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vuhtcn may�oe�rnore�Cescr:�c:��vv-uri�rrvvuruy,e.a�...�.......... ....— ----- --o=.---- - - _ _ , . . _ - - _
<br /> applicable deed-restrictions. - . .. . . • y y ` ' �
<br /> tU��.;G�lS��t;CgA1TIt�l�T�R� AN� �9M�CTO�����PANSI�M�lTI�S: tf the av�er has°�hired..a..cont�actvr or
<br /> contractors to unde�take work, th�y may:be;r.+�quired-to:fi�<li�sensed lta,accordance.with state-.and:tocal regulattons. ��f°the
<br /> contractor (s not licensed as requlred�by law� both�the awner and-contr�ctot may be�cited-fora{mtsdemes�nor vtolaHon
<br /> undar state iaw. 11`the a�tner ar Entendsd=co�c#or sre:�uncertel� as to�v�tat#tae�nstng.r�qutremerrts.may:apptyfor the �
<br /> intended woHc, they are advised to co�itact the-Pasco Caunty��uiltling(nspecNon Divl�ian—Ltcenstng Sectian at?Z7-84T-
<br /> �009. Furthermore, !E the owr►er has�h#r�d a contractor oi contsactoPs, lt�e !s advlsed to have ihe contractor(s)- sign
<br /> portbn� of the°c�n#ractar.8tec�" of thl�,appltoatian for.wh6ch they w11t be resportsit�le. �it you.-as..the owner�sEgrt a� tfie �
<br /> contr�ctor, th�t tnay be an indication that fi� is not�.properib lic�nsed a�nd�1� not en8ded to permittin� priirllege� In Pas�o�
<br /> �ounty. �
<br /> �'�N���RTATI0N�II�IE�ACTII�TI�ITIE�`tMRAC'��ANd R,�SO4d�Cl�RE��Yl�RY�FEES: T�e undersigned understands
<br /> �hat T�anspartatton 1¢npact Fees:and.Recourse Recove.ry.Fees may�.app1y�#o:tf�e canshua�on of new bupdings,°change of
<br /> use in existing buildtngs, or expar�storrfof�eiittsti�i,g.°�6uiidings. �s speolfied.in Pascq County Ordinance number 89-07 and
<br /> 90-07, as amended. .�'�he undersigned also:understaod�; that�such fees�-as�may�be•=due;;wil{:�:be adentifled at the�time�of
<br /> permitting. It 1s€t�rther understood th�t Tr��porta#lan Impact�'ees anr��Reso�acce Reco�ery`Fees musf be patd prlor to
<br /> a�ecetdir�g� "certiflcate of�occupancy" or flnal pcwerR�lease. :If�the.proj�ck;.daes not invalve.a��certi�cate of occupancy,�or-�
<br /> �fnal p���r r�le�s�;-t#ae-#ees mu�t 6e pald prtor#o p�rmit issuance. F��tt�ercc�ore;�i€-Pascg:Goanty 1Nat�r/Sewer Impaat
<br /> f�es are due,th�y.�nust b��pald p�lor3o permit�dssy�rice-�n accardance witl�;appitc�bte.Pasco�ounfy ardinances. -
<br /> �2���'�'E3U�TI�N l�IEN L.A1��Gh�pter�13,6�l�rxi�s S�tut�s���rn�nded): ff valuatton of work Is 32,500.00=ar more, i
<br /> certiiy that i� ti�e applicant, hsva-b�en pr�vide� wi#h a copy-of�##�e�°Flortda��Constructton� Llen Law--Homeawne�'s
<br /> p'roteaklon Guide" prepar�d by'tFie Floi�da D�partmen4�af Agric.uiture and Consumer.Afiairs.- If the appi(cant ts sameone
<br /> Qt�l@T t�laTt t{1t3 rOWC18T°, 1 certify.tha#I�have obta�ine�cl=a=c6pY;of the:above.descr�b�d�toctsrt�enhand:p�tt�lse�irt:�ood_fal�h to
<br /> deliver it to the.°owne�`prior to�commencameint:' � � .
