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NOTIf�lEA��DEEQ.RE�TR1CT10 5i: The.0 er:slgn��t;und tandswt �ttlals:p�cmJt:m be., �. � j �,P4�-.�'`""��`:"�"°'
<br /> _ �f nd er�. „{; h u;_, ay,: snb��ct.:ta'tteed"�r,+�str�c#lons"�v ,:�
<br /> - ;�- :�� .�.: ::k��-s:, .,.; ..z,,�:.,:.:�� - ,.�._ -�: �,:�::�.:�
<br /> - - - =;tr_ _ r`.' «ui.. _ u�S�. ..f.'.,.,;.� , `t i i«6 _ :u.ar:+�.�rn:;''. .
<br /> v�hich may�;tie_=more-reisttictive�st#ie�i��ounty:r'eg�ilaffons:-.The'runders7grie.d�assuriries�respon9�titllt�for"cotiipllana�-:viiith-ar�y
<br /> app#Ic�tile:;deed restrictEons. ..�u�:�::;_:� ;,-, - "' • - -- _ '
<br /> :-,-� � . ;�.'�.�;� :x",�_�.,_-:':�
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<br /> .� FC 3;.....v.,- ......:.,... . .v, w ." ..� .-....�+- .
<br /> UNttCENSED��:CCiNTRACTORSs�1�ND CC►N�RACTOR-itESNON�tBiCiT1i�S:������ff=ti�e°"ov�m�r' has���iiired:�`"cd�i#iractar or
<br /> contractors to undertake work,�they may�beirequt��.d._to:1ie:wllcense;d��ir��;accordance:;with�;state,end;�lacal;�reg,ula#I..a.n_s.'��>�'If�the<<������--��f�
<br /> cor�tract�3ts-nat�lfc�nse�f�-'as-�te'�ulr�itl'tiy�`li�w,•tio#h�the�'owner ai�id�con�ctor�may�`be�cltecflfar�a"m1§d�eiairesnor violation
<br /> under state lew. If th� awner.r�r IntendedtAccntra�tor��er,'e.uncert;aln as�to wihat itcenaing.cequire�nents�;;may�:�apply��fcira"tiie��.��=_=�.--°�
<br /> �ir. i . : _.' v r r ._...-. �...� .,y$W��-....A�a..4'a.-!�:f'<�r.�"'.e...t+nMrw }u'oM•-e:c.t
<br /> tntended�inrark,�tfiey a(e`advl's`�sifµto;cari#act�ttieiPasco.County TBultdlr�g;it�spectlori�,bhrl�l.on-L•I�er.tsing Sectlon at.727-84T
<br /> �009. �ur�t�ierm'ure; if�the owner fias Fili�ci � coh�rac:tor or contractors, he ls advised to have;?the con�tracto3r(s)�sign f,sT.p���$,}
<br /> portians ot the;"contcactar.Block" of,:thisiapplicatt�n_fo,r...whlch��they, wil�«be�.�esponslble.�,�If:yau,�as��the owne�i°s��qn as the-'� "' �" �� �
<br /> contrac#ar;�tFiat�rt�iy I�e an iridtc�tioii Niat'iie`-1s'`nof�prop+arijr Ilcensed�ant�4'Is'riof'en�Ned� peri`ril#tlrig p`riitil�ges in Fasca . .
<br /> Counly. • �°� • .. ... _ ... ' . ..._ , _..�, _. ,...._.._.�. �.�w:x::t�:1�YF.�: ..���,.
<br /> TRANSPORTATl4N=1MPi4GT/UTlL�'t'IES�lVlI�AC7 ANtl��tE�QUaCE REGQVEltY�FEES:"T�te�un�eisl�r�e�understands
<br /> that Transportatton Impact�ees�and.Recour�e.Recavery,Fees mey;apply�ta�ti�e.;;constructi.on;of.n,e,w bulidings,:�change€a°of��;4��`��Y r�
<br /> use in exisNng buildfngs;"or��eicpan�i��n�of�ei�lati�g,'iball�Mngs� as speclfled.ln P�sco County Or`dlr�a�tce number 89-07 �nd.
