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<br /> �D ED=RESTI�tCTIQNS:..?he�uridersl �ed=c�ntler�#ends=�#:��;p�cr�ti�:may.be•suh�,ect;to"de�d"res#�Cctlons":::;T: � '�`� '
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<br /> � ,.�. tiCi��Lr�.{�sr. 'w.:..4 i ! �i, -f Si�'� .-`f1.
<br /> �ich may-,bewmore-°restFictive=tti���County�i�g�ilatfo'ris:jTtie�un�e�'�igneid;�a�sumes°�res�tii�giblltty for c�mpiiance with�;any ,
<br /> �pllc�6le;�eeid:restricttoris. -- ;;s; ' � _ . _ ._ .' _' _ J�a���, :�"'��
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<br /> VLICENgED:;C.ONTRAG'fOR�'MA(�D:`CONTRAGTOR.Rl�SPOi��i�li;ltl�S.�-•ryt#°�lie°�owner.'h�s=�fiiretlt:���`�,icorit�actor�ar.
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<br /> �ntractors to undet#ake.wark� tha me ,;; � �5 �
<br /> y, ybe:�r�rqu�f�red''to:���;�icens�tl°In.accQr..dance.,wlth�:s#rate:and;�local�re`gu�allons::#�:�If�thew�h-�:;��~:.-
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<br /> lntractor"ts=.not:ltcert'sedn�ias�reqtiEced�l�y-law;:bat#�:tt�e�=owner and�'eontrastor may #e�cit�il�for�� misde�neianar�vlolatibn.
<br /> �der state law, if the'owner or�lnterided>-contradtor��ere;.uncertaln'es"to wFiat�'licensing.;requirecnents:;m�yr�apply�:�'tl��=tlie���,�r��-�3�x«;°
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<br /> ended�vvark;-thep��rie:.advlse�3�tti:con#�ct the Pa�co County Bu�ifdirig Irtspsi:tton,Dhrisf,on-�-Llcensing�Sec#ion at 72T�847-
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<br /> �09. Furthermore;~tf'the oqmer'fia's'-"ht�ed'�a cot�tcecto`r'or conthactois, he`is-'advised #b�ha`ve;the .contractoKs).,sign�f�_,::�„,,;;,z,
<br /> �nlons nf'the "contrector 81ock°,:c�f::thi�.appilcatlon..for,vvhich�.they�willv;be:responsit�le.-;I��you;�,.5as:.the`aitiri�r:stgri;as:the`„�; � . � ,�'
<br /> ntrac#or,-fFia#��iiay.tie`ai�"indica#1ari=that he=1s'`no#=:propei3ji=lic�ris�if and"1ss'n'ot=�enfi�ed�fo perrri�tir�g"ptiu�leges=ln Pasc� `;
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<br /> td�NSPQl�TA'�ON.�IMPACTIUTtl:ITI�$�1�1RA��'�AN�?��E�O!l�CE�R�CQVE[tY=FEEB:�Ttie anderstgn�il�understands �'�
<br /> �tTransportation impact Fees�andRecourse,RecoVery.�ees,m�y,epply�#a.,the constructlon..o�:new:b,ulldings;:�change��of��°�`_�===;s'��` �' ,
<br /> e ir� existing bulldin�s;���rr'�ezpartsl��:of+e�cisti�},br�lldin�s;as�peclfled.In Pascv�County Ordlnanceynumber 89-0? and �;
<br /> �-07, as $mende.d.,,:.Th�..undetst�ned �Iso understa�da� tti�t�uch fees,•�a�s4tnaj�,���i�e;�w�llibe Ident�fted at the�ttmeR�otS'�"�-`#._�.
<br /> ��mitting. It Is fu�tF`ier understood that Transpo�tation':Imp�cf'Fees and�Resourc�ei'"Fiecovsry��Fs�es,,mu�t`be paid.prior to �
<br /> �elving a"cer#I�cate�af-occupancy"�ar;i�n�t:pronnr�r�roleaae. :1�tF�e ptoJ��.;dnes;��:lnvolve�'a:.c�rtf�caEe of oc�pancyyor`;Y,� �{`_��'-`=.;'• = -,
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<br /> al power•release�_#he-fees'�.mu�i.t��tie�paid=prlor,to:permit Issuan�ce. -Ftt�tk�ermore;:•ff Pasca►,�.LCounty�Water/Sewer�,impact;�� °�_��°�,: ,
<br /> 3s are due�they.must be�paid p�or to permlt�isst�ac'i+�e�,in_a�cordance with:appitrable.Pasco:t�o�snty.oixlinances. �
<br /> �MSTRUCTIAN`CIEN`LA1M7(Ch�ptar 713,�ioHd�``�tatut�as,��m�nrded). �f valuatlon af work is$2�500:0.O,�or�moce;.1���-- �: �._.�;:.,
<br /> rtify thaC I,,..the,:appli:cant�.:�ave>�,beentxproWd�tl--with..s�.�copy:,oi �tF�e�'Florlda��Coristructlon��'L:Ien:-Law--Hameawner's
<br /> otectlon Gutde'prepared by`tlite�ort�a Dep��et�t�of Agrlc�l#t�re artd Co�isr�mpt:Ai�lr$: If#he applEcant ts sotneone,:;; r�;n..
