� �
<br /> �OTiCi�OR DEED RESTRICTitiNS. The rmdersigned under�tamds:#h�t:ilals:�a�rml.�m�y.be.subJec�to"deed"resi�r(cttvns°
<br /> which mey be<move�te�tt.ictive-tha�t Cvvnty"°r�iiat[ans:'"l�ie tincte�lgn��ssumes respo�s4h!ltty�for compllar�r.+a wltfi ariy
<br /> �ppllcable.d�ed r�strlcttons. -. .. . •
<br /> �R]ltCf��4SED �Ald1"4��Gg�RS �►N�-�At��R��'�'�R������N�1�1[LiTi��; -1f �he �u�ner has°�hired �s�'coMractor ar
<br /> contract�rs to undertake wtoric�they may be>req�rlr�ed-.to:�b�;llc+�nsed U accordana:�e.with state�.and�tocal regulattans. :tf°tt�e
<br /> �ontractor i� not lic�ansed as�required`:by!�� batir#he� own�r�rn�=cantiactor may��bs clted�:for a�mtstlemeanar vlataUan
<br /> und�r state law. tf the owner or intended�canfrac#ar-are-�uncertaln as to what ticen�ing.requlrecnerrts mBY�appty for the -
<br /> 6n�ended u�roepc,#hey ere advls�d to coritact fhe-P�asco�ounty Buitding�tnBpection DTvisbn--l:fcen�ing Sect#on�t 72T-847-
<br /> �OtiB+. furth�rmore. if th+e flwn+er h�s hi�ed�a contracfo� o�coritractors, h� is advised #o have the cantractot�s)_ sign
<br /> �rtians of the��conrh�ctar.�fac�" of thls.appllc��on f�Or vdhtch they vvlll..b�.�esponsibte. tf yau,-as fhe ovrrne�sign as tiie '
<br /> �ontr�ator, Qhat m�y be an indic�tion tHat'tie ts not.p�pe�ly tic�nsad antl�Es not entlttsd tca pgrm�tting pr[iril�ges In Pasco
<br /> County. �
<br /> �'�MS��RTAa!�N:IMPACTIUTI�IT�E�`�MRA�'��AI�C9�l�E���C�itIEC��'E�Y 1FEE�:T�e�under�lgned underst�nds
<br /> that Trensportatlon Impack�ees�and.Recaurse Ftecovery.Fees mey�.appily�to:the consbva�on of new buitdings� chang�of' -
<br /> us� in existing buitdings, or:expar�si��•af�ei�sti��btill�Ings� as apecl�ed.in P�scq Caunty CD�dtnance number 89-OT and
<br /> 90-07, as�mended.._l;h�undetslgned�lso.-wnderstactds� th�it:such fees;:as��may:b��dne..wlll::be lden't�Eed at the#ime°of`
<br /> perer�fttla�g. !�!s further understood th�t Tracisportatton impaict Fees and�ftesaurce Recovsry:Fees.mu�t b�pald priar Eo
<br /> rece��ing s'c�r�t�cate a#occupancy"or flnawpav�e,r-��lease. :��th�.proj�c�does r�o�-trnrotve;a�:certific�te o�occupancy,o�.� �
<br /> �irv�l pawer.reteasa;-the-fess mu�t be paid.prlor to_permlQ I�su�nc�r. ��thermore;�I�.Pasc�:Gounty�INate�lSewer Impact
<br /> f��s are duek they,.must be pald=prior#o permi�issa�ar��in aacordanc�w�itt���ppitcabha Pasca'Caun#y o�flnances. �
<br /> ���dSTl3UCTItJtd LIEN L�41M�C�i�epter 715,Fi�di���t�tu��e.a��meedet�j: t#valuallon of work is$2�500.00�or more, l
<br /> certiiy 4ha# 1, �he appilcant, heve-been pr�ovlded��wlth �a copy o�,the�"Flortda-�onshuotlon� L.ten�.Law--Horr�eowner's
<br /> Protectiar� Guidep prep�red by�the F#bs#da Clepartmer�t�of�grlc.ulture and Gonsum�r�Affair�. If the app!lcant i� som�ane �
<br /> oth�r than the°owne�', i certify.ih�t I�h�va obtain�tl°a coPY:ot:ttt�above�iesa�i6ied���u�r�ent=and:pmmtse�ln,g�od;faith to
<br /> d�llv�r!t ta th�.'owner.":pi�or M�commencement: � . . ' � .
