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<br /> NO'�OC@�E DEER RE�T.I3�CT90NS: The.ue�d,�cslgned�nd�r�atandss,tlt�t��ls,��tmlt.may,_be,subjec�.to"deed",rest�lctloi�s".. -_-, .
<br /> whi�fi may~be,more.r+�sti;ict�ie�th��tCountjj•���egu9afions:'�Fie�unde'r�igned°`assumes'�espores�Ikii9ltj%'for�compllance�uvitFi any��`' "
<br /> applicable deed�restrictlons. � , �
<br /> �JN�.d�ENSED=CONTRAGTt�RS =ANQ CQM�I�AC'�CfR RESPONSIBtC�I'�ES.� {f:�the awner has�=hired�-a�'�ctintr�tcf�r or
<br /> contractors to undertake work� they may,b..�:,req�rired.3to:be.�licenaed In:acr,�rdance.wlth state.and,loc�I:r�gulatW..ons:��Ifrthe�• � �
<br /> c�nt�actor fs not�ilc�nsed==��y required`tiy eaw� batn�the awr�er�nil�+c�ettce�ctor=�inay�be��clted'foc°a;>rr���demeanor ulolation
<br /> under state iaw, if the own�r or Intended:;;con�ractor,�;er..e,;wa�certatn �� ta�nvfiat`Il�enaln,g.requireKv►ents;may.��ipply�>.�far'.the� -�°
<br /> intended work. they are advl�ed to contact the_P�sco County Bu1lding,Yi�spectton_DCvislon--l:tcensing Sectlon et 727-847-
<br /> 8�08. Furthermo�e, if the owner lias'htFed�a c�nt�acfor a� coni�act�rs� he is advJsec! #o h�ve �#he contrac�a�{sy,si�n,
<br /> porklcans of the "contr€�ctor �lock" c�f thls.,applic�tlon.:for.:whioh.they vVil!b�..r.esp.onslble.-.. If:.yau; as�:#he ssiamer"sign�'a's'fhe`� '
<br /> c�ntractor� that�may b�an indic�tlon that'!ie~is not:property Ilcensed antl`-i� not entf�ed to per�tf�ing pr�ulleges tn l�asco
<br /> County. • . , `-. . .
<br /> 1'�ANSPCIRTATION-IMPACTIU�I4�ITIES<IMPA�G�ANLI�RES�OURCE RECOV��Y•FEE�: The under�igned uriders�ands
<br /> �hat Transpa�tatla� Impact Fees�and.Reco.ut�e.Recovery.Fe�es maY'_aPptyctc�t�e�can�tructtan;af new.buildtngs,-change�fof��"�` "
<br /> use In exisfing buildings, or-,expar�'si�nrof--s�xieki�i�gybuil�tngs, as spectfled.in Rascv Cauntyr O�dinance number�9-07 and.
<br /> 90-07. as amend�d.,w.The underslgned a�sa:und�rstands� Q��t:�s�ch fees,�as��nay�be�pdue;:wlll,�be Ideetlfied at the���tima�-iif�' , .
<br /> permitting. Ot is furttier unde�stood that Tra�sp'artatl�ro imp�cf'Fees an.d�a�tesoucce_:l�ecovery�F�es,.anu'st be pald pr.iar to
<br /> eeceiving�a-'ce�iflcate of occupa�cy" or�flna!power=relea�e: :I�Ehe.projecE:.daes��.not Involve<aucert�lcafe af occupatt�y�°orx"�'���-
<br /> final power�Tetea��; the°:fees ma�#tie paid;:pr�or to,`permi# i�suanc�, F�l�herm�re;•�if i�ascv;�Coun#.yr�aterlSewec�;impact � �
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<br /> fees aPe due�.th�y�..must-be:p�id;priorto.p.err�it��issu�a��e-ln.�ccordance wltN-�applfcable.Pasca'��County�ortltnanc�s. •
<br /> ��N�1'RUG'TION�ZI�N„tA���Cliept�r 713.�loe��d��#atut�s�a�att��aacE�d): If valu����of w�rk Is�2�SOO.00aor more,.l� .,
<br /> certify tha� I, �he applicent,-h�ve;been�.provl.ded:wtth a-copy of the "Florida-�Construction� Lien.;Law—Homeowne�'s
<br /> Proteation Gulde" prgpared by tne Floi�da� Dep��tment of Agric.e�lture and �G�nsum�er..Aff�trs. 1f the �pplicant is �otnean� � .
