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<br /> �dOT�CE OF DEED ttE�TRICTIANB: The undecsigned undergtandsT=th�#:tial�:��rm�#��n�y.be;sub)ect to,"deed"rest�(ct�ons°_ � ..
<br /> which may be�more��r.es�ricttve-th�rtGounty�reiguiatTtins: �The�underslgtied a�setmes�respo�isitif4tty for�coiinipllanceinrith any
<br /> appticabte deed reshicttons. -- . . - �
<br /> U�liC�NSED��OMTRRE�1►�T,'ClR� �iND-GAM�RACTO���S�ClN�l�I��S: � If the ovmer has-�hire�d��a contr�cMr or
<br /> �on4ractors to undet'#ake work�th�y may be_cequlrsd�:to.:bg;l(censed�in accordance.vutth�tate�.and�tocai,ragulattans. tf the
<br /> contractor I� not licensed as requlred�by lav�+� aott'i�the owner and:convactoT inay be-c1#ed�ior-a�mtsdemesnor viofa�an
<br /> under state law. If�he owner or tntended�aontra�tor-�re�uncectain as ta enri�a#!lcen�M�•r�quiremertts may:_appty�far�t#�e
<br /> intended�rork,they are advlsed#o coritacE#i�e Pasco Couttty�uilding'lnspsc#lon D1visl�r�—l.tcensing Sectton at 727-84?-
<br /> �4p�, Furtts+�rmore, iE the owner'tias hlred`a �cointracCor or cantractor�, !�e Is advised ta have the contractor(s).rstgn
<br /> porklons o�'the ncantracMr.Bloc�" of thls-apP..lice�tton for_r�hich ihey avill.b�_resp.onsible. if you�.as..tF�e avuriia�"sigi►�as the --
<br /> conoeactor, that�may be�an indica8an that'iie°(s�not.pFoperly iicen��d and �s not entltied to pemtitting ptierlleges fn Pasco
<br /> �ounty,
<br /> T6t�R,i���A1tTATtOPf 1�iRACT1�}Ttl�i'�iE��f�A�C'�`Ai��}-RE��U�tGE R���Yl�RY�FEES. The�undersigned-unders#ands
<br /> that Tr�nspartatlon Impac#Fees�and.Recsaurse Recove-ry,Fees may_�pp1�tsr tf�e consbvctton,of new buildings,�change of �
<br /> use In existing bultdings� ar�expansl�tw�of-�ei�tsti�i�'�buildings,tlas speaffied.in P�scq County Ordtnance number 89-07 and
<br /> 90-07, as amended..The undersigned also.understands; that�such fees;;as��may^be•due�;will,be identified at the�tiroie°i�f-
<br /> permitting. 1# is further unde�tood that Transportation impact Fees and°Resouree.Recovery�Fees,mu�t be paid priar ta
<br /> receldtng a.°ceKffic�te of�accup�nay"or final��pawer=F�iease. :I�the proj�c�doas.no�lttivolve:a�:cert�tcate of occupancy.a�=�
<br /> final powec release;tfae�fee� mr��t be p�td pcior-ta perm3#Issuanc�e. F�txthermore;�-Pasco-Gourtty'Wat�rlSewer.lmpaci .
<br /> fees ar�due�ti�ey�must beipaid:.pr�or to permlE-Issuan�e-ln_accordance wlth�aPPltcabl�Pasao�County ordinances. -
<br /> CA�l�+TRUCTlAM CIEM!A1l�!(Gliapt�r 715,EIotl�ia St�tt�te�,as smend�d): if valuatlon of work is$2,500.00 or more� 1�
<br /> certify that I� the appitcant�. have.been pm�dided�with�a•copy�=of_the�°Fiorida-°Co�struction� Lten�.tainr—Homeowner's
<br /> Pr�tection Guidep prep�red by the Fio�tda Departmenf of Agricuttt�re and Consnmer�Affairs. if the appticant is someone -
<br /> other than the"owner�� i certify.#hat.t�have obtainect:a-copY;of:fhe;aba�e de�crl�ed��3oaur�en#-and.pramise-_tn,goad..fa�th ta
<br /> deiiver it fo.the:'owner�prior to•cominencement:', . . • .
<br /> �@��l�'lf�GT1�R'StOWtr1ER'��FlQAYlT; 1:ceit�'y-ttaak.alt.th�.inf�►rm�tkm:l�thls appllcatton�s accurate_and that all work
<br /> wil!'b�done tn compiiance vulth all�app!lcable laws regulating consiruction. zonin�and:�land�development. Appltcatton ts
<br /> �ereby made to obtatn .a-permit.to do�work:and Ihsfaliation �s tndt�eted�-�:I. cenify that no work=or tnsfi�ita#lon has
<br /> commenced prtor#o tssuance of a perniit`and thaf.ali woete wiii be pertormed�to meet stands�rds-afi all i�ws reguia�ing-
<br /> cans�uctian, Caunty and City codes� �aning regatations, and land de�etopment r.egufa�ans in the Jt�r�sd{ct{on. 1 a4'so
<br /> ce�Qify th�#� u�ders�arid tha#th�regutatlon�of other go�ernment ag��ci�s may-apply�to the Intended work� and#hat it'!s
<br /> my r�sponsibltity to id�nttfy wrhat.act�ans!must-take:M.be�dn.c�tr��llance:,.S�uch agencles include but�are.nat Iimited ta;
<br /> - �epartment a� Envlronmental`Protecttorilcy�r��g.�g��naaa�;'1�leNand l�rrea�s and Environmental{y Sensitive
<br /> L8t1d8y Water/Wastevvater Treatment. .
