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<br /> EE�,REBTR#CTI�NS.:The-unders[gned.,untle�tands.�tl��it;tlats,. .�;n.. �Y:, �., _ �p-, - ;
<br /> �107'1G�O�D _iti m be�_sub ect�.to,..".de�d":testrlct,!'ons:�_ ; .
<br /> - r.r..t.. t::. ,}'y.i ,J.i i,.� ,,}�i »ytb:�a, .,[r�- ,'y�S?.,:.,' _:�.:�'.'k'.�.�: .w;.i+' .ts.:. ;,�r_�)
<br /> uuhich ma .:bewmore:°I";�lBtF(CEhIe��.tFf�F1�C0U11tyar�gi�ilatfar�s:"The-:.ilntlerelgned�tassumes,;r.esp.�n'�Ibility:.tor.compliance vulth-�any �
<br /> ap licabte.�eed:restrtcttoris;- � -_ '�<;`._ • - ` - �- - _ _ .'i' _ ':',.. ;- . •-
<br /> �y a: . �:...t.� �r.>:__�::;.. � , .. � _ _._. .._.. .... _rr.,.,...__ _ .�.
<br /> UNLICEN�ED:�GONTRAC'FORS�:;�1ND�'�COt�TRACT�R`RE3POWSI�ILi�1�S:r:�i���he�ouvnec�hes��:fiiriad�'��-co�itractor or
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<br /> cantractars�to undertake-work,:tlte .:me:�be;.r..�q,u'Ired;�to;�G.e,ifcensed.ln�,e�ccordance:with:staite;and,"•Iocal:;regulallons:',��If�ther� ='" •
<br /> Y_ � .Y ... ��-.;...��.. �; z. .,, �...�
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<br /> contrac#o�,;ts�iiot='llceinsed�'as�-requlredntiy law,�:lroth:Ehe owner�and:-co»Eractorwmay�beucit�for�gm#�de�riea�at.vlole�on
<br /> under state law. If#Fie owner or Interidiad.>.;contra,�tor�a„r,e,;uncertaih as.to:what'Ilcenstng.�requlrementsti�mayr`apply��fci�r:�'tliea�-o�•�`�������
<br /> `ntended�work,�they�are advlse�f'to'c�ntact ttie Pas�o��Qunty,BWiding Irtspec#ton�Dlvls3on--Llcensing:Section.a#727=84�7-
<br /> 900�. FurtFiemioTe; if the��:owne��tias�:Flir�d`a°coritracto'r. or`contractars,�hei':is adviaed to Fiave�:#he .cantractor(s);,sign . , ,
<br /> a�ortlons af'the"contnactor Qlock°,.af:�this�appliaation,,for-_:whM,,ch<they;wllL;be.:�e.sponslt�le..,:,lf:::you;nas`:the"owner atgri:'as`41'ie•�' �
<br /> �ontractor,.that"."ma3r be"ait'liidicatioit��a#.he"is�notY.propeily-liceiise�=aiicf�`�S'riat�en�8e�'`fa�°periii�ltting prl�lleges.ln Pasca.
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<br /> �ounty. . _ . ���;�°-,' ;�:
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<br /> fRANSPC�RTA'T10N:!!11lPACT/UT1�I�IES�11�tRA�7�a1�b�RESOUt4CE REC�VERY��EES:�'Th�°un�er�lgr�eifi�understands `�,.
<br /> :hatTransportation Impact Fees:and.Reco.urse Recove.ry.�'ees,rinay��apptya:#a�#�e constructton,,of,new:bulidings;�change�of"�f�-A'�`:'' . '''
<br /> �se !n exisNng�buildings�:.���,expansibn::o'f��iii��ti��builtlings;'as'`specified.tn Pasco�County�eOrdlnance number 89-07 and _
<br /> �0-U7. as amend�d�„,Th� undetslgned r�lso,underst�ands, #li��`sr�oh fess,�:as>ma�:'�e;{due,�xni.ill'�t�e idenfi#iet! a�t the�time°�o#'�� ',... •
<br /> �ermitting. It is furtiier unde�stoo�d that Traflsportatlan�impa`ct`Fees and�:Resouraa�Rei�ire�Fjr�Fees.:must tie paid prlor ta �,
<br /> �ece�ving a."cerft�c�te��of:occvpancy",.or i1na�-.pawer�Gelease;�:1#�the proJBct:does:no���tr�voiue�a=.certt#�catie af occupancy=at'� =��" .�.; '
<br /> �nal powec:cele�se,_.the;�fe�;�i=:musC:`be�p�ildNprtar.to;.permit Is�u�nr.e. �F��thermore;s�f��Pasc��.County;Water/S.ewer��lmpact�., :°• _ � ;
<br /> `ees are dus,they;must�be�,pald;pilpr to,:perrnit�lssy�nce;�n.accorilance w.ltfr;appllcable�.Pasco:County�drdlnances.
