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� • �f <br /> N�MTiC���DEED R(��T��C1'9���: The und�rsigned und�r�taotds��th�t:�hls:p�rrnit.ma�y,be.subject tp"d�ed"restrOc.tians" <br /> whi�h�n�y be=rtee�t�.�e�t'r.ictiv�-th��t G�unty��r�gr�iat6ans: 'The a�nder�lgr��d�-�asstimes-°r`�sponsibility for`c�¢ripiiarice r�rlth any <br /> appltc�b9�de�d tes#�i�tic�ns. , : . <br /> UN�.1�l�RlSED ��►MTRACT�RS AND G�N�'l�1�CTQR RE�i��N�IBIL!'�'�E�: !�-the �wr�r has hlred � co�tt�act�r or <br /> contra�tors to und�rtake work, they rnay be;r,eq�irad•ato.�b�,ltcensed Ir�accord�nce.wlth sQate.and•loca! rggul�t(ons. �I�khe <br /> �ontracta� ts not�lice�sed as� requleed by law, bAth the own�r and contractor�may be��clte�d-for a�rnlsderneanor vlola�lon <br /> under s#�te iavd. if the owner or intend�d.contr,;actor are.�unc+�rta�in as to uvha# i�cens�ng.requirements�rmay�:appty��fa�r the <br /> intended wark, 4hey�re advOs�d to cor�t�c#th�Pasco Cour�ty��3lding Ir�spec#iore Div_I�lon--t.E�censfreg�ection at 727-847- <br /> 8m09, �urthermoce, If �h� ow�er h�as hlred � c�ntractor o� c��tra�t�rs. h� !s �dvls�d to have th� c�ntrac�or(sj�, sign <br /> porQions af tha °c�ntractvr �lock° of thl� appllcatlon for whtch t�eX wi91 be.respmnsltale.. Sf yau, ��:tbe own�r°sign"�is th� <br /> contractor, that�m�y ba an indicatimn that�he 6s not.properly il��nsed and�is not en#itl�d ta pe�rrnitting privileges In F'ascc� <br /> County. <br /> 'fl�Ald�R�RT�i'�lCPN=SMPA,��tlU�'l�:1TI�S�-lMl��1C'�d0.�]b�1�SC9��2CE FBECQVERY�IFEES: The und�rsEgn�d�nder�i�a�ods <br /> tha4 Tr�nsporEation irropaat Fees�ar�d.Re�o.ur����c�v��y.Fes�m�}�'��pply�t��t�e con�tructton o#�ew b�fldEngs��ch�ng�of <br /> use in existing bulld4ngs, or.expansion>of�e�i�ttiig.`:bwildings, �s speclfled.In Pasc� ��aan4y Ord9nanae number �9-0 i� and <br /> 90-07, as amend�d. 'fhe unde�rslgned aE�o�understands, thaa,such�ees��:as,�may:be�due;�wfll-�be (denkl�ie�d a�t ti�e�tirne�of� <br /> permi��ing. it is furti�ier understood thaf Tra��sportatian Imp��# Fees and�R�source Recoeery�F�es must be paid prlo�fa <br /> reaeiving s"cer��i�tr�.��'occupancy"or fina)�pawer�.r�lea�+�. :If�the.pr�j�tct..da�es.ram�inv�lve��a�.certififoate of occupancy, or <br /> tin�l pawrer release, th�fee� mta�t be pald prlor t� perrrt�t i��uance. F��th�r�nore;�i#Pa,sco Co�anfy�it�terlSewer In�opact <br /> fe�s are due�.th+�y:.mu�t be=pald.,prl�r to pe�mlt-Is�t�aitce�In ac�ordanc��vIt#���ppll�abte P��c��.Coue�ty ordlnances. • <br /> CC9Rl�iTFlUCT10�1 l.9�N L.m4W��I���g���''!�s FOmrl�a�g�►But��o��m�r�����; If valuaa!nra+�t wrork is�2,500.00�c�r mo�e, ! <br /> certi6�r Qhat t, #he �ppticent, 6tav�a�been provlded with a �py of 4he "Florida Canstruc$la�n l.le�t Law—biomea�+�ner's <br /> �cot�atian Guide� pr�pared by the Flo�ida i�epartmenf af�►grtcu0#ure and Con�umer�Affalrs. 