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N�TICC 01=DGGD RC5TPICTIONS: The.unde►'Si9ons! Tl�e unde signedl`�s um�s esponsibilby�for oomplianee iw th �ny <br /> which may I�e more restrictive Ih�n Counfiy regu��t <br /> applic�ble deed resfirictions. <br /> UNLICL-NSGD COAITf�AC70RS AND CONeRA�I�o���c n��Si a��IcoCd nccr with sfi��e �nd loc�ai r gulations c I(rti�e <br /> contr�ctors to undertake worlc, they may b q <br /> contractor is no[• licensecl �s required ��Y �`�o�nt�ci:or,�r�W nce iain �s lo wh�nlice sing�r qufrem nlfis �y �pplylfortihe <br /> under sfiafie I�w. Pf the owner or intended c <br /> intended worlc, they are aclvisecl to�cont�cfi the Pasco County f3uilding lnspeclion Division—Licensing Section �t•727-8 � - <br /> �009. Furlhermore, if tl�e owner has hired � conlracCor or contr�ctors, he is advise.d lo h�ve fhe contr�ctor(s) sign <br /> porlions o'P'Lhe "contr�clor Blocic" o�f ih;s�L�'��is niot p�operly'liccns dlancf s not en�i(led lo permitLinl� pr v I g�sgn Pasao <br /> confiraclor, th�l m�y be �n inclic�lion il <br /> Counly. <br /> TRANSPORTAT[ON [M1'ACTIUTIL�T�ecotMse Re-co�y�l=ees�m�Y�p YCo il e�ons ucti nilof n we bu��il I n�snch�n9� oF <br /> ihal Tr�nspor[�tion Imp�ct Fees an <br /> use in �xisting buildings, or expansio� o� oXUnldcrsla�n Is,�kl�t such fees,��s�m�y be�lucYw�'�Ilcf��id nLf�dI�L tlgie ome o( <br /> 90-07, as �mencicd. The undcrsign <br /> permiltfng. It is further understoocf ��ior f n IS ower'�Ic se cI�F lhc project loesrnol nvolve � ce tiFi�letof occ�ancy or <br /> rec�iving � "cerlific�ie of occup�ncy I� <br /> final power rele�se, lhe�fees irnts i ��o�eCm��ssu�nc�n�accor lancerw ih,��plic�Ul� P�sco Co�m y ordin�lnCe5�r Imp�c� <br /> �fees �re due,thcy must be p�id pr � rlorida 5tn�:utes, as amencleci): I�valu�fiion o�(worlc is :�2,500.00 or more, I <br /> CONSTRUCTION LICN L.AW {Chapter 7�t3, <br /> cerliCy ti�at I, Ll�e �pnlicanL, h�ve been provided wil1� � copy o�F Lhe "f=lorid� Consfiruci:ion Lien Law—l-lomeowner s <br /> Protcclion Guide" prep�red by'lhe Florid� DepartmenC o�f Agricullure �nd Gons�u�ncr AFf�irs. I�F the ap��ic�nt is someone <br /> oLher fihan i:he'bwner", I cerlify ih�i I h�ve.obfi�ined � copy�o'f�lhe abov� cfescrib�d documenL ancl promise in good�f�iLh to <br /> deliver il to lhe"owner" prior lo commencemenl. <br /> CONTRACTOR'S10WNCP'S AI=1=IDAVIC ble I�ws regul�l[inlg consL uc[on,l zofning an'd lal�d d�velopmenCn Appl'tc�lio�is <br /> wili be done in compliance with �11 ►�p <br /> hereby m�cle fio obt�in � �ermiL�o ���!��n��I�tl�ll�wocl�will Ue pe foemedltocmeell'sfiand�rds lof all ��WSil etgu��ling <br /> commenced nrior fio issu�nce of n <br /> construction, County �nd City codes, zoning reguf�fiions, �nd land development reglo��°n ntend cl,worlc, �Ind ih�tatcis <br /> cer[ify thal I underst�ncl th�i: lhe r�gul�tions o(ofiher governmenL �gencies m�y �pp1Y � <br /> my responsibility to identi�fy whai�ctions 1 �CO�ction�Cypre-s�13�Yhe�ds,SWe���p� Ar�s,�lncl� Environmenfi�IylSensitive <br /> _ Dep�rLmenl of Gnvironment�l <br /> L�nds,W�ter/Waslew�ter Tr�afimenL. ress 13� he�ds, Wetl�ncl Ar��s, Alterin� <br /> _ SOLItIIWBS�: rlorida W�ter M�nac�emcnfi DisLricfi-Wells, Cyp Y <br /> W�fiercourses. <br /> _ Army Corps oF