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t�OTiCC CtF D��D RCSTPIGTIOhIS: Th�•unclersigneci unders�t�ncis�lha[�:his p�rmit may i�e subject ta"c{��ci"r�strietians" <br /> wi�iaii m�y i��mar�r�s�rictive fil��n Gotmiy regt�l�fiiQns. TI�e Lmd�rSigned �ssumes r�sponsibility•Por compliance witi7 �t�y <br /> applic�bie d�ed restrictions. <br /> UNLICCNS�D CONTI�ACTORS A.ND GOT�ITRACTOP I�.CSI'ONSII3ILITICS: l�f �Gh� ow�t�r h�ts hir�cl � cflntractor or <br /> contracfiors�a und�rfi�it�warlc, ti�cy may (�e r�quir�ci fia be iicensed in ��cord�nc�witli sfi�fi� �nd iacal r�gt,ifations. I�F fil�� <br /> coniracfor ss nafi lic�ns�cl �s r�quir�d ]�y l�w, ba�Ch �Che owncr ai7�1 confir�ctor m�y�Ue ci[ed �Car � miscieme�nor vialatian <br /> unci�r st�fie i�w. 1�F�h� owner or int�nci�d canirac�or �re Lmccr�nin �s •(o whai licensing requ3r�m�nis i�n�y �pply fior fih� <br /> intencled worlc, fihey are acivis�cl to�confi�ct fii�� P�sco Caunfy Btrilc�ing InspeclTOn Divisinn—Licensing S�ction at 727-8A•7- <br /> 800�J. 1=urtlz�rmar�, i�f the owner (�ras I�ireci � contracfior pr confir�cfiors, h� is �dvise,d i:a t��vc tl�e confir�ctor(s) sign <br /> pprtions o�f'tl�e "conir�ctor Dlocic" ofi i:l�is �pplicaL•ian �For vvhich lh�y wili U� res�onsibi�, .I�r yott, as �[I�� owner sign �s �iie ' <br /> cantractor, fif�at m�y 1�� �n inciica�Cion i:h�1: h� is riat �roperly ]icensed and is not enti[I�c( �to permifitinc� priviiegos in Pasco <br /> Caunty. ' <br /> TI;ANSI�C�RT�IT[ON IMPACTILiTiL.iTI�S IIVIPACT AI�D RC�SCIUI�C� R�GOVCR'�'1=�CS: Tl�e und�rsignQd undersiands <br /> filzal Tr�nsporfi7fiion imp�cf C'�es �nd R�course Rocov�ry Fo�s m�y�pp1y i:o the construct3on'o�F new l�uilcfings, cllange oF <br /> use in oxistinc� Uui(dings, or ex�anslon o�F exisfiin� i�uiidings, �s sp�ci�(ied ii� l��sco County �rdin�iic� number 89-07 �nd <br /> 90-07, �s nmendcd. The undcrsign�cl �lso uncicrs�l�nds, fil»� suct�r •��es, as m�y 1�e duc, wiii i�e�id�nti�i�d �t tiio i:ime o�F . <br /> p�rmitting. It is•Fur(h�r unclerstooci �llz��l Tr�nspari•�1:ion lrnpac�l I=�es and R�sourc� R�cov�ry Fe�s must i�� p�id pric�;io . ,- <br /> receiving � "cer[ii�ic�fi� o��occup�ncy" or�in�( powor rcfe�s�. 1•F.�LI�e project daes nofi involve � c�rCi�(iczt� of occu�ancy or <br /> �Fin�l �ower rel��se�, tl�e��eos ir�ust b� p�icl prior fio �aermit issu�rrc�. t=Ur(1��r�r�or�, if i'�tsco Goun�y Wat�rlS�wer [m(��ct <br /> �f�es ar�clue,�:h�y mGisfi be paic(prior�[o �aermii issu�nc�in accorci�nc�wit1�n�piic�f�ie i��sco Couri{y ordinances. <br /> CONSTt�UGTION L.tCN L.1�W{Chzi��L�i•7�l�, rIaricl�5�:��:Lttes, as �m�ndecI): I�Fvatu�tion o•Fworlc is ;�2,500.00 or more, 1 <br /> certify fih�t (, the applic�nf, f��v� l���n provid�d wilh � copy o�C lhe "FIorid� Construciion 1_ien �aw—F(om�owner's <br /> Prot�c[ion Guicle" prep�r�ci by�ti�e Ffarid� De�arfm�n�l a�f Agricultui•c �ncl Cazsum�r Aff'�irs. !