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FrAm 01/10/2014 13:35 #593 P.002/002 <br /> NOTICE OF DERD RE87RiC710NS: The underslgned understands that ihis pxmit may be subject to"deed'rettricUons` <br /> wf�ich may be rtrore te�trl�thre than CauMy reWtatbns. The underaipned aesumes respons�ility for complfance wNh arry <br /> appficable deed roatrictlons. <br /> UkLICENBED CONTRACTORS AND CONTRACTOR RESPOK�1811.171ES: !f the owner hae hked a conlraetor or <br /> corrUaciora to undertake work,they mey be nqutred to be Gcensad in acc�rdmce vvHh state and locai re�lal�ns. If the <br /> contractor ia not Il�naed sa requlrod by�w,both tlm ownar erid oo�treotor may be alted tor a mfsdemeanor vbfatlmi <br /> under state law. Ii tha owner or lntended contraCtor are e�noer�in es to whet iicentinp reQulretn8nts may appiy for ihe <br /> #��ndad wak,they.ro advised to co�tact the Paeco Courdy BuYdh�y inapedion Dhrislorr—Ucensinp Seat�n et 727-847- <br /> 8000. Ftxthertnore, N the ovmer hea t�red e co►�trador a o�nrs, he �edviaed to have the conbador(s}stpn <br /> porrions ot the`contractor Blook'of tl�s appNqidon for whiah tliey wIN be rasponsible. N you,as the owner alg�ea fhe <br /> conUedor�that may be an hsdicarion that he is not proparty lioeneed and is not eMitled to P�8 P��s in Peeco <br /> �PORtATiON IMPAC7NTi1.171ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understanda <br /> ihut Trer►sporMdon in+Pact Fees arri Reoaxse Reoovery Feee maY�PN to tt�c�nslruclbn of new buAd'mge.chsnge of <br /> use in e�NnB buNdhips,or exp�of a�dsHng buNd�.as speafHed in P�co CouMy�number 8�Q7 and <br /> 90-07�as amended. 7rie undarsigned also w�de��that auoh faes,as msy be�e,w11 be idendfled at the tlme of <br /> Pe►miNinD. It is turffwr underslood Htst Traroportatfon Impac�Fses and Reaource Recowsly Fees tnust ba pald�rfw to <br /> reoaMing a'oertMCa�of occupatwy or lhml powsr releps. M the projecd doea not kmdve a oerUNoate of aoaupancy or <br /> fmal Power roMaas,the fws m�tst be p�id p►br to P�+�issuanoe. Furtl�emiore�N Paaco Cotnriy WederlSawar Impect <br /> f�s are due,tliey muat be paid pHor io Pemdt hssuence in aocoManos wlfh appNcable Pa�w County ordk�enoe�. <br /> CONa7RUCT10N LIEtI LAW(Ch�pbt 713.Florid�St�RuiN.ss amMttl�d�: IF vaktNion of work h i��.��n'wre�1 <br /> aettlfy that 1, the epplicant, ha�ro been provided wiU► a copy of the `Florida Constrvetlon Lten Law�--tiomeo�w�ror'e <br /> Prote�bn Gulde'P►ePared bY the Florida Depart�nent of Aprictillu�e and Conaumer Aflaira, N the appNcent Is someone <br /> otli�r than the'o�wner",�ce�llty�at I heve obmfned a copy of tlie above deaafbed document snd ptomise in yood feNh to <br /> delNer It to the'oMrner'prior to oonanenoement. ' <br /> COtiTRACTOR`SlOYYNER'8 AFFIQAVIT. 1 certlry ttret dl lhe tMarm�lon in thfe appHcatbn]s eccurate and that�t work <br /> wIG be dolro M t�mpit�►x�e wNh aN�ble Iews repuletlng CorretruCllon.apnln0 and iand davebpmeM. Appilc�Uon ie <br /> hereby made to obtah► a D�M to do wak and InsieNatlon as Indiaated. I oerlify tlmt no waric ar haeMleUor►fias <br /> c�rtxnenced prior lo hs�rxe of a psrmit and 1tf�e�nrork rrNt be perforrtred to meat slandads oF all Isws rept�k�p <br /> conetrucdon� Ca�ttb��Y�. zonin9�gulallons� a�d k�nd developrrieM repulsgwre In the Jurtsdtotlari. t albo <br /> certlfy that I underotsnd tMet Ihe rep�adons ofi ofher povemmant agenc�fsa maY apdY lo the M�ended work,end that It ia <br /> my reaporroibAlqr to Id�tlly whe!eu�iaw 1 must ieke to bs in eompihr�ce. Strch agsndes hxiutia bat are not IinNted to: <br /> - Departrnbnt of E�onn�l ProtecUon-CYProus Heyheeds� We11K►d Areae and Envlronrner�taNy Sensitive <br /> Lands�WaMrlVNaetewt�ber TreaUrtet�t. <br /> - Southwest Fiaida Water Menapement Dlstrlat Wells. CYPrees Hayheads, WoUernl Areas� AilxB►8 <br /> Wataoatxaes. <br /> - A�my Co�s a Enpinser.see�waMs�hocke�Nevgame wst�wars• <br /> - Depertment vF Health d� R�habpNaqve Savk�el'Environme�i Heaflh Unl!