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;�,813$764327 , I
<br /> • 14:18:36 01-37-2018 2/14
<br /> Fi0'i1G�Of AE�D RES'TR1C'RONS:Tha understgned vn�ersf�nds that tt�ts pet�nit msy ba�ubjecEto`daed`res�Ictlona°
<br /> whlch may 6e more restrtafive than Cotmty rogutatlons. 1iie understgned assumes responsihtlt[y for complfaru:e v�h arry
<br /> appllcahle deed rest�idfons. •
<br /> tlNLtGENSEE�GOI+�TRAC't'ORS-AND Gdt17'RAGTOE2 i�.SPONS1BtLiT[E3: it 1he flwnee has htr�d a ca�trctar,oc
<br /> •contractors to underta[ce wprk,t�ay may be reqGued tb 6e Itcen'sed in eccoidance v�n'th state and facal reguis�ans. tf#he
<br /> cor�trad�r ts not itcensed as req_uired by law,both ths owner and con6adar may be�ited for a inisdertieanar vtalapon
<br /> under stata iaw !i the�wner or in#ended con#rador ac�a unceclaIn as to what 1lcenslisg reqatremecsts may apply far fha '
<br /> tnlsnded work,they aca advised to contact fha Pasco Couniy Buitding inspectlon Otvisi�n--LlcensU�g Sect�ott af T27-647
<br /> 8009. �urthermore,H the owner has�tred a ca�racfar or coMractnts,.ha�s advised to IiaVa the contrador(s)sign
<br /> - por�ans of#ha'contractnr Hlack a1'ihts applicatlon fo�wttich lhey w3!!be respons(ble. tf yau,as fhe o`uiner stgn as tha
<br /> , coniracior.fhsE may be ass ind#�ltnn�i�f-h�is n�f propecty tic�rssed�d is rwt e�ifled ta perml�ing priu�eges�Fasco , �
<br /> Caunty. ' ' •
<br /> TE2ANSPptTCATIC�N 1MPACTlUTtLME91MPAC7 AN[]EtESOURGE R�CoVEft"f FEE6:3he unders(Bned,unde�standa �i
<br /> tha#Ttaneporta�oa tis�paet�ees and itecacssse F�ecovesy�Fees may apply to the cansirudlon af nev�t baitdings,cliange at
<br /> use lo exlsBng b�il�InBs,'oc'expanslan af e�ttsttag bttildings,as.`spedfied�Pa'sco County Ord'utancs nvm6er 89-07 and I
<br /> 90-D7,as amanded.,'The undeisigned eiso understands,thflx 8ud1 fe05�se may be due�wlli be(denUfled af ttie t�me of �
<br /> permtffing. !t ts iutihec zuiderstaod ttrat Transpottait�ti impa�t Fees aitd Resautce Reravery Fees m�st 6s paid gdor to !
<br /> receivirtg a°cer�Rcate af.accupancy"or futal pawat�fease. If tha project doea net invaSva a certi�cats.of aa�psncy or �
<br /> fina{pawer reieas�,lha fe�as.must.bm Pa�pd4r to pem�Itdssuerice: Futfhetma�e,lf Pasco Coemi,yr Waterl5ewar fmpad
<br /> fees are dne;#hey_mustlia pa(a prto'r'to gcrmltlssuance fn accnrdenca:wiih applicabie Pasco Cnunly otdinances.
<br /> CONBTRttC1TON I:lEN C,�W{GhapEer 733,Ftodda Sfaf�ites,as anieaded}':Jf vatuaHan csfuroskG§�,5D0.{}Q o�moi'e,1
<br /> ceriify thet 1;tEio,agp�lca�,if,,,have been provided v�iUt a enpy of iha °Florlda ConstrucUon Llen.(.ew—klomenwne�s
<br /> PrafecUon�Guide°prepared by tfie Ffod'da Depeifinent of Agriculfure and.CansumerAffatrs: Sf ih@ applioan!Is sriirie6he
<br /> nfhet thstt fha aanse�`�t cert�fy th�t 1 Itave o6tat�d a c�py of the si�ove descn'6ed das�mten#and promSse ki good taSttt to
<br /> dellver if to the'aumer'prior•io aom�ttancemeht.
<br /> Co11TRA,CTOR'SlOWN�R.'3 AFFICFAVI7`:�I certlfy ihat a11 fhe iMoinia�lon ln thts appqeation]s accurete and ihaf ell work
<br /> wiit be done in campi3anae wi#h att agp]icabSe laws iegulatttig construdtan,zaning and i'snd devetopmarrL Agptfca�on is '
<br /> hareby made fn.obiain a peanJf in do worlt and insfaitaiton as Sndtcafed. ( certiEy that no w�tk or instatts@an has
<br /> -- cammenced pitor�io lasuance of a permtt aiid iha�all wor�c WiU be perfo[med io mee�standards nf afl�laws regulaUng
<br /> consttudlnn,Connty and Glty codes,mning regulatlnns,and land develapment tagu atlane In the judsdlcUon. I also
<br /> certify that l nnderstand fhat fti$regutailan�af flther gavemmsnf agenctes may appty to ttie trifende�i waik=end fhat tt is
<br /> � my resppnsibinty ta idenUfywhat acUons 1 must take tn as in e�mpRanca Sudi agendse lnclude but are not ttmtted to:
<br /> - pepartment of E.rnrironmental f'm,tecUon-Cypreas Bayheads,Wetland Areas and Ertvironmantally SenslUve
<br /> lands,Wa#erlUVastewaferTceatitien� '
<br /> - 5outhwest Ftodda Watet Managemenf dlstrtct We11s, Cypress Bayheads, Wet(and Areas, Alfedng
<br /> Watercourses. '
<br /> . - AmYy�orps af�stgirteers-Seawatts,Dack3,Navigabie,Wafect+vaays.
