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<br /> NOTIGE QF DEE��RESTRICTI6?NS:•,The:ur�d�rslgtaedt,under�tan.,ds:;tf��t�#hls;� .cm�trmaynbe.,sub�ect��to°dee,d"=rest�lctlons"� � �: �
<br /> which may`beymore°westfictive��tFi��r�ounty�i�g�iaiforis TMe�Undersign°ed��a��umes�'respon�SibilNy�fo��;ct�mpliance witii any �
<br /> . . . .. . - � .
<br /> �ppllcable.deec!'�rastrlcttons.- � � _ .:,.:,:,.Y�:.,=..v�_�--:-.- ' - _ -:�:.;:.,�� . _.:«,_:
<br /> .. ,. � .
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<br /> ......._. � , � : _.. ._. ..:....p. .�..,.,._...�_,.��..:.
<br /> UNLICENSED:�:;CONT�RAC'�ORS :AND :COI�TRACTOR.RESP.ONSI�IL1'�i�S:=:_;_#��iie�r�owriei:=fir�� :li€ret�:'a�co�t�ctar or
<br /> cantraators ta.under#ake work,.ttiay_may�.b.e;�.r.,,�qu'Ired.:toe��:;l�ensetl'In�accor.dance:with�state�;and:local:regul,atio�ns:,{df�tFi��-�-• . . -=
<br /> t,�..._� ,_....:�a.,..;.�.�zw
<br /> contracto=;ts_�iot,:ltcerise�f`�as:�ceqiai�ecl{by,E�(it;.botia�°ttie�o�tiri�er.and:�eot#ti�ctiir�rnay be�clt�c��fot ��mistierneano��vlola�an
<br /> :�nder state law. .If:the owner or Intendi�d.,cantra�tar.��a�eu:uncertaln..ae.to wliat licensing_requicemen#s,mayF'appiy:�fo��tFie;-�rk:::�°`�`�
<br /> 'ntended�work,�tlie' are�eilvlse�l:ta:'contact'tkie'Pas'"co;.�oun :Bullding�'ln�pectlo�:isDlvlslon,-`=l:Iceris[rig�Section=.a#727=847-
<br /> y r ._<.�s.....z:---�:tY.�-�.;.�....,��... :�..
<br /> 3008. Furthertiior`e,,°if tti�a`�.ouvne�=fias'�tiired a-cdn#racto'r}ac ccintractors,��tie�ls advl�ed to have;#he ,aanUactor(s);;sign,.�,.,: �,3:';�_,
<br /> �ortlons of`the "contracto.r, B.I.ock",of�this�appitcation�:for;:whichzthey,will,abe,:respo�slbie:. :,tf,you;,.�as=#he"ovirner�"stgn"as"the- � � "
<br /> :ontractoir�-t#ia#��inajr=be•art"Iridica#lon„ttiet'he`1s aotF:pcope"rly°Ilcerisec��an'tl��1s'�'�ot�en�tie�"to`pe�rrtlE�ing�prf�lleg+es�lrt Pas,co, , ..; .
<br /> �aunty, .. . :.. , � • � -�;� �: -
<br /> !'RANSPORTATION;lMPACTlU't'IL1�'IES�I�IIt�14C't�ANb�1�ESOUItCE�RECOYERY FEES;��'The�under�l�r�e�!":understands ;
<br /> . �{.;,. . .,�. ,
<br /> :hat TransportetEon Irnpact Feas:and.Recourse Recovery.�ees.m�y:��epply_�#a,the cons#r,uction;o�new.buildings;:�change�af�l: '� .'"
<br /> �se in existfng bulldings;-.qr..��ezpaiisibn�:ofi�xl�'ti�iS��r�ilrHngs;as`specifled.in Pascq County Ordinance number 89�07 and
<br /> d0-07, as amende.d.;�.,;,��tinderslgned elso�titridet�t�ndst th��'such fees;;;asr�tnay�:�e;.d�e;:�wil���e[detitifled a#the�tim���ot�� :. ,,.;.� s�
<br /> �ermitting. It is furthe�understco�d that Tra�isportatlon�:Imp�at�Fees and�FReeource Recovei�y��Fees.must be paid prior to �
<br /> •ece�ving a_"cerftfleate�of.occupancy"=cr finat=pawer�.release:.:4�•the pro��cc�,does:not.invoive<a:.certi�c�te o€occupancyx oT`= , .._::°. -
<br /> �nal powec=;release;,,the;•�fe�s_-m��t��tie�paidwpr�o.r':to.permft Is�uance. .���tk�ermore��"if�Pas�coX.County VU'ater/5ew►,er:�lmpact�� » _. .
