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<br /> NQ°�'1C�d��DEED RE�T'RR�CT�ONS: �h�►u�td,�rslg��d o�nd�r�Q�ndsS:tll�t�Ehls�>�;�cmlt,m�y,�ba:sub�ec�,�o,."deed",t'es�'Ic�iot��"_�„ .,.�;,::
<br /> which may�be�more'�rest��ctive'tli��County�r+a�ul�tions�:'�The"urider"�lgn�d``�saumea're�ponsibility'for�compit�nce with�ny ,
<br /> appilcable deed�r�sM�tlon�. �n.� • • _ ` :. �
<br /> UN�.tCEN�ED �CONTRA�TCIRS �APID �ON�RACTCtR RESP�1�SiB�C1'�'tE�: if�the��wner hasfi`�hired"a",eoriM�c#or or
<br /> contractors to undertak�wotk, they may:b.�.r.e,quiced•S�o:>be:slicensed In,.aGc�ordance.with state.and•local.regulati.o,ns:.�-lf�the�• �� � �
<br /> contra�tor Is-r�o#�1lcens'ed=��s�requlred`!iy I�v� bo#h�#he� ovun�r�rzd c�i�ti�ctoT;iiiay`ii+��-ctied`tor ya�.�l�demeanor vlolatlon
<br /> under state law, If the ov�ner or Intended;,contractor,l�aCe.;uncertaln as 4a what'Ilcensing;rec�uirements�'rnay�:app�yl,�,fcic4the �
<br /> 6nter�ded wdrk, they are advl�eii t�cant�ct ttie.P�asco�Caunty Bulldl�g.'{n�p�ctionrD(visl!�nw-Llcensing`Sectl�n at 727-84�7-
<br /> 8009. Furkherrnore, it ftre owner Fias�'hli�iad a contrecfor or caritr�ctat�, �e is siivtsed to have�the cantr�cto_r{s),..sipn. _
<br /> portlans of the "cont�ctor �lock� vf this.appllcation_.for:which.4hey will be-.r.esp.onsible.�,�lf:>yau;�as�:the owner`''siign''as"the"�
<br /> �ontractor, tha#�may be an indlcatlon that'ii�-i�not:properly licerised antl`�!s riot eri��ed ta�perrnitting priulieges In Pasca
<br /> County. , ;�,
<br /> 1'�NS�4�RTaT�ON=IMPACTl4l-T1l:1'4lES i1MPA�'-C At��°l�E�OURCE R��OIlEEtY�FEE�: The und�rslgned�und�rs#ands
<br /> that"Tr���porfatlon Impacf Fees and.Reco.urse Recav�.ry.�ees maY'<$Pphl�:to�ti�e:const�u��an,of nevrr..buitdings,:eh�nge�°af' `� , : '
<br /> use in exis8ng bulidings, or_�expar��i�mof-�existi�i,g�b�iltlings, as speclfied.in P�sco �aun4y Cl�dinanc� number 89-0�' and
<br /> 90-07, a� �mended.,�.Th�underslgned�Iso:unders4a�tds� thai�such fees;:;as��cnay��e-�d�e,;�w11l�36e ldenf�ied at the�time°;of� �° ,
<br /> perrroftting. It Is�Further unders400d that Tra�sp'ortatlon impai�t'Fees an.ct�Resour.ce.:Recovery$Fees,-must be pald prlar to
<br /> recetvfng.a."c�ctlfl�ate:o��occupancy"' �rf6ttah.power�.Fel�a�e: :lf�Ehe�.pro�ct�,�does�.not Itavoive:a.:aett�icate of occupancy<���;�� °. ;
<br /> flnai power relea�e; tMe�:fe�s mu�t'be paitl:;pr�Or t�.,pecmit iss�ance. F��tk�ermore;�f.'.P�sca�„Counky�411►aterlSewer�.lmpact _ �
<br /> f�es are due,_.they,must.be�p�id�prior�o.p�rmit;issu�race�irr.accordance wit0a.�appltcabl�i.Pasc+a'�•County�ori�lr�ances. -
<br /> CQ�1�7'R�1C�'�IC1N C�EM'!AV'Y'(Cfiepter 713,�la�r��ia 3ta#ut���a�amemded�: if vslu��on of work 1s�2�500.00;.ar more, l� . .�
<br /> certify that 1, �he: applic�nt,�:�h�ve.been .proVlded_ wfth�a c�py�of'the�"F9orida� �onstructton� Lien.:Lavu�Homeown�r's
<br /> Protectton Guide" prepar�d bytlae Flo�da Qep�trtm�c�@�of A►grtcuitt�re and Gansumet:,Affatrs. If#he appltc.ant is someon�- -..
