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<br /> , �NS: The uAd�,r:slgned Uatdet�Et�nt��$��h�t;t���p�c�lf.:may.be;s�bj�c@�o,"d�ed"restrictioe�� . - - --.
<br /> NCiTtGE t)F D�ED RESTRICT� {
<br /> whlch may be�mor���r.est�lctive�t#�a�'�County��egulaHons�:• TFie�und�rslgned�a§sume�=responelbllitjl for"compll�nce wlth"any '
<br /> a�pilcable deed�resMctlons. . _ • „ .
<br /> U��.ICIEN3ED=COMTRACT4R� AND CON�'12ACTOt� 6tESP�NStBtLiT1ES:- ff-fhe�awner-has�..hire'd:.��,ciontrac#a�r or
<br /> con#ractors to undertake work, they may,be:.r�quir�d:+tcr::b�,llcensed Inyaccordance:with-stata.and�loeal:reguiatlon�:.��lf�the� � � �
<br /> �ntra�tor Is not iicen�ed as�r$qulredxtiy lauv� batii the ov+mer�nd-conf�actiiT=may fie�-clfed�fQr��=?mistlemeanor vlotatlon
<br /> under st�te I�wr. If the owner or Intended;,:�ra,tractoP,are.;�ence�taln as tcr whaf Itcen�ing.requlrements,may,�:apply���fcarYthe;x � .- .
<br /> lntended worlc, they are advlsed#o cori#act tlie P"asco C�unty BuHdlta�_lnspectlaiti,D[v�slon--Licensliig Secttmn at 727-847-
<br /> 8008. Furthermore, if the awner fias�hii�ed�a confractmr o� con�ractors� he is advls�d #a have �the c�ntractor(s),lsign .
<br /> portl�ns af the �contractor �Iock" af thls„appllcatlon.fa�r:whlch.th�y avlll.be,tesp.onslble.�. If:yau;=as;the awrier''`�ign��as tlie" '
<br /> contractor, !ha#may�be an 1nd�catlon �hat'ti�=1s naY:pra�per�r iicen�e�`antl"Is iiiit eratl#�eif to peniiltting pa�vtlege� In Rasc�
<br /> County. ': - �, �
<br /> TGtAN�PC?RTATlON-IMPACTIU�'1l:ITlES�I�YlPA�'t'-ANb-RESO�lRCE RE�OVE�Y��EE�: Th��urtder�lgned u�derst�nd�
<br /> �hat Tr�nsportation ir�pacf�Fees�and.Recc�u�se Recove.ry.Fees may�;appiy.:�to�tf�s�:con�tructlan of n�w..bulldtngs,=change�of`�"" `�'� '"
<br /> use ln existing bulldings, o�,�xpar�sl�n�of��ex(a#i�i�-�bull�fings� as specifled.tn Pa�cv County Ordlnance number 89-07 �nd
<br /> �o-U�, �s �m�nd�d.,�Th��ndecslgn�d elso;�ndersta�od�, f�tait:�such fees;;�s�maji:l�ie��due;;�ruIE1;=�� tdent�fed at fhe{�time��i€-,- _, � �
<br /> permftting. It Is iftor�her understood that Transp'ortatl�n Impac4�F�ea an.cf�Resource:Recov�ryf Fees..mus# be p�afd prlar to
<br /> �ece�ving-a.'c�cfiiHcate of�ac�upat�cy""or flnaF-power.�eleese: :i€�Eh�.pro�ectdoes�;not involveta:�c�rt#�ca#e of occupancy.�o�`�, .�� - .
