IVQTICE QF QEEQ RESTRICTIONS: Ttie understgned.unders�tands°:�th�t,,thls.°P�r<mif:may be.subjecfi,.#a"�eed"reuUictions";�" . .
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<br /> which may.:tie�mor`ear.estirtcttve`>•th���County�inag�lat(ons:a�The�under"�slgned.assumes'responsibility�for"cotirip0ance=with�any Y�' " ` """
<br /> appllcable desd��e�trictlons. � ,.-�.._ r; _;...,. �, -. .� '� • " , .�:.. ,, r-..
<br /> UNtiCENSED�°CONTRACTflRS-,At�D CQNTRACTOR RE�PQNSi�iLIT1ES:=��tf�the°�owner-hasF�hiced�:a"corttractar or
<br /> contractors to undertake work, theyrtmey;be;required-ita.be Itcensed Ir�accordance,with�state.and�local,cegulatlons.,-1fFthe-��' f{'��°
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<br /> contractor�Is-nat tEcens+e�f;as-�requlretl`by law, tioth the o�nmer a�d}contractar�may�beAci#ed�fiir���=misd;eineanar violatton
<br /> under state law. If the awner or Intended:,contr;actor:,are;cuncertaln,as to what Itcensing.requiremer�ts.ama ��a �C��for�tiae`�� �>_•��F
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<br /> lntended wark,ttiey,a�e aclvlsea�to contact the.Pasao County Butidliig:;lnspec#ton Qlvlslori,-l.Icensing Se�tton at 727-847-
<br /> 8009. Fu'rtFier`mcire, if#he owner`'has��fiired�a con�rac#oT'or contri�ctois, he is �dvt�ed to have ;the conhactor(s),,slgn§ _ , ,
<br /> portians of ther..cantcacta� Black...,of.thiswappiicatinn:.for,whichµ,they will,.,be:«responsible.- If.yau;_as #he ovvrier sign'a`s`th'e° ` `
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<br /> con#factor; thaf_�rtay°be an indicatloe�-that`he"is`not':properiy Ilce�serd�ar�ifulsp`no#entitleil to permlt#liig privlleges In Pasc�
<br /> County. " � � . : . � , . . ,_ .. .. �.. .�:_:.3�. , �_,
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<br /> TRANSPORTATIONa1MPACT/UT1I:ITIES�C�'lRAC'�ANC�ItESOU1tCE RECOVERY�PEES.�The�undecsl�ried unde�#ands
<br /> that Transportation tmpaaf Fees and.Recourse.Recovery.�ees rtisy;appiy:4ta the construction�of ne,w...buil�ings;5ahange'�of��� "��� �`
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<br /> use In existing bulldings,=oc-:eXpar�sl�r'r:of�.ei�Istin�.�bWldings, as speaffied.in P�sco County Ordinance n�umber 89-07 and
<br /> 90-07, as amended�.�Th� undetslgned aiso;�underst�nds, fhat°such fees;;,as��may;;be::due;�>w.i1F.>�e ident�l�d at#he.°time�of-:k.� ��='• `,:
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<br /> permitt(ng. It is fu'rthe�unders`tootl that Tr�`�isporkation ImpacY Fees and�Reaource.Reco�ery�Fees.,mu's# be paid prbr fo
<br /> rsce�ving-a"cer#If�cate..of occup�ancy"�.or�flnai��paw,e,r�release:-,���ti�e.projec#._.does;no�It�voive�a��cert�icafe of accupancy-o���"':���='�'��.-'
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<br /> finat power�release;�,tlie;1'ees:mu�t��be'paid;pelor#o;,permft Issuiance. Ft��t�iermare�ff.Pasco;County�`WaterlSewer;lmpact = :y��:-�� �
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<br /> fees are tlue,;.they�must;be=pald:pr'i'.or#a.permit�Issuance:in,accordance,:witl�r.appltcable�Pasao�:County�ordinances. � !