<br /> 90-U7, as amended..:�fae�undecstgned also,understands; ft��#�:s�.tees,„as��ma�'��xdue;^�wI1F��e �erit�Eed at the=tir`�`e�of�����=4�"z���`
<br /> �. .� , .:.� � w... ;. .
<br /> permitting. It Is furthe�t�nd�rsfood�that Tna�spo�tation Impact"'Fees �ncF'��f�esourc�s.lRecoi►ery�'Fees4must be p�id prlar to
<br /> ceceHting.a"cer#Ifica#e=of�occ�tp�i�cy"�o��inal�pawer�Eetease:`:1€�'tt�e.pro��t�::ndaestnot Invo�re�ahcert�icete of ocxupancy�at����"`;�.�°�::�
<br /> p � .,;'tie"paid�,p�tor#o;Pecmit issu�ince. F�tt�ermore;�.t��Pasco�,�ounty°;1Nate�/Sewer-lmp�ct� �-�r�P��r r
<br /> flnal ov�►er;release;�;ttie'=;fees�.musit
<br /> ,� ��r. ,.:�.t �
<br /> fees are due;�they.tnust.be>pali�wp�lor,�o:.petmlthlss;t�t�ace-'.In,acc+brdance.wit�:appltcatife�Fasco':Cou�ty��oiilE�rancs�. •
<br /> C�iVST�UC'TIOM"�:IEN`G�1V{i(Ciispiter 713�`�lor�id��t�tat��u am�trd�dj: tfi vaiva�nn of work is�2,SOO.00soc{more�:fl�.,s _::4==0
<br /> certify that��l;-the..� appllcent,�-hav.e.:been provideif-wtth��a�-copy-,:of--thei:"F..Io�ida�°�onstructlon��-Lten�`'Lauu�—Homeowner's
<br /> Protectia� Gu1de"prepared by;ttie�Coi�da Dep�a��fr�aer�t:of Ag�tcult�re and Gonsr�m�r�:kt�alrs. If the eppllcant Is,someo�e,;,..�<.:.--�s
<br /> ather than ih�a'owner", I cert�j%,th�at-l=.h�ye.o�Ht�inetl�'akcbpy;of:the�abQva:descrlbed��ociii�ent�antlypr�i�ls.e�;in :fa _ ... -.
<br /> ,,1 t •♦ {� # ,go.od'� ith�.to :r,A
<br /> Y��lb��(i L�:.t1i�=�OWi18F�`���7fIOr'�GQli�tF11@ftti@111@FT��'"',-,'�' � , '�r.•.• •.. _ ._,.� .,. _. _ ; -_ .. . .. . ,. . _..
<br /> �ONTRACTE3R'SIOWNER'S A�IDAVfT: t cent�y:�#ti�t:ati:�the�tilnf.ormation�ln�thia appiication is accurat�.�nd that all work
<br /> will'be done in comppance with all.appitcable (aw� regulating constructloh� zoning and:�:lancl=�d�velo�m�nE. Appllca#tan Is
<br /> hereby made.to�obtatn=:a perm€t dto�.do;wa���andi:�t#�stellaHon as indt�s#ed��>,==1t certity that na wor���or instatla#ion �ies� �
<br /> commenced�p�for to issuance af a permif�ind that'.ail iwork wlll be pertormed�to meet>:standards�af_all laws �egula�ing- .,
<br /> - constntc�or�, GOLttlly 8�1d Clty COtlBS�,ZOttltt;g t'B�UISf1t�t1S� and land dev�lopmettt r�gi�lauttons�ln�tlie:J�risdlctioti:='�I�ai'sa=� -.. _
<br /> aertlfy th�t I under�tand that th�r�gulattons of ather�government agencies may�apply�,ta the�intended.work� and th�t it ts ,
<br /> my responslblAty ta identifjr:what.acttor�1 tmust�take;#o be;sl�.c,or,,r.lpllar��c+�._a'tFY;Such.,agenjcles�lndude=�but�are.not itmlted#o..:� -.