�f tl�� applicant is som�one <br /> ofiher than il�e "owner", 1 certify i:i��fi I h�vc.olafi�ined � co�y o•�•fii7� ahove des�rlbeci dacum�nl:�nc1 promise in c�aod�f�itll to <br /> d�iiu�r il ia fihe'bv+rner"�rior�lo commenc�m�n[. <br /> CONTI�AGTOP'S10V1lN�P°S�11=I=IIJAVIT: 1 certl�Cy�Ch��C�ll •L•I�e in�formaCion In this applic�tion is �ccur�fie �nd ihat aii woric <br /> wi11 l�e don� in compiPanc� wi�l� �fl �}��lic�l�le l�ws r�gulaL•ing cons�truction, zoning anci Jancl developmen[. Ap�(ic�fiion is <br /> her�vy m�de fio oUfiain � ��rmit ta c�o wari< �nd inst�ll�fiian �s indic��t�d. I c�rLifiy �Lh�L na v,rorlt or insi:a!(ation hns <br /> commenc�cf �rior fio issu�nc� o��� p�rmit �nct �li��t �il wori< wili be perr�rm�d to m��L sfi�ndards o�f al! l�ws regufaling <br /> consfiruclion, County �nd City cod�s, zoning r�gui�fiions, �nci i�nd deveiapmenfi reguiations in fih� Jtlriscliciion. ! �lso <br /> certiFy il�afi 1 �incl�rstancl �th�i�[h� r�gul�fiions o•C o�Lher governmeni: agencies m�y �npiy io �tii� infi�nded warlc, �ncl ti��fi ii:is <br /> my r�sponsibifity fio identl�fy wl��fi�cllons ! musfi��ke to b�in com�ali�nc�. Such�gencies include bufi�ro nofi iimited�o: <br /> - Dcp�rtmenfi o�(•Cnvironmenfi�f �Praf�ci:ion-Cypr�ss f3�yh�ads, W�fil�nd Are�s �nc! Cnvironmenially Sensitive <br /> L�nds,lN�fier/Wasfi�w�ter Tr�atm�n[. <br /> - 8oulhtinresl: 1=loric[� W�ter M�nagem�n�[ Dis�tricfi-Welis, Cy�r�ss B�yi���tc{s, UU�tl�tnci Ar��s, Ait�ring <br /> W�fi�rcattrses. <br /> - Army Corps aF Cngin�ers-S�aw�lls, Docics, Navic�abl�W�t�rwZys. <br /> - D�p�rtinent o�� i-ieaitiz & R�1�ai�ilitativ� S�rvicesiCnviranmenl�! f-I��lfih Unit-Wells, Wasi:�w�ter Tr�atment, <br /> Se�tic T�nlcs. <br /> - lls �nvironment�tl Proi�ction Agency-AsU�stos a(�a�L�ment. <br /> - C=eder�l Avi�flon Autharf�Cy-Rt�nways. ' <br /> 1 undorstanci fih�t t1�e foiiawing r�sfirictions��pfy•to"lh� us�o�f•Fi11: <br /> - Use o�r��i(1 is not�IIowed in Fiood Zone"V"uniess �xpr�ssiy p�rmit-tod. <br /> - if lh� �fi1! ir�7feri�l is fia I�e used in Fiaod zon� "�t.", it is understood th�i: a cirain�g� pf�n addr�ssing � <br /> • "comp�nsating volume" wi1] b� submit�:od �t timc a��p�rmit[ing whict� is pr�n�r�d Uy � pro�F�ssion�ti enc�in�er <br /> licensecl by{he St�tte o`C f=loricl�. • . <br /> - 1(fii�e �riii m�fieri�l is �:o i��•tts�d in C=faod Zone "A" in connec�ion liviCl� � permi���d I�L�ilding using stem wa[I <br /> � consfiruction, ( c�rti�ry�th�fi•�11 witi b�used�only fo�riii�ti�e�r��wiLi�in ti��st�m w�l1. <br /> - lfi..'fil! materia! is �Lo !�e us�ci in �ny �re�, i•cerfii�Fy �thaL «s� o•r such �ii11 wiil no�; advers�iy �FFect adjac�nt <br /> ' praperli�s. 1F.