<br /> t���9'A'�r�iCTglR'�lOWINE1t'�AF�d��►VCf: t.cei.�f�fy.tlaat�all:the�.lnformation.ln thls appiic�tton is accuraf�.and that a�il work
<br /> �rii!!�be don� 3n complfance v�i6#h a!!.�pp!lcable laws rogulating constructlon, zontng�nd�I�nd°development. Appltcatlon is
<br /> E��reby �o�d� #o a�bt�in .� permit#�.do,:wa�rk:,.and ihstali�ti�n �s indt�ated:.,.:� car#Ify that no wark:ar 1ns�ilatton has -
<br /> cammenc�d prtor to tssuance of a permit and�hat�.ali t�ork vvitl b� perFormed�to mee# standar�fis-of all laws regula�fng-
<br /> �oe��4�uction, �+'oUCtt}r �l1d Ci1y COdBS' zoning ��gulatiares, and land development regt�ta#tons�in the Jurlsdiction. ( at'so
<br /> c�t�ify tha� 1 u�derstand�thaf#he r+egulatlons af o#her ga�emmgnt ag�nales may-apply�to the intertded work, and#hat it is
<br /> my respansibiliEy te�identity�what.�ctions i must�t�k�:#o b�sin�+�mpiianc��, 5s�ch ag�nctes tncl�d�b�t are.no#ltmlted ta:
<br /> - Dep�rtm�nt ofi Envtronmental�P�rofaction-G'y�re�s.'��yhead�;��le��nd �lr�as and Envir�otimentafiy Sensi#i�e
<br /> L�o�ds,.Vllater!!lUs�ste�ter�"reatment.
<br /> - SoutM�rest I�Eorida 4!!l�ter Man�g�ment:�?isfri�t l�te!!s� Cypres�.r Bay�ead�; �lletland alress, Attering
<br /> �a$erc�u�as.
<br /> - �rm�Corps�f IEngineers�Se�tis�Doci��t��vtg�tife W�t�rways,
<br /> - , Department ef Healkh�& Ret�abllita�ve Servtcesl�nvitonmen�l- Ne�ith Un�t�iieiis, Waste�ter- Treatment, �
<br /> Septic T�itlis. � � _
<br /> - US Environment�i Frotec#lon Age�accy-Asb��#os�batemen�_.
<br /> _ Federal AdfattonAuthorlty_Runways.
<br /> 1 und�rstand ttiat ihe fnllow►in�resUicltons app�y to the use o$filf:•
<br /> - 4�se o6�I!!�not allowed U.Flo�d Y,one W unless expres�ly permttted.
<br /> - 1� the flli matetl�f is #o be u�ed. In-•Fiood Zone. vNn, 1t. i� u�derstood Rhat a drainage pl�n �ddressing �
<br /> "comp�nsating voiume"e�il{ be submitted at�im�ofi permitting�uhich I� prepared by a proi�ssiona! �ngfneer
<br /> licensed by�e State of Ftortda: , � � � . .
<br /> - . If the �!! materta!.Is�to be ��ed tn Flood Zone °A" in>cflnnec{ion��rlth�����ermitted buildin� using st�m v�ali
<br /> canatrucNan, i ce�that�Il.�r111�be�sed anfy-to t11!thaarea wlthin�the•stem�rall. �
<br /> - if fiit material is td be used��in any s,re�i, #�ce`rtify tflat .�s� �f such fi{i vvili.nat �dversely affect adjacent
<br /> � properties, )f u�e:of fll1 ts f�und#o adverset�r_.�ffect adjacent�propertie��.ti�e awner may be'cSted for viotating
<br /> the cond�io�rs of thg.buildi�g:permtt Issued�u�der 1ha`attached.�armtt appttcatlon,.for�.lots iess 4han.one (1�
<br /> �cre which are efee�atsd-by flll;a�t englneer$d dr�ir�sge plan Is requlrsd. - . ..
