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<br /> t��T�CC t3F D��D F�ES"Yfi�iC'�i0t�s: 1"he undersign�d understands that this pcPmit may be subject tp"d�ed”restrictions"
<br /> which may be more restrictive than County regulation�. The undersign�d assumns raspcsnsibility for cornpiiance witn any
<br /> appfic�bie deed restrictlon5.
<br /> U�3i.tCEidSED Ct�idTF2dCTQr"�,S �?�Q C�N�'R�.CT¢Fi RESPQ�dSt�iLtTSES: If the �vm�r has hired a contrac!or ar
<br /> , contracfors to undertake�vork,they may be required��be:licensed in accordance vrith state and local rEgulatians. If the
<br /> contractor is nat licensed a�r�qt�irsd�ay faw, bath t e o�riner ar�d contrac#or ma}� �e cit�d for a misdem�anar violation
<br /> under state Iaw if the�owner or intencieci contru�tar�ra�incQ��in as to ti�hat iicensing requiremznts rnay appiy for fhe
<br /> intend�d work,they are advised to cnnk�Gt tflE Fasco Cnunty Quiiding Inspec:iion Divis(on--I_icensing Seciion at 727-847-
<br /> 8U09. �urthermnre, IF tne outn�r has hir�:�f � c9ntr ctQr ot cc?isttacfor5, he is �dv't5ed to h3��F tha Cot�tr2Ciaf(s} sign
<br /> gortior�s of ftic�"cor�tractar 81o�k"c��ti�is ap�Zlicatictz€�r�thictt they v�iii t�e responcib;t,. If yau, as thz ou��ner sign 2s the
<br /> contractor,that may b�;�n indicaffor!that F;e ia no4 p�o�erly licer�s�d�nd fs not entit!ed to permiYting privlle;ges in Pasco
<br /> County.
<br /> 7'�i1�PdSP{}EtTATIf?N I�tfi��C't7U7'tE,�T7��i��IP�+.'F�5��€��S�tSRG�F��G�V�#�Y����z: Tne undersign�a understands
<br /> thai Transportation Imp�act���s ar�d Recours��uco�epy Feea may a�ply ta th�cqnstructi�n of:�=�v bui{dings,chanye qf
<br /> use in existin� buildin�ts, o�exoanslon Uf existing bu�ldin��,��specifi�t!ln f�a;aco Caur��y drdinas�ce nurttiber$9-07 and
<br /> 9t�-t77,as arr�nded. Ttse undersigned�iso und�rsfa ds,ihat�u�ri fees,sy may b2 due,will 6e id�s�ti=te�#a#the ti�e of
<br /> permi#ting. It is fuRher ur,derstood th�f Trdnsp�sRati �Impaci�ees and i�esource ftecovery Fe�s mu5t bs paid prior to
<br /> receivin�a"c.�r4sfic�ite af oceupancy"ar:�nal�aw�r r (c�asa. If t1�e�roj�ct doas not invaiv�a c�r3ificate of occup�ncy or
<br /> fsna#paWer re(eas�,the fLes r�ust���cslcf�;inr fo rrnit i�sz:�ncP, Furthe�ar�, (f P�s�o Gc���nty WatertSewur Impact
<br /> fess are due,they must b�paid prior to permit issuen in accardan��vith�pplicabie Pavra Caunty oruinances.
<br /> �4f�STRUCTICI�!L.l��1 t..Al,�(Ch�iptwr 713,Flardd;��t�itutas,�.s a�ra�s7cG�c�}: if valuatipn of work is�2,5o6.Ot�or mare,!
