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03/17/2014 07:07AM 8639565102 WENDLE PAGE 02/09
<br /> NOTICE OF DEBD RESTR�CTIONS: Tha undersfgned understanda�hac this permK may be eubject to•tleetl"reeb5ctione"
<br /> which may be mone resUicNve tt+em CaaMy roguiatiotts. The underaiqned a�saumo5 roapaisibilily for aomplience wilh eny
<br /> aAP1�deed restridia�s.
<br /> UNLICENSED CQNTRAC7�ORS AND CONTRAC�OR RE9PON6t�L.117ES: If Me oMmer hag hired a contractor or
<br /> c�ntradors ta undertake work;They msy be�aqukad to!�e�apr�sed In acoordance wMh itat2 dhd bC81�egutetibnS. H the
<br /> co�rsctor is rat 6oermed as�equlrod by law�bolh the awner and cronaacbr may be dletl 1br a mistlemeenor Waepon
<br /> under ata�e law, If the owner or k�ended can�aa,or are uno�taln as to what licxr�sin9��Y�Y tor the
<br /> irNendep wq1(,B1ey ei/e advised ta cOn{ed Mie Pasoo Counly&dlding lr�sp�ction DivisiorF—LiCensk�g SeCllOn 8t�27-847-
<br /> 8009. Fwthermore, if the ovvner hae hired a co�iractor�conlrae�ora� he le advlaed b havE the coniractoKs) eign
<br /> �acdor�fhet mey�xtd' k�ho�that fi�e I�properly Nc�eraed end is not es�^��you,as Ihe owner s�n as the
<br /> �� P��dnB Ar�eges In Pasco
<br /> TRANSPORTATION IMPACTNTtL177ES 1MPACTANO RESOURCB RECOV�RY F8E8: The undersignsd unders�nds
<br /> ihaf Tre�spo�faaon Impad Fees and Ra�ase Reoov�eryr Feea may appy�the c�ion of nsw buqdin�,cAqnde of
<br /> use in�dsdrg bull�nys,or expanslon of exlsHny bdldkg�,as specMsd In Pasco Courky Ortlinanoe nunp�86-aT ane
<br /> 90-07�eie dmentlEd. The undersignetl also un(ferstands,that such tees�as rtny be due,wdl be Wo�tlAld d!the qntB of
<br /> percr�i�ing. It ia turiher unde�stood timt Transportsfion ImpACt Fees and Res�xae Reopvery Fe�must be paid pd0�t0
<br /> receiving 8'aerdficate of occupancy"ar final power roleaee. If the proJed does rwl invdv�a oertlllCa�e Of oCCup611iCy or
<br /> final pow�er rel�se,the tees must be Pa�P��P�K�ssu8noe. Furthermore,N Pd600 CeuMy VVatw/Sewer Imp6�cl
<br /> fees are due,Thay must be pald p►ior to permit issuanoe in accordaocs wHh app�icabia P�1sco Courrty ordir�ances.
<br /> CONS?R11C770N U�N WW(�hiip�9��1�.(°IOrlflp SRetua9,as anllnel6dj: li vatustion af woik is 52,500.00 or more.I
<br /> certlly thet I, the applicerd, nsve been provided wilh s oopy of the �Florida Ca�stn�tlon Llen Law�--liomeowi�er's
<br /> Proteaio�n Guide"PrePered bY the Flar(da DepaNnent of llprlc:ulture and Cansurr�er Aifeirs. )f die app�icaM is someone
<br /> ot�ltfan tlle"ownor",I CerMy that I have obqined a co�r of the ebove descnbea eaa�ment and promise in good fsiU�to
<br /> de6ver it to the"ovmer'prior to oomrr�encerr�erx.
<br /> COk1'RACTQR'SJOWit�1t'S AFFIpre�VtT: I ceAify ttiat all tha Infortnation In this appqcatbn Is aocur�te 8nd thst all woru
<br /> will be dorle in Oomplienoe wilh all aPD�ble laws�gU��lln�ConStrtldbn,xpnU14 dnd lat'Itl tl2VElopment AppWCetion is
<br /> hereby made to obteir� a pertnit to do watc and fnsEaYatlon as fndicated. I oer�ly Msl no woAc or instaiabon Mes
<br /> commenoetl prior to issuence of s permit and tha!an wartc will be pertormed to maet st�dabs o}�dl lews reguledng
<br /> cvnatruction, Cau� end C!b codes,zqdn9 r�e�pr�s�and land dsveloDment rogW9tldIB�'1 the jirisdiction. { �so
<br /> certlfy fha!I underatand that tha ra�ulationa of o�gorenxnent agenciee maY apPy to the irkended work,and tlsat k Is
<br /> my responsibiAty to idently wFiat a�I must lalce to be M oomplWnca. Such apencisa ir�e pu�are►wt limired to:
<br /> - Departmer�t of Environmental Pratectlon-Cypross Bayheads� Vvelland Areaa end Envi�rr�erdaAy Sensitive
<br /> I.ands�WaleNVllesEewster Tr�eatr�t.
