• A' '�.
<br /> i��`T��E�1=Ql�EQ�RES.T.�ICTI��S:. Th�u�d�rslgn�d,u�der�tt�nds.;;#h�t�tlitg>��rrttlf:rrmay,.b..e,�sub�ect:ta,:"deed":�strlctiai�ts":' �_,.�„�:�;.,
<br /> �rhich may�be<more���r.estttctive�tl���`County��ragralat�ons:��'f`hegunder�lgned�'assumi�s,r"es�p�nsiblitty��f�r`corii'ptlaric�'with�a�iy" ` ��y�'.`.
<br /> applfcable desd-rest�lct{�ns. . _--:.:.: �:.`.._.:.,,��. _,A.. . • . ._... __.. ..,_.� �_ ..;; ��._..: :...��_..,,,
<br /> �J6�lLd+�I�N�E�•�61�1NTt�C'�R�,�I�D t�AN'ii�4�T�8i-�E�►P�N�I���iT9i�S:�.�.if't�te��+�rnmer has'�"t�i�e�.,��°:c�e�tractot or
<br /> contractors to undertake woric, they may.=.b,e!�reqiiire�.d::to„�be�Ifce�ns,ed,l�t;�ccofdance.wtth�state�.and,�lacalptegulations:��If�the�,.-' ---�f�
<br /> contractor=ls•not°Ifi�nsed�`as�requli�id`6y lar�r,�tiotit�the ovmea��rid cont��ctor=may,:tie��clted'�for a�misil.etiie�r�c�r vi�lat0on
<br /> under state Iavb. If the owner ar intended,,contr;a�tor;are��unce�4air�.as to�w►hat Itcensing.,,reqa�Irecnents;m�y�papPlyt��for��tlie°-���-� ��=��
<br /> .. ,..,; «.. ., . , .. _ , _._._..n.,..._.,a,�,..:,.,...�.�.
<br /> tntend�d work, they a�e'advl§etl to:�ntsct�tt�e<P�sco-Cc�unty,Bu1lding..ln�pection;.�h�lsli��-l.icens(ng�e�tton at 727-�47-
<br /> 8��8. FuP#hermore, if ttt�e owner'has`hlreri �ccSHti�acfor or coritractors. he i� aifvised to have;,the cantractar{s);sign. . ., ;,,,:
<br /> �..:,;:.,.,fi.:,:. .r,:�,,, ,..-.�_;:��. ..
<br /> portians of the.:"contr�ctur.:�lcck° of;thls,.�ppllcation-for,whlch,they wrill.�b.e.<r,e;spansible:��If ycu;�•as�,�the ov+�ier�sig�i°as"the
<br /> .contr�c#or; th�t�may be�n ind�c�ti�n tha#"tie=ls"riait'�rt�p��ly 10���ised�air�c!'1�'riot'�ntlfl�d t� perm�t#Ing priitlleges i� Pascv, ,
<br /> Counky. . r �:.x:� .. .. =r��.
<br /> T�I��P�RTA#T10NtIMPACTItl�'1lfTl�Saflh�pl4GT��N�iRES�kl�CE ItE�Cl16'ERY�FEE�:�'The�untle�aigr"iisd-iind�rstands
<br /> g6�at Transpartat6on tmpact Fees:�c�d.i�eco.urse R+��avery.�ee�rriay�;app6y<�ta�the�;constructlonLLof.new.buildings;:�hange;,of�'r°` '`-�`_'
<br /> use in existing buildings,�or�expar�sl�in��of�ekisti��:�buildings, �s sp�cffled.In Pascq County Or'dina�c� number 88-07 and
<br /> 90�T, as ame�d�ti.,,::-T�he undet�ig�ed al�a.uRderstandst t�ta�t��such.fee�,n�ts��m�g�;����due,�wllEr-b�.lde�#ifEed at the�'tim�ai�ff��z= .., '_x
<br /> peranitting. It i�iu'r'ther understvod that T�agpo�tatton Irnp�cf�Fees aro:d'�I�i�source..�R�covery�Fees.mus# be pafd pria�to
<br /> y.K:....5..:
<br /> receEving��"eerEtflcate�of�aecup�ncy"ar#�nal�power:fele�s�:° :1€�Ehe.proj�t�.¢aes;ifot Invotve.�az cert�iic�te of occapancy.<or�:�,:�.�:�.•,
<br /> flnai power�retease;>.:tlie.fees ni��.t•�bei paid:prlor#a�,permt41ss4i�nce. F��t�erQnor�;,.if:�Pasco,County"WaterlS�wer.�lmpact� �.:�������
<br /> fees are due,,they:�nust;b�-palid,:prtor#a permlt�fssuanc��.in�accorcl�nce vviQiT:apPltcable�Paaco�:Countji onllnance�. -
<br /> C�tV�TRUCTi�N'�:1EN"L�t�it�Cti�pt�r T13� Fl�r����t�fute���sm�nd�t�): 1f valua�on of'work 3s�2,500.00ior+more,�<I� �, 4��.
