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<br />JAN/02/2008/TUE 09:34 AM
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<br />ZEPHYRHILLS BUILDING
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<br />~AX
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<br />No. 2 ~ 1J_7~:""\_:~'r:ri'
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<br />'NanCE.()p.Vl!EDREJn'RlGTQN5; . The undersigned understands lI1at thls'permft may bEfSul3)ect to .deed.~"
<br />,which may be more rellrlctlYe tnII'I countY regUlatklnS; The underslgried B$II\II'ftIII responelbllllY for compliance with MY
<br />~deed....IrictIoIIIJ, . .. . ..
<br />.UNUCEtUIED CONTRACTORS AND COtI'TRACTOR RESPOHSIBIlI'l1i:8:'I1-theowner 11M hired "OCIOlr1ictor at
<br />oonnctgn"to undertake worki th8y may be requi1ld \0 be lIcenSed In acconlenoe with - arid \0081 regO\atIon8. 'If tha
<br />contractor' Ie not ~ 8!1 requ1red by kIw, b.oth thll f1Iittf6 snd ~ inay be eib!:d for · m1sdlNneancir violation .
<br />underttalo law. If ttie own- or ~.contracll:ll' are uncertBIl1'. ~'what I\oef1eIng ~'may apply for the
<br />\nlIIl'lded work;~ are adWJed to CO\Uf.ll the'pesoo CounlV Bu~ ~pecUon~inQ ~n et727-847-
<br />'8009, :F..rtlMI'JI1CIre. if lhe owner has hired a comraotur or oonttac;tors,' he 18 advill8d to have the oOn!raoUlr(I)-sIgn
<br />portIOils of thCI _~ B\oQk" of.... appIk:atIon for which theY will be~' If you, as ttIe 'owner s\(1I .. \be
<br />contr8OlOl', \t1et may be anlnd\Clllton that hlJ Is not properlY IIClIInIed end ill not AntilJed to ~ pdv"- In PasCO
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<br />.ntANVomA11ON .MPAeTJU11UTlES IMPACT AND RESOtJRCE ~COV&RY FeEl: The oodeRlgn8d l.II1~
<br />that Tl1IrwportatIDn'lmJ)IIOt Pee& and Reacur&8 .~ery. F- may aRPIY to the gOfIlIIrUotillI'I of new buJdtngs, chIltIge d
<br />\lie In ~ling b\,IIdingI,' 01' ~. of exIIIInQ bulkfingI, IIG speclf'Jad in Paeeo CoIJTItY 0nIn1lllC8 ~ 8Q.(I7 and
<br />. ' g0..01," amended. 'The.~. _ u~. thalllluch fe!t8. ai may b8 due, wll be idenIlft8d,at the time of'
<br />peI1IlIth. 1\ Is further unden\OOd thiIt TJ1InI1lClIt8tIImpQbt 'Feel '~' ~'Regovsy Fees Il1USt be peld p.1of to
<br />.' ~ s'-oM1ifigale of oecupenoy" at tInal pan!'....., If 1he prQjeQt. does not In\'OIVe'Q certIIicete of ~ or
<br />tInBI pow.r ,.... the lea muit Qe paid prior to permit 1MIJ8I1Cfl. Fur\hImlore, I PlIlIllO CountY W;ater/Sew8r Impaot
<br />: feea 1ft due, they must be peId prior \g permit I\stiU8f108 In ~wIIh IPIJIIc8ble Paac!O county. .onftIano8s. "
<br />'CONs:nwC11OH UEN LAW (dtuIpter TiS, Floria. ~ _........,; If vWuatlon Of ~ Is $2,600,00 or I.1IOie. I
<br />. oertIfy.1h$l I, 1he 1IlPpllc:ent. have betn pjovIded with e . aopy Of the ~ cOfll\rUCllon Uen L.ew-~1I
<br />. .~ Golde" ~ by 1t1l!I FIoI'Ida Dep8rtment or ~ ,nd CCll1lllJl'lM!l' A1f8jr$. If the 8ppUcant Is someone
<br />0-. than the "uWn8f", I ~ that.1 haVe obtatr!ed a l.lOPY,JA the CIboW d$ItlrIbed doClUmlIflt.oo prom'*f: in gooil faith to,
<br />deliver It to the "GWlWI"'. prior CD commene8fM1'1l' ".:..,'. ' -
<br />COHTRACTO~SIOwNeR'. Al'FIDAVI1': 1 cer\Il'Y th8t 811 \h8lllfuo,,18liordn IhIs .ppllciatlon II ~ 8I1d that ell work
<br />will.be done in conlplillnCe wtth all applIc8bte \lIlWS ~ ~, tOI"in9 and land d~ Appll6mlon is
<br />~ made \g obIain 8 ~ to do work end i~'1IIl \Qdic:IIIed. 1 ~ that no'work or lnsIBIIaIIon h8I
<br />comme~ prior to llIIuance'of . permit II/ld ttlat .. ~ wit be perform- to meet IIar\d8rdS JA ,all laws regulating .
<br />(lllIl8tnJOtion. county and City aodes, "ZOninQ reguI8IIons. and-land de-telopmenl regulaI!otls in tM Jur~' I aI5o'
<br />certifY that 1 \indenItJII1d that \he rer;IlJIatIons ,of other gcwerivnere ~ RillY apply to th.1ntendecI WO\1(, 8Ild Ihallt "
<br />my r9cpon&IbIIRY to IdenIl'Y wI18llllCtlonB I IIIUIIt ~ CD be 10~' Sueh 1IgtIIlCI-1nQIude but IIII'e not \ImII8d tD:
<br />_ ~ of En\t.",~ ~1I B8yheedS, Wetland Al88S snd Env\rOrlfnenlaly SeMiQve
<br />landi. Wa\Ilr~ ;rraatment. ' ' .
