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<br /> a'�'ICE O�DEED.:RE8Tt31G7'I��fS: Tta�:understgraecfi,`un�et�#ands��tt��t<fhl�;��r�1�:mey;be.,sVb�ect°;#o:"d�ed"..restrlc#ions"�,;. " � '
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<br /> Ich may�tie;�tn,oreYrest�ictive::tFie��xGounq►'TriagwlelF�"ri�;��The`..ilnd�ars�l�ned��`a�'sumes�;tesp6nsiblUty�t'or ccrnpllarice v,�lEhrany� � �
<br /> �itcabie:�deed'ce�#ric�lans:. } . _ .� ,t,_ ' ,� . , , .
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<br /> IL.ICENSED��'C:ONTRAC�ORS:::AND`Ct3N7't�ACTOR :R�SP'O�Si�ti�Iti�Sc�w�=if�:�tie`ovtir�ie���h�s`�fiired�'a`a-'c�d��rac#orf or
<br /> acto = o undertaike work tl���ma :�tie;:re��� ir`,�d�ta.Ybe:;licens:eidxin�aiccocdance:with:sta#e�:and;local�te[���ul.aflons:°�;Ifwtfie�-� .'•°�����.�=
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<br /> . .e.. tp . ..� .. ._ '},"li�f"n"`b'i^s:= �'e'./"d�«'t,. :.i:'.�x�:'— Vs"ca cR.c-...�::w...N�.... 7+.sV..n.- ,
<br /> �tractoi'ta��%iot'�:ticensed��sYrequire��tiY;`Isw;.'t�otti<�tMe.oin�ter and;=�contta�tt�r�°maSr'�6e��feit:.for����tiiisil;enteanof vlcilattan
<br /> �er state law. If the.owner or iritendetft:co;ntt�ai�to,r�+�a�e;:uncertain_as_to whet�licensing;ne.guirements„nnay,�`a�pl�r=;fcir��:tlie�t�:;�-�°°`��'�{ .
<br /> }�.;.;...rt W - y.s,-rs...r� —..s:��.....t. },�_..in
<br /> 3nded�woNe,,.ttiey-ar�adirtse�'#o:carttac�'the.Pasca�ounty Butldtn��,,liispectlon�Dlvlslon;-=�L.icensing 3ectbrr aE-72?-84.7 • .
<br /> )9. Fu�ttierrriore;r°if��the°.o�ivner�ha��ltilr��i"�a�cdnhaioto�`ar`coiitreoCors�'iie i's advised to tisvei the cont`racbr(s)..sign„ �f
<br /> y ._ r 7G'":C ' {;�si �. ....�t:s
<br /> tions of the �contrector Blocl�'..of°tFii�:appllc�tion.�for�whtch�the,y...H►1U�,be�responsl�le,..-�If.you,�ya��..the"o�viie'r stgn.a�'tFie'"'�''`":': 4i �,
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<br /> f#rac#cr;.thet.>may�be-ar`i initic�ori-�tha#he ls:'ctot.proPer�y�liiieiis+eit=atid�ls�no#en�tietl�to`p�rriiltting`prlull�ges M Pasc�..,, . �i '
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<br /> ANS�"01�TA'1'ION:�IMFACTIUTi�CEiESa11�lRlk�-'1':AI��l=1�ESOURGE RECO11��tY��F�ES;-�T�te uniderslgrte�'�iirtderstands �
<br /> t TranspoRation Imp�ct Fees:and.Reca.urse Recovery>F�es m�y�,eppty:.#a the�consUuctlan,of�new._,b.ulidings,,�chan�e°of<°�:°:�: v< - , ;
<br /> � In exlsting.bultdi�gs;�:a�c��expanstbn�:of}�ii�s��li�illtll�gs;�is'speclfled.ln Pasco County,C?i�dlnance numbe��89=07 and '�
<br /> O7, as amended..,;'�'h�:undecsigned also,-understa�d�, tti�it'such fees;:,ss�n��`��e:rtiue„�wilF:;�e ideritiliad at the�lim��"of��`:�.'�r=��"� ;;; ;
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<br /> mitting. It Is fuitfier'under`atood that Tra��portatlon Impa'ct`Fees and'�Iteaoucce`;Recoiieifyr°Fees,�must be pald prlar to `u
<br /> e�vin a:."ce�#iflcate,of=occu n or flnat� vue,r;:,rel+aase:�:lf�the. �ct;:d�es:ncit�lnvalve�a:_cett�icete of oc�u nc o� •rt;� �
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<br /> - . P ' p, ' `_ , _v .� -- ,r;e;��H�Pasc�r,•Coun °:Water/S.e,wer�lmpact:�;�.�:-�..:�.:
<br /> tl power;releaee,;-the.:fees'Mu�t�`tie ��atd:'qr.iar to'"vermit Issu�nce. :F�i�tk�er:mo , ty,_ _ _
<br /> -s are da��,.:�ejv_ma�st benpald prtor to=,permit�4�sc�an��i.�in,at�:ordance�ar%ri4�r:aRP1lcabfert�asso'-Coun4y=�rc1ln�nces:
<br /> �NSTRUCTtON'tiEN`LAYIi'(Cii�p�ter 7'13�Ftortda�tatut�,as��men�l�dj; 6f vatu�tion af work is$2,SOO:O.O�qr�mate;i°.� �� - .�-�.:
<br /> tify that I, lhe�,_eppltcant, :Ltave.�be�v;�:::p�vlded..with -a. copy.et;_the "Flortda•��Ccnstruction;�Ltert�Lavw-Hameown�r's
<br /> Ftectlon Gutde*prep�rod by the'Florkla Dep��.,.aaFtmet�f af Agrlailtu�e and Consr�m.�r��;,Aifatrs: If the�ppElcant is.�otrieone�. - _�.,�,,
<br /> er than#he°aw�er", I certlCy,.th�t I.,have.obt�in�d�a'�icopy;of:the<abQve..�Jes.crlbetl<t��cti�ent°;and° roml�ie=:tn`�}�od�faitti,'to. ' . . � .
