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� ' + I <br /> �!g'i�C��E DEED RESTRIC'�C1N�: The undersigaed under#tands�:th�t:l�ls:��t�rn��may.b�.subject to.`deed"eestricttan�" � <br /> which may be�more=rest�tctive=tha�r Caunqi i�gulatfons:��Thie�undeigigne��asstames resp�nsibtlityTfoi�`compllarice`v►ritfi"ariy <br /> appflcable deed restrlctEons. _ , : _ _ . <br /> �lfi�L�����B�iED C�M'�RA�C`�lt����1��C�i�fi��'d�R���S�N���t��:���: �tf th� o�rner has°°htred �a contrac#or or <br /> contract+�rs ta undertake work,th�y m�y be�cerquire.d��to.=be:itcensed In�cccardance�.with�#ate�.and�local regulatlons. :IF the - <br /> �orit�actor i� ttat�licens�d�as�reqalred-lty taw, boti� the owrt�r and_cont�aetor m�y��be�cl#ed�for a�mtsiieme�nor vlolatlon <br /> under state I�wr. {f the owmer ar intended=contra�to.r• ara�unce�taln as to what licen�tng.requiremen#s may=appty��for the <br /> lntend�d wark.they are�dvl�ed to r.oritact thia.Pa�co County�uitding�lnspectlon dlvtslon—Ltcen�ing Section at 727-84�'- <br /> �00�. Furthermore� tf the awr+ee fias Fiired�a canhacCor or con#ractors. h� �s aclvis�d ta have fh� cor�Uac#ar{s). sign <br /> portlons of ther°confraotor glocl�'of thls_a�pplicatlan for vahich they�nrlll.be responslble..�ef you�=as..the ov�irrie�'sigri�s th� �� <br /> �ontr�at��� 4hat�may be an Indicat�oc�#hat�lie is nat�pFo�erl�licensed ansf l�not�n�tled 4o pern�tlt�ng ptiir�t�ges Ir�Pa�sco <br /> �ountgr. � ' � <br /> '�'��l�PORT�1Ti0l�:ldl�ACTlUT{�:�IES�(NlRA�'�'At�b-I'�ES�I�ItCE�C�►'�ERY�FEES:T�te�underslgned und��stands . <br /> that Transpor�ation Impact Fees:and.Recouc�e Recavery.Feas maY;apP�hr�ta:t�e consfntc��n of new buiidiags,�change+�f - <br /> use in �xisttn� buildings, ac��expanst�rr�of�ei�s��ig'�6uildings. �s �peolfled.in Pasca Cou�ty O�`dtnance number 89 U7 and <br /> �0-07.a�s�mended. ..'�'he und�rslgned also::�tnderstands,#h2��:suct�fees��as��may��ie>due,:w�l:�e Ideri#i#Eed a#the=time of- <br /> permittir�g. It is further understcod that Tra�sportatlon Im�aot Fees and�ftesour�e Recovery`Fees.must be paid peior#o <br /> �ece�vin�a.°certl�c�t�af��s:cup�t�cy�or flr�a,f.powe.r.-F�lease. =��th�p�jeet�does not�lnvolv�a�:cert�ftc�te of occupancy.a��� <br /> fiinai pawer releas�;�the#ees mu�#tie paia pirdor tae permit iss��nc�. Ftt�iermore,-i€.Pascc�Couniy�VNat��lSewer Impact <br /> �`e�s are due�they.cnust be�pald;p�or#o permit-lssu�nce�ln�ccordance reiitFi���rppitcabfe Pascio'Cnunty ardinances. - <br /> ��N�TRUCT1aN 1LlEfi�I.�ti�(Cti��ster 713�,El�r�da�t�tte�.�s�mend�di}: t€vat�atlon of work is�2�50t},00-ar mora,l - <br /> aertify that I, #he epp8cant� have-beer� proa�idetl� with �a copy of�tha`Florida���onsUucNon� Llen�.Law Homeawner's � <br /> P"rotectton Gul�eA pr�p�red by.tl�e Floiida Depa�rtment�af�ricult�re and Consumer.