.
<br /> � �
<br /> �i�TtCE��QEER RES'TRIC'�'iO�tS: The andersOgn�d under�tands�.th�t.fhis.�grmlYmay.b�.�ubJect to"d��ed"resVl�tlons°
<br /> wrhlch m�y be-�rat�re r.estFict4er�th�n Cou�if�s i�gulat(ons. '"The u�d�rslgn�d�ssumes respmnsibtltt�for c�mpllance'with�ny
<br /> appltcable deed re5trlotions. _ . �
<br /> U(Vl.ICENS�D CONTRI�CTORS 14ND �t)PITR�ICTt�R �ESPONSI�t�:li'l�S: If �e �avn�r h�s �hired ��.car�tt�sct�r �r
<br /> confract�rs to undertake wark, #h�y may b�.cequlced.to.be:lEcensed in acc�rd���e_pnrlth sta�te.and�local �gulatlons. 6F kh�
<br /> contracto� €s r�ot llcensed as requlr�d-tiy I�v* bm�h�the ow�aer a�ad canUactor�iniay be�c9t�d�for� rr�lsd�m�a�nor vtolation
<br /> und�r stat� I�wr. !B the owr�er ar Onter�ded>contra�tor �r��wnceK�in �s tv rnrh�t IDcensing.requirecnent� enay�pply��for the
<br /> inlended v�rark,they ar��dvised ta cc�ntact th�Pasca Caunty Bullding'le�spectti�n Div6�(q�n---Licensing Se�tion at 72T-847-
<br /> 8009. Fu�th�rmore, if th� ou�m�r has hired � eontractor or coritractars, he i� advi�ed to h�ve the contractar(s}_ sign
<br /> partions of the°cantt�ctor�}��k" of thl� �ppfl�stdon f��wrhtch t��y wllt be uespot��lbl�. !f y�ta, as.th�cawner�Egn a� tlie
<br /> contrac��r, Eh�t•ma�y be an indic�tlon that`fie !� s�ot�:properly Ilcen�ed �nd 1� riot entltled ta��rmltting priirllgges (n Pasc�
<br /> Cour�ty. �
<br /> '�RAMSP'ARTpTION IMRACTIUTILITIES`I�IAPACT�11�b-1�ES�iUR�E RIE�OV�t�Y FEES:T#te tandersign�d understands
<br /> that Transpnrt�tion Irnpact Fees and.Reco.urs�Recove.ry.�'ees may.app6y�to:th�construction of new buildings,�chang�of
<br /> use in ex6sting bultdings, or_expansi�cr��ofi�ezisti�i,g`�6uildings, �s sp�cifled.in Pa�e;v County Ordinanc� numb�r 89-t}7 and
<br /> s0-oT, as amended. The under�igned �iso-�tnderstands� that:such fe��,.�i�=m�y-b�dus;;w1!! be tdenittfied at the time c��� ,
<br /> permitt�ng. !t is�urt�ier und�cs4bod th�t T��sportatl�n Imp��f Fees and Resoua�ce Reco�r�ry`Fees must be pald priar 4u ,
<br /> eecelving�°c��tl�icate o���ccup�ncy"oc fln�l ��wer release. :!f th� �r�ject�dae� not�6nvol��.��.c�rtfflcate of occupancy, or=- � i
<br /> final powrer r�lease, th�fe�s.mu�t be pald prior#o perm6t issuance. Ft�tt��rmoce;df:Pasco.C�un�y Water/S�w�r impact
<br /> fe�s�re du�,they.must b�=pald-prior#o permit��issa�ance�in.�ccordance vuitiv applicabfe Pa��o�ounty ord3n�nces. �
<br /> �+�NSTRUCTtOM LtEN LAItV{Ch�pter 713� Flar�d�St�tu���,��amatrde�): tif v�luatioat�f vvoric is��,508.00 or mare, t
<br /> cert3fy that 1, #he apptican#,_ hsva-been pr�vlded wlth a capy� o# the��"�lorida�-Coe�sirvcElart- Llen i.aw—�-!lomeown�r's
