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<br /> �De'c, 30, 201b 7:42RM Gulfcoas� Permittin� No. 5936 P. 2�• ��• � '
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<br /> N071GE QF D.EED I��STRICTIONS: Th�andsrclgn2d underatanda that thls parml!may be subJect ta`deed°resutctr�ns�
<br /> vfitch may be more Cesi�'�ctfve tiian Caunty�egul�lions. The undersigned assumes teSpansS6111ly for compliance wilh soy
<br /> spptica6le de�restdcBnos. •
<br /> l7NLIG��IS�D GOHTRACTOR9 atdD cONTHACI'OR RE�PONSISIUTiEs: If the ov,met has hired a aQntracl�r o�
<br /> Cant�aGfOts lb UAdAdak9 Wptk,they may�e r�quired to be lic�nsed In sccordancw wlih state ahd Ioce!reguiaiibna. If If�e
<br /> cantr�ctor ls not ilcensed ea requ►red by taw,ho�h the owner and ec>ntractor msy.be.cited far a misdemeanotvio��ilon
<br /> under state law. IF fhe ownef or Iqlended cuniractor are uncerlaln as to what liven5ing�equirements rnsy appty foc ih8
<br /> Intsnded work,ihey ara advlsed lo cotll�ct!he Pasco Caunty Bultding Inspect�on Divtslort—!lcensing Sedion at 727•B47-
<br /> 8Q¢9, Fvrlhermore,if the ovfier hs8 hlted a cantractor or conlraclors,he is adJsed to havs the con'�acEor(s)s�gn
<br /> portlone of Ihe"wntract4r Block°of lltis eppllcatlan for whlch fhey wlll he responsible. If you,Ae Uta owriar stgn as l�e
<br /> conlrAclar,lh�t may be an Indtcafton that h9 le pot pCoperiy llcatlsad Qnd Is nat enUtied to perml[tit►g ptiWd�qes In Pasca
<br /> Coua�.
<br /> 'i'RANSpDfi'CATIOM iNtPACTtUTt1.�T1E5 IM!'ACT�lNn RESOURCE RECOVEF�Y R8E9:'7ha unolQ�slgned undarstands
<br /> that 7ransportadon Impact Fees and ReGovrse,Recovery�Fess may apply l�the const�u�i4n.of new 6ujtdings,change af
<br /> use In e�dsl�ng 6ufldfngs,or expansio�i ot exTspn�'huildings,as speclffed in Pasco Gouhty Or+dlqan�3 n�nnber B9-OY and
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<br /> 80-07,as�ms►tded. Ths undersTgned alsd understand&,fh�t s+�eh feas,as may be due,wdl be idenYl�$d ak the Nme oi
<br /> perml(�Ing, it ts furiher understood Ihal 7ranspodaQon impact E'ees�nd Resource 32ecoveiy�'eea must be pald prtor to
<br /> ira�lving a"csr�ftcatQ of uccupancy"oY�n8f ppwer�elease. if the prajecf does n�t irnrolYg s C9rltltcale of acarpancy or
<br /> � finel pawer release,lha fees.must he psid'praar fo psrmit issuanca F�xlhermore,It Pasao caunty Wa�erlSewer Impa�t
<br /> f6ee arg dus,they must be pald privr to pet�tlt Isspanca in accar8ance wifh app![cable Pa9cA Cpun(y ordfnancss.
<br /> CtINS7tiUGT1dN L1EH LAW(Chapter 993,�Iart�fa Sfatules,as amended}; If vafuali0n Of WO�C fs$2,500.00 or more,I
<br /> � cer�ify titst I, th� �pp�(eant, have been prbVld�d,kvilh � aQ�y 0f th� °Flodda CortslrucGon i�sn•I.AW—Homeownets
<br /> Prote0114n Guide°prepared by lhe�Eorid�p9p�Kmapt flf A�rleulEu'r�and Consumet Affatre. If tha appUcant is someane
<br /> olher than the"4wnet';I cerit�y that 1 have oblalned�tppy of Yh��bRva descdhed document an�prdmlge�n g4od fafiH ta
<br /> deiivar il to ths"own��"prlor ta commehcement.
<br /> GGINTRACTdR'SfOWNBR'$AFFiDACIIT; !cerily ihat at(tha tn4orma(ton In th�s appttcat�on I��ccurala snd that at�work
<br /> vViil be done In compUance wrth all applfcable laws regulxting consEruc�ion,�oning and land dev�optrient. Agpifcailan I5
<br /> hereby msde ko obtditt a petnllt to da work and instaifatinn �a hdiaated. I certity EhaF'nb wark ot ins�atf�llap has
<br /> • cro►nmehced prior la 186u�nce of a permit and Ifiat all work 1MII b6 pet4ormad to meet standards of ali t�w8 regulating
<br /> cor�sirucflon,Coun[y and Clty GOdas,zoning regulaHons, and tand developm911t lagutaUons!n(he jurisdicUOn. I s18o
<br /> carEliy lhaE I understand Ihat ihe regutaAons of oiher govemment agen�Ies may�pp�ld th9lntended work,and that it t9
<br /> my responslb[IfEy to idstttlfy what&Ctl0118 I CnusE taka to be tn compllance. 3cfch agettC 6s 1�sdud�but are not limited to:
<br /> - aepadment af Environment�l PrnEedlon-Gypress Bayheads,WelEand Ac�2a&and F�►vfronmenlal{y Sensitive
<br /> Lands,WaterlWastewatat17eatment.
