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<br /> N0110EOF.pEED_RE8TRICTtONSt Theu�ndersigned;under�tandsth�t,thls<p��1�n?a!►�be:subject#o,`.,deed3aresMctto�is",_:,., �,�;w
<br /> rt�
<br /> whioh may:beamore.r�slhictNeAthan G�i�i�it�<t�epi�letfonsb��The Unde�sl�ned�•s�'sumes°responsi�ilily�for complience w,ith•any
<br /> apppcabte,deed resMcttans. _ - ...r.u_�.�,:�:,.� . .n ,-''� ..,,",-,
<br /> UNUCENSED�CONTRACTORS AN� COt�I�RAC'�'OR•RESPONS181E-17i�S:•�iF die°ovmer'has�hired��a"c6nt��c#or ar
<br /> c�ntractors to underkake work,they maytbe;requlred.:to<tie;�tcensed In•accorc`lance.wlth state.and;local�regulati4ns:�tf=the- ' � -
<br /> conftactor.is oat IEcensed�:asr teqcilced.?tiy lew.�bottt'the awner'arid�=confi�cMrxmay De#�ltetl'tbr��a=�»t�demeanor v1olatton
<br /> under state taw. IP the owner or iMeiided��co,r,i�r„,a:4har,;are,;,�mc�rtaln as to wfiat Itcenstng,regutremer►ts;msy=epptyiz:f6r4the: � -�
<br /> Inlended work,they ere ad"viseif to caiintact.ttie.Pasco Couniy;Bulliiliig,lnspection Dh%ielon`-Licensing Sectlan et 727-847-
<br /> 8009. Furtfiermore, !t the oinmer 1ias�fiireifMia contracfor'or' contractors. he is advlsed ta have'ihe contrador(s):stgn.. ,
<br /> �t,..�,..��t,::;�. .
<br /> portlons of the bontrec#ar 81oci�of Eh�s.appllcaUon.fa,r,.whiah..fhe}r will..be,tespansib2e.-�lf=you,-as�he ovirner,atgt��s t�se" "
<br /> conk�actor;that rnay be•an Indlcatlorrlhet'Fie"�is not'prcperty`Ilcensed�aiid"Is'iiot�entiNed to pemiitang priirllege',s In Pesco
<br /> County. . :_._. . .� �'a::�•,._�� ..
<br /> 'iRANSP;ORTATlON.1MPAGTJtF'fa1:i'i1ER�IN1Rl4L�AFtl3-!tEffiO�tItCE RECOVEEtY-fEEB:-'T#�e undsrslgnediirtderstands
<br /> thatTranspartetion Impact Fees:and.Recounae,Recavery_�eea mey;applytito�tfie:conatrucdon.of new.b.u(Idings,�changb�of��'�°�� �
<br /> use in exleNi►g buqdittga,�or.exparislot�rof'�ez1aU�►�'�6uiTtHngs,as spectfted.ln Paeco Caunty Ch`dinance number 89-07 and_
<br /> 80-OT�as amended,�,.;Th�.urttS,ecslgned also��iiderst�nds.thalE"s_uch feesy;as:maj���.due.:�w11F;�e ldentif�ed at the�time=oF°,= •4�. '
<br /> permltHng. It Is fu'r'th`�'underatodd.that Transportatlon irtfp�cf'Pees artd'�tesourae�Fteco�isry�Fees mu�t be paid prlor to
<br /> recewing a'ce�tiflcate;of accupar�cy"°or flnal�pcwerJcelease: :i�`tt►er proJ6ct:,doesino!•irnolve4a:certfftc�te of accupanc��o�i>�"`;:
<br /> final powec:�tetease,�t#ie�faes mti�F6e paid'tpr�`o.�r to;peimi#ias4tatfce. Fu�etmoie;�iE:Pasco,;�ourtty°`{Na#erlSekver,,lmpact •�_ �
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<br /> fees are due;,lhey:iquet:be;peld;p�cr to,PernlitclssUa�ice�in_ar:cordance:.wltb:appifcabie:Pasco'�Gounty'ofdtrrences. •
<br />' CONSTRUCTION'L"IEN'L:AW'(Cf�bpter 713R�tor(de Stetutes.aa amended�: ff valuaflon of work Is 52,500.OD�or,mare,:.l� ,��
<br />� cerfify ttiet 1, #he-apgticant�-haue:been prov[ded:wlth:a=copy�of the `Flor�da::Gons�on�Llen_law—�Nameowrre�'s
<br /> ProtecUon Quide'prepared by�Uie Flcrida Department;of Agrfculture and Consumer�AftaUs. If the applicant Is someone: _
<br /> other than tha'owner",l certlfy:that I;;haye�ciqtAlnedfatcopy;ot:the:abSGva.des,ci�ibed�lticument�and.;p�rqtritse:in,good<faNh�to
<br /> deltver 1t ta;the.'owri'er�'pctox'#o�co�ime�ii�metiE:`_ '. _ = � . . � .
