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_ 1CTIONS: The.und�rsigned undersi:ands�ll�e��?�S P m s C sponsibilby�For o mplianceiwth any
<br /> NOTICC OF DCGD RGSTR
<br /> which may be more resi:riclive tl��n County regul�tions. The undersig
<br /> �pplic�ble deed resfirictions.
<br /> licensed in ��cordance wilh si�te �ncl local regulation5:olat'on
<br /> - SGD CONTRACTORS AND CONTRACTOI� oCSPONSlIIlL1TICS: l�f �lhe owner h�s hired � con�rVC�or or
<br /> UNL.ICCN
<br /> contracfiors to undertalce work, i�hey maY b� required �L•o
<br /> I for fil�e
<br /> contracior is nol• licensed �s required bY ���� ir°���or,�reW nce L�in as lo what li ensingir qtairem n'ts�tion at 27-8�1•7-
<br /> under siate l�w. If the owner or ini:ended con 1ns ection Division Licensmg
<br /> infiended worlc,ihey ar� advisecl to�coni:�ct lhe P�sco Cauniy 13uilding P
<br /> W������ t���y wi�l be responsible, .I�f you, �s i:he owner�sgn ��s'co
<br /> -urthermore, if tl�e owner has hired � conlro�fior or coni:racfiors, he is �dvise,d to have the co jeractor(s) sign
<br /> 800�J. � ermitlin ri �J
<br /> portions o�F'the "confiractor Rlocl<" o'f fihis �np������on ro erl licensed and is nofi enfiilled i:o p �J n
<br /> contractor, ihal m�Y b� �n inclication i:h�t he is riot p p Y
<br /> Counfiy.
<br /> e 1=ees may �pP�Y�o th� consi:ruction'o'f new buiidings, change of
<br /> SPORTATION IMPACTIUTILITIGS IMPACT oND RC50UPCC 1�.L-COVGRY 1=GC5: The undersi9�d � 8�07 �nd
<br /> TRAN ���rees �nd Recourse Ftec, ry Ordinat�ce n
<br /> thaL Tr�nsporfiation Imp eci�Fied in P�sco County
<br /> use in existing builclings, or exn�naion o�f exis�ing buildings, as s�
<br /> �c� �ees �ncl Resource Recovery Fees musL• b� Pc d anc r o�
<br /> s �mended. The undersigned also und�rsland,mi:hat such �fe�s, as m�y be duc, will be idenfiified �cfiho t me o��
<br /> 90-07, a ortation p
<br /> permil�ing. li is �F��rCher undorstood i:hal Tr�nsp
<br /> receiving
<br /> � `berlific�te o�F occupancy" or��inal power rele�se. l�f thc projecfi does no ir�°sco Co mtyCW�terlSewer (mp�cfi
<br /> �Final power r�lease, the fees musi: be p�id prior to permil: issu�nce. Fur[hermore,
<br /> aid rior to�permit is�s c`�S��L tes�as am nl�le 1)pll�f valu�ion of worlc�s $2,1500 00 or more, I
<br /> �Fees are due,they must be p P
<br /> CONSTRUCTIOIV L1CN LAW (Chapl'er 7'13, I"1 o�f 111e "l=forid� Construc�ion Lien Law�ni is someone
<br /> cerliFy fih�t I, fihe ap�licanl, have been provided wiLh � copy
<br /> �� ared b lh� Florid� Deparfimenfi o�f Agriculture �nd Consumer AFf�irs. f'F ihe app
<br /> Protocfilon Guicle preP Y�� o�f 1:he above clescribed documeM:�nd promise in good'f�iih fio
<br /> other fihan the"owner", 1 certify that f h�ve.obfi�ined a �opY �icafiion is accurate and that all worlc
<br /> deliver it to the"owner"nrior to commencemenl'• lic�tion is
<br /> CONTRACTOR'SIOWNC�'S Arrrb.�'VIT: i cerfiiFy fih�C�11�lhe in�Formatione�ihii cer ify that no worlc or inst�llafiion h�s
<br /> • �e don� in compliancc with �II a�plic�b�e laws regul�ling construction, zoning �nd land developm�nl. App
<br /> will I
<br /> 'ssu�nce o�( � permil• �nd �Ch�l' �II worlc will Ue performecl to meet sfiand�rds o�f all laws regulating
<br /> h�reUy made fio obt�in � permi� to do worlc �nd instaflafiion �s indica
<br /> commenc�cl �rior to ��nd City codes, zoning regul�lions, and land dev�lopment regulations in the jurisdiction. I aiso
<br /> consiruction, County 1 lo i:l�e infended worlc, �nd lhafi ifi is
<br /> eerlify ihat i unclQrst�ncl ih�i:ihe r�gui�lions o�f other government �gencies m�y aP�Y � Sensiiive
<br /> ' t to idenfi�fy wli�l aclions 1 mus�l t�ic�to be in com��lih�ds,SWeLl�nd Ar�s,and Environmenia yted to:
<br /> my rosponsibdf y ress y
<br /> _ Dep�rlmenl o�f•Gnvironment�l f'rotection CYP ress 13�yh��d5� Wekl�nd Ar��s, Alt�ring
<br /> L�nds,W��erlWastew�ter Tr�atmen�menl• Districfi-Wefls, Cyp
<br /> _ 5outhwest rforida Water Manag
<br /> Wafiercourses.