<br /> tier than th�"owner", I certffy?th�t I have obtatne�r��copy;af..the above::desctl�ed'�fbcui�ent°ahd;pro�rii.�e;°in;good:.faith;ta , .. .
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<br /> �!#ver tt to:#he:"c�wner�:p�or=to��coriimence�e�it::��:,:_ ,,�,:,:.._ i;.;,:..,�.�.:.. .�,1 . r_. ,.- .._ .- � - ._, ., ;
<br /> aT1TRACTOR'SIOIOVNER'�A�'FIDAViT: l.certl[y:;#�i�t a11:�#h�-;lnformetl!on:i��.#hls,appilcatian is ac�urat�:and that all'iniork
<br /> II'be don� in compllance with ail•appUcable'laws�regulahn���constnictlon, zpntng�nd�,land�developmerit. App!(catlon Is ,
<br /> �teby made to. obfalnj:a•.permit::ta�,.do,>��ticM.,�and=��litstellation as indi+�etetl:�-;,=,Ir..�ear�ify`�that no��vuork`�or instaliati�n'"Fias �
<br /> �mmenced pPlar�to'Issuance ofy'a pernittt and'thaf°all�work will 6e performed�to meet;�tand�rds._of.�ll laws regulating-
<br /> mst�uctlon, County,and Ci�r codes, �oning.regutattc�nsf and Eand devetopmer�t-cegtsiattons`in tEie�7Juri�dlct#on;:_:�#=�ai'so�
<br /> �rkify th�t I unde�stand that the regulatlons of o�her�government agencies may�apply�:to,#he,.intended�w,ork� and th�t it is �
<br /> �responsfbllily.to identlfy�what.actions l�mu�t�.take:M be4ln:.corrtpllar�ce.Such;agencles�icict�ide�but�are:not ifmtte.d.tos. •
<br /> - DepaHment of �r�vironmental�`Pi+��tecti€in=Cj�press.�Bayiiead�;`V1/e�t�nd;ATess and Ernrironmentally Sensittve ,
<br /> Lands�Water/INestewater Treatment. ' ` ' ,
<br /> - S�uti�west Ftortda Water Managettaerit:��.::i�tstrlct Vltells� �Cypress.'�`.8ay�eFatl�, �Wetla�d Areas, Aitering : -
<br /> lNatercourses. , . . . , � ';`' �
<br /> - Army Corps of Engfneers-Seawails�Docks�i�avlgatite itVaterways.
<br /> - Department,of .Health;,8„Ret�ablli#afive.5ervicaslEnvtronmen#al:.h�eaith:,linit:Well.s;;.Wasterwater{�Trea#ment; '
<br /> Se�tic Tainks:. ' - ,,.� � , � . , , } . .. . ,
<br /> - US Envtmnmentai Protec�on Agency-Asb+�stos abatement..,:w
<br /> Federal Avlatton.Auth��iy,=Runways. -• - _ __ � �
<br /> �nderstand tttat.the-.fo!lov��ig;=rest�lc8vn�aRPiy�to{Ehe�use of fllt;• -
<br /> - Use of flti is not allowed In.Flaod..Zone"V"untess expressly,permitterd.