<br /> - Deparfine�of Neatfh & E2ehabii(ta�vs ServIcecdEnvtr6nmenfat Heaiih tintt Wetls,Wasiawafar Treaiment,
<br /> sepllc Tanks. , ,
<br /> - U3 Erivlrorimenta!Pratec4on Agency-Asbeatos,ahafement
<br /> ' - Fec1e�'al A�attoti Atifhorlty-Rt�iwayss s.: ,.;= . _ � � . , .
<br /> 1 undarstand fhat the foitowing rastricUons appiy to ttie use offlil: �• -� � � �•
<br /> - Use of�l!is not:allowed Jn Fiaod Zone`'V°unfesa express[y permitted. '�,� . - �
<br /> - lt(h��li matetial ta'ta�be Used iri Fload Zane"A°,if ts unde�stoad that a.iGatn�ga.ptan addcesstng a
<br /> "campensa�in'g'vaiurtia°w111 be suhmt�ed at itme of petmltUng which Is prepared by a professianai engtneer
<br /> ' Ocensed by fh�Sfate of Flodda.,
<br /> - Sf the fdl mater�ai Is to 6e tised f�s Ft�oci�oae"A°Eo cx�nrteetion wIth a pem'u'tted build(ng uslt3g stern wati
<br /> , construcUon,l cedify ihai BIi wiil 6e used anty fo flU the aroa wtthtn ihe sfem wa4f.
<br /> � If ti11�maferial Is fo be used Jn�ahy alee, l cer6fy that use of such flll will nat adversely afifiect adJacent
<br /> pmpetUes. if uss of�!t t�faund!a aihrersety a(Fect adjaeent propecUes,ihe owwner may be c3fesi for vtolating
<br /> fha candl#tons o1 tha buEfdi.ng p�ut tssued u�der fhe stfaehed permit app�icatlan,for tots tess than ar�e{i)
<br /> aaa whtch are eleveted;ti}r fill;an engineeied dralnage pten ts requlr�d. ,
<br /> !i!am ths AGF�1T FOl2 TH8 OWNER,I promtse In gaod fatth to Infarm fhe owner of 1hQ permltting condttions set farth In
<br /> � fhis a(fldavit"p�ior tn cammendng construclloi�"f underst�nd#haE a sepsrafe petmtt�ay ba requked fa�etectricai wurk,
<br /> ptumbing,slgns,wells,pnofs,alr condiUontng,gas,or other ins3aallaHons nof specificatty lnctuded ti�the applicat�on. A
<br /> permit issued shall be canstrued to be a Uc�nse to psuceed wiih Uie Wark and not as eu#horify to vlotete,cancel,�ter,or
<br /> set aside eriy pr�vtsians of#he"�echnl�S codes,n�r shati issuancs af a permlt prevent fhe BulIdfng o�Ida�from tt�et'�aSer
<br /> �equidng a conacftan oferrncs in ptans,cansfructton orviolatione nf any codes. Evety peP�f tssued shati 6acoma invaTd
<br /> unless the wo�s authodzed hy sach permit la eommenced wlihln aix mo�hs of per�ilt issuan�a,ar[f work au�ta�ized by
<br /> the gatmlt ia suspended or abaridoned far a perlad af aix(8j�arcths aftet ihe ttma!he wark Is comi:tenced.An eictension
<br /> may 6e tequested,in wtiUn9.finin fhs SidfdTrig'OfrtcEa��tor a perIod naEia exceed ntnefy{9ti}days and wi(1 demansfrata
<br /> �ustliiahie cause for the eadenalar�, lfwork ceases fbr nineiy(94)consecutive d�ys,the Job Ia consldeted abando�d.
<br /> � WAR23tHG TO OWNEE2: YOt1R FAI�.tlE2E 70 f��GOitO A NOTICE QF GONiRd�htCF�li�N�'R!lAAY FiE.SULT•1N�YDtlR
<br /> PAYINt3'IWICE FORlMPROVEMENT3 Tb YOUFi•pRORERIY. 1F Yq111NTEMD.TO OS7AIN FIAtANCItSG,COflSULT
<br /> QU �tENo o AN o N�Y•BEFO REC bINQ YOUR i3 CE COMIN C �NT.
<br /> FiORlDAJURAT{F8.117.43 - � .�
<br /> 4WNERORAGEN'i'�_1� .� •CUNfRACtD
<br /> 5�3�and swonl�faia6flfied)befnl0 m�y{tis S�ed iRta a . .. ote ma tl7
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<br /> WhoJd�am � totne Fmdstced Who per�anaStylmowccm�naorli�auept�d
<br /> � . asideRU(tcafloa :asidenUGcaiton.
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