<br /> otherthan#he"owner", t cert(fjc.that,l�h�ve,obtained`a'icopy.of:the:abpde.:��scrlbedclbcu�ent°and:.promi�e,ln,good;,faith�to
<br />� d�liv��it t�a.the."awner�.`p�ioc ta�commencc�meriB.', � .
<br /> ��NTF�►CT��t'Sl�WP1E�'�AFf�iD�1VIT: Lce'r•t#�jr:�-tit�at>alt.th�,lnf.�rrn�ti�n::ln•thi�appllcatlon is�ccu�ite and that ati work
<br /> will'be don� in compliance with all.�ppiica�bl� laws regul�ting constructlan, zoMng and:�land develapm�nt. Applicatlon is
<br /> hereby m�de-ta abtaln .a.pecm�t�,to_do�work.:.and inst�li�tlor� as 1�d{��t�d:=�-.=:1 ce�ti�jr #hat n� work=:s�r Instaila#�on has
<br /> commenced p�lor to issuanc� of a p�rmit"and that�.all work wlll be perfa�rmed�to meet st�nd�rds�of all law� regulating-
<br />� const�ctlan, County and Gity cod�s, zoning regulations} and land de�ebgment regulattons In th��urlsdlatlon: 1 al'so
<br />� �erti�+th�# 0 undersfand that the regulattans eyf o#her g+�v�rnm�nt ag�n���s rnay�appiy�t�the intended wark, and thak it is
<br /> my respon�ibiliQy to identify•what.ac�lons I mu�t�t�ke:to b�,in:.campl.�anca:. auch.ag�ncle�.lnclude but��are.not Ilmited to:
<br /> - Departr�en# of EhvlPonmer�tatr�Protection=(:ypress.Bajrtiead�; VlieNencf Areas and Enulr�nmsntatly Sensitive
<br /> Lands,WatedW�stewater Yre�tment.
<br /> - Southwest Florlda W�ter Management ..D9str#ct We!!s, CypressA���y�eads; Wet#and Arees, Alterin�
<br /> V618t�1`COUPS@S. -
<br /> - Army Corps of E�gineers-Seawells,Docks, i�avigatile Watervu�ys.
<br /> - I�epa�rtm�nt of.Neatth;& R�f�ablll#ative.Servlc��/Ernrir.onm�n�tal F�e�lt� Ut�it Weltsi W�staw�ter�Treat�nent,
<br /> Septic�'anics: � � .
<br /> • US Envlronment�i Protectlon�►gency-AsbesEos abaieme.nt.
<br /> - Federe9 Avia#ionAuthority,.=Runw�ys.
<br /> I understand.that the.fopow�ng.rest�lottons apply'to th�use off flil:•
<br /> - Use of fi{i Os nat�Ilaw�d in:Flood,Za��e"V"unless express9yi pe�r�itted.
<br /> - If the fill mat�plal Is to b.e usetl. In,�Floa� 2on�. mA", Ik� is u�ders��od #h�t � dralnage p0an addresstng �
<br /> °�omp��sating vof�me"wlll be subm6tfed at tfm� af�pert�ittl�g whlctt is prepered by � prafessian�l engtn�er
<br /> iicensed by the State of�Flotldz�.
<br /> - tf th� fl!1 m�tarlal�ts !o be used in Flood �one "�" in>cnnn�!!�n�wlth�a permlt#ed buifding using stem w�fE
<br /> ' construc��ort, I cetfify th.at f�t:w111:b�u�sed on1y.#o till the area witb►in�the�stem�nrali.
