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<br /> I NOTIGE QF dEED RES7R{CTIONS: Ths und��gned understands tl�at this penni#mayr be subject 60 ldaed'�ior►�'j
<br /> wt►ich may be mare t�Utictive iban Cou[�ty regulations. The unders�gned��pvneibih'iyy fir compffanes with arry
<br /> �Cab1e deed msu{�ttons.
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<br /> PtLtC�IZ9ED GQNTF�A,CTORS AHa GOM`i'utGTOR R�.SPQNSIBILITIES: ff tJ'�d'bwner hss fraed a cx�ntnactar cr'
<br /> caM►�tois to urtdertake woric.they m�y be reqt�h'ed to t,e fioer,sed in aooardance wMh s�and[oeal regulatia�s. If tfio
<br /> contracxor ea noE Bcensed as requtreat by law,hoth the awnsr�nd oonhactar may be cited for a misdarrie�anar violation;
<br /> I� under stam I�w I#1he awnar ar Iret�ded conb3oGor are urteartatn�s to what�ensing requiremsnts rn�y apply for the'
<br /> � Irtbattded wodc,Utey are advfsed fo cotttat�the Pa�CoUnty Btn'Id�ng Ir�pection t}ivlsron—�F�neireg Sec�on at 727-$47-
<br /> I8008. Furfhermore,if 1�e awrier Ftias hi[ad a eantra�tor or oonbactors, h� Is advtssd!.o hav�the ca�sctnr(s) sign;
<br /> portions of fhe"con�ractnr�txk"af this appllcatinn foF wtuc�t'fltey wiB be responb�hle. tf Ya�.as tl1e atvner sign��te
<br /> i confracta�fhat ma be an indication�af h�Is r�ot �
<br /> Y propetty ficensed aod ffi not entlCad�a pertC�#�priv►leg�in pa��;
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<br /> 'FRANSPORTA7tON IINPACTMfLt17E3 AYIPACTAND RESpURCE RECOVERY FEE� Ths und6n6igneyd unde�slands
<br /> that Trar►sporbtlon Impact Fees and Ftecam�e Reodvery F�s may aRPh�ta the c�strut�tan of n�w truild'u�gs�diange of
<br /> use a�exlsting builtl'utigs,or expansion of oM�ttng bu�dinga,as specifled b�Pasco Couniy brdinan�e rrumber 68�07 snd,
<br /> 80-D7,as amar�9. The urx�rsigr�ed alsa unds�stands,fhat such Sees.as may be d�,w�tl ba id�b'�ed at the time of
<br /> Pe�mif�n9. It ts furf��understovd that Transpnrtetion tmpacf Fees and Resaur�ce Reoovery Kees must be paid prior to;
<br /> recseiveig a'oert�ic�of oocupan�y'ar fmat pow�r release, tf the prajed does not Irnohre a earfi�ca�uf a�ccupancy or;
<br /> firrai pvwev release,the fees must be paid prlar w p�rrrat issuanoe. FurlhermoTe,if Pasoo County Wafer/Sewer ImpacEi
<br /> fee.a sr�cius,they musE be paid privr to pemdt issua,naa in�ac.wrqar�writh appl'�cable Pasco(:ounty ordinanc�.
<br /> Cpt�i81'RttCTION Llh]�f LAW(Chapter 71�.Piarida�atutea,ae amended}: If va{uat3on af wark Is$2,5Dp.pp a mvre,I
<br /> ' ae�tity that !. fhe appllaant, have been provided wtth a ar�y of the'FloRda �nstcuctkm li� taw—Hameownec'e�
<br /> Pro�tian Guide°prepargd by#he Ftarida Depattman#af Ageirx,IGt�e aad Cansumer AfFaa3. If the appfia�nt is somevne�
<br /> oth0t tb8n the'awnaf,!certtiEy thst 1 have obiairted A copy af the abave d�ibad document and pmrnise in govd�h fv;
<br /> detiver it to the`own��pricrto commencemsnt.
<br /> CONTRAC�'QR'SlOVVNER'S AFFEbAVtT: (cet6fy fhat all#te info[matian i�tt�appAcation 1�a�te and thst all wor[c
<br /> wIU ba dane in comR6ance whh afl app�icabt�laws regufating oonshucttan,zenfng�nd I�n,d d�relopmerrt Appficatian Is
<br /> hereby made ta �btain a psml(t us do work end ir�falfaBon as Indlpted. 1 Certify that no wodc a�i��0ation has,
<br /> cartunenced prior ta lssuan�nf�pecmif and that aEt wartc w�l he per�Ormed to meet standards ot all taws ragulabri9
<br /> COf13tfU(.'FIOTI�Cauery arui Ci�y wdes� zonirtg regula8ntr6, and land devebpmerd regu[aNvns Yn tt�juttstkiC6orr. 1 alsv
<br /> �er�fy that 1 understand Lhat flt�re�utet7ans oi other�ov�rnm�t agenaea rt�aY aPPh'to ihe intend�d wor4��nd thed it is
<br /> my xespot�sibility to ldendfy whs#�,ctpns 1 must falce Eo 6�in�nmpGanve. Such agencties inclu�6ut ar+�not Gn�ea to:
<br /> - Depattme�t of�mriraz�m�ntal Probectian�6sYlseads,Wd[a�d A�eas and Environmantady Sensitive
<br /> Lands,VlfaterlWaistaw�teC Tr�ment
<br /> - Sw�t►west Flefda WateP Managemen! �lsbic�WeUs, CYPress Bayheads. Wettand ,4re�s, Altaring
<br /> Wateroot�rses.
