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<br /> NC1TiCE OF DEED RE�T6tICYlON�: The undersign�d;un�ergtands;.�,th�t;this;,p�rmit•.may.be.subJect to,"deed"[es.trl�ttons".,q,.. .�.:.n�.
<br /> . .. ._....,.,.,.w.
<br /> which may;tie:more.r.est�ictive>tha�County regrilatCons:The�underslgned assumes�responsibility`.for'campliai�ce witfi`°any��
<br /> applicable deed resMctbns. ..r.�,:�., <,;.:� �� � � . � . �. ,..-,: .� :. ���, ,-: .;� _:-...;.
<br /> t1NLt�ENSED�GOMTRACTQRS �AND CL?N�'RA+CTOft RESP�NSlBIL,IT'iES:;.�xtf-the��ainmer`has�"�hir.e:d° 8.`can#racfar or
<br /> contractors ta undertake wock, they.nisy;be�reiqulc�ed;�to.;�b�tltcensed=ln eccordance.�tttth state.andls�cal�regulattons;::if�=the��,,>° .
<br /> ,t,��..,-..:.:��..-._ _,... ._, ._.
<br /> contractar Is-not ItGensed��as'requlced'�by lav�r, b'oth the owne�r and�contractor�may be�alts�d°for�a�misdemeanor violatlon
<br /> under state iaw, if the owner or intended;,contrac�tor�ar,e;uncertaln as to what Itcensing.requtrements�;may�apply=.for�`tiie` •�• �
<br /> intended wortc,thejr aire:ailvised to confact the�;Pasca Caunty 8u11ding::inspection,�Dtvistan,-t•icensing�Sec#ion at 72fi-847-
<br /> 8009. FurtFiermore, Jf !he ovirrier�fias�tii��rd°a coiitracto�"or�oiiti�actars. he is aiivE�ed #o have �the cantrac#or(s),_si9nr.. .
<br /> ...3J.v':�q:'.�tY.�^.�.
<br /> partions of thev,°cant�ctor_Black" of.thls�appltcatlon�far.which,they,wilt::be>tesponsfble.-.�ff.you,as<#he ov�rner'sl�n��as th�" ' ` �: `.
<br /> co�ttractor; that�may be an Indicatlon that'tie=ts not properly flcens�d"arid`Is not`entlNeii t6 peri�iiiEting�pr6vileges In Pasco , ,;
<br /> County. . . _.__ . ., . . , --- -•- ,_ �=.,�;: _..
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<br /> TiiAN�PORTA'flC1N�iMPACT1UTiL11�ES��tMPAC't'-ANt�-itE:Ei�Ui2CE RECOVEitY�EES:��The uride�signed understands
<br /> that Transportetlon impact Fees:and.Reca.urse Reco�rery_Fees may,apply��#o�ti�e;canstnuc#ton..of new_buiidings�%change��ofi��• `'==_ ��
<br /> use In existing buildings��or:�exparisl�iaµofsezlst��;=�ull�ings, as specffied.in P�sco Counfy Ordinance number 89 O7 and..
<br /> 90-07, as amended.��;xhe under�igned alsa;�urtders#ands, th�t:'such fees.��astma}r;ti��..due;:�;u�11l:�be Ide�tl#Eed at the[•tlme'�of�='� .,:'� :;
<br /> y.f:+-t:
<br /> permikting. It Is fur'tfier understood that T�si�isp'ortatian Impact Fees and`�Resoucce.:.Recouery-Fees:.mus#be pald pr.lor to
<br /> recelving�a"certi�cate:of oacupanay"�or flna�l�.p�ower.�etease. :If-Ehe.proj�c,t,.does;not involve�a�,certfflcate of accupancy�or��r°"���':'���`
<br /> final power-.release�,�the;fees�mu�t"be paid;pTlorto;permit issu�nce. f.��tk�ermore;--;if:P�sco;Countyr�lNaterlSewer�,lmpact ° ., . a
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<br /> fees are due,_they,must.be;pald;prior#a:.permit_,is�yance;:in,accor�ance;witti,:app4icable:Pasca�.Caunty:�orrlinances. �
<br /> GOIdSTRUCTlt?N�ClEN'LAW'(Ch�pter 715,"Flo�da$t�t�t��as amendec!): �f v�fua�on of wor�C fs$2�500.OD;�ac more;;.!~ °. -�;_ .
