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ld�T1GE a�DEEt?RESTRlCTlQNS: The t�nder.sigr�ed;�nde�stands�;th�t:thls.:p�rntlt bmay_,be,sub���at.to`deed",restrlatlons"-�...��.�. �.,., <br /> whicfi may'be`�iiior�'r.estFictive.#h��Coun#y�regr�lat(o'n's:�YThe aandet^�igr�ed�as�ume��°resp�n�ltititty►�fiar"compil�naa��vrtith�any"" - <br /> applicable.deed resMctlons. ....,..:- _. .. „ - � _ . _. ,_ ,�, • ~. � <br /> UNI.tCEPi�ED=Ct�MTRACTt�RS;AFtD Gt}N�RACTt�R�RESPONSI�I�:ITIES: E€�t�e•mumea� has��hirei! a�`�vritractor or <br /> contractors to undertake work, they may,be�.:reqi,rlr�d._ta::be,llcensed ln.eccardance.with„state.and=l�cal,regulatlons. �if the• ' � <br /> .._.,. _, >.:..:.<,�:...>.�..,, ,. .. - �. <br /> cont�actar is-nat �ti:ensed as'requlred,`6y lavV, both�tt�e awn�r_and°contractor°�may'be�aQted:f�r-a�mtsd�me�nor vlola#ion <br /> �ander state l�vv. If the ovuner or in#ended;;cont,r,actor=,ere,unaertatn as to whaf ilcensing requiremont� may:epply-•ior:4he,.� �- ° <br /> �-..-,_ <br /> intended work,'4hey are�dvised to caintact tfie_Pasco.County�uUdd��g'In�p�ction.Df'vieton--l:t�ens(�g Section at 727-6�47- <br /> _. <br /> ��9. FurtFiermore, tf the awcier'lias��lil�ed'a�c+�n�ct�r `vr cantr�z�t�rs� ti� �s savis�aa to have;tne contractoc{��.,,sign <br /> portions of the�contracto� �lock".of,thl�.appllcetian..for,which.they.wlll.,be.tasp.on�lble..-.•If yau;.�as�:�he owner'�slgn�as�tfie" ' �� <br /> �ontractor, that�may°be an lndicatlon th��''he�l� not properly'llcen'sed`anc! Is not'ian4ltle��to permltting prtuileges in Pasc� <br /> County. , , - � , ` <br /> `�RAIdSP�MtTI�T'ICIIV:IMPACTIUTILITIES>I�lPAC7�AR1��tE�OU�tCE 9tECOV��Y��EES;�'h�ur►dersigned�understands <br /> that Trar�spartatEon Impact Fees�and.Re�aurse.Recov�ry.Fees may��apply,rtto�#�e;const�ucttan,:o€r�ew..buiidings,�change of��F` �•:�.' '� <br /> use In exi`sting buildings, oc:.expan`glo�r•of�euistin,�:'�brii0dings, �s speclfled.in P��cv County Clydinao�ce number 89-07 a�nd <br /> �c�-+��, as amenti+��...,_,icil�tyTi�f"1C5i���ta BfSCfsUR�B�`S��1t�3, ��i�'suc�Yee�,�,�s��treay;:i�e:�du�;,_wii1.:6� �deri�fit�d a��#he�t#me-of== : . . <br /> permitting. it is furtiier und�rsiood that Transpor#a0our lmpact��es� ao�if��Resource;!Recou.ery�Fees�.mus� be paid priar to <br /> eeceEving-a."cerfit�cate ot�occupancy"•or flnal�power.��leasa: :t�-the.pro��ckwdoes�not(nvolve4a:icertlticate af�ccupanQy,�o���-�=�� � <br /> ... <br /> f�nal power.release;the.fe�s mti�#�be pald,prlor#o-.p�rm3t is�u�nc�. ,F��them�ore;`:I�.Pasc€i,;Cnunty�.�Wa#eriS�wer.=;impact .,.�.,., <br /> fees are due,.,they�-must be-pald�•.pNor#o..perrinit�:lss�ance;.in.accardance wlt�:�ppllaabie.Pasco'-County o�tlinances. - <br /> CONSTRUGTI�}}N'C1EN"�Ai�t(Cfi�pt�r 7�3, �IoNd�3t�#a�tes�a�am��d�d}: �f aralua�on of woi�c Is$2,5QO.Ot}�or mcsre,..