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NOTICE OF DEED RESTRICTIONS: The�un'datsigned-,unddrstands that this permit-maylbe subject to"deed"restrictions" <br /> which-may_bo:more restrictive--than:Count; egulations. The undersignedpassumes-,responsibility-fot,compligr, ithA;any ' <br /> applicable deed restrictions: <br /> � tN4#BENS'EDf3.QNRrA 10125ANQCONrtRAC ;ORRtSiONS#BCLTt�I # #�eiXnviii ttas.Fiired a coritfactor or <br /> contractors to undertake works,tiltylriyberequiredto be licensed in:acor{iac .with•:sta�e,:za_rd;lpca> regclati0iis °If the <br /> con#ractor s ciofiJlce,sedk as required by law, both the-owner-ano 4co aotor.tray-tr6°dlted-wfor,a,-misdemeanor violation <br /> under.,.state taw: if the owner;:�,q>,,fn#ended. on•.t#ractot:are uncertain;as:to�what liicens�(�g regtucsments ►rtaY.9001y for^the <br /> --iniended,-.w6rk;--they arwi0vised to contact the Pasco`County'Building=inspectiort-bivisi'ot�-"Licensing Section at 727-847- <br /> 80t}9. Furthermore, if the oa►itlaeX:faaS, i iGedF la contractor or,contracts he.,Is._ad ISed;:to have the contractor(s) sign <br /> port!ons•Hof_the`".contta'ctor:Block"::of;this:application.for.w.h h:tbey::.will:he;rv's.ponilbte...;.1'you, as the.owner sign as the <br /> contractor;;that may be an indication thaf he is not properly licensed--and is not entitled.4o•permitting privileges in Pasco <br /> cosmty,,.: <br /> TRANSPt3RTAT1nN iMPACTItJT#t 1TlES''tIVCPACT.ANDiRESQtIRCE RECOYERY`FEES: The undersign% <br /> ,Lo,4 n}de�rstaads <br /> than Fransportatidta�'Impac,L-Saes?andBecourse,-RecoVery Fees!,may:�appty to,�the;,eonstructiot)r.', nevri buildings;'change of <br /> use in existing~biiilditigs;or-expansidn'df-*6itTsling�tiulidin95, as specified in Pasco County Ordinance'-number,'A"7 and <br /> 90-07., as.amende,d....The,,unde�.!,gned atso uc det stands;w#1 Wsuch f6es,-as may_-tie due;wwlit�be�idbntifred'at &#me of <br /> permitting. it."irther=tyiacterstoottitaportatian:impac#fees and:Resource Recovery Fees must be-pald.prior to <br /> recelvin(p&-.certific te;`.of.occup ribjit r lii ai pow ar.t lease:4;lt t1x projectrdoa6vn'dV,!nvq(Xe4p cert�cata6of�occi'Ipe'tioy'or <br /> ftnal:power release Pa'soo. ounty Water/Sewer Impact <br /> "fees;ar 44,10,they must{be paid priot�tp l3fela'tif issuance in accordance;;viiitf applicabfa>Pa 66�County:arditianices <br /> .=CONST U#TfON i IEN t�l�flf=(C pear' ,; #oriel I Statutespes,amopwec#). t#bite[t�atioi `ofwork is �Q0 4a;onm�rre, l <br /> certify-;ha#;ly"tfie Yappl(dant, iaase! a e&`14-ouid+ d viitth-: ,copy of 4he° lorldauConstri�6 ,n-Lien I:aw�Womeownees <br /> -.Protection-Guide"..prepared.by.#he.Florfda:.:iD:epartment of Agriculture,and Consumer'Affalrs.}:if•therapplicaaf iet o t_eorte <br /> other than the"ouune ;I t:e `#lei F#° a e Il teiiaed�a-copy=of fhe bdVd--'d scfi2)° ` ocuitaehf and-promise'in good faith to <br /> deliver it to the"owrtet",prior.to commsraee�lt. <br /> • 1`tetiro.: thsyegploa o ,is 0 ,f t:. 1 work <br /> :CGNTRACT4R S 111t 1 1 J=iDA`a# � r ifjr.th to!i..,:tl' fbt t►i;l 4 i?Ce�pnd tea, aI L <br /> will`bila done in com lance wl III applibl '#aws-regulating.cQnstruction; zaning arrttan'tfdevetopm+arttrtpplication is <br /> Y p.. . <br /> hereby made to obtain a permit to! io ft at id1��i fst jl #i t�i� - d+cafed, l..,certifyi:that no work or.installation has <br /> commenced prior to lsswance of:a;permit and.,that all work;will;be:.peffarrrte f=to_.meikt;standards of.,all.laws.:r.-eguiating <br /> caoras6wvon;-.County and�sG ;:z6hingl regulations,ari`Ef nd'ilev..etopment-regulations In the--jirrisclic`tiohy f also <br /> certify than!.understand:that the--regulations of other:government:agenciesamayrapplyato the4ntended work,.and-that•it is <br /> my responsibility.