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NOTiCG OF I�E�D RCSTRICTIONS: Th�•und�rsic�ned und�rsl�ncis ti�ai;�ti7is p�rmit may 13e subj�ct ta"d��ci"restrictions" <br /> whici� may i�e more restrsctfv�-ti��n Go�tnfiy rec�ulafiions. Th� �mdersigned �ssumes respansii�ili[y�For oomplianc�witi� �ny <br /> �pplic�bl�de�d rosfirici:ions. � <br /> UNLlCGNSCp CONT��lCTt3RS AND Gt7NTf�.ACTOi�. PCSI'ONSil3IL.ITI�S: I�f llze ow���r has hired � coniractor or ' <br /> conir�ctors fio uncl�rC�ke work, i:I�ey may b� r�qc.ured�to 1�o iicens�ci in �ccordanc�wifih s�ate anc4 iocai r�gulatiaris. I�F�1» <br /> contr�clar 9s nof: licens�d �ts r�quirer! by l�w,. }�otl� �Cl�e awncr �nd confiracEor m�y�be citeci �ror a miscieme�nor vioiation <br /> uncior sfi�t� i�w. i��fih� awner or intencl�d cantr�c�l•or �re LtnccrC�in �s �10 wl7�t Iic�nsing r�quirem�nfis m�y app(y�(or fihe <br /> intenclecl worlc,they are �civis��ci to�cant�ct i:ii� P�tseo Counfiy 13ttilding insp�e�ion Dlv3sion—Licensing S�c�ion a1727-8�1.7- <br /> 8Q0�. 1=urlhermore, if i:he own�r h�s hir�d � con[r�ctor or contr�ci:ors, he is �dv"rse,d ta hav� t(�� contractar(s) sign <br /> por(ions a•f'�he "contractor 131oc1c" o�f�khis ap�lic�Gan �For which Eh�y wi11 i�e responsible, .i�you, �s the owner sign as ti�e <br /> confr�ctor, fihnt m�y b� �n indic��[ion 1:l�al h� is riot properly.liccnsed �nd is nat enfii�tled to p�rmifi[ing privil�g�s in Pasca <br /> Gounty. <br /> TRANSt'ORTATION IN[T'ACTIUTfL.iTtCS IMT'ACT AND PCSOL3PCC RCGaVLI�Y f-ZCS: Th� unclersic�nec( understai7ds <br /> tl�aL Tr�nsparCatlon Imp�ct F'�es �nd Reco�trse Rccovery Fees m�ty�ppiy�o fihe consircrcfion;a'f n�w bu31c{ings, clz�ng� a�f <br /> us� in �xfsling bufldinc�s, or ex�nnsian o�r existin� 1�uiidings, as speci��ied in i'�sco Coc.m�y Orc{in�nco numi�er 8�-07 �nd <br /> 90-07, as �m�nd�d. Th� ��nderslgnec! alsa unclers�Lands, fihat suci� •�ees, �s m�y 1�e clue, wIli bo iclenfiiFiEd at fii�e time of . <br /> permit�:inc�. It is •Furth�r uncfers�oocf that Tr�nsporGa�ion Imp�cl Fe�s �nc! I�esaurc� I�ccov�ry Fees must b� paid prlor fia <br /> r�ceiving a "cer[ific�te oF occupancy" or��in�1 �ow�r r�i�as�. l�T�tl�e proj�ci: clo�s naL involv� � cerli�[lcafie o�C occup�ncy or <br /> �lina! pow�r role�s�, the ��ees must b� ��id prior to p�rmit issuanc�. 1=ur[h�rmor�, i�'i'�sco County V1lafier/5ower Imp�c� <br /> •fees�r�clu�,th�y musi I�e paic!prior�to p�rmit issu�nce in �ccordance wit1���plic�bi�i��sco Ca�rtity ordinanc�s. <br /> CONSTRUCTION LI�I�] L1�W{GI�apLe�•7�1�, 1=Ioricl�5t�i:ut�s, as �rnencl�d): I�Fv�iu�tion o•�worlc is :�2,500.Oq ar more, I <br /> certiFy fii��►t i, the appiic�nfi, have f��en provid�c{ wik►� .