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��il���F���D RE3�'�������. '9'he und�rsl Eted�red�r�t�nds°:th�t-#tals� �rmftmay.be,sub ect 4o nd�edp resUtcttans" . <br /> '.� � ` �. ..._ 1 <br /> which m�y be�more r.est�ictMve>tha�Coun�i-.r�gr�tatCons� 'Th�i��a�rslgn�����umes P�sponslbiiity fior compliance vuith arijr <br /> app#�c�ble d�ted r�sh�iotlons. � .- � � <br /> d�6��tG��1���1� 6�(d'��'�'�R:a�1�N�i C�M�R��TlS��•�������1i�11�tTE��: If the ou�ner has�-hiced ���contfac#or or <br /> congractors 4o underta�ke wa�rk, fh�ay ma�►be;cequire.d�to.be,llcensed In accordance.wlth staf��.and:local.regulations. if ttre <br /> coratra�Qe�r i� not.Ilcensed �s ee�ulred�by I�itr� bot#��the aw��r�nd.�corit�actar enay��be�clt,�d �or a�mtsderneasnor�rlolation <br /> aavrd�r state lavtr. If the vwner or inlend�d�contracMr•ar��unceneln as�to vdh�t ticensing.requirements may:appiy��for fhe <br /> inQ�nded e�rork,the�are advOs�d to cont�ct the.Pasca Coutitpr��itliding Inspectlon Dhrislor�--Ltc�nsing S�ctian at 727-8�?- � <br /> �OOg. I�urth�emore� tf the► owner fias hir�d � i:antract�►r �r coritractots, n� �s aavzsed to have tt�e contraccor{s}, s�gn <br /> �ortions of the�"cont�actor.�lock" of Qhls appllcation tor_whfch they�nilll.be responslble.. ff.you�.as..fhe ov�mer sign'as the <br /> �o�tcac�ov, tha#�rr�ay be an lndic�tion th�t'�ie-i� noQ:pra�erly�i�ensed and E� a�ot enti@sd �o pertni�Eing prtirlleges !n P�sco <br /> �otanty. <br /> '���I�1���T�TI�N lM��CT/!�'9'1#�1'6dl��=(M��16Y`APllf��I���d�l���������h3Y lF���: T�he�underslgn�d und�rstands <br /> tha�Q�'r�rosport�tion impact�ees and.i3e�murs�Rec�V�.ry.i�ees ettay`�aPp1Y�ta�tEt�constnact�on of new I�ulldin�s.°char►ge�if - <br /> aase in �xisting buildings, ar�expansl��r.�af�eiitsti�i�`�tiuildings� as speoified.in P�seq County Ordinance� numb�r 89-07 and <br /> 90-��. as �mended. �'tte undet�ign�d a4so.-underst�ads* �ha��suc�fees,:as�tnay�be�due,;�il�:��e tdentified at t#te ttme sif <br /> permitting. It Is�u�tfier und�rstaad th�t Tra�spor@atlon Imp�at Fees and�R�source Recodery Fe�s..mu�t be paid prior to <br /> �e�eivtng�°�rf�icate of-t�ccupatncy°ar#{ttal�p�tn►ea�=r�lea�se. :}��the pro�ectd+�e�nat t�vaflb�.a ceniftcafe of+�.ccupancy.or�� � <br /> �in�l p�uver r�le�se; the fse� mu�t be �atd�prlor to.p�rmit issuanc�. �r��her�nore,�ifi.Pa�ca County:Wa��rl�ewer Impact <br /> g���are du��they.mus4 be paid:prlor Qo p�rmit��lssu�nce-ln�ccordance wltl�,ap�plicabte Pa�co�Caunty ordinances. • <br /> t�P�Rt�"�9��A�'i��R�lLIEN(�st�{G�a��er'�1���'I�rtda��ta►t�a����t���rra��de�}: If dal�a�on of wark ts�2�50Q.0�or more, I- <br /> c�rtify 4hat I, th� appiicant,. ha�e-been pro�idetl�with-a copy of�the�°Florida-Constru�tion� Lien .Lavv--Homeawner's <br /> Peot�c�lo� C�aid�� prep�red b�th�Fiorlda Depaetmen4�f A�rlcultu�� and Ga�nsr�mec-Affairs. If the appt{cant 1s someone <br /> �th�P Q7�an the�owner", I c�etify_.Qh�t I�ha�re.obtain�tl'a copy.o�.th�:abo��..r��scrtb�d tiocu�ent°and.p.r.omtse�:ln;good.faith to <br /> d�li��r fQ 40 4he.