-to identify.what actYons J musttake:to`be-rin compliance. Such agencies�nciude but are>notlitoif@d.to: <br /> Department of Environmeiitai,-Protection-Cypress Bayheads,,,W,etiandwAreas�and-Environmentally Sensitive <br /> .Lands,-WaterMastew /_};r ;+ant,:,:-• - <br /> Southwest Florida ilttator Mai'agement DistrictVells, Cypress. Bayheads, 'Wefland Area% -'Alter!ng <br /> Watercourses. <br /> Army Corp&of Engineers-6-of ilt;:.Do-eks�Navlgabl*.Waterways.. <br /> Department ofMeol ilitativd.- rvides Ehvironn'mental'weaitti Unit Wells k Waste�vateF�Treatm'ent, <br /> Septic;Tanks <br /> - - .. .°`US�Envii'onti•etitat�P.�3,teetioii?�,gen���ts#iestos�abatement.':'� .. . . . . . .._. - -- .. ... .. <br /> - `FederaF'A�r'iatitili Au#hefit����jrs ,. . . .. <br /> I understand.•that'the:loltawii~ ,r M000o ! o e:use-ofAli'. - <br /> UAW i its ncf= l u b t i lood iiirae uhW§i`a tpr-esssJ."ermitted: <br /> -if"the'-t11C mat is.--to:, use'ct in flood<�one "/�", it is understood. #fiat a idrainage.-plan addressing a <br /> %ompensating W,lid'rn ' r ii;pe4s f mittedat +rneyof perrrii I � hjb Y - t.et?ared b r, I g. w f;'s: [ _y::a:p ofess onai'engineer <br /> licensed'by"t-66.State ofFlorida. <br /> -. :i€tfte All-treater of is tab us ��irt flood Z; 6}:"�•i`z lrl connection with a permitted building using;s `r'VvaU: <br /> constructli n�#,certify1fiat tiiill l�t7aG tied only_ts :f3l ti ;:ate—withlothmste,MwwwalI . <br /> if••fill.,material is.to,,,be..:used•!n•.any'area, 1s:certify-that use.of•such-:fill:Witt not adversely affect.,,adjacant <br /> �propertie's._�:lf�us :.of Itrielpu©d:ta adarersety-affect�adjaca t', .0 oi2ies di i aeramay:be cited for violating <br /> the cond(tions.-of the building.permit lssued�antler,the-attached permit-application, for lots-less than pope_ <br /> acres rl ich are,=eJ uate�i aby tilih niongineered iRlralogge plan'is required. <br /> if t am,the-AGENT,R'.- II '01Ni ER,'l-:prtiitii'ise in goodfal&i&inforM.,the:ownerot#h-wpr rmitti gsoonditions set forth in <br /> this::affdavit:.prior°to.commencjng cons,truction. I understand.that a.separate..perrnit.may,be;required for electrical xork, <br /> piumbing;.signs,-,wells w,pools;,air,conditioning,.gas;=,or other A <br /> permit issued:shaD:iie:_construed to be a.11cense to proceed with,themork.and not-as authority to.violate,+cancelnaiter;or_;.. <br /> set aside-any proyisYol s ofrythr~wtechnicaFco es nor shall,ssuancre ofa.perrhI prevent the:i3uilding,Offciai_:from tF oareafter <br /> requiring-axcorrectid of;errorsAn pians,con'strtictlon or vlolatlons%ofvny codes:°EVery permit~issued°sh211`become•invalio <br /> ` iy m hisix:m lsunlessthework:authoi rh - n estpnsea�ce;:4r.,.if..work author) e`6 by <br /> X- <br /> thewpermit°is-,,suspended�or-abandoned far a'perioid ofaix.(6):months aftef the:time the work is'commenced:';Amextension <br /> maybe-requested;:Yn'-writingst#rom,.the;Buiiding Official fora erilod not to�exceed ninety(90)days and will:°demonstrate;== <br /> .,. <br /> justifiable'causQ for tftex#ersion:elf wofik;ce�es+ss:'for nlnefi8g)`cansecutiue:days,the•aobis:considered-abandone'tl:= <br /> WARNTO O iiNERt,-:Y/OUR•fA#LURE*TO...:RECORQ•�A��LOT CEF=O�.CQMMENC-BM_ ENT�MAY:RES,ULT�•Itt,"YdUR_ <br /> t� :� ,< �w,. r , . <br /> PAYlN�TIAiiCfiO1fIMPROtNIN °S� '4.U,irlt101�Et :""i Y" .IilVltiD'il d N 1 <br /> �- , ....�.::;�� .�.. l1.,,. (1l`Af�101N�;r:Cf�lilSi41L7' <br /> WITMYO.URaLEND1OR,rAR�A�'YTdRNi� EOFtlr�i D)W.GYtiU jNOfG 'Oil OINN#ENtENi:ENT. <br /> OW ERG =A E "60NTi2A f0 <br /> { R G.SIT~: G <br /> Sutis�tie���a�id+BWYarrr��(or sailirme�f}�b*rV, �iir�frits :`=°t :.So itied aritl� �fo�(o ".' �s "re isle triis~: <br /> by,;:. <br /> Who Islare personally known to me or has/have produced Who Islas onaliy;kno Ao'?ins o"r`°ha ve priodu eiii`" <br /> a .1dentilication. sxriiei�titic tiiirl:"•` <br /> Notary PublicNotaryPi�blic <br /> Commission No. commis No. <br /> Name of Notary typed,printed or stamped Name;of Uptaryvtyped,p fintedboostamped,r_.- <br /> . ."•",, i JACQUEUNE Bp <br /> :. Commission#GG 2€M7 <br /> �rlms'DMmber 12,20 <br /> ;TOY F411WIM ao-a1A19 : <br />