<br /> ���l3'R�aGT��'S/QWt�ER'�1�lFI�AYIT: 1.�eiEify..#tiat.atl�tt�e�,lnf�rr�atlore:l�thi��ppll�at4vn is accurate.and #hat all work
<br /> wiil�b� done in compiiance�ith ait.applicabte Isw� regutatirtg aonsbva�on, zoning and:l�nd d�vefopment. App(icstton is
<br /> �aereby made to.obtain .a.permit to do.:�ow9c:.and IhstaUation as indl�afed:•�.:I certNy that n�o work or tnsE�illatton h�as
<br /> cvmm��ced prlor to Issuanc� of a p�rmlt'�and tl�at.all �rork wlll �� performed�to me�t standa�s of all laws reguta�ing-
<br /> consgructton, County �nd City codes� zoning regulatinns, and land dedelapment regulatlons;in the Jurlsdtctton. I�ai'so
<br /> ' c�rtii�y thaQ 1 ue�derstar�d that the r�gula4lons of other goverr�cn�nt ag�ncl�s unaY��PP�Y�ta#he Intended worl� and that it!�
<br /> � my respons6bllity t�ldentify�what.�cttans t must t�ke:to beYin�comlpltar�ce, 5uch ag�ncies tnciude but-are.not itmifed�o:
<br /> - department of Envtronmental°Protection=Cypress.�8ayh�ad���1t1le�and Areas and Environmentally Sensitive
<br /> I L�nds,WaterJWastewatec Tresfinen#, . -
<br /> i - Southwre�t Florida Water Manag�ment :�isfrict-Wells� Cypress.Y+Bayheads, Wetland �4reas, Altering
<br /> Watercourses.
<br /> - Army Carps nf Engtneers�eauvails�Docks,i��vig�tile lM�Qervva��.
<br /> - Department of �lealth�:& Ret�ablli#ative Servlce�/{�nv�tanm�nfal He�lth UhitWell.s, {Ma�te�ntat�rTre�tenent,
<br /> ; SepOc Tanks. - .
<br /> - U�Envlronmentai Pro4ection Agency-Asbestos abatem�n4.
<br /> Federal Aviat{on:Au#hority=R�tnways.
<br /> t undersQand that the foilowing.�restriotlons�pply ta the use of fill:
<br /> - �ls�a��it!!s-nat allowed ln.fload�Zone"V°unless expressly permltted.
<br /> - if th� fill materiai is to be v�+e�_in:•flood Zone. "A'� it. is undetsto�d #h�f a drainage pfian addressing a
<br /> °"compensating volume"will be submltted at�ime asff peFmittln�which is prepared by a professtonal engineer
<br /> Ilcensed by�tte State af'Fla�da: • -
<br /> - If the fill material Is to be used In Flood �on� °A" In=connec#!on�wikh:a����rmitted building using stem wall
<br /> , � _ constnacttan,l cer��jrjr that tilE:�irJll=be used on9y.to#111#h�ar�a wtthln-the•stem�rall. �
<br /> - If fill materiai ts to be used )n any aree, i�certti� tha# .use of sucfi fitl will no# adversely affect adjacent
<br /> properties, If use�af fl!I is foun�to advetsely:�ffect adJacent�prcfperties,.the►own�r may be clted for.vlofating
<br /> the cond�iar�s of fh� b�ilding:.perniit iss�ed�under#he at�ached,�ermit applic�#�on, for,lots less than:ane (1}
<br /> �cre whlch�re eleva�ted�by f111;��engtneered dral��ge plan is requlred. .