<br /> CONSTRUCTION`�lEN I.AItV jCh�pter T13�f.(or�ida Statut��,as amendedj: tf.vaivallon of uvork is�2,500.00.or.-more;�1� � =��s:.�
<br /> certify tHat I, #he.�applicant;:-.heve;:been-.providetl��with�-a �copy°,of�the�'Florida�°Constnic.Non�'Llen:L�v�—Homeowrner's �
<br /> Protectlon Cuide" prep�red by;tlie'�lor�da Qeps�rtment;of�g�tcult�re and Gonsum�r:kffalr�. If#he appll�ant Is so'meone; :, � _.
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<br /> other than#he"owner", I certify�,.that:,l�h�ve.;o�.�ined�aTc'apy;of.#he;ab�ve:.riescribeid'�docuiment,a�d;p,r..or�is�.ln;good':faith.to . «
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<br /> deliver It to:�the."owner":.p%�ot�ta coriimeticement ';° '" `� � � :. ,,, _ `.� ., ...,_ ", � ,.�
<br /> CONTRACTOR'Sl�WNER'S AFFtDAViT: t. _cei#ify,;that:atl�;the��inf.ormation:,tn�thl� applicatlon is accurate.�nd tha#all wa�k
<br /> will'be done in campliance with all.appltcable laws regulating constructlon, zoning and��land��devetopment. AppiCcatton„Is
<br /> hereby m�de to abtatn .a perm�t,,#o,�do+�:worlc;=,artd finstallafior� as Ind{�ted.....,:1. certify that no woric=�or instatlatiai► ha5` .
<br /> commenced prior to I"s`suance of a pemilf and that�:all work wlll be pertormed to meet,standards�af all laws regula�ing-
<br /> cons�vct�on, Gounty and C�ty codes� zoning regutatia�ns, and land devebpment r.egttlaf�ons�in Etie�Jt;utsd�c##on, 1�=also _
<br /> certify that 1 uaderstand that the regulatfons of other�gavernment agenctes may�apply�to the,Intended worlc, and that tt is
<br /> my responsibllity to Identtfy•whak,acttans 1 me�st-take.to be5ln:.carqpliance.,.�uch�agencles Ir�ciude buk�are.nat limitect to: i
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<br /> - Department of E�tvironmentat�Pi�tecttari=Cypress.°Bayheads, Wefl�and Areas and E�vtronmentally'Sensitiv'e
<br /> Lands�WaterlWastewate�Treatment. � �
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<br /> - Sauti�west Ftorida Wa#er Managemen# .Dfstr#c#-iNeits; G'yptess. Bay.�eads;� Vllet�and° Areas, Altecing
<br /> Watercourses. .
<br /> - Army Carps of En�ineers-Seawalls,Docks, �lavigable Waterways. `
<br /> - Depar#ment of Healtfi;:.8,RehablBtafi�±e;.;Ser:viceslErtvitonmental:,Neeith Unit Weli.s, I�astev�tera Treatment, �
<br /> Se�tic Tanks: �, . . - . - � `
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<br /> - US Environmen#al Pco#ec�on Agency Asbestos abatem�nt::,.- �
<br /> - Federal:Av,lat(on_Authori,ty,Runwaysr:��.:;�,.., _ .� •
<br /> !understand.that.thetfollowing;restrictlons appty fo"the�use of flit:
<br /> - Use of fill is not alla�nred in�Ffood,tZone"V"unless expressly permtfted.. �
<br /> - . If'the:flll�'matehal�is"to-�`be�-used:1n-:Flood -Zone. °A". It is understood�that a drainage plaa� addresstng a
<br /> �'co�npensaEing valume°will be submitted at ttme of�fpermitttng wfitch is prepared by a professiana) engineer - �
<br /> Iicensed by�#he State"of%Fio�ida:: . ,-'� ' � :;-, ;=� ;
<br /> - !f the fill materlaf'Is t�•be�used tn Flood �one `A" tt��connec�Eon�virlth�a�rermltted bnliding asirt� stem u�ra!! _
<br /> � _ construction, t certify;.th.akffil:i�lli:b.e-used oniy.to#ill the area withtn�the�stem=walL � ,
<br /> - if fll!'materla!Y Is�to 6e used lit:at�y area; 1 �cenity that .use af such t18 w!!! not adversely affeat adjacent
<br /> properties. i�use,of fill,.fis..foundmto.ad.versely��ffec#adja�enfi<pr�pertles,.the awner may be ctted for�lol'a#ing ' '
<br /> the�condi#i�ns..of.�the"butldingrt:perrrilt.is"sued;under the�attached�:permlt gppllcatiam-.for_:lats��le�s�.than:�one (1;)
<br /> acre virlifcli si�e`elevate��tiyr�fllt,a�t englneer�ed dr�ln�age'ptan i�requlred. . �� � �
<br /> If I am the.A6ENT.FOR THE:OIMNER; f.promise In good falth#o Inform the�owner of�the permltNng condmans set forth In
<br /> this aftidadlk`prior�to�coirimeracing construotto�t. i u�a�r�t��a tn�t e<s�parake petmlt rrtay be requtred for efectrlca!�rork, .