<br /> CON7RACT4R'SICIYVNER'S AFFIDAVIT: I,ceiti[y.�,Ui�t-al6the.lnformatlon:l�:thla appllcatlon is accurate.and that all work
<br /> will'be done In compliance wNh all.appl(cable laws nsgulatlng ccnsiruction,zontng and:land';deyelopment. AppllcaUon Is
<br /> hereby made to abtatn.a.permlk,Co�,do.s�otk;asnd;i�i"stBElallon as Eqd[c�fed�:::.j l��c:eit�fji"tliat na watic'�or tnstattation tias
<br /> commenced'p�ior ta issuance af'a'perintt"�nd that`:aii work will ba perForm�d�to ri�eet-standards�of sll iaws regulatfng-
<br /> conatrucUon, Counlyr and Cfty codes, zoning reguladnns, and land development nagulatlans�ln`Uie j�rlsdlcUon.�'C al's:o
<br /> ce�lty tha#1 understar�d that the regula#tons of other govemment agenc(es rnsY•epx?11►;Eo.3he..tntended wo�lt,and that iE ts
<br /> my responslbifity to tdentity•what.acitons I m,ust�teke to,be.�in�campilance.,Suc�h;agetrrles indude buk-are.not Ilmfted ta: �•
<br /> - Department of Etrvtronmentel�'Protectton�Cypres�`�'beyhead�;WeBand Areas and•Environmentally Sensittve
<br /> t,ands,WaterlWestswater Treatmen�
<br /> - Southwest Flotlda W+�ter Managemeitt•=blsfrict-VUelis, Cypres.s.`Bayheads; Wefland Areas, Alkering
<br /> Watercaurses. , � �
<br /> - Army Cotps of Enstneess-5eawa1ls;Docks,Nevipatite Watetways.
<br /> - Department ai.Heaith�&,-Rehabiiltafiv,e:,�el;v(ces/�nvironmental Nealtla Unit Weils,:Wastewater Treadnent,
<br /> 8'epticTanks. • -- .
<br /> - US Environmenlal ProtecUon Agency Asbestos abatemen�.
<br /> FederaE Avt"atlunrAutho;ity,-fiunWetye:-.
<br /> I understand that lhe.follouiing�estrictlons aqply'to the use of flll:•
<br /> - Use otSilf{s not al[owed in:Flooa;'�ope'V"unleas expressly.permitked.
