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<br /> AT10E Ci�DEED.-REB.T.RICTIONS: The:underslgr�ed=.un�e�t�n,ds��thh�t;t����p,�1�:msy.,:;b.e,�:sub�ect;,tc�y"dee�"res#tictt�ins"���;,`,3 ,'�`
<br /> - :�,4: - �.;Y .,.i��- �:. .-t;,�;.. - :�i:k.,7�1�+=i;,i( .,r.�, �,�.. .�.G?` �-Ki;�'�,.ri�,t..»..�«'a'� � a`�,;.,`-_._..,>•. , . ' .._
<br /> �hlch may:tie��More�re.sttictl�e•�th�I���G�unty,'.+'i�ilafforis:`-The°"i►.n`,diarslgned'Ca��umes,'cespo�s�biltty.-�#or:a5mpliance'''wlth�any�
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<br /> AP!lcab}e..deed:resMctlocts. '...:,.,-..,�,_,..:.�:s:;,�t•:Y:;>.,�:�- _ ' - _ _ � . , .� ,_
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<br /> NLiCENSED�"CONTRkC'��tS�:At�D��CONTR�kCTOR'�RI�SPCI�IS��Ikl���S •.=�tf��he owner-�h�s hir.ed'�Y��cd�itraa#ar o�
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<br /> a�ntractors to:undertaike��work;:tF're :m� ;�be,r�qu'ired�to:�e��licensed-ln':accordance:wlth,state�and,local�,re utallons:,��If�tF'ie�'�,- =•;' �
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<br /> m#racto�<,Is�not:ltceiised�ais��reqult�e�;by�latiiV;:both ttie'own�r a�rt�f�contractar�ri�ay.be cit�d for~��misdetrieanor�vfol�t�on
<br /> nder state law. If the-o.wne�or Intendi�tic•.contr,a�rtoG�are;runce�talh�as;ta whet�(icansl� ..re utrements:�ma. �ra�� t�r�%tlie.rv��4,y.,°°3=.f_2:.
<br /> ; . , . ,..;., �r.V;9� q Y..:. Pp�:.
<br /> tended work;�#fiey�are�advlseii'to:coritact��tie=:Pasco Coanty;Biilfcling lnspec'tlon;Dlvlsloi�--i,.�ceitsing Sectbn at�727�847-
<br /> � ,_.�_,_..... t.-�._:.. �.�r r.,......,rt.-c7..-. . _......:. ....�.,.. � .. .. .,... ...a.v» ,... , ..
<br /> �08. Furthennore;::if�fFie:awner tia's"'1iired.�a"con�iatoT�or contractors; lie.is aiivised'fo #isve°#he conhacfor(sj,.:sign_;h�:,...:;n,, �.-.� �;
<br /> �rtlons bf'the.�"conttactor Block'_.of.this appllcationa.�for:;whtch�they.wtll::be;�s.sponsl6ile,.��.If:.yau;;m�as'�fheso`wn�'r;:atgn:'as''tfie�� ' ' '" F` �`i �
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<br /> mttac#oir;-tli�!':�rtiay-de'ar��iridlca#lorrthait•he��fs�no�:propeily=llcenss��and�ts�not`.en�iNed`=�C►'perini#f�ng`privlleges"In Pasca,. . ,. ;:
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<br /> ��nty. � �;,, . _ ._ �. .. _ .d . ;_., _� ..: ,. r:r"r`i'�.,-;°, :3..,,r _ ,�,1 ,
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<br /> RANSRtiRTATIQN.�IMPACTNTI��i'�IES�rtVtPid1C'�A�b`=1�ESQU�tCE R�COVERY-�EEB:�Th�t�nders#�ne��urtderstands ;�;, ;
<br /> at T�ansportatlon impact�ees�and.Recaurse.Recovery.Fees mey��eppty4:#o:tf�e construc�on;.of new.,b,u0dtngs;,�chan�enof":��-::=~}'i�'�' �t
<br /> :e In exfsNng-bulldings;-.qr�ezpa�ist�ir:q.f:�e�ils#i'�;briiltlirigs;a§spectfied:in P�sco Counljr�Qrdinance number 89-07 and ;� ,'
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<br /> 1-07, as amended:,v.1'��.undetslgned'also�undetsta�ds, #h�i�'su�sh fees,�,as}tnay�;��;�d�e;;,�ulth,�e Eden�itted at�the�tirrie of�°.` ':,�':F� � ;� .
