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<br /> �dQTit�E 9F QEED RESTRICTlt?�i�:. The�under�igr�ed;under�t�nds�:th�#�thl�;��r,,mit:.mayµbe;sub�ect;tor�.d�ed.�nces,trlctlp%iss�_..,:�_�,.
<br /> which may��tie'=m�re restttctive-�#Ia��i��Gount�%r�egr�lations:�;'1'iie unde'sl�ned�`�sgumes�'resp�nsibility.�tair"con�pitancei�with a�iy±� . "`f:��
<br /> epppcable:deed;restrictians., . v ��.: ,� ;��::. :.-,.,: •.;. � - • - - ;.� �� .., -:,......_..� ` _' �' � . -,�
<br /> ..:,,;.:,,.,, .w. . ... � � _ .... _____ .,
<br /> UNLICE�SED'CCiNTRACTO�,S AND CON�kCTOR�RESPQN$113lCITi�S:�--1f�Nie�oumer has��hiretl���a 'coritractor,,ar _
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<br /> contractors.to undertake�uork,..#hey;may�;bfe;reqi'�ir�d:�to.;be�licens.ed,lnr:accordance.with state-.and;toaal�,ragulatlons:=�if=the����`� •
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<br /> canUacta,r'�€s�-tiaf'�Itce't't"seil��as=�aquir�if:by ta�i� bot#t��the owner arid contrac#orRmay�#�e{°cited°for���ritis�meenar vlola�on ,
<br /> under state law. _,if the owner ar intended;,:ca,n;,Ua�to�;ere�,;unc�rtain.as`to what itcensing;requirements�may�appiy���for�'!he'-=�=��•f=`"
<br /> „ ,.:�.�. .f?Yl�r..�.r y�l i. . . ..�......... ...... ....:.r:... "ts...i..
<br /> intended v�+ork,"tHey,aror�advlseii;to coritact-_ttie�}Pasco:.Gounty�Bulltling�ln_"s_pectlon_.Dlvlsi.an{-Llcen§Ing�ectbn at 727-847-
<br /> 8009. Fu�ermore, li ttie ovtrri�r tiai`s tilrei��a ciinfrac#ot`oT ii�onfraatars, he 3s aiivlsett to have;the .c�tttractor(s}.,sign,�-,;�, ,F,r
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<br /> portions of the�"contrector,.Blo.ck"�:of..this.:applicetlon.:fo.r_;which,.,they.will<be_-�r�sponslble:..:.lf:you���•as._the,_oiRirier"sign`'as�'#he' �
<br /> contr�ctot� tttat�rr�ay tie an indfca#fan that'tie'is�not`�rope�y ilceitsed aritlVis`riot ent�8eid'to petmittfng prfi�ifeges In Pas.aa :. �
<br /> Cvunty. .. ,.-_ . ... - _ � ; ;:-: ;�-:P . -�,...
<br /> TRAtVSPARtATION.�IMPACTlU1'IU'f'IES}rMlPaC'�`ANb 1�E3CMUttCE REC011ERY°FEE�:�T�te�underslynetl�understands..
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<br /> that Transpartatlon Imp�ct Fees:and.Recautse..Recavery.l=ees�.rriaY',epply:ta�ti�ei,con�hvctton of�new�6u�dings;;�changerj,nf'i�k' �v`�'�
<br /> use in exisfing buildings, or�:expa�tisio�r;:of=�exl�ti�ip`Y�uil�ings.,as specff_ted.in Pasco County Or'dinance.number 89-07:and�_. ,
<br /> 90-07, as amended.;::�1ie andetrslgned alsokjunderstands;#I�a�E:-such fees;zas��majrt�s:dt�e;^w11�'}�ie lderiflfled a#tlte�tlme of��-' .�=°•�-�`:`
<br /> permilting: It is furtFier unde�stadd that Tra�sporkation Innp�at�Fees an�'°Resour`ceyRecavery�Fees;�mu�t be patd prior ta . ' '
<br /> receivtng.a,"certfflaate:.ot�occupat�cy"rtor�flnalwpawer-:Eefea�e:_:4f�the.pro;ect�'�oessnot�involve4a�:certi�.cate of at�upanc�t;�oi�:-r==�..,_�',-
<br /> final powerwreiease�_<<tiie;i`+ei�s;mu�t:tie paid{p�1or tofXpecmit is'suance. F��erano�e,.if:Pasco;��County.�VVater/Sewerr;impact ��-- >��.;+,r.
