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Nt1TICE:t3F DEED:RESTRICTiON& The-unde,gi ed•: i <
<br /> fs'gCl.. .,utldersands that.thls permit may be.subject to"deed°restrictions"
<br /> whiich:;inay.be'more;restrictive:than,;:Countyregulations ,ThWundersigned:assum,es,responsibilityfor:compliance:withany
<br /> oog1'cable:deed::r+strictions:
<br /> UNIICIwNSED:C TRACTORS; ND:'CONTR.-ACTBR'> ISPQNSIBih :a h o ner:hasH=hired-:
<br /> .- ..•. � ,..{r , L : -�.; ..,;:. , .T!E�§.,_':� .f;# e: w a�:conti~a:tor.'or
<br /> cont actors;to�iindertaiCe'work, the)/may berequired to..be Licensed in:accordance.W h state::and'local regulations „-If the
<br /> cor?tiaGtor is not l�neltsed as rei U1i tf by, to r6a#h..:the>owner.:and;Y_co Ai ac br na} ::lie:cited:for'a misdemeanor.:violation
<br /> under state;law:"if`tti'di-"6w'odr:or,.intended.contractor are,uricertairr as�to:what licensing.requirements•maytapplyforthe
<br /> inteCtded work;:tl ey;are:actVised to. of tct''ti dl'Pasco•Countyf!$uifdiia Iris e�itionx'D visiet�r Licensin "Section at 727-847-
<br /> g:.�:.-p... .. 9
<br /> 80p9: Furthermore;.:,if?tf e•owner';fias;hired;,a.contractor or°contractors, he is'advised to have:the;:contractoc(s)."sign
<br /> ortions of the contract. 5
<br /> -. ' or°Block"'of this application'for::whichrthey:willberesponsible:"-If.'you,'as:the,owner sign as the
<br /> contrctor;-that"may:be:an;indication>that he:is.not.praperiy licensed and �s not:entitled:to permitting.privileges in Pasco
<br /> :,County;=
<br /> `T j CANSP4R�TATI4N+1lIl! iP►C'lUfTtLI>FtEStitIP.,AC °AN'DRESOURCic Rt*C,OVERY FEES:~Theuridersignecl:understands
<br /> :.,
<br /> that;Transpo tatorl Impacf.Fees:.and Recourse.:;Recovery:Fees-may_apply,to:the.;construction"of�newb-Olidings;Ichtrf of
<br /> P._
<br /> usemy.existin bu ldin s�.or,ex ansionafexisting�buildirigs "�� ' `� ,>as'-specfied'iri ounty:Ordinance'..`number"89=07:and'
<br /> 90=07`gas-'amerided_':Thb undersigned also:uriderstand'si.Jhat 4ch;:fees;as;:rnay be,--.due;:wilt:be:identified.atvthe::time=:nf"
<br /> ;permitting': 3t4is fu'rtl;er;:undecstoaC(,tl at°rT�ansportationAmpact:l=ees:and Resodree:`Reeovery'Fees Faust be paid prior to
<br /> receiving:a°csrt sate ogoccupan' 'orffino[(power release:::;,lf`:#he.::pr,.ojdet_does not jnvoive a.der# sate<af;occ' an .:.or
<br /> iinat'poWpr-4efease; the fees'rnIM-be pai 'prior-Ad permit issuance: Fur h'ermore�rif.Pasco'Gounty Water/Sewer impact '
<br /> fees:ace'tlue tl ey mustb�e:. l ;prtir to:p rm:it ssuance in:accordance:withappllcaale Pasco- ounty.ordinanc'esi
<br /> CQN,S7J"tU;+C ;IQN;I .ENE AVN(Ct�ipt$�r 713;z 1=1oida.Statufes `fis amen% ecl lf;uatiiationof"i�vork`.i ;`$2;50 OtJ or more,.!
<br /> certif`"•-`#hat:'1, aFie'a " 'licant'::FiavesAtieen 4' 'rov"raed wi `°a..co°"'' i�f:.the w"Florida';Construction Lien'aaw=Wonieowner's.
