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<br /> NO77 :OF'DEED-RESTMOTIONS:The un
<br /> w1 1 1f$-M re hire t t3oti y,, de n �a�+o ¢.th sad rmR sty
<br /> ppp k:atfle•deed• ft.!Y.' 8gi ''.''':E, iatt$ 'l`� �' i ` jq •' z ;3
<br /> UNt:(t�iENSELN G01+11Lt$ AIYL CbNCTOR RFrSP NStB( w w. 1:0 f : +i1otiCiae�<iTa§lrorth�c:tor or ,
<br /> corthactorsYo tuiderteke work;tkiery to f�er u to-*i1cdansed tr acw~cordem:e....I e<
<br /> corttt tor_Isnot llcensled al;regtiined by'1aw; a own�aMHr�ittia'd�r arrleai rvhi�ratfi�n
<br /> underlstate faHr TP the owner
<br /> or.ln et are°uncertain as.tD Wt 1
<br /> intended-work;.theysre advised tiiYcon e. _
<br /> 80Ag:i co Counfy'B dingnspet' no on
<br /> Furthetntore;'tl ttie owner'Figs flGesf 'dotttra - IDS
<br /> Of the" ctor or coniredms, he Is 8dvised toj 18ve-tt3s,,: ,eza_ '>
<br /> P� contragtorBlocM,pfthtsAppReaffon:for.wbich:.thgy_wM..be..respcc�slgle�l .'.as s ` �^ N
<br /> contiai:tor that.nray tie an Indk;etloFl ttidt'he 1S Yiot`prcp@'fy'Itoenseil an8ls'nbf eite to pe'mpd'vDeges 1[r :. '
<br /> CouTRANSPORT-AMOICI IPACMIT11,-t17ES IMPACT AND RESOURCE RECOVERYTEES:'Ilid until t hed AmderAwds.. x,
<br /> that- porMon Impact Fees and Recourse Recovery Fe, =$y�pply to�(he_ �g ctipq�gf rsrYv J (18i gs.
<br /> :.t
<br /> u�teutlsftiigiiiiCcjtfags; rexjp"slorcFi{st(bigtiuRdings,as specified In Fusco County Ordinance number S artti "'
<br /> 1�-07,1as amended. 7tie•tndersioned-rr4sb.gnderstands',:thatsuckJM,:a§,'A' JW%due:wifl� ide ' ' x ''
<br /> Perm 'tt 19`funher uttdetstood filet?ranspuiiatlon impaot•Faes`afid I egourr +R Scveryt Feet3 mast be paid-plJo
<br /> receh►ittg a"certificate'of oecupaucy°or•MaL power release;'if tGa arQJec does notdl�s%lva S.*dffi ata of.00aoP)tfdir Iti2 s
<br /> final:paw-release„tfie;•3ees:Mum he:patd prk'M.permit'issuarm._;Furth�jiore. Pssco ouht�r�1 y grt '. .;
<br /> few are,due;:t69y mt st be paid prior to."rmit*uanea.iniaccordt;arroe--vdt nanc�s.
<br /> cOiVs31t11GTi�N t EN1 tW(chQpti�7A Flortda3tatutea.as amanded): If valuatton of word ts"52 5OD;tbi o(;rt�mte J art..:
<br /> car*Ittret'I,AhQ:applicant,:hays-bee n~provided-with-a•.0ap1.:of the."t=lorfda t�onafraetiorr�en�l.avu�:Homecwr�e�s:
<br /> Pro ton Guide'prepate'd byi the floilda Department of Agrtcultlire and Cogs er.Akis. If they appfica t.*16- m.-,-
<br /> other than thenownel",;t,oert that i.hava.v7ttelndd`a copy of'the'above,�,aG�ted dCum$nt:and. to, ,
<br /> dellve'itto`ti:�.�ofNiietr'piabclTo.e6tir'riien's�r�ertt�: • . . ... •.• •_ ..
<br /> CONT CTOR'SIOWNER'S AFFID T:::i' Idi(y>ttiaf altaii$'irtforiniition 16 ft application is accurate and'ttiat'afi'woff.
<br /> wul before to compliance with all aple`laws regulating construction,mnir end;tarid deitelgpment. Appllcadoh is.
<br /> hereby made to:clitain;,a-rermit to:ido;avorK send installatlon..as'ItiidTCi d: 1:r�rBfSr that no•woik orJnWlti fnlI as
<br /> cartmenoetl prior'S6 tssuancrte:of`a rierm t arts that all work w111 be performed=ta-aneet:stan_dards;of all laws reguleo
<br /> constriction, County end City codes, zoning regulations, and land developmertt'repiilatioris ir>;tCip Jurisdictloh:.,'Viiso
<br /> certify that I understand,that the regulations of other government agencies mor.•apply-to.the•nIehdtid work,and that it is.
<br /> my responsiblllty In identify what actions I,mus teke,po;beun,c�o. p(lgnce,.Sugh;age Iles-Inci rdet4.'gm notjl.r lted.*, j
<br /> Department of Envinmrdeirtai` r"nt> 1bp=f.�iprel;s$ayhea�s,"iivetl d Areas.and Einrkpnmoi6gy"Sen'Swe
<br /> Lends,WaterMlastewater Treatment. :-:
<br /> Southwest Florida Water Managpment`•bisf itrVllells;'4Cyp •-Bayti'eke,• Wetland Areas, -me{•ing
<br /> Watercourses.