•t�se o�f�fill is�fa�trid fin adv�rsely ��fi`ect�r�j�cenfi prop�i�ti�s, �t1�� owr��r m�y Ue citecl��or viol7ting <br /> �tii� condifions o�F i:he i�uiidinc� p�rmit issuod�under•tI7e �t�:achecl p�rmit applic�tion, •for Iats l�ss filian ono ('I) <br /> acre which�re eiev�fi�d i�y�(i11, �n �nginecred cirain�g� pfa�7 is rec�«ir�cf. <br /> tf 1 �m il��AGCNT I=oR TI-1� OWN�I�., 1 �aromis� in gooci�r�ifih to in�Torm�tf��awncr o�f�:h� permiii�ing canditsans s�l�Corth in <br /> fihis aFfid�viC �rior ifl commencing consirucfion. 1 �mders�[�nd th��[ � sep�r�[� p�rmit m�y i�e ree�uir�ci�(ar �i�ctrsc�l woric, <br /> pittmiainc�, sic�ns, welfs, pools, �ir condil:ianing, g�s, ar oth�r insfiaii�{ians not�sp�ci�Fically inciucied in ti�e applic�ttion. A <br /> permit issuQd si��ii bc consfiruec(i:o b� � lic�ns�ta proc�ed wiili the worlt�thd no�t as �ut[�ority fio.viol�t�, canc�i, �ifior, or <br /> set�sic(� nny provisions o�r fii�e�t�cl�nicaf cocies, nor shal{ issu�nce o�f� p�rmi�l�arev�nl C11e i3uilding Ofifici�l�from tl�erea�tler <br /> roq��irinc� �correclion o�F�rrors in pl�ins, construci:ion or vioi�fiions o���ny cac{�s. Cvery permiL•iss«ecl shal( b�comQ 1nvZlld <br /> unless fihe warlc�t�tl�oriz�d by sucl� ��rmit is commenc�ci witi�in six moi7�ihs oi'permit issu�nc�, or i��worfc�utl�orizecl 1�y <br /> fi�e permit is susp�ndec! or�b�ndonccl°Cor� p�rioc( o�f six(G) months ���fier tha{im��[I»wortc is cammeneeci. An ext�nsion <br /> may be r�quest�d, in ttvrifiirtg, �from t!» I3uiiding"O�C[icial •!"or � p�riod not�L•a exc�ed nineLy (90) d�iys �nd wili d�monstr7[e <br /> jusli�ai�ie c��is�•�or�[i�G�x��nsion. 1�Fworit c��s�s�For nineiy. (�0) consecutive d�y�,tl��ja1� is consicler�d abandoned. <br /> VItARNJN� T� OWN�P: YOUI�..r1�.ILUP� TO P�CC7PD ,� 1�I�TIGC �I= GC3iVfIVi�t�CCM�NT Ill(�t'',°� I�CSllLT l�i•Y011P <br /> t'AYfNC TWfG�Ct�l�Cl�lil'I�.QVCNI�NT�TCl YOUI�PI�OP�PTY', I1=YOtJ Ii�IT�Nb TO �BT.�I.IN rIt�ARICiN�, CONSUL.T <br /> W[Ti-i YOUR�L.ENi�Gn OR AN ATTOI�N�Y.B�1=oR� R�cORI7J�I�YOCTR NOT1G� C7I= COMM�NcCM�NT. <br /> r-�.or��oA�ur�,aT tr-:s.��7.as} - - . ��� . <br /> OWNZIT ORA��NT�vc����`x'� ' '�-!G°� CONTP,AGTOI'� ���^' <br /> 5ubscrif�ed�nci sworn f (�, a H ed ore e this Subscribed and sworn#o,(or ai�rme�)beCa a �fh�s� <br /> �--cL3—��1 Uy �y��c� '�" �j����tvr3 j�—�L3—�y by �f�tacie ,cic�k.� <br /> Wiio isiara pers�anailv i<.noWR ko me orl7�s(l�ave producecJ Who is/ar�n�rsan�ih�imo�arn fo me or has/have prociueeci <br /> as idenE�fic�tiian. �s irlont3ficaCYOn. <br /> No[ary Public � Notary I�ubfic• <br /> Gomm3ssio o. Commission iVo. <br /> A 1 Y PL`BLIC-STATE QF F'I,QRIDA <br /> .,��,,,, ,��,,,, <br /> Suzanne Bahr 'j� � r <br /> t�lame of Nolary lypad,pr(nted�w` g QIn[n��sioc� � 504 � N�ma of NatarY fy(�eci�(�rinYed or stam�ed =Conlr�;?;sic�#�EE04�504 <br /> �.,,,,,,,.• Expires. ,�OV 22,2014 '-�. .,�''Exoir�s l'OV,22,2014 <br /> BO\�DED1?IRL':1TI.�.\T;CI30\"DL*tGCO.,INC. $Oh'DEDTFiRt'.9�L;� E ;p\"D�VGCO,INC. <br />