<br /> Piotectian Guide: pr. pate�l:thy-tFeFl6nd; .`Dep.'artmenC`ofAg(icuiture:anrt.,,'6 surnerAffairs,. IfAhe.applicari s,someonei
<br /> )ther.;than the"owner°,AIjcer ifj%that l have obtarned:a:copy:of the.above:deseribed;document and;proiriiise iri°good°faith'to
<br /> deiiver:if to:the,°owe:"pricsr to= "oifimencemerit:'
<br /> CONTRACTOR'S/Ci.Wlk�R'S;AF.FIQ,'-'VI =:klcertify:that:all;the'irafarmation it hYs apptication is-.ac..urate:.;and.that-.all,wotk
<br /> ,t+r1:•.Y 4' - •.�A J.a'n' {: 'J f.::i., ,. ;pn
<br /> Cex °tha ti tic'"'bleaaw �.re u stirs' : oits4r ction':2"rtin 'aid and'deve o me'a: A lica i"n'is
<br /> �►5...': '.MQ.:.,t: ..,},nap..l.n. . ".wt .iiapp. a s,. . .9, t. . 9.. . u , ;"a. ..9.. .,..L._...__ t p .. n :.pP. ., to
<br /> Hereby°made-°to obtain'.a perr»t`to dot;work.arto installation bas: ind ca#etl. t certify-that J o:work or 1n'sfal#atiori has.
<br /> commenced prior;to'issuance of a;;permit-and that;all._work: it`be performed:ao:meet..s'ta'ndards.of'all:laws.regulating
<br /> coiistcuction,:-Courtty.:and;Cltod:es� ;zoiirtg'.-rogulations;:actdlakdtfevelop_meet-'regulationsr in'the-jurisdiction.: 1.;also
<br /> certify'fFiat is understand:tha'"t(ie`regulations-of.other;•government:agencies:mayappiy to.the:intended'.work; arid:that�it is
<br /> my:responsibility;to'idenfifywhat:octionsl;mustaake to".be in compliance:::Sucl ageneies.incl'ude but are not,1i0ited:.to::
<br /> Departfneriti t3f Environmental:Protec#ion-Cypress Bayheacts; Wetland Areas and Environrnertaily'Sens'rtive
<br /> Lands,-1NaterM/astewater Treatment: -
<br /> - Southwest. .Florida: W;411:er:.Management` District'Vt`1611s; Cypress Bayheads, Wetland`.Areas, :Altering
<br /> Watercourses.
<br /> - ' SawfiD -N�v"iArnyCocps ofEngineers ; a ..,.ble!.Waterwaya.
<br /> DeRartrienfi of:Health & Reaiitativeevie .nv Wastewater,,Treatment,,'.
<br /> SeptcTanks:
<br /> ,
<br /> - t1S Envirorinientat Protection A en Mbestos abatement.::
<br /> tI lorrAutC%grityfunwayst
<br /> iA tw restriconsaotf ply.tothe.uso offl „
<br /> :.:Use ofkfills,snot`;allovtred:in_:Flricl-Zone"V"`"unles,'iezpressiy perrtlittod.: i
<br /> If #1 e":` Ii'-rriateria( is':a"a, be' usetl'in Flood` Zone :''A";•:its=:is>understood-Ihoif a ulna_ -.' lan-addressing a
<br /> "compensat�rig;volume";;wi�l be submitted a#.#ime.o#permitting wh'ich:is_prepared:by a pt9fessionai:engineer
<br /> __ . -�icerlso'd�tiy°tfie'_State:;of>Florida::. ''
<br /> - If the fall material>.is:"to:be:used-:in Floods Zone.°Ax==iri:cc nection-with,-a permitted.building using,.steal:';Vir61l
<br /> Coristn ction;�.I cettifj%tha#f1l�nrill tie.used only twYlt#He`area..Within.the..stem•wall'
<br /> - If tilt.material:is.,to•<be,:used i`h::af y;urea, l :certify tt"ot use'of'such°:fill will not":adversely:.affect.adjacent
<br /> properties:. ;tf".use;of.fit: s fpuntl.to:.adversely a'ff_ed3bdj t,,*..�propertie�;,-,the-,-owner...may be-xited'tfor.-Miaiing
<br /> ;: :'ttie;conditions"ofaf,e buiid,'ir g''permit.issued underthe:,6 tached:permit'applIcation; for lots less:than one:(1':)
<br /> _ , re<whichace::eloyatedvl}yrfill;:an:engineered:4rairislge plan:is required.
