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M�'�°I����D����@�TRIC'�'I�N�: T�e ut�d���lgr�ed,u�der�t��ds�:th�t:this?p�t�rni�:rn�y_be.rsubject.to�deed"resfrlcQions" .�.., <br /> .. .. <br /> which may;be�mofe�resthictiv�:�th��Couiily:regralattons.;The'ahd�r"slgn�d�'���unies��esp�rosfbility frar�corriptlanc�i v�+iQli"a`eiy <br /> ��ppllcable deed'r��trectlons. .. : . - <br /> Uf��iC�RiSE���4�A8��1CT�63S ��D CrGIMT�!aCTO� �E��ONS��I�t1T���: -tf t�e muvner'has��hicecl��a cdnfractar or <br /> contrac4ocs 4o und�rtake wo�k, th�y may.be.�re�q�rired:<ta�b�,.lt��nsed Ir�accaedance..wigh state.and•loca6_regulation.s.: If the� = <br /> c�nt��c#or is not licer�sed=�s=req�le�d;by l�v, b¢�th the ou�er ��d=��tc�at���-may-be�clt�d for a�mis�errneanor vtalatlor� <br /> under state law. If the awner ar Intended�,�co,ntra�tor,ar,e,.uncertain �as to vvhat Ilcensing.requlr�ment�?nnay apply:�=;for.�the �� <br /> , � . n .. <br /> tnt�nded vuortc, they are adviseii��'contact�tie P�sco Cou�ty,�ultiling'lnspe�l�ii lRhrlslon_-t:lcenslr�g�ectiora a4 727-847- <br /> 80�9. Furtti�meor�, if the ouvroer'fias�`hla�ed � con�actor'or contr�c@�rs, he i� ai�vis�cl to harre the contcactar(s),.sign � <br /> portiorts of the..°cantractor �Im�k" ��.this.�pplicat(on..for�rtrhtch..they.:wiil:.,be�,.r.e�por�sibte� 6f yau,-�s:ihe ovutier'�ign a�'fhe ` <br /> con�eactor, #hat�rna� be an ��dlc�ti�c� th�t'he=is�na�Y pcopee#j+'li�erisec� aa�tl��l��iot�r�tl�ed to perrnitti�g privllege§ i� Pasc� <br /> County. ' �' .-. <br /> °��N�l��RTI��YQPI-IMPi���'SI�T��:l��'IE��l�l���Y•�P�b�E��l�RC��EC�VERY��EE�:_The under�#g�ed unders�and� <br /> th�t Transpartatiom Irnpact Fees�nd.R�coutse Recove.ry.Fees rtiay�.apply�,#o�the constr�ction,:of ne�w.bulldings,�change�of'� ' ' <br /> use in ��isting boaildings,�or:expar�sl�in�of�-eiiis`ti��g:�builtlings, a�� �pecffied.in Pasca� Caunty Ordlnanoe nur�ber 89-07 �nd <br /> 9o-tB7, as amea�d�d.,.�.The under�lg��d also:understands, fh�t.�such fee�� �s��m�y:°b��.due;:,�ntitl.�6� tdent�ed at#h�r#ime°of�° - , <br /> per�itting. It Is fu"rther understobd that Transp�rtation lenpa�t Fees and'°Ftesour�ce;Rec`oV`e'r'y-�F�es.m�ast be pafd pPiar fo <br /> rece�v6ng-a "c��f�c�t�of oc�eupancy"�or#�n�l�•power.reli�a�e: :ff�th�projec#�does,ti��involve=�a=:c��t�6c�te of��up�ncy o���:.... ; <br /> . _ .... <br /> finai powrer releas�;_,ili��:fees ainust ti��pald�;prior#o,p�rmit Issu�nc�. Fu�kh�rrr9are;�if:Pa�co:Cour�tty��WaQer/�ewer��lmp�ct �� � � <br /> fees are due,..they.:must.be-pald�prlor to permltUlssuance:En,accordance�itlf�pplfcable P�sco'.County ortlte�an�es. � <br /> ����TitUGTiOtd'Coi�W°1.A�VV'(C�i��t�r 713� Ft�r��1�St�tt��a�,�a�m�nd���: 9f valar�tlor�ofidvark is$2,500.00:r�r rnar�;1 . <br /> ., <br /> cerlify 4ha# ,I, the. �pplic�nt; have.been .provided��with--a copy of 4he• "�'Iorida�� Construction� LIe�:Lavv--Homeowner's <br /> Pr�tectl�� Gu1de" prepa�red by.f�ie F�o�ida Deparfra�enf o�Agric�[#�te and Consamer.;Affairs. �f#i�e �ppticac�E Is someor�e � <br /> other than ti�e tlowner", I aer�t6y,�that.l h�ve.,obtained�a�copy.of the:abQve:.d�,scribed doct�ment°and.pror�l��r`:in.gaod_f�ith to . <br /> aielixer 4t to..ths.'owne�'=.prioc ta4eomrrt�nceme6it:'" � � � , � ' - <br /> �ON'P`�CTOR'�/�VVNEi3'S�����AVi1': i.