<br /> 8fi 0 am�he&AGEMT EQR TFIE QVIf��E6�; i;promise In good falttt to lnfor�#he awner af the.pemrtltttng condl�ans se#farth in
<br /> �his afitidavf4`prior to c�mmencing co�tstruotlon. I und�rstand that a�separate�permit may b� requtred for etecfricaP wark�
<br /> �al�ambing, �igns, welis,.pools,,alr conditt�ning..gat�, or other lnstall�tlons �ot.spec�i�lly included�In.the appiication. .A
<br /> parmi!issued shat! be cor��ued to be-a=iicen�e ta�proceed uv}ti�##ie�vark a�nd not as:�uthonty-#o ulotate.�cence{, alter, or
<br /> s�t a�lde a�y provi�tons of tiie#echnlcal cod�s;�nar shall issuance�of a.permit.prevent th��ulidtrig C►#ficial from thereaf�er �
<br /> �eq�l�ing a correctlan af er�ors 1��•ptac�s�con�t�uctlan ar violaUan�of any code�.- �v�ry p�ermit lssned shali-become invalid
<br /> uniess the work autho�i�ed:by��ch permit��ls.commenced•�vt�hin si�t months of perm(t Assuance� or if vvork authorized by
<br /> khe permlt Is suspended�or.abandoned�for��:period.of=sbr��)�rnont�is aft�r the tirrte the�wo�rk��s commenced. An extension
<br /> may be reqctested, in writing, from ttie.��uilding,t3�icial for a perlad:nat to exceed�ntneiy�(9D)days a�d v�ff detnans#rate
<br /> justifi�bl�cause fpr.•the extensiar�. If�vork ceases:for ninety(90)cons.�cutive days._th`job�is consfdered aba�doned.
<br /> �c���llFdG T�D ��@lNEF3: YOUf�..FA1LU6t�Tt1,RE.GQ�t1� A..I�OTIC�:OF°COMMEi�CEAlIENT�IIIFAY•RI�SULT II� XOt1R
<br /> �'G��f��l�'�!!CE�tK��}=1MPRA1tl�ME11�'S T�1!�(QUE�:P�I�PE13'�1: !�°�f�O.U� .�E�!.;4A;° �da►4N4FiN�CI�EING;�Ct��ISU1.T'
<br /> �8�9$ U A{t� QIRNEY'• F '. ��O �i �., � �• � E � �
<br /> FLORIp�4JURA'��(F.S� 7 ._ .. . . . . _ _ .
<br /> 42WWIdER OR AQENT ' COAITRd1�T0 - ,
<br /> S bed and swcm r a rmed)before m _is 3ubscrib � nd' � ot rmedrbefore 'ttii�' .
<br /> bY �by- • --
<br /> Wfio sl re parsonaliy known M.m�or�hesfiave produced ts/are pensonailyknowrt:iv nte or hasfiaver•prodiaced •
<br /> �a identlflcadon. as Id�nBficaflon.
<br /> � � � �
<br /> --"����C'/�'' Natary Aubflc . � Notary Publlc
<br /> Co ml�slon No:` � Co I�slon�Mo.
<br /> �� � ` U � t � t�
<br /> Name oI fdotary typed,pHnted ar stamp � Name of Plotary typed,printed or stamped
<br /> ;*.��.,.,•�.r.�,---__ �..�,
<br />, t:;:L�,i�?;�;�' DEBRA ECAINE R— �� �— ��` . ,.;�t""Y=::�;, DEBRA Ef.A1N�Rt1FFELl.
<br /> �� ; l�., ,,:Commission#GG 045343 ��; :,;:Commission#GG 045343
<br /> '�or=Expires November �. :'`' p�es Nove
<br /> ; 4,.'Ex �r mber 7,202Q
<br /> j; �'�'„*.'4`°�,9ondeGt�ruTroy�alni�urance zq — '�P�t:i;:•`BondedThruTmyFaiohrsura - - -- - - ---
<br /> BOD-3d5�70f9 nca8D0�8�T019
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