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N{}T10EOi`:DEEDRESTRICTI4NS: The undersigned understands-thatthis permitmay be_subject ta."deed"restrict'tans"
<br /> which;rt syxnor e- e restrictive:thao Count;r'regulations.-.The undersigned d°assUrTiW'respansibility'for-compliance with any
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<br /> aco itrm.ra.- S kde_.'w Co,TM._.. i A: R �,JeSePnCsed::in,a cIxTofrEd nce,vvhiteLl
<br /> U NR 5 hstwate.anda localed a co traco,i"tt.NCC N O "WO � " de< a t
<br /> uireo aya' tierat a
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<br /> cottractocs'not�rcenseu`as':fe{uired,by laws both:.file`ovtiwrier;ana4eortractor may=i3emcited=for- -n�iademeanor'viotafion
<br /> u der.'s;a#e law-t jlf;the owner:ar.mtend'ei c'o'n{ca06'l:are'uncertain.as:.to,what.licensing;requirements..may,appl,r,Jgrrthe.::'
<br /> intended:work,#hey are,'advi§bdl to contact the:Pasco Cour}#Yr Biaitdirig;t»spectiori Division-=Licensing Section at'727=847-
<br /> 8009 :Furthermore=tf.thecawrperr•;ttasa iired',e eantraetor:%or...cantrac#ors;..,he,.is;.advised •to..have li, icontreE#or 4091-1,
<br /> colons iof.they"ooratta ta�r.:Baeck"'of.;#f i aRpl c. oft Qr whit tho wilt t s.res onslble,;,:lf o'u as;the.owner..si n'as the .
<br /> coptractor,tha# inay,tie ari';iridica#ion that:he is�riot properly-licensed and Is:not entitled:`#o!permitting7:ptiviiegesLIn,Pasco.
<br /> C.0unty W_:'_
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<br /> T"SPORTA 10N IMP ►-T./UTt�:iT#ES:tMP. CT;ANQ=RESQIIRCf RECOVERY FEES: TEie,uriiiet sig>kledunderstands
<br /> tht;Trans ortafion trn ; c#Fees-end:Recours RecovE t=e'es~ma a I. o the:.Construction:of;new burfdin s cfieii�a of''`
<br /> p p e5 N Y pp.Y=t 9.
<br /> use'in;.existing:buildings;:or expansion.of ekIM1 ig'tiuildi!g�s.;:as''.speci,iad in`'Past o'Courity Ordihance'number 89=1}7'and
<br /> 7
<br /> 90i07 :as°amended i Ttze�ciup leis 9oed'also iatttljrl #andsy�ttiatt:sucfx-4fees; as,, y be.,d ie,_.w+li:.be.;identifed at'the#irnel:of}z..:
<br /> permitting:`.::It.as f,rtl erAu`nde sYeocf f``"#firari`spoitatiop,1,ippact•:feesand.:Resource-Recovery Fees must:be;paid prior• #o
<br /> recelvin ;.a t $,fitu atacy
<br /> 9- r: iifate= >gecuparicy"_or final' er releasi if th :=tirpjectpe. of#iniroive,atertificate'of o p nor._
<br /> "final power relep.p .,s'the°fees mu6j be,pald prior to,permit•_issuance+. FurthermorC;if="Pe'sco.G�iubty`Water%Sewer Impact
<br /> f �n accow 'If va)uatJcJn oworknty ordinancestesara. e � p pror#o..p�rat�� uance d
<br /> CQN$T dr d PfrSa m00a
<br /> is , 011:OQr=pr;:lnt�fe, l
<br /> _:.
<br /> certify that fi;`fte'appl�`oaiit daub:been:piov�ded:K:wat#�a.:copy.o#:therQFloridaonstructiori Jien taw=-LLFlom'eowner's
<br /> Pn#ection,`Guji e j ieparett by the Florida D partinant;ofi Agriculture:and;Cansumer::Affairs. if file ap iocent-j's egne:_..
