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<br /> NQ't1C�QF ClEED RE�.T.R1CTl0�lS:. The:under.stgned�under�tands;:th�t.thl�,5#��,r:mik;:may;,b.e.,subJect;_to"deed",�.�.. ctlons ,�.�,.�.,
<br /> �hich may�:tie:�mbre�'r.�sti�ctive`�fi���t`Corinty�i�griiat�oiis�.=�Tlie`�undersl�ned`°sssum��`��e`spi�na�bilitji��for coinpli�"rice�Gu�t��ariy�•'"- `�4,
<br /> applicabie:.deed;read�lctlons. ::: . .. -�.:��-:.� � . � . .. .. ,�... �. .�.._.m__,___ : 4 _. .� '`
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<br /> �1N�.tCl�NSED�'CON`IRACT4RS ANl�=1�ON�'RAC'�OR�I2�SPAN�18lC1TI�S:-�=-:!�°t1�-�c�wner�:°has�fiiired�;si_`ixs�iEtactor or
<br /> contrac#ors.to undert�ke work; #hey may3be�ri�quleetl,{to.��b�«Ilceneed;-irt�.�ccdrdanc�.wlth�s#ate�,andq,loc�il:re ula�lons`?<<;If,the-=•=.����°:--��
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<br /> ,. ,. z,_.,w.,�..,.,:::..::. ,... ....G.� .9�.M.. ���
<br /> contraator�=ls�n�t��itceii�sed-"asZFrequlreit;by law; tiott'�.the�owner andcontractor��msy'be�tclted for�'�`ml�ilemeanor�utalatfon
<br /> under state lav�r. if the owner or intended=�coritra�tor,�ere,,uncert,e{n,as�:to,wiiat,licensingyrequireRnents�may�eppiy�?for�`thex�-�����_��•?"
<br /> intended work�ythey are_advised,:to;con#ect the tPasca County Bullding.Inspectlon Dhil�Ioti--Licenging Section at 727-847-
<br /> 8009. FurtFi��ora� if the�owti�r ti�s"Filr`eiJ a conlractor'o`r contractors. h� is advlsed ta have',�the conrtractor{s},�sign��;r::;,,�E:�
<br /> portions of the.�°contcactor Biock";.of...this�.application_for.whlch�they wilt.�be�r,es�ponsible:-�•:It.,you�as�:the own�'i sign�"as�`the`�"�"`��
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<br /> cantractor,that�may�be an indicatloti tttat'Qi��-t��'iiot'�ropeFly!lcensed"antl�'is riot"eri'��Netl'�"v permlk�ng priuileges 1n Pasca;..# : t,,;Y.{_
<br /> Caunty. _ � . t �_..fi::..�:.,�.... ..:.,,�
<br /> TRAIVSP!ORTdTION�IMPACT/U71L1'TIE$�rMI�AC'��IhNb°�tE3Akl�tCE RECOYERYfEEB:�'The�undensigned'�und�rstands
<br /> thatTransport�att�n Impaat Fees:and.Recour�e:RecoV�ry.�'ess trtay;�pply=tcrtF��°.construc#lon.:o�'.new.buildings�ichange��of��,`';,=�=�.'��
<br /> use in eXisting bulldings, or��:expansi�n��of�e5il��i�%g:�bulidtngs, as specified.In P�sca County Ordinancg number 89-07 and.
<br /> 8Q-47, as amended...::T1�� und�r�{gned atso:�ui�derst�nds; tI��E:�such fees,��as>ma������due;:�wlll:y�e.tdenttfted at thettlme�ofi'�.��:��'f�`�s•
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<br /> permiNing. It i�fiirttier underetoad that Trens�`ortation impacf'�ees an�'���Resouroe.iReaavery£Fees:�musf be paid prior to
<br /> rece4ving�a'cerfi�cate�-of=�occupai�icy".or�'�flnal��power:r;eleasei�`�:1�°the.project=:daes-:no��Irnrolvera;certi�cete of occupa�ney�or�='��';l���r°`"
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<br /> �inaE porMer.-r�leas�;�;:ttie:fees=mu�t'�e=pald;pttoT fa;pecmit Issuat�ce. Ft�xthermare;�iE�Pasco;,County;`1NaterlS.ewer=:Impac#� ;..,.;,:�w;��
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<br /> fees are tlue,;they�must:be;.peld�pclor ta„perr�it�issuance°:in.,accord`a.nce wit�::appllca6ile:Pasco��County�o'r"dinanc�s. •
<br /> CQN�TttUG'�`tON��;tE[���t,l�lllt��C�iapfer 713t�t�r��l��t�tui�es����nd���: i€valua�an of work 1�$2�500.OQ.�:or more,�In��: ���_=
<br /> certify tHat.,l, �he.:appllcar�t��have,tie.en pro�ldetl°�wlth::a��copy�.of°the��"Flortde=:C�onstructlon,�Lien-.:L:aHr—Homeowner's
<br /> Pr�tectlan Gutde" prepared by,'tlie'Flo�lda Departmen#:.of Agrtculture artd Cons,umer;:.;�kffair`s. tf the appltcar�!Is.so'meone:�,=.; x :..-��
<br /> a#her than h � . -,
<br /> t e"ovmer", Icertlfy�.th�at:i._tja�veaopta�ined"a��e�PX:of:the�ebave:�des,ci�it�edt�locu�ent�and;P�o�iise;in:a800d�.fatth•to . .