9f the appticant is some�sne <br /> a#her ihan th�"owtre�", �certi�gt th�t B�have,�b�aineii�atcoPY:of:#h�:above:.d�crlbed�docuei�ent�and.ptomiserin,good�ai�h�o <br /> deliver It#o the"ownec"�,prior:totcorra�ericetrgent:' <br /> ��ItdT(&4CTOR'S/OW6dIER'�A��IDA!lIT: 1.ce�tl�y.:th:at.�il the,lnformatl��;l��thls�pp!!ca@ia��s accurate�nd that a!1 work <br /> will'be d�ne 6n aomplianae w3th all a�pl(cable I�ws regul�ting constructlon� �oning �nd•land devela�pnte�t. ApplicaQ[on is <br /> her�by cnade t� obtain .a permit .to do_wor�c,.and 1r�stail�tion a� Indt�et�d:� -°i certiry that n� wark�or In�teAati�n has <br /> c�mmenced priar ta i�suan�e o� � permit snd ti��t.ait work will be pertormed t� meet standards of ail law� regut��ing- <br /> c�nstr�actbn� G�ur�ky and City cod�s, a.on#rog r�g�olatiQns� an� i�nd dev�lapm�nt regtalat{o�s-In the �urisdic�ion. t aiso <br /> cerkify th�t 1 �aderst�r�d that the regu@att+ans of o#Q�e�gouernm�nt�g�ncles m�Y��RPEY�to @h�3nter�d�d work, an�t�ax it Is <br /> my respans6bility ko Id�sn#ify�what.�c4lons(must tak�.to b��ir�:.c�nl�!lanc�; S.uch agencles I�clud�b�Q-aP�.nat Ilmfted 4�: <br /> - Department of lEnvlronmental�I�tec4lon=Cypress. 6ayh��d�, VNetl�nd Areas �nd f�nvl�nmentally S�na�itq�e <br /> Lands,W�terlWas#�w�ater Tr�atrnent. <br /> - Souf6�wes� Florida �V�t�r Managem�nt: .6�#strict�Ueil�, Cypr�ss.�+�ayh��ds; We#land Are��, Alt��ring <br /> Vitatercota�ses, <br /> - Army�oPps o€Engtn��rs�eawa!!s�Docks�Navlg�ble�W�terways. <br /> - Dep�rtment �f He�IQh & ReMabliikative Servic�es/Lnvirgnme�f�l Heaith Unit YVell.�, Wastewater=Treat��ent, <br /> Septic Tank�. � . <br /> - US Er�vironanenta�I'ro4ec�ion�tgency-Asbesto��b��em�nt. <br /> Fed�ral Auiet�onAa�ttbo�i#y-f�unw�ys. <br /> !und�r�Qand that the�c�llowring:re�Urtctl�a��apply t�the u�e of flll:� <br /> - Use o$fiiU!s not�Qowed in Flcsod Z��e"V"unless�xpr�ssEy pePrnitted. <br /> - tf phe �tl materiai Is to be usetl. in :�Iood Zon�. "A", (t. is unde�stiaod that a d�ainage pl�n addr�s�EPag a <br /> pcompens�ating v�lume°'w311 be s�binitted at#ime e�f,per�nitting uwhfich is pr�p�red by a �rofes�iona! engii�a�er <br /> licensed by#he�t�te qf Fiorfda: <br /> - !f the fill m�ter4al is ta b� used in Ftood Zor�e °A° i�o>connec�ion�wlth�� �eranitted buitding using stem �aH <br /> ' con�truct�on, i certify tt��k�!l�:wJll.be u��d�nly Q�f�P14he area wrlth8t�the�stem�wa!!. <br /> - If flll mat�rial is to be u�ed in any area� I certify th�t use- of �uch flll will not advers�ly affect adJ��cent <br /> prop�r#les. If u�e of fi91 ls fot�nd ta adverse4y:�ffect adJar„�nt�prop�rti�s�.th�►o�rner may be cig�d for viol���Ong <br /> the condi#ions �f th� buitiling:p�mnit issued under�he at�ached p�rmit �ppticaQion, for:lots tess#han one� (1.j <br /> acre whtch�re etevatad by fllE,�rt engir�eerecf dr�ir�age plar�is r�rquir�d. ` <br /> If!am tlte�►�EI�T Ft�R 7'NE�'I�RNE�t, l,��aromtse!