<br /> c�rtify that I, #he applicent,.-have�be�n providetl with. ��=c�py-�.oi��the��".Florida�� Con�tructton��Lien�::Law--Homeowne�'s
<br /> Pr�tecti�� Guide" pr�pared by, t��Flor�da Dep�nment�of AgrOc�lt�r�and Co�s�m�r.-;�Afl��rs. If the�ppllcant is someone .:�. ..--�z
<br /> other than#he`owner", I certifjr,��#h�t.ifiave.;obta.tned�a°�eapy.of.#he�above.;rJes,critied�clocui�ent��nd:ptor�l�e�,ln,ga�d::faith to . . ,.
<br /> deliver it to.tlie-°owrier�`pi�or'to corn�iiencem�nt:`, . , � . .. � � : : . �
<br /> ���!'TFt�CT�R'S/OI�N�R'�rA��1�AViT: i.cert�'yr;;fha#:�li��the��inf.mrm�ll�rrair�-tht� �ppllc�tion Os accurat��nd th�t all�rk
<br /> r��.,
<br /> will'be done i� complience wfth all appllcable I�ws regulating constructionR zonin��nd:�land�development. Appitcatlon.,is
<br /> 8�ereby made to obtaln .a pereni�:i#o,:;do�u�ofk.�,and:1ti�##�Il�tion �s lrodl�efeid:x•_.:�� �ertitjr fhat no work�or tnstal4�fioi� li�s�
<br /> commenced prior #o issu�nc� of� permtf`and Qhat�:all work will b� perFormed�ta� meet-standards of ali I�ws regula�ing�
<br /> con�tnicil�n, Count� and Ctty +r�des, zontng eegulatlQns, and land dev�lopmer�t r.eguia�ons�In-the Jurlsdlctiori:�= ;.�4'sa:
<br /> certt6y that 1 understand that the�r�gutattons of ather gov�rnment agencles may�pply:#o:the_Irtt�nded.vvork, an�that it Is
<br /> my�esponslblAty to identify�wh�t,actians!_must�t�ke.;to be��ln:,cc�tr�pllancs:;;S,uch�agencles�ir��lud�`buf�are.�ot llmit�d ta: �
<br /> - Department oi Er�vtronmentaF Protectian=Gypress:'B�yiiead�; N�IeHand Atre�as and Environr;v�entaily Sensitiv�
<br /> Land�,liV�teNWast�w�ter Tr��tment.
<br /> - aoutt�west Flor�da ��i#er Man�gsment�`:�t��strict-Vll�lls,�'Cypoess.�'.�ay_#��ad�� �Wetland� Areas, Alter3ng
<br /> Watercourses. ,.�., . _ - � ,
<br /> - Army Corps of Ea�gineers-Se�wal�s}�Docks,Plavtgatile Wa�e�vvays. �
<br /> .
<br /> - Dep�r��ent�of Heaith;:,�,,R�t�atiilita�ere;�;Seev3ceslEstvitat�men��I�.F�eatth=UnttVVeli.s, �Vliastewt�terfTr�atrr�ent;
<br /> �Septic`Tantis::_�_ _.. , .. . . • . .�
<br /> - �l5�nviro�mental Prote�tlon�4gency-Asbest�s�b�tement.
<br /> �ede�I Avlat�vn�Author,ity-ftun�ys:'`
<br /> 1 understand.that.the..fo3lowing'°irest�ictlons appiy Ca ttie t�se�#flll:•
<br /> - Use of flil is n�t,alloubed in.iFlood:Zone'°V"unle�s e�xpc�ssty p�rnnitted.