<br /> - Southvuest �torida Wafier Nian�gement:I�istrict Weits, +Cypress.r'�ay.heads; Wetiand e+�eeas, At#ering
<br /> W�#8(COUt'S6S. ,
<br /> - Ar+�y Carps of Engine�rs-Seawails,Dack�f�avlgatile W�terw�ys.
<br /> - . Department +�f Heal�h�;� Rel�ablNtative Ser.vl�esl�nviror�mental Health Uh�t WeQs, W�stew�at�r Treatmen8,
<br /> Se�t1a Tantis._ � � _
<br /> - US Environmentat Protection Agency-Asbestos abatemen�._.
<br /> , - Federal Adiat�on:Autharity=ilanways.
<br /> 1 t und�rstand ttiat the foftowing.:restrl�tlons apply to the use of flfi;�
<br /> - tl��o�flll!s r�ot altawed in:Flood:Zo,ne"V"unless expressly permlkted.
<br /> - If the fil! ma#eriai Is to be used.ln .Flocd Zone. "A", (t. is under'stood that a drainage p{an address(ng a�
<br /> "compe�sating volume" will be submitted at#ime of permit�ing wF�ich is prepared by a professionai engtneer
<br /> (Icensed by#he Sfate of F�o�tda: � � -
<br /> - if the fi11 materiai�is�to be cts_ed in Fiood Zona sA° in=connec�ion�wlth�a ��rml#ed buitding using stem walE
<br /> - � consf�uctton, i certify that fill.�}Il.ha��sed onty:ta.,F#11 the-ar�a v�►fthln:the�stem�wal1. -
<br /> - If fll! mate�Ea! ts to be usec#-!n-any afea,.C`cerk�yt_ tfiat _usa of-such flll wIll.not adve�sely affect adjacent
<br /> propsrtEes. !f use of.flll ts-fotan�#.ta adversely=affect adJaeerit�properties,,the owner may be cited for viarating
<br /> the cond�ions of�the b�iidirig:permtt Issuedz under.the atfached;permit �pptk:atlon, for:iots�tess #han:one (1)
<br /> acre whicli are eievaEed=6y flit;a�t enginser$ddrainage pian is required.. -: .
<br /> �f i am fhe AGE�eii'�OR'�HE t3YVNGR� l,�romtse in good#aith to icifc>rm the c�wnec a##he permlttfng cond�fons se�forth!n
<br /> fhis at�idavE#'prtor to.commer�cing construs:ttan, �! uriderstanii thaf�a=separate petriiit may be tequlred tor electriaal work,
<br /> plu►r�bing,,stgnst wells, poal5;..alr.condltioNttg,.gas;.orPot�er. lnsfa(l�it�ons no�.specffically inElu�ded-in.the•application. .A
<br /> permit issued shall be canstrued to tie a�license�to-proceed with tFie work and not�as.aufhority-ta.viola#er cancet. at#erw ar
<br /> set aside any provtsians of the.#echnicat..codes;�nor st�aii fissuance�of a:permit.prevent the Buildirig C3#ficial from�fiereafter �
<br /> �-equiring a correction uf errors in-ptans-, csansf�uctian.ar_xlutattons of ariy codes:� Every.�rmlt-lssued s�iatl�became.irnralid
<br /> unles� th�work authoriFed�by such pernzl#:�Is-cocnmensed u�rlthln si�c�nanths of�pemtlt Essuance, or if work author�Zed by
<br /> th�perm4t is suspended�ar:abandoned-far a�:petiod iof�s�x{8)-months.e#ter.the time the�work��s commenced. An extension
<br /> m�y b� requested�.tn writing;rfrom th���uildin�.Official for a perlad�not.to,exceed�n(n�ty�(90)days a�d�wili derrionstrate
<br /> justlfi�ble cause for�the extension�. If work ceas.es:for ninety.{SO)cons.ecutive.day.s.-th�Job�is�considered abandoned.
<br /> !#�l��iQ11RIG TO O�!!lM�R: Y�UR_FAll.URE-Tt1�RECQ�tQ A;NC4'T�GE:AF°GOMMENCEMEt9FT�NtAY-Rl�S[�1iT 11l��YLlUR
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<br /> �117 Y U A. -AN�� O E�R�R �OR�31 f,�� 0U .' 'OIF'� : � E C
<br /> FI.QRIDA JURA��(F.S.117 0 } .. . � � . ' - - ..
<br /> OWt+tER OR A<3�NT --- . COD+ITRACTO �'' l.� .
<br /> Sub a1b and swom to( r afRrm�d)befare me ihl� Subsctlb and�swom•m(ar ar�rmea)•betore me uit� _
<br /> �1 by .�y...
<br /> o Is/are persenally Icnown to.me or_haslhav�produced o.t�lare p.ersoneltyknown•td n►a or has/have�roduce�l •
<br /> ae td"enU8ca8on, as identl8ca#tan.
<br /> - —��a��=c.{�:_��i����_. Mot�ry Pubttc _ p����" Naharyr Publtc. .
<br /> Commtssian M1to:` � Comnatssian�t�o. �T GT �„�J -.
<br /> / G� •� � ���72t �I ci.c.,t�.. ����,1 •
<br /> Na s Name of iVotary iyped,printed or s#anrped _
<br /> .o<+A`:^��.,, D"c£F'A El.�i�'�RUFFELl.
<br /> °''' ":Commissian#GG b45343 � Y4��
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