� eo�y o�f �Lhe "Flaricl� Gonstruciion Li�n Law—l-Iomeown�r's <br /> I'rotoc[ion Guici�" prep�reci i�y�the 1=lorid� D�partmenfi o�F AgriczTiturc ancl Cat�s�imer A�Cf�irs. I�f tl�re �pplic�n! Is someon� <br /> ofiher th�n tl�e`bwner", 1 cer[ify ih�[I I��ve.obt�in�d a copy o•F�lii� abov�.d�scrib�d docum�nt�ncf prom�s� in good�F�i1:l1�o <br /> cl�ffver Ik to 1:1z�"owner"�riar i:o commencemenl. <br /> GONTRAGT�R'S10VItN�1�'S AFI=II�AVIT: ! c�rli�fy�:ha�l•�11 th� iniormatian in this applic�i:ion is �ccurafi� and fii�afi�11 work <br /> wiii i» don� in compii�ne�wffih �fi �ppiiczbl� i�ws regula�ting can��lructian, zoning and l�nd dev�lopmcn�C. A�y�IicZtian is <br /> I�ereby m�de fia oUtain � p�rmit to do worlc �nc1 instaii��ian �s indic���d. 1 certi�Fy �lh�� na worlc or inst�ll�filo3� h�s <br /> carnmenaec! prior to issu�nce o•r� permit �nd �[i��t �11 work wi11 i�� perFormed to meei: sfi�nci�rds o�� al! (aws r�gulatinc� <br /> construclion, Gotinty ancf City codes, zoning regula�[ions, �tnd (and dev�topment r�gui�fiions in t11e jurisdictian. I also <br /> certi�y�hafi ! t�nderstand �th�t ll�e rec�ul�i:ions o�f ofiher gov�rnmenfi�genci�s m�y app(y fio �[I�e infend�ci worlc, �nd fii7�fi it is <br /> my rQSponsibilifiy to icl�nti�'y wh�t�el;ians i musfi t�lc�to I�e in camp4i�nc�. Sucl� ag�ncies Includ� f]ut�re not Iimited�o: <br /> - Dep�r[menC o�F�Environm�ntal C'rot�ction-Cypress B�yheads, Vt(��l4and Areas �ncl Cnvironmcnta!!y Sensitiu� <br /> L�nds,Water/W�sterrv�Lor Tr�atment. <br /> - SOLi{I1W�S�: Cloricfa W�ter Manac�emen�t District-Wells, Cypr�ss i3�yheads, IN�ti�►nd Ar��s, Altering <br /> W�tercours�s. <br /> - Army Corps o�r�ngin�ers-Se�walis, Doc(cs, N�vigal�le tN��erw�ys. <br /> -� E De�arlri�ent o�r I-I�aIt1� & Rel�abiii[�fiive S�rviceslCnvir.�nmenlai (-i�a(�I� Unit-V1lelis, W�stewal�r Tre�fim�nt, <br /> S�p1ic T�nits. • , <br /> - US Cn�iranment�l l'rofi�ciion Ag��cy Asb�sios�I��fiem�ni. <br /> - f-�der�1 Aviafiion Act[i7ority-i�ttnw�tys. ' <br /> 1 undersfi�nc(th�fi[h�foiiowing restrictions ap�1y�ta'�ti��use o�F•Fiii: <br /> - Usc�o�f•fIll is not�Ilawed 1n T=laocf Zon�"V"uni�ss �xpr�ssiy�a�rmitfied. � <br /> - I�F th� �FiCI in�f�rinl is to b� used in I�'lood Zon� "A", tt is Lmciersfiooci fii��[ � eir�inage pi�n addressing a <br /> "com�aens�fiing valume" wiil !ae submifii�d ai:fiimc o�C permitling whicl� is �arcn�red by a pro�ession�l engin�er <br /> (iaenseci by fii�e Sfi�fio o•F f=(oric(�. . <br /> - !�f fhe �fill m�teri�l is �[o i�e•used in 1=ioocl Zonc "A" in connec{ion virith � permi(�t�d i�t�iidinc� �is(ng st�m wal! <br /> ' consfiruction, ! cerLi�Fy�il�at fii!(�nrill Ue used�only�Lo•�11 ti���ire�witi�in ti��sfiem waq. <br /> - f�(.•Piil ma�eria! is fia 1ae us�d irt �ny zrea, !•certi�fy �Cha�t use of sucti •(iii wiii nofi adv�rseiy a��Fact adj�c�nfi <br /> ' propertius, fi�F.�use a���Fi1i is��ottnd �ta adv�rs�iy ��ff�ct adj�c�nL• �rop�rLies, �tl�e owner m�y be cited�For viol�ting , <br /> ihe condifiions o�� th� Uuilciing permit issuecl�uncfer�lh� �1.