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<br /> 1�f�T1C��F D�E�RE�'�RI�'61f3�iS: The�ander�lgned urtder�t�nds�>.th��th1�.�p�rmlt.may.b�.�e�bJec#to"deed"restrlations°
<br /> which rr��y k�e=�ctr��xest�lcttv�-than Gi�u�tty i�gulat4ot��. "Th�unders�gned a's�umes r�espanslbility for c�rtoplia�ice with any
<br /> appfJcabte deed restrlctlons. . - �
<br /> R�[dLIC�NS�D CON7'�CT�RS ANb GO1V'T�C'TIDR R��PONSII�iI:IYI[�S: if fhe owne� h��=Ftir�d �a�a�ntr��tor or
<br /> contra�t�rs t�o und�rtake wo�k, th�y may be:eequired.to�be�:lic�nsed in a�cordanae.wrttt�state.�e�d�[ocai reg�tati�ns. -if tk�e
<br /> �ontractor i� no# licensed as required-by I�vv. bo#h the ows3es and_c�ntractor es��y be�cited for � miscle�e�nor vl�lation
<br /> und�r stat� lawr. If#h� owrner or lc�tend�d contractor��re �anc�r¢�!n �s tu wh�t Ilcer��ing.requirements may�pplyfor'the
<br /> intended avork, th�y ar�ad�ols�d ta�cor�t�ot th�.P��co Couttty Buiiding lnsp�ctlon DIvB�la�n--Li�en�ing Sect�on at 727-84T-
<br /> ��Og. Fu�khermore, If th� owner has hir�d a, contracfor or confractor�, he is �dvgsed #o hav� the c�ntractc�r(s) sign
<br /> portion� af the ucontr�ctor �lock° caf f6�ts �pplicatto� �'or en�hici� they wlit b� resp�nstble. 1�y�u, a�.#h� ��r sign�a� th� .
<br /> contract��, th�t�may be an indicatiar�th�t ii� �s �r�t praap�r6y iicensed aa�sf !� r��t�antltl�d t� p�rm4tting pr[vll�ge� !n Pas��
<br /> County.
<br /> '��N��"A!�'TA`EIC?N !!UlP�ACTIUTILI'�`8�S-!l19�PAC"��ANb.�E��UIRCE FtECOV�RY•FE��: T��und�rsigne��nder�fands
<br /> that'Trensparta44on Impact Fee� �nd.Reco.ur��R�caVery.Fe�s may'�apply�#o:the con�6vction of new bui�dings� chang�of
<br /> us� ir� existing buildtngs, or:expansio�n��aif<�xis#in,g'6uildings, �� specifled.in Pas�o County�rdinance numbet 89-07 ar�d
<br /> 90-07, a� �m�nded. The u�der�igned �Isa-undet�tands; fh�t such fe�s;:a���m�y:be~dae,>:wil1.6e Ider�ttfied at the time of
<br /> permfitting. it is furth+�r�nd�r�to�d th�t Tra�spartat9on lr�p��t Fe�� and-Resourc� Recouery Fees mu�# b� pald prto�to
<br /> recei�ing a"��rtOficat� o�'accupancy" or fln�l pc�w�r�t�ele�s�. :!f th� peoJ�ct,.do�s not�involv�.a ce�tifica�e �f accupancy or �
<br /> fen�l powec.r��ease. the_fe�s mu�t b� paid prior#o p�mnit issuance. F��th�rmore;�3f:-Pasco County'1Nat�rlSew�r tmpact
<br /> f��s are du�e�they..cnust be pald prior to permitrlssuane�ln�ccord�nce�+ith appitcable Pascv County ordir��rnces. �
<br /> COIV^TRUCTII�N LIEN LAV�t(Chapt�r'T1�� Fiorld�Statu�e�����mer�d�d}: if valuatim�of vvork is$2,500.00 or sn�re, 1
<br /> c�rtify that i, �he appiicant, h�ue-be�n pr�vid�d with a copy of tha "F�orida����nstructdon� LEen .Law—Homeaw�er's
<br /> Prot�at6on Guide" prep�r�d by�th� Florld�Departmenf of�0.gr6cultur� and Con��m�rAFfair�. If the app![cant Is someor�e
<br /> ather t9�an the"ownet", 4 c�rt1�y th�t i�h�ue,cib#�ained�a copY:��the:above.descrlbed tlocum�nt°�nd_ptoml��In.good.faith t�
<br /> d�liv�r f�t�9he"otrtr���".prior ta�eommenc�menf. . .
