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�4f. <br /> . j <br /> Nt�YiG�OP DEED RE�TR#CT���4S: Tt►e und�rslgned c��d�rs�tands=th�t;lhi�,�p�rtnit�mayrb;�.subject,to,"�,eed"r�,strfctioiis". �_-. ,.� .. <br /> whtch may=,b�.m�re����st�lii�ive=4ti��Gouhty�regtilatton�:� 'Che�undersigne�!`��sui�es resp�nslbiilty°for'"c�inplfain�e witli"�iny . ` <br /> applic�ahle desd res4rDctfons. ��. :. , �, • ' <br /> UNLICEN��D �CORt'T'RACT06tS �ANp CONTRACTOl2 RESPONSIB��ITqES: tf�t�e owmer hasr�hir�d �ay�i��tractor or <br /> contractars to undertake work, they may�be�:r�q�riced Wto:�►��licensed i�,acc�rdance.wi#h stat�.and•iocal.:regulations..°°Ifxthe����` �- <br /> cantractor is n¢�#�ii+�ensed=as��required`6y iaw, both�the �er��i�d�cmntracS��-�iiiay be„clted�fior°�a misdeme�n�r vtoiatton <br /> under state law, If th� awrier or tntended:.;con�ra�tor�a�a.,uncertain �s to v�h�t ficenslr�g,-requlre�nent�;mey�:apply.:for�-tlie:-, , <br /> In#ended work,they are ac!"vlsed to cc�ntact fhe:�Pasco County�uiltlln�:7nspectlon Dtvlslor�--L(censing Sectton at 727'-847- <br /> 8009. Furthermore, If the owner fias'hlred� a _canUectior v� contraato�� he ts �dvised to h�ve �the contractar(s),sl�n ,. <br /> �,�r... ,. <br /> poriion� af the °contnactc�r �lock" of fhls�applicati�n..fa.r_.which.they,witt.be:�.r�sponalbie.•.,-tf;�you;=as.:#he ownef"'�i'gn��as`ti�e`� <br /> �ontract�r, that�may be an lndioatlon that'Fie�is not properfy ticensed antl`�� r�i�t erititled to perrrff#i�� pri�il+�ge�in Pasca -.. <br /> Ca�unty. �.. <br /> °T�.ANSPORTA�'lOfoI:IMPACYNTILITlES'�IMPAC't�AP1i9�l�ESt�4DRC�RECOIIERY�����: Th�a under�Ogi�ed�i�d�rst�nds <br /> thatYrenspor4ation Impact�ees�and.Reco.ur�e.RecovePy.Fees� m�y:�►pplyv#c�t�+e:,construetion of new.buildings,�change��of`'� '°�' ' <br /> use in exisNng buildings, or;exp�r�si�rr�ofsexlsti�;g�buildings, as specfifled.in Pasco County Or'dlnance number 89-07 and <br /> 90-�7, �s amended:M:Th� under�igned atso�understands, th�t:•�uch#ee�;=.�is�may:�e��dus;;.wiil�sbe idenf�ied at the��time�-of` �� � <br /> per�nft�ing. �t is turtfier underst�od tha#Tra�s�'ortation Imp�ct F��s and��Resour.ce.;Rer.�uery�Fees�.must be p�id pclar#o <br /> rec�Eving-s.'cerElflc�Ee.of�ccup�ncy" er flnal�pow�r.:.�eta�se: :4f tho.proJ�ctt.does�riot Ir�volv+a<a:cert�tc�te af occupancy�or':�-:,:-,.` <br /> fln�l power r�le�se;.the;fees mu�t 6e"p$td:prio�to._p�cnnit l�suance. Fr��t�i�rmor+�,�I�PascQ,Counly jW�teelSauv�r=,lmpaGt - � <br /> fees are due�..they;,anc�st:be-pald�pilor to.perrt�ft�:ls���nce;�n�ccordance vulth�appitcabl�P�sc�'-��ounty�ordln�nces» • <br /> C�iV3TRUCT9Qid LO�i'�%il:��V�c�iie�t�r��3� �'acHd�3t�tut�s, as anne�d�d): I#valuatlon of wrork is$2,500.q0�or more, i� � <br /> ce�tify #hat t, #he. appilcent;-h�va.been .provlded with�a-copy�o#��the `Florida- Constnic#ion� Lien._Law—Homeowner's <br /> Protectto� Guide" prep�rsd by�lie Fioi�da Department�of Agrlcuit�re artd Gonsumer,Affairs. If the applfcant i� s�meot�e <br /> ather#han the"owner", !