-WeNc, Weatewater YroakneM, ' <br /> Sepdc Tanks. <br /> - liS EmAronnfen6el Rolectlon Aperwy-/18besl�s� <br /> - Federa!Avlatfo�AudtoHty-Wxwvapis. <br /> I unde�stend tt�t the foNowk�B rest�iotlot�e apply tfl the usa oF 111: <br /> - Usa of f9i is rwt tiNowsd k�Flood Zone'b'utisea a�ress�Y Pem►�ted• <br /> - If ths f� me�erfal le to ba uesd in Flood Zate"A'� R i� �xidenmod thet a dra�e Plen eddrnsaM9 a <br /> •compernaUng vohrtns'wiM be eubmNMd at tlme of permi�g wFdch is proparod by a proteesfone!�h»e� <br /> Noensed by U�s St�ofi Flotida. <br /> - M th�1pl nmtariai is to be wted in Flood Zone'A•M cax►edion wNh a psrmNted buNding usirig stem well <br /> � c�nabuclion,�oer�y u�et fql vvql be uaea«ily bu t�the a�sa wNMn the ste�n waa. <br /> - it flN malerlal is b be wea in my aree. � aert�y�et use of suah �I wql not sdveraey afFect ac�ex;eM <br /> propsrNes. !f�e of flN te to�d b advassN e1�sCt a�pe�ent pro�srtles.the awner may ba'c�ed tor violWirg � <br /> ttts condltlotn of the Mi6dtrq psnr�t isausd W�dar tl1e alt�sd DertnR apPNc�adon.for fMa lesa than one(7) <br /> ec��e MAiich are slevated by�IlI,sn enyhie�ed drainepe pMm!s*equksd• <br /> K I am the AGENT FOR'11�OWNBt,!promise In pood fakh to i�orm the oMmer of the permNtlrg c�rMMfor�set foMh in <br /> m�s mfidavR prtar to c�mmerx�ng oor�saudlon. 1 unaersau,d d,at a seaarete vem►!t may be fequlred�or alechrod work, <br /> Piw�p��a�watls�PooN,Nr condilio�iln8.9ea,or�N�Matlons not spe�r indudsd'm ihe appii�lion. A <br /> permft Neued ahail be ooiretrued to be e iiceme to qoosed wKh Ihe work and trol e�auUqrNy to.violste,c�al,ariar.a . <br /> set as�e arry pra�eb�of tl�e�k�aodes�rror ahe�Msuarroe ot a permM prevent the 9aldhig olficial from thereeiRer <br /> requMnp e c�orrecdon of enars 1n ptems�aantrtix�fon ar violedora of emy aodas. 5very pecmR bsusd ihall bsoome k�veiNd <br /> ir�less lhe worlc euUarized by auoh permR h ootnrt�eno�d�abc montlu of penrYt isau�noe.or R wak�Nt�o�ized by <br /> Gie perrrdt is susPended or ebendoned tor a perfod of aFx(8)mordhs atlsr the Ume�e work Is oommenosd. M aoReralon <br /> mer be roquest�d.In wriUr��trrnn H+a�Ildinp.OlRcFat for a pdrbd no!M exceed nN�alY(8D?deys and wM demonstrate <br /> �usiMi�Me cause for the�ion, if vwrk oeeaea for nkiely(Qp)�live days,the�Joh is t�stdered absndm�ed. <br /> yyARNMKi 7'O O4YNER: YOUR FA�URE TD R�CORD A NOTICE OF COMIYIEMCE'M�NI'MAY REBULT IN YOUR <br /> PAYIN(i TYYfCE FOR Mi1PROVEIMENT�TO YOUR PROPER77. F YOU INTF�ID TQ OBTAIN FINA#IqNG.CONSULT <br /> YYITFI YOL�LNDEIt OR/l�!ATTOR�►BERORF,RECaRDWO YOl1R NOTICE OF <br /> R.ORNaA JURAT(F:S.197.08) � <br /> • \&�ot1A�d�u+d swom to(w bNo�s ma tltls �Sub_K�_a�lb�d�n�d iwan to(or dMnetl)bstwe ms E�is . <br /> Who Iqaro D��Y iufown b ma a lu�llrow �D�Y lo mo or P�+� <br /> a fdentllaAon. ss Idw�lOc�9ai. <br /> �y p�pb Nohry Publc <br /> Casmtin�On No. Cam�n No <br /> Nanro of 1�bWy qpsd�O�rrted or sdnW�d Mens �l�Ded.P��hd asmmPed <br />