<br /> �rmitttng. It I�furtfier iinder`stood that Tra�i�portatlon'.Impa'cf"Fees and��Resnur.ae;Recoveir�`��Fees.:_n�u�'Y be paid pri.or to �� `
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<br /> ce�ving a,"ce�filcate�of-oawpancy"-�or°flnaX4power;�eteas�.�t:4�-the proJ�t,�:does�no��lr�volve;g-.ceni�cste o€occupartcjt yoc�=�,-v i.� ':;: �
<br /> ial power;:release;_the�,fees'::mu�t:ti��iaid�pitor,to.-permit issuence. _Fi�{�tki.ermore;��ff:Pasc�►�.County��Water/Sewernimpact�°��-��- �__�•��. ,
<br /> es are due;ttiey:must be,pafd;p�"or to�;pe�miE�iss4ance;ln,accori(ance wit�c�Pplicatite::Pascr�Gaunty onllnences.
<br /> ONSTRUCTtCtN�tiEN'LAYI�(Ctiept�r 713�FloHda Statut���a��m�nded). if vaiu�tion of.work fis$��Sdd:00,ar:r�ace, 1�: � �- �:;�.
<br /> �rlifiy that .I,,, the_:applicant,,,.haxe_�been,�;provided:-�wtth„a�,copy.:c�f'-�the��"Florida•��Constructi�on;<Llen:�.:Lav�—Hameowner's
<br /> rotectlon Gulde"prapa�red:by,ttie�Flarkfa Dep�iitinet�t,of Agctc�lf�re and�Consri,m�ar�.;:;.AfFa1�s: �f the appifcant Is.someone; -.. .��-. .f;
<br /> her than the owner"� I certffji:th�t:i�,have;.obt�lned�copy,of_the,abova�describetl�dbcu�ent°:and,;promisetin;gpod:faith�.to , .,.F,
<br /> ailver it ta::t�ieF"ou+mei.�'-:pr:to��to�commencemerlt=�,;.`;� ,." ,, , .�,;,:�-_ :. � _;.. .:.,:,,; . - _; _ " ., `..
<br /> ONTRACTOR'SJOWNER'S AFFIDAViT i ceii:tify,�t�i�kalt#h,e;lnformattcm�in�tht�applic�tion is accuret�;and that ail work �
<br /> ill'be done in campliance with.all�applicable�laws�regiilating constructlon� zonln�and�.land�'dgvelvpmsnt. Appltcatlon Is ;
<br /> �reby made Eo. obtain..a,.permit:,to>,da,;wotk;�and:=l�i�tallatlon a� indiceted�•:; °I .certify�tFtat no�work'=oi;, tnst�illation"Fias �
<br /> �mmenced�p�lar to'is'suance of'�:pemnlf"antl�thaf�all`work will be perfomned�to meet:_standgrds�of=all laws reguleting- i
<br /> mst�ct�on, County and Clty codss, z.oning regulatlans, and land developmerit re�la#ttihs=in the�Junsdtction:._.I:.al'so . ;
<br /> �rtify thak I u�derstand that the regulatbns of other�govemment agenci�s may�appty�_to..the..intended.,work, and that it ts �
<br /> y responsiblllty to fdentify�wh�t.actlons I Amust�t&ke�:to befln:.comp!lar�cs:.Such��agenctes�incl�de�but�are:not!lmlte.d::to. ,�� ° '
<br /> - �epaitrrien#-of Er�vironmentait'f?rote`c��n=G�pre�s.�B�yii�ails�;'I�V�Stland�Areas.and Environmentally Sensitive
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<br /> Lands,WateNVtlastewater Treatment. - . �� �-
<br /> - Southwesf Fforida Water .Managefier�t',:�C�lstrtct Wells, �CYPress.�".Bay.�i�atfs���` We#ia�d Areas, Attering� �. ,
<br /> Watercourses. _ . '
<br /> • Army Gorps of Engineeis'�a�wal!'s;D►orks,Navlgatile Waterways,
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<br /> - Department,;of;Hea,lth,.'B�ReI�'abilitathre ServtceslEnvltonmen#al:�l�ealth Unit:Well.s;_:Waste.water�Treatrrient,
<br /> Septic Tanks: `' � : ::�,.. . . ' . . � . �
<br /> - US Environmen#al tProtec#ion Ager�cy-Asbestos.abateme��:.,
<br /> • � -Federal Avlatlon:Authortty;Runways:-� - , - . .
<br /> nderstand that.the_follow�ag,�restrt�dons�aPPly`to'fhe use af flll:�
<br /> - Use of flll Is not altowed tn-Fload;Zone"V"unless expre�sly.permltted.