}:{ , . <br /> certify that �, �h�: applic�nt, have.-been-provided_�wB�h-a copy� of the��"Flor6da°-Constniction: Lierti .Law Homemwne�'s <br /> ProteoQto� Guide" prepared by tF�e Flni{da Departm��C af a4�rtc.ulture and Cor�sum�r:Af�alrs, If 4he appttcant 1� someone,. � � , <br /> 5: r. , �i a �, <br /> mther than#he"otivner", t certifg�.that i,:h�ve.cibt�.ineid�a�copy;of:#he:abave..rJ�scrlbed��doca�i�ent°and:.promiser�ln,good�fai#h�to <br /> deliver it to..the."or�vn��"`pi^ior`ta��coenrr�'encemenl:' . "' ' ' � " � . <br /> �QNTRACT#DR'SlOWidER��AP�IDA►111�'; 1.ce�t;dfy f�ia#:�11.the.�lnform�Qls��r In�thi�appPtc�t{on is��curate�nc�that atl work <br /> will'be done in compliance�nrith all.appilc:�able laws regulaUng aonstructlon� zoning and�land�.development. Applicatlan is <br /> hereby made to. e�btaln..a.permtt ,to:do�,�tr.�rkj:and,lnsbaliatlnn as tnd#�efed�•:-.-�! ce�titjr that no work=or 1ns�alia#�on �ias� <br /> commenc�d prior to Isst�ance of.ae permi��and #hat:�tl work wllt be perF�rmed to meet standacds.�of �li laws regulaking� <br /> conshvctton, County and City codes� zoning regulatlans, and land development cegulatlons`in the�jurtsdtctlon.- (�alsa <br /> c�ttity that 1 uetderst�nd t���#he regulatt�ns of s�ther government�gencles m�Y•aP�fy�#a the..intended�►rork, and that it is <br /> my responsibilily'to identlfy�what�ctlons I must•t�ke_M,b�,in:canlpliance,..:Such.agen„cle�includ�but=are.not Ilnr�ited to: <br /> - Departmen# o� Et�viron�enta9='Pro#ecttori��ypres�i.�BayFiead�;�iNe�and i��eas and E�vlr�nmentaily Sensi#ive <br /> Larads,Wat�ridll�askewater Treatment. � <br /> - �outhw�st �lorlda W�ter �Ifanagement:-�:�(s(rEct-lfifells;' Cypres�.'+�sy�iead�;� W�tland Areas, Altering <br /> Vt�afercourses. . , . <br /> - �rmy Corps of Engineers-Seawells,'Dock�, fd�vlgaple VNaterways. <br /> - E3epar�ment of.,Healfh:�.&;=Rel�ablli#ative_.�er.„vlce�lEnvirotomenfat_.Health t1�t#-We1is� 1�astewater=Treatment, <br /> Se�tic Tanks.. � . <br /> - liS Envlronmental Protectlon Agency A�bc�stos ab�tement.. <br /> Federai.Avtattor�:Authority-Rur�ways. <br /> 0 under�tand that the:follow�ng,<restdctlons apply�ta the use of flll:• <br /> - Use of f�l@ is not aliawed in°;�taod,Zon+�"V"unl�ss ettpress�ly,perm�fted. <br /> - if the fllf material is to b.e u�etl„'in.