<br /> - Artrty Corps of�n�nc�rrs.�wAUs.U�Cks,Navlgabta Waterways,
<br /> - �epartmen4 aF Health & RehabA'�tative SsnricaslEmw+onrt�tat HeaF� Utdt�lle5s, W�r Tr�ft,
<br /> S�ptic Tanka.
<br /> - US Er►vlro�mental P�6ec�iortAgency-Ash65t05�bapement �
<br /> - Fadsr�l Avistion Authvrity-Runways.
<br /> 1 understand that th�iallaHfiag rest[+c�oc�s apply td the us�af f�l:
<br /> - �159 of fil is�rot�t(owe�d�in F[�al Zone'U'°nniesg e�ressh►Pemfit6ad.
<br /> - If tl�e fill matat9al f�tp b� �sed in Flaod Znne"A', tt i� urideratood that a dr�inage pJan addrassGig d
<br /> �ompensaf�g velum�'wifl be�tbmtttad ac tim�df permil�ins wEi�ch is prepa�d by a pro5�ssion�l eng'meer
<br /> rcensed hy ena smE�at�acicta. �
<br /> - IF the fi�materfal is to be used in Fbod Zo�t9 A'in oalr�on wilti a perniitt�f buU�ng usCng stam wall
<br /> constiuedon,I eer�ity thaf fli f wRl be used otsty to fltt th9 qrea wdhin th�stem waA.
<br /> - if tilt mat�rial (s#o be used� anyr area, 1 c�tb7y ��t c�e of such fill wi[I not adver�ely si[dc#+ad�er�nt
<br /> Rraper4es, ff us�of filt is Poea►d M advars�ly�sdjacent propetties,the awner ntqy!�cit�rtor violating
<br /> the conatibo�of the b�rifde►g permit�sued'ander the aKact�ect pertnit appT�cation.br tat�s Issa tha�t ane(9)
<br /> acrawh4c�are e�vated by fill,an estgine�sred drai►=age pian is req�red.
<br /> IF!em tha AGENt'FOR THE OWNER,I prom f�e im good failh to iM'am Use owner af tha p�lrtftting cOdd'id"ans set to�Ut ui I
<br /> th{s afflda�+it priar ta cx�mmer�r�g aonslrucdon. 1 unale�and fhak a seP��Pg��Y be►�l�Jra�i i�x�lecdricaf worl4
<br /> plumb3n���igne,welts.Poofs�air condittoning.9�g.or olher insfaliaftans aot sp�ciflcalty ineluet�d tn thB tppficaEan. It
<br /> pertnl!i9sued sttal!he consNted to bs 8 fi�nse fo proaeed with 1he work and r�aZ�dudl0r�y to vio�ete,canc:e(,81ter,or
<br /> , sst aside any provisions of�e tecfinlCd)vodes,rws sf�aft i�nce of a pamti$p�nt the Buildmg Ofiiaal ftam thereaRer
<br /> requisitmg a wrre�on of error�in�lans,r�stroction or viola�of m�y oodas, �+ery pertnit issued sha8 beaome inwattd
<br /> untess tlte work ae�hot�d by such Pemsi�s�nmacu�d within sat mar�af pennit i�uartce.,or iFwork�uthorized by
<br /> Ehe permiE is suspendet�'or�ndaned fvr a period of�5c(B)mantbs�Rer the tin�the wak is oammenc�d An exoenslon
<br /> may be raque�e2d,in writing,from tl�e Bw'l�ng�fAG12)�r a�od na2 fo e�a�!nineiy(90)daYs and wl�d�neottett�e
<br /> ' , JustUta61�c�uae for the exUension. If work caas�t'or ntr�r(SO)cm�cutive days,the ja�b is cons�ferad abarutaned. I
<br /> , WAR1�tING TO�OYYNER: YOUR FAlLRI��Q tiECORD A NO�fIt:E OF COaAN1ENCHAEtdT 5A14Y R�$qt,7 IN YOlni
<br /> E'AV[NC�71fY10E FdR R4lPROVEMEM$TO YQUR PItOPERtY. IF YOU INTEND TO 08TAtUi F'lNA1�tCING,GpHSUL7
<br /> W YO R OR Atd A'R'tf EY��� YAU TiCE OF GO !YlEN�lYIENT.
<br /> a4omca.�URA'�'(F.s.ea�.os) .
<br /> OWNERORAQEI�T �ON'iRA �
<br /> enaswon,m(oraeR :e?beco�emethla beatoea��s,No�► a ed �e,xtbs
<br /> Yuho�r personaayta�miama��deibed, V+fiots/erepeisonanY �omea;he�haq� � �
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