-Afi�alr�. If the�pp9{cattt Is someone <br /> other t�an the"ov�me�r", i certifjr that t�h�ve>abi#�ined`a copy.o�.the��aba�v��es.e��ed�docurr�ent-and:prami�e�:tn,good:f�ifh to <br /> dgltv�r It to ihe-'ownec"prior#o•commenc:sment� . � ' - . . <br /> ���l�aCT��'�/C1�1El�'���DAVii: 1.ceifi�y:�.i�t•all:the;itiforr�at�n:ln thi�appltcatlan is accur�te.and th�t sll vvor� <br /> �rill'b�dvne in comptiance v�ith �II-appltcabfe laws o�egulating ca�nstruc�on� aoning and•land-de�velopment. Appltcation is <br /> ��reby m�de Eo obtaln.a.p�tmit to.dc�;wor'l�;.and Ih�taNa�oe� �s lndt�tec�r�.-:# cert�ty that no vvark°or Installa#ton ha�s <br /> comm�nced p�tor to tssuance �of a p�rinif and thaQ.ail work vuill b� pertorm�d�ta� meet standards-o� alt laws regula�ing- <br /> �ztnstrt�ctlont County and C�ty codes, zoning regala�an�, and land development cegt�tattons�in the jt�clsdtction. ! a!'so <br /> cer�i�y Qhat i understand that fhe regulati�ns of other�governm�nt�gencles may�appiy�ta the intended wark, an+�fhat it is <br /> my responsibflity to Identity.whatactfons 1 must take:to beTln�ca�pllance. �uch agencies.lncl�d�but-are.not Ilmited to: <br /> - i7epartment af E�vironment�l Protecliot�=Cypt�.`Bayhi�ail�;�@�!'et�and Area�s and�Ernrironr�entally Sen�itive <br /> Lands�Water/Wastewater Treatm�nt. <br /> - Sotit#�nrest �tortds �tlt�Eer Man�gement:�iEs�ct!Ne!!s, CYPr�ss�..%.8ay_�eads, !Ne#�and Areas, P�itedng <br /> tMa�err�urses. <br /> - Army Gorps Qf Eng(neers-Sea�ralls,Docks.Mevigatile 1Naterways. <br /> - , D�apartment �f Heaith�:� Rel�ab�llh�tirre Senitcesl�t�ritonmer�#al:Flealth lli�it�V�1[st Wastswater Tre�tmerit� . <br /> aeptic Tanks: � � _ <br /> � US Envlronmental Prot€�on Age�cy-A�be�tc►s aba#eme.n�.._ <br /> - Fede�ai AviaUon�Aut�ority-Runways. <br /> �understand tFiat the following.��sst�lcttons apply to tF�e use of flMlt• <br /> - ���o�fift 1�no#allowed in Flood xone"t�"unless expres�ly permitt�d. <br /> - �P the flli mat+�rial is to b� used_In:�Flood-Zone. °A°� tt. i� understood that a dra�inage plan addr�ssing a <br /> "compe��attng�ralume°will be�ubmi#ted �t�1me of pe�mitt;r�g tn�6i�ch F� p�pared by a pPof�sslonat �n�ie��ee� � <br /> Iic�nsed by the St�te of Ftofida � - � � <br /> - IF the fll! mateclaf.is'to be u�ed tn Ftood Zbne 'A" In-connec�ton-�th�a���rmitted building using st�m v��!! <br /> � consfruction, I certify#hat fiil:�iii�b.e t�s�ed onty.to fili the aroa within�the�•stem�vua11. <br /> - If fill m�ter�al is to be u�ed in�any area, 1 �ceitify that .�ss� mf s�ach fill wiMl n�t �dversety afiect adjacent <br /> prcperties. 