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<br /> ?T1�E C1F�E��:R�STRICTIQNS: The:undarstgned�:under�#a.n,ds�tth�t,#�tls.`p�c�rtit;�'nsy�,6e:,subject to"de�d";=rest��tlons":;;,'.,_': '.
<br /> dch mayabermore;resti;icfive.�tha�`G�unty'{regWlatrori� TF'ie°i�nders1gned`��a�`siirri.es respo�itillity�.for compltance�with'��any'N�`�� ��°
<br /> � �pltcable.deed':ro�trtctloris,. - �.z ,=:;3>;.4�a�_r.�_�3 __ ' . ' _ - - - __ ' :,° > , � - .,
<br /> dLiCEN�iED�'CONTRAC�O�i��=AND CONTRAC'Tt�R RESPOW�tdiL�lTi�S`r�_��t��.�lie=-owr�ie�``h�s"hired:r�Tco�traotor or
<br /> �ntractors�to undertake°woik„tFrey mey,°;be;r�Qulred;:to��b.e�llcens.�d'=1n�eccoidance.with-state�;and`.local;regul,allons:,;°:If��the�:r��.���• . ��
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<br /> �ntractor�;'ts:not�lfcerised``as�.i�equireii¢by law;_-bot�i=�the�awner a%id:�eonfra�tai�rinayitie��clt�d forAaam1§demeanor vlotatlon ;
<br /> �der state law. If the owner or Interide+���contra�to,r,�>ere�;unce�talh,�s ta whet�(iceneing.,requirements�;rnay.,Wappijr�far�=tlie�;ly:�;:°;-,-_~�'
<br /> ended�vtrork;•they:are advls+sii"to.c�ritact the P�isca�Gounty Bul�"d{ng:.:Inspeckla�i;�Dlvlslon-�i.ic�nsing:Sec#lan�.at 727�8�47- ;;
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<br /> �08. Furthemiiare,-�tf tFie vwne���Fias-�hf��d-a �contrac#o�'or�coritre'ctors;; he is"advised ta'fisve;_the ,con,trecbr(sj.;,sign., ry;..;s__,,,--
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<br /> �rtla�s of`the"contracto� Bl.ock°.of:`thle_applicatlon.;fbc:.v_iihlch-they.:wlll.be,r:esp.onsihle.;,If=you;>as:..#he�oinri�r��tgn�a`s'�tfYe~'" " � , '
<br /> ntractar� that`�riay he�an indica#1ori-fh�t�`he ts not�:prape�lyritcenseiid''and:�ls='iiiit"er�itied�tc pettnl�tng pr�ullege�s�ln Pasco .
<br /> �unty. � � - . ., �.: ,. ->._;<.rk=�,,,.:�,�,<y y, ;
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<br /> l�tN�PQRTA'f1t�N�IMPJ4CTlU�IL!'�1�5�1�VlRAG�:AI�f�=�ES!?UItC��13�Gt)1tEEtY�FEES;�Ttie'u�iderslgne�`�tii�tderstands ,:F ;
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<br /> �t7rensportatlan Impacl Feas and.Recaurse Recovery.Fees may��appty�4.#att�e.constructtan:,of;new.buildtng�,,+change^of'"'~�•�-'�`'� �� '
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<br /> e 1n exist(ng=buildings,�:�c'�exparist�ii��o�+eXi'sti�:��bi�ili�t�igs;as'speclfied'.In Pasco County Ordtnance number 89-OT and '- `
<br /> �-07, as amended..,�Th�undersigned aiso-:urtdecstands, fti�i�:`suoh iees;�,as�aryF�s:�due;,,wiiF::be fiden�ified'at the�time'of�:'�•�=���. .�''�_
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<br /> �rmitting. It Is turttier understood tNat Tra�isportation.Imp�cf'Fees and<�teaoutce Rei�i`r`.ery4'Fees:rmu"sY be pald prior to ,
<br /> retving,a:°certl�cate.oi=o�upancy"-�r flna�tipower-�elease:` :1��the:proj�r�t�;.does,rio�Involve,fa�certi#{cate of ac.�t�paniiy_vr����"����=3 < . ,
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<br /> � al power,,;r�teaee�:the�feess:rr�u�,t•tie�paid"�.prto.r;,#o_per,mft isst�ance. -F.:w�khermor,e;��if.Pasc�s.County;Water/Sewerx:lmpact; �..�.;�-��.'
