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I <br /> Date: 2/3/2015 Time: 9; 40 AM Ta: 1- 13-780-0021 Publ <br /> ix Page: 003 � <br /> ' (15b85 unreud)-dvdgiddeus-Yahoo Mail Page 1 of 1 <br /> e o <br /> I NoTICE oF DEE�RESt IcrioNS:The undersi0ned understands tl�thB permlc may he suejea to°daed'restdctiora^ ! <br /> vAilcfi may De:nore r�vl tve Vwn Counry reguteVaLS.The luWerafgned es;uma responst6lrttyfm comptiance wlth azry I <br /> applicabfe deed res6im <br /> IfNUCENSm CONTRA ORS AND COMRACTOR R�SPON5191LIilES: If the rnmer has hited a wroteGar or <br /> conhactars to underieke k,they may 6e requked to 6e Pr�nsed In accordance�ti1h atate end Wca(re�aU�s, If the <br /> conVectar is n�licemed �equired 6y law,6alh the aum�and rnntractor may be a�ed 1or a misd�nezrtmr tiolaUon i <br /> imder state laa� p ihe er m inteided contract�are imcertaln as to what Il�nstng eequGemen[s may appy Fot the � <br /> iMended work,ihey s�e e 'ed to can{acl ihe Pasca Cdady Budd¢�g inspection Division�—Lkenshx�Seclimi at 727-847- <br /> I <br /> 8009. FlxthaRnore,�th amer hns hired a conuacla or c�trectars,he is advised tn have the r-0ritrat�nr(s)sipn i <br />� pmGais at the"cmNactor Blnck'of tl�is uppileatlon for which theY�be respons�l6. I[yrou.as the atmer si�as Ma <br /> mrMadar,tl�at may be indreadon tha[he is rrot pwpery�re�ed end's rwt aNtled m permddng pr�vileges in Pasco � <br /> Counry. <br /> TIUNSPORT2IlON IMP CTIUTILI71E5 PoR+ACI'Af�RE56URCE RECOYERY FEES:The Imdersi�ed und�stervk � <br /> Ihat T2nsparl�on Impa Feas end Recourse Recovery Fces may apply m the crostruction of new Lviktings,ch�ge of � <br /> use in�isting buildinps, ee�ensicn ot e�tisunp bu9dUigs as sperJAed tn Pasco Coumy Or�nanee numhe189-p7 and � <br /> 90�07,3s amended.Ttre vndersipn¢d also widersbnds.that such fees,xs may be due,wl9 he Idamified al rhe 4me of <br /> perrtdttmg. It�turtl�er ersmod Net Trensponu�n Impact Fees and Resource Recv�ery Fe�must be patd pria rn <br /> receivinB�°��� 'penay'or Gnel Pa�er reEeesa- �t Ihe project doea rat imrolve a cerf�icate u1 ocwpancy or <br /> fuWl pwn.v releqse,thg 1 muN be pakS psfor tn permic icwanw. Furthermore,if Pacco Cotmry WatedSowcr fmpact � <br /> lees ere due.they must pald priw!o per�t Esuance In axardenca Wlih app6cable Pesco Counry ord'mances. <br /> COMSrt2UCnoN U@f L W(Chapmr 713,FioridaStaWtes,as+wenda�:If valuaUon ot vrork is 52,50D.00 or mae,I <br /> caRify thac I,:he ap�li have trecn providetf with a aopy d the'Fioridn con3ducdon I.len Law—Horreowner's <br /> Prate�tion Gu3de"prepa d try the Flotida Dnpartmen[ol A9riallw�and Cmuumer AIF,�ry If the eppl§ant is snmeane <br /> oiF�tl�an the'owneP,l �iry ihat I hsve obleined a copy of Ehe above describeti daurrnnt and ptmni�in good talth w <br /> dcUvcritmlhe'bxmG.'p rtoeommmatmenL <br /> eON'fRACfoR'SfoWN '3 qFFIDAV[T: �ceNty thet ell�he)ntormafion ire tlris applicetian is accurate and that ei�waAc <br /> 1Mli be done In cmn wEh all eppllcebte laws tegu47firy cotisuuetiort zoning and lertd deVeiopmenG AppitaUon Is <br /> heeby madq fo oheqin pertnit to do wotk and!nstaVa6on w indicated, �c�tify Ure[na wutK m It�5G7�a6on has <br />, comm�d p�ior tn ce of a permit and thaz all work w@I 6e pertmmed to meet stm�dards nl aL Iau�s regulaQrq <br /> mismlcdon,Coumy an dry wdes,zoninQ regufaHore,and IaM deve'�pmern regutatla�s In tlte jurisdic8on. I also <br /> ce�ofy th�i Urderstwd wt Ce regWatlons of oU�gwertanem eaentles may a�ply m�ha Imeweo e�xic,ana mai n� <br /> my respohsihfl�ly to IdanG wkat aqions 1 m�t teke ta he in compliance. �Lch agPnclas