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<br /> other'tharkhe`gownar'; c�aet i thief lJaa�e obtaine,�,aicopy:of the?aboVo�ie's.'cribetl tliacumbt-ond':pramise.m;good fait�i to
<br /> deliaer�.Jf;Itoifae<"owner•"p�iar:.tt�comme,nc$in°bt�t;Ya._ _ .: • � ::::•
<br /> CANT CTQR' / E RAJ :J , > tt ha t, rrn i f k r,' t t'aj
<br /> RA. S „V1IN t~ S-, ,,,t•_R�III Pr,.fca t tiaji;;he;,i fo, .at,"'n f this;apptication;isnaccura eandthat'aJlivark'.`=
<br /> .a •f-'- a'f. p - �.t n ..x "�' ;§..�c.-1�cy':i:fc .t:,. :a• :.,.aa--':.•;.»'H::w.'S:.y'»;�.r•u',::
<br /> will be",." 'one.,in,compliance'withi,,d �applioatifie'laws-regulafirig°consfrEtction,�onln'g�and=land development:`AppIl t n
<br /> beret y. made to aYitain:a°permit`to d&i'ilv`; rarrl?anstallai�o�a;as�a-dietited� j-certify:that.no�`r`rvork-or,.ins#all`atian�has
<br /> commenced:;prior,,to:.i$spance of+*:perrhit,.a.d'that:all`;watk�,•wilt.,.l a;:performadt64meat:standards.of all,laws.regulating
<br /> c6n*uotion,`'Gi u#tt;Y`:an) Eity codes zoning . btatians; ante.latydt,doit#iopmen#reguta#tons'iiaf a junsdictioa:�.i�walso'
<br /> certify-:tfiat'f;under..stand:;that.'#he:regulations of:other gover nment,,ag end!es:rnay_;,appiy,,,1a the intended work,.andithat it;is
<br /> my.responsibilityAb ldentlfyxwhat actltins.l mast:takeilo#�e:in corrtpllance ;Yucl� gentles mclude.but are not ir>it ;;o:
<br /> Department of Environmental Frotectlon-Cypress t3ayhea�ls;'Vttetiand_.Aieas`and 1: 6vironrndhtally"Sen'sftive
<br /> Land$,Wdter/Was#ewaipi, read nt::,;;r i:;t t;'.t�:K=:'` } _ g ;:
<br /> - Sou#tweet `t=lo fda .V4letet` �titanegement:' taisfilct�VNe'lis .'Cypress Bayheads,. Weiland �4reas, "Aifering
<br /> watercourses. �.
<br /> - Amnp Corps°of Engineers, eav�plt0bbcksf,Navigabie�ltitateiwpys:.
<br /> ,Opartmentbf Health &'{# eEaiiiittative Ser fe hyArora►a'�eritaITMHeaitWUnitrowells, 1Nas#ewater;;-Tr,.eatrJ�e
<br /> :Septic Tanks:
<br /> ".11.���tiulrp<rrieittaitt?`,,o t s° e epos#o�abateinen#ri
<br /> I.uritiers#anctZ#hat;'the;:€oltovvlri t sti?ctt6�i °", r 't:eApT�;:ta:�'!a�rse�Offi(1��:�; .,.
<br /> - UseiofENils^dot`Faito iuec�;irf�l"o'odi�ane°V"l�nles's;eKpressiYiperrrii#�ed.
<br /> if the,tilt feriat°i$:;'to.:pe':used'-in`_flood Zole urideistood tltaf adrainage"plan addressing a
<br /> : ::..."compe ig volume{v+iilt ba:su#ritltied:atAlme..of�.pecrriitting;:wFiich1is*,prgpargq:py:ra professional:nngineer
<br /> licensed ley the Stateof=Floritla:'
<br /> - .lf=the fill materialtsto;Jse- sett.irkioodZone= Aitconpection with,a permitted building-using stem,(watt ,:
<br /> ;:cana#ruetian4;l certtty tf at filt:v i![?L:o u + on[y:fo► ilt fine@area within;#he_stem:Wpll. _
<br /> If fill :nt tetiat is`.to'be':sased':iri any=aN3a;-vVe.titjr Ehat lase of sucF ti fli will°:riot adversely.affect•adjacent
<br /> ro 'erAies -,Jf tis:e o€wtii�i��€o�nrl.'tar�a srsef, �fWct ljace"Ll, tp�l't os t�iq owner.maY..be;clteti ifar-Violati•og
<br /> tJ? p..,. . ,,..,,.... Y.