<br /> �s are due�,they�must.be-pald:p�ior to�permit'>4ssuance:�n,accrordancs�with:�pP!lcatile:,Pa�co'County�o'dlnances. �
<br /> aN:STRUCTiON`i:1EN"I:�►W'(Ciiepte�715,Fiortda�tatnt+�s���m�nd��j: tf vatuatlon a1`work ls$2�500:OO�or mote;:i: = _. _ �-
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<br /> rkifiy that I, �he.,.applicant,, �axe.;b.een�.provi.detl wlth.=a�copy:�,o1''tlie:�,"Florida���Consfrt�ction_:`Llen�::Law--Homeowne�'s �
<br /> oteattan Guic#e" prep�red by°t�a'�lor�a l?ep��tinent'of Agrlc.ult�re and Gonsu�er;Aifatrs. Ef the appl#t�nt Es,sotrieone , �-:-�_�..
<br /> 7er than the"owner", I certiFye:th�t.;l:have�obfalned�atcopy.of.the.above:desc'Ipe���ocui�ent�and;promt.�.e�in;gpod;faith toi _ _..,
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<br /> �liver it ta�.ths:'owrter'`:pr�oi��hi�comtr�er�cemerit:�r:�: :�. ,: ; . _ _,.. _
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<br /> �NTRACTOR'S/OWM�R'S APFI�/�ViT: 1.ceittfy;.t�i�t atl°-thg;Ufocmation-.tn�this�appiicatton is accurat�:end thaE all vvork
<br /> II'be done ir� compliance wlth all.�ppDcable'laws�re`guladng conslructlon, zoning and�.land„development. Appltcatlon !s
<br /> �reby macie ta abtaln ;a.parmit::ta:�do.:�+lr+r,��§and��ih�tallation �s indlcafe�l:����_�I�.c�rttfy-:tfiat 'no�work-�or Instatlation�'it`as '.
<br /> �mmencetl'p�lor to`Issuanc� of'a pemi(t and that�:all'work wlll be perFnrmed�to meek-standards_of:a�ll I�ws regulaking-
<br /> �ns#Nctian, County and Gity codes, zoning_regula#lansf and land development•r.egtala�ons�lri°tlie:�Jurlsdlction:�<°I��at'so .
<br /> ' ;rtlfy that I uaderstand that the regulattans.of other�government a�encles may�apply;to the,lntended wbrk� and that it 1s
<br /> �responslbiitlyr to tdentlfy�wt�at.aattons I.must�take;to beFln:.corrlP�lar�ce; Such,agenctes=lnclude bwt�are:not Ilmlted.to:. ,
<br /> - De � ��i� � '.`'h� ,"TM ` -� � :., `Vk�edand�Aireas and E�vironmental SenSitive
<br /> partrtien# of E�virorimentalf'Profocfibn=Cypress°Bayfieati�, �y
<br /> Landsf W�tedWastewat�rTreatment. ��' � �� � " � -
<br /> - Soutt►west Flortda Vtitater Management ::l�ts#rtct Wells, =Cypress.'��BeyEie�ads;� 'Wetla�d Areas, Altering '
<br /> 1Matercourses: - __. .. , . _ , _ .
<br /> - Army Corps of Englneers=Seawalls;Docks,Navlgatite Waterways, �
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<br /> - Department,,of Health;.�&;.Retiabilltative,ServiceslErnironmen#"a1�.�Heait��Unit:Well.s�:.Waste.water�Treatment, �
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<br /> Septic Tanks:: �� _ :_ � . ,. _
<br /> - US Environmentai Protectlon AgencyAsbes#os abateme�►t.,,.
<br /> � .Federal Avl�tlon;Authorl�y!=Runways: � - . u
<br /> inderstand that.the.foNoi�ng:r�strlctioris�s�ppty to ttie t�s��affilt:
<br /> - Use of flll is not allawed in.F,,Inad;ZQne"V"unless expressty.,permltted.
<br /> - If the fll!-mater(al�ts=`fo:b�e.-usetl:�ln:-fload-.Zone. "A"�'Ik. !"s understood°that-a �dralnage'�plan addtessing a
<br /> "compensating.votume"will be subrnl#ted at#Ime'af permiftMg.wfylch is prepared by a professianal engtnee��
<br /> Ilcenaed by�-.�he�3t�fe�cf FIoNd+�: -•r � ,.
