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<br /> N9T10ECIF.DEEDRE�7RIC'CiO�t�: The.under;slgned;under�tands=�#h�t,t�a1�<�p�rmi€>�rtay.;be,,sub�ect�to-"deed"1res#��tiorts",�.�..:t�,��
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<br /> which may°tie`.mai^e�r�sfrict(ve:tha��Counfy��i�agNilatfcn`_s�.°�Therund`:ers�l�ned��assumes��re�pons�bility'far"cotnpitana�:w,itfi.any
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<br /> &pp}IC.�IIlI@'tI@8d=f@$MG1IOt23. =' �:.r;,.�::;•.<,,,` = - `` , .
<br /> �INLiC1ENSED�"C+DNTItACTOR$ :AND Ct)NTR�►GTOit�RE�PO�SI�OCi1`i�S:=��if�iie°�atirn�r�°h�s�'"Fii�cl��a":c��tr�'ctat ar
<br /> contrr�ctors.to undertake work;:they niay;bs,,=requlre:d:to.;be:llc�nse�i,ltt;accordance:wtth�statea,and�lacalti re ulaNans:��=°if'�the�>•�3`� .-����1
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<br /> contractot�ts-not�llcense�'�s=�roquli�iid'tiy law,`tiot#`r�#he nwner arzd coie#FactoTs�iria�y��lie�='�ttei��for'��m1�clerriear�oT vblatlon
<br /> under state law. If the owner.or intended};contra,t�tor..rare;`uncertali�.as'to what ttcenaing.cequlrements.;mey=;appily���for�tt�ie��-��;��-=°�
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<br /> fntendad"inrork,ttiejr a�e"adviseil��,to contact:tfie�Pas±ca-:County 8ulldtng Inspectl�n�Q1_v,tslon-Lfcensiny�Sectian at.727-847-
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<br /> 800e. Furthermore, ff the owner'tias'"tiined'a c6inlracto� or contractors, he ts advi�ed to have��the cantr,acta,r(s)�,sign, „ .4,,,.�
<br /> portlans of the:°contrectoc:Block' of,this_appilcatian�for�whlch,they:wilt>;be�r,esponsibie:-��If.:you;µ�as�vlhe owo�i�r sign�"a��`�th�'�s""��•."
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<br /> contractor; #tia�;ma�rbe an incitc;ation'tiiat`tie�-ls"rioE'p�iie�iy Ilcenset!"�nt3�'1"s riot`ien#�leid"to permltting priulleges 1n Pasa:o..w -�
<br /> Counky. ,� ;_. . . ; �:�,r.;E>�f�,,....�w,;,
<br /> TR�►NSP0I�TATiON=fMPAGTtUTil41'IESSIMP�G'���ANb�RESO�l�CE RECQVEEtY=fEES:�°The�uride�st�fie�understands
<br /> that Transportatton impact Feias:and.Rey%urse.Recovery.Fees ma"y,��apply��to�ti�e�consbuction.of new,buildings;:ch�nge��of�°>=�::':��'��
<br /> use in exisNng build(ng�,�or,expar�sturr`�of=�ekiatl��'ikiuil�ings; as specified.in Pasco Cvunty Or�dlnance nur�ber 89-Q7 and;
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<br /> 90-U7, as amend�d,;:;Th�unde�slgned also;�uiiderstands; tti�it"suct�fees;�aas��mayf:;�$��due;,�vltl�6e�dei�t#ffed at the��ime^+a�:�='�:�%x>n�}�'
<br /> permltting. It Is further t�nderstood that Transp'orkation Impacf�Fees an:it`��Resource�Redo�sry,`Fees�musC be pald prior to.