-t�cI�ec( p�rmit �p�alic�tfiian, �for lots l�ss fil�an one (�1) <br /> acr�whicl��re �Jevated l�y�(ifi, �n engineer�d drain�ge plan is r�quir�d. <br /> f�F 1 am th�AGCNT rQr TI-IC OWNCP, ! �romise in good�F�ifil�i:a in��arm fit�e owncr o�r fii�� permitfiing conditions set�Forth in <br /> t1�is �i��idavil �rior to cammencing eonsfiruc�ion. 1 undersL�nd�I�a�l a s�p�r�[e p�rmit may 1a� r�quir�ci�ror elecfiric�i wortc, <br /> piumbing, signs, w�i1s, poois, air condifioning, g�s, or oth�r insfiaIlnfiions not�specifically included in [ho appiic�tion. A <br /> �aermit Issueci si��ii iae cansfiru�ci fio 1�� � iic�nse fia proce�d witl� th�worl<�nd noC as �utS�ority fio,viol�i�, cancel, �rltar, or <br /> sel�sicle �ny provislons o�T i1�e i:echnical codes, nor shall issu�nce oi�� permi�pr�venf L•i�� i3uiiding O�fsicla!�from �i�erea�f[er <br /> roqt�iring a corr�ction o�f�rrors in plans, construclion or viol�tions aF any cad�s. �very permit issueci s1��ii b�cotnc� inv�tiic3 <br /> unless tii�worit�uChariz�ci by s�tc►z .p�rmifi is commenceci within six months o�f permit issu�nc�, or i��worlc aufii�oriz�d by <br /> fiho permifi is susp�ncied or ab�neioneci°For a periac( o�[six(6) months afi:er�;he�ime th�worlc is aomm�ncecl. An exl�nston <br /> m�y ba requ�sf�ci, in wrifiing, from t1�e Bttilciing'C7�F�ici�( ��or� p�riad noC�La �xceed nin��y (90) d�ys �nd wi!! cfemonstr�te <br /> �us�ifJ�l�le c�use•for�ih� ex[�nsion. i�(waric ce�s�s�far nin�l:y. (90) cans�cutiv� d�ys, tl�e�ol� Ps consid�recl al�andoned. <br /> VItAi�NtN� TO OWIVGR: Yt�UI�.-I=1a.IL.UR� TO PCCOPD .�1. NOTIC� OI= COIViMtNCCIVICNT M�i,'1°� I�L�SllL.T IN•Y'�lli� <br /> f'AYi1VC TWi�C t=OP CIVIPT�t�VCMCNTS 7t�YqUR PR�I'�RTY'. I�YOCJ INTC�II� TO OBTAIN I=IN.�NCING, GONSULT <br /> - - WIT!-1 YOUI�_L�NI]CP C1P AN 1-�,TTOI�NCY'13�t=C1R� R�COI�.D1N�Y�CJP NC1TI�� �1= GO1111M�NGGMCNT'. <br /> FLORlDA JURAT(f-:5.1'17.03) � ---- - ~-- ____.__,____ - - - ` <br /> -- � � OWNCR OR AGGNT�C°.�..� ��L��i2.6tGv!) CflNTI'�CTOI� - - --�� �, ���� -- . , <br /> SuUscriUed and sworn o(ot afFy�ed)UGfore me ffiis Snb crib and swon (or affr -�Uej oro mo fhi��?�s-�'—_�_�� <br /> (c -dZ�-�'f� by ��� s�.r�u/� -�/ by C�e. f����., <br /> Who is/are pe` r_sonaiiy i nown to me or iiaslhave produce�i Who is/are personally Icnown to me or ha ave produced <br /> as ir1enEi(ication. �s 1den[i(icafton. <br /> _!��-� _,_�o[ary i'ublic --•. �`-��^�`�------ Nofary PuUiia <br /> Commis on No. Commissi o. <br /> TARY PL"BI,iC-STr�?'E dF F`I,ORIUA NOTARY PI"IIi.ZC-51�sTE OF FLORIDA <br /> ' �' i� • �' � .sat"I2� <br /> Name ot Notary typed��r, ca't�i�I��ior,;��Et144504 Nam�of Nafary tyP�d,printed or s[am,�'', :Com�°i�,�t:�r!#EE044504 <br /> �-, ,,,..��Expires �CJV,22,2014 ���• ,-'`Ekpir�, 4�'OV.22,2014 <br /> Bo?�-ii��r.���r.:�.�,�ic�o:�-��;c co.,n�c. Bo*���o r�r a:�:ti-�,�,��,�;s co.,arc. <br />