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<br /> fees are:tlue;,;they:must:be�pald�prio.r_-:to,permlt:lssu�ance:ln�accortla�ce v+rilh:�pplicable'Pasco`�Caunty��ardinances. • j
<br /> GQ�tSTRtlCTtON'�:IEt�"L1RY�"{Chept�r 7i3��I�rtcla�tatuE�s��s am�nde�t): If valaa�on.of wark Is..�2,500.OQvarmor�,;1� : :t;
<br /> aertify tNaf.l, #h�.�applicant;�:liav._e:•been-:provlded��with�a�copy�of:the��°Fl�rida-��ConsWctlon':Llen'.'Law--Homeowner's
<br /> Pratectton GuEde" prepaced by;tltie"Ftaiida Departtnent;of Agrlculh�re and Gonsum�sc.AfFalrs. !f the epp#tcant Is._someone�- .' >; .
<br /> otherihanth�"owner", Icerti�ji;;lh�t>I�.h�ve:obteiineid'a���copy;of:the�abQva;rlescrabed`tlociiir�entsand�p�ronils:e�;tn�go.o:d?'_faith�to. �
<br /> deDver It to..thes'owne�'='pi�ioi=taaaammenceme�it:�''' °`� . • �` ` . . � `: . '
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<br /> CONTRACTAit'S/KiVYMER'S Jd1fFiQAYIT: 1. :.�<',#t��t�.aXl.#h��inf�r•matt�n.i�t tiii�appltce#ion is accurate.�nd that ail wark
<br /> wiil'be done in compltance w(th all.applicable�laws reguleting construction� xoning and:�land��development: Appl(cation,ls�
<br /> here6y made ta°obt�ln.a.p�rtitit=;to,�do�worl�:2>antf��lhs#e1laElon as Indtc:eted:..:.��1 c�rt�fjr the# no urork{`or �nstallatlon F�a''s!
<br /> commenced p�ior #o I`ssuance�of:a perintf�'and that�:ali�wark wlll be pertormed�to meet..startdards-af:all la�ws regulaXing;�
<br /> constrvctlon, County and City codes, zontng regulatlQns, and fand development r.egtsia�ons�in the ji�risdlctEon: °I`�°ai'sa:
<br /> certi�y that t understand th�t ihe regulafians af other�government agenctes m�y�appty�to#he intended work, and#hat it(s;
<br /> my responsibility to identifjr•what.act(ona 1 must;take,:to be�:�in�carrjpilanc.��:;S.uch;agencles include but are`.not limtted to: ��
<br /> - Depart+ment of E�vironmenitafi�=Protecti�n`=Cypi�ess�Bsyliead�; We�and Areas and Ernrlronmentaiiy Ss�sitive�
<br /> Lands,WaterlWastewater 7reahrtent. ,;
<br /> - SouthinresE Ffor�da Water Management :C�EsUtct 1Ne1l�, CYptess...HaY#�eads,� Wetland Ateas, A#eringi
<br /> Watercaurses. -- ;'
<br /> , - Army Corps of Eng(neers�eswa0st�ocks�IVavtgatile Waterways. j �
<br /> - Depa�tment,.of,�Health,;:8�;Ret�ab111taflrr+��.:Ser;vtceslEr�vtioni'nental=�.NealtEa Unit:Well.s, Vt�astewate�=Treatment,: �
<br /> , S'eptic Tenkg::'`' . '. ' " _, ... . , .