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<br /> �ther than the"awne�', i certifiy..that I�t��ve,abtained`a°"c:'opy;of..the:above.�t�s.erik�e:d"dc�cutnent°and,promise;,in,gaod;;,faith.to
<br /> deliver it to,the"owner"�:piior•�to�comrnencements" � � ,
<br /> ��NTF�►CTOFt'�d�W�+IER•S AF�=1�AY4T: i.ccs��:tti�t•all.the,inf.arrn�ttttt,t:�n�tht�applicatton 6s accur�te,�nti that�1!w�rk
<br /> will'be done in campliance with �II.applicabl� laws regulating constructl�n, zonl�g ared�•land develapre�er�t. Appltcation is
<br /> hereby mad� ta obtalrt .�.pecm�t,�#a�do�workp,�nd :Inst�li�tlon as ind[t.�f�d;�-°! certify that no work.ar tr�staltatton lias
<br /> commenced prior to Issuan�� oi� p�rmit"and that:ail work w111 be per#armed�to me�t s�andards-of all laws regulating�
<br /> const�uctlon, Caunky and City codes, zoNng regulatla�sT and land devetopm�nt regulatlans in the�jurlsdlotlan: !�also
<br /> cer�ify ttr�t 1 u�ders#�nd that the�gul�tians of other goverr►m�nt a��ncles m�y�appfy�#a the intended work, �r�d th�t 3t is
<br /> rny responsibility to identi6y•wh�t.a�t(ons I mu�t•t�ke:ta bettn:.aompll�nce,.,S.uch:agenci��include bwt•�are.not Ilrnited ta:
<br /> - Departmen# of E�tvlr�nmentalr°Protecflon=C:YPress.`Bayh�e�d�,�V4�e�a�d Ar�as and Er�vlronmentally �ensitive
<br /> Lands,WatedWastevvr�#er Treatment.
<br /> - Sauthwest F{orlda Water N}anagemen� .Distrlat Well�, Cypress.��Bay#��ads; Wetlar�ai� Areas, Altering
<br /> t�/atercourses. .
<br /> - Army Corps of Englneers�Seaw�lls, (�ocks, Navigatile Wateruvays.
<br /> - �epa�tm�nt of.H+�alth.:.� Rel�a61t14aflv�:S�nticeslE�vironmen�l Health Unit We11.s,��ita��ea�ter�i'reatment�
<br /> Septic Tanks:. ,
<br /> - l�S Envfronmen�a�l ProteaB�n l0.gency-Asbestos�bateme.nt.
<br /> Federel Aviation:Authorit�►.-f�unwsys.
<br /> I understand 4hat�he,followang::restei�tlons apply`to the use of flll:•
<br /> - Use of�Il ls not�l�awed in�Fiood,Zone"V"unless expcessl�permlt#ed.
<br /> - If the flll nnaterl�l Is ta b.e uaed' li�.�Flood Zon� "A", tk Is understbod that � dralnage plao� addressOr�g a
<br /> "campens�ting volume" wif{ be subr�iEted at tfine o€�perr�itting which is prepared by � prafessionat �ngineer
<br /> ticec�sed by.#he�S#ate�of�Fiottda: ' � .
<br /> - (f th� flA materlal°.ts`to .be used tn Flood �one "A" In4 connea�ion wlth:a�perre�itted bullding using stem wall
<br /> � c�nstruc��a�, l cerEify t��t f�(.wll#:b�tas�d onty.to fl#1 tt9e�rea wlthln�the-�tenn�nra11. _
<br /> - If flll materlal Is tsr be used In .any are�, F�c��tlry that .use of�such flll wlll not adversely affect adjacen4
<br /> proper�tles. 1#uss of fill l.s fount�ta �dvers��y:,aff��t adjac�r�t�pc�pe�Eies,.tt�e awner may be cfted fo�vloCating.