<br />~ FI<<Ida Wa'lIII ~ Distrlct-WeII8, CypreII Bayh.ada, Weiland /Ve8$, AItefinO
<br />WaICll'llOllfMS. . . " ' . ,
<br />NroY CarPs ofE~' DooQ, Hev\gIIbIe~', ' . .'
<br />Dl!'pIII1rn8I'\t of, Heefthl ~. ~ He8Ih lJnIl..W.us, WaC;teW8ter TreatIfIeI1t, '.
<br />SeptIoT.nk&. .' . '. ,. ' '
<br />us~ ~~~abIl\IDf11IIOl
<br />,. Ftidel1II Avl8tlDn Auth~. . ,
<br />I undem.nd that the foIlowkig restrIalioriB IlflPIY to the ue8 of fill:' .' .
<br />. _ . U.e of~ Is not eIlond In Flood,Zone "\I" ur...ulCP....s.v~. .,' . . .
<br />.. .'. If ~'~ .nJIlt8ri81ls to' be: used in FloOd Zone "A", It .. U/'IdeI1Ilood that ~ dra\I1age pi" adcIrenInQ ·
<br />.ootnperi58l1nO volume- will tie ,l,Ibmltted at ume of perrnItlIng whIDh .. preparMI by a ~kmaI ~
<br />, IIcenlI8d by the $t8W 'Of F\Orida . " :. ..,' . ':
<br />If the tI,~ 18 to be uSlld In FIQOd 'Zd,te"A" In oonrwdJon with. permIlted buldlng UlinQ s\lilfllwalt
<br />oontl\r.1.lCltiOl'l. I cerIIfy that tit" be UMd only tOtII the ... within \he .tem ,wall. ' . .
<br />. ' If.1II matsr\lIl lI.to be Uled I" any .... I oartify that UI8 of' suoh lIII wi not 8dvtrMlIy aJfecl ~
<br />. ~, If"";' of tII \I foUnd \g ~ ailed adjacent 'proP,ertIes. the CMMI' IfRIY ~ oIWd for v.-nnu
<br />1M cxindi\lQns of. the bu\IlHI19 p&I11IIt taued UI'Ider the atIBChed pieImIt app('llldon, -(or IcJtl; \e8$ than one (1)
<br />.... which _ eIev&IOd by ftII, en engIneflf1Id di1llnIIgB pIoNi IIl1JClUnd- '. . .
<br />If I am the "GENt fOR THE 0wMM. I pRlI1liIe In flood feiIh to 1r$I1n,Ihe owner of hi permitting cond\tIon$ltlt forth '" ' -
<br />thII ~aYit prior to eommenclno eons\rUOIIOfI. I ~ thai a ~ ~ may b8 ~ for' ~ work, '
<br />~ siI,1nI, web, pool.. .. ~, g8I, ~ oUw ~ not 8fl8dIIcaII)' tnduded in ttw ~. 'A
<br />, ,permit \Slued sheD ~,COriIInJeCl to be .'IJoer\I8 to prooMd wllh the work lIOO not.. ~ to. yioIQte, oanoel, .., or
<br />_ aside .nJ prgYIBiOf1s of thit teclhrlIOIII ~ nor et\aII ~ 01. pennlt prevent the BUI\dinQ 0IIcIII\ from ~
<br />, reqlll'lnq a correcUon of 8rroRI In plans, conlIlrudIon or vtaIationiI of''IIIti'J code8. Ev8I'Y perml \IlIUed IheII beIlcIIM lnWIkI
<br />, unlen'lhe work ~ed by IUClh pennIt Is ~ wI\tlIi1libt monIhs of permIt,~ or If work ~ by .
<br />the permit Is Busp8nd8d'or 8b8nd0n8d foe' a ~ of IIx (8) months ..the lime \he work II~' /ion exten8IOn
<br />m8Y be-requelI~ In~, frQrn the BulIdlng ()IIIclaI fvl' apc!rlod:not to ~ ~ (9O),deYs and WIll ~ '
<br />jU~ ~ for the ~ion; If wort ceesee for ~. (90) ClOnIIecutiYe dayI, ~ 18~ 8bandmwd.' "
<br />wAANINa To QWNER:' YOUR FAIl.URI! TO ReCORD AN01"lCS OF cOMIft!HCI!EYIT -.Y IU!BUL.t'1N YOUR
<br />PAVING TWlCI!; ~9R IMP.R.OVEMENT8 TO YOl:JIl PRoPanY, ,iF YOU IN"f'EtID TO pBTAIH FiwlCItIG, coH&\Jl.l' .
<br />Y N
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<br />A.a'UDA.LIAAT (F:' 1 7 J)3 ','
<br />, 0liilNBfl OR AG$IT. , . " .
<br />",~_~(""~blIfullI-" ,
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<br />WIiQ IB/Irt pIinOnIlIY llnDWi110 llIlIlII' ~POaIUgIIlI
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<br />..J'IOlIIY ~ '
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<br />~af. :*: '.' ~...s..~ '2~sa2"
<br />',l,i'....tb"':..-- ;~ember ~2, 2010
<br />IIRf'lt,\,\ Bonded Thrv Trov Fain losu.ranee BOO-~7019
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<br />CQmrnI$81on NO
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<br />NiiMilfNvlllrIiP\ld.~.ar.-m", '
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