<br /> - If��th..e�_,flll..:matet�al;;l"s:'ko'�tie�'used�ln.:fload4Zone: °A"� If. ls under�tood=that-a dralnage�plan addresstng a
<br /> "compensating v.alume"will..be subrnitted at#m�af pacmitttng wi�tch is prepared by a prafessione! englneer
<br /> Ilcensed�by;the�State�f;'Flottda: , . =,:.: � . . -
<br /> • �#_tt��_fill�m�te�lal`_1�=to:;be=us�ed �n �loo� Zone "A" Inj c.onnectior��uvlth�:a��permttted bc�ilding ustn� stem walE
<br /> � conatructlan;_I,ce�tify.thetfill:��u111:b�.a��usedonly.to.filllthe..area.wtthtn�the�:stemwall. � •
<br /> - � it �111 materlaF''Is�#o=��be�°used��lrt any..area;`=t�-�cettlfy th�t .use. of�suc�i.."fIN�w81 not adversely affect adjacent
<br /> ' properties._ tf use:af fltl,ls found.to advers�iy:�fff'ect�adjaEer�t��proiperties,.the owner may be cited fo�viotattng �
<br /> the condl�ons�:of.tfie.ti�,ill�ing�,p�rmlt Issued;':under tha'�at�acFied.;�ecmit_�ppltcatlon,#or��lots less�than:one (1)
<br /> acre wMeh are�levateit�t�Y;�1l;.:��tenglneersd dralnage ptari�ts raquired. • ,'� .
<br /> am the A6EN.T,,,.f.,ORWTH�.OVMNER;'I�ro"mise,ln.good falth to�lnf�rm#he�owner of�the..per.mltting�condl#tons set forth In `
<br /> s aifldavtt'prlar to�-coii�meracing`aaiishvctt�in:'..t,"aiaderstand":that ar s�parate permlt may be requlred for etectrEcat wark. �; '
<br /> or�o . ��'�_ �
<br /> imbing, signs, wetis,z:poof�i,.atr.cctind[8aning,..,gas�.:,, ._.ti�er,.,instai��tlons no1�spec�icalXjr inctu�led�in.the�appticatlon;. �A ... �,..,; ,
<br /> rmlt Issued�Hall'be>construed-to'6e�a`'llcense to:prcrc"eed wltb'tlie''viio�tc,and no t:�ass�uthorlty_to.:vlolate,��cancel, al#er, o� `"
<br /> t astde any provlsians�of the:#ectiiitiiaal:c+�des;�nor shalt Issuanc:��ofa:permit:preverit the Bulldlrig O#�Iclal from therea#ter r;�.
<br /> �ulring a coRectlon af.errors;.ln_plans;�consWc�lon,or vlolatlons�of'any cndes:a�,very�p�ermlt�:[ssued shall�.bec�me lnvalid � �'`
<br /> iess the virork�euthoMzed by such perrtatl�!s_ciiiiimericed�inrithln sfX�trtonths ofe permlt Issa�nce, or ff work sutharized by � ' .
<br /> �permit i's suspended�or..abar�doned for a�eriod�of:.�si�c�(8):mon�t�s;sfte;r the tlme�the�work•ds cornmenced. An extenslon ��, ;
<br /> �y be requested. ln wclting;;:fiom`the�`BuIIIding;C�iflclal.for a perlod;�not tb:exceed-nlnety{90).�tlays.�a�d wllf deinonsfrate ��; �
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<br /> t�iabte c�use for�the+eiitenslor�:�li woik;aeas.as,for nlnety�{98)cons.e�tttve:days...tl�e��ob�ts�consldered abac�doned. .
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<br /> 1�2N1�t� Tt9-t�iRiN�(�c�--YfyiUR=�r.�,a1�CJ�E=�;�;;R;�C:t��:i�:�T1t�E�.��;:C!�}M�ii��1�ElYl���V!'l�11F>�ES[!LT-�1N�Yt'3UR - _
<br /> YII�G TWICE.FOR:IMP.RQ.�`/EMEI�t��;T�:YQ1;�R�:_P.�OPEF,iTY:;7',I��wYOkl�liV�:€E�1Dt?TG�:�!�B�''AIN��FINii�i�C1NCs;��.O�ISULT ��: ;
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<br /> N�R OR AGEN7 �� CONTt3JtGT0 ��
<br /> scrfbed and awom (cr af�rmedj ia mg�iFa' ' Subsdrltied` Yo{ot ailittned)•68fors me�ttil9� .
<br /> by
<br /> ►Isfare personelly knovm ta-me or•haa/hava produced Who•I&!a .. .ersonally`. wrt•tt►me�,or,ttasLhave-ptodi�ced �
<br /> 4.. - ,. asilden$�aaitCon.= � - ° � ' „��,`,',_,;=as tiien�Bca@on.
<br /> Notary Publlc . �x..� Notary Publla
<br /> imisslon No: '` Ct:�mr�is�lo' o, � .
<br /> �.��`��F.Y pY,B�c ACQUELINE BQGES
<br /> � _.• ° �:: Commission#F 0422
<br /> tie ot Notary typed,Prfnted or atamped tdame of Notary iYPed, �r��s December 12,2018
<br /> �'%�p��,,RQ`� BondedThruTmyFelnlnaurance8C0385•70f9.
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