<br /> ff't-am:the`AGENTz;1 OR;THEwO1NNEK .tdmise m good fai#h;to inform-the',ovsrnerof.#he:permittingticond..itions'set'fohh`�i6
<br /> 1. �. . . .:,„ �.
<br /> this':aM avit prior+tb:cornmenoiag construction: I understand°that a`separate':permit".may be:required for'electrical work;
<br /> ptumbing;'signs:v+retls, pools;;air condltionirig,;;gas;::ar.other iristaliatiorisznotspecifcally.:inclined':irt:theapplication. 'A
<br /> permittissued ahall.=6e construled.to�be a;licen's'®''twpro:deed with the work and'not.as authorifyao"v olate;:.cancel;
<br /> set=aside>attyaprovisions::of..the`.technical codes;,riot,shall:isst ar ce"of:a permit prevent the�Building.Official-froiri ther8affe
<br /> requiring:a;correctio ot_errors,in'-plans, canstrsiction orwiolations:of'any cod'es:bM,Every;permit.issuedtsFiall beGome`:irival-6
<br /> unless•the:work'ratathorized.°by°suchpetmit:'is.commenced Vvittiiin:six months'.of`permit'issuance,.or.:if";wor(authorzedty
<br /> ttie pernett'is susperiiiedTor.•abandoned for°a:period-of..,siic(6)'mbriths after°ttie°time'the work':is`: om"mertced -An extension.
<br /> mayae requested 1;in:;wn ing;;.from'..the:Building off'iciahf01r,_+:,gartod:not'to:exceed ninety(90) days and will.demonstrate::
<br /> lust able cause€or ttie,e}�tensiart:-:::If:work,cea"sos for-ninety;(90),consecutive-days;:the.job is considered,obandoned.::
<br /> WARN NG:TO=UWNERt--YOU .:FAIL;URE;_W'.RECORD;A NQTICE.:4F:C_QMMENCEMENT MAY RE$ULT;IN xOUR:
<br /> t.L.. n
<br /> PAYiNG�TIN ,15 5,OR IMPR'�Y '+�,ryE,+TS`�: ;O YO.0 QPER�TY° fF pYO �I�IT�rr1 .D TO 41BT ,`i,N FiltlAi LNG;{C0'SO T':.
<br /> '.fit. :�,1. .dA7%=s {tTL•;:1H�t,, .t,.•}.a� .ti.•y rr7�i'r, .t �r !.Eft TX.
<br /> .4-.,bt ,. .,.y i?:�. - i ;. A ..
<br /> 'WITI �Y0 124L1`NDEiRaO►R AN}ATTORNEY:BEF Ea (EGO tt)1N:G~YbUR;tVO'I ICE�:O 'C:OMIVIE IC M NT
<br /> FCORlDA.`JURAT{F: 17:03}..;'.': '-.
<br /> OWNER:oR:AGENT7 '`J�_ C�. CONTR_ACTgR
<br /> ..: :
<br /> Subscribe DO- s om, orafBrm" }•be me:�h1 .. ubsoti anii`.s #o or:afftirne¢}b re' e.this:
<br /> by =FAA Vet: 7-0
<br /> by.. 32,
<br /> Who;i /are-personal yTkrio' •to m'e.o�aias%ha've produced Wh f'repe to me,vr;lia.:have produced..
<br /> fin s`G#X M�yt- as-fdohlificatien. �(J1 as,tdeiiti#icatson:.
<br /> A ---Notary Public �•� `Notary:Pubttc.. ..
<br /> Comnttsstori No. a rl�t 3 D 'Cot!i ' SIQ ,3 eaue,nsui Uie j�ta�nt41#�R� ,,av eon.,
<br /> ✓ `.+'w.i/�/� 4.�� V v V��� - Y.��Z V�tt V.�""'i�iWO�:f: +if:
<br /> Name of Notery'typed;,printed opRYstamp Name.of"N -ry typ'ed,Prirgq#{ttg t#tM }�C
<br /> eleve Hazelwood
<br /> oQ NOTARY PUBLIC
<br /> +STATE OF FLORIDA
<br /> Comm#GG090036
<br /> Expires 5/8/2021 —�
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