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<br /> Nov, 13, 2011 9: 17AM Quality Roofi ��, Inc. , No. 526$ P. 7
<br /> IVOTICE OF C�EL-D R�STRICTIQ(�S; 'I't+�underslgr�ed undc+rstflnds that ih9s permit may h�s�+b�ut tv"de�d"r�estrlctlans°
<br /> which may be n�ore resirictive than County regUlHtian�;, Th��un�torslg��qcl assumes rosponsibility for compfi�nc,A wlth any
<br /> applJcabtc dccd restrlctians. i
<br /> 11tdLIC�NS�b COf�TRACTOR3 ANQ CONTRACTOR R�SPQN51$I�.ITIES; 1!tt�� own�ir has hired a contractor or
<br /> �nnt�clnrs 10 und�rt�ke wark,tl�cy may bc rcqwrcd to be licensed in Pr,r.c,rcl�m:�wlth state artd lacal regul�tions, If the
<br /> oo�tractor 1�nat 8c.�nsed as raquko�i by law, botft the awner and contracto�may be cited far a misdomcanor vlalaUon
<br />' undar slate law, tf the owt�e�nr tnlan�ixcf�.wntractor aro unccrtaln as to what licensin�requfrementa niey ap�ly for the
<br />� Inle�tded work,they are adv'tsed to contar,t the P�snn Coanty k�ullclir�ir:speclfon flivislon—Licer►sing Section�t 727-847-
<br /> 8ot)s3. Furthermoso, iF the owner has hireci a cQniractor ar aontrscturs, �ie Is advlsad to bavc the contracfar{s)sign
<br /> pOdionA n(the"wntraosor Btock°of U�Is application!or which theY wi11 hx res�nns�sble. If yQU,as the owner siQn as fhe
<br />' contractor,that rn�y hA an indiuitiorti Ih�t he Is not propody Illcensed and is not enlitled!o��efinlltlng prfvllsgss In Pasca
<br />' County,
<br /> TRANSPORTATION IMPACTNTILlTiES tMPACTA[dD RESOURCE RECQVERY FEES: The und�igned underbfa��ds
<br /> that Transportation Impaet Fees and Reca�rae Rscovery Fess may appty to ti�e construcciion at new tx�ildings,chgnys o!
<br />' uR�tri�satisfing bulic�l3lgs,or expansion Af existinQ buildingn,'HH apet;lltad In Nasco County Ordinance number 8�-07�nc�
<br /> an•o7,as am����ad. �t�a undcrsi�ncd also�inderst�nds,lhHt surfi l�t++s,a�m�y ba dua,wll!bo idontified at the fim�of �
<br /> �ermitGng. it Is fur�tii�r w�ders3ouc!th�i Trar�sparlation Emp�ct Fees and Re�ourr.�ktecnvc�ry FucS must be paid prior to �
<br /> receivinc�a"certi�catH oi oc.c:upHnc:y"�r 11n�1 power rclaase., }!the ptoject d�e5 nc�t invn{vH e c:�rtlfic�ate�of occupartcy or i
<br /> Onai power retease,the tee9 m��Rt t��paid prior!o permlt Is'sttancc. F[irlhemzore,if P�s�n county WaterlS�wc�r lanpacl
<br /> faus are duo,tl�cy must bc paid prior to permi�Issu�nc:r�(n r��curd�nc�wllh applicabic Pasco Gounty ordlnqnc:�h.
<br /> Ci�A1STRt1CTtON LiEPf LAW(Ci�aptor 793,ftoricl�5tafutes,as amandec�: ]f vafuatio�i of work is$2,500.fl0 nr mase,!