Indude but are not Amhed tn: <br /> - Department t Environmental P�otectianLypress Hayieads,Wedand Areas and Enu&onmesq�r Sensitire <br /> Lantls,Wzter ewater7reavaem. <br />� - SaAhwest forida Water Menagement Discict•Wells, Gy'Rress B�heads� Wetlend fveas, Ahedrtg � <br /> Wa <br /> - Nqty Cmps ErgineetsSeaw�Cs,DoG¢,Na�gable Waterweys <br /> - DepartmeM Health&RehalxlilaCVe SeniceslEmrtranmeniel Hecdth�Unil-Wells,1A�as�ewaier Trcatment, <br />� SepUC Tatda , <br />� • US F�rvir 'Protec5on/�erny-ASflestas a4atement. <br />� - Federef Ati n Autlwrity-RUnWeys. <br /> 1 wderstaiM tlu�t tbe ving re5viqions apply to tbe use d fill: <br /> - Use of fill's ot al awed In poa!Zone"V"uNeas expressty permitled, j <br /> - II b0 i�l erial is to 6e used In Flood Zafe'A',R ts und�ssmad that a dreinaga p!an ad�essing a <br /> 'canPensaY A volume'v�71 be whmltted at tlme of pe�mltllrr0 wlych is plepa�ed by a prdessional e�lneer � <br /> I�ensed by Sc�o►Rotida. <br /> • It dre 101 m al is m 6e�sed V�RoM Zone°A°in connecdon with a pemtitlad Gdlde�g using stem wail <br /> R� <br /> cW�sUUCtian.I ceroN tfm[fill wNl tre iued only toHtl the area wishtn rhe stem waV. <br /> - If 1`�matel is W l�e used fn any atea,i certify Umt use af such fiA wiF no[advusely affea adjace�t <br /> prcgerdes. I use o(fill is found to advesely a6eci ed�cent poperdes,tfie wJrrer may be cited tor viola6ng ` <br />� ihe coruliV ef dte huIMInO permR issueJ imder the attached Perm't appC�catlan,far�eis less than ona ll) i <br />� aae MArich a e eleyated!ry IDI,ar,enginEerred drainage plan is leqtetad. <br /> It t un Ne AGENT FbR E oWNER,l promise in good falt}r co in7orm the oWner d the pertniWng con6tions set forlh In <br /> �hlc affidavit priar to eo 'ng condruoHm. I urdorcland th�a sepa�ate pwmit may bo mquired fer dodrloal Nrotk, <br /> phim6ing,sfgr�s,wdls, eh condipaning,9as.or atier insta3a0ans not spectfically in�uded in the applkation, A <br /> permlt Issued�ap be t irued to be e Ilcense m aoreed xdth the vrork and nnt as autlwrlty tovfofate,cance{,alter,or � <br />� set az{da any proJidorre f the tachnicW codes,nw ehaP i�uanee oi a prnnh prc��em the Hidlding OtlkJal hom tl�areaRer I <br /> requiring a carectlon N prs in piars,consvuqlon ar tiat�ons ot a�ry codes E1�ery perm¢issued shail became tnvaNd � <br /> uniess�he wwh auN. hy such permit t commenced wilhin sa moMhs ut petmf[issuance,or it wrnk auth�ized hy � <br />� Ilee pomut is suapended ebandorrcd(m a puiod d six(6)months aher the�ima the work b commenced.An e�nensErn � <br /> may he requestad,e� ,from the BuAdirtg Oftldal ta e per�ad not tn ex�ed ninery(8�days end vt,ll demonstrate � <br /> �ustilfah�e wuse fw ihe 'on.IF wor#ceases far nlnery(90)conseeutiti$days,the Joh is consdered a6andoned. i <br /> WARNtNO TA OWNER Y�UR FAILLRE TO RECORD p AID'f{CE OF COMMEN R#AY F�I YpUR <br /> PAYINO TW�CE FOR PROVEMENTS TO YOUR PROPERTY. IF OU INTEND TO � FM GNG,Cp,(VSU{,T <br /> E N r� <br /> :IIIi1DA.fURAT(F$IIT . ' � <br /> OWNH2ORA6ElIr C09TRAC't + • �`J <br /> SuWOtOed�sw.xnrolaa dlDetmeme�hh Sl�tr�ihedaid mm or edl moes'� t7Qs�jC�'���;1 <br /> m+e <br /> �„i e��'. :���4�� <br /> urhotsJaiePersm+�Nlmwa:b menhaslhavepoeurad t'Vn6LNarepersartvuylnevmtouremMsTheve�ceucea �C'4S <br /> m mamSCmron. ea�aanTCmtm� <br /> NomryP�A'k �Jy�}I�,��� ���NOfmyp�Apt <br /> J'—__ <br /> cnnimiscm Na 7v,fi�il y�m e <br /> Nartiao(NmaryNpA.P�Mor51VrD� NM a7N � F�SICABRQN <br /> 1" MYCOM�tIS510N�FF073716 <br /> � EXPiRES:NDV01,2015 <br /> i <br /> i <br /> https://us-mg6.maiLyal�oo.com/neollaunc]z..rand=9715qc9ovc8i5 2/�/2015 <br />