<br /> CO�d'�'1�4CTOR'S/OdVN�R°S AFFIDAVIT: 1.ce�tify that�tl,th�Inf.ormatt�n in-#hi� �pptic�fion is acca�rate.�nd #h�t afi w�rk
<br /> �viil�be d�n� in c�mpfiian��vvifh ail appiic�bfe laws r�gt�t�ting co��tructd+o�, zoning and�land-devetapm�r�t. Applicaflo� i�
<br /> �ereby made to obtain .a.permit to do woric.and instaEla#lon as ind0c�fed:� °� cettffy that no work or Insta4fatton has
<br /> commenc�d prlor t� Issuance of a petmlt and tha#.�ll work wlfl bo perf�rrr�ed to me�t st�ndatds of a!1 lawrs r�gul��ing-
<br /> consttuclion, County and City codes, z�ning r�gulatlnns, �nd land developmer�t r.egulatt��s ln th� juriSdictton. 1�aiso
<br /> ce�clfy kh�t I u�derst�nd th�t the regulatians �f ott�er go��rnm�n�ag�ncles r�tay�apply�to th� lntended wark, and that it is
<br /> my responslbflity to iden#ffy�wh�t,�ctions 1 mu�t•take to be.tn:.aorrlpllance: 5.uch ag�nct��inc�ude but ar�.nut(imited to:
<br /> - D�pa�tment of �nvironment�fi �tection-Cjrpt���.��yh��zl�;�VVetl�nd �1rea� and �nvir�r�eraeretaliy S�nsi#ive
<br /> E.ands,W�t�rNVastew�ter Tr��Ern�ttt.
<br /> - �outhw�s4 Fia�'sd� W�ter �rfanagem�r�t -D�s�cict�Ue!!st CYRress.' �ayhsa�ds; 1Netlar�d �4reas, AOtertng
<br /> UU�t�rc�t�rs+�s.
<br /> - �rmy Gorps of�ngfn�ers-Seawalls, Docks, N�vig�bl�1�4atenrvays.
<br /> - D�parkment �f Health� � Ft�f�abliitative Seniic�sl�etvir�nmer�f�t H�aiEB� llntt W�I�s�.V�+'ast�vv�t�r-�'re�fraten#,
<br /> Septic T�riks. ,
<br /> - US Enviransnental Protectlon Ag�t�cy-Asb�stos abatet�ent.
<br /> - Federa!Avt�t��n A�thority-Rumr�ays.
<br /> 1 understae�d tHat the following.restrlctions apply fo the us�of flll:�
<br /> - :��o nfi fill Is not allow�d in Fload Zone`V'unless expressty permitted. "
<br /> - if the fill matsriaf is to be us�c! In -Fl�t�d Zt�ns °A', it is understoad that a dra3�aga p�ar� addres�ing a
<br /> ucompensating voiume' will be subm�tte�i �t €�r� rs��e�:�€rg�hich is prepare� by a prof�slor�a3 englr�eer
<br /> 1lcensed by#��5fate of FIo�da. � -
<br /> - If the f!) ma#srial Is to bs �tsed En �loc� Z�r� 'A` i.�-conrte�tfon vdith�a {�errni�t�d bu�dirg �,�sing stem wall
<br /> �onstruction, i c��tify that frll-r�=b�us� �-d�r Eo�'� C�z� a�aea��ithin tI-�ste�n�I.