1€use:of f�l ls#ounc3 ta advets�aly.s�ffect adJa�n#�prc�perties,.the owner may b�cited foF vlo[ating <br /> the condl#io�s of the.building-.pemitt issued:�u�der Nie at#actied�ermlt applicallon, for.lats less than:one (1) <br /> acre whtch ace eteva�ted�by till;s�t engtnser�d dralctag�ptan I�rec�ulred.. <br /> 9f i am ttie d�G@NT FOR THE OWRl�ER, i;promtse in 800d faith#a inform th�ownec of�ths►permttting r.�nd�fians se#forth in <br /> this a�idab(t'prior to commencing construcNon. 1 undgrstand thet�a�sep�rate permit may be requtred for electrical�vrrork� <br /> plumbing, signs� weils. poats;. a1r co�dltionirt�..9s�s, or ot�er lnsfa�l�tlons not•spec�t�ally in�ta�ied-in.fhe application. .A <br /> permf�issued shall be con�hued to be�a�itcense ta�proceed v�ltla tFie�vork�nd not as:authority:to.vialate��cencei; alter, or <br /> set�slde�ny provislons of t�e tec�Onlc�l codes;-nor�hali Issuance•af a.p�rmit.pt�ver�#t#�e Bulidtrig C3tfilc�a!from therea,fter <br /> ��qutring a correctian af errors in�.plans;�consttuctian or viatations of arry codes: Every-penmit-[ssned"shali��become invalid <br /> unlgss the�ro�k authorized.by such permlt�s-commenced•�rithin sf�months of�permft Issuance, or If urork authntized by <br /> �he permif is susp�r►ded�or:sbandoned�for:a:period..o€���c;�6}-nnonftis.after th��me the work=is cammenced. Ar�e7ctension <br /> may be�requested� In writing�frmm the'8uitding.Offlci�l for a p�rlod:�not-to r�xceed ninety�(90) days ai�d�will demonstr�te <br /> �us#�#��ble cause for.�the e�ttension. If�rark c�ases:for nine�-{9Q}c�nseculive days�.t�t��ab�ts�onsldered aba�doned. <br /> �l�td�R�� Tt+� �tl�'l�ERs YQUl�,FAIl.IJRE-Tl1,�R�ECQEtQ A:NATdGl��:OF�C4MMEMC�MEl�T,NtAY�RESUlT II�.�YOUR <br /> ���Il�t�'�'QMiCEF+t1R�iMPROVEMEt�'S:�'U�(k�tlt�<PR�iPERTi�. a�°Y�U�tf!1�`�1�:`�'Q��B�'A1N�fIN�1�E�NG;'C13N5vi.T <br /> �ET D �A. AW� � A NEI� �tJ - �R G�� OU �. ; ,� ` ,' E -I <br /> FCORIOA JtIRA�'{F.8 7.03 . � , . � � , , _ . . <br /> �wwNe�aR�o� cor�cro ' <br /> Su crlb and swam M(or afit }before s Sytib�ct,! ed'snd` - {at af8rmsd�beio�e me tti1S , <br /> o t �re pers�nally kncrvm M,me or ha�s/have produced. IiYhi D:��r` e pers�Ih►acttown�ta rrte or h�e/have�produced • � <br /> �a idenBRc�tlo». as IdenBflcaUon. <br /> .,��;��..,���Q�. No�ry Pubnc . Notary Pubt�a <br /> �ommisslan No:` '"" � Cc�mmt��ton.Mo. <br /> ,,,�,...,, �,^�`ti.;+ .!�i'FG- � /��Z C--� ,r�� k��,�'�`� � � " <br /> Name ol'iUotary `�i ;ted�.�sta�.��d,,;:.�r>yr;F;!3 Name of tdoEs�r sd, rUsted or atemped <br /> :o,��i��'C:�i.'{�5-'+l'wV::i�iSG":"f.:,ri}+"� ��or��/MI�w�1r�r " <br /> ���'f,�;�� Baided?h�uTroyFaalnS�ar..r�;+0�+5�T019 ��'�"�'��'••_�LC��AEI,.AINERUFFELL <br /> � ��'�,p�#"� t�n,?n�is�ir5n d:�(:a 045343 <br /> ,�Y;;•;`=i:Y.';#fs wt::t?:;;�JL?'�.��'�0 <br /> ., '��(... ��2._ �a�r + '' � - <br /> s�;p�;�;;:,�' ara.u�T��u'trofr"eirylnsura�ceSQQ-385�7019 <br />