<br /> Army Corps of Ehgineers;Seavlralls,Docks;Navigable-Waterways. -,..
<br /> Deparamenl;::of H Re.4a litative,•$eryicesJEr�viroamentalakdealtbi lliif�lMelis' Wast$iNateriTreafinent, f
<br /> i Sepic� ks.,
<br /> US Environmental Protection Agency Asbestos abatement.
<br /> Fedderal;Aiiintl6h;AtaaoiitRupuyay!s.
<br /> I understand thAt"r6W4.:r etions appry fo'the use of fill:
<br /> - Use of%Is not sltoyvedfir-Rood Tone%P unless expressly permitted.
<br /> If the•firN_•rdatafdaV4s-to°be-, sed:-irt Flood Zone nAn, it is und$rstood that a•diainage plan addressing„a
<br /> ncompensating velurne°will be submitted at time-of permitting which is prepared by a professional engiiibBi.";=
<br /> • ticetist3d i�yStaCe�f%plarlda. . .
<br /> -if•the-fill'material,,Wto be used hi Flood Zone Wilh connectlon with a permitted bullding•Usiho.stem.ywi.;
<br /> comet[udion,Lcetxifyt#�atiillv"Aff-be used onlyto f011he•area within ftotern-well. .:., ,
<br /> - H Pill"ritaTsffial'Ls=take used Gt any area, I-ce tfy that use of such-1111 will not adversely affect.adjacertt ;,
<br /> prope(U_es. N-r,ge of f11F•is farad;to adversary affAcWOfar pmpertles,the owner may,be cdtdd for viow-ft..: :
<br /> the eogMbft:~-b0Uefrig VeMA'-'sued und$r'the'-attachapermitmpplk=tlon,far:lots'•lesa--4hsn one
<br /> acre WNlc i'are'-elevate0 byftll,.an engineered drainage plan Is requIN d. 1 s+
<br /> lf I amifie:AGENT:FORTM OWN6'kt'omMi a irLgood fafthto Infbrmibe ownerefxhe:perrfltting-condCHbrrs'set forth in
<br /> this attidairjt priCr7di`commencir 'ebl�sTf�icti3ii::.'I.anderstand.that a separate'pemiR maybe required for elect lcal.work,:..
<br /> plumbing,signs,.wells,;pools,.fir:co dtttonlr f., ;•or'owe-TF%sta�[�ons•not specHically Included In ttre applhatiori:i:A.,-.
<br /> permit lasued-s4ellrhq:EdnsirUetirt"b e?alioense�pr600d 'with`tt%hogc and•norms:suthorify_lo vlolate�.caaCel.:aiter,lor '
<br /> set asic7p:ariy provislorrs'bf`tPie feciinica� odes,nor shall Issuance of a permtt prevent the Building Official from.tJieneaSler•
<br /> requiring•e:cprctfor)ofercrsiralan =coitus tnlction,orNiolatioYr9 of attes�'Every permit`lasuedsti {'bee►oirfe invaiid
<br /> unless:the work airthorized'bysuch permit is commenced within pbc months of permit lssuancs�or If work authorized
<br /> the permit-Is-suspended atsarrdgn_ed for a#reriadpf sixt6)'�ilonHis:.aRar tits t(me the work iA pommertced,,An eodenslon�
<br /> may be.;requestei�..l[uvudting from a&ilid "g��Sifi !for a period-not-t6-'6 d69d:nlael :jW),.days'anrtw •ddrhonstrate.
<br /> Jusftfleble cause fbi rife extensbn.,N ytorJc ceases for ninety(90)consecutive days,the job Is considered abandoned.
<br /> i - f a isK0. 1:1y O.;RERIt'►E OF.�CifDJi�tyIENCEMENriIWAlf ESUL7 iN Ydl7R " >
<br /> PA1rtNt's QF,t,. RO)i R G�IF iY� i,F1ENa A1M N1 TCiNG;CZ NsWt
<br /> ' �E A G B C IN �1(.•O' :R C' t
<br /> FLORIDA' 'RAiKi.(R.S:;}17x03}.4, ,: «r.:-•. ... . .,._. .... •.•.
<br /> OWNER i9tt Aa�_ :Y' ,; <.. CONTRACTOR 02
<br /> bed Subsalatdsv7omEo'(weftifinedlberwemethft Sy endati+rom etlifa' I� r
<br /> INho islare peteonapy Imown,to maor r>sslbave produce" ey�a�py ma or haslhave produced:
<br /> ' as rd�ritiRce6on "Vs i�Q i'S L'.L__ .,iCo:rly� a31dar69oatloa
<br /> Notary Public " otay Pubilc
<br /> Commbston No. n No J� JACQUExQU� l
<br /> n#FF tti0 U :.
<br /> Thy Toy F.1.imet'�'0=01 B
<br /> Name o(Notary typed,pdrtted oratamped Name of Notary . • -
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