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<br /> Rl�7'!CE O� QEEQ RE�TRlCTfQNS: The under:signed,�nders�t�r�d��;t��t.4h��>,��rmlt may.b��subj�atzto"d�ed"res9rfctlons",�-.;�_....r_:.
<br /> which may'tae=�nor�-resti�ictide�th��'Caur�fji,Y��gulation�.�The und�t�igned�`as�umes-re�p�nsitilli�yr�.for`complianc'e vtirltli any�'m _��`.M
<br /> �ppUc�ble deed restrictlons. ...:.� .�..: . << . _ . . .. _. __. , �, ..
<br /> t1NLQ�ENSE��CONTRACTt1ft5 �AND GON�RANCTOE2 RE�PON�lBICITIES: =�f�t�e��owrier has'filred a._con�racfor ar
<br /> conir��tors to undertake work, they may,be.;ce�qulre,d,,.��t�.;be;:ticensed In,accordance.writh state�.and_lacal.regulatlo_,ns. �If'the� � ��=
<br /> �ontractor'Is nat llcensed°as�requleed`6y l�vit, botfa�tPie o�nrner and`co�iVact���may�b�=clted��tir�a-~mtsdemeanoe u�oi�tlon
<br /> under state iav�r, if the owner or tntended;;;contractor e.r..e,.unaertaln as to what'ilcensing^eequtr�m�nts.,:may_�eppCy...for>.�the' ���� - ��
<br /> inR�nded work. they aPe eddis�d to cdritacC'tF%�<P�isco County�uflding`Inspe�tlon:,Dlvlslon-�t�.icensing Sect(mn et 727-847-
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<br /> ��09. Fut�the�ore, If the owri�r iia�File+�tl a conf�ac�ar �r contra�ct�rs� he �s adv3sed to hav�:the con#raetar(�), sign, , :
<br /> portions of.the"contractor Block" of this..ep�licatlon<.for which.they.will:,be.responslble.�.r If..-yau�.-�esy#he oviirieP��ign�'as"the � �
<br /> ._ - -� .._...r.. . ..,
<br /> contr�ctor, that naay�bs an #ndicatfon thaY'he'1s riot properly'N�nse�!�rit��'is�nef'eiitk�ei! to per�iiltking priuileges In Pasco
<br /> County. .. __ �, . .�;..,;.: . .
<br /> T�10VSPORTATION�:INIFACI'IUTIUTIES=I��NAC`��ANC�RESOUitCE RECOVERY��E�S:'�he�undecsigned uriderst�nds �
<br /> ����������s`•s�.c�� d�r��c�-������d.Re�o�ttsa.Recav�ry_F�es malr.'_aPply-�c�:t�e,consttue#Ion;�f new_buildiregs,�ch�ngei�-of��.""� : .
<br /> use ln exis4ine bullding�, oc,e�parisibrn of�eiil�ti�i�',bullidlr�g�, �s speclfled.in �r���ci C�si�nty CDrdln�rrc�-r�e�mber �9-07�and.
<br /> 90-�T, as amended....;Th� undersigned a�sau�dersta�ds, th�t_�such fees,:;as�may:;be--�tiue;;wilt,:be tdent�ied at�he;fime{of-�` � -
<br /> permikting. it is fti�Ner understo�d thaf Transpottation lmpac#"Fees anit°�Ftesowr.ce.;Re�covery�Fees.must be pald prlar.to
<br /> r�ce�ving-a:"cecffflcate:of�occupancy" or�flnal�,powe.r_:,�elease; :I��th�.proj�ct;.does:�riot Involve:a..certfflcete af occupancy,-or��•->.;;�, ':
<br /> final powee rel�a��,;4he fees rri�i�t'be paid;,p�lor ta.permtt is�usnc�. .���th�rmore;.i�pasc€� Caunty`:Vl�aterl5ewer.=;0mpact� - �,� �
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<br /> , fe�s�re�du�,.they Knust.be�pald.prloc#o,per,mil�;Issuanee�l��accocdanc�.-wr(ttr.appllc�ble..F'asco'.Counly ordtnances. -
<br /> CQ�iSTRUCT�oN CiE�t'#.AYV�Cha�tsr 713, Fl�r�da Statut���as�mend+�d}: if vaEua�c�n of'w�rk 1s�2,500.00;,or-more,l-� f .
