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�u�n, 22, 2011 9:30RM Gulfcoast Fermitt ing � No, d249 P. 2
<br /> ' NOTiCE OF�EED RE9TR1G310N8: The undersfgned undarslands tha!ttils perm(t may b�sabfect to°deed"restr{ctlons•
<br /> wt�ffch msy 6a more restrlctive�haa Counly re,gWaunns, 7'he undarslgned assumes r�espor�si�lNly far compitance�1th any
<br /> appflcabte deed resft4ct(ons.
<br /> UH1.IC�N�ED CDN'iRACTOAS AND CONTRAGYDEt R�Fot�S1B16lTIES: lt the ovmer has hired a ccntraclor or
<br /> contractore to undeciaEce wa�t,lhey may be�uTr�d lo be Ilcensed In ac�ord�nce with state and tacal re�ula�ons. If Ihe
<br /> contractor Is ttOt IICOt]s6d as requfred by Idw,n01h tha oWnet sTld COftUdClor may 6e oitEd fOf&Iri16dBmeanor VEo[8li01t
<br /> under slafe!a►v�, IF ths owner or intended conlractor ara uocedaln a9 to wltat NCenstna require�nente may app�y for fhe
<br /> .. tRtenda�work,lhey a�e ad�is9d lo Contact the Pascb Cbunty$uttding Inspedton pMeton—Ltcensing 9ection at 7�7-�97-
<br /> P�D09. Furthem�ore,if tlte owner has hirad�obtlltaclor or conhactws,he is advl5ed lo hava the conir�Clor{S)stgn
<br /> ' pofdoRe Of ihe"conttactor BloCk°oi tf�1s appllcstion fot whioh Ihey wAt 5e responsfble. If you,as the owrter s�qn aa ihe
<br /> cantrac�or,U►at may be an lr�dicadon that ha Is nof propet�y llCensed and Is not en6'Ued(o parmftltng prtrritsgea In Pasco
<br /> Counly.
<br /> 'i'f2ANSpORTATION IMPAG'iNTIt1TIE3 iMPACTANl3 EtESQUl2CE RECOV�RY���5: The unders(gned ande�siands
<br /> fhat TTansportaUon ImpdCt�¢e8 and Recauras RB�overy�Fsea may app�y to ths Cpnstrudion of new bai�dtnga,change of
<br /> use in existing bufld3nge,cr a�anston of exisling buiktings,as spedfled in PasrA COunty OrdfnahCe nitntbel'89-07 and
<br /> 80-�7,as amended. 7h�tmdersigoed afso under�lenda,{hat such#ees,as may be due,wlli 4e Sden6fied�l fhe Uma ot
<br /> permlt��q. lt Is fudttet undetstood that Traneporf�0on linpact Fees and Resourca Recovery Fees mual be pa�d pdar to
<br /> �sceluit�g a"certiHcaie ot Accupancy"or fittal power�elaase. if the ptoJect dcsa nof fivotve a c�rtttfaafa ot occupaney or
<br /> ftnal power retease,iha tees must be paid"prlot(o parmit lssuance. Furtbermo�9,it Pasco Cou�y 1N�aterlSewer Impsct
<br /> fe�s ace due,lhay mvst ba patd Rdor to pe�mlt 16suance tn acc.ardan�ev+6fh appl(eabte Fascw Cotmty ordinances.
<br /> CONSiRUC'i(ON L,t�N l.AW(Chap4er 913,�lortda 8tatutes,ss flmeltded}: IF vaIualion of work fe$2,600.00 or more,I
<br /> certlfy 1ha1 I,tha eppilcard,.have been pCoWds��yfih a copy,of th� "Ftodda Conshuctlon Lie�1 Le►+�-MomeownePs
<br /> Pmte�6on Crulde°ptepated by the FloNda pspariment of Agnlcultute snd Consumer Affaire.�If itt�eppllcanE ls someane
<br /> otherihan the"ov,me�',l canUy ttttst I have obtaingd a copy oFme abova desct�ed dacument and Prornlse fn good falth to
<br /> dellverlE to the"vWOfl�"pti0eta commenoement,
<br /> CON'fRAC"fOR'�lOWNER'S AF�1dAVl7: I certify lhata►I tha Iniofmalton��this appltcalian ig acct�rafs and that all Watk
<br /> wEl(be ddne in C4mpIt�llCe wllh ail applicable fews�egntating construction,zOnl�g and fand develppm9nt. AppltcaUon fs
<br /> I he�eby made to oblain a petmlt to do v�ork a�d Installatloo as Sndicafed. 1 c��tlty that no wark Or InslaAallon has
<br /> '� commenoed pt�OP l4(ssuance af a permit�nd Urat a11 work Wiit be pert'ortned to meet starldaPde of all faws regufatir�q
<br /> canslrucUon,Cvunty�nd C(ty r,odes,zotullg regulaUons,and land devela�rm8nk regutallons In Ehs Judsdlctlon. f a's�
<br /> Cerilfy EhaE I undetsfartd 1h�t tha regulaqons of othet govsmmsnt agendes m9y appfy to tha InterKted wotk,end Ihat it ts
<br /> my iesponslbllltyto�dentifywhat edtons I musE Eake to be 1n compilance. 8uch agencies Inctud�huf are nbt Ilmiled to:
<br /> - Depadment of�nvfronmentat ProtecGon-Gyp►�ss Bayheads,Wettand A�eas and EnvlronTnenlelly S6nsiftva
<br /> Lands,V4aterlWaet6wafer TreatmehG
<br /> - Southwest Flottd� Waler HTanagement I]I81Act Wells, Cypress B�yheads, Wetfand Areas, All6firtg
<br />' Walercowses. �
<br /> - Am�y Corps of E�tgin�rs-Seawalls,Docks,Nsvigabie Walenvays.