<br /> r.adSy thaE (, Ihe appf€cant, h�ve bean pravlded with a capy �t ihe "Ftonda C�nstrucUon Liaiz Law—•tiomeotimerg
<br /> Protecti�m Gufds°prep�,d Ly the Elorida Dopariment of A,3c'ric�iture and Cnnsumc�r Aff�tr�. i[the appflcaM!s someone
<br /> other ti�an the"owne�',i r,a�i(y thHt!h�ve Ublainod a copy of the above described docum�nl and pre�rils�In yood iait�i to
<br /> doflver It tQ the"owner"prior to c�mmenr.ament. '
<br /> CrJN3'RAGTOR'&lQWN�R'S AfFIPAVIT; I r.�riify lhr,t ap 1Ne Infarmatlan in this a�plication i�acra�rate anci tf�sat ult vnark
<br /> w3N t�o dono in compiianee v+itt�alk applicsbte(awa r�gul�tiny e%onbtrucU�rF,;canl�ig and land develapntent A�plir,ylinn iF
<br /> herehy mads w obialii a parmit fa do �trorY, and instaltalton Aa Indlcyt�d. ! certlty U�a3 no work os installation hAa
<br /> comm�nc•.�if prlor ta Iss�uat7crY uf a Rerniit and that all work wili br;per�nrmxd u�ri7�dt stand�rds of s�ll laws re3ulat�n�
<br /> cansE�uction, Grn�nty end Cfty wdas, �on�r�g rogv�atians, ana tand development raguEs�iuns in th�jurisdlctlon. ! also
<br /> c�tUty that i understand fhat ti�e regulall�ns of oU�ar gavernmant agencles may appiy tp ihe intended wcxk,and lhat It Is
<br /> my rca�ponslbilily to identity what aaGona!mua!�9kH ta►�n In cornpl���ica. Such agertcies Enaiude b�tt are not pmit�rd to:
<br /> - Uspartment of E�:vironmental faroleo8an-r.yprPAF 6ayh�acis,Wetl�nd Areas and EnvironmenfAlly SPnai6v�
<br /> 6an�l�,WacbrlNlaslawater Troatrnent. '
<br /> � Sout�weRt Fl�ridK Water Managc►nont District•WeEls, Gyptnsa �xyhe�Js, Weti�nd Arcas, A�tering
<br /> Watercourses.
<br /> - Army Corps of Enc�ineers-Seawcille>Dcx;k�+,Ne,vlgaWe W�terways.
<br /> - Odpar3mont of 1•lcalth & Rehabiiitative SPrvir.a;p(�nvircmmdntal 1lcauh Unit•Welfs, WastewatAr Treylmanl,
<br /> BBE�Ii�1'�r�ks. ,
<br /> - US�nvironrtsenEr+1 c'r�tec�tlon Ago�icy,Rsbesios abafement,
<br /> Federel Avi�tinn A��Ihc�rity-Rurtways.
<br /> I undorstand that the foltawing restrfcRl�n�ap�ly to tlt�uss ot NI:
<br /> - Uso of fllf is not ai4owed in Fload Z�ne"V"utdaxs exprossly permiited.
<br /> - If Il�e tifl matoria! ts to be used in �E�ad Zene °A", it is understoad #haf a drainage pixn addressing a
<br /> "corr�,9nseUng vofume"wffl be suUmltfed at time of�ermiEiing Wh1ol7 is proparod by a profess(onal engineat
<br /> iicensed hy thp S1pk�nf 1=lnrida.
<br /> - If the flll m�tPriai ia t�bs wrad in Flood Zano�"A°!n conrtectifsn with a parmilled Bulfding using slen�wall
<br /> constructlon,I certi�y that fill wQi be used unry to pll ihe aroa wlt�in the stem watl,
<br /> - I! O11 matorlal Is ta bc used i� �ny arRa, 1 c��llfy lhat use of such fili wiN not advAttixly yffeeE adjacent
<br /> �r�perlles. tf usa of fllf fs found to adve�sely afteat adjar,ert!properlles,the awner may be cited for vioi�H�sg
<br /> tha cactdiGon�:c+i ilie E�uR&Ing pormlt issued under the aftaohed permtt appBcailon,for lois less th�n pne�1)
<br /> acre whioh arA�tsvated by 011,an englnoorcd dralrrage pic��is remiirad.