°��vner��prio�#o�comme�c�men4. ' � � � . <br /> ��R9�'f��`T�6�'�1��1�13'�IA�Fa�t�ViT: i.ce�ttty.tttiat all.�ts�:.6n�ormaitlon.�n t#a[s appllcafilon is accur�t�.�nd that a�ll�nrork <br /> will�b�done in corripliance writh all-applicatrle► laws regulating c�nstruction. aon6n�and�I�nd�development. Appit�atlon is <br /> �er�by �ade to obtain.a� permit ta do=wogic.�nd Ihstalla#1on �s indtcater�:��--'1--cet�ify that no work:or trtstaitatlo�a h�s <br /> camm�nc�d prior ta Issuance af a permif and tha�t.all�e�rork �rlll be performed�to meet standards of all laws ragutating- <br /> �or�stru�tton, Gotan�r and +�it� codes, zonln� regula#lan�, and land d�uela�pment r.egulati�ns in the J�rtsdlction. ! al'so <br /> c��c6fy that 9 uader�t�nd that the regula#ions a�f oth�r�go��mm�n#ag�ncles may�apply�ta th�intended�rork, and#itat it i� <br /> r�y resp�nsibilfty ta IdenBfy•what,ac�(ons 1 must-t�k�:to be�Yln�comlpllanae,,.5u�h agencles Include but�are.na411mite�d 40: <br /> - �2�paftment o� E�vir�nmerital-�tection=�:ypr�s�.���}ihe�d�� �4le�and Aress and Environmental9y �ensitive <br /> �.ands,W�terNVastewater Treatm�nt. - <br /> - �outhw�st Fta�rida Wat�►� �ll�a�a�ement :�€s#ricQ-Welis, 4%YPr�ss:._�syhea�ds, W�ttand a#reas, Altedng <br /> ti��g�rr�aurses, <br /> - �rm�Corps aF Engin�e�-��avualis,Dnc�s� N�dlgable Waten�rays. <br /> - l���artmen� t�g Fl�alth�,� �t�F�abiiitative. S�rvIoe�ll�n�ironm�rit�l Nealth llnit lN�1[s, Waste�t�r�T�eatment, <br /> �eptic 1'anks. � � - - <br /> - US Envlronmental ProQe�tlon Agen�y-Rsbe�Qos aba#em�n�.._ <br /> F�deral Adtatton�Authorfty-Rur�ways. <br /> 1 und�r��and tHat the follouving.:resUlctlons apply to#he us�of flii: <br /> - �����fiili 1�na#axlovcred 1n Fldod:�on��M'onle�s�xpre����permiftad. <br /> - i9' th� fi10 m�te�lal I� to �.� u��tl in �Flood �one. °A�, (t. is un�erstoad tha# � drainage pian �ddress(ng � <br /> u�ompe�s�ting valum���116� sttbr�itted af�me�g pe�rr�itting�ich 1s p�epar� by � pr�g�sslona! enainee� <br /> Il�ens�d by#he State of�Florlda: � , - <br /> - if 4h� iil! matePl�l.1s 4o b� us�d tn Fl�od Zon� °A" !n:connectton�wikh:��ermttted buNding using s4�m uuall <br /> � construction� t certify that fili.uirali=be u��d�niy.to�ill the are��vithin�Qhe�stem�vuali. • <br /> - If fill rnaterial is to be us�d-fn=any area; I .ce�tify that .use o� such flll �ill not adversely affect adjacent <br /> � properties. 