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<br /> Iveritto�theA"owne�";pr�or�tor�rn�iie�icemerit..�<.:...:x :� -- ,.:_:,.::�.. :� �..,. .`-;.�;,= .�:��� ..:'�.,: _�.:.... � _ , -
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<br /> �NTRACTOR'S/OWNER'S�AfFIDAVR: i.ceifity:.,tt�i�at;:alt�,th��:lnformatlan:;l��.thl��appllcatlon Is accurat�:�nd that all wrork
<br /> 'be done in complt�nce.wltt� all�applloabfe 1aws�regulaHng constructlon� zoning and��landa developmerit. Applicatlan Is _
<br /> eby made to, abtaln::,a,,.p.er,mi#,,-to�;do:;wo�'�k;�and:.'�ns#allatlon as indtaa#ed�.:> �I;,cer�Ny tfia# no work'�;or instattatfion`rlias ' -
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<br /> nmenced`p�lor to`Issuanae of"a'pemlilf�and�thaf.aU work wlll be pertormed�to meet-stand�rcds.�of:all laws regula�ing-
<br /> �stn�ctian, Caun#� and City c:odes, zo»Eng regu#atlansf and land developmettt r.egu#atlo�s�In'ttie�jurlsdlctian.=.,:1 kal'so
<br /> tify that I understand that#he regulatlons of o#her�government agencles may��pply:rto.,the,lnter�ded_wark� and that it is
<br /> �esponslbllity to lden#l!p what.s�ttons�.must�t�ke,to.be;l�:.camP!lance;.�Such,agencles°IAcliade-buE=are:not 1lm�t.e.d-.ta.
<br /> - Depa�tnierit of Erlvironmental"'Protec�+�n`=Gy�ire�s�'�ayfi�ead�;��V�lef1`and%Areas and Envlronmentally �ensitive �
<br /> Lands,WaterM/astevvater Tne�tment. ` �'� ' � " �
<br /> • 5outhwest Ftorlds WaEer Martagemer�;.:C�tstrlct Wells, �`CYPres�.�,�8ayi.i��aiis�;� �We#laiZd- Area�� Attering . ,�
<br /> IM�tercourses. - -. . . . - . � `�
<br /> • Army Corps of Englne�rs-Seaw�fl"s,.;Docics,Plavigaate Waterways.
<br /> - Department, mf,.Health;,�&;.Rel�abilltafWe,.Se,r.vicesZEnvironmenfal�,,N�iaitN�Unit:Wells;�;Wastewater�Treatment, ��
<br /> �eptic Tanks:: ,..: - -�.. ., , . . ... . . _. ..
<br /> - US Envlronmentai Protectlan AgencyAsbestos abatement.:
<br /> - Federal Avlatlon.AuthoFtty,:;Runways:-.�� �- - ��
<br /> �decs#and tt�at the�foltow�iig;res#�icdons'aRpiy'tb'the-t�se of flll:�
<br /> - Use af fill Is not allowed:in Flood:Zon�"V"unless expre�sly permltterd.
<br /> - !f-th_e flll��.materlalw�ls".to��:bs:_:usetl�ln��f,lood-Zone. °A", It. ts�undersfood�that � dr�lnage��plan addresstng a
<br /> "compensating vatume"will be sc�bmltted at#im�of permlfting vufilah is prepared by a professiona) englneer�
<br /> Ilceneedby��he>�tate�=of:Flotlda.�,- :. � =:�= .- .
