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t�PR-�-2017 09�3A Fram:Uenture ConstrWotion �1�C897��3 T�d;8137���1 Ra�e:3�3 � <br /> J' <br /> r • � <br /> f , <br /> �arn�cE o�a�Eo�s�tc�ns��rs: �rt���rsra�ea u►�d�tan�s s�cnts�e�may be su��t to°d�r�ans� i � <br /> , whit�'+may he r+r+4r�resutcttve!h$n Ca�miy regutatians, The�ndersi9r�t assum�s resPtit�s€bbility for c��rant�wtt���r�y , <br /> app��e(�12 deed restriCtlm+s. � � , <br /> ilf�l-��4SED G4t+CCRAC'f'OR5 ANIi C�D�iR�,GTGR l2ESP�b!l�tS31B1l.m�S: t#tha avmer has hired a corrtractor ar ! : <br /> cantra�s to unde��tca t+�fc�they rrtay 6e requi�d to he#tc�rs�lQ tn ac�crrcTera�rvfth statta a�ut tocai reg�rta#ioss�_ if Ute � <br /> contractor f�nat Gcensed as requrred by�aw.both t�e owner and aontractnr ma�l bQ cit�d fa�e mtsdemeanot vtolation ` ' <br /> under s4ate law, �f the ormer or ir�ted oo�ttrsctor are uneenain as ta what!lt�ar�sing[ecNfs�metit�t�aY�A�1Y far lne � , <br /> iritet'tde�woeic,�Y 8r�ad+�Sed t4 COTif�t�tY�PaSL'O GLtiEtiiy 8t�ld'�InspBt�►ott OtVistot�-t.issert�ut9 SEd[oza$t 7�7-S4T• � <br /> 8008. hi�rUrertnore, if the owr�r has hlred g contador or conVacta�s,it�is adsrised fo hsve€he casttt�ctar(s)s+�n <br /> �Sa�Gqns of th�"mnU�aictor�(a�k'ofi this applfca�an for which they wilt be tespor�glbte. if y+�i►,as the owr�er�tgn as Ihe <br /> contractar.t�at may ber an#adts�6on�hat he is ttat P�Pet1Y licex�s�d and ts nat entitled tc p��mti�ing pt�+r��s in Pssc+R <br /> Counfy. <br /> TRAt'1Sf'ORTA710N IIYIPACTi[1T1LI71ES!HlFAC:'{'AA1Q RESOIl�tCE REGD{/E4iY FEES: Thd uf�e�a3gl�d Unt!letstarid5 I <br /> that Trac�aportetian lmPaet Fees an�R+acaurs�Racav�ry F�s maY aPAtY tn tf�cansdrucBan ot new buildings.�angs s� � <br /> �,se in exlsting b�#dinge,ct�m�par�ion oP�sting b�tl�ngs.es s��c�d h�F�acd t�ify Ckdtna�nurrd�er B�-o�and <br /> 9D�07,es amended. Th�undertsigned&iso undea'�stands�that su�h fees,d8 ntaY Ge due,u,�ft be idenOiRec�at the Ume of � <br /> pamu�ing. It Is tu�iher undetstood tt�t�'ranspa�lat�on Impact F�and itea�ra�Recavery�ees must 4e p�i4 prinr ta j <br /> reC�'Vtt�g a°c�6Cai�a�+f a�P��Y"or fir►�t p4Wsr r�S�e. if 2t+e prti�t doEs aut GtYnlve a���i�t�ts of cu�iip9ttGy 4t <br /> 8na►power r�Eess�.tts�iees r►u�st bo paid�oo ta penriit i5suanGe. Furihermote,!t Pssco Caun�Y WatatiSsi�ver�rr,pact � � <br /> fees ate due,theY must be pAtd Pfior t4 pemslt Issuance fn�aordanca w�tr�ppCroa4le Pasca Cpt+nty ordirtances� . <br /> C�3Nst'E�UCTIQM u�N LAW(Cnaptsr 775,�Iorlda Si�tutEs,as am�ndady: 1f valuafton of wark is�2.5b0.00 or mm�e,f <br /> C�rti£Y#�t!� the ap�lit�nt, t�ve �n Rt�vtd�d vdth a txtFy Cf ttte"F7orids Constructiart#.tett l.�aw-1it�!'cteawitss"s � <br /> Pmtectlon Guide"pt+epared by tne Flarfde Departmeni afi Agr'�cultur��nnd Car�tutt�r�f�atrs. 1�tits appikar�t Is so�ane � <br /> olher than tl�e"ov�r",i ceR'dX lhat I h2ve obtained a eapy ai the abare descrlbed document and{uvml�e m gaod#8itl�b ' <br /> dEIIV@t it t4�ti'r°O�tl6;T"j�F�Q C�lt3tTt�Clt�;fiE�t. <br /> CCW1RACTOR'StOYI►N�it'S AFF1bAYir !cer6f5t that�it tha informaGcn I1r this appGmbon ts aacurata and t#sat au waic <br /> wip tsa done in compilance witt�atl ap�zlicable lavrs regulati�g�onshudton,zw�ire9 and tand devebpmen� Appficatlon is � <br /> heteby tnade to at�fain e pezrts;t to do�trark ar�d ir�stallaiian�s d't4�Cated, !