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<br /> certify that �, #he:p p P lcant; y ave•-been provlded=�with-a-ccapy- of'th� �"Florida�°�onstructlon� Ll�n .Lav�-�-Homeowner's
<br /> Prokectio� Gulde re ared b, the �loi�da �eparkmer�t�af E0.grlc�a(ture and Consum+ar.AtFaics, Of Q4�e a�ppl4c�nt t� ��meone � ...
<br /> other tha�th�a"owne�', !certi�y:#hat t.tr�ve.:a�tainaa-aFcopy;of.the:abtave:.rlescrlbed:dociir�ent,and�.pror�tse�.in,good°�faith�to _
<br /> deliver it to tFi�:`ow�ie�`pHor'�tai�comre�e�c��ii�nt:'�'' ' . . , . � - . • '� .
<br /> Gt}NTR�tC"fiO�r�dQ�t�lER'�A��11�ln1Y�7': �.ce�l;�jr:.t#i�t:alt.-fhe,lr�formatie�.#n�tht�appllcatto�is ac:�urefe.a�d tha4�6�work
<br /> v►nfl'be done in compliance wfth all appllcable laws regulating oonstnacNon, zon(n�and�land'�.develqpment. Appltcatlan.fs
<br /> hereby made to� obt�ln .�.permit t��do.;work�;and .InstalPa4lon �s !nd#�efed:•:�--:#� c�n#jr that tto work-:or fn�talCat�on lias
<br /> commenced prior to issuanc� of a p+errriit�and that:alt work wilt bs� p�rtormed�to meet stand�rds.�of all laws regu(a�ing-
<br /> consh�a�ctlon, County and City codes, zoning regulatlans, and land development regulatlons�tn the jurtsd(ctlon.- I�al'so
<br /> c�r�fjr tha# 1 understand that f#�e regul�fl�ns o#other�gov�rnment ag+an�ies maY��PP�Y�#o th�..lmt�r�ded work, and tt�at i#is
<br /> my respons3bllily to(dentify•what.�ctions I must•t�ke:to,be,5ln:.compllanr.�.,,Such,a�encles lnclud�=but"are.not 9lmbted to:
<br /> - ��partmen# of Et�vfronm+antal'IProtection-Cypress.�B�yFiea��; We��nd Area� and Envdronmentally Sensitive
<br /> Lands,Wat�r/Wastewater Tre�#ment. �
<br /> - Sovthwest Florlda W�ter Managemenk-:L�isUlct-W�IIs;� Cypress.��t3ay.�ead�; UVetland Areas, Altering
<br /> VV1r�#ercr��rses. . .
<br /> - Army Corps af @nglnears-Seawalls, Docks, �Vavlgable V4l�terways.
<br /> - De�artmenf of,.,Healih.:.&.:,Reltabilitative,Setv�ces/Enu��nmenfal�H��lth�llnit--UVeDI.s� {t���t�v�tater=Tr�atment,
<br /> Septic Tanks..' � ,
<br /> - US Envlronmental Protectlon Agency Asbestos�bat�men�.
<br /> Federa�Aviatton.Author0f�r.::fturnnray�.-
<br /> I under�tand.that the.follo`iniing::cestcictlons appty�to the u�e of flIE:•
<br /> - Use a�€fill ts not allowed 1n FloodGZone'°V"�nEe�s sxpeessly,pe�mlfted.
<br /> - If the.�fllf materlal-Is to b.e useid::ln.�Flood Zon�. "A°, It. Is understood that a dr�inage plan addressing a
<br /> "campensating volume" wlll be submttted at�Ime of�.pem(�I�ting wPifclt is prepared b� a professi�nat engineer
<br /> tic�nsed by#he State ofi Fiottda: � - � �
<br /> - If th� flA ma�terlal=is'to be used In Flood �bne 'A" !n�connecti�n�wlth�a �ermltted bullding asing s#em wall
<br /> � co�structlona i eer9,i'�y#�sa#t�l:�ll.•b.��t�sed onty.to#i!I the�re�mv��ttin:the�st�m�yta11.