<br /> - 1f ttt�..fl11,ir�ate�il�'is;�to::be used�tn �food �one 'A" !ns connecti�t��w1th:a��permitted bttlldtng ustng stem.walt
<br /> � conatruction,�_I.cert(fythatfill:w�ll:ti.e;used,only�to..flllthe..are.a:wlthln�the:stem�wall: -
<br /> - If�flll-�inatei�ial�-ts'<to��b�=used'lrt�any°ar�a;`l=�certlfy t#�ett .u�� of sucti"�fill inilll r�ot advefsety affect�adjacent
<br /> propertles. ff.use af fill�is found:to advecs'e,ty��ffecf`�adjacent��pra�parttes�.the awner rn�y be'ctted far yiotating ;� � �
<br /> ,:.,< „_�_ ,� ��.,,_-� :, .
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<br /> the coridWons^;of;tlie::ti�iildtng�>permtt�lss.ued�,under the°��it�a�Fied�_e,'_rmlt_appltcatlan,�for:,�lots less:�than.one (1) ;
<br /> acre-wh�h iar�s�elevstetl�tij►;�11;��t englneered drainage plan`ts�equii�d. •� �
<br /> �m the HQEN.T...FOR;THE�CIIMN�R,;I�iromise`In good;fal#h to'Infacm-the��own�ar:of��the.,permltting,co�dltlons;set:forth In �
<br /> �fffdav(t�prfor to�comm�iacing.:consfitctt�iii: ,.l�.ui�decstan,i!ttiet a,.sep��rate petmit�may be requJred for efect�Ecel work,, 4:�; �`;
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<br /> nbing, signs� wefls,,..paols�,falc_cond(tioning�.,gas;...ar��other_In��i,'�`°1,ons�nc��spec�ficat�y inci�l�led•in.the��application: .A". , . � �': :!
<br /> nf�Issued shall be:con�tcued:to�ie��a'lla'ense>to�-pr�aiceed with'"tF�e°'viio�k and-nok-as:_authoN M,.viglate,�cancel. alter, or . � � ���i� �'
<br /> . tY'__..,
<br /> asic#e any provtsfons��of��ie°#ecliiilc�l�code�;�nor shall lssuence£cif a.pertnl#�.pir.eve�rt th8 8ulldirig i�ciat from thereafter � :={; `;
<br /> ilring a correctlon,af errors�ln�;plans;'ca�n`st'ucllon.or vlolaUons�of eny codes:--<,�very;p�ermtt:lssue��shall�become°invalid � �°` "
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<br /> ►ss the wock�autharized`�y�'suc�i pe�init':��s-c�E»niericed�wlthln,s,fx.�nonths�of:pem�[# Issuance� or if wark au#harized by :°, ,;
<br /> : �-� .: . � �:f >�,
<br /> permit ts susp�nded�,or.abacidoned-for;;��:peria�,,of;,s�C:(8):montfis;,.aRe�"�the.tlrne the�work-Is commen�ed. An-extenston -- ��-. �i
<br /> � be requested� In wclting;:��from�t�ie':;Bulliding;4�Elal-for:a pe�lod:�not=to:eexcsed�nlnety{90);days�a�d�wllf d�`tnonstrate �:;i i f
<br /> flabte cause fior�t�e eztension:�11`work,ceas�e�,for nlnety{90}consacutive:day.s,..the job�ts,considered abandoned. ,
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<br /> RNfNG TQ=tlWN�l�:� YCiUR.,FAII:l�RE`,Tt1�,t��.Gtl�d:�:1�OT � . , F�-GQMM��IEENlEII�t'�;MAY�RESUI�T INRYQUR . .
<br /> 'ING T1MCE;FOR:IMPRC�iEMEIV��:; •:,,� -{' °, ` '��
<br /> �1"�Cf!.YO.�tt��PRQP� .z:':I��.YO.tl�1�1�F.�D�>TQ°��CiB�"�AIN�FIN�Ap�1NG;C.ON3U�.T �,
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<br /> IER OR . CQNTRACTO+ ���--�
<br /> albed a d swnm � " e thi Subst�iasi!'artd'�+msm•#a oi�'atflrtn�b8�or+e:me•8t1� ,. .
<br /> .by.
<br /> Islare pensonelly known M.me or•has/have�pro.ducetl Vllho:ls/ere,pet� 'I 'knouirn=M me:oc;ha�/hav��produced- •
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<br /> ,;�`• •. �•ES'1'HBR F.MCCLINTQCK-BERRY - 'R'' ' E��E F.MCClINTO
<br /> ='; CK 9�RRY
<br /> '�� `"'= MY CQMMiSSlON�FF990889 � '~ MY CQl19Mf5S10I�►�t F
<br /> "'•°' EXPIRES � 990889
<br /> '•,,��..•� EXPIRE3 Ma 1 1�p�ry P Ilc , � , „�� �'' Notary Publlc
<br /> ` � Fbr1deN ' .mm FlprytlsNobryg�vica.� �
<br /> nl�ston.No:� � ' 4'�m�i�sEcn.No,
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<br /> i o/Rtatary.tjrped�.farfntt�d or sta�ped Name of R�atary i1tped,Ar(nt�d or s#amped
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