�artity thsk no wvr�or ir�staAafl�n has <br /> cortntrers+�d priw'ta tssosnc�s af e pesttiit and fhu#s�wutk v�tt be p�fatTrted fa me�f s#at�dsrds af ati taws r�gu�a�ng <br /> cor�steuct(on,Caua4y and Cky cades.xaning r�g�ietfdns.ard la�ttl aevalop�t tegul�6oa►s in the JWtis�cttan. !afsa I <br /> — �-Gtat-l-�derstatad�f-t�rsgufattnn�.o�othecgovemmen��e►uies,may.$ppty.to.ihe.4�ternied,.wodc..�nd.tbatf#is_____..�..�.. . __ <br /> ��� f7��partnsent o Frn�o memai PmEe�Cyprctiss e�ayhea+i�.Vv�rtd�ar�t�n�ro�tdal�nsiGv� ' <br /> �3flf�Sr WdxBTNY8SN2Wflt�`(�'E8�11�. � <br /> - .'�t.'Gtt�UfBS� �41�9; �&�EI {VJ2FIA�QT�'•it� �rt'�W1��S. t'r}�(JfE9S '�ftQ8t�6r w@ti8t11� f1f80Sa �� - <br /> SfVat2tCQIN39S� I <br /> - Army Corps af EngineeraS�awaAs,par�,Na�gabts 4vale�way�. i <br /> . �rtt�er+�t of HeaEth &t2ehabiGtative ServtceslE�nr'�ronmen�l Fi�a1HS lMit-WeNs, tAtast�watee'frestrrt6r►S, <br /> • U�S Er►v�ronmontaf PrptecGon AgsnCy-�eatae aDatement <br /> - �'e�der�t Aw9a6on AutJtoriry-Etu�ays. � <br /> {an�ers#and tlrat tt�e faitffv�ctg te�Gir�on�a�g3p�Cs#F�cts�tsf�iii: , <br /> - tlse of fi11 is tiot a►lov�ed i►t FtaaB Zotte"V"u�ess e�t'�B�Y pstmi{ted. � <br /> - it the fiu r�aterlal �s ta be use�tn �lood �"A", it i� u�t8etsioad 1S1at a cltain&ge plan addre5sing a ' <br /> "comper�akrtg volume"w1li be subrnitted at Ur�of p2trrdldng wh�d�is g�s8!'�t!bY e Prat�ssian�l engine�' i <br /> lic�atsed hy t€�State of Ftor�sa_ <br /> - N the i�i mate�l ia W be crsed in�load�or�"A"in com�Uan wjW a�bui�ding using�gtam waE1 ; <br /> cons3ntc6idll.l cenidy tt��t fit WJI be tr,�tl onty to�11 the ar�withln 3�a stetn vr�U, <br /> - Ef fitt mei�ais� is to he�f in ar3y�a. i c�dfy tl�at uss ot�h�q�vlp aa!ad+r�Fsely��t adjac�st , <br /> G�Perties, if use af Bii is fou�ltl 3o adver�elY affsct ec�c�t Prape�i�s,ihe ownar rrsa5+be ated ior vtffiatlrtg <br /> the oonditiot�s vf Ute Gu�ng t�f issue�t under the�Hadted permd eppl�caUar►�far lots less thar�ons�7) i <br /> a�a v,�r ece�tevatsd by+fil�,sn erigi�eer�1 chatnags plan�s tsqufresf, <br /> K 1 am ttsse AG�EPfi FOR THH t�WN�k,t grctmise#�gtiod faif�ta 6nftirm t�e c�er of f�e permitkr�t�d�s se!fatlx in , <br /> Ws atfldav�pNa to carmnenc�g cans6rucUan� I understand that.e sepatate pem�it may k�r�quasd for+�ct�imf wotk. <br /> �umbin9�st�ns.welFs�Poals.2�a4nd'�tonfng,gas.ar atl��installalions not sp�citicalfy Urciuded tn Ihe appUca�lan. A <br /> �ers�issueti shal�tte cactsfrued#o tre�Itcz�tct praceed vs�t�the vrork�nd r�s�as suthaf�r ta vtai�te,cant�l,s#tee,or <br /> . sst aside any protisions of u►e technicat eades,nar uhai{1S5uanG�of a parmii p�vant the�u�ding t}fl3clat fram N�+eaft�c <br /> requiring s catte��a�of en'brs in plans.Construc�on or tiplaUor�oF�r�y cades. Every perrnH tss�ed&ha11 becams inva{!d <br /> untess the,rr��authot�t�d ay sucn p�rmit is commsnoe�l v�at��r�s8s mor�ns at parr,�t I�suance.or i�worti aut�o�ee by <br /> 0 <br /> the pem3t i�suapsnded ar�bar�dor�c!tor a pertod of si�t(8y maritt►s after ff�Wna th�wo�C is comm�t�t�d. An e�nens�on <br /> may he r�u�t�d,in v+mi3ng,tram the 8�itdir�Oft'icrat tar a perlcd rtef to exceed r�ety(9A?tlays and vvEl1 demnnsvate � <br /> jusdfiabl�ca�+a2 tar the extEnsion. If vroelc ceases far rtLt�ly(90)con9aasl�e dery�s.tMse jab Is can8ftle►�d abaru�opetl. 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