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Nt}T(CfEMa�°,DEEDRESTRICT(ONS:'. The:undersigned understands:that•this permifmay be subject to"deed"restrictions"
<br /> which Miaybe',t>iiire restrictive#han:Gotinty reguiatioiis: The-undersigned�assumesArespansibility",-f6r-compliance with any
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<br /> llc te':, ¢res is ns i:� ;.
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<br /> N iC N E®' N"�R(4�CTORS''`ANb`CO FM.M—R,°R SPONSIS(LIT S �'1fi the-'owner has hiredF a'co`N t''.'. ntroctdf-or
<br /> co tfa, t rs to:und`r#ake'warK a pia': hero ulredito belicensed.inaccordance:.vlri#h:'state and loca(r. ufiatians: afi#he:. :.
<br /> contractor s'no# {icerise s:required by:law,,botii:the.owner:and'conti`adtar�mgy-t�e�'cited for-�,i.iisdemeanor violation
<br /> r•-
<br /> �ireer.staewlaw, :if thg<owner':ir.i%Ceiiaeoita:ti are unce:ain:as to:•what�.licensi re uirements-ma a tf,Qc'##ie,; .
<br /> inteaitled`v ork they�are;advisedto::con#act.thy,RPasca-CountpBi�ilding:liispection Division=Lticensing'.Se�ctionat'727�847-
<br /> -.8009 Furthermore,,if the o r er-J�as t��red+a�o+ontractorior.cantractors,,..he:is,advised,to.-have:thaacontractor{s7+dsign;,..
<br /> portion,,s;othee" ortractQr Bieck°'af this:allirationr which ttiQy;wli.=1 '; esponsibte.::.lf:youu,.as.the.ownec.sign as file
<br /> coptf actor;,that.may4eah indication.#hat tie,is�not`properiy licensed and is.not.entItIed:to•permitting}•privlieges in,Pasco
<br /> County :.
<br /> TRAN8PORTAT10f j(MPAGTNTIUT#ES#MPACT�AN'D RESOURCE�REEOVERY FELS:-The undersigned understands
<br /> that=l'ramsportation'liti( ct Fee�sinc; ecoiarse t2e.,cav$ti-fees-may;apply�tcr the:.construction:=off:newabuildirigs,ciarSge-a �
<br /> use in existing:;buildings;°or°exparasion'bf:existing'builaing ;r asspeced in 1?asco Comity'Ordiriance:�number.89-07.and
<br /> 90x0.7.;"as;amendect,» gn0 ialsczW.0iis�ands.Jhats:swc(f fees;.as:maYJba.0,ve,.wIfl-b ;!dentifed at-the�t hler='of*-�•�.:+
<br /> permi#ting `slt,js f rfher cinders# , d:£lja iansportation,;.ii�pact fees,antl::Ftesource,'Recavery,Feesmusf.be;paid�prl' to
<br /> receiving,acetoate of gcouparicy"For final flower release. If�tEte rp�t►jec#:d4esot►.invoive;a certificate'of accupaiy.or.:.::
<br /> :fnai power:reteasef the,fees:,must t e;pa�d prior to.permit.issuance.' Fuiiti rglare llf" "esco.G9unty:'Wbt6r/Sewer Impact
<br /> fees are due,xthe >must be pail riorwto permit fAsivan00 irt;accotd�inc�wlth�applicable Masco County ordinances�
<br /> Ct NS1 r�fi141 N t R'L^AI�V Cliapte N0jjFjoridAr; fatuxes;as;;alnerrde�:t' If vatuatjaori of work
<br /> :._ t to-.
<br /> ceify: ha#:�,;tlt6,110.plydaritaue, tieen pi ovi`ded :vuitti a-::co of::the"1"1or ida:: onstru do t`en•.:t�arnH meawner's-
<br /> Py. c. ri<.: o
<br /> Proteetibn Guj+ e"pr: pared:.by.:the.Pfolidi:Qia aminent'ofi Agric itture,and..Corisumer-AIfairs. :If;th*e appij rtt i •,s egg.
<br /> P; � . .Aq.. e .