<br /> final power PeieaBe;thie-:#ees rr�u�t tie�pati�;priar to,,pe�cr�it I�suance�. Ft��t�ermoce,-lf:Pasc�r;C,ounty��WatedS�wer�;lmpact �• •
<br /> fees�re due,_.th�y:.must.be�peld:,p�lor to.pern�lt.l��u�nce:ln.a�cord�nce wltii.�applicabl�.pascc►',County�orrllnance�. •
<br /> �ONST'RUC�'IflN`LIEN„LA1N(Cli�tpter 713� Ftorlt�a Statu����as�tm�r�dgd): 1f vaivatlon ot w�rHt 1s�2,SOO.OQ�or more,.t: , �.a
<br /> cerkify that i, the. appllcant;�hav.e b�en .provlded. wlth- a-copy �f th��"Florlda�-��nstructtan� Ll�n.:Law—Homeowne�'s
<br /> Protection Gu#de� prepared by t�ie FE��ida �?epa�#ment of Agricultt�re �nd Gonsttmer.AfFairs. t##k�e appllcant Is som�one .
<br /> oth�r ihan#he"owne�", I ce�tffyth�t_;I.�h�ve,obt�lned`a=i�opy.o#..the:abpve.,rlescrlb�d�dacui�ent=and�p.r.oml�ie��:l�,good..,falkh.to
<br /> delive�It fo tl�e"owner�'p�i�c?to�comm��cetnent:"
<br /> �flid'��CTOR'�►OWNER'�A�Pi�lAViT: i.cer.tdty:.tt:ti�at=all.the,inf.orrnatiam:1��thi��pplic�t(on is accurate,�nd that all work
<br /> will'be do�e in compllance with all.appl(c�ble laws regulating constnactlon, zoning and�•land°�develapment. Appl[ca@lan Is
<br /> h�reby made te� ob��lra .a peer�it<:to_d��wor`k;Janc3 3nstaPl�t1¢�n �� ind[c:et�c�;�=-�1 certi�jr that no work=:or Ins�allatl�n fias
<br /> commenced prlor to Issuance of"a permit�and that.aill work wil! be perf�rmed to me�et standapols-of all law� regul��ing�
<br /> �ORS�UCIIOt?r Cotat�Sy at�d Gi�y �od�as, zoning regulatia�s� and �and deve�opm�ttt regtaiattc�rts in the Jurisdtction: ! al'sa
<br /> ce�tify that 1 und�rst�r�d thaf the regut�tions of a�ther governm�nt agencies rnay�appty�to the lnt�nded wo�k, and 4hat it ls
<br /> my responslbllity fo Iden#Ify•what.ac4lons I must•t�ke.:to b��ln�conlpllat�c�.. Such,.agencles lnclude but�are.not!Imlt�d 40:
<br /> - D�partmen# af Et�vlronmer�tal-Prolectton=GYpress.�Bsyh�ad�; We�and Area� and Envlronrnentaily Sensitive
<br /> Lands,WateNWa�tewater Treatment.
<br /> - Southwest Ftorlda Water Manageta�ent :�?istt�#a#-WeM�, CYpress.Y B�y�e�ds; Wetlar��i� Areas, At��ring
<br /> Watercourses. .
<br /> - Army Corps of Engine�r�-Seawalls,Docks,Navlgatil�1PNaterways.
<br /> - Departm�nt of Health;& .Ret��billt�thoe�,Setvl�es/Ee�vir�e�men��1 Neatth Unit Welt.s,�Wastauuwraatert 3restment,
<br /> Sep#I�Tanks: � .
<br /> - uS�nvlr�nsnent�l��tectio�t Agency Asb+�stos ab�tement�
<br /> - Federal Avl�tion.A,uthor,ity-ftunways.
<br /> I understand that the.foQow�ng::re�trlctl6ns apply'to the use��flA:
<br /> - 1lse of f�ll is not aliawed in:FioadxZone"V"unle�s exp�essly permitted.
<br /> - If the �II materi�l is to�b.e used:,In �Flood Zor��. "A", It Is understood lhat a drainage plan addr�sstng a
<br /> "aompensating votume"will be submltted a�time of=perr��ttng�tr�ilch is pr�pared by � professianat englneer
<br /> Ilc�nsed by�#he State of-flortda: ,
<br /> - !f th� flR m�terlal�.ts to be us.ed !n Flood Z�ne "A" In�cann�ct#on�wlth�� perra�ltted bullding usfng steeri wall
<br /> COn$tl'lfCtl0t1� I certify th�t filt:�rili=b.e�us�d oniy.t�..fill the area within�th��tem�wafi,
<br /> - If flll materlal Is to be used In any area, I �cenll�r t#rat .use. �f such flll w1U not adversely affect adjacent
<br /> proper�les. �f us��of fi�l l.s foc�rtt�t��d�ters�eEy,�#€e�t adj�c����p�per#iest.the owner may b�clted for vlal€�ttng.