<br /> - If flll materlal Is to be used In any area, I cer�lfy that .us�. of'�such flll e�ill nc�t advers�ly affec4 adJ�cec�t
<br /> prapertles. #f�ase�of f�ll is#�c�r�d ta advers+��y,��'�ct ad�acer�t'�propertle�,.th��wner may be ci4�d for vioratfng.
<br /> the c�ndl#Por�s.of the b�tldfng�;permlt i�'su�d under the�ttach�d.permit applicatian, for:Mots less than.one (1)
<br /> acre whlch are el�vated�6y!#!t���t englneered drafnage pfan!�requEred.
<br /> tf i am the AGENT FAR�'H�OVl�NER; I�.�romise fn_goad faith#o tc►farm the owner of�the p�rmitting conditions set forth irr
<br /> this afiidavlk'pMo� to commencinA con�tructlon. 1 un�er�t�nd that�a�s�pa�rate�permlt may be required for eiect�icai work,
<br /> �.>__,.<
<br /> plumbtng, signsF wetls� p�o1s,, a6c �andltlaning�.g��,-.or oth�'r: In�tell�tions r�a��,spec�cally inctudec3�[n the�appttca#t�n. �A
<br /> permit Issued shall be aanstcue�d �0 6'e��If�ense`-to�,pr�oce�d wEth th�vvork and not�as.�s�uthoNty:to.vtalate���ancel, alter, or
<br /> seQ�slde any prmvtsE�n�of tlte teche�ical.cod�s;:nor shall Issuance�of a.permlt.pcevent th�BuAdirig t�lffcta!frorn thereefter �
<br /> requtring a correction af errors.in::plans;�cansttiction or viof�tions of�any cmdes. �very,pisrmitrvissued"sfiall become 3nvalid
<br /> unlesa the avork authorized.by such permlt:�is-coatmenced•�nrithin sfi�t rn.onths of permlQ Issuance, or if work aukhorized by
<br /> the permit Is suspended or:sb�ndoned-for�;perlod,of�s�C:{�}mont�is..�8er th�;tim��fhe�work�ts carrimea�ced. At�extertsion
<br /> may be r�quested, tn writtng,;,from tFre:Bu00ding,Oiticlal for a period:�not--to exceed•ninety�(90j d�ys and will d�mon�trate
<br /> �ustlfiabl�ca�use for.�the exte�slon: !f work c�as�s:far n�neqr.(90j cons.ecut�ve:day.s�..the�ab�ts.consfdered�k��doned.
<br /> !M/A�:NiNG i'0 CiWNER: YOUR:FAlL.L7RE�TCI�.R�.C:O�t�.A:.,�IOTIG�:O�=�COMMEM��IfiE�T,�f1'AY-RESULT•�IN�`YOUR
<br /> PAY#NG'p'Yil'tCE„t=OR�IMPR011EMENTS�.T#�aY�{lUR�.PRt��E�-'PY:�I�°YO.U�I��D-`�TQ�';OB�TAtN��Flt�tiAt+��Its1G;�CON�ULT
<br /> WIT A � 7TC1 N O'tt��., _ G:; OlD ' : .ti . �- ° '
<br /> FLORIISA,�IiP�AA�:(F.S:94Y.03j ,: .. . ,;. . .,�/- ..
<br /> � ��'`1.^- �_
<br /> 04NNER OF�AIDEMY ' � � C�POT�ACYO �
<br /> 8ubsalbed and�wvm ta(or a�irtned)befo e e!h!s Subactibed and'suuom��{ort afflrmed)•betoea �i�
<br /> �y .by... .. .
<br /> Who Is/are pe�sonally known ta.me or�h�s/t�ave produced Who.ls/are p.er�ona.11y known�ta..me;or has/h�ver�produced •
<br /> ae IdenUflc�tl4h• �s IdenB�caBon.
<br /> I+t�ofary Pabltc . Notary Pub�lc
<br /> Commisslon Na:; �omrnlselon.Na.
<br /> Plame of Notary qrped,printed or stamp�d IVame ofi Notary$rped,pdnted or stamped
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