<br /> If i am tlie A�EN1'FQR THE OW NER,I prqr�it��In gaorl tattlt to Intorm the owner ot the��srmittliig candlAons sot fartii in
<br /> tfils ai(Idavit prlor to con�mencinc�conatn�ctian, t under�lanH that a soparate permit mAy hA rRquira�f[�r elecufcal v�ork,
<br /> �umbi�8,sipns,wells,pools,alr condifionir�,�a4,or�lher ir,�fallatlorts not spcciticalty included in tha eppitcation. A
<br /> pemdt issued shall bA r.aris�ruaci ta Bs a licanse to proceed with ihe work and nol as authority to violate,oancel,alter,ar
<br /> set aside any provi�ians af ihe ter.fu�loal Codos,reor shali issuanc�of a parmif prHVSnt tho 8utldfng Official frQm theseaflar
<br /> rdqulring a correcUon af eRO�s 9n�il�na,r,qnsuu�tion or vl�latlons of any codes, �very�r�nnl!Issuod shaA become invalid
<br /> uniesr;lhe work a�thorJzed by such permit is camman�:�si w1A+in six�nontl3s of permit issaanoe,or If wnrlc authodzed by
<br /> the permit is suspended or abandonsd for a poriad of six(G)',m�ntha aflar ths tlino tho wor�c Is aammen�.�d, An exienslon
<br /> may be rec�uested,in wtiting,trem Ihe Bullding aft(clal 4or a period nol ta excaad nmely{SO)days and will demorrtrale
<br /> juspflabls c�uso tor tho extension. if worlt caa�es!�u nl��ety(�0)consecutive days,the joh is wnsi�ered abandoned.
<br /> WARNING 70 pWNER: YbUR�Ja1LURE TO RECURP A NOTICE QF'C(}MMEi1C�MENT MAY RESULT W YOUtt
<br /> PAYtNG TWEC�FtiR IMPROV�lU1�7T5 TO YQUR PRC1PLRiY. IF YAL!1N'fEND TO flBTAitd FINANCING,CONSilLY'
<br /> W1PH YOUR L�Nq�R OR At�ATTORidEY BEFORE RECOR!}(NG YOUYt NO710E OF COAAMt't�lCE11AEN'f. •
<br /> FLORiOA JURA'I'(F.S.11 Y.t?3) ; M.,...-
<br /> ' �,w„�- � , ,.M��� ���i�,`�'��������-��'��
<br /> QWN�RPRAG6kT CONTRACTCIR•. �__ ,
<br /> ,S�,i�scribr.d unU aworn to{or sii�medj betore me tMs � Sdb'scraau siid sworry�o( �rm »'"f, '• . s�►�% yp'����"3'���
<br /> by___._., ?� � _ bY Ci t�.��a " . �'"%'i7�:s rt
<br /> Who telsre pereoneKy known to mc c�r n,r�h��a wudu�x�t 4Yho Islata pr,a,rs,�„kp�,,,w++4,pu�,,,�r IissA�ava pt ced
<br /> _ :�s klcnuffcaUun. . .,. .. es identifcalion.
<br /> �... Notery PuWlc �•����..�r� ...,,.�,7,~�u K'�"` _Nnl�ry PubQc
<br /> .� ��.�....� � �:�� ��� ��.r4 r��..... •
<br /> CntmOh�3100 MD. Guulii1f69b0 PfO. .. I
<br /> ..�_- . ��;:� � p .�.�ra L�, MiHtAH CAHTU
<br /> � .����� ;?° �`¢'y Pubtic•sla�e a�Fmrida
<br /> Nemo oi No�asy tm�,i»���v or��mpaa iaamc o1 No17ry type�,pr6rted or atemped �;•" � ;•: Commisslbn#Ff 194i 00
<br /> %; •ee
<br /> My Comm.Expires Jan 28,2019
<br /> ��fPpf���.�'�`�� 8ondkdihrauphNaliona�NoltuyAssn.
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