<br /> cec-4ify that i, thm �pplVcan�, haue besi7 pr�vide� 1 ith � ctrpy Qf ih� "�=lcrida Constr�uci[�n l.ian Lavr-•-1-lc�m4owner's
<br /> �rottcti�n Guic3a°�re��are.i k�y tha Flori�ia C�Yartrne�t oi AgricullurQ sr�d Gnnst�m�r Aifairs. If the appNcant is som�on�
<br /> nii�er than tho"c��,���er',I eyrtizy tha(I h�v�ob:alned W crapy of th�ak�ove aescnbed docurnent and promise in goo:i faith to
<br /> d�liuer ii to the"ou+n�r"pri�r io oommencer�s�nt,
<br /> CQNTFtAC7tlR'�1C3Wd�l�R'��FFiF��V,t'� (cw�tify tl��t R�il the i�formatic�n in this appliCati�n is�r,curate�nd th�t a�l�:ork
<br /> - _ - •- �r,rilf b�clone in com�.>lianue�vitf5 ail a�plicable ianv4� �;tU�ting e.onutrueiion,z�n(n�ard tand deuelopmeni. P.pplir,aiion is
<br /> � ` • herebp t����ie tc c�btait� a �ern1lt to da w�rr �r� I s#all�tf¢5; as 3n:3ic�ted. ! c�s�i�r that ��o wor�: or instal2�tio� E;as
<br /> ;' oerr�menead prior #a ie,suan�� 4#v p;w�mit�rd th�`s�il warl:w�i� f�d ;;�t'fc�rrz:�� tq �e�;t �fandard� cf ali {aNia r�:quiatinc�
<br /> canstrur,,L�n. �ounty a�r� Cfty co�c:a, ws�nEng re�c�ufa ic3na, an� Iw�d c.'e4c-!opm�rrt re�uiuti;ns in tia ji�risdiction. I af,c�
<br /> ce�ify iha?!�:nG�r.st�z�u f}z¢�thes r��ul�iions ei o#'3er��`P?a�r�tttl°rsi�g�r,wles¢n.�y rx{��ty t�ih�IrSt�rt�i�c;v�csr"r;,��d Ehai it is
<br /> rrty��:sracar;sl�ilify tn i�#�i?tif�j v���t acii�;t�`i t1.�sr#£�4�ty�!��1�r�,r�t�,Iiarrev, S��ch��eri4ies ir,eiG�;�bu?ara rti�i iimited to:
<br /> - w��;��rtii1�^FI�r:i ont�,�I,,vi�an,rten#u! �rot�^r.tion'•�y�r�ss �ayhr.��5, ���tls,rid ,�„�„s �nd �r�vdronmeni��Iiy S�nsitive
<br /> :..�:�''�$�VYS�S��'ItYVC`t�tU���.�i 1��i�t�fi4(���
<br /> ' ::GfJt�tl�."i,'.�i� ��02'IfSc'1 �/V��t.f �u^(io�12Y31�} tSE�tfFCf-�4ft?��:� ti}'(i(GS5 g3jiit?iiC�3, �/la�@�i3t?t� r`;t'$�S, /��tt(iit�
<br /> W�tercaursc:s,
<br /> , Arinv Cat�s at cr,ginc-.era-�G�4vr,;is,Dac';>,td�viy`r.,�l�`-1slat�?n�?�ays.
<br /> - ��(���'ttsla�r�t {3� f7�:.aiEh � }�i��3il;,ati�;� ��;s�,!;rrt��,<is±;s;n3�;titui F;r u3#4 t�nii-4�,'�?IS, V�'�st�w�ier Tcaatt���n#,
<br /> �rs�?tiC T;�nk�,
<br /> US Ei7�+ironmont�i�rotc:ctioi�F.yenc�-�.�e�f4�at�wtcrn€�nt.
<br /> - Fe�eral Avl�i#�,�r'k�t€�os�ly-F��sr�tiray3.
<br /> i und�rstand tMat ii�e i�ri�t;c�ing r�sYr;etiar9n�appiy ia in ta�at f�li;
<br /> - U�e c�#fiil i:�nnt ailt�vre�in i�l��d e�'�n�"��i�r�l�sss�xprassly�-iwrn;itt,d.
<br /> - If ;he ili n�3t�;ial i:; icr �s� ����.;3 i�� E=1� d �csn� "fi,", ii [, ur;��rsiac�ci t��t �. �r,4Fi�Ge �,an adGr�;�sin� �
<br /> C„t1F�tiu;`s1ii1C,J VCJILHt1e�"v�il) o�sula;�i��; �t li���,��t a�r i�ic#!nu s°r�,iGl7 �S �r�;��ar:;� i�y s: �ro€�;;r;ion�i�:r,�}�r�,�er
<br /> iia;�ns�d r,y t;:?�j��u ot FI���;��..
<br /> - ?�;i�� fc!! rnat�riai 'ss tc� �S� �s�� isj �1an� �'�n� "�" !t� cvs;ncctlen u�i.l� � a�rr,i;tud i�u#i:�is?� i��ir,J st€=ni tivgS!
<br /> can�trt��ti�n,!cer�ify iii�t i'iil`�°�ili be t3s�J �nt!�ir��i1 li;v�re��,r�,�itl�ifz t�ie si��r�,v;1l.
