslheve.produced Who.ls/are , rso�sel khown•tc.me;,or haelhade•produced • ,
<br /> - ae Id`e�tlflcatlpn. es IdentlNcatlon.
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<br /> No�ery Public . � �-�' - Notary Public
<br /> Commisslon No:• Com�lon. a ,
<br /> M�me oi Notary typed,printed ar�tamped Pdam�of Notery typed,printed or�tamped
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