�good fat4h#o infor�a the�wn�r of•th�permittln�co�ao119ions se�to�i:h in <br /> �his afiidavit�pri�r to c�mmencing 000�stnactiaan. I �nde�ts�nd thata-s�parat� permit m�y be requlred for elecMca! wrork, <br /> ��. �� � <br /> plurnbfng, signs, wells, pools; �ir condit(oning, .ga�s, or ather Install�tlons a�ol�sp�cfflcally �ncluded�in.t�e applica@ian. .A <br /> permit issued shait be cmnstrued to b�a�licerase t+�proce�d with the work and not as authority to vioi�te;caneei, aiter, or <br /> s���side arry ppav��ion�o��tie 4i�chnlc;�l cmd�s; nor shai�issua�oce�of a.perrv�it.prever��th���Ndirig t�{ci�i from there��iter <br /> tea}ulrin�a cor�ection s�f error�!ra pla�s;const�u�tla�or vtolation��f any c�d�s. �very pennit�ssued shail become ir�v�alid <br /> unles� the work authartzed by such permlt�s-coc�acr��nced•�rlthln si� t�an�hs o�perml6l�suereo�, or If v�rark auQhorlaecD by <br /> fhe per�it is su�pended ar.abandon�d-for a period of si��fB)months.aftt�r the tirn�the work is cornmenced. An exten:�Ion <br /> may b�a ceques#e�� in writing, from fhe 8uitding,Officlal for � pari�d.�not to ex�eed ninet�+�(90) days �nd wlit demonstirate <br /> justifii�bfe�ause for.the extension�. tf work c�as�.for ninety.(�O)consecutive:d�ys..-the jsab:is con�fdered aba�doned. <br /> 1MAR6V!(�G TQ �1�PNl�R; Y�4��_.FA�9.URE.TO±,R�E.CO#t4�A��"CIGE:t?� �4�N16VlENCEl4�fE�tT-11�AY��dl���ti.T @N-Y�UR <br /> �AYING"P9�ICE I�t9R�Nf�OYlEMERI�'S T�9 Yf�U�:P�R4PE8�`P�.�1lF�YA.��IN'��MD�TO!°��TAIN���IPtA1�ElPIG;'C�ANS�D�.T <br /> Wli Bi D A �'1'O N �� OR��:- �_R� f�; OU :: : ::O .:• �,� � {� � <br /> FLORIDA�dURl1'f(F.S:1.17.03} . ' � <br /> � � <br /> -- --- - '^ . <br /> _ _ _ .._ <br /> 4lNNER OI�A(3EN7' ,�,_ iC6PITf�AC'�O - -- - _ - — - ., _.—- - -- ---- <br /> ��bscxtbed a�d swom (or�i�rme }6 re me thfi� Subscrlb�d snd' (ot aflirmed��befon�me t#ils <br /> -la-1 b y �,2- .b . i9 S �l' <br /> iNho tslare rsanally kn to.me ar hasihave produced Who.is/� onaily kno •�ao me or ha�Jtaave•produced <br /> as tderttl�caticn. �s tdenti�cattan. <br /> � ` _ <br /> �- Idotery Public Not�ry Publlc <br /> Cammis�len No: G ls�ton No, <br /> ,,o;��;'r'P��; SYLVIAA.tAMP8E1.! .=.`��YaU''., SYLVIAA.CAMPBElI <br /> Wame o#Nata�ry typed, : t _mP mtssio❑#�G»2439 ��m'�°f�°���"���1 p :.,� - Commission#GG t 12939 <br /> �.'"� �= MyComm.ExpiresJu119,2021 3'"� MyComm.ExpiresJu119;2021 <br /> '"�,°Ffy°�'• gondedfhroughNationaiNoteryAssn. �'%E°�,f�� <br /> „ dondedthraughNationalNotaryAssn. <br />