<br /> tfie;condi#ions.of,:#lie't►ulldii ' pe rblt'�"s rretJ-<tan't1e1�:#lae atta"'fS a pefmlt'Volicaition; or lots�less'than one (.1'}
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<br /> :'aCt in!hi o : . i Vafa i1 F gii oload, Fp g l-a ,1s
<br /> If 1>am,:the,AGEN 4.1 HE OWNER;9>prsl'rni's.�ip.go'od:°faii�l)to�lhftirrri#Et4 parr�ervQf.#hQ;permitting aQndi#ions set':forth�iri'<'
<br /> -O .
<br /> #his;affldavit=pnoe:to:,'commencing ns#n�utioh:: t understarfdt#iat'a'se.0'.. a":perrrlit may'tie`required'for: le?ctricaf:-Work,
<br /> lumtiin" µel ns wells=` dais `air:co#iditionln ;_; as;.:or-o#tier Jr�stalta#ions clot=s ec caii, .inciudedt in::the appllcatI61n�A
<br /> permit_.issuedslali;:tie;'construed:tabe`.a.11cerise"tg,pr.-ocee'd�witkJ;tttie:work:and novas authority ta.viota`te,`cancel,:alter, or
<br /> set aside atiy pra�v:'rra so"f'the�#gchr)idal cotles;nor'sliall:'Iesi sifce of A,ormlt•prevsnt the'Biillding Official from fhereaft r ;?
<br /> r wtlflr# a:eorrocti tiw.af*grrora ln�.` I'an`,s, rehe'truction,or-violatidri*bf:an.'iedii Ens y perM issued;,,. l�ecomerWall'd ' ' r
<br /> unie..ss.theiniortc authorized;ty;si=ilk rmit'`iscori�menced:within six.months"of:permit issuancce, or:if work'authorized,by
<br /> thet etm�t�is'isaspenfIetF�k abandon's ar a raod..4,x�(6)�.iriorithd afterthe tlrne:.tile workys commeniced., Ame4iiii oh
<br /> may be requee#ed ;jrt:v±mting,';from_-the Bull,irfg official.for riad:na#:to:exceed.ninety(90)days.and.will.:demonstrate
<br /> :,.
<br /> lustifiabie caase fot; h exterislcn. fratkceaeos far ntnety�, 0`.consecutive days;the job is.considered abandoned. :....-.•f .'.
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<br /> 'Q:Q1tyNERc<•:YQUR €' ;i,ttf::TOI=Rt"CQRD:'. t3TJ_CE.#)F: ONIMI NEEM NT.MAY'RES.t)1 ;1/j UIR
<br /> 4 �:'
<br /> F-O..411 ,a/'-M ZsS ..i, r: tJ O:�E ,7W. .sY. T`.`ll�ice) N�G f�
<br /> �aN: ►1 Ft.1b�. !ff1 .N _.. T•. .,: l ..R:,...R.. ;:�,w... _►. �• ...A N �. 4� .;.4N5, ...
<br /> 1lJfGflf°Yb a:EEt4t31~ Jt4?T4Rt<fEYBFORBE1;tE �lttDlNS`Y. R' MIrNCBMENT .
<br /> FLORiDA 1t1R-W14 S.. 7.' 3)� -
<br /> OWNER'°RAG 1tT''' { -Ec CT�OR
<br /> ,�:.. ram. - .. . -
<br /> Su d:4 0'"# :i r' `e ='Cry°:.:: 46 b i3it ar: ed:tiefore. :e,.this`:.
<br /> bscrltp..aind �Q: ...�atiit)- ifgrun ,Hiic. ;: bsiu{:.,
<br /> ::.b. .ti:-
<br /> Who�s/are personal�yliiiow►i`to rrie ii�-hss/tlaveprddced` WFib`I'"are p' i5811yRhNrn°to rii or{tialFiave"pr'oduced``' `:'+ ,.
<br /> es Identification,
<br /> Notary Public NotaryMublic,:
<br /> Commission Na. Gomniissfon;No.
<br /> Name.ot°Notary typed;printed of stamped' Name of No rpd6tedt6rstsMp.9d
<br /> ,•,. ,,.• n .... '- „�r*r CARLOW�ALDONA�rw
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<br /> ' '_Commission#GO 346275.;.,..
<br /> N� Expires June is,2023
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<br /> $v ac•, Bonded Diu Troy Fain Insurance 800»305 7019
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