<br /> oth`eringit'1. "or�vn6,i cectiiyt.thatt1 haVp ofitaitietta�copy:af.tie.'-aiaoV escritied-tioGument rid prom se'ir.;jotid faifl Ab
<br /> deliuer,=!#;#o;the;"owri r°prior to:corn lenc$ittc t: ;
<br /> ,CON;RA st cert.���y"':that�1I> F�e;i otnation-in,this,a��, lication is•aceurate�and:that'aif.vuork'
<br /> a+i` :t_:t,.p. i. y i-, r.c r:+t. ._T :t f•. r' AYY3'
<br /> will%be doner'iri'`coin' bance;wit ail°''a �li ak�ie.(e" re ''; ` k T '�'}`p h pp c ws: 4gulatragcoisfic#on zanirrg:and.landdevelopmen#:Y"Appiication.'is
<br /> •i,"^:. tlx:. Se'' .'�..-,,,.. :,:rs- — {: :.G fi S-ati
<br /> hereby:made to:obtain:a:permit`to dos worivfand��installetiorisa�3ndicated, t:certify•'-that no4wn rk, or.installetiW-has
<br /> commence l::: rioT to issuance>of:.a p rrriit and�that'ali�.work t(;tie-.performer(.to�meetstandards-of allAaws:regutating
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<br /> consfii ion; Cttan#y and 0Ij- 'ftode0j4zbning;feg8(a#ions:and (and dei[eloptnenf regulatioris'`irj the jurisdictia'nt� t alsp
<br /> certify=that l,understand;that`the regulations.of other Sovsrnment'agerat±ids:inay.appiy.#o..tlie intended;work, and that it`is
<br /> my.resfionsibiiityto'identify;what-actlons;:l'must1ak to tieirrcarjlpliance S. -.,a cie-Inctude;but are no.-., ;,tiQ:~
<br /> - Department'of Environmeintal�Protection�Cypress 6agheads; Weilai :Areap'and:Eitvironmen#ally Sen'sltive
<br /> .,.-,Lands;:WaterM/as#ewdi�ics���atra�' nfi: ;,, ` 1 .;,• . ry .t£• -:,`.vj
<br /> ti
<br /> Soothwestt :`Fla:"eta:: Water':�lifan` gevneht 'Distlir'V IK;'. Cypress 8ayheads„ Wetland Areas,' At#eying
<br /> ''Watercourses: '
<br /> - Arm y.Corps°of'Engiaeers Seawallsf'Docks;wNavi§ab(e<W�terwajys,
<br /> Department of:t'�i;?alth;&-A:Retia> iii#alive Sarvices/ na�ironmentol-HealthR#JnitWelis,:Waste,wa#erreetr�iert,.•:,
<br /> • _:Septic Tanks. ..: _,. � , .
<br /> t1anijrctn? rteG 'a?!j % grlcjtspast4 ,.ab ement'., „
<br /> :Federlvration-Ala#fiaritjr�Rfriways
<br /> (.ur derstihdihtit�ih,e'foliowin .r'estFlcti60$? a 1. ta�#ie use>ef i
<br /> - �ie;�!"�ries'a:�atipresslY�pal'mtted.,
<br /> If the=#ilf:�mdteiial�i =;to:be
<br /> .s
<br /> s. usei ,:in.I'Iood Zone'lA,- It astrnderstooc( that a drainage='plan-addressing a
<br /> "cQrnP n e i g vpltjrriia"Div..pp'r:su itiittec(:afi#irrie.. f.permitting•.which':is'.prepared;fiy:,a:professional:ert ineer
<br /> ;� ,:,.
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<br /> 1lcensed`b"16-.S#ate�of-Fldiia •.• :; :.
<br /> 1f;the fiiirfnaterial Isr b.;be usir+ iirr F.ioadJ 6n .Alison rection with'a permitted building using stem,wail ,.
