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Mar, 29, 2017 7:5JA� uulfcoast .Permitting No, 6084 P. 2
<br /> N01`lC��F 06ED i'�$TRlC?1QN3: The undera(gned undarst�nds thal E�is permit may ba sublect ta°deed°resiricUon�
<br /> wh c ma 6a more res�ictive than Count regulaflons. The unde[slgnad assumes responstbllity for complEance+Nith any
<br /> •---�—— �pp l e res� ans. , ____.._,,._.---... . .,._.
<br /> r � UNLIC�NSED OOt3TRACZORS AND CON7liAC70EZ H,ESPON818fLIT1E8: If�he owner has hlred a aonEraaior or
<br /> i:onl�actvrs tu undertatce work,they may be requirad to be Ilcensed!n acaordance wilh stat�and locai re�uiauons. {f tlte
<br /> contra�tor Is not Ilr,er�sed as�quired by faw,bflth Ihe owner and conlractor may be rated for a misdemeanor v�otatton
<br /> under stata iavt. if tha owner or intended conUaefor ara uncertatn as io whet 1lcansing requirements m�y eppty for the
<br /> Infended work,Ut2y are advised to con[a�t Eha pesca County Buiidfng Inspectioh DiY►slon—f.l�enstng SecAon st 727 647-
<br /> 8o0s. �urthe�mora,IE the ae+mer has hfred a conU'actor or conhactors,#�e i8 fldVdBEd W hava the Cortl[&C1Gt(8)81gt1
<br /> • portlons af fhe°cdnttaCtot Biock°of this agplicadOn far wnlch thay v�lt be responsi�te. lf you,as lhe owner efg�t�a 6te
<br /> conUacior,that may be&n IndlCallon Ihal he(s no!propedy I�C9n59d and Is not enll4led tu p8rm�tUng prtvlleges In PascO
<br /> Counfy.
<br /> 'fRANSPORTAT[OIS(MpACT1UTtl.iTIEBIMPAC�'ANfl R�SOURCE RECOVERYFE�S: The anderslgned under61911d8 -
<br /> t�at Transpodatian lmpac!F�es and Recaursa t�ecovery•F�ms may appty lo!he capsWedan of r►ew bui181ngs.change of
<br /> use in ekisVng b�ldltx�s,or e�;panston of e�('�siing bulldtngs,as speclfted In PasCo Gou►tty Ordhrnnce nUmber 88-07 and
<br /> SQ•07,as amend�d, The Undarstgned atso understsr�d9,lhat such fees,as may be dU�,will qs(dentlHed aE the time of
<br /> pelmittlr�. 1t la ft�Rhec unQersfood�hat 7�attsportatlon impact�'ees and Reeource Reeovery Fees musf be P��P►��'�
<br /> teCeiving d"carilflcata ot occapan�y°or flnal power ra►ease. If Ihe project daea n4t[nvolva a cediGcate of oCevp�ncy or
<br /> finsl pc�ver t8lease,fhe Eees must be paid'prlor to permlt fssuance. Fu�tnermore,ll'pasco County Vlfaterl58vtet Impad
<br /> feee drs du�,th9y must be paid priot to permlE Issuanca In accordany�e w,th applleabla Pasco Counfy ocdfnaneee.
<br /> CON57ftUCTION L{EM LAW(ChapfeC 7'43,�lorlda Statut�sj as amended}: If valtYdllQn ofworkis$2,540.00 or more,I
<br /> certify thst 1, fha ep�leant, have been provlded wlfh a �py of the °Florida Constn+ctton LTen Lavt—Eioril2owr18r's
<br /> Protec�on Gv�dQ"prepared by the Flodda pepattment of l�gr�culture artd Consum�'Affalrs. IF ihe appl'rC&t1t IS SOmeona
<br /> ather thetl fhe ownei',(��i�y lhal[have abl&Ined e eopy of the above descdbed do�ment and promise 1�good falth to ,
<br /> deliver iE to fha"owne�'prlor fo commehcemenG
<br /> CpMTRAC7QR'S/dWNER'3 AFFIDAYII: I ce�ify lhaZ all the TnFomieUon in thls appltcaftan Is accurata snd lhaf�11�vork
<br /> Wi11 be done fq eAmpiFance,wtth af!applICable I&we CBquialing coRstrucllon,zoning end I�xf developinent. AppYeatlon ts
<br /> hereby made to obt�ln a permlt to do work aRd fnstsllaHon as tndtcated. I•G��Iy lhat no work or Ins[atiaUon has
<br /> � oommeilCAd prior t0lssuance of a permit�nd fh2f 81!vrork w111 be pe�formed l0 maet slandards of ati(aW8 re�ufatlng
<br /> consirurdlon,CaUniy�nd C�(y codas,zoning regblali4ne, and(ar�d development regulabons In the)urtsdtctlon. f&�90
<br /> cetiKy 8►at I understaqd thst fhe regalations af ofher gavemnlent agencles may appty ta file lnlsnded w�rit,and lhat i1 ie
<br /> my responslbtliEy to tdenlifyv9i�at acltons I must laka[o be in Compllance. Such agenefes indude but ara not IlmRed ta:
<br /> - Depattment o4�tlViron(n�ntal ProtecUon.cypress sayheads,Wetland Rteas and�itvlronmentaliy Sensihlte
<br /> Lands,WatelrN+189S6WataPT�ealmeht
<br /> - Sotilhwest Fforida Waler �anagemer� Dlstdci We11s, Cypress 9ayheads, WeBQnd Areas, AlteJtnS
<br /> Watercaarses.