<br /> � - � Spulhwest Flortda Watet �ian�agsmer� atstactweus, Cypress Bayh�&d8, Wetfand Areas, Altering
<br /> Walercou�ses.
<br /> - Army Corps of Enaineer�-Seaw811s,packs,Navl�a6[e Watarways.
<br /> ' � Dep&ttirieln of Healfh & Rehabilitatiue 5en(Csef�tivironmenlal F1ealth Unit�IVells,W�Btel�'dler'fi'�aUnanl,
<br /> I ^ S�pttc Tattke. •
<br /> U5�nVironmenlat Prolecuon Ag�ncy-AsbesEos absEement.
<br /> - Federal Aviatiari Authoflly-R�iways. .
<br /> t understand lhat the foilowing resV(c�lons apply to the use of fi11:�
<br /> - Usa af fl11 ts not,siinwed it��f pod Zong"V"untass�xpressiy peTm'sfted.
<br /> � - !f titie elt malerlai is to be used In �loqd 2one "A°, I!ts undarstoad itlat A dt�lnagd ptar addres�fng a
<br /> "c�mpensaUng volum�°wiil I�e eubmlltmd at tima of permllting w�lch ts prepated by a prpfesslonaT engineer
<br /> 'II Ilc6nsed by the State aFFlor(da. • �
<br /> if the flll m�ferlal Is ta Ge used in Flvod Xohe"t1"In connecllon wlth a pernu�ted bu�lding using slsm wail
<br /> i canstn.lcqorl,I cer4lfy thaE fill vl,A he used ar�y to fiill i��area wllhlrl the stem wai(.
<br /> • If lilf maF�tisl !9 l0 6a used fn any area, I cert�iy lhat use of such�fl w18 nat adversety�ffect adj�.cant
<br /> proper�es. lf use of fl�t kc found to adverae,y affecE adjaceM pfbpe�t�0�s,lNe owner may be ated tot ViolaUng
<br /> the cand[fions of ihs bvUd►ng perrnri tssued under Ihe�ttached qermit appl[caflon,tar lois tsss lhan one(1}
<br /> acre whlch are elev�leal by 01(,an englneered drainage ptan is requit�d.
<br /> !f I am the AGENT FOR'fHE OVfIN�R,I promise in good fallh to lnform lhe owne�ot fhe permiltiqg cond�lons set forlh in
<br /> lhiS 8Hid8vit pd4r ip rAmmBnoing GonBffiiC�on- �u�derstand that a separate perrttit may 4s requlred for elecir)cal vrork,
<br /> plumbt�g,slgns,wei[s,pools,air coriditfotiffVg,gas,or other InsfallaUons nat speeaftCally[ncludad In the appllcatlon. A
<br /> permlt lssued sha11 be conshcred fo be�Ho9n&e to proaeed wlfh lhe work and nnt as auBtoiily fo v!olafe,cancet,alter,or
<br /> � gal�gido any provlstans of ihe fechnica!GOdes,nor sh�1!Issuanca of a permit prevent�h9 8ulldir►g OHidal nom therexRer
<br /> i �eqUld�g a correGtlon of errors in pians,cot�BtivCt�on o�V1olatio�s of aoy codes. Every permft Issued shaE!bacome Invalld
<br /> unlesa(ha w�rk authorized by such permit fe Commen�d wit�in six monlhs of permi(i88usllCe,oT If wor}c aup�odzed by
<br /> U►�permit ia suspsnded or abandened fnr a pat�ad of sDc(�)months aftsr Ihe tlme the watk 1s 4ommenced. Rn extenstan
<br /> may be requestad,f1t w�ll1►�g,irom Fhe Buitding OEfioi�!fot 2 perlod n�t lo exceed ninety(80}days�nd vWlil demonst�ate
<br /> �uatii�abls cause torthe extens(an. Ifworkceases for ninely(86j 6on�e�tivs days,the�nb is caneldered abandoned.
<br /> WARN1t�G T4 GVI�N�a: YOUR•FAILUh`E TO R�CQttb R(�C►YIC�0�COMMENCEM�NT IVfAY It�SULT 1N YOUR
<br /> I PAYINCa lWiC�pi�Ft(INp'iidVEN1ENTS T4`YOUR P1�QF'�k�TY. I�Y01!ih1TENd TO OBTAIN�INA�ICING,CdNSIiLT
<br /> � DE OR AN ATTORNEY ECd ING d1142 NOTIGE OF ENC�M 7
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