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he uc;,�ef signr-,tjnd1v1(s"2 rid's fl-rat this pe,i-ni"m-ay'be subjec"to,
<br /> ,villich may L,more restrictive than Cou-n!"., T!lc undersic`r:ad
<br /> asZ-1.uMZ_:Csponsibility For ccmlpiiance with arly
<br /> aopkeble dc-_d r,stric-tions.
<br /> C.CINTFR,,'_,�CTC,;VS AND Dhe Gv.,rei inai, hlTed
<br /> COWMr-t0is to Undt2ift-3ke they rnav be rsqk&e.^ao lip liceilsed In sn-cordan-ce wilh state and local ',he
<br /> ocin''r-ictcK is not lioen5ed-'is requiTlad by !aw� �-,th the ov,,riec and C-onff-ziotcr rn�_y be c:lted for a vnibdery,&�,rior violatv3ri
<br /> urfdi�r SW'te !I c,&7nor corl'u.3-c-lor re Lmcen33rz as to what! IiQensing requiremenlz,rr;cq apply for the
<br /> irtler"Jed worK,'hey are alvised !0 CCnt@Ct'U!';,P2S'C COUtItY BUildtnC inspection Se:^bon at 727-b47-
<br /> 80ri10. Ru^Me-rcriorG, it the o%vn,�r hired a coriracior or conlracklrs, he is Fdvised to have the contmcicr,,,,�) sign
<br /> ri Portios elf the 5icic; �,F kits applit�-.yn io Z'Q� thay Mfl ifyou,as the sign a -11w,
<br /> contractor, that Mly be art indit'.ation Mal c.`M is not,prcPpst-ly ilic*nSoo and is rtc4 to permittiri,..
<br /> pviv;i,2ge-s ir, P-Zisco
<br /> zr Ul
<br /> CO & 't,
<br /> flMPA;:;T AND RE-3OUIRCIE.RECOVERY FEEES: Ths u-ndle-rsigr(z urtdei,silar.d, Cr- 2,ccY -4 f�
<br /> ,hat Transpertaxion lrnp2rt Fees and Recourz_�: Pecovery res.s may apply to the cnnszruczion of ric-ov buii-aings,chieng,-ct' (__ =W,_
<br /> in-exir,Iing bUilding5,or ey..p2nsion of ewiFiting lbuiiclincz, as zipel M cd it-, PaPascoCOUMV Ordi[W.N,ce number 81M7 ar.d to
<br /> wi z3K
<br /> 4� n2y zl.�_due: b,-- a4 the Zirne r,0407, as -e LjndaTe;-..',�n-M also thial such feals.as 0 -0 Z5-Z In RVA
<br /> rRarmjtti:C, 11 is further urde.-stcc�d 'tiat Impaot clses anri Re�^.Gvenl Fees Must t_ 'p3id pnor to & r,
<br /> receiving ;,"cpilnf`i.,at,,�. of&x:uppency"or final release. If the p,oiect does not involve a certificate of occupancy or
<br /> :inai po%p,�S, reie Sp.the 1:.ec muz-, be Paid prior',3 periniz iss,,:ance. Futlthe-rtnoie, H Count-.,, impa-,t C2
<br /> 2A
<br /> feS5 7110 cue,ltl�,;Must C-c-paia prior to pernnit i,,s,�,ance in "mith?Ppllca�,Ie ppaz!�c County clrwn�nces. W rb
<br /> �CNSTRUC,TIOM LIF_M LAW(Chlapier 713,Florida as If-vattiation of is',32..Y_,C,.U1_ur mon- 1 CO-A
<br /> 'i ;,_ E r.
<br /> !IaVa oroVids`d 'vvi"', a Of "PIc-,"'da &DnsJru`_-t';Cni -Lion in(p) ru
<br /> Protel,',iori Guide"prepa.ed bv the Florida Depart"l-,ant of Aqncuit.i.re-i:tnc onsumer Affar;. it'tho an sir;-ieio,no
<br /> ne: rQ CAC we
<br /> other than the !?!C', I c_rtity that 1 have obtakned a cony of the above dsscriibcd dcrumcrtt and promise in good f`s;th'Lo W
<br /> dever;t to the'ov,,ner'pik:,r rcG Commienl_enieril`.
<br /> a d af! vni r.)
<br /> Ce,ify tha:Pit tie info,rnation in this aPplicazlow is 2ccurare n, hz
<br /> t z Lj vAll he done in con-c'c11'lnce with all appik*bl�laws rsgulsting conrtruciion.zoni,ng and!.aria;dlevolopr�len Arplica�icn
<br /> w::l:14 and in ted. 1�yat no V.;
<br /> herv,.by niacie to oi�,ia:n F. permT to 0Tk of rls;2ilaukln nas
<br /> C,opnrqsn2aj� Prior to issuancle Ql a perni;r and �'haf a!! will ,e pe.-forincd 'o Mee" 0?a!,
<br /> ConztRACutioil, COLInty a!V11 Lily' CDdcs. zf fining rcgulat'Qns, and land devolopmont in the jLt;;sdi&i0T1. 1 0,100
<br /> ;iE- y thZ11 ! U,71 rs'and I'hat Gf r:ither gove-,irin_-n+agsn,-iez,nlay app; to the ln'ended, exr,i. and,that tt Is
<br /> my rezpons;Gi:)Ft to identify v!hzl,'ast;cns 1 ni;S!,"m"k,to Le in cornp(iance. Such cios incbidc bLtt cu.-no:kinitlad Ux
<br /> De-Partment of Erivionnirmal B2%,hepds, 'Phrt!iand Aseps?r,.d Env:,on-mantally Senz:111lVe
<br /> 4e, ev af=, j,7
<br /> l::,,24 Ea V'Vat-or cry >Sg 1,`VeU2n-d1 eas, Altering
<br /> Army Corp-,of DorKs,
<br /> Ducpaninent oi HeaIlh & Reliaoil(�alive Health Unit-Wel;s.