<br /> - US Envtronm�ntai Protectlon Agency-Asbestos.abatemen�._ : �
<br /> � Federai:A�lat�on�Aut�ority;;#,turiinr�ys:.. �, �� . ' '
<br /> ', !understand.that the follow�ngcrest�i�tlons apply'fv the use of flA:
<br /> i, - Use of fitl fis no�=allowed�iri�Flood�Zdone"V"unless expressiy permitted, < f
<br /> ' - If the-�flll"`mafe�lal�=ls`�to�"`•ti.e��-usei��In:;Flood•-Zone. "A", I� is underetoad thak a dralnage plan� addreg�ing .�E
<br /> "compe�sating volume*wllt..be submltted a##ime e►f�permitting whfch Is prepared by a prafesslonal engineer�
<br /> Hcensed by"#lietA�tate�'of:FloHd'a"::- . .. ;.",.. ._ _ ,. ; ;
<br /> If th� f1ll�ma#erlal=�ts-'to-bea.used In Ftood Zone 'A" in�connection�wtth:a��ermltted buNding using stem �ral1 F
<br /> '� � ccrmsbuction, I�cer.tify.that:�ll:�i�U�b.e•used only.to fill the are.�,withln�the�stem:walt: - '
<br /> - If flli material��fs�to be used In�any areat I �cert�jr that .use of such flll wIU not adversel �ffect ad acen4;
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<br /> properties. If;use;,of f�l,,is^',touncF to�dversely,�ffec#adJa��i�t�-:prc�pe�tie�,.the owner may be clted for vlaCating# ,
<br /> the-condqPons:::of:.tFie buii`ding:permtt�Cssued�u�der the°�at�ached_�ermit,appltcatlon,�for:lots��less�than'one (11); �
<br /> acre wlit+c��re elevaEed��by:A!l;.a�t=englneer�ed dratnage plan is roqul�d. � . �- � z -;
<br /> if I am the AGENT.F..OR=THE��OVYNER;sFi;:�romfse in good f.aith#a tnform the�aa�ummer of�the.permilting conditlons set forth fm; '
<br /> this aifidavlt`p�or to commer�cing constructian. 1 understs�nd thet:a�separate�permit may be requtred for elecMcal:work, � ��,
<br /> plumbing, stgns, wetls�.,Roals,.alr�.cand�tlofltng.-.9$s;:or:a.ther:. lnstal!'�#1on� nat�spec�lcalty included�1n.the �pplication. .A� .,
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<br /> permit Issuetl:shail be.cons�tiued.to ibe+�:a�license�'to�'proceed vvith kFie�_�nnork and_�not•as:authoNty�.ta.violate;�'�cencel, alter, a�� . ��( -
<br /> set aslde any provisions of the.technlcal:cad�s;:nor sha111ssuance�of a.permit.pcevent t��e Bullcfirig O#ftc1�1 fram thecea#ter f '�
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<br /> requirin.g a correctton�af._err:ors�in=pians;cons#ivctlon,.or viotatlons of��any s;odes:� Every�p'ermit=lssued sfiall��6eaome�inval(d ; ;
<br /> unless the work autho�fzed.by such permit:�ts.co�menced�wlthlnzsGc.�months of�pennit lssuance� or If work authorized by i �
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<br /> ths permit is suspended or:.sbandoned.;f,ar�axpetlod,;of;siz:�fl)�ir�onfiis,�f#er;the Nrt�e.fhe�wo�'k-�s cominen�ed.,An e�ttension ; i
<br /> may be �equested�.in w'ittng,�from.th��;�Bulldtng,'OfflcCal for a perlod-not-to_exceed"�nin�ty(90):'days a�rd-will demonstrate i ;,
<br /> ' Just�f�ble cause for.�the extenslor�; tf work c�as�es�for n3nety.(90}�ons�c�athret day.s,..the�ob�t�cans#dered a�b��doned �? ; �
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<br /> I 11V�►RNING TO OINNER: YOUI�,.FAIUJRE;>TCl,_RECO�tt?:A�[�QTIGE::QFNCQMM�I�G�MENT.:NtAY��RESU�T lN�YOUk ; ;
<br /> PAYIN�G TWlCE�FGR��IMPROVEMENTS:Tfly�f��iRR��PRi��'Ei�TY�;tF-.YOU{t�".fE��TQ''�87'AiN��FiNJ��1E�tAtG;'C.ONSUI.T ; `�
<br /> WIT U �~ A - -O'. ,, :; ,� � �� r • � ,�� �- _ _-__ _ — --
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<br /> Ft,qRIDAJURA�':(F :Q3} � .. . , . ,
<br /> OWNER QR AO� " CCINTRAIGTOR ,. % '
<br /> , 3ubsaib�d and swom (or a rme } elore ma thls � Subscrfb�i'ar�d�aworrf�ta{or a�Jrmed�-b�tor�ma#M�. , �
<br /> bY , ,.�.. :by.... -'
<br /> lNho Is/are personally kn o.me or.ha.slhave produc�d Who.ls/�re peraonallyJcnown•M.merorlias/have�praduced • ' �
<br /> as id'entlflcaBPn. es tden�Rcation. �
<br /> Nobary Pubtte . � � Not�ry Pubitc , '
<br /> �ammlaslon No;° Comr�tfasion.tJo.
<br /> Vame ot Notary typed,printed or sRampsd A�ame of tJolary typed.pdttted.o�.stamped ;
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