1f use of�ifl is fonnd�ta adv�rseiyr�ffec��dJa��nt�properties,.th�ov�n�r may b�cited fo€vl�[a�ing. <br /> @he condilio�s�of the�builtling�.p�rmit issued��uroder 4he attached permit application� for:lots less ttian:one (1) <br /> ��re which a�re�1��ated�by fllt;a��t englneered dr�l�t�ge pian is rez�u(red. <br /> Bfi 0 am�he I���NT�AR VFI���I�R9i�R, i�.promise in good faith ta tnform th�o�sner of the permit#ing cond�ians set forth In <br /> ahis �f�davit�prtor to commee�oing conshvotion. 1 underst��d thet��s�parak� pennit may be requtred for electric�l vuork, <br /> pi�ar�bing, signs� we0s,.Pools;_ �1� condittoNng,-.9�s, car ot��r ins�att�tian� not�speciftcatl,� 1n�lu�ied-in.�F�e�ap�lication. .A <br /> peranl�Is�ued �hall be construed#o be a�Iicense',ta��proce�d evikh tFie�vdorls�nd not a�:authority�.to,vial�te,�cancel� alt�r, ar <br /> s���s�d��s�y pro�ist�ns of the.�i�c9�nlcai c.�di�s;�nor�hatl lssua�nc��af a.permi�.pr.�vent th��uildirig�lcla!fe�om thereaf�er <br /> P�quiring�coe�ectio�,af e�rors in�.pt�ns,�constn�ctian or viat�ttons�of any codes:� Every petsnit tssued"shati-become invaiid <br /> uniess th� �rark a�athori�ed.by such g��rmlt��{s.co�menc�d��l�hlr� s� mqnth� of�permlt Issuance, or i�werk authorized by <br /> �he pesmit is�uspend��or.abandoned-�for:a�:pertad of-siae�{�}-monf�is.�ift�r t�te#�r�e_the�wrorlc-�s commeric�cf. Ar9 extensEon <br /> may b� requested, In �►ritlrig,_.from the��uil�ing.O�i�cial for a pertod.�not to exceed�nir�ety�(90)�d�ys a�nd��ill) demonstrat� <br /> ��ask�i�bl����is�for�4he e�te�sion: 1��rork c��s�:gor Nnet�-(�O)�ons.ec�tive.days._ttt`�ab�i��onsEdered aba�doned.' <br /> �lA�9�l� �'� �!!d�lE�: XOI�R-�d�ll.IJRE T�.,R�CAlt�A �4Qa1`IG�:OE°COMM�MC�hl1@NT•AItAY�RESUL,T IR9�Y�Utt <br /> �t��tdi��`�N'i�E gt)1�=�I�IPRA�/l�MEN!'�'S T�D�(�4}UR<PRAP�f�TY.-1�°.Y�����I�EK�D�`TA���-TAiN�PiN�i�EIN�;�C11�SUi�'t <br /> '�10� ��� ND �A. �d�f��TT�RN� FAR� ��R�1 G�� 9U ' • �. ��E:;- °� � E <br /> rLORId�JUP�1�'•{F,S.'�1Z.03} . . � _ . <br /> s��E�aR e�o��aT c�ar+t��ro <br /> Subs«tbed and swfom to{or��l+rmed}befare rr�e thfs Srahsctibed'artd' (ai atfltmedrb�fore me'ttiifi <br /> by •by �- � <br /> WFio Is/�r�persanally known to.me ar ha�INave produc�d VNho.ls/�re personalty known•ta me or haalhave produced • <br /> as IdenSRt:aBon. �s tden8ftcatlan. <br /> � <br /> t�otary PnbRa . Natary P�b11a i <br /> Commis�ton Na:"` Commts�lon�tdo. <br /> Name a14Vot�ey typed,printed or stamped Ida,rne�f Pfotary typed.pdnted or stamped <br />