<br /> `ees�re due;,they_:mustbe;pald;pMor to.permit>Issuance�:in�a�cord�nce.wl[tr:appltcabte:Pasco'.County'onlinances.
<br /> CONSTRUCTION`1:I�N�lAVl1{Chep��r 713�Florfida$tatuf�s�a�amend�d): tf valuafian of vuark is$2,50d:OD�or,=more;lti � , _ �
<br /> ;ertify that_B, the_,applicant,�:k�a.v.e:;,been-:;providetl�;with--a-capy.;.vf-the�-'Flarlda�-�Constructlon�r�Lien�:°Law--Homeowner's
<br /> �rotectlon Gutde" prep�ired by'tt`ie'Flarlda-Rep�.rtmer�t:af Agrlcultt�re and Consum�r�Affairs: tf the spplEcant Is.sameone: : . �t�
<br /> �ther than the"owner", 1 certffy►�that�t�hav.e.obtaJne°d�'a�copy,of.the�abQve.:�escrl�ie�tl�tfticu�ent°;and,proml.se�:irt;gQod;faith ta, ..
<br /> (-.Yi ' wJ�. ,{5;�, : �M .,«.... . .. -, .`J1" �'x - '
<br /> �eliver it to�the,�"owner.'".prtor":to�commenceriiertt: . -. ,, : .- . . _ -.... ° � • ,___
<br /> CONTRACTOR'StOWNER'S AF�IDAYiT: I:c�a�tifyr�#ki�ak.allrth��3nformation°,i�+this�appttc�#ian is accurat�'and that all�work
<br /> n►ill'be done in aompliance with all.applioable'taws�regulating constructlon� zoning and��land�devefopment. Appl(cation is
<br /> �ereby made to. obtaln:�a,.pecmEt,-;to,.�or,.wotl�;.tand:,l'ris#atla�tlon as �ndt�a#e�:��;:;�l�.cei�ity.:tl�at i�o r�roric'�or tnstallatlon}�lias T
<br /> :ommenced�prior'ta'is`suance of a perrr�(t and�that.all�work w(II be pertormed�to meet--skandacds._of�all laws regulating�
<br /> :onstruatlon, Gonnty �and C�ty cades, zoning regu��itians, and land develapment t:egiaiattons=tn t1�e:3urisdiction.:>:1•:ai'so
<br /> �ertify that � u�derstand that the regula#Ibns of other goverr�ment agenctes may�apply;:to,the..lntended.,work, and that it is ,
<br /> ny responsibility to identlty�what.eotions I emus�t�takeYM be,In:.corrRpllan,ce;;Such agencl�es�.incl�ide but�are:notllrnited:to.
<br /> - Depar�rn�n# �f E�vlronmental��Rrimtec��iri=�jires�.'B�jifieails�, VI`��itland�Areas and Environrnentatty Sensitive
<br /> L�nds�Wet�rNNastewater Treatinent. � � � � �
<br /> - Soufih�rest Florida Water Managemen�=-;:l�istrlct Vltells; Cy�ress.��8ay��ads;���We#�and Areas, Aitering � ,
<br /> Watercour�es. _ `. . � -. �'
<br /> - Army Carps of En�Inee�=Seawal!"s;�,Docks,�lavlgatile Waterways. .
<br /> - Department,af .Heslth:,8,,Ret�ab�Ittafhre,.,Servtces/Erniranmen#a1,:.Ne.afth��tinit Weti.s; Waa#ewater�Treafrrient, ;
<br /> Se�atic�Tanks:` -. ' . ' - - , :
<br /> - US Environmerttal Protactlan Agency-Asbestos a6ateme�t.
<br /> .Federal Avlatlon:Aulhorlty,=Rumvays: � - . _ �
<br /> understand that the_fallow�ng'.cestrictlor�s appiy to'ttio�t�se�of f1A;•
<br /> - Use of fillls not alfiawed iri Fiood�2�ne"V"untess expr,essly permttted.
<br /> - If the flll-ymaterial;'is:�;io:vbe';used:=ln..,Flaod -Zane. "A", It Is understood�that a drainage'plan addresstng.a
<br /> �compe�sating.vatume"wltt.be subm[tted at#�me of�pe�mlttln�wFitch is prep�red by a professional engineer
<br /> Ilcensed by;the.��tt�te�crf;Flotida:. - , : -.-, � � � .