�e�ti�c.th�t L�t�ve,obtalned=�i=i�PY:oT:#he:aba�e.�d��c�l�ed�docur��nt�and:pmmise;.ln,goad:fa4th,#o , <br /> deliv�r it to.the."owner�-�prior�to�cornmencements'` � <br /> CAN'9'R�►C�'OR"S1�WN�R'S AFFIDAViT: 1.c�e'rti�jr:�.tli�t-al➢,�hexlnf�rrnetl!dn In�tMl� appllcatic�n is accurate.and that a0 wc�rk <br /> wilo'be d�r�e in complisnce witF� �il.appitcabte taws r�gutatl�g conatructton, zoning a�nd�.�land developme�nt� �pplicatlon Is <br /> hereby made to abt�ln .a pecmi#,=to .do.-wairicb,and�.ih�fallation $s indi�e#ed:-- :I ce�tifjr th�t n� woric=:or tnst�llation has <br /> comm�nced p�l+�r t� Issuance of'a p+�rmlt`an� tha#�.all work wNl be perf�rmed�fo meet standaa�ds��# a!1 law� �egt�tsting. <br /> const�uctlon, Caunty and City codes, zoning r�agulatiQns, and land development regalatlons tn the Jurisdiotfon: 1 af'so <br /> certlfy that I u�derstacid that the regulatians of other gov�rnm�nt���ncf�s may�apply�to the intgnd�d worlc, a�d that it#s <br /> my responsibiii�r to Identify�what�ctions I must�tak�:ta b��in..ccmpllar�ce:_Such:ag�n�le�ir�clud�bufi�are.r�at Ilmited to: <br /> - �epartment af Er�vironmentai�°Protection=Cypr�as.'Bayh`�ads, VlieNend Areas and Environmentaily Sensttive <br /> l.ands,W�terlVYastewa�er Treatment. � <br /> - Southwest Florida Water Management :C?is4cict We!!s, Cypr�s�.'�Bay�teads;- VYetiand Area�, Alt�rin� <br /> Wa�ercour�ses. , <br /> - Arnny Corps of Englneers�Seauvall�, Dacks, idavlgable Wat�er�ays, <br /> - Depa�ment of.Me�lth..&. Rehabiiitative�Services/�nvironmer�tal Health Unit V4fell.s��W�atewater=Traatment, <br /> Sept1�Tanks: � . <br /> - US Environmea�t�a1 Protectlon Agency Asbestczs�b�t�ment. - <br /> Fed�arai Avlatton:Aulhor(l�r,.-R�nway�. <br /> i understand tirat th�followang.-resdrl�tions apply'to the use o�'flll:� <br /> - Use mf flll is nat aliowed in Flaod;�one"V"unless expressly p�rcnitted. <br /> - If #he �fli materiai 1� to b.e usetl„�tit :Fioad �one. "A�, it. is underst�ad #ha# a dr�iroage p0�n addres�(ng a <br /> °compee�sating vol�o�r�e"wiii be s�br�ltted at tiane a�f-perr��ttf�g wliEch is prep�red by a profession�t engineer <br /> lice�tsed by#he�tat��f�flotlda. - . <br /> - If th� flll materlal�is to be�u�.ed [n Flood �one "A" im cann�o�lora�wlth�a permltted buflding using stem wafE <br /> � constn��Qion, 0 ce�i�y th,�f fill:wJll:b.e•used only.to.,fill the�r�a withln�the�stem�nr�ll. , <br /> - If fi11 materlai Is fo be used in any are�, 1 ce�tlPyr that .u�e of such flll will not adv�rsely a�ffe�t ad�acent <br /> properties. If sase of fii! is found�tv adver��ly:.affect adja��r�t��praperties,.the owner may be citad for vio�ating <br /> the ca�dt�o�s...of�the btiitd�ng:permlt issued under 4he aEEacFi�d.