<br /> certity that I, .�he..-aPpllcant,:-heve�been-provlded�-�wlth� a�copY-.of��the:�°Elorida�°�Gonst"rc�cklon� Llen:Law -Hameawner's
<br /> Pratectfon Guide" prep�red by,ttie Flarida Deparfinent�of Agrtculture and Consumer;:Affairs. If the �pp!lcant!s someone�.T, 4�� :in
<br /> 9 .`...t,
<br /> other than the"owrrer", t cert,ifjr�,that.l<ha�e,,ots,ta�Inedaa�copy.of..the:abQve:desc�ltied:iiocur�ent��and;,promise�,in,goad;:faith-fo _ r;
<br /> deiiver it to.the_"ow�eir";piclor.to commencement:'. - - .. " ```� ' , : _ ; � . -
<br /> �ONTRACTOR'S/�WN�R'8 AF�l�AVtT; i.ce�tity,�;ttiat<s11�;the;;irtifarmaHon;in:thi�appltcatton is accurate.and fha#all wor;k
<br /> wlll'be done in compllance wlth all.appltcabfe l�ws regulating c�a��truc#fo�. �onUg and�:land"development. Apptication fs
<br /> hereby made,ta obtain�.a pecmit:;to�.,do::wor"k;�andtlF�stallatlon as (ndlCafed�.µ:'1: ceit4f�"#hat no work'.ot Installa#lon #tas -
<br /> commereced prio� to Issuance of'a permit�and that`:all work will be perto�med to meet�.standards,�of a!I laws regula�ing�
<br /> construction, County and Cify codes� zontng regulatlans, and land deveiapment regulatlon��in�tlie,Jurlsd(ct(on.' i-•.al'so _
<br /> certi�y that 1 undersfand#hat fhe regulafions of ather gavernment agencies may��ppty�#a..the._intended.work, and that It is
<br /> my responsibllily ta identiiy�wF�s#,aations!must t�ke to besin<.coralplianca:�,Such..agencles°include but�are.nat limited to: � _ - _
<br /> - Depactment of Et�vlronmentai�ProtectEori=Ejrpi�e'ss:`Bayti�ad��'We�and Areas and Envfronmentafly Sensitive
<br /> Lands�WatedWastewater Treatment.
<br /> - Southwest Florida 1Mater Management:Distrtct Wells� Cypres�.�Bay�eads; Wetland Areas, Alkertng
<br /> Watercourses. - ,. f� ' ' �
<br /> - Army Corps af Engineers-Seawalls,'�Dacks, Navigable Waterways.
<br /> - C1epa�#m�nt of,:Heaith:�& Ref�abllitativ�,,Serrt,tcesiEnvironmer�#a1=Heaith Uh�Welf.s, {tllasteHrater�Trestmerit�
<br /> Septic�Tanks:.�'� � . . . : . - .
<br /> - US Enviranmenta!ProtecNon Agency-Asbes#os abatement. '
<br /> Federal�Aviation<Autharity-Runways: .,, � � �P;
<br /> 1 understand that.the.foitovu�ng..�estNctlons appty t�tFie use of flfl:
<br /> - Use af f�il is not allowed`in`.Fiood<Zone"V"uniess expressly permitted.
<br /> - 1€ the-#il!''.materlal-1s to�be nse��In.:fEood-Zane. "A", It. !s u�derstoad that a drafnage plan addressing a
<br /> "compensating volume�will bs submitted at tlme of perrnitking�hBch Is prepared by a professlona! englneer �
<br /> Iicensed by�the-�taCe�af F�orida. � � - '-
<br /> - If ih� till matertal-ls to be�>used in Fiood �ane 'A° im connectton�vulth��i`��ermitted buitding using stem wall
<br /> � aonstructinn, t certify.that�i1.�ru111,be�t�sed anty.to fitt the area within�the•stem��waii:
<br /> - if flit mate�ial-is'to #�e► usea in anj► area, 1 certify tiiat .use of such�flll will nad adversety affect adjaaent
<br /> propertles. !f use of.flll #s�ound.to adverseyr:��fect adja�en#=prope�ifes�,the ownef may be cited for vfolatirig �-
<br /> the condl�ions_of_the bulld(�g�:permlt Issued us►der the�attached_permit applicatlon, for.lots�:less.�#han o�e (1}
<br /> acre which are elevated`tiy flll,a�t englneered dralnag�plan is required. � ;
<br /> if I�m the AGEMT,FOR TH�01MNER; i�promtse In gaod faifh to ir.�form#he�owner of.�the permltting condnlons set farth In
<br /> this affiidavl#�p�ior�to commeracing constructlon. t urti�erstanii thefi,a�separate permit may be requtred for electrical work. . .
