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N�TICC OP DGED RCSTRICTIONS: Th��undera�ons Tl�erunde�rsignedlassumes esp nsibilby for o mpl ancetinrith any
<br /> which may be more restrictive th�n Counfiy regu�
<br /> applic�ble deed restrictions.
<br /> UNLICGNSCD CONTf�ACTORS AND bONeRAeC Do ue�c n�ed in��cico�d ncerwiih s ate �nd loc�ale�gulationrsc Ifrtl e
<br /> contractors to undertake work, they may q
<br /> contr�ctor is noi licensed �s required by��co�nt�otorlareW nce la n as fio wh�micennsing r nuirem nits mayaapply'forifihe
<br /> under state I�w. IF the owner or tntende
<br /> intended worlc, they are advisecl eo'�as ai rede�contr�tor tor�colln�trag tors, he�is pdvised lo I I�ve tl�ie cotntr ct r(s)rs��n
<br /> 8009. Furthermore, if the own
<br /> porlions of'the "coniractor Rlo�cai oni that I�ie'is n!ot p�operfy Ilicensed�ancl is not enbiled toypermiltinig pr v I gesgn Pasco
<br /> confiractor, ihat may be an mcl
<br /> County.
<br /> TRANSPORTATION �M��`�ees an�dTl�ecourse Re-co�ryPF es�may Gpp Yco V��cons ucii ni,of newe bu I n�sncieange oF
<br /> ihal Tr�nsportation Imp
<br /> use in existing builclingse unde-rsi ned alsoXUnldersta'nd�sg�lhat sucl� (ees�,'as�m�y be dueyw�'�Il�be�identif ed �fi tlsie�me of
<br /> 90-07, as amended. Th �J
<br /> permilting. I[ is �furlher undersfiood fih�l Trans�orlation ImpacC Fees �nd Resource Recovery Fees must be paid prior o
<br /> receiving � "cerlific�te oF occupancy" or�(inal power rele�se. ]�( the project does nol involve a ceriific�te of occupancy or
<br /> �final power release, the �fees musfi be paid prior fio permii: issu�nce. i=urlhermore, if P�sco Counly Water/Sewer Impaci
<br /> �fees are due, ihey musL be p�id prior to permit issu�nce in accordance with �pplic�ble I'asco Coun�y ordinances.
<br /> CONSTRUCTION LICN LAW(Cllapi:ec 7�13, Floricia 5t�i:utes, �s amencled): 1(valuafiion oFworlc is �2,500.00 or more, I
<br /> certify that I, the applicant, have been provided wilh �i cony o�F lhe "Florid� Consiruction l.ien Law—I-lomeowner's
<br /> Protection Guide" prepared by fihe Florid� De�arimenl o�f Agriculfiure and Consumer Affairs. I�(the applicani is someone
<br /> other ih�n ihe owner , I cerfiify ihafi I hav�.obt�ined � copy o�F fihe above described document and promise in good�faith to
<br /> deliver ifi fio ihe "owner" nrior to commencemenl.
<br /> CONTRAGTOR'S10WNEP'S AF1=IQAVIT: I certify fihal all the ini'ormation in fhis applic�fiion is accurate and tl�afi all woric
<br /> will he done in compliance wifih a(I applic�ble faws regulating construction, zoning and land developmenl. Ap�lication is
<br /> I�ereUy made to obtain a permi� to do worlc �ncl installafiion as inclica�ed. I eertify lh�t no worlc or instailation I��s
<br /> commenced �rior to issuance o�f a permit �nd lh�l• �II worlc wifl be performed to meet standards oF all I�ws regulating
<br /> construction, Counly �ncl City cod�s, zoning regulaiions, �nd lancl developmenfi regulations in the jurisdiction. I also
<br /> cerlify that I und�rsfiancl fih�t fih� regul�tions o�f other governmei�t �gencies may apply fio lhe infended worlc, and fihafi il is
<br /> my responsibility to idenfiify wh�t actions I musl t�ice fio be in compliance. Such agencies include bui�re nofi limited to:
<br /> - Deparlmenfi o�f Environm�nial Protection-Cypress f3�yheads, Wetland Areas ancl Environmenially Sensifiive
<br /> Lands, W�ter/Wastew�ter Treaimenl. ress 13a he�ds, Wetl�nd Are�s, Altering
<br /> _ Southwesfi Florida W�ter Management Dislricf-Wells, Cyp Y
<br /> Watercourses.
<br /> Army Corps of Engineers-Se�w�lls, Docics, Navigable W�fierways.
<br /> _ Deparlment o�f I-lealth & Rehabililative Services/Environmentai 1-le�ltli Unii-Wells, W�stewater Treafiment,
<br /> Septic T�nlcs.