<br /> 9f 1 am the�1GENT ROR THE C►�10�`�1lElR; f:pTortmise fn good f.atth ta i�form th�owner af the petrn!#tng cottd�ton��et forkh!n
<br /> this a�idavit prior to cammeracing cons#ruction. i understaiad fhet�a�s�parate permit may be requir�d for etecM�at�work,
<br /> plumbing� sigr�s, welist pools; alr conditianing,-.gas; ar otk�er: {nsialf�Hon� nat•�pec�ficai�indu�ied-in.fhe�appiicatiot►. .A
<br /> permtE 4�su�d shall be cor�strued ta be��a°Ilcens�'ta�.pi�oceed�rfth tF�e work sand not�as:authority to.vlol�te,�cancet, atter, ar
<br /> s�t�side any pr�vis{ons of t�ie.tec�tnlcal cod�s;�nor shall issu�ncs�of a.permtt.prevent th�8updirig C7i�'Icla!from thereafter
<br /> ��q�airing a correc�on af errors in�.pl�ans, consUucHon or vfolatians ofi arry cod�s: Every-petmlt=lss�ed shall�become inva!!d
<br /> ur�I�ss �he v�rork authorized-by such permit:•is-commenced•dai4hir�si��tftmr�ths of-pennit Issuance, ar i�work atatttorized by
<br /> 4he p�rmltls suspended�or.abando�ed-#ora�:perlod:of�sUt��6j�rnonfits.efter."tiae time#he�wark�is commertced. An e�ctension
<br /> e�ay be requested� In wrttlrig;_from the.'�ullding,afflclal for a pertod�not-to exceed�htnety�(90� dayrs ai�d�will deman�trate
<br /> ju�tifiiabl�aause far.�the��ensio�: if work ceas�s:far ninety(9Q)con�.ecutive.days._th�job�fis consEdered abaadaned.
<br /> �A��11�1+� Td2 �4MN�R; YOUt�.FI4�II.IJttE-TC�.R�E,CO�,A �lOTtGl�:OF��OMMEfiiCEIVIEt�T�.NtAY�RESULT IM�Y�UR ��
<br /> �'�V�R��s't�MiCE��l��IMPRAVEMEI�'S T�,X�QtlE��:P.R�PERTY-,-�l�'�Ygt��f�f�'EElVI�Q:`TA��'��►�N=P11��1E1NG;'CON�U�T
<br /> �t'� Y U - NEI� ��,YflU �. , ,C �� : °� E
<br /> �d.�RiD�►JURO�;(F.S. t . 3} - � ~ - , . ..
<br /> �►iNNEtY OR AGENT GONiRAGTO �
<br /> Subscd ed artd sKmm!o(ot a edj before m�this Stib�c�bed'and'�vuam�to{ot�Iftrmed)•b iare ma`th��
<br /> .�.�Lr�-�r
<br /> Wtia siare pevsatislty known ta.me os hasfiave producec# Who.tsJare p.enqonalty known•ta m�ar hee/have�pmdi,�ed . .
<br /> sa 1denUttcation. as ldenU�catlon.
<br /> /� � Natary Pubftc _ ������ Notary Publtc
<br /> CammissRon No•: �7 �� Commla !on-tda 6 r'r . .
<br /> _ ��P�� ��/���/ ' „� .
<br /> tdame of�totary tNped,prlated or s T Mame af t�lcta�r tYPed.P ��t�J,►�P�BRA E{AlNE RU�fELL
<br /> �,�� ''� ;r;��+:Commissian#GG 445343
<br /> •.t-;.���� Q r- .h;;Expires Navember 7,2024
<br /> •,,.yi��cs�� 19 , - �� �7�.vi'tlwTroyFainfnsurance860�385�7419
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