<br /> - If fill materlal is to �re useti in any a�eea, I �i;� i:�Y :ta� o� s�h � � �+ �eerseiy affect adJacent
<br /> prc�peeties. 1f use ofi�ii ls f�r�r-� tc� �e�e:��° a� a��� 3�°�#-�.,:s, �-,� s�a+�er may ��c�teri for vtcsfiating
<br /> the con8ttions o#fha butl�i�.�r�i� �ssg.�f �.�-��t � :�c�d p�rt��t a����n. for I�'ts less `�an one {1 j
<br /> acre which ace etevatsd by�iIi, an err�rree���,����ge g��-s Is r�qu�ed,
<br /> !f!�m @h�/�GE(VT F�R Th1E QWt+l�R, i��romLs in gflo�d fiaiih to E�ti�ofm the c�m�o,EF►� t�rnitting conditlons set farth in
<br /> this affidadit�prior to comm�ncing canstri.tc`�ot�. I urtders�a-rd t�,at a-se�arat� perm4t rt�,ay be re�qutred for e{ecf�cal worlc,
<br /> Qlurvrbing, signs, wreNs, poais, air conditiflreirfg, .ga�, � �t�er insf,�a�ons not sp�ecctf�i�� i�duded-zn th� appticatton. A
<br /> permit 9��ued shatt be canstrued fo be s Ifcsr�ss!� p�rac���f�°ri� the ��and not ss ��rt�rari#y #�.vialate,.c�ncs4, after, �r
<br /> set asfd���y provislons of 4ha.#�chnlcal �od�s, n�sh�l :ssua�ce o�a permI#p�eve�rt fh� Butldt�ig Offida!�rom thersafter
<br /> ;equiring a correctton af errors!n plans, constntctIon or v�at�ns of any�odes. Eve�-y p�tmlt Issueti shall become in�alid ,
<br /> uniess the work aulhorized by such permlt-{s.commenced�v��ithin � rnanths of p��rnit Issuar�c�, or if 4vork authorized by
<br /> the perrnif is su�pended�or.abandoned for a pericad afi s�C{�i}monfhs �fter the tims t�a�arfc ts commettc�d. An e�ension
<br /> may b� reque�ted, ir�writii�g, from the B�ailding O�lc1a1 for a ps�[o� r�of fo exc��i n�ety{�Oj days a�d wiil demonstrate
<br /> ;i�s#i��bl�c�u��for-the ext�nsfo�: �f work ceas�s=for nine�y(30}cons.eeutl�e days,-tFra���b is conside��d aba�doned.
<br /> �",�ARPl1111� TCI �I�N�R: YOUE�,_FAILURE TO.�RECOR� A NClTIGE.OF_CUI�a'a"Ii�fENC`►�h1lE?v�T 4�;AY�REaULT IN YC3t��
<br /> �A1�IIdG TWICE FOR II'VIPROVEMENTS T�0 YOUi�;P1aDF�ERTY. i�l(t�U�ih��ENi?`T�i��'}�TAil�i-FIht�N�II�G;-CQIRtSU�T
<br /> �iTN Y4�UR I.END t3. �1N�'�TCIRNEY-� �t3R� ECOR�3i G�Y�}tJ - � C 't3F�- � � NT;
<br /> =LORiC1A dUFtA7(F.S:t1'P.03} .' . -
<br /> �WNER OR e4t3ENT Cd�ld'S`ftACTOR
<br /> Subsctibad and swom to(or afilrmed)bsfore ta�e th#s Stibscri6ed and'swlam to{vr afflms�d)�b�fars me s -
<br /> by - �
<br /> `+Yho is/are petsonaity imawrt to.me or hasittave ptoduced Wha.tsJar erson t avm•ta me or f�astrtav�� �
<br />� �s Iden��ca8vn. es kisn��x
<br /> �
<br /> Pdotery Public _ _;;;�_�_�:
<br /> Gafnr.nss!an Na:' Cc�f..�� _�-F: ��
<br /> `=2�F-:�T`•'�t�t�%,�;r�'.:�r;3�'�s�=a;�: �.:-.�r�!''��;.'�Bc.,.�+-t-$a:a�+�' �
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