<br /> _ Army Corps o�F Engineers-Seawalis, Docfcs, Navigable ��e��Y • .
<br /> _ pepar
<br /> Lment o�f I-IeaIt11 & Reh�bilil•ative Services/Cnviconmenl'al I-le�ffih Unit-Weils, W�stewater Treaiment,
<br /> Sentic T�nlcs. AS��stos ab�lemenl.
<br /> US Env.ironmenfial Profiection AgencY- .
<br /> Feder�l Aviation Aulhori�ly-I�unwa;s•`o ����use o�f'filf:'
<br /> I understand fih�i the{ollowing restrictions app Y � ��� � ermit-Lecl.
<br /> Use o�f'fill is nofi�Ilowed in 1=1ood Zone V' uniess expressiy p �red by a proFession�l engineer
<br /> �� he �fll m�teri�l is to b� used in Flood zonc o�A"'ermitling wh cl�is pr p � �rainag� pl�n acidressing a
<br /> _ If L
<br /> "com►�ensating volume" will be submitied ai: tim P
<br /> licensed by the St•ate o�(Florid�.
<br /> _ lf the �fill m�terial is to be�used in Flood Zo�o ri'A'�h���C°���.i{��n il�ILstem walli`teC, U��ilding u�F`e���J�cent
<br /> � consiruction, I cerli�Fy�Lh��L fill will be us dea' Y L �rlies, lhe owner m�y be cited �for vialating
<br /> I(.�fill material is �l'o be usecl in �ny 1�certi�fy lha�C use o�f such 'fill will noC adversely
<br /> ' properlies. If.�use o�G�fill is�found to adv�rsely ��FfecL adj�cenfi prop
<br /> ''ons of lhe building p��'mit issuecl�under•Lhe �itached permii: app����tion, �for loLs I�ss i:han one ('i)
<br /> the conditi
<br /> �cre which�re elevafiecl by fill, �n engineered drain�ge p(an is require .
<br /> -OP TI-IE OWNCP, I nromise in good�F�ifih fio in�form the ow ermit tmay ue r�tn�g�d�or�electr c Iowlorlc,
<br /> I��I am the AGGNT� �onstruction. 1 undersC�nd i:h��l• a seP�rate P �cificall included in lh� application. A
<br /> ihis aFfidavit prior fio commencing �S, or other inst�ll�tions noi: sp Y
<br /> plumbing, signs, wells, nools, air condiiioning, �J
<br /> ' u�nce o�f a permifi prev�nt the Building O�ffici�l�fr�C�o inv�lld
<br /> inll bc construed ta be � license fio proceed wiLh tl�e woric�ncl noC as �uthorifiy to,viol�te, �ncel, a �er, or
<br /> �ermit issued sl ermit•issued shall
<br /> set�side �ny provisions o�F i:he i:eC���ns 'const ucl;ion or Iviol�tions o�F any codes. Every n
<br /> roquiring a correction of errors in I� or�,��� 15 commenced wifihin six months o��permil issu�nce, or i(worlc authorized bY
<br /> unl�ss fihe worlc authorized by such p
<br /> eriod of six(6) monfihs ��fter the time ll�e worfc��s �YS�n�wi���omonst ate
<br /> ihe permil is suspond�d or�b�ndoned��or� �' OfPicial �(or � period nofi�lo exceed ninefiy ( )
<br /> may Ue request�cl, in Writing, 'From i:he Building'
<br /> fihe job is consid�red abandon� -
<br /> jusfiifiable c�uso�For fihe oxtension. l�f worlc ce�ses fior ninefiy. (90) conseco��OMMGNCCMCNT MAY R�SULT IN�Y u�
<br /> p ,�1, NOTICC CONS
<br /> VtiARNtNG ��C r O R 1 1I��pVCMC-NIT�TO YOUR 1'I��►'LP�TY.
<br /> It=YO1J INTCND TO O R T A I N (=I N.�.N C�N�y
<br /> I�AYING TW, � p�AN �TTORNCY t3Cf=0RC RC C��pi�G Y�U�����C� O� COMM�NCGMCNT.
<br /> W1TI-1 YOUR LCNDCr / /,„ . c�o ��-.
<br /> FLOR1qA JURAT(1=:S.1�7• 3) . CONTI'�P.cTD or�filirm�d bef o me t s
<br /> OWNGR ORAGG �u��ri� b=nd swom�cy� ,�n�°,��� __
<br /> firmed ef re me is by v""a�" �-
<br /> Subscribed and swar�q'���t as identification.
<br /> �_�,� �y y-4t Who is/are norsonalt Iv cnown to me or haslhave�roduced
<br /> Who Isl�ro personall I<nown to mas d nf fcat onro�ucecl
<br /> -, `_��%�� Notary Public
<br /> � NoLary Public
<br /> � •
<br /> - Commission o• NOTARY PLBI.ICSTATE OF F'LORIDA
<br /> Commission No. �
<br /> NOTARY PLBLIGSTATE OF FIARIDA � Name of Notary tYP����rinto� ��hmission#EE044504
<br /> #EE044504 =- ,.= Expi*es: NOV.22,2014
<br /> t�lame of Nol�ry typec�,``„"".�Q6�4�n i3o�ilF.r,Tt�x�a1��.��;c ao�-n�c co,�tie.
<br /> �FXpires: N0�'.22,2014
<br /> BCtiDFr�`THRC ATL.�.\"L'.��30\Dt\G CC.,L`�C. .
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