<br /> - Soudtw�est Florida Water Management DisMCt-Wells, GYArsss BayAeedB, Wetlen0 Anees, Altering
<br /> VVate�axaes.
<br /> - ArmY Corps of Ergineers-3eawaqs.Docks.Nav�abla Walsrways.
<br /> - De�9ftfnent Of Health 8 Rehabilitative ServiCeslEnvlrorur�ntal Nedlth U11it-VVells� Westewater TrealmeM,
<br /> S6pliC Tdr11c9.
<br /> - V$EtIVIrOnmenfAl PrO�el�on AgenCy-Asbestos ah■letnent.
<br /> - Fedaral Avietion Authorily-Runways.
<br /> I u�derstand that the following resUk�to�apply to fha use of flR:
<br /> • Use of fie Is not allo+Nad In Fload Zar+e"V"anbss e�re�y perrnit�d.
<br /> - !f 1ha 1Nt m�rlal Is to be used in Flootl 70ne •A", it is �x�derstood that a drdU�ge plen etltlre,48ing a
<br /> "compensatlng vokme`v�ll be submitted at bme of permitting which�prepared by a professionel engineer
<br /> ��cet�sed by the 5ta1e of Flaida.
<br /> - If d�e fdl nxtteddl is to be�ed in Ftood Zorro`A"In can�eetlon with e perrtatted buil�ng using slem wall
<br /> oonet�tx�on,t aer6fy that fln wil be uaed oNy to AII the araa wkh�n!he slem wall.
<br /> - If fiN ma�rial is to be used In ary area, 1 cehlfy that use oi such f�l wi0 not advexaoly �a ad�csnt
<br /> properties. H use of fll1 Is iound to advsrsey afFect adjaoent properbea,the owner may be doed tor violating
<br /> the conditl�ot tbe Duildirig pennit isauetl untler the eUached pertnit applcaqon.Mr bb less ihen one(1)
<br /> aae wh(ch are ehevaeetl by fill,pti ehgineerep drainage plah is requlred.
<br /> ff I 8rh the A6ENT FOR TNE OMMIBIt,I promi'se i�good taith to ir�Fortn ths ownsr o(the p9rtm�rg conditions set€orth M .
<br /> this afidavd prlor to canmE�lcirlg cons�action. I understand tt�at a separa�Perml�m�Y be tequired ior elecMcal work,
<br /> plumbin9,signs,w�sils� Pods,edr Co�ttlitio�m9i 9as�or ofher irufallations rmt spsCMlCdlly induded M tt�e appkcadon. A
<br /> permit issued st�atl be conshueo to be 9 Ifoer�ee M prooaed with�e work end not as pulhpfily to vudate,cer�cel,aNer,ar
<br /> set esfde arry provN�fOnS Of Ula lachniwl codes,nor sh$II IsSuan09 Of a poimlt pl'eVsllt tBE Bui�tlirlg OlDqal from�
<br /> �Q��B a correCqon Of el'ras ia plans�construdfon o�WolAtione of 9ny Codee. Evory peniii(•Isstled shsN become invalid
<br /> unlaSs ths w01�k auHlOdzeA by such pemiit is aommencad wlMin ebt monU�s of permit iawanoa,or ft w�k auN�ori�ed by
<br /> fna pannit is euepeixtea or abar�dor�ed ior a perlod or sbr{�mor+tlts aner the bme n�e vwdc�co�rMnenoed. An ex►e�fon
<br /> �Y be recluested,in t�tit�g,Trom the euilaing OIF�FaI for a pe�od r�ot to exc�ed ninetY(8�4ays atld wiY dernormtra�e
<br /> JusdABbb Cdube i0r tlte extenslon. If work Oees96 tOr nlnety(8p)OOr1�Cutive deys,the Job IS COfKIdEretl�f8ndorled,
<br /> WARNMIG TO�IYNER: YOUR FA{WRE TO RECORD A NpTICE OF CpMM�10EME1�F7 MAY RE4ULT IN YOUR
<br /> PAYING 7VYICE FOIt�YIPROVEINENT8 TO'YOUR PROpER1Y, IF YOU INTEND TG pBTMN FINANdNO,CONSULT
<br /> WRH YOUR 1.9�IDER OR AM A'rro�'e�y BEFORE RECORDING Y�e MOTIC,E�OF COYMENe�11E�* �
<br /> FLORIDAJURAT(F.S.1/7A3) � �
<br /> ONINER OR AOENT CON7RA�OR (�/�i�'. /� �
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