<br /> - p6p2�iment of Health&Reha6111La0va Ssrv)cesl�nvUonma�lal Heelth Unit Wells,Waslewater TreafinenE,
<br /> $8�1�C�311ks. .
<br /> - US�nvtronmental ProfecUonAqency,Asbestos a5af�men�
<br /> Eeder&i AviaUort Authority-Rul�vaye.
<br /> I undersiand IhaE th9following restricilonsap�iy{Oth�ase aFfill:
<br /> - Use of fi11 is no!all4wed In FJood zona"V°urtfe�s expressty pernu'[ted.
<br /> - If Ihe 5�1 matarial t�fo be used in Pland 2ons"A", lt!s underst0od that a drainage pJan addreesing a
<br /> `campensaGng Volume"wll[be submitfed�ak dma of permltling xfifch Je prepared hy a professlonal elLqineeP
<br /> ' Rcensad by the stata of Ftodda,
<br /> - [f the fl!t maleriel Is to be used fn Ftovd zone"A"In connecliaa vfifh a perm�ted hullding using at�rn vrall
<br /> , construCUon,I Ce�i(y(h9t flll will h�uaed only to fll)Ih8 are�d W1ih1n the sletA vla11.
<br /> - if fNl materlel,Is to be uSad fn any area, 1 cerYfy lhat use of such fill+n�ill not en`versely affect sdjaeen!
<br /> prope�ites. iFuse oEfill le iRLnd lo adversefy aKecE ad�a�enl prope�les,iha owrter may ha ctted for v�otating
<br /> ti�a condluons of ihe bulfding permit Issued u�der the atlached permit appllcstfon,for fofs tess than one(9j
<br /> scre whlch are efevated by flII,an enSineered dra(nsge fan 1s tequfr�d,
<br /> If 1 am the AG�N7�OR'si�i6 OWt�i�Et,l promise In good faith fa In�orm the owner oP lhe peTmllt�tg CondlOons set fotih in
<br /> � this affidavit ptlor io cemrnencing c;anahu�f►on. 1 unde�sEand fhal d separatg permt may»e reguired for etecUloa�wwic,
<br /> p(umbing,elgns,wel�s,poois,air condilloning,gas,ar other D�slallallone not sper�ftca�ly induded In lhe appticallon. A
<br /> peanit issued shall be cons4ved to be a 114eflso to pmeeed with the work and po�as auihorily io vlalals,eancei,a1t�r,ar
<br /> set as(de&r�r proYlsfons of tha technlcal eOdas,nor shait issuance of a permtt prevent ihe Bulfding bftldal kom thereafter
<br /> reyu'mng a cattecUon pf e�rors tn plans,con�4�uctton or vtolatlona oP any codea, Evety peTmit is6Ued shBU hecoma InvaGd
<br /> tmless the work authadzed by such per�tti!Is commenced wi�hin sbc monEha 4F perrnit lssusnce,or If wotk aulhodzed by
<br /> the permit is euependsd�t abandoned!or a partod of s(x(6�monfhs after�iha 11me Iha work is oomrrt9r�c9d, An extensian
<br /> may 6e C�questetl,in wrlUnp,fram lh9 Bullding O�Ictal for a perlai not to mcceed nfnely(64)dey8 qnd wlll demansUate
<br /> jUsliftaable CaqBe fot the a�tenslon. 1Fwor&Ceases for nlnely(8�co�BeCUINB days,Ihe job is cflnstde�d abandoned.
<br /> � WARNiNG Td OWtSER: YQUR FA(I.UR�TO RECORD A NQT1C�Q�COMMENCEMEN7 h1AY lt�SULT IN YOUR
<br /> PAYIHC3 tl(fIC��p�IMPRGVENJENTS YD YdUR PROP$R7'Y� I�YdU 1NTENd TQ aBTA1N�lNAtSCING�CONSULT �
<br /> Le 17�R OR AN � BEFORE REC G OUft Nt�710E OP E1�1 T
<br /> FL RiDAJUEiAT(�.$. iY.03) . • ,�
<br /> OWPlgtOAAGE � CONTRA4i0R�!
<br /> Sunsttt�ed and aFvum�q{ora mxid �'aa me wa Su bea and ewom t�,�p t�S�med�pt�a ma W$
<br /> G.-27r/_7 6v iSn+>_� ��v+ti � t3.vt..e_ tL+✓�s.r�-
<br /> Wi10 1il�a ttta of haSTh�Ptoduced Wh0 tSfAte�m lo ma ar ha5�tt�Ve pioduoed
<br /> a5{8en�f[�a++. ae IdenUl�caUon�
<br /> . ' . _„___L_;�,��--�'� —'�'� Np�aryPu�ilc 1�'�-'� ""�"^�— NoteryrPubHa
<br /> CommlaelonHo. Comm�seial No.
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