<br /> - 9f flll materlal ts to be used In any a�ea, I �certiPy that .u��. a�f:such flll wlll no# adde��e9y a�fl�ect �dJacent
<br /> proper#ies. �f use:of f11i ls foc�nd to �dv.etseEy:af�ect adJaeerit�properties�.the owner rn��be�ited f�r vio[a#Ing
<br /> khe condltlons.of the b�llding'.perm(t Issued�under the:attach�d,�ermlt �ppltcatlon, for:lats�.less:than.one (1)
<br /> �cre whlcfi are elevate�i�tiy fllt,a�englne�red d�aln�ge plar�!s requlred. .
<br /> if 1 am the:AGENT I�OR YFIE�OWNEit, l;praimise in.good.f�fth#a�infoem the awnerof�.the pemnitting conditions set forth in
<br /> dhis affid�vlt°prior�ta comm�ncing� constructfon. I unders�and that a�s�p�rate�p�rtnit may be requtred for electricaC work, �
<br /> plumbing; signs, .wel1��..Poals;,alr-candttEanir�g.�.9as,..or..other: tn�taEt�ttons not,spec�llcatly 1n�tuded-tn.the�application. .A=
<br /> permlt lssued shall be construed#0 6e����Ilcense'to proce�d w(tb th�tniork and.nok-�s.authodiy..:to:vlolate;.:ca�cel� alter, ar
<br /> set aslde any provistons�f'th�technt�al..code�;:nor shall lssua��e��g�.parmit_ptevent the�ulldirig G#�{c!a!fro�m thereafter �
<br /> c�quiring a cocr�ctic�n.af err.ors-tn;plans; consfrritctian.�r vtolstiorros�fi•�ny codes. .Eve•ry��p�e�tnit-lssued s�ali-6e�ome invaiid
<br /> �anles� the wark authorized by st��h parmlt:�l�.comm�ncad•ve+ethls� sfX.m�nths of�p�rrnit Is�u�nce, or I�'work autho�Azed by
<br /> the p�tmit 1s suspendedior,.s6ar.adoned;.#ac:s:perlod=of-si�.�8}�ene�n�is.a�fer the#Em�#he�wot�k�is ca�im�n�ed. An e7ctension
<br /> may be requested�,!n wrlting;:.from.the.Bulldtng,Offlclal for a p�rlod.:not to �xceed���nlnet�.°(90)���ys �nd viilMl`demonstrate
<br /> )ust�iable'cause for.•the exten�ian. If wock ce�sa�,for r�Or���t•�90}coa��.ecutive�day.sr_th t�ob�ls-consldered aba�doned.
<br /> �RPARNIPNG TC1 OWNER: YOOJF�-�AIL.IJRE�TO.,:R�E.C.�[tD,A.:M�ITIC�:.OF.�C�MI9AENCEMENT;I4AAY:RESULT IN=YOUR
<br /> �'J�YIPlG TWtCE;:1=.tAR 1t�1PROVEMENx�•T�i:Y-QU�°:P;Rt3PER�TY:�•�I��:YO.U�1�°€E�itD:�{1i;:�OB�'�tN•jF1NA�f�1NE�;'Ct�N�Ul.T
<br /> IT . C9 /�N• TTO N �1.��, � G�t � U ' ;C - - .
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<br /> FLQR![7A J!lRAi'>dF.S:�17.43} , � - . . _ .
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<br /> fa�V6+lER OR AOLId7 . � CONT�ACTA _ .
<br /> Subsaibed and awom to{or aflflrmed}beFor�m�tht� Sub€cr�E�ed arad'swa �M(a�a��'�1ad�' e'tt►i�. ,
<br /> _pa�,�'- ��e�..�_
<br /> tiv �=�._:ar � ��, —
<br /> 1Mio Islare personally,knorm to.me.or;has/have.produced, . Who.ls/are p.er�qna, knavy_n:tpVt�I�e-or ha�lhev.��produced •
<br /> - -es Id"entlftaatlpii.� ' ��r��a�e�-s l,lC2r� Fcr)►�tG�-�- as tdendflcatlan.
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<br /> Natary Publtc . �.���--' Flotaey PublEc
<br /> Cammisslon No:'� Com la �• �,,,'Y'=",., ,
<br /> '�� �::� Comr�ission#FF 150422
<br /> Mama ot Notary typed�Pdnted ar stamped Name of Notary!yP ,$„,,,, <ar � F�;n�,�um„�eoa�es.7ovs
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