�erti�y�tfaat�aEE.theAi�ormation:,l�thl.��ppllc�tlon is ar.curaQe and th�t ali wrork <br /> �►ill'be don� in comp0l�nc�with ali.a�pplicable'laws regulating construction, zonir�g ands land'�d�vel�pm�ro�. Appitca�ton Is <br /> h�reby made ta abt�lr� .a permi#;�i�:do u�roi�C;�;and:tns#�Il�tlon �s lndlceted:, ..::1 certEfy that n� w�rk=°or instatlaftmr� has <br /> comrroenced prlor to t`ss�u�nce of'a permif"and�hat:all work will be pe�Formed tm m�et stac�dards of aEl laws regulating� <br /> const�ucQl�nt G�u�t� and �ity �odes, zoning re�ulatic�ns, and land devetnpm�n# r.�gal�t�ons=in th�Ju�Osdlcti�n. I �Iso <br /> c�rtify that 1 ur�derst�nd tt�at Qhe r�gulattons of oth�r governm�n��g�nc(es m�y�apply#o the_intend�d�vork, and that it is <br /> my r�sponslbllity to Ider�tify�wh�t.�cQlons!must Q��e to be<l�:.c�rrfpllar�ce. S:u�h agencf�s��ciude but are.ns�t lirnited t�; ; <br /> - depackrnen� of Er�dirorarv�entai>�P�tect3o�=Cyps�ss.�ayfiead�, 1N�tl�nd Areas and Environr,nentatly Sensitive <br /> �.ands,l6Vat�r/VVas�ewater Treatment. � <br /> - �outhwssq Florld� V49ate� Iviana��ment� .D��t�ict V�elds; Cy�re�s.'�"��y.#�eads; �tUe�#and Area�, A#ter�r�g <br /> VVatercourses. � <br /> - Army Corps of Engine�r�-S�aw�lls} Docks, Na�iga�le Waf�eway�. <br /> - Depaatm�nt of Health;B,.Ret�abiiitativ� Seevic�s/Er�vB�or�ment�l,.H�attb� Uinit VVeI[s, 1Nastewater•Tr�atment, <br /> Se�ftc Tan�s: ' . � - � '. <br /> - US�nvi�nmentai l�tect��n Ag�ncy-Asbe�#os ab�tem��t. <br /> Federal Avl�tivn:Authori.ty-Runways:� �. <br /> 4 und�c�4acod.that Qhe foiloi�l�ig:�res�i�tlons appiy Ntca tt�e use�€f�la: <br /> - Us�of fill is not�tiowed in.Fiood=Zorae�V"unless expces�ly perr�itted. <br /> - If the.-�+11�ma�e�i�o"}is�to�be us�d:'In��Flood-��ne "A"� it. ls underskood th�Q a drainage pl�n addressf�g � <br /> °compensa#ir�g v�lur�eW will bs subm�tted a#t€me of-.�ermlfting wh�ch is pr�pared by a prafessionat en�3neer <br /> Iicensed by�h�State of:Florida: � - - <br /> - If fhe fill-matertal�is to:be-use� 1� Fl�o� Z�n� °AR ln��onn�cti�r��u►i3th:� �ermltted b�itdi�ag ustng ste� wa31 <br /> construction, l ee�tifiy th�t.fiil�:ticiil�b.�used onl�.to.fill�h�area w(thln�the�tem wall. <br /> - If t6A m�terlal ts'to be u�ed-ir� any area; I �aeitify thett .t�s� c�f s�ach f#!I wi!! nat adversety �ffec4 adja�en� <br /> praperti�s. If�se,of fi9t is,fou�d�ta adversety:�ff�cfi adjac�nt��properties,.Qh�or�ner may be cited for vloi�ting � <br /> the candi#Pons.of the bia0ltli�ig.permi@ Is'sued�ured�r the_°�tfached.,p�rmit a�pplfcatic�n� for lots.less.than one (1a) � <br /> acr$wfit�h are elevated`by i�lt,art e�gin�ered d�ir��g�plan�s r+�quired. . , i <br /> If G am the rA�@M7'FOR THE Q�VYf�l�pt; l;.promise Ir� good falt6�to!n#orr�the owner of�the.permitting�ondit�ans set forth in <br /> this atfidavtt�prloc fa�c�miner�ci�ag ccinstru�tlon. I understand 4hat��.separate permit may be requlred€or etectrica!'