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<br /> plumbing�:signs�_weits,,,poots;,.atr,conditiontng,.ga�s, or o#her. finstall�i#toris nal�spec�t�liy inciuded-in.the apptication. .A
<br /> permit Issuetl shall be.construed;to tiie^a�ltcense'�to��proceed wlth�tNe�work.and not°as:authoNty:to:.vlolate;.�cancel, alter, o;r
<br /> set aslde eny=provisions of t�ie#�cti�Ecal.cade�;�nar shall lssuance.�ot a.permit.preven#tt�e Bulldirig O#ficial from theceaf�er �
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<br /> requtring a conectian nf errors4ln�plans,,constructlan..or vlolatlons of-any�codes: -�very�.p�ermit�lssued=shall•become�invalfd
<br /> unless the work aaithorized by such permtt:�ls_commenced•wlthin sGx,qmonths of pe�tnit tssaance, or iF work authorized by
<br /> the permit is.suspended ar;ebar�doned;�f,or:a;perlod;�of�six<f�)�mnn'tTis,afteri the ttm�the�wa�k�ts commen�ed. An e�ctensian
<br /> may be requested, In wirltliig,�firom,tFie:;Bullding.Offlctal far a perlod::not.to.exceed��nlnety�(90)�days a�d wlMl�demonstrste
<br /> justlflable cause for:�#he extensior� If wor,k ceas+ss:for nlnety.{90j cons.ecutive dayr.�w..t�re)ob�is_considered aba�doned. r=
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<br /> wARNING 1"Ct oWNER: YOU�;.FA1�IJRE�TQ.R�.C.QRD:Ak�lt��dGE.:oEs�CQMM�NEEME�T,�1iAY�RE�UE:T IN YOU}�
<br /> � PAYING TWICE,�'OR�iMPROVEMEN'fiS,Tt7!:;YOUR�::PROPER.7Y:��.IF�.YO.U�IfV'FE�ID�TO'WBTAIN�FINNwE1NG;'C.ONSUL'�
<br /> WIT U AN� O N FO. Ct� �OR�1 f�'� �U - � E ., `
<br /> '--�#:ORti2F�iJt�Ri��=(F.�:.1.'#;:03}-- � .�...., _,.... .�, _� __ _:v�=_ n __`. __�_ .___ �___-- . �
<br /> OWNER OR AOI?NT=. � CONTRAC'�Olt'-. - ' '
<br /> Subscrtbed aru!swom!a(or�tlirnted}before me thls Stibscrlbed'aryd`swam M(ot afflrtnedpbefdte rrte'ttii� .
<br /> by .ay...
<br /> Who Islare parsanally knovm to.me or has/have.produced Who.ls/are p.ersonally.acnown•.tu.me.or hasR�ave�produced • �
<br /> �" 'as td'en�ftca@on. ' ss�den��ca0on. -- .
<br /> Notery Publlc . � � Ndtary Publlc
<br /> Commiss4an No:'` GomR��slan.No, , .
<br /> Name of Motary typed,pt#nted or stamped Nama tsf Nofary iyped,prlMed ar stamped
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