<br /> deliver it to'.the.;"owne�`�prio�to comme�icement:`; . .. ., � , _.y � .� ._ " � _ . . . _ .
<br /> �O[�TRACTCIR'SIQVYNER'�A��IDAVIT: 1. .c+�t[ty;�,f�:i�t�_all�,th�xl�rr�at�on�l��thi�appllcetlon is accurat�.anci that aii waric
<br /> wlll'be done in compliance wtth all.appltcable �aws regulating construction, z�pning and:�land'-developm�nt. Applic„atlon.is
<br /> herehy made;to obtalci�a.permit,,,,to..,do,�wa��and�;°Ifis#�fEs�tion as in�l�et�d:r==�1=ce`i;t�jf that no wark°or tnstslla#ton Fias'�
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<br /> cammenced p�ior ta issuance of.a permtt`�and that�:ail wark w10 be performed�to nneet:standards-�of:all laws re�ufadng-
<br /> construction, County and Clty cades, xaning regulatianst and land development regulallons=tn-ttie:Jurlsdlction:t�f�}�-af'sa.- ,
<br /> cer�fy that 1 u�rde�s#and#hat fhe reguiattons of a�#tter�gavernment agencies mey�apply�.,to.the:intended�work, and that tt Is
<br /> my responsibllity to identity.wvhat.acttons I,mu.st,take to,be.rin,corr�pllance.�;,�Such;agencles�lnclude'but�ai�e:not limtted to: � �•
<br /> - Depactment af E�vlronmental>'�Rro#e�tton�ss.='Bi�yt�ea��, V{t���nd.Are�s and I�r�ulronmentally Sensitive
<br /> Lands�WateNW�stewater Treahnent. - �� '
<br /> - Sauthwes# Flottda W�ter IMlanagement��:��IsUlct:WePls, '+Gypt�,s:`�.B�y�tead��- VYe#land Areas, AI#erirtg
<br /> W�tercaurses. ,;g.. ..,,r_.-, ,.;: : „_ �, ,,.,,,,; � , .. , .
<br /> - Army Corps of Englneers=Seawalls��Docks,Navlgatile Waterways. , �
<br /> - Depa�ment;.of.,Hes{th�_:B��Retaeblli#at�re,�.Seri+lceslEr�vttonmental:v.F�estth�l�n�:Welts;,.Ultastewater.��Trea#ment, - i
<br /> Septl'c Tanks:..�.'�`._ _. � ,. . ... . ._. , .
<br /> - U3 Envlronmerital Protectlon Agency_Asbeatos abatemen�. �
<br /> - Faderal:Avlativ�rAuthortty,aitunyvays:�:. ` ` � .
<br /> I understand.that:the;following resirictions��apply fo the use af flll:�
<br /> � - Use af'fili is niit allawed in�Ftood:Zone"tt"uMess expres�ly petmt#ked. .
<br /> - If #he--:fill rriaterial`Is�`#o'�'be used';��In.:flnod Zane. "A", it. Is understood that�-� drainage plan addressing �
<br /> "compe�tsattRg vblume",u�IN be submltted a##Ime of:•permltttng whlch Is.Pr�Pared by a professtanal engineer� ' ��
<br /> iicensed by�#he,�tate�af�Flotlda: � � � --. � '
<br /> - . If th� flll��material�.is�ta be,used tn Flcod �one "A" !n�conne��fon�wlEh�a perenitted b�jtdtr�g using stem walt
<br /> consEcuction�.l.certtfy.:tii.�t.�tl��tVitl:be;t�sed only.to,filt the area�withln:th��stem�wall, � �
<br /> - If fIA 'material�1s��to be usetl In any �ree, I �cettify �hat:us�e. of:such'fll! witl not �dverseRy a#Eect adjacent
<br /> propertles.. tF use:�of t�ll.ls-foqnct:to.,adver��1�:.�ffect adJacerif��pr�perties►.the awn�r may be`cited for viol'ating,'.