<br /> recei�ring.a"cec#t�ca#e:,af�occupa�cj�'-or`flna��.power.�eleas�:�..i��Ehe.proj�ck;doesr:no��lnvoive.a�.ce�t�icate of occap��icy°o��'�=�`a���k��
<br /> final power�releas�►�;_iF:�e'�:fees-mu�.t`tie patd:;p�lo'.r#o;permft Issu�ince. F��#t�►er�rnare;�If:Pasco��County°'1NaterlSewer;lmpact� :�>.,�>4��
<br /> fees are due,;.they must.be=:pald:prtor.ta,.permit.lssyance��n_accorclance_�+rlth�:appltcat�le�PascotCountj`r��aidlnances. •
<br /> C�tdSTRUCTION�RlEN"GA1ti�(Ciiepter 713�FlorXda�tatc�tes�as ar>n�ndeat�: if vaiva�on of work is�2,500 OO�oc�more;�l� ts, :�•y r
<br /> certify tHat .I, lhe..�:applicent;:-have-.been provid�tl°�wlth;�a�•-copy-�.of-�the.��"Flo�ida����onstivction�=Llen�:.Law-Homeowner's
<br /> Protectlon Gulde*prepared by'the F16iida D�pertmer3t;of Ag�lculhtr� and Cons�tm�r�A�Falrs. If#he appllcant Is,sameat�e�:;....:�..�-.<�
<br /> other than#h�`owner", I certify th�t-1,.h�ve,o��ineitl"a��icopy.of..#he�aba�e:rfes.cri�ed;tl�ocu'�e ; pirar�is�-:In,gootl'faith�:to . ,. ,.,
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<br /> deHver It`to:.tlie`own�e�':`piior=to�cai�iriier►cement;": ., . , - ,.: .� . _ :. " . _ ._,
<br /> CONTRACTOR'S/OVYNER'S AFFIDAViT: 1.ce�tt'y:;Ni;at::all,�thec�lnf�rmatlon;,l��thi�appltcatlon is accurat��nd thatall wark
<br /> will'be done in camplianae wfth all.appltcable laws regulati�g construation�zoning�nd:�land�`devetopm�nt. App!lcatlon.ls
<br /> hereby made.,to obt�in.:s permi��#o,,fido�wa,V�aand�:lhst�lla�an as indt�ated:M1}���lY certify 'that no wark'�or tnstaltation Fias -
<br /> aommenced p�lo� ta Issuance of a�perr�if and that�:all work wlll be pertormed�to meet=st�ndards-of:all laws �egula�ng:
<br /> constructlon, Go�nty and Glty ccdes, zoning �gialaticans, and land developmettt regiila#to�s�tn #iie Jurisdlcttari:`r��'°i�-�i'so
<br /> certiFy that I uader�tand that the regulatlons of ather�government agencies may�apply�,ta the,:intended work, and that It ts
<br /> my responsibqity to iden#Ity,whet.actions l.mu,st_t�ke;to be.�ln�cantp!lat�ce.:.�Suc1,�.aget�cfes�lnclude=bu�are;nat tlmitec!#o: � •
<br /> - Department af Er�vironmentai$�ProtecNon=Cyp"ress"8ayiiiesd�, V�le�and Areas and Environmentally Sensttive
<br /> l.ands,WateNVUastewater Treatment. . -- " " � " �
<br /> - Sout��west Flar�da 1lV�ter Managetrtent-:'�I�is#r1�t-lNetls;'='`Cyptes.s.'.�8ay.�eail�;� �Wetlar�d ,�reas, Aitertng
<br /> Watercaurses. _,.�- y: � . , : - •:>r:., : - � . . ,
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<br /> - Army Carps af Englneer's�=Seawaqs,'Docks,Navigatite Waterwaiys. � :
<br /> - Depar#ment<<at_,Heaith�,B,�Rehabilitafhie�Sen+ices/�nvironmen#aix.F�ealthi�Unit Welts;YlAt�stewater�Tre�tment; �
<br /> Septic`1'anks:Y.�. ._ ,. � . . . � - .. �
<br /> - US Envlronmental Protection Agency-Asbestos�bafemen� �
<br /> - Federal Avlalloq:Autho�ity,=,Runways:M, .
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<br /> t�nderstand.that:the:.follow#rig:=i�e�tr.lctlons appiy Ca the use of flli.�
<br /> - �Use offiti is nat aliowed in,iFlood�Zone'"V"untess expressly permltted.
<br /> - If the:<<flll�m�ite�ial��>Is�=to��b.e used_`In.:flood Zone. "A". tt !s understood tfiaf�a dratnage plan addre�sing a ,
<br /> "compe�tsating votume*vvi1) be submttted at Ume of:pemtift)ng whlch is prepared by a professtanal engineer} �
<br /> Ilcensed.by�the;�tate�of�Flatida � " ��� •� � .
<br /> - , if th� fiN��materlal�.ts`to-�a�used 1n Fldod �one 'A" In.4 connec�ion�vv�Eh�a�ermltted bultding using s#ern walt., _.