<br /> - If th� flll materi�l=ls �to`'b.e usetl:'Ii� :FBo�d �o�e. �A"� It is ui�derstood that�a d�ainage pl�n addr�s�(ng a
<br /> pcompe�sating v�lume*wiEt bs st�bmltted a##me of�p�rmitting whlch is prep�red by a professional �ngirte�r t
<br /> Iloensed.by'the;�tate of=Fl�a�tda. °• � ,
<br /> - if th� �311 .mater#al�1a'to:be usgd En F#c�od �ion� °A" tn=cannecttan�wlth:a��ermtt�ed b�llding usin� stem wali
<br /> � construct(on, 1 ce�t(fy;th�t flil:wlll;b.e>us�d only.to:fill the area within�the��tem�wall: • ,
<br /> - � If fl!! t�i�t��lal�!s te� be u�ed !n any .�irea; 1 �ceKlty that .usa af•.such fll! wlll not adve��ely �ffect adJa�ece4
<br /> propec�ies. If use:of fili is fot�nd t� adverseiy:,�f�ec#�dja�erafi prcjpe�ie�,.ther c�rner may be cl#ed for wlot�ting
<br /> the condi�ions�of the building'-:pet�iit Issued�under the'a�tacfied._permlt�:�pplba4ion' for:lots�.le`ss�than:one (1�
<br /> aare wtitcli a�e�levated��iy flll,a�t�ngln,eereci dr�lnag�plan i�rt�qulr�d. ..
<br /> If 1�rvo the A�EfVT I�OR;7'Ii�OWRIER'; I;promise In..good.falth t�a f¢�form•the own�r of�the permitting candnfians seQ forth in
<br /> thts aNidavit`prlor fa�commeracing coeishvotion. 9 iand�rstaind#h+at#azs�parete permlt may b� re�alted for elect�Rcat uvork, .
<br /> . }..-2..
<br /> plu�bing,,signs, we0is,.,poots;, aie.cortditioning;•.g�s;;or,othe� instatt�iti�`ia,ns nat�spec�ic�tly included�in.tFie�applics�tion. .A
<br /> perrnOt Issued'�hall be construed to"be�a�liconse`��o�proce�d with�tFie viiork and:�not-as:authoNty;to,vlotate;.�c�ncel� alter, or
<br /> set�side ei�yr�provts#ons ca€tPie:techntcal.,c�ade�; nor shall�s�uan�e=of�.permit.preuent the Bulld€ri$C3#�ci�l trom thereat�er
<br /> requlring a carrectlon af�errors-in=.plans;.consiiuctiar�_or_vlolat(ons bf any codes:��very�`p'er�ft�l,ssu�tl's1i�IP•tiecomr��inv�lld
<br /> unless the v�rork�ia#hor(�ei�.by such permit:3�.commer�ced•wlthln�c;moo�ihs of p�rmit lssuance, or ff wortc authorized by
<br /> the permi4 is suspended�ar:abandon�d,�for:a;period;;of�six;(6}�inc�a�tiis aft�r the-tirne#he�wa�`k��s comm�nced.. An e7ctension
<br /> may b� requested, In.vvriting,�from 4fie;Building,Offlciel for � p�riod.�not.to exceed'=ntne�r�-(90)��days �i�d�-�iilll�demo�strate
<br /> �ust�i�ble�c��ise foa��the ex#en�ion. tf work c�as.e�.for nlitefy.{90}��ns.�cut�v��day.s�..th��ob��s consEdered�ba�don+�d.
<br /> 1MARMtNG TC} tJYU1d�Rc 1fAUi�..�A1l.�lRE�.TQ.,.R�CQE2E2.Aa�QTIG�:OF���OMMEN��ME�T:MAY°RE�[:T IIM1I Y�UR
<br /> Pd�l�tl�t�TIdVViCE,FQR-1N11�RAV�MEIV'�'S�TQI:,Y�.0.Rt::R�:tt���R�TY:,>°I��.YO.�1{1Pl�"f'EKIGt�T0�1D�T141N�F1Ni�iM�1N�;'CI�i9V3ULT !
<br /> WIT CI �O. .AN� 7T0 FO. �� O�d QU � � - , - ,
<br /> Ft,ORIDA JtlRA'i'-{F.B.:tlT:03}�. •- . - " . �;.,'_. .-� � � . � , - _
<br /> ClVYFIE�.063 Af3�NT �i)N'T�tlAG7AR, .
<br /> 8ub�crtbed artd suvom M(or af�rmed}betare me thts 8tibscrfbed�nd`svuam to{ot afBr»ted)�befdre me°ttit�
<br /> by .�y.. .,
<br /> Who Is/are persanally knowm to.me.or has/have,produc�d Who.ls/�ire p.etsanelly,knowm�b.me;or.tla8lhav.e:prodiiced •
<br /> aa 1d`eii8�i�8ori. es tden8flca0oa.
<br /> MoQ�ary Pubtic � Nbtary Pu�lic ,
<br /> Commisslon No` Com�issinn�tda, -
<br /> Name of lVotary tpped,ptlnted or stamped t�eme af f�atary typed,pdnted ar st�mped
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