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NOTICE;OF:OEED:RESTR(CTiONS: The;tlridersigRedUnjpAands,that.thispermit may be.subject•to,"deed"•restrictions' <br /> whi0O,;mayt3e'mo�e;restrictive'than-.Countyregulatlons The`undersigned:assumes:responsibility_-for•.•campliance.withany <br /> appiicatls�deedrestrictionss. . .. . <br /> Kid 'vD'"O. T• GTORS. Nt COS f,AtrT R" cr�'+DWSI (,1 iTiE.S�' b if tiie o..Wner shas�:#iireda�:cotitractbc:or' <br /> coi�t?actgrs fa`hindert'ake word;the ,may'tie!� quirred`# b`e ffie"ensed•lh'accordance;with state.and:aocai:r gu�atioris m;lfahe <br /> ;coratracj'or rs niit;ticBnseS!as regultedStiy`tiWil both th'e owrrcr,:antf corftfaGtQg a :b4 cited_fot`a=irlisdemeanor violation <br /> tiiide"r;s#ate'iaw.: {f tiie,4wnecorintended;caotractor afe tancertain.'as:'to.what iicensi»g,requireRtents.,»tay,:apptycfgr•.the <br /> + -•. <br /> intettdedwork'utheyt r9.adYisedkto�ori#act`the'.•PascoCou- yj3uir gInspectlbn.Cn(ision--licensrrig;Section'at:Z27-8a7- <br /> i800.9:;:=Fi�rthetmore;:if'tfie;'owner'hasrhic :co»tractor'or..coritractors, he is advised:ta'have+tfiecontractor(s) sign <br /> portions of.;ttie;"cori#ra tQi?BtocK: of lFi+s sppiicsit+on foc v lch they:wiil.,be:responslbte:='tf ybu,•as the.owner sign as the <br /> GQjitractor,ahaftnay onth ' 6 titldto permitting privieges in Rasco-,be�ani4O' icat+ o ne <br /> ;county;;- <br /> TRASPORTj4 f10N 1MPt# %tlTJkfES f1411?A{ AiV;l3`RES{}lIiZGE<REGONERIF`FEE$;>The uride(sig»eti:understar+ds <br /> ,Fiat_Trans�po'rtafq':';Impa'ct;Fees.;and;Recoursd;Recgvery,Fees may:apply,ta tfie_constr+lotion:gf.-neu+rtauilding5ch'arige-of <br /> g' ' s as''speclfi d an.Rasca.CountyiOrtlinance;number SMT and <br /> iise:iri ex+sdng;bul)d+ngs;or,ex)anslon;of,gxisting,bulidlt?gsi:. <br /> 9Q':07'as=arnentled`:;Ttie;uridersigheil;:aiso understands,tic E ych feis,as be due;:wilt:be:-iderjtlfed'.ate#lZatlirrie:<of <br /> :peimittingE::itsisurth�®r aiundferodhatTranspgrfatfbn>�rnpact Fees:and Resource Recovery 1=ees rrlust:be.paitl:prior to <br /> receivingja r.c r t cate�of oc'cupaac}J or fnal{powe-retea a ,IM+ e:prbject;sloes noGlrivolve a:certificate,of_ppcfipaliey,or <br /> finat power release tFae;fees mttst�be paid prior tQ permit issu ce..:•FgitFjemiore r+fsPasco' ou»ty WaterlSewer impact <br /> fees are:tiuwhMt y mustb0J.OfO Aitot 3o pQ irtit: sue.»ce:;irraccor., ance•;Wifh appiica61 I?aseo;Go'bnt9.dMinanoes; .. <br /> C NSiTAVOT G�1 EN L A '(Chapter 713;Fund',5ti itutes,�as�arrien4led):'If,.yaluatibri;ot vyork+s$ ;S,UO:Q.p:pr moJe;,l <br /> ceifdy#hat•=`i the ap,�r�can# ttavet=tieerrFtraviedwt%f'a,cslpy;tfsttte ?Figrida.Cari"strucG6i:Len-1 avi�—i fai»eawtier's <br /> re areal?;t `-the Florid '-b artrrient'of'A ricuiture and:'CoitSutnerAffairs., if the:applicant,is,,SQrpegne <br /> Rrofeotion Guide;;P. .P. y., e; p g• <br /> ,. r,.. <br /> other;thaiaatithe, owner,;{I.oQ if�y}•that t have titained a copy.gfthe,.above,d6scribodAoeumenfaiid proms a in gootl failli'fo <br /> ijeiiver;it'to'tiie°iswiie 'p o:c i rftne cetifent; <br /> C.QN;T.RAC:TOF2'S/,OV!fNfyR'S;AFFIpj,-,1'F' ?CBrtify:that:atltheri»forrnation`tri:ttis appilcatibn>is;accuratearid'ttiet;aii;yvori% <br /> wit) Q ponetln,coo`mpji@Gt erwlth�allja(3 tlGablestawsiregut ti+gCoiJ'Wgctbri zoning at+ 'lands:d vejopment Appilcat+o»is <br /> hereby made to::ab#ai»'a>=peimit to do;',uuorl ;ancd:t sta)la ion s ri jcated: t.certify'thaY no.work:or�f»'staiiatibn:has- <br /> conimenced prior.--"to.issuance,of a perirlit anif::,that=all'work wiiG:be.pedorme''d;to,rrt-eet.s#andards.of ali:laws:regulating <br /> construction;:county,and;; ' o esr;zoning regulations;:alittvleh`d`.d velopment FeguI tiori e'i the:jufisdietipn lso <br /> certify'ft�"at t uriderstarcii:that ffie"regulationf bf.•",other°-&vemment'agenctes ff. appiypjfte:intentled:work;arid.that•itis <br /> myxesponsibility;fo:I'd entify whatOdtlons Ipust:take to:be incompliance .Su`cl:ager�gI incfuiie"but are not:frplio, . <br /> - 'Department'of:Ehvironmentat'Peotection-Cypress Bayheads,Wetland--Areas;and',Environmehtalty:Sensitive <br /> t:ands;WaterlWastewatgr.Treatment•, - <br /> - Southwest. iorida Wafei,:M;nagertient;`!Distiibii*elis; ;Cypress Bayheads, Wetland' Areas, 'Altering <br /> Watercourses. <br /> - Army:Corps;of Engineers-Seawatta:Docks;Neyigabf.EiWpterwaXs- <br /> Dgpartmenfi of Health.:t£'iReliabtlitativa=Services/,Ettvisopme-i!,,Mealth-Unit=Wells,;WastowAtera;Treatitlent„;: <br /> Septic 1'arilis. `• •' • ' <br /> WSZ Enuicorirrierttat;QrotectioftAgency Asbestgs abatement, <br /> VF ?1IiQfn Y 1 Q(i "tj .::... <br /> a its::-lit:•..�ys:i:- <br /> i,tin.'derstandtbbt-3he following,restrictions.apply,to;theuseof lI;:;, <br /> M, t 9 • <br /> t7s otFtal4is not, itov e�c€in-Repo-done=U"unlessk xpjessI perm tfo& <br /> lftftieilt°matena(,+sofa-6e'u`sed tn:Fiood'Zorie "A,-+t°:ts:.tt»de>s#tiod:that;a°:drairfage'°plan addressing a <br /> compensating;goTume?Wl,il!ige.submitted.atalrrtg.of permitting which:ti prep ared:.by,,:a;prpfessignai:,engi4er <br /> itcerJsedsby;the Stafe:ofF.lorida: <br /> - If ilia fill material is --be,useii In Flood':Zone- Arl.Jrp connection—with—:a,permitted.building using.stern,wall <br /> constr�y�ctiop;;.t:•ser'fi�yc#fiat�fll•lwjll;�e.used:only;tp�fjl[stla,area�wittiin.ttiestem walF .. _• :. <br /> If•fill>materiat is twos used i» any,area,'P;certdy that use-of such-fill•wtllnot..atl versely.:affect.adjacent <br /> propeiflea.