<br /> _ canstruction,_I.cemfy,:that:flll:iNlll;be:.used only.to.flll the are.a wtthin�the•stem�wall: _
<br /> - If flll material��is��to be used-In�.any ar�a� f �a�nlfy lhat .use af�.such flti wiii.nat adversety aftect ad�acent _
<br /> prapertle�., It use:.of fill.is�fauncF.to.$d.v,ers�ty:v�fiect ad)a�nt�;pcdpertte�,.the o�vner may be ctted for a�torating,
<br /> the condi#lons.:of�the.bulidt�ig��perrriit fssued:�under the�at�acfied;��pecmit��applicatlon��for:lats�.le"ss�t6an`one (1}
<br /> acre wtirch ere eleviated��6y fl1G.,��t engCneer�ed draEnage ptari i�requlred. �
<br /> If i�m the AQENT FOR_TH�.OWNER,.�I;promise In good,._f.aith to infortn�the��owner of�the permitttng canditlnns set forth In
<br /> thls aHidavtt prlor to commeracing constructton. i unilerstai�i�thet;a�s±�parat��permlt may be teqult�ec!for etectrlcr�l:.vvc►rk. . _-
<br /> ptumbtng, signs� welts,.:poots,.ait�,condi8oning;<:ga�s,�,vc•other Insfaft�i�ns nak spe�a�iaally included�in.the�application. .A .
<br /> permit issued'"shall be aonstcued talie a°Iicense'�to�proceed wtth'tfte;virork and�:not-as.authoNiy�,�b:.violate;��a�ncel� alter� or
<br /> set aside�ny provlsions oft�e.technlcal:cod��;:rtor shslt Issu�nce�of a.permit.pcevent the Bulldtrig O�ttcial from theresfter �
<br /> requirin,g a cort�ctian M;emo.re•in�;;plans;.con��cuctlon.or.violatlons of-any�cod�s:���Eve•ry-�pt�rmtt=l.ssued"sfialf become•�invaNd
<br /> unless the work aulho�ized�by such permlt:is.commenEe�within.sF�c.,�tto�ttts of-petmit Issuance, ar iF work autho�lzed by
<br /> the pennit is suspended�-or.ebandoned:for a;period;,of:;�im:{�)�monfiis;:after:the ttrne�ths�wo�rk��s commenced.. M e�ctensian
<br /> may be �equested�,ln.writiiiag,:from�tfie.;Building,bfflclal�for a perlod��not.to exceed'�ninet�r�(90)"days e�id�-viilll�demongtrate
<br /> �u�tl�abte`cause for:�the e�ttenslon: If work ceas.es.for nMe#y.(90)cans.ecutive�day:s,..the job�ts considered aba�doned. �
<br /> WARNING TO O1fVNE1�: YQUR�,FAil.fJRE:,;Tt�1„l��.�QltD,A:��4T�GE�:Q���CGMME���ME�i�f:.AItAYrRESU1:T 1RM�Y0UR �
<br /> PAYiNt3 TWtCE;;FOR��iMF'RQ �' ��N�'$�,T�J,fY�.WR�;�:P��ER��T1f:':1��YO.tJ�1llF'�'E�1D4�TQs�BT'IRIN=fINi1�►NE1N!6;�O�ISULT
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<br /> qY1MER OR AO�NT ••, � C�(��,�p� : - �
<br /> IS�d artd awem to(or_�tElrmed� fore q,. t� Seibacrlbsd'srxi'awom ta(ot aflinnedj�b�fors me�ftit� .
<br /> I'. � ItLby _ "f?Snhi � � �CNN'� :.by...,_ ,� . -, ,
<br /> , Who 1 are onell known to e or:hea/have.pn�duced Who.Islare,p.et�onally.known:.to:me.or.JlaMiavs:�raduced� .
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<br /> 11 �l;��a's Id"eiiB�caU4n. a�Wentttica�an. -
<br /> �- � tery Pubitc . � fdotary Publlc
<br /> CommisslartNo•: �-!C� 6�.,�3 3 Com�tsatan�hia .
<br /> ,���.'� �/,�//�/� (/��'�/,,..L-_ �
<br /> Name at Notery typed,Rrtntad ar stamped Idame�f�totary typed.Rtt»ted ar stan�ped
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<br /> `�:a*"s?'y�� DEBI2AELAINERUFFELL .. .
<br /> �Y'��q<'Commission#GG 4453�3 .
<br /> �Expires November T,2020
<br /> .� '��•,P,',.'�;4��`�� BondedThruTroyFBinlnwrenteE1�315�701!
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