<br /> co[3 ruotleV
<br /> 0nt( n y�t#iat fi( i�l tie' s#bnly:fox il� hesarea witt(n;the.stem W611. ._
<br /> If-flil-material"_as-.tr��1t e -vsed,,�:ti"i:'.�an 'arch,:�I'f'c'itlty Atha# use'-dU,•sucf-fill�•wiIF not-adversely-affect'adjacent y
<br /> ;properties °If:=uae:,p> filpis* otnct'.xoraftv�ekr5ei, ffect:::a8'eca t;pc riles #he.owner.ma be:c tedtfor�iialatin
<br /> y. por y. i g
<br /> tfie=.condi:'tloi s of,tfie'builtling,:perr#1it=t"s`eeetf la',n.p tie a#00%� :terra jt�appiica#iorr, fbir'lo#s=less`than one {'tt\
<br /> #,y.o Y
<br /> :acr .whiGFif! Ilaat + !l €i� ! .rr8rnceibtrtagplari is„r+eguired:
<br /> If If the AGSNTdI aFt•THEK1"YY tER,_fi pxotrrlse>iifa: aodidl tdihf trm"0 owner of:the..per,mining,conditians'set:forthririwg
<br /> :.
<br /> this affitiavitapriar.ta cdmmencln ,con6trgctibn I,understa�id lY a( set ar�lte':perrrilt-May`tie'requir`ed'for'etectrical.vxark,
<br /> Itirr%tiln ;,Nsi ns :wells Dols air cofidi#ianirl asr-or-other i s ita#ions:. ot:s .e ificalC ::inclutled,in:.he:'..._, ,p:._ _...,. - ...: . 'r► �!; e:-.-_�Y ... ..:.:�,.:::�Pplicatian;�.'.,A
<br /> permit Issued-shall be consti'ued;to be'.a,license;to:proceed wit iAt i.work•and nat:asauthority to.violate; cancel,"ai#er, or
<br /> set�aslde"any pFavf iorrl�s tif,the tgehtart;a(�,codes,�nair shaH:i ei�a ce bf.a permitprevent the Sanding Dfficial fron•thereafter `
<br /> regyiririg':a c tfrdctrenYd•..f,errgrs ln'ptans,.cd�,' U0 iarr:or via� itio &-.:of any w-' :iz,Eue' emit:;issued shall.:becanteliiv
<br /> rI!�
<br /> unless,thei+lrork au$hocized,by such:Kp 'rmitis':commenced virlthin:six'riaant(ts of..perinit assuanoe, or'if work authorized,;by
<br /> t:..U.: , l,, r i is p, a,
<br /> th.� emmit as snspendetl=oF abandotiel or a;pe lad of:six,{6�iiilantltis afte th :flute thewwork:Isucomrnenced:.::An e�ften$on
<br /> mayrbe''tequesfd'jn v+rating;fromMehe'BuildingOffical-.for;, ;;period no'.to:exceed ninety(90)_.days anc(.will.`cJemonstrate .
<br /> JdI:f
<br /> 1. stiflapre aaase�fo Atha extension�'lf wortcfceases;:for�ninety �Q)ciansebutive,days;the job is considered aE antloned;
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<br /> W. .1 .NG:TQQitttNER = ,:YUUR' ` 'i�tr! E:`TQ_RECORD:' _ OTiCE:C?i=
<br /> >? ~ ,. _. QMMENCEMENT:'.MAY RES.tjL :iNj,,.;1 OUR,
<br /> _PAtNG "! IElO t ' M• NTS T ~i QU E 7'Y;. Fsy. a,a �.
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<br /> �YORgA fsArlTiCltRfEY�sBEE REARECCl�13IMMWQU, s EOFFCiD.MME ICErIAEI�(T' _—
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<br /> re: 'e:.tlil
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<br /> Who iskire' erso`7n ill'r'k own to me'dilhas%h"ave RdVdWd` h 'wfi�.'-- —.• .'.p y ►1 P o`Is/are p`ersgnllykhtiwih°to„meva�:llaslliave:pnduced
<br /> as ldenflicatl n. L. "a )deiititicatibn
<br /> Notary Public Notary,Public:,'.,
<br /> Commission No. :z Gomri`iss``ioraiNo.; :t.•
<br /> Name of Notary typed,printed.or stamped Name t tVatary"rr.#ypeSt POW,t stamped
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