<br /> CANSTRUCTtON`1:IEN'LAVIY:(Ci�apte`r 713��lo�td�i Statutes,��am�ndedj: if vatuatlon af wark is$2,500.00.or�more;�i � �
<br /> �enify that I� the..applicar�t;_.have:>-been:;proVldetl�:•with,-a�-c�opy�,of,;•the.��:"Florida•�Construi:tion��L:len�-Lavu�-Hameowne�'s
<br /> �rotection Gutde" ptep�ret# by�tl�e''Flor�tlsa-Dep�rtittet�t;af Agr[c.ultt�r�and Cotisumpt;ltffalr�: If the applEcant ls sameane;�,_ : F z,
<br /> �ther than th�"owner", I certtfjr.th�t�l-have.obfellned�a�copy.of.the;above:.des�e'ibetl t�cu�ent.and;;pro,r�is�,tn;good;;falth:to - �...
<br /> �efiver it to:#he"owne�r��pi�or�'torEonii�encemeiit:;: � `. ,>: .3.. . .. .=,,,`� , . ,.. . '�-`�..", .. __. . ,
<br /> CONTRA�TOR'�IOWNER'S�AFFIDAVIT: i.ce':,ttify�#ti�ak:atl�afh�-:informatitm�.i��:#hi�appllcatlon ls accurat�'and that�Il wotk '
<br /> nr(II'be done in compliance with.all.applioabfe�laws��egulaNng constructian, zoning and:_land�,devetopmant. Application is �
<br /> �ereby made to. obtain:a..permftr,to;.do.:w�tk�:,and:"ifistallatlon a� indt�eted:�::.,:<I;,cectityAthat�no wori%;or install�tion"Fias
<br /> �ammenced'prlor to Yssoance of a permlt'and thaf:alf wark will be perFormed�to meet-.standar.ds.:of:all lavus regulating� '
<br /> ;ansfrt�ctlon, County and City cades, xoning �eguiatta�s, and land development r.egtilations�in��the:jurisdlcttort..,�I���al'sc��
<br /> �ertliy that i u�derstand that the regulatibns of other�government agencies m�ay�apply�.to.,#he;intended work, and that it Is
<br /> ny responslbllity to tden#I�r•what.ecttons I,must•.take:to be,ln:.comp!la�ce.,S.uch;agencles-lnciude�but�are:not tlmlted:to: .
<br /> , .-� :...�;�•� r�x,5 ,x ., � ,,;. ..,,.,,. . '' i
<br /> - Department of Environmenfai�°ProtBctf�ri-Cqp"ress:�Bayfi�ads�; 1�t/�►tland>Areas and Environmentaily Sensitive
<br /> Lands,WatedWastew�ater Treatment. � ' � " � -
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<br /> - Sauthwast Ftortda Water Managemen��..:l�istr�ct Wells; •Cypress."`�.Bay�i`�aits;�'�`Vl/etland Ares�s, Altering '
<br /> Waterccurses. - ,.. .. - - .
<br /> - Army Corps of Engfneei�s=Seawalis;Dock's,Navlgatile Waterways. � ,
<br /> - Department of .Health,,&�Retiabilitative.,rServtceslEnvironmen#aI::;N�alth:.tinit Wells; Waste.water�Treatment, ;
<br /> Septic Tanks: ' �_ � " • � , � � _ .
<br /> - US Ernrlronmen#ai Protection Agency Asbestos abatement.
<br /> .Federal Avlatlon:Authority=Rurnnrays: �:- ,�� . - • �
<br /> understand that the_foNovuing:,resttiction.`s�appty Co'tF`te use af fllt:• .
<br /> - Use of iill ls not altowed in Flood;Zane"V"unless expressly permitted.
<br /> - �If the:flU-materl�I;�is�;to�:be��usetl�;in:,�Flood.-Zane. "A", tt"is und"erstood•�-tha#��a drainage'�plan addresstng a
<br /> "compensattng votume"wlll.be submltted at#tme af permifting wtaiitch is prepared by a professianal engineer '
<br /> Iicensedby.the;�tate�arfa Flofid'"a:�-� � � � -- �•- . .