<br /> - If Eh�,�11 .rriater�al`:�-:ta:.be�used�in �lood �one "A" Ins�connec�lort�wl#h:�����te�mitted bt�lt�ing using stem�wall
<br /> ' conatructton,_I certify..th.at:flll:�Jll=b.e��sed only.to flll the,.area.�wlthln�the,�stem.+wall. ,
<br /> - 1( fltl matei�al=�Is�°to'��be��used In�any area,��l=�certlty that .use. of such._tlf! vii111 r�ot adverssly affect adJacent
<br /> ' proper#les.„If.use of.flli is founct to advers�lyr,..�'ecf'�aa���ent��prajperties,.the awner may be cifed for uiola#Ing•
<br /> the condllioti�s of;the"'ti�lillding:;permtt Issueid�under tFie���Hached,permtt�epplicatlon;#or:lots._less�than.�one (1)
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<br /> �ccre whtcit ar�"etevafe��bY;fllt,��r e�gineered dralnage pia�ts requlred. � . •�
<br /> I am the AGENT..FOR,.THE:OYYNER;'I�rotitlse`�In.gaod,falth to lnform#he�ownec,of�the permltting.;condlt�ons,set forth In ; �
<br /> s af�davi#=prlor to aommencing:cirnst�ctltin:�.I.ynderstaiid"that a�sepa�.rate petm4t may be requtred for eleoMcal work,, ::''
<br /> imbtng, $lgns, weNs,,:po.otsi..atr condttianing�..ge�s;:or�.oti�er ins#�afF�i�lons not.spec�icatty inEturled�in.the�applicatio�. .A , . ���
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<br /> :rmit Issued'�shall b'e�cons�ttcuedto�bie�a'llcense°:to�pcaceed wlth'�tfie,;work,end nok.�as-authority_.to,-vlolate;.cancel;=alter, ar :_,
<br /> t aside any provlsions of the tech�itcal:aades;-nor shalt Issuance�o�'`a.permit:pr.event the 8ulldlrig C?#ftclal irom thereafter �
<br /> qulrin.g a aonecticn_at errors in�,plens;;�canshuctlon,or vlolatlons of=any�cades:.��very:,p'ermlk-I.ssued-�sh�ll�become invalid � ��:,
<br /> �t�ss the wock auftiortzed�.6iy sucFi'perinit:�"s-co�mericed�wttl�In s3�c,months=of�permlt tssuance, or#f wark authorized by
<br /> �permif Is suspended;or.abando�ed�for.�.e:�eriad�zof�six_f6)•montfis�,;�fteKthe#Irir�e the�work�ts commenced. An extension `��
<br /> ay be requested� In wilting;::from�ilie=Biill`ding:l3fflcl�l.for-a perlud.:not to.-exceetl=='nlnety{9n) �ays a�d�wllf:detnons#rate '
<br /> �tlfiable causeAfor:the eiifensian� If'woric.ceas�as,for nlnety(90�consecutirre:day.s*_#�ie�ab�ts cansidered aba�tdcned. . ' I
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<br /> ARNINC TQ�dWNEf�s YQUR.FAiLl1RE�t�.,RtE.C:Ot'tl�:A�,OT�i�;:OF;GOMMEM�G�f1EN'TyMAY=REStI�T MN-YQUR. � �x� ,
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<br /> 1YING 7WiCE:FOR.�IMPRQVEMEN�;7fl'YO.UI�<.PROPERTY.�.:.1�°:YO.tI�•I���"TQ���iB�'�AIN��FINA`t1�1�1(3;tC.ON3ULT `�;
<br /> ir. __ ,�:. .o .,O-'AId-�'�TC� N .�s.�co o �:,�.a ,�� <�:� _ .��
<br /> �R1QA JUCtA�•{f.S:t.1.7.03} ' , . ,. . :�,- - _,_—...T-.—— =_ ____�
<br /> �INER OR AGENT�r�D��..r CONYRAGTOIt� ,.,,-- � j
<br /> -�ssctEbad nd swo #o ot alflmted b tore me th� Subscrlbed'etuf'swom�to(at'afltnttadpb�fcrei.me�.tht�•
<br /> by �� //e n ��L'L, rby ,
<br /> a Islare perso Ily IcnovKn to.me or haslhave prodt�r.ed Y�Iho:l�/ere,p.er8ongltyknowri�a►me_or,ties/hav�-produced •
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<br /> �L �tZ�. _ �-�;L�c�,fi..seas;tden��i�Upn. - . : . - ' . �`s'td`,enN�catton.
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<br /> �(���L --Net�ry Publlc . Notary Publtc
<br /> n . Cutnr�lsalon.No, ' .
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<br /> ;,; ;.: Cammission#FF 150422
<br /> Tte �. �P ao�a re„ r�n�ddl��7o�s �Name of Notary typed,pdnted or statttped
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