<br /> c-.Ptic Tanks,
<br /> US P;ciz-don Agencv--.-ks,'_sa5s at0aternsn-L
<br /> Federal Av•i:�-I*i-r
<br /> 1 understand t`;at*Ih8 follov-,,Inga re:tric,donz apr",V In, U11C usct-,,f ill[:
<br /> Ue Of fi!ifs nlOt a'iowzl�l in Fool one`V`unlesz.C.,Pre-zsly perrr,;,46d.
<br /> e M.fi.! material 1)o used in Flood Zone W, ri, ,s undorst000 that a drainagz twan addressing a
<br /> 'compensating vofum!"will lx:l suAmlticd at time of permitting which is pr-:!pzircd by") profe-,.sional anginmer
<br /> 'by One State of
<br /> Ii the fill maten l is?n be used in Rood Zone "A" in connscliOn%,.,4fh 2 perms,._d ouilcii�ng a,sing stam,,jail
<br /> construcl'ion,I c9aily that ill!v-41f?1-a uszo,Only to'51i the area vithill the Stan,,1"'all.
<br /> if materiel is to be used in FnY parep, 1 C.ertlfy that use Of su.3h f1i; %%W not ad,!erj�eiy &Hec:t adiacent
<br /> -_T0PerVeS. if U2z'j Of fill is found to adversely aftec,arjjacent properties;'he Gv.,ner mi�v--e cko,for vio!w;ng
<br /> the condiiotis of flie buitdin,: permit issued under the wtached parrnii'application, for lots lsz3s than ona (1)
<br /> vVh;c:h nnz 7 eisvl,;d`oy Tiii,an enginea.-_d -tainage- I U e 0.
<br /> plan is, q7 iicq
<br /> If I am the PkCIEN T OR THE OVVNER. i Pr Z-rnfse m coo' fTh to afo m lie ta ' nT i oe coni-di'llins sei t�efth m
<br /> this-affidavi! ,orior w con-irriencing uonsiruction. I �rndemlartrj that a S_�Zarotc peurtit may be rccluired''or vjwlt,
<br /> Plumbing, sign= weiis, wool.`-., air co,.�,dftloring, o2s, or other irlst2l"ati4ns rloi specificaGy inc,!uded In tine A
<br /> pern'd irruOcl shall be consuued to ba". license lo proceed wi,i thie wciiir and, not Fs authority Irc.Vicla za' Cancel, or
<br /> r z asid c�a nf provisions of the teCll 11 icp I cc.d 2 C,no 7-Mali issu aq ne r,Of 2 Ir,a r..r,it prevp n't t he'65 u I id ing.G fro,n there a 110 r
<br /> requiring z cy"e,ro'-s i,-.pi-ims,cons-lnuC'ion or viciatiol-s of any--odus. Every P2im;t lsski,1 s;"31;Deroime ir:vaiid
<br /> unicsft,e ,�i k aulhorizec )'v such oen-ni4 aornrnen�ed v,ifninm :T e7-j- or a_4l-ojjZer! bv
<br /> the pF.n?ii is 2us7lencled or sitondQt-;A tor a per;od of six 16)n-torttl-is after the jm,y"he Le`.•rk t-s-,orirnc.nced. 'in eXtrun.110H
<br /> 17ja%. GE reques-ed. in%vrking. frorn iihe Bui;dwc 0,'hc;ai for a period not to exceed n:nr-tv(90; Clays and -,uisl dic,ncjn;_;'ra e
<br /> ju:301213NG CSU--C for-rle extcnvon. if wot�k ceases ic nine-Ty conce-cuivia day,,the joa is cortsi0cred abanocned.
<br /> VVARNING TO 0`iN'N-ER: I-OUR FAILUTRE TO PE-CiRD i`l Y40TIGE Z'fz CO?VRNHENCEMENT RESULT IN YoLM,
<br /> PANTING TOOCE FOR ROPRCVE��-!EMITS TO YOUP PROPERTY. ItrF V 1 f4l 1)TO C IN N C I N,G.c 0 N S U1 L T
<br /> OR AM-ATT ORN-HY BEFORl-RECE VVM-;1 YOUR L=y DER R,
<br /> '!3_111ZA.",iz S.!i 7.03)
<br /> 00NITRAC.cl- �j
<br /> ri
<br /> 0 '5)
<br /> p-
<br /> 7,
<br /> 10'p'w pp` Notary Public State of Fk ride
<br /> Darleen K Anthony
<br /> My COmmissIon GG 095667
<br /> OF F%P'p EXPIres 04/18/2021
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