<br /> the c�ndl�tons.of the butlding;perml# Is"sued under the attached�ermit appllcatlon, for lots less.than.one (1)
<br /> �cre whfch e�e efevat�c!�tiy flll,���nglt�eersd dr�lnag�plan 1s rec�ulred. .
<br /> 8f i am the AGENT-FOR TH�t�V11NER; I;pr`omise in goqd�a1th to inform the��wner�f°the p�rmltfing condl#�ans set forth ln
<br /> thls �fifidavtt�p�io� to cvrc�mencln� con�tructlon. I uniierstarid #hat a�aepar�te permlt �ay be requlrecd for elect�IcaP wrork,
<br /> plumbing� signs, welfs�. paols;,aEr conditioning.-.9�ts,..or otiie� install�tlons n��,spec�fitcall,y inclu�ed�1n.th+a applicatian. .A
<br /> permlt issued shall be aan�trued to be'��Itcense`-to=pi�o�ceed�nvlth tFie work arad not•as.authoNiy to,vlol�t���cancel, alt�r, or
<br /> se4 aslde any provlsfon�of the technlcal..codes;�nor shafl Issu�r�c��of a.perrnit.pcevent th��uftdtrig t�fft�la!from ihetea€ter
<br /> requiring a�orrec�fon af ecrors in�:p{ans;-cansfruct0on or violatt�ns ofi-any codes. Every��piermtt-6.ss�aed"shail-become invalid
<br /> unless the work�uthorized.by such permlt:�s-ca�nmenced•wlth(n sUc montha of�pemnit Issuance, or tf wark authorized by
<br /> 4he permit 3s suspended ar:abar�do�ed-fior.�;pgtlod:of-s�t.{8)m�r�t�i�.after.th�:#Ime the�avat�k�ls corrimenced. An exfension
<br /> may be r�quested, In wr(ting,:.ftom ttie:Bullding,0�lclal for� p�rlod:not to exceed=nlnety�(90)�days and wiil demonstrate
<br /> justf�able c�use fibr_-the extenslot�: if wro€k ceas�es:for nlnely{90�c�ns.ecutive�day.s...the�ob�ls considered abandoned.
<br /> WARNING TO OWNER: YG1UY�_FAILURE:�T04,.RECG�2Q;A,I�QTIGE�:O�'�•C�MMEAIC�ARE�If�>MAY-RE�ULT�IN�Yt?UR
<br /> P/�1�tN�TViIICE:;�'t9R 1M�kt1VE14�EM7`S�T�3.�t�3l:�t�:=P#�QPER'1'YY.�I��YO.Ux1��Et+1D�'�TE��1DBTAl'iN�=F1 ,N�`i1�Elt+1�;�t}NSU�.T
<br /> WIT � U D �O AM� 7TC1RN �t,.�4 f�e:j �A!! � ; ;G zd�r�,: ' �
<br /> ��oR�aa,�uta�►s:{�,s���T.os� ^�� - . , . . . _ ..
<br /> OWWI�R Oli AOENT� "`�y' r�� . •�'�J CONTRACTO
<br /> 8ubscrlbed and swom to{or afllrtnad)befor e fP�l� Subscrlb�d and'�vuom�to(ot alflfinedp te me'ttit��
<br /> �y ,�y..
<br /> Who Is/a�e personally knovm tc�.me or haslhave produr„�d Who.ls/are p.�rsonally kttown•td.me.or h�slhev��produced �
<br /> as Itleettl�ca84n. a�Iden@fi�8an.
<br /> Notary Pubtla . Nofary Pubttc
<br /> Commisslon Na: GomrFdeslon�No.
<br /> Name of Notary typed,printed or stamped Name of PloSery typed,pdntem ar�tamped
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