<br /> Pr�tect#on Guide° prepared by the Floi�da �ep�rtm�nt�af Agrlculture and G�orasumetA;Efiat�°s. !f th� app!lcant ls som�one
<br /> other thaea#he"awner", 4 csrtifyy#hak I•have.obt�in�d a copy.of:th��ab�ve.d�scrtb�d�octir��nt�and.promis�ln.good failh ta
<br /> deliver It to the.'ownec".prior#o�comrrtencement. �
<br /> �ON�'R�C"TOR'�/OWNE�'3�FFICfAV6T: 1 certify.�h�t ati f�e►��in#'�rmatibn.in thi��ppticatlon is accurat�.and that ali wor�C
<br /> wili�be d�n� ir� �ampliance uvitFr a)f appll�abl� laws regul�ting�onstructtoat, zc�ning and.�l�nd=developrvtent. ApplEcatlar� €s
<br /> �eraby rr��d� to �bt�fn .a perm[# to do wo�k.and In�tatlatlon as IndtCat+ad:e- �I c�rtt#y th�t n� wark.ar lnsta!latton has
<br /> �mmenced prt�r to lssuance af a p�rmit �nd #hat.all work�u!!l b� p�rf�r�raed�to m��t ska�tdards of a!I laws cegulating--
<br /> ��structlon, �ounty and City codes, zonIng regulatlon�, and l�nd d�velopment r.egulador�s In the jurisd(ction. 0�ai'sa
<br /> L��y that I und�rstar�d th�t the regulatbn� of okher gavernment ag�n�l�s may��pply�#o th� intended work, an�tF�at it is
<br /> � ,;,u resppnsibllity to identify.whaf,�cti�ns 1 must•t8k�:#o b�dn�erartlpltance.�. �:uch agencles include but ar�.not�Imited#o:
<br /> - �epartment of E�vironmentat i�rcifecfio�-Cypre��.�Bayh�ad�, V►leBand Areras s�d Environm�r�t�liy Se�siti�e
<br /> �ands,Vi/aterMt�st�water Treafm�s�#.
<br /> - Southwe�t �l�rid�a Vlf�ter M�nagement�.Disfrict-1NeAs, Cypress.`B�yheads; We#land �se�as, Altering
<br /> watercourses.
<br /> - Arrny Gorps of Engin�er�-Seau�alls, Docks, Navig�ble Waterways.
<br /> - DaRar#ment of Health�'� R�tiabilitative Services/�nviranmer�t�l Nealth Uhit We)is, W�st�v�rater-Tre�tment,
<br /> Sep#�c"�antis. . .
<br /> - U� Es�vironmsritai ProtecElon Agency Asbestos abatet�en�.
<br /> - Federa!Avlatla�n Authori�yr-ftur�ways.
<br /> � i ��derstand tfiat the fofiowing:restNctions app(y to the use of flli:�
<br /> . - ll�e af fiH is not alicaw�d in Fioad��one"V'u�?ass exp�essiy psrmitted.
<br /> - if the fili rna�ariat is ta be us� in -Ff�d Z� ',4°, it ts und�rstvod t#ta# a dra��at,� p��rt address(ng a
<br /> °compe�ts�ting volume'will �� s�bn;sf�d �t �� c`�i�€rt� �fiich Is pr�pat�d �y s �fesslon3l ertg#n�er
<br /> , ilcensed by�he State of Flo�a
<br /> - lf the f!I materlal Is t� t�e u�� �^ F?�.�»' Zj� =.�s �-�=c��.ian �.�-� �rrr��� �s��ir� �w�na stem �rali
<br /> con$truction, 1 c�y thak f�3 r�-��.� c�v��:"�L�e ���;� j.1�s€�„t�;. '�
<br /> - if fiIi mate�iai � �o b�e �.�� ;�� � �, 3 s�r.� a�f :��:� �€ �t :� � rr�± �°�,-se�y afr'e�t adjacenf
<br /> . .