<br /> - Depar"tmen# a�f E�rrironmental:Pirrite�tion=Gyip'ress:Bayhead�; V�/e�and Areas and Environmen#ally Senstti�e
<br /> Lands,Water/Was#ew�ter Treatment. .. -. � �'' �� � :�
<br /> . Y�,.--.,.. . - X�. 3
<br /> - Southwest Flortda W�ter M�na�ifiet�t}A:��t�s#�ic#:W�Ilso.,`Cypt�ss. 'Bay�i�ail�;���WeNaradT Arsas, Alfering
<br /> WatefCOU�s88. .a�,, ...;���'"=; ::;r"s..��,'� `� :_.;»�,, - • ,. .: . . - ,
<br /> - Army Corps of Engfneer's�Se�wails,'.Uocks,!+lavigatile Waterways. �
<br /> - Depa,r,tment;_of.;Heaith;;,�,�,ReF�atitittative;,;;Ser;vices/Environ�entai�.l�eal#hYUnit=Welfs;�-1�astewater=�Trer�tment; �
<br /> Septic Tanks:::_ . _ - " '.. '. . -'� � .. _
<br /> - US Environmental Protect�an Agency-Asbes#os abatement: � - 3
<br /> Federal AvlatiqnxAuthor(ty�4yftunvuaysF�� , �
<br /> !understand.that.th�.:fotlainting��res.trlcdor�s appty to tfie us�af fIN.�
<br /> � - Use o�fttl is not allawed in�Fiood,cZona"1i"uniess expresely permitted.
<br /> - if the�x�ll=`mate�lal=�is'to'b.e usetl;`!n :flood��one. "A", tt. is .understcod tfiat' a dratnage plan addte�stng a
<br /> �compe�tsaEing votume"wlll;be submltted a#�tr�e of;permittJng w61ch is prep�red by a professionai engineer , � . -
<br /> Iicensetl:by.#hr.'e,:�tate'of:F�otlde; . ��
<br /> - tf th� f111'matertalT i�to.6e.�.used in Ffood �one 'A" 1�4�onnec�fan�virlth:a�permitted bt�lldtrtg asing stem wa{t. _.
<br /> � . aanstcuction,..i certify:that�ftll:wall:b:e:.us�d only.to.1111 the ar�a�vvithin�the�s#er��wall: . • � � �
<br /> - If flll mate�ial�is-to tie use�-�In any .area; 1 �c��tEfy„that .usa of;su�h f11t w111 �ot adversety affect adjacent .
<br /> propecEles,._If;use::cf.fi)I ie��=fo�nd�to,advers�ty:.,affect adjacen#�:�prt5pertiea�.the�owner may be'ct#ed for violating r
<br /> the condt#I'on�:,of�the,buliding�'perrriit�lssued�;under the�:att�icfied,pecmit�applioatlon,�for:lats-:less�:fhan::one (1}
<br /> ._ . .
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<br /> ac;re wiilcti"�r�etev�f�d��6y fltk_��t;englrteer�8 dralnage ptan i�requtted. • .. .
<br /> If 1 am the AQENT_�OR;TME OYMNER;,.I;�prontise In;good�_falth to Inforna��the awner of-the permitting candftlons set forth in
<br /> this affidavit prlor fo�commer�cing c�nstrucERon. 1 understand that a�separate:pertnit may be requtred for elec#rtcel wark, r : .