<br /> _ US Gnv.ironmenfial Protection Agency-Asb�si:os ab�lemenf.
<br /> Feder�l Aviafiion Auihoriiy-Runw�ys.
<br /> 1 understand ih�t lhe following resirictions apply��o�i:he use o�F�fil[:
<br /> Use oF�Fill is noi�Ilowecl in Flood Zone"V"unless expressly permifit�d.
<br /> IF the �fill material is to b� used in Flood Zone "A", it is understood thal � drainag� plan addressing a
<br /> "compensafiing volume" will be submitted afi fiime of perrnitLing whicl� is prep�red by a professional engineer
<br /> licensed by ihe State o�f Florida.
<br /> lf tl�e �fill m�teri�l is to be-used in Flood Zone "A" in connection with � permitiecl building using sLem wall
<br /> ^ � consiruction, 1 cerl'ify fih�l'fill will be used�only fio'fifl fihe are�wifihin the stem wall. ��(Fect ad aceni
<br /> lf.�fill mafierial is fio be usecl in any area, I certiFy that use of such �fill will not adversely 1
<br /> ' properties. IF.use o�f�fill is •found to adversely ��ffect adj�ceni: properfiies, the owner m�y be cited �for violating
<br /> the conditions o�f the building permil issu�cl under lhe �tiached permif applic�tion, �for lots less than one ('I)
<br /> �cre which are elevafied by�fill, �n engineered drain�ge plan is required.
<br /> If 1 am the AGCNT 1=0R T[-1C OWNons{�ctionlS I 1un e sL�nd,tl al•na septarai permifi may Ue r�qu'�ired forlelectr cal�wlorlc,
<br /> this aFFidavil prior to commencing �S, or ofiher install�i:ions not specifically included in the application. A
<br /> plumbing, signs, wefls, pools, air condifiioning, g
<br /> permit issued sh�ll he construed chn ca codes�norp hall s�s�aitncelo(a pe mit prevenl thehf3 il ing OfPici�lCfrom ihere�fter
<br /> set aside �ny provisions of fihe 1.
<br /> r�quiring a correction of errors �n ���n er�nii isrcotmmenc'Ilwithin s xamonllaeoF p rm ssu Ince,uor�iF wolrlbautl orized�by
<br /> unless the worlc authorized by su I p
<br /> the permil is suspended or ab from the'Build nglOff�ial �oG� poriod nat to,xcl�dtl in�Yr(��) days �ndewil! demonstra[e
<br /> may Ue requ�st�d, in writing,
<br /> justifiiable cause�for ihe extension. I�worl<ce�ses��or ninety (90) consecutive d�ys, the job is considered abandoned.
<br /> WARN(NG TO OWNER: YOUR.F�`�1-�TO YOUR PR�DC Tl`.TII=YOU IIVTCND TD Of3TA NMI�NANC NGTCONS�UL.T
<br /> PAYING TWICC 1=0R IMPI�.OVGMCNT
<br /> W1TH YOUR LCNDC oOR AN ATTORNCY G3CI=0RL RCCORDING YOUR NOTICC 01= COMM�NGGMCNT,
<br /> �LORIDA JURAT(1=:5.197. ) � / � ��
<br /> (' ���� ��CJ� CONTf�ACTOR
<br /> OWNCR OR AGCNT ��,1— �ef re,me ihis Su scrib�d and sworn to(o�f((ruied) �fo�me this
<br /> Subscribed and sworn to(or•affirm✓e�l) � �_���3 �y ��y-t L/t /�4�.r�)
<br /> ��~�'= —��/'�-����1
<br /> /-3�bY�- -- Who is%are personaily lmown to me or has/have produce
<br /> Who islare person�lly I<nown to me or has/have�roducecl as identifica(ion.
<br /> as identifcation.
<br /> � ��
<br /> ,�1 , ,7 ' � ; � ��= Notary Public
<br /> ��` - � �� Notary Public � ~
<br /> C-STr�'f E OF FL�RIDA Commission No. - .; •, ' "' '
<br /> Commiss�i�n No. r St�'1.8Ttile B3hT
<br /> Suzanne B = '= �
<br /> ?��„ = .��._'n, F044�— i 1.,.:�,i_n
<br /> Name of NaCary typed�prinled� g X 1..� �;r��22�2014
<br /> Name of Notary lyped,p.,,,,,,,$��� tiOV.22,2014 �-. �� p'��
<br /> SOIv'DED THRti ATL.4.\'T I C B O\'D P 7 i G CO.,INC.
<br /> g�h��THgL.qT;,,�.�I'IC 80�DLYG CO,INC.
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