�ror�, <br /> piumbing,_.signs, wells.,,,paots,. ale c�nditioning,..ga.s, oe oth�r in��all�`tions no$,spee�fcat�y included�3n the applica#ion. ,A <br /> permit Issued 'sha10 be cnatstrue,d to be a�license�to�procee�with the vuork�ntl not.as:a�a�thor,ity to.vlulate;cancel, alte�, o`r <br /> s�t�std��ny�provisi�i�s�f the tech�iical.cod��;�nar�haillssa��nce�of a.perttait.pr.event##»�ulldirig t�#fic3a!from there�ftet <br /> requlring a correc�lan af eRors En;pl�ns.; con�#nictian,or vlolations of any code�: �very p�ermtt Issued�sl�all become indalid <br /> unless th�work authort�ed_by sa�ch pePmit:�l�_co�menced•vvith�en sf�c.month��f permit I�su�nc�, or If vvork authorized b� <br /> Qhe perm�t is susp+�rrded�ae..�bandon�d�f��a=p�riod;of�sGc�(�)cn�n�#iis:�fter the;t9rn�tfi���wotk�ls c�mmenced. An extensian <br /> onay be� requ�sQ�d, In �iting;�rom tPi�e.Buildi�g,CIP�cial for� periqd.not-to.exceed�-ntt�ty(90) days ��d v�ri!! demonstrate <br /> �us�l�able'���s�f�t:�h��xtensia�: If r�ock ce�ses:for ninety.{90}��ns.�c�tive day.s,..�h��ab��s ce�nsidered a�ba�don�d. ` <br /> �!lAR�lIMS "�O1fYWE�tc YOUi�-�lA1L,URE..T�.,Ri�C.Q�D��1,_NQT��E �F>•���IM��G�6�1tEMT;�I�Y RE�UE:T�N�Y��+1� <br /> P�YIPt�T11�'iCE��OR_IMPROV�iViEMTS�TCI.YOUIR.PRCIPEi3'i'�:��1F°Y�.E��I�1'E'END�7'Q°��TAIN�PIN�AF1�fNC;'C.I�lNSU�.� <br /> �9PVIT 8� ��l. �1N� �� N , . FO. �;, ��t� (�:' �l� ' :� ;-p ," .._. , E :g .. _ �,. <br /> rz�RIC9+�3R�t��'<{F:�:i1�',o3}_ __--- — - . . . _ . .�� i`! <br /> , �l ��� ` , rr <br /> CIINM�It�R�1t3ENT_:.. A� ��r...� COf�Tt3�CTAdt�� ha! f,�— <br /> SubscrEb d nd s+�rom o�a,fNrn�ed} efor�m Is , S 6 b 'sura #o �aNirmad}•b' re me` s <br /> o ! �y S � ...by... �.���l�,d �GC'�f1��� <br /> Is are ersona knovm t�.m,gor haslhave produced le% onall� �,�pVl,R1• B.00 F193/h�V@�pPOdUC@li • <br /> s Id`entl�r��on. If ' 1„�C�,dt � ��tdentHicatlon _ . <br /> .�����i' " �✓+� �otery Pub(Ic _ � Idofary Public � <br /> - _ , � � <br /> Cornml lan_Na:�.���. �(/��„'� Com�tssRon.P�o, . <br /> �d/"���a//7� ��°�'�I �/j��'�'���"�/~a'.//�e.- p �'�/'��� <br /> � � <br /> Name of 1dol� ed Name of t�ata ed dnted or�rca ed <br /> ��'i�'r'im•• pEBRAEIAINERUFFELL °�"�'""" <br /> "�'`"�'`�<�'� 1,1Yp„��� DEBf;AELAINERUFFELL <br /> _,.��x �`.Commission#GG 045343' ,�,`��":�,-- <br /> :-•-�=Er,ui��cs November 7,2420 ;�<,v , •.:Commissian#GG 045343 <br /> �, '�r`,a�=�;�� 8;,nd�.�T'� ;Fainlnsu2nce800•385�7019 '^����, o,�Expires November7,2Q20 <br /> .� ' ' �i",.,g•i?;�t;�` Bonded7twTroyFai�lnsarancaBW�385�7019 <br /> � _ <br />