<br /> - 1f:th�.f�ll_:tnaterlat`;Is._#o:be„used�1n �lood �orie "A" tn5 conn+actlon�v�►lth-:a��ermi#ted bnil�ing usln� stem wa11
<br /> � conatruction,:I csrtify,that fill?vulll:be t�sed only.to..fill the..area..within:,the stetn.,wall. � -
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<br /> , - !f flll".-materlaf-!s�to`=���used:in°aity..arsa;�!��certifjr that .use. of surtt.tIM! w!!I`.t�ot�adversefy affeat ad)ac:ent
<br /> � pr�perties. If.use�af flll,is found to adver,seEy�..�ffecf�'�a'djatirefat�>pr�perties,,#he awner may be cfted for�iolating
<br /> the cond�llons-�of`tF�ie'`tii�iilding�wpermlt i`ssued;'under the��attached,.permit;�pplicatlo�; for:lots less�than.�one (1)
<br /> acre which are=efeVatetl�by,flll;an englneer�d dralnage�pt�n�ls requtr�ed. • .
<br /> f I am the AGENT:FOR.THE�:OVIENER,,-"I:promt'se'In_;good,falth to i�form-the-ovimet�_of=�the:permttting condftlons set farth tn �
<br /> �is aflidav(t`priar to comrrieiacing,consfitictitin:"1`understan+d��thet a�separate petmlt may be tequlred for etectrfcal work, ;`,;
<br /> �lumbing, signs� weNs,�:pools;:air..cond[ttaNng,,gas�::ar�.other inst�a�'ons�not•spec�leaity inctu�ted�in.#he apptication;. �A • ._., - �'
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<br /> �ermi�issuea�shan be:.cons�truea ta be�'a'llcense to;;pr.aceed with ttie;wor�-end not•as;autharity,.ta,violate;rcancel. alte�, or . �;
<br /> et aslde any provlslons of`ttie:tech�iti�l�codes;�nar shalt fssusnce°of a.permlf.pr.eiran#�fhe Bulldtrig O#1lctal frorn thereafiter,
<br /> � �quiring a coneatton;�f errnrs::in.;plans�,.`caristrqc�lon,ar dlolations°of any�codes: �Every�p�ermit�..l.ssued�shall become invalid
<br /> ntess ihe virork aafhorized:by`sucti peri»it>�ts.co�imenced��wlflifn six manths:of>permit (ssuan�e, ar 1f wark autharized by .
<br /> ie permit i's suspended.or.abandoned fbr,a�:#�eriod�ofi>sUc:�fB):montiis�`eiter tFie tir�e�the�work��is commenced. An extenslon �`.
<br /> iay be requested. ln writing;;;from.`the'8uillding�Offt�i�i�•for a perlod4not'3o`-ex�eied��nlnety:�90):�ays a�d wilf demonstrate ,,��
<br /> � �s#1#iable cause fior�ttte eitten�lon: If�work ceases,for ntnety(9D)c�ns.ect�tive:days..tiae�ob,ls�cansEdered aba�tdoned. ;
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<br /> VARNING TO't�WNERs YtlUR.:FAl1.1r1RE�'t�?�;R�E�:Qt�iA;1at07'IGE�:.L7F�Ct�MMEMGEMEI�T:NtAY=RESUkT !N�'Yt?UR =-
<br /> �AYING TWICE,FOR IMP,ROVEMEN�'�;i�'O::Y�CMti,R�;PROPEI�TY��.:�IF�:YO.U�iiV��1D�^T���H�AIN•,FINA�IEING;'C.ONSULT
<br /> l�i' OU - D .. ,O� � 11� TTO. N �'R �.. _ > F. .p �:,, p � . .,,� :, ;: .
<br /> `_o�f�aau�a;_tF:S.'liT:oa}---.---- - � - - . -� . -- _ ..
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<br /> WNER OR ADENT " CONTRAC7O� - '
<br /> ibsaibed arni sw�om to{or aifl�rnedj betore me thts ' , Su6isalbed'a 'swom=to rtned}�bsfore�me�tFii�, .
<br /> by �"--10�l ,b -
<br /> ho Is/are personally known to.m�or haa/heve produced Who:ls/ere p.ers . alty •to tiie�or�tresslha�ve�prodiiced �
<br /> as:iden�BcsBpn: � � ' - ' as`iden8flca8on. �
<br /> ; . r.;,
<br /> Notery Pubiic , Notary Publlc
<br /> ammtastan Na.' " Comc7Esisala . ', .
<br /> ,,�.•••gs;�c, ACQUEUNE BOGES
<br /> :i: �..= Comm' s' ,��•
<br /> �me of Notaty iyped.Rrfnted or atamped 1Vame of tdotary iyp :� �T ecember 12. '" .
<br /> '•,,°�M}°P�:, 'Ba?dedTtxuTmy.FdnlnsureneetluC•s5�.
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