<br /> plumbing� signs, wells�,Pools;.alr condltionlr�g�:9ats, .or„othec instali�tlons noE.spec�lcalty !n�#uded-in.the application. .A
<br /> permit issued shal! be canstrued ta'be�a'license'..to'proceed with'ttie virotk and:not-.as-�uthorily..ta.vtolate�'cance{� aiter, or
<br /> set aside any provistons af the tectinical,c+�des;�nor shall tssuance�of a.permtt.prevent the 8ulld(ri�Ci#ffcta!from thereafter
<br /> requirtn.g a correctlon,af eRo�s in:;plans;:canstructtan.or violations of-any�code�.�.Every�permlt-lssued"sfiall�become invalid
<br /> unEess the wark autharizeci.by such permit:�is.coRnmenced•within s;i�t..months of�permit)ssuance� or if work authorized by
<br /> the permlt is suspendecf or,..abaradoned,:foc a;periodxof six:{�j manfi�.s�„after.the#irtfi�the�wo�k ts cornmen�ed. An e�ctension
<br /> may be �equested, !r�wrlting��#�om.tfie�Btiildirtg,Oftlalal-far a period::not.tu-exceed``=nitiety(90)'days a�d�will~demanstrate
<br /> •justifiabte cause f�r.the e�ensbr�. If work,ceases:for ninety�(90�consecutive days,.the�o6�is canstderecl abaadoned. <�
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<br /> INARNING Tt3 t1WNER: YOUR..FAiLUREwT�1:,REC.QRQ A>;�FO'�°iGE_:C1F.�COIVIMENCEI6111Et�T-:N1�AY=RESULT iN YOUR
<br /> PaY1NG'1'INiCE,I=OR>IMPRC3VEMENTS.,Tfl YEl�li'��.P#tt�PERTY:"IF�YOtl=t�t'FEi�D:�:�t'���BTAIN-Fit�Ai�CiNG;'Ct3N5ULT
<br /> W!T = � D - - ��R� ��t :t ,OU � � �. . .: . -
<br /> FLORIDAJURA�':(E.S.117.03} _ ,� -: -----�..�. -:..;—.-:-_ ..<--:_;._ ._ _. _ _ .
<br /> OWNER OR At3ENT . f.� - _ � ' COAiTRAG'1YD � �/"�—
<br /> 8ubearlbed and swom a e et s � Subscrlbed and' �M oh'� e,d,���b,efo_rep�e tli �
<br /> /J- 7"�by ' • . �' '? .�._inrfiM�ttf,n� �/ ����.u�
<br /> Wtio islare pe onaN _.me or-has/h ye.produced a are�eK onaf_ Q e:ar hasfiave�prvdu bd �
<br /> �S' as Idendncetlon. 1rWs !..w�--S�-- as IdentlRca�an.
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<br /> '�.G— Notery Publlc . a Notary Pubtia
<br /> Commiss No: rnissl o.
<br /> „ , o.���Ne'-. JACQUELINE BOGE
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<br /> �ai�.av � ?�?•' �"c:
<br /> Name of Nota • � n FF 150422
<br /> Name ot Notary , � G7bAt�tl9Di�d#F�150d22 �Y�l
<br /> :��2 �o: Expires December 1� 2t31� -.�, ��°; xpar� Dacember 12,20i8
<br /> �%q�fiFs��Q.Q�� 8oadad Thru 7roy Fm�n InauranaU�Bb36B•>Dt9 Af���"� Bonded T!h��n�in Insurancegpp�g�.7479
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