�flood Zone. "A°, it. Is understood th�t a drainage plan addressing a <br /> "cornpensatMg volume" wiai b� submitted at ti�e of�,petmltting whlch Is prepared by a professi�nal englne�r� , <br /> Ilcensed by#he State ofi�io�lda: � � = , <br /> - (f ih� flll materlal�Is to b�-used In Flaod �one "A" in�cannectlon�wlth�a�permltted buildirtg usi�g stem wal! <br /> � constcuctton, t certify.that fiit.w�ll.b.e.used�rety#m..f1li the area w3thin�the�stem�wati. _ • _ <br /> - If flBl materlal Is�to tie used 9n any ares�� B �ce�tlfy tha# .use of;such`flll wlll r�ot adv��sely affec4 adJacen4 <br /> properties. If use of fitl ls foun�t to.advet�e�y,�f€ect adjacent�prope�ties�.the owner ra�ay be clted for vio��ting <br /> the condillons�:ofi.the bulldOng�'permit Issu�d�und�r ihe ��fach�d..�rmlt.appl(catlon;°for:lots�.le�s�lhan.one (1) <br /> acre wtilch are elevated�6y f11t,��t engtnae�ed dralnage plan!�requlred. <br /> If i am th�;J�GEEN1�OR THE�OYVNER, l��ramis�tn_g�ad faith ta inform the owner of the pemnitting ca�di#lons set forth in <br /> this a�ffidavtk°prior to commencing coristructlon: I und�rst�nd that a�,eep�rate:permit may be tequlred for el�ctrlcal work, <br /> p{umbing,._.s�gns� well�,.Poots,.aEr conditiuning..9a�s,.vr.otl�er InstaEl�itton� r�at.spec�fiic�l�r inclo�d�d�tn.the applicatian. .A <br /> permit Issued shall be construed to`pe°a`license`-to�pr�c�ed with ttie:�iork,end_�nok:as.authodt�r::@o..,violater�cancel, �Iter, ar , <br /> se�aslde,eny pcovislons af 4he.techni+c�l.c�odes;_nor st�all iss��nc��o��.permit.pr.�ven#th�Bulldlrig O#�lct�E from thereafter <br /> requlring�carrection nf errors lnhptens; consfructlon.or..viotations of�any codes:� Every��permit�`ts�ued siiall�6ecome invaiid <br /> unless the work authortzed.by such perrt�Ot:is.co�nmenced•anritFolr� sGc,�m.or9th� of�permit I�su�nce, or Of woPk�uthorfzed by <br /> #he petmit-is suspended=or;sbandoned;fo�a;Period;of�s�C;{8)�inon#�is aafter the tlt�te the�wortc-�s commenced. An e�cEension <br /> r�ay be request�d, In writi�g;;:.irom.tli��Building,Officie�l�far a p�rfod::not=to exceetl��ntnetji°(90)'rday§and-wilf�demonstrate <br /> j�ostlfiable'cause tor.�the�xtensf��: t#wor.k-cease�,for rutnety.{9Q}eans.ecuElve:day.�,..th`�ob�is.c�nsEdeted aba�doned. <br /> WARNONG 'TO OWNER: YO.U�.,�AILUR��T��:REC.�!EtD;t4.;q�O�IGE.:OF��COMMENCEfiflEI�T,14A�1Y�RE5UL'�IN'YOUR <br /> PA�YIMG-'T'VVICE;�Qi�tMP#aO.VEMEN'�S,T�tfzY�U1�:P�CIPER�TY:=I��.Y��d;IN'€E�ID��O���tfB'�Atld��fiP�t��f�►9t3;'CCINSUl.� <br /> IT U D �1N� 'fT0 N O'R�+, -G.�- =0U �� E � � <br /> ��.o�taa,rt�tu►�:;{�:s:t.�T.os) . ' ._.. ,. . .. - . . .., ,. � , _,; _ _...,.. . <br /> OWMEtt OR AO�NT . C�Pr17'RACTO ' <br /> S�b�crib�d and swam M{or af�nned}before me ih1� Subsctlbed�nd'�vv�am�2o �fl9tmad}•beiore me'ttil�; <br /> by ��Y � _. <br /> 'Wlio Is/are p�►�onally knovm lo.me.or_haa/have,produced, NYho.ls/�re p.er�onally oam ta.me;or has/have�produced. • • <br /> � 'aa!d"eeUftcaBpn. es iden8flcation. <br /> 1dot�ry Pubtic . hlafary Public <br /> Gommisslon Na:'� �ommt�slon�No. <br /> Name of Notary typed,pdnted ar stamped Name o#Nokery typad,p�dnted or a�mped <br /> , <br />