<br /> - li iill maks�i'i�l i:• t:� �i� �:.��d �i: any ui�-a, 9 :.c�r(;nr ;n:�t u��: o! s>uch t;lf vall! ;iai �eivc��ef;� �f3t;c, c�dj�:,e;nt
<br /> prc+�e�i�s. f;tif�,e�P i!{��faur��e,����;�;cYf��i�.�cfi a:tj�e�r�t�[�,a�cii�;v-,tt��saw,�w�r m�v b�r cil��!f�r vi�#�t�nc
<br /> ftk�c�z��itions of tI1� t�vifiaing p�nv7it ir��eri Un�lot�3�:x�ttach�d��rmif rp�;i'sc;�;ic�n, `ur ir�ts i�s•a tY��n or�2 (1)
<br /> acrq avhir.h�r�^tle��ated�iy flll,�r�cngi�a� rc�d drain���e�!t:n Is re�ulr�:ci..
<br /> If!arn the IaC�k�tT F�#";'i'H�t>31��7d��,i�r;;misr�tn�aoc!z3ltf;to ir}f=_�r�rt ih�s�v�:s�r caF the��err��ittir��conditi�rgs�et fc��h i��
<br /> �11i5�(�7�C��Vfi�(tG+'�L7 CfSfAtFt�i;Gltlf��il�tt°tAC�{f)�i. #U�3 7.'^^P',�'[�Itii Y�'f��rl���i�Czii��c tz'?'}(f!??t'3�s�1P i'vt�{,i)tf:(.f i�kf E'Et�iP1CQ�v14fk.
<br /> plumbinn, slgns, ����IB� PQOf� �it crartcJ�Eac,r�t.ng, q:�w, or��ii�nt irl�ta�l�!i�n.� nc�; �!;�c!Eea!I)' tnt�lu��.a ir: th� ar�pllnailcn. ,�
<br /> �?eemR ls�u}:a shall he�e=r�strt�c-4i to�G ea iic:w.nsw to,��4���c��;dii�th;;vr�rk�re:;i�ai s:a�.th�r,ty�a v�olat�,car�c�t,altcr,€�r
<br /> set:�;:i:f�art�r�arv�Iislc�r.��a�ih°ieel�r;:.�,I.evc�:;�.t��r_!-t�ll I��it�n�e ni��,u;ir„t;?r�:v4:�i[;t��suiSdit��}t3i1�t�,l ft�m ihLr�a�;�r
<br /> r'eq�ir;nc��corr��.tion vt erms:.En taf��s,�onsfrucEio�i�x�ia+latierr�e*any c:��le,y. �.,��r,+pva'rnii.is5�.�:�shcli k��co��e invalid
<br /> unless fh�tyork�ukhc�:i2��c1 t,y���;Ch pc;rri�U is Gcirr�n:.nr,�d U:i4�1r;sIx ot�ari4hs uf�ern4i's�ssuane�,sr it wt�rk au!hori.:,ad t�y
<br /> th���rn�ii Is�Ei,p€�n����r���nd�sz��:€i#ci����;rlc�� �4x{�}�:czt�Ehs�€:��th�!�s�,�i`:�tr�c�rh 1;�cprnmez�c�d. ��exic�r�sion
<br /> i�7ay b�requ�sk�,d, in writing, from the (:3��ilding�fit�al Pet��pvriad nc�t kU�xc��d r,i;�et�,r (&tl} �inys�nd Svill dernanstrate
<br /> justiti�ble cau�¢for th�:�x:ensior�, if wark erasea iar nin�ty jGU}i;���3-zeutive cieys,,h�jou is eorjsicEred aban�o�ed.
<br /> J�BA��#IP3G i�i t2�tr3�c; 'c'OJ�:c��lt-t„}R�i Q kiC�"4'Ft�3 A ��t`IC�G�° 4�3�N.",��I����E;�"t' t4�AY r,�SllL.Z fhd `:'UUfi
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<br /> `�f4i'ki 5'i}UEt f..�:Vi)ER G�e�#�N,�,"�f"{?�fi�k�,:,�z��f'+�Ft.��t,62�GG�%�'s'�`D?.7�?�t}T'j�� P' !� °�?,�S�i:F_���#'1'.
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<br /> lw` ___._I�C��S!C? ,4�. "���� '�`fie� _+J�!``-_�=>' - � ---- ;osr• oe�:'�...-.-.� JO ANNE SHARP
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<br /> ��,�.�` �,v�k�,e�� _,� �:=, Notary Public-State ot Fiorida
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