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<br /> �T10E OF�EED:RE�'1'RICTI��IS:-The unde�rslgraed�untler:stands��.#h�$ft#��s:;p,��ps,ccnt�;;r�ay.,b.e,,:sub�ect;ta,;:deed;:.�restcf�tio%ts:V.
<br /> .w,s . .` . . ..u,y. } ' - ' - ]aro �T ' e ir���.� ��,..� �r s �';'�'+1 ti"f:w=.lk.t '' '4�L d .�v.
<br /> ich may;be�r�or�e�res#�ict�re.�t�iei�ri�Co`unty c��latf��is The`�.underslgneitl�as�u►ries rre►sp�n�Ibilttj�foc comp4ance=with�any � �
<br /> �!lcabfe�deed:restrtc#lons,` - �,f;:-x=,;;$,_ ;,4_���'_- � • _ �,._,. - _: . ,-
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<br /> ILiC�NSED���.CONF �'��C':TORS�AND�.CONTRAGTOR RESP,OhM�SfiE�i �. .�. ,. - ,, •��,.�-.�._
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<br /> I�Itt�S��;;,�;�if�-�he�ow�ner'�fi�a�`htre�l.'a�;`�i�i'itractor•.or`'..,:' �
<br /> Ytractors io.undertake wark,.they-:may�bewre�qui,red�to.;�s��ltcensed��in.�accordance_with�,.state�and��loEal�� ulatlons:°<°�If�'ttie�.���==:�=s��: ,
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<br /> �#ractar;:is;iiot;lic�nsed`;as�:requir,ed�tiy law,:bot#y #�ie".owner an+�=�contractc"r�rnayy�be:�clt�d for�-� mts�,`emeaaot uiolatian ,
<br /> ier state law. If the owner or lntended��c�ntraetor�ei�er:uncertaln as.ta.what`(tcensin8:r.equirecnents:imaY±���epPlj�fia�::t1�e�;5:.�.�:_`��,=f;::�
<br /> anded.workr�#he =<arie:atfecfser�to:e:tiritac�t'tt`te�Pasco=Cou�i Buticling:liis"�ecttonRQtutslort,-=l:li�r.tsln_..Secflon:�C727=647 ,
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<br /> )9. Furthermiore;::if�,:#Fie~cirivFier�has'�iiir�ii�a`�coritractq� cir'cort�iractors;�lie'�js'adviseiT`to�tiave;.the ,contractor(s)�4sIA�.:•.- . ;;
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<br /> tlons of the� contrecbr Qlock°..of�this�appllcation�fur.._whichrthey.;vvill,.;be�respo�slale.��•if.ynu;�,as'.the"oviin�r��itgn�as'ttie�� - -
<br /> �#tac#ar;:`that�,maj►be�a�t Iridica�ori�fh�#�he is�'iiat•-.propetij,r�llaense�`�`and ls tr'rit�entftled`�tar pernil#fing�pit�triNeges'1r� Pascv ��
<br /> A SPOftTA'TiQNtIMPACT/UTl�1�'IES�I�'IRl���'-At��?��ESO�l�CE�R�C�VE�tX�FEEB:`�'�It��nid'er�igrte�`�und�rstands, . �'. ' f+ �
<br /> t'Transportat1on Impact Fees:and.Reco.urse Recov.,e.ry.Fees maj�;apply<#a�tite consUuctlon„of..n�nrrbupdtngs;:ichan�e��.of;;;r�'�::���::'-�`�;�:` y;; =
<br /> � in exisHn �buildin's;<.��'Aex h�t�n:�:of�existi`:,."�cill`�N�i� s; as�s ecifleil.in PascQ�Coun }Ordinance numb�r 89=07 and "� �
<br /> 9 9" .w. Y Pe� � . � 9 ` _� P kY
<br /> 0�, as amende;d..,�'t�7a�.anderslgned �lso.-unde�stands� tits�t�such fees;;as,ma����:�:due;,r�r��:I�e �ae��ttea at tt,8=tirrieaof�'',�.,';'�`�;;;'� ' ;
<br /> � �
<br /> mitttng. It Is fiirtlier unde�stood that Tra�i�portatlan`Impact��Fees and�;R�sour�':FtecoveiynFees�-mu�ti be paid prlor to . •
<br /> e�ving a;"cet#i��fe�of�=occupancy"-4or#ina���r�.celease.�_If�the.pro��;does:tio��'Involve;;�-.CBT�C.Bt@ O€QCCU�t1Gjf--flt:':,;�';�;;=%. ,
<br /> il power.�release�._the��fees=.mu�t.�tie`�paid`�.pctac,to.permR Issu�nce. :F��tkier�more,�>ff::Pas,c,���Counqi::Vllater/Sewer�lrinpact�,��, �� . �
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<br /> �are du�;they;must be;p�ld.-pitor to;permit-l�suance:in.aaGordance.wltf�;aPpllcatite•Pasco County`onitnances. � -
<br /> ��tSTRUGT10N�tiEN't14NV'{Cti�pter 713; Ftorttla�tatute���a�mendedj; i#vaiu�tiora af warlc is�2,SOO:Q.O:,or�more;>:IF,_:F> ;N:,=....