<br /> - If the::filt'rimatet4al-ts to`tie useit:li►:�lood Zone.'A. it ts understood that a dratnage ptan addresstng a
<br /> "compeFlsating volume'will be submitted at Ume of-pe�nftting which is prepared by a professlonal engineer
<br /> Ilcensed by_ltte Stale�ot Fl6ttda: - ` - '
<br /> - If thA flfl rrtaterfat°is to;be=used tn Ftoad yona`A'tn connection�wl#h:a pecmitted building using stem wati
<br /> ' conshucHon,I certliy that f�I:yVlil:b.e used only.to.�ll the ar.ea withln�the stem wall:
<br /> - It 8l1 materlal Is"to be uaea•in�.any erea, 1 cettity that.usa of'such fIN v+iitl qot adversaly affect adJacent
<br /> prqperttes. if use of#111�s,fcsund:to advers�aly,�adja`c�nt-�prcipertias,,the owner may be cited far.ulatating
<br /> the cond�lons.iif the.bullal�g�,permft Iss�Ved�under tlia�atlacfied pertnit applk:atlon;°for.lots less:than:one(1)
<br /> acre wfilch ere elevatetl�tiy�11;,��englneiered dralnage plan Is requlred..
<br /> Ef 1 am Ehe AtifNT FOR:TNE•OWl4ER;l�ioin(se(n�good falth-ta Iciform#h�cwner af ti�e pern�ttHng cond€�ons set.forth In
<br /> this aftldavlt`prlor ta comrrie�cing cone6iicd*on. I uriderstend that�separate,permlt may be requlred Tor electrical work,
<br /> plumbing, slgns,wells,.pools,,alr condltloning,.gas,.ar other` Install�Horis not�spec�l�mlly Included�tn.the appllcaklon. .A
<br /> permtt tssued'shall ba coitstrued to'b`e a°license�tc'proceed wttb'ttie�v�roiti and nat-as:aathority ta,xEota�,`cancel,alter.or
<br /> set aslde eny provlstons of the.tecfinlcatcodes;;nar shall tasuance�of e.permlt.prevent the Bulldlrig Qfltclel irom thereafter
<br /> requlring a conectlon.af,errore In;plans;cone;tructlon orvlolaUons of�erry codee:�Every-pgrmlt•lssued"sfiall tiecome lnvalfd
<br /> unless fhe work authionzed:by such permtt:9s-commencedwtthfn s6c.months bf�permtt tssnanee,or If wo�c authorized tiy
<br /> the permlt ta suspended•o��.aba�do�tedyfor a,perlodia€,six{8)•mont�s,:aRer;iqe#l�e the work�s commence�l. M extension
<br /> may be requeated,ln�wrltfng,�irom fFie;B'ullding.OfficlaFfbr a peMod:not:to.exceed�rifrie[y(9U)days and wllf demonstrate
<br /> �ustttlable cause for.�the extenslo� If work ceases.far nlne#y.(9Q}consecu#ive dsys,_th��ob�fa c�nstdet�ed abandoned. s
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<br /> WARNING TO OWPIER: YOUR,>FAILURE,;:,T•,O.R�CO�tQ:A:MOT�GE;OF.•COMMEMCEMEI�T.MAY�RESULT IN YOUR
<br /> PAYINti TWtGE„FOR„#MPRQ�tENIEI±I�S:I'#a?_'�(Q�t�,Fit'l�REEZ�;1k:��I�:YQtlalN��EKtD?'Ffl>�B�'Al1+F-F1EFl�N�1Ni3;�OF�3URT
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<br /> FLORIpAJURA3'�(F.Si-t1�:03}.. ' , ...' '. ,' .".",. , ,
<br /> OWNBR OR AK�ENT... ..: CONI'RA�TO , -
<br /> Sutraatbed an bewom to(or nfrtrtnedj beioro ma fhta Subsaibed"end (of"afll ro m ' �y�
<br /> Who lalare pensone.11y qsawn to.me.or:heslFiave P►od4�ed Who(d knowrrto sne�or s pradiice+d ,
<br /> . - aa tdertHlkaUOn. aa tdanNBcaHon.
<br /> 4
<br /> t�totary Pubitc � otary Publtc �
<br /> Commlaslon No.^ Com s .No p �^�. .
<br /> :S'�Y�I;B�. . OQV S
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<br /> Name otNofary typed,ptlnted or elamped Nam�of Nalery ,�t+. ,o a p�cember 12,.2018
<br /> %',�pA�py0.Q`�, 8c;dad7hmTroyFalnlneurance8W385�7019
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