<br /> p��}�a�ttes. lf�.��e �;� � �'� �.� �r�� �� � "�-� �;a�, � c�;r�r tnt3y be ci�et� fo�vi�Cating
<br /> �� c�ra€i�;�� �€,� �..�-� ��s �� ���� � �-�-� �r� �,��r�, f�r }�� less #tT�n one {g)
<br /> ��r�-� � ��;��r z� �: �-�sr�-�et d�.�e�a.,:� r��!'s�, . ..
<br /> 1;i a�rk �� AG�'3' �4R Th� c�y}i�.�R, ;;�� � ��e P°-� to i�� �te crw�ef r�ti�e p�rmittIng cortdi�ans set forth tn
<br /> �h�s �����-^� tc� ez►r-�_�-��-� ��.� � �.�:�x=�-�d ��fit�f a-ss�fe p�im� m�X b� requtred for etecMcai work,
<br /> ;�um��sr�, s�, �, ���, � �-��-�, .�s, cx �.�,�e� #��i4��ana not sp�f�xy Irt�(uded tn.the application. -A
<br /> perrr�it�s��e� str� � �a��� t�� � :�� �� ,��`� ��k anti nvt as ��th��ity to.viols�te,�car�cei, alter, r�r
<br /> set as�d� ar�y p�rcr�k��s �'� ��,.�� �s� 34��!.r}i64� S�Y�+.���L�t��Q D�r�IC�lt�B�,�ent fh��uttding Officla!from therea#ter
<br /> r�qul�ing �correcti�xy c�#e�;-c�s �p�; ���-�.�u� �x�t�s a�a�y ccrdes.- Ev�ry p��mit issued'"sha11-become invalid
<br /> unless the e++ork autha�izs� by s� �s�n:�-�.c�r!-„�� �r�i;�'sn �i� months of�lt ?ssuance, or ifi vvork�uthorized by
<br /> the p�rmiE is suspended or.aks�rtd�ned�r� �e�od afi st�t{�i) mrat�fh� sf��r t#te tims tfi�e work-ts commertc�d. An ex#ension
<br /> may be requested, in wr�ting, from �e �ull�irtg �I�d f�r a }aa�k�d r�ot fo exce�d�nir�t1r�(90) dsys a�td v�ili dem�nstrate
<br /> ;ustl��ble cause for_-th��xtens(vn. If c���C ce�sss for nlnsty-��0}co�tsecutive day.�.-ths�Job��s consid�red aba�doned.
<br /> �tARNING TQ OWNEI�: YO►UR.FAIl.URE TQRECCt�'►. A MC►T1GE.OF �t3MMENCEMENT MAY�RES[JLT [N YC�UR
<br /> ��4YINla TV�ICE FOR�iMPROVEMENT�Tt31fOUi��ROPE�TY. d�°Yt3i��lN�°��NU`TQ�O�T�iNf�FIN�►t��1NG;�CONSiJL't
<br /> 'dViT �Y UR t»6 D �.� A►N� � OR�dE�- F�'iRE��ECOR�3IMG Yflt79�- ° •CE'C1F'- �3 d�i"
<br /> ,=LORiDA,9UR�i?{F.5 . ) .. . . . .
<br /> ,
<br /> S?WJ��R OR At3�NT CCNTR1iG'T�
<br /> Sub�cribed and swom to{or ai�rened)before rne this Sub�crlbed�sttd'svvo 'to{or��irme }-befire me ttiIs " ,
<br /> bY •�Y
<br /> Who ts/ara personatiy hnown to.me or l��s/haue prqducsd WPta.isiare personaily knawn�fa ma or has�ve p€�.x�
<br /> as ldentl�catlon. a$��y��
<br /> . `
<br /> �
<br /> Notary P'ubiic _ +ri�-���,�;
<br /> C�;r1�si^z F�c;- Uc,��-'s���:`x
<br /> o,
<br /> T{2_T:�'Cx i�,•S—.�.,f�s�P5�T��'?,Jt�L `'��—��r•t'�R�"' �`;►�_ �C'!'��7�t"�iaCi
<br /> - - — _._ -� � - - --- -�—�
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