<br /> - Atrrty Cotps of Engine�te-SsaWeUs,Docks,Navtgable Wat��vays,
<br /> , pepeltme�t of FleaRh& Reheblllt�lfve SetvtceslEnvfronments[Heaith LlnibVt�ells, Waslewater 7rea[ment,
<br /> Sepllc'fanks. �
<br /> - US�vtronmental ProtectionAgency-Asbestos abatement
<br /> Federal Ayallon Authodty-Runways.
<br /> I unde�sfand that the follow8�q restr(dlons apply fo the use of flIC �
<br /> - use uf fill fs nol�llowad In Ffood Zone'v�'aniess axpressry permltted.
<br /> - (f the 011 mateti&I (B !0 �e used in Flaod Zone "A",it(8 UC�terst�od that a dtainage plan addressfng a
<br /> "compensaflng volumey will 46 submitted at flme of permtlting whlch ls prepared by�professlonal engineer
<br /> ' ttcansed by tha Stale oP Flatldd�
<br /> - Tt tha fl(f matedal la to be used ln Ft�od Zona°A°in aonnect}on wllh a perml�ed buildlnq uelt�g stem wall
<br /> C01161�'U�ilop,i ce�[fy that fiN vai�be u59d anty t�flU Iha area wilhin lhs siem wali.
<br /> � - If flll tn2�tmrial ls to be used in sny arQs,1 cerQfy lhsl Use oi buch till wiil not adversety af�ect adf acen�
<br /> �broperlle8. If use of fill Is foutld to�dver&ely aiiect adjacent ptopedlea,lhe owner may be cited for VIolaUng -
<br /> tha coq�ltlons of t�e 6uifdfng Permit issued under�he att�ched permlt appl►catlon,for rots[ess than 4ne(i)
<br /> ac49 vrhtch 01'e slevafed 6y Td1,an engine�tCd dr�lnaga plan fs teqU�red,
<br /> 1f I am the AQENT FOR TH�OWNER,I promise In good falth to•Intorm the owne�of thB peTmil�nA conditlons set forift ln
<br /> � ihls sf�davft prior te commancin�cansbvclton. t underat�nd thaf a separale per�nit may pe required ior el�cidcal work,
<br /> piumb�ng,stgns,weits,poote,aIt condlqonfog,gas,ot offlBt(nBl�llaHons nat speafidANy Induded In ihe appitcallon. A
<br /> permft lssued shall be 4onstftted to be a Itcense io praceed W11h thswork and not as auihorlly to vloiafe,cancet,al[er,or
<br /> set aslde any provislans Of the teChnlcal cades,nar sheit i�sU&�Ce ot a permlt prevenE fh9 gulldipg OKldal irom thereaftei
<br /> �qulr�ng a correctlon of errore IIl plans,canstrucUon or Violalloris o}any codes. �very p�rmlt issued sha►!become Inealtd ,
<br /> unless tha work autholized 6y sueh permit Is canmenced withfn stx monlhs of p�rts�il(ssu&ne9,oe If wark au�horized by
<br /> ttia petmit Is suspended oC sbandoned fac a pedod of siX(8)m0►lths after the Ume the w4�t 10 C4mmenced, An extensFon
<br /> may be requested,tn wri�ng,ffOrtt th�Sutlt!(ng Offldai fac a p8YlOd noi lo exceed nin2Ey{a0)Q2ys and v�1[I demansttate
<br /> justlfla6fa causa(or the Bfil6116fDA.�f wortc ceases far nlneiy{80)C411SecuWe days,the Job te oopsfdered abandoried.
<br /> • WARNINO TQ OWNER: Y�Ua FAILURE T4 RECORD A NqT10E OF COMMEIZG�f��N'f a�1AY i2ESULT tN YQUR
<br /> PA1fINQ TWIGE FOR lMPFiOV�M�NTS TO YOUR PROPEFtI"Y. !�YQU iNTEFIp TQ 4HYAIAI�1NANCIN(�,COtJ3ULT
<br /> WRliYOURf.END@ RNEY FORB h NOYOURNO7IC d HIEAIT
<br /> FLowaAdll tt7. ) ,�rr �..—��
<br /> QwNER� C4hiTRACTp T
<br /> Wh iJ�$ and stvo af if(tte�belDta rt1a Uda Sub3 ed 6tiwtR t�fupletq Aefp ma�hle
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<br /> neU meor ssTavaAraduoed oi tamaarhasttlavaptodurad
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<br /> NemeotNa �or,� ed Na1M•oft�EotaINOR�d,pdntedors[emped $; ��
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