<br /> the cond�ions:�"of:the b'�ilding'perrriit��issued:u�rder tiiiar'�it�ached permit_�ppllcatlon,°for:lots�:less�than:'one (1} �
<br /> acre wtiict�ere elevated`�ay fl!l,,a�_engir�eered dra3nage►ptan�S requtred. �
<br /> t�i am#he AGENT FQR TH��OYIINER, i;.�rori�ise in,good;.f..aith to tnforrr��#he�owner.of�the perm��t�ng ca,nditions set fiarth tn
<br /> this affid�ivlt prlor[o icomMeracing consb�uctlon. �1 unil�rstaintl that�assep�rate permlt may be regutred for etectrtcaFwork,
<br /> ptumbin9,.stgns. wetl�,:pools,,att condl#1o�1_ ". � ,,.
<br /> �9�:9�s,;:,ar�ott�er Ins#etl�tbtis no� spea�tc�ally inctuded�in.#he�appllcatlan. .A
<br /> permit issued�hall_be con§#rued to'be�a`llcense�to'prroiceed wlth�tlie wark and�°not-as:authaNty:_to;;vlolate;�`cancel,-alter, or
<br /> set aslde any�pPovlstons of th�.technlcal�code�;�nor shalt lssuance�o�a.permlt.p�ev�nt th��ulldirig.pt�clal#rom theceafter �
<br /> �q�i��9$��'ectlon�af Fen;ors:in-,pt�ans;.ciinsfivctlon..ar_vloiaUons�af-any codes:�,�very.p�er�i►t��lssued�sliall��tiecame invalld
<br /> unless the work authaNzed.by such perrrtlt:�s.cammenced�wlthtn si�c.;months of�peRnft lssuance, nr(f��,vvork autFtQr�zed by
<br /> the perm{t Is,suspended�ar.:aba�doned-for:�;pertodkof�six#8)�montiis sfte�:tite�#Inae the�work�ds commenced.. An extenslon
<br /> may be requested, 1n.;wNting;:from flie_9ullding,�3fflclal°for a perlodt�not.ta exc�d'"nliiet�i.=(�0)�:days a�d�u'vi!!"demonstrate
<br /> justlfiable'cause for-the e�enslan�, !f work ceas�es:for ntnety.t90}consecutive�day.�,_the�f ob;is consfdered abandoned. - �
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<br /> V�lARMIN� TO GWN��: Yl�UR..�AIUJ�tE,:TC1.,,R,E.C.�;1�tQ:A�MOT�IGE:OF.�GQMMENGEMEIl��,M�IYnRESt31:T IN'YOUR . .
<br /> PAYtNG TWtCE;;FQR�IMRRQV'�.E�11tEI!I,�'��.Tt3 X;Q�ii.�>:P�tdl.?EI�TY:'.',I�-:YO.U?t�lI�TE�'i1D:`TQ'i�f8�''idlN`�INi1RI�l�:1N,.Cti;'CONSULT
<br /> FLORIDA JURA��(F' <!7.�?3.� �A TT' . � } > . , , :,. , . , . ,
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<br /> OWNER OR�1O8N7 ;. COM1'RAG?'O .--.-- ____ _—.._
<br /> 8ubsalbed and sworn {or afllrrr�ed� fore me thls S�bscrlbed end' to ct afltr�r»
<br /> _- L_ � ` ( ed}'b�tcr8ni�����
<br /> Whols/a onall .kn :me.ac:haa/have:pr!cduced ,Who.ls/are .er�onalry�Cnrnem me.;or.�laelt�ave:predi�ced. .
<br /> as!d'entlflcadpn: . .. �s�������
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<br /> _ t+lot�ary Pnbltc . Nofary Publla
<br /> Commisa on o•` Co lsalon.hta.
<br /> ,,i�pY AV��j, +i!LTiI{A.�niRri7���� �``4�Y ,,,/ . ." i.• .
<br /> � .�r° `��•: Natary Public-State bT Elarida
<br /> Name aI ' _
<br /> . • � �n e�$5 Jul 1 Q.2017'� Name of Notery
<br /> %�, aa:� Commission�FF 03d�30 %;:�, PQ;= ommissian�FF d3423p
<br /> �''�°����'�' Bonded Through National Natary Asiri: �''�°����'�, Bontled Through Nationat No►ary Assn:
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