<br /> the condlll�ns..of the b�ltding:perml# Is"sued und�ar 4h�at�ached.�ermlt epplicatlan, for:lots�less than on� (1)
<br /> acre wh8ch ere elevated�6y f111���t englneered dralnage plan As requlr�d. .
<br /> �f i am the 1��ENT�OR.THE-OVitf��R; l;promtse in,good#al#h ta tnform the awner af�the parmitttng condftEons set farth In
<br /> this aNidavlk�p�tor to cc�mmencing constructlon. "I untlerr�t�o�d that �rcaeparaQe permlt may be requlred for elect�fcel wark,
<br /> ���7���
<br /> plum6ing, signs, welts,.poals;.alr c�nditlaning,-.9�s,-or �ther instatl�i�(ons n�1.spec�ft�alty Included�In th� �ppticatlon. .A
<br /> permlt Issued shr�ll be cvnsteu�d to b'e�'llc�nse`�to=proceed wlth the�niork end not�as:aulhoNty:to..vlolate,•�cancel� alt�r, or
<br /> set aslde.any pmvlsions of the.technlc�!-.ca�des; nor shall lssu�nc�•of a.permlt.pcevent the Bulldlrig�I�la!from tl�ere�fter �
<br /> �equiring a carreatian n#�errors ie���p�ans;-constcucti�n.ar vlaiattons of-any codes. Ev�ry-p�amtit�iss��d sh�ti�become invaiid
<br /> unless the work authorized�by such permR>•Is-commen�ed•w+lthtn sGc m.oroths of p�rmlt fssuance, or If work authorized by
<br /> the permtt Is suspended�oc:a#ar�doned-for.a�:pertod�of:�sGc:(�}montlis.�tter th�;#im�the�wark�t�co�imen�ed. ,4�+�xterasl�n
<br /> may be requested, In writing,�tifrom #he:�ullding,C3fficlal for a perlod.�not�-to exceiad°Pnlnely(90)"days and w11F demonstrate
<br /> just{�able cause fbt.�th�extenslon: if work ce�ses:for nlne�y.(9Q1 cor�s.ecaative:day.s:�-the jab�is con�fdered z�ba�doned.
<br /> WARNIN� TO OMINE�t: YO►UR.;:FAILUI��.,TO:,.R�C:�lttQ;�4;,�fOTIG@�:OFf�COMIII�ENCEMEP�T�M'AY=R2ESUlT�ON�YCIUR
<br /> PAYING TWI�E,;�QR�IMRRti'VEMEN�'S�.T13 rat�}UR:Pttff3RERT1f:=;1�°YOU;l�44�E.Y+1�=T�C1"�QB�d�►1N�Fi�#At�f:1NG;�t)NSUlT
<br /> UVIT A A �+ O � G�a OlD '� r ' �
<br /> F�ORIDAJlJRAF�{F.�:1.17.03)- ,., .;; ... _.. ..` . _:., _... ....
<br /> OW(dER AR AOEN7 CON'T�CTO • '
<br /> Subsarlbed and awom ta(or afflrtned)6efore me thls Subscrlbed and'�wom�bo ot Hirmed'befo ►ne'ttit�'
<br /> by by.- `
<br /> Who Is/are personally known.to.me or hasA�ave produc�d Who.l�/are p.ersana.11y um•ta.nte:or ha�lh�v�•produced �
<br /> ea Identlflcatlpn, as IdentlRcaBen.
<br /> ldotary Pubttc . Notacy F'ubtic
<br /> Commisslon Na:z Commiselon.Mo.
<br /> Name ot Notary typed,ptlnted or st�mped Name o0 Not�ry typ�d,printed or stamped
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