Engineers-Se�w�lls, Docks, N�vigable W�terways. <br /> _ Deparl'ment o�f I-lealth & Reh�bililative ServiceslEnvironmenL�l I-le�lfih Unit-Wells, Wastewater Tre�fiment, <br /> Seplic T�nlcs. <br /> US Cnv.ironment�l Protecfiion Agency-Asbesfios ab�fiemenl. <br /> Feder�l Aviafiion AuthoriCy-Runw�Ys. <br /> I underst�nd ih�fi fihe following restrictions �pply to�[he use o�f'fill: <br /> Use o�f�fill is not�Ilaw�ci in Floocl Zane "V" unless expressly permitCed. <br /> _ IF Lhe �(ill m�teri�l is to b� �e Sui�m�ti�a�t?m� o�permitLing whicf�is pr n�redrbY �gpr fession�rengin er <br /> "compensating valume" wil <br /> licensed by the Slate o�f Florid�. <br /> If tl�e �fill m�teri�l is fio f�e �used in Flooci Zone "A° in connection wilh � permi[[ed building using siem w� <br /> construction, I cerCi�Fy ChaL�(ilf will be usecl�only to�fill lhe �re�within Lhe sfiem w�li• �����ci ad'�cent <br /> _ If.�fill material is �o�fl f II sS•foun to adversely �ffec[ �cij�en[ prop rLilesf'llhe I'owner m�yrbe,cited �for viol�fiing <br /> properti�s. IF.use <br /> th� condilions of lhe buifding permiL issuecl under�lhe �ilached permit �pn�ic�tion, �for lofis less ihan on� ( <br /> �cre which �re elevafied by�fill, �n cngineer�d drain�ge plan is required. <br /> If I am the AGGNT 1=0P TI-1C OWNGP, I nromise in goocf�F�ilh to in�form fili� owncr o'P the permitting conditions sel�forLh in <br /> fihis afFid�vil prior to commencing constrbninn c��sn orro her i�nsl ll�[onsrnot spe-cifi aily includedr n' I�e a�pl cati norlc�, <br /> plumbin�, signs, wells, pools, air conditi �J, J <br /> permit issued sh�ll be consiruecl to �c��c�oclescnor shall ssu ItncelloFW ple miC pi�evenfi Lhellf3u�i�ng Off ci�lCfrom ihere�fter <br /> seC�side �ny provisions oF the techni codes. Cve ermifi issuecl shall b�come invalicl <br /> r�quiring � correclion of errors in plans, consiruction or viol�tions oF�ny �'P <br /> unless the worlc �uLhorized by such p�rmit is�c'i��s x(6) Iml onlhls (ler tl e t mc ll e'Cworlc is commenc�ed� AnilexLensi'on <br /> ihe permil is sus�ended or ab�ndonecl'for � p gp r�� s �nc1 will demonstr�Ce <br /> m�y be requestecl, in wriCing, �from the Building'Of�ici�l �or � period not Lo exceed ninely O Y <br /> jusiifi�f�le c�use for lhe exiension. If worlc ce�scs�for nincfiy. (90) conseculive d�ys, the job is considered ab�ndoned. <br /> WARN(NG T <br /> O OWNG�: YOUP.I=.l�[LURE TO P�COP17 .i1. NOTICCOL'] 1NT�D TO 013TA NM INANC NC C]ONSULT <br /> PAYING TWICC rOR CMPROV�MGNT�TO YOUR PR�1'LrTY• lr <br /> WITI-I YOUR LCNDGR AN ATTO CY BCF01�� RCCORDiNG YOCIR NOTICC OI= GO �NCCMCNT. <br /> 1=LORIQA JURAT(1=:S.117. � � <br /> C�NT!'�ACTOR <br /> OWNGR OR AGGNT ^ ,� Subscribed and s n o � �t'med)b or o ih�s V / <br /> 5u scriUed and sworr���,�r�/�u�(Ie�t��� 1 1� /-/6 /� by ^ <br /> '_'r_ �-�3 �y '� -�� `�'��- Who islar�persona own to m�or has/have prodi ec <br /> Who i rsonally I<nown to me or haslhave prodbc�d �� �,�Q�, � �s identilica on. <br /> �����Q as iden(ification. <br /> t :' � ,:,�,Q �/-/' . Notary PuUfic <br /> �{,�,�.Q � a--- Plotary Public �' ��. <br /> � C� � <br /> co is ' ' NE BO�S <br /> C ,,, , *� .; C,pt1111118Si0P► <br /> - • ber 12,2014 <br /> S*' ••: Commission#EE 04052p �P�.pn�,t� <br /> ` Name <br /> �l ,ary�.� s' � <br /> �7019 <br />