<br /> - If�th.e flll�-materl�il:,is;�fo,:be. used:�In�fload-..Zone. "A°, �tt: Is understood£#hat a drainage �plan adrlressing a
<br /> "compensating r�atume"wlll be submtfted at#ime of permlttJng wtitah is prepared by � professionat �ngtneer� -�
<br /> Iicensed by.�he?;�tate�of:�Flotida: . .. :_ � _
<br /> - 1#th�..flll:mater�it�°�-.t+�,be=used ln �tood �or�e 'A" itt��connectl�n�u�th`�i����rntltted bulldlrtg ustng st�m,wall
<br /> � construction,_I._cert(fjr that fili�u��llnb.e.used only.to.t111 th�..area:wlthin�the�s#efln_�wali. -
<br /> - � !f�flll rnaferla!:1§�°to�ti�i�used.�l�t-any aree;:i���ettlfy ths�t .uae. of��u�cfi`'tl!! viilii nat+adversely affect�acljacent
<br /> ' prnperties. if.use�of fiH.,is found to advereely.,�f'i'ecf`"adja�erit��properties,.the owner may be cited for viatating , �
<br /> the condlllains"aifr tF�ie`bdilding�:permtt issu�d�und'er the�at�acfied�ermit���ppUca�tton; foc lots less than:one (1) �
<br /> acre whtctr°are'+efevafecF�by�illl;��t er�gineered drs�inage p[aii"ts`requlred: � , , :
<br /> I am the AGEIVT.FOR,-THE�.O.Y�MEi��'I�':pri�"rritse��in good,falth to�l�focm the�=owner of^the;permitting.conditions set farth In �`� '�
<br /> s affid�vtt`p�lor to•commeiacing.:cun�tri�ctt�n. "i�uiadeistarid th�t a�sep�cate perm#t tney be t�qutred for et�ctric�#work, • �<;
<br /> ambing, signs� wetis�.�pooisi,,air condifioning,,g�s,..:ar:,other. insfaii�`�oris�nol�spec�icalty inciu�ed-in.the appitcatian. �A ` ,= ?.:� .�
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<br /> �rmit Issued`�Fiall tie•.consihued:ta�be-a�llcenae�kb�prorceed with tFte;work and not;as:,authority,;tovvlolate;�-cancel;alte�. or
<br /> #aside any provlsfons of�lte:#ecti�ilc�l;aades;•n�r sttall lsstaence�of a.permtf.pceuen#the 8uildirig t?�iict�at from thereafter , �,
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<br /> quiring�conectlon,.af error�In�_pl�ns:,�caristructlon.or vlolations-of^any codes:.-:�very pgrmit�:issued��h�li�become invatid -�~
<br /> �tess ihe worti�aufhor'ized�by such�pe�mlt�3"s.coxiim�riced�viiiEfiln�[�c.fmonths�af�;permt#Issu�tnce, or if wrork authorized by �'"•,
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<br /> a permi#i`s suspend�ad:ar.abandoned�fiar,a,�erlodYof,.six��)�montfis,:afte"r tiie.Nrine ths��work>Is commeni�ed. An extenston �:�3
<br /> ay be requested,in writing;.=fiom:ttie`Bu�ilding;Otflcial-for�a pe�lni��not;to.exceed:�nitiety,{90)_��lays:and=:wlif,demonstrate f`'�
<br /> ;#tf3able cause tor=#he ei�erisio�: if wor;k,ceas.e�:for nlnety(90)�ons.�cufhre:day�,..tFi��ab�is�cons#dered abac�doned, t, . ,�F
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<br /> ARWlNG TO°t")Y'YMN�R:':XqUR:,�'AILRJR��.TCX<R�EG:!�RQ,:A;�l9T�:.CE:.QIF:_CGMNI�M�EME���1�Y-Rl�S�LT 1N-Y�UR •• ' �;� ;
<br /> 1YING'TWICE,FOR IMPROVk�iEN�'Tb;YOUii Pt1�OPERTY ;1�YO.EI�IiV�'.�'E�1D"TQ:<�T�AIN��FIN�AN�iNG;,�.ONSULT ^°y:;,
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<br /> �RlQA JURA�{�:5:i17.03} _ ' .� .:... ...... . .,-,. _ . ' � W� __�___ ._.--
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<br /> �fNI�R OR AOENY CbNTRItC70R� .
<br /> �scxibnd and swosn to(or aFflr►ned}befoier m�iitis ' _ � Siib`stt�l5ed'and'swam�a{ot a�imredpbefat+ai.rite�#tii� .
<br /> bY ,�,by.
<br /> o Islare personally known to.me mr•haslheve p►oduced Who:l�/e►e_personaltyJmowmta ms:othas/have�prodi�ced �
<br /> - - as:tdentlRcaf�on.=. : - � .. � " � , _ , a�'titedtfflcatton. �
<br /> NoUary Pubilc . � ' Notary Publlc
<br /> nmisstan No: ' t�m��ston.Na �
<br /> �e of{NotOry iyped,Rdntsd er stsmped �Idsme of Notery typed,prtnted ar afamped
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