<br /> ttfy that I, -�he_.appllcant;,.::haye.:�ti�een.,.provitled�wfth-a,copy-of',�the;,"Florida��•Constivt�tion�`LIen�Law�Homeowner's
<br /> rtectlon Guide� prepar+ed�by;�fl��`�Ftoi�d�'Dep�t!#inent'of Agrtculti�re and�Cons�m�er.:.Affalrs, #�#he appticant#s sorrieone; �;_� .,.-;F, •
<br /> er than the"awner", I certlfy,;th�f�l�have.oqtatne���?cqpy;of:the�aboye:descflt�e�tl�t�ticiiiii�nt;,and°prgml.si�:ln.;g�od�faltfi:to�; .
<br /> Ever It tt��the:'ow�e�:°pr�o��:to�coir`iit�encemerit.` . .> �,�',_ . �` � � �,. .. -- . ` :; - � . :.' . °v. �.,_: � . , - - •
<br /> �P�TRACTOR'S/OWNER"8"AFFIDAVIT: I.cdrtiEjr.;:t�t�ka11:,#h�-;inforrr�atirm•:1n�;thls:applfcaNe�n is aacurat�.and thet all'work
<br /> 'be done in compllance.wlth all.appllqable'laws�regulaNng con�9cuctlon, zonlns anduland°development. .Appticatlan is
<br /> eby made to,, abtain�;�_;pecmit�:ta.rd�t,,�:wofik:,;and.'=i�lstap�#lon as indtCefetl:�:::1,.certity.`tfiat rio uuoriC�:or instattation�.has ;
<br /> nmenced�p�lor to`Is'suanc�of a permilt�and that:all"wvrk wfll be pertarmed�to meete;standgrds<of_all laws regulating-
<br /> �struciton, Coun�j+ and City codes, aoning-reg�latlans, and land devetopm�#:reg�tatlonsAln'tti�:3ur�sdtction.Y.>:1�`a1sa�.
<br /> kify that 1 uaderstand thaE the regulatlons of ather�gavernment agencles may�apply�to.,t�e,,tntended,work, and that it is �
<br /> responslbllity to ldentlfy.what.actlons l.must:�teke:to be.4ln:;cor�p!lar�c��..,S.uch,agencles�tr�ciade�bu#=are:nat limited.to:. �, �
<br /> - Departmen! of Et�vironrr�ental��'FrotectiTin'�jGjipress�'Bayfi�ad�;r1lVetl�rd-Aineas and Envlronmentally Sensttive �
<br /> Lands,Wat�aNVNasteHrater Treatment. � , �� � � � ` " r '
<br /> - Sauthwest Flortd� Water (V�anagemeri��:.:C�tstrict We�ls� �Cypress. ;8ayi��aels�► .'Wetland Areas� Ai#ering ' �� ,
<br /> OIVVa#ercourses. . , � . .. . .. � ;�. �
<br /> - Army Gorps of Englneefs�Seawalls;;Docks,Nevtgabte Wateravays. � y
<br /> - Department,;of_:Health;.&;..Ret�atiltitafive>..Servtces.lErntrc�nmen#al.H�altti;Unit:Wells,�W�ste.water���Treatment; '
<br /> Se�tic Tanks:':-, � _ ._ , . . r;__. .. - �' � � � _
<br /> - US Env�ronmental Pro#ec�on Agency-Asbestos��afement.;;..
<br /> - . Federal Avlatlon:Autlio�:ity-Runway�:: �-, -� ` , .
<br /> �derstand that:the;follow�ng:r_est�lct�oris�apply`to�ttie tsse of fllt:•
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<br /> - Use cf flll.ls not allowed:in'Fiood;Zone"V"unless expre�sly permlttgd.
<br /> - If�-the flll�'Materlal,�ls�to'';;b�<}�used:�:ln„f.lood.Zone. 'A", It"!s�undersfnod�that-� dralnage--plan�addtess(ng a
<br /> "co�pe�saElrig volume"wlll be submitted �##ime'of permitting wfiicM is prepared by a professionat engineer�
<br /> Ilcensed by:_�he�;�tate�of�•Flotlda: , -�..�= . � ,
<br /> - t#th�:ftll.:mafer`lal�i�,ta>:be=used�In �lood �or�e 'AR irn connec#lon��v�►�h:���piartt�ltt�d bail�ing using stem wail
<br /> conatrucNon�,al,certifiy.that ftll;w�ll-be-Wsed.only•to..f111 the:.area.wlthln�the�.stem:wall.. -
<br /> - If fl1l=ifmaterlat-=�l�`ryto��6er used°�°In�.any°area;=`�I'�certlijr t#tat .use. af auch"#ill�wltl:not�adversely affect...ad�acent
<br /> properties. if use:�f fi[I,is foc�nd.to advers!et�r�,aft'ecf°aidJaEerit��praipertles�,the owner may be ctted far vlola#Ing , .