•,If:Gsa;of:Altjsp�ttsdta-:ativerseiy:afee#adjaseni rprop�eries;the a..wtter.inay_be•,plted for.viotaEiitg <br /> `the.condI Ions of the b�lilding'permR.,issued under the attached'permit-applica`tiorf,for tots fe"ss:,than'one-(1) <br /> acre..wFiicl ,are;elevat'ed tiy;sill,;':an®,nginee ed`fruainage plan;is required. <br /> If Uam'tha AGEN.T,;EMA.HE30Wj+tEK;T pr n�seafi good farfh fo r»farm t1}e,a~Yrier of the permitting conditions set'forth iri <br /> this affidavitpi9rao.commencing;construotion: i uriderstatid that•a'sepaTate::perrt5it'may'be;requiredfoc:eleetricahwork; <br /> g tk 1 . 9, g.. - y I PP -.. <br /> plumbin .wells, pools flair corldiUonin as or other-installations not SpecifiCall ncluded+n the;;,, lication:'A <br /> p@rnritissued shalt be:t 6nstruod;t''-6o_a license't0`prgceert,Wf#li F)e:WOrii a»d'nat aS`autttanty:t0 Vlalate,;.carlCeJ; lterror.i_ <br /> set aside:any provisions of:tFte technibat.codgs;:nor shall+ssttanee.of zi permit prevent the Building Ofticial_frohrthere� er <br /> ,. • i + <br /> xegt#iririg a correclg of er�grS lans agristruction or vioiations;of..any caries:µ:• .v_.,ery,:permit:issued:sball-beGgme:mvalid' <br /> unless=:the work authorized b)r such,parmlt is commenclrt!itliIn_siX morithkof,permit"issuance;:or.if-,wotk;authorjzerikby <br /> the permit is:s(spendedorabannedforape»od gsiic(ti):months:aftei the tirrie•tha:work+s.xommericed An.extension• <br /> may,6exrequested;:;inwirriting;:,from;the Btailding Qfficia!*for.p„Qeoet,not;t#a-exceed ninety'(90)days:and will gerrionstrate:'.: ' <br /> jtistif sable cause:-for tkte eatensto» tf.;vy+orlcceases for<ninety;;(9d)c6nsecufive=days;tile.job is.considered abandoned. <br /> WARNING T6._dAIMEk, YOUR FA lt jJ ,E`.•T OCR ECORD;'A NQTIPP°,O.F CQ,MMr:NC6MEN•T.„MAYERE$UL ;INi1rAUR:• <br /> ;PAY1• ;WtT d"�- lct Nit30ytP jQ= '?RttQ STCtYIIN GIt~Atfa�QU itt iTt #tC177�4.4l1 ! COAU7N E�OF; ESF0 <br /> RO�� .iE1 E MEIF�tITG{r. c�Nsvi: F <br /> 17 .urtA. <br /> 03) <br /> `'FL'ORI• [��^i �?�EiS,,:f-17: x;•.'. ' 't;:. r.;,.,.,,;:i,,..:c: n,Y:.. ,., <br /> O1rYN�R ORsAGFyPiT, ..- 6 and.. ..tr toi g►a� <br /> sulisciitierariiYvom tb•tPr'affi.`"ed);before ma thtg Alr�� <br /> .., ..,...�•., ... ter: _ d) ' ..:::--- •�.... <br /> Who ialarwoersonally!kriown tame`.oc<tiiamove pro,uaeif'' Who'stare personally 'to,'iq@ or-Ha/hare p"rodu6ed'.' <br /> as-identiftcaHon. ldeptlteatiori <br /> Notary Public r Notary P-iiblic_ ., <br /> Commissiori No. Cominiss J o <br /> eQUEtINE . <br /> Name of Notary:typed;.piinted orstamped Name of.N _ putt-�slr$laDet emllef 12,7022 <br /> • �i;�op p44Q` god�Troy Faln Insurance 8D0.3857419 • <br />