<br /> - if:th� 11!!.:mate�{at���ls=to:be�-use� In �tood �orie 'A" ttt5 cannec#ton�w1th:a���ermltt�d build3rtg using stem°waft
<br /> � conatruction.,.I.cettify#hat flll�.�rali:be used.only.to.fltl the..ar�a.withln•:the�.stem�wail. .- _.,
<br /> - If=fll! matecia!:`1�=ta`be�-used'In any area;c�f�ce�ttfy that .u�e. of such"fllf�wlll�.not adversely affect ad)acent
<br /> properties. !f ys��af„fill.is#�uncF ta adver��aly.��ff�ct'�adJ��er�t��pr�pertfes,,the ownet may be cifed far vtofating
<br /> the condltlons�of'tF�e.'b�ilding��'pe�mit t§sued�under tlie�'at�ached,_permit;��pplication, far-lots less�ihan:one (1�
<br /> acrevuhtch are=etevatetl=6y,{111;��engtneer�ddr�inage`ptaii�ls reqiilted. � . ;
<br /> F I am the AGENT.:FOR..THE�-O.VIENER,��I�romise'in g�ood falth to�l�form#he-owner af_�the:p.ermitting_conditions.set farth in
<br /> ;.
<br /> its affidav(t`prlor to coirime�acing'consbuctlon: '"1'under_statid-that a�sep�arate�permit may be requlred tar electrica!work; :=,
<br /> ttumbin , signs, wells,,:po.ots;,alr.condttlantn ,,gas;..or•.a'tt�er.�nst�'lia�1`'ons not,s ec�t'tcatiy inctuded-in.the�a iication. .A ':,
<br /> 9 s,�. 9 ,.., ,z ; .. P Pp � ,-:
<br /> �ermit issued shalf tie�.cons�ttrued:to`tie�a':Iicense�to:,pr,aceed wlth tFte�;viicirk and not as.authoNty_ta,violate;�c�ncel, alter, or ,�;
<br /> et aslde any pmvlstans ofi`#Fie:#ecli�ilcal..cod�;�nor sha111ssuanct��of a.permif.pcevant the Buitdlrig OffEctal from thereafte�
<br /> squlring a correction af errors-In..pl�ns;.;conshuctlon.ar vlolations°of•any-codes�..-,�very,p�erri�tit.issued�shaU:bec�me invalid
<br /> nless the wo�k aatharized:by`sucll pe�r`r�lt:is.�iimmenced�wltliln�(�c,�nonths�of,petmlt Issuanae! or ff work autharized by -
<br /> �e permi#i`s su�pended�,or.attando,ned=for:��:#�erioii,,i�f>sGr�(8):montfis;.sffer tiie#ime�the�work��ts corr�men�ce�l. An extension - t�,
<br /> �ay be requested� In writing,:_from tNe-Building;O(flciai�.for a perlad�notfto:�exceed�=ninety��90)�:days.�a�d�wilC demonstrate ,�;
<br /> �s#ifiabte cause for�the eitCeasto�: 'tf�wark ceas.es.for ntnety.{90}consecutive:day:s,.:tFie job�ls�considerecl aba�dor�ed. � .
<br /> VARNING TQ OWNER: Yt�UR`.�'AILURE_�'t1;,�FCQltt�:A�l�,t^yTtG�:.OFz-Ct?MMEWGEMEt�.;MAY=f2ES�f#:T-1N=YOUR .
<br /> �AYtFlG TWiCE;FOR IMP.Ri3�EMEN�'S�T;b=.�°Q.URt:!?�Rt�3PER7Yi:,:aiF�YOUfii�it-�'E�i1D"-�Ttfl=�!l•�B�TAIN��FINi�►T14;1NG,'C.ONSULT
<br /> �17" U D �O,� A TI'O �1R s �ECO � �':� p�� f.` ' �
<br /> ��_._�. __T�..._ .,� __.__:.___:�.__-.__ , ..�..�,.:.. . _.:_:.._ry ._,.:. _ �_... _—___�_.. _.__� —_____- —
<br /> e�s,�r�A;����{�;s��.q�:o3}-�___ , , .
<br /> WNER OR AOENY .-�). �_ CONTRACTO�. '-
<br /> absal�ed and swam �ai�rin j'betcre me is Satists�lbed'and`s�ra - t afRrmed afora me Mil�. .
<br /> by ,.by .. ._ .. ' �
<br /> fro Is/are pe►son�ll _ own to.me or•haalheve ptndur,ed Whn:is/are personelly..knowri•to me�6r has/haqe�pradined •
<br /> as.ldentlflas8pn: . � _ - . � • . as tdeatlNcation.
<br /> �. „ r?,
<br /> Nafary Pubne , Notary Pubtic
<br /> smmiss4an No. � Commisston�No.
<br /> �me of iVotary ty�►ed,printed or stamped Name af Notery iypad,pdnted ar atamped
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