<br /> the condwnns��.of'tFie:ti�iUaing'��p�rmft�!§suecl��:utider tlie"�t�acM�id„�ermlt_�pp!lcaQto�; for•:lots less than:one {7)
<br /> acu�whl���are=eteva#e��tsY;�l;.��ter�gtneer�ed draln$ge�ptari`ls ieqiilted. , .. `
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<br /> �m the AGENT:.FOR,THE.,OWNEI�;`I,�iiromise'In goad falth to�lniarm�the owner.of�the.p�rmitting condltlons.set forth In � :�
<br /> atfidavlt`prtor to��acmmencing constructt�in:...# undecstai�d=tliat a�.s�p�arete permtt may be requlred for�fectrical work,: � ;��
<br /> nbing, s#gns� welts,t,paats� air,condttioning�.ga;s, or„ottiec tnsfa�l 8"�icns�nd�.spec�l�at�y included�ln.the appllcation. .A• ,- . > '? i�
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<br /> n f t Issue d s h�l l�be�con s t t t r ue d to�b�;e':I lcense>to;prorcee d with'the virortc and no.t;�as:_authorlty 4M;vlolater aancel� al#e�, or
<br /> asEde any provistonsr�f�#lie:techiilcal',cod�;�nor sha1C Is�u�nce•of'a:pertn�t.pr�iient#he Bulldirig t�ctal from therea#ter
<br /> �Iring a correctton._of errors.ln.:pla�s�;'�ristructbn.or vlolatlons�of-any.�codes.���very}p�enYo(t.l.ssued��hall�become�invalid " 'i� ,,
<br /> �ss the wo�k aatnoi�zzed�by,such pei�rialt:��s.co�imenced•'wlNiln s�c�nonths�of:.�perm�t Issu�nce, ae If�vark autharized by s �
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<br /> perrrtit is suspended„or..abar�donedfoe:a:�etladraf>eiar:(�).�montFis,.afteF`the.tlri�e�the�work��ls commenced. An extenston _ � '�' ;_
<br /> � be re uested, In wrltln ;:;irom.the Bull"dln ;Oi�clal�for�a erl''od not to.exceed,:nlrie" :�9p r�l� ��� ,��
<br /> q 9 9 P tY{ � Ys:a�id vvlll denianstrate s: ,,
<br /> fiabte cause`fioc�tl�e�fenslo�: If bvork:ce�ses.for nlne#y{�0}cons�cutt�e:day.�,_the:�ob=is�cansidered abandoned. -
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<br /> RN1NG TQ�OWNEl�:�"'Yt�UR`.,FAIL:iJRE:�t'J.�;R�E:Q�ni4xsN�'�1,'l',�.QF,-CbMME1�I�EME1atTaMAY:RESU�T}IN'Yt]��iR _�
<br /> �iNG TWiCE:FOR;�MP,R01�'EMEN��`T�b`.YOt1��:P�'QPER�TY.v,;1��=YO.tJ�l�i1�'.�D"TO;+C�B3''AINi�FINi4pEtNG��ONSULT ���
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<br /> IER OR Ai#ENT ..�o.�Z'���--"�� , COMTRNCTQI'�; ,,.�".1.�'�-,. ' ._--:: • '
<br /> atbed and swo' '{or aflirmed}b'�tore me'tht� ' Siili�aitie'sf arid'swotn•b�{at'alitrtnedpbafore�me�ftilS
<br /> by '
<br /> Is/are perscnally kttown to.me or•haa/have produc�d VVho I's/ere,p : 'na�y � ���r m�:o�.:i,�nav�r�mai��ea, • _
<br /> as:IcfenU�ca�'pn:;; . - '°.;aa°ttlenti}Ic�tlon. .
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<br /> Notery Publlc , ' LL.�.� i " Notary Publlc
<br /> nlss4a�Na:` Gbtr�r aton. • .
<br /> ,.;�z'�•��:8.�;� UNE BOGES ' .
<br /> _+�: :*- Commission F
<br /> s ot Motary lyPed,printed cr stamped Name ot�lotarY tYP z,, �rr smber 92,2018
<br /> �;p;�;°`�� Banded 7hm Troy Fain Inswence 800.385-7019 '
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