�atmit �pplicatlan, for.tafs ies� than one (1} <br /> acre whlch are el+avated�by�Il,�a�englneered dcffilnage pla�Is e�qutr�d. <br /> !f i am the AGEIVT.�OR TH�OWNER, IRpcomCs�In gaqd faith#o lnform the o�nrner of�the perrriitting condttions set f�rth!n <br /> this �ffidavit�prior Qc� commerscing carssf�ucQlon. '6 und�ars#ar�d thet a;�epareke�pernnit may be requlred for�lactrica! work, <br /> pfumbing, signs, w�t�s,.ppols;. �ir conditioning,-.gas,, or ot��'r. install�`ttor�s no1,spec�i�ally inciuded�ira.the applicatimn. .A <br /> pe�mlt issued sha!! be co�tsfiaed to b��'a�f is�nse�to'pi�ceed wlth tlie wtark and r�ot��s:suthority:to.vtal��e,can�e�, �Iter, or <br /> set aside eny prc�v9stons of ttte tech�lc�!-cad�sp�nor shall Issuanc��of a.permtt.pc�ven#the�ultdlrig�#ficl�!fror�thereafter � <br /> requ(r(ng a corr�ction cnf erco��in��plans;-constructlon.or vialatlons ofiany cod��. �ve•ry•�perm4t�-lssued sliall�beca�me invalld <br /> uniess the wark authorized.byr such permlt>�ts.c�Er�mencet�•within s�Gs.months of pennit Issuance, oP If wrork authorized by <br /> th�permit ds s�sp�nd�ci or:abaradonedryf,oc a;period�af�si�r;��)mot>th�.aft�r the-time the�work�ts caraim�nced. �extensio� <br /> may b� requ�sted, ��uvritirig,:_#�om tfie:Bui�ding,t3�ictal for� �rlod.not.to exc�ed.nitietyr-�(g0)�d�ys �nd wili demonstrate <br /> �usti�able causs for•!he extensio�. !f work ceases.for nlnety.(90)cans.ecutOve�daysr..ttte j�b�ts.conside�ed�bac�doned. <br /> I WilA1tMANG TO CIWNER: YdUR..:�141LURE TO.,:itEC:QRU.A,MaTIGE,O��•COMMENC�MEI�T�MAY�°RESUlV•IN�Y+QUR <br /> PJeIYiNG TWiCE;:�Oi�IMPROVEI�I�NTS�.T��:YAUR::P.,�PERYY:°�IF°YOU{i�d'�EWChTQ���Ct�TA1N�F1idiARi�tt�G�.yCCpNSULT <br /> � _ " A �'� �R�� '�'�- Q��� �'i � _ � - - <br /> Fl.OR10AJURAfi:(F.S:11Z.43? .. _ . � .. <br /> OWN�RORAtiEN3'_��,2vc�.r�;"�'irLls..�• " C�tai1'�Q:P't9 * ��-,• . <br /> �3ub ctibed and swom M{or�fflrmed�before Is Subectib tui's�rom to ot'a!fl ed)'b�to e'thl� <br /> �n/,/� �y n�� _�bY. (l � <br /> Vtf�o lstare personally krtown ta.ma t:hasfiave produced UVha.ietare personaity knawmto.me•ar tiae/hsve�produced � <br /> �e ia��an�eon, as lderttl�c�flon. <br /> y �� ,- �����`-� �NOtery PubiiC . �-�° �/���- Motary PUb11C <br /> Cpm isslon No:�„ � (����l ,_,_,� Camritlesian.Mo.__�:L'�'r .��=,<-��-� <br /> ���� E 1.-l�l�✓� �¢��� ___���� �l�./�tr(� �l.t��.''�y--�� <br /> N�me oi N�ota� Hn e Name of Notary typed,printed or stamped <br /> ;�`�"r;;'►,',u"e'•,,, DEBRA ELAINE RUFFELL ����� �""�'""�"�" <br /> ::����h:Commission#GG 0453Q3 ' ,r,t�"::U�;,,DEBRA ELAINE F2UFFEf.L <br /> ,.a;Expires November 7,242Q' .,:����;,,;Commission#GG 0450 3 <br /> �%�oFF��P�` 9ondedThfuTroyFainlnsurance800�385�i019 '%+t"y"¢_��qc�:pC�%y^UP..SIVqV`,B.�fIlb6f.T;22Qp�.qq;,��y�y <br /> � ���H�` :S7,tta,._g. ,,`'4iiii+1��, W�:�s{i�i�,}.��.'T�'�'SIY111�B��RV�(fT4,5�+T,,'; <br /> ,_y,aw�r .,� ' <br /> . is , <br />