<br /> �.>A�::� ,
<br /> plumbing,,signs� weita,..:paots,:.ait��condltioning,:ga�s,�;or.o.,#h�c install�tibns nat�spec�ficatly included-in.the appticatlon. .A-. _-
<br /> permit Issued shall be co'tisfirue:d to`be�a�Ncense`�ta��piviceed with''tNe�,woik and�:not�as::authoNty�.�to;:Wolate;�`ce�ncel. alter, ar
<br /> set aslde any'prdvCslans of#1�e.tt�chnlc�l:c�d�s;;nar sha111ssu�rtce�of a.permlt.pr.euent#he�Bulldirig{{�i�fcial�fram theceafter �
<br /> , :-� •,.-.�;.;.
<br /> requlring a carrectian<af;ecr;ors:ln�,plans;rvconstivctlan_�or�vlalaUons of•�ny�codes:;��ery:p'�rmtt�issi�eid-stialf-tiec.orne�invalid
<br /> unless the work authorfzeil.by such pecmit:�is.co�menEed�wlthin�cr,�nan#hs of�p�rtn[t Issu�nce, or if work authrtrized by
<br /> #he pennit is suspended�or.2abandonedyfora;period,�of.�Uc�:�B)�inan�a::after:the►tirne�the�wo�k��ts commenced. An e�ension -
<br /> may be requested,,in.w�iting,:irom ttie:Butlding,Officlalsf6r a p�riod..not.to.exceetl'anG�t�rv(90) days a�id�wlll�demonstrate
<br /> �us#�iabfe'catuse fo�:�#he e�ension. �#work ceas.�:for ninety.(9Q}c�ns.ecutive�day.�,..th�job�is.considered abac�doned.
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<br /> WARNlNG'Tt? OWi��I�; YQUR:.�A1l�.tlRE:�Tt�=,R�!CQlt�.AT.[�#�T�IGE�;t?E,,Gt�MN1�MCC�ME�°f�;MAY�RESUt:Ts IN��YOt1R �
<br /> PAYiNC TWfCE<.FOR�IMP,'�tO�IEMEN�'��T:O;Y�Utt�:PR1��?E��TY.<{:I�-:YOU�1�1"FE�ICt�TG��'IBTAIN"F1Nifi1�fiE1N6;�ONSULT
<br /> _'YiliT �W 7'TO �'. OR�1 �,. ; r - �.�• -:, .. - . -- --- --
<br /> FI.ORIDAJURA'i'�(F:S::1l7:03):.. `, .�__ '..:., . a. , :-.r, s. , . ,_ -... „ , _ - .
<br /> OWNER OR AGI�N7� „js,�L�U+X.A /�f��l�'�Y 17d� CC1NTl�hCTOR ,� - - .. �
<br /> Subs b�a� n�nto{�ir a�tane�d}.kafo�e �fht� Stabscr�bed��'suuom h+{at afttrtn�pb�dra me tM��
<br /> i / l� by� �%(�Y�SS Cti.. 'V 1\�,�l,l�,�c�S �by... .. . .. . .
<br /> Wfio Is/ana ersonally knovm lo.me or:haslhave,prr�duced , :Who.ls/are,person�lly.lcr►awn•.to:me.,or.#igslhav.e:prodiiced • �
<br /> i ;Q tt� _fi !'ri �„�s i�eiiBQa�ti�n. as tdentl�caBon.
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<br /> � �'�f',�('��T(i�ll �����J��"Natary Pubtic . Natary Public
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<br /> Cornmisslon�to.4 �� ��`•a`~' C�� Com�l�s2on�No, • � .
<br /> ��RA �1��ti� fZUFF`��... � � �
<br /> Ma►'t�e of iVatary typed.Printed cr stamped IVame of�totary typad,RrlMed or stamped
<br /> �~•:::';�;�� DEBRAELAINE RUFFELL .. . .
<br /> ' •;_Commission#��dd53d3 •
<br /> `..;�;;��,��;'Expires November 7,2020 • •
<br /> ' . r'+n�ledTlwTroyFeinlnsuPenCeE0D315�7018
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