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r <br /> i <br /> • BUILDI G DIVISION - DPW <br /> COUNTY 13 HAWAPT <br /> 101 Pauahi'Ereet, Suite 7 <br /> ,,p I- io,Eiawat 9572fJ <br /> '.g• Ph: H110 Of a(808)961-8331 KO <br /> Offiec(808) 323-4720 OCCIAfIATION# ACCEPTANCE <br /> DEC[AAAi7Clh1 OF CCtNIPLIANICE <br /> 141[S SECTION 4b-88 RELATING 1`0 AGRICULTUkAL sTRt.CTURES <br /> PROJECT/PROPER�r1+'INFORMATION <br /> STATE LAND USE t]ESWATION € 'V-r conj�it)Yatlnn Af$3,:1tC�.7n�[]iS I�L'SlgnatS437y tOilliCt t�tt'(]C�7RrGTkelILO��IdlilrSi]s St�$�$r�].$z�• <br /> rti GU�,I j—LL '� <br /> ADDRESS_73-410 G1 t l e.1 <br /> • ' f , fria-14het f�'t . clr -7 LID <br /> 1'Rxht FIXEY <br /> 5_ O,5—0 i'Rpp�Rr�sglRta <br /> [orris] <br /> STRiJCTURE INFORMATION <br /> VsE Df:STRUCTURE F �e' <br /> r lr <br /> Lxf MPTlONnfD.[sse(man followng sltcets l O (4) 1 . E STRUCTURAL SPAN(f0R EXWPTIONS:7&12 ONLY)�.._._ f w � N)Wo <br /> {T[j(muss be Tess than 25 ft.) <br /> DISTANCE FROM KAREST STRUCTURE 16.)(join,T5 it.) TOTAL ROORAREA (4,o <br /> F <br /> ❑IMIRSiONS QF STRUCTURE Lengift {ir j x Widrh [{rj <br /> AGGREGATE fLOOfIAREA OF ALL EXCMPTEt)$TRUCT RESftAIRAtD EINDER M46.88 (sq ft.} <br /> Prevrdernerlimum8-lId xZ7"s'se sh Ing x n faEan sur Ips _ <br /> (r�tY rocs rguuctZ s� Er s�poncersergt)t4ras, � Fu ueturc.incl any other pertonens information <br /> AttacFs extra sheets if neecssary, V� u ^� 1'5 1l <br /> COMMENTS(Tar depanmaet use cnty� <br /> [Obrain approvalafgnaruras pdxra su5rtj sial qi OeEfara�tion to t'ublIE Works; <br /> E <br /> URING DIVISION APPROVAL Flood Zone X <br /> Engin=cr�ngf3is�ston B.H Darn - - <br /> OWNERS CERTIFICATIONAf]ECLRRATION <br /> f declare ibis pro)ect to be exemPE frottr applicable hu f ir•-?;permit/coda requirements under rhe provisions of FIRS Section 46.83.1 have read and follyunderstand HR5¢6.88 and Errdfy <br /> that the prniect is in compliance, <br /> 'i. f trnderstatld that this exemption only ap los to certaia buifding perinii/code requiretnents.I siva!;abtain all other required pennlis and approvals and shall Damply lvith all <br /> applicable cedes and laws AseotTated Wil chis development,which may include and not be limited to Special Managenzkm Arra.Fkod Huard,eleciricaf,plumblag;grading, <br /> driveway,wort;in Caurity/Stale right Of ays,lite,wastewater,and Departmerlraf Flealih requirentents. <br /> 2. I understand that the issuance of a derlar tion nvmbp-r by IIIc Criontyshould not be I-ACR to meait that complmnee with HRR 46.88 has been can$rraed,and that it is my salt <br /> responAility to confirm cont iaoce.The State or County shall not he liable for any Claims arising from Construction of buildings,stare tees,m appurtenances thereto exempt <br /> from the bulding code and peeTrtfiting pr Less as described in H415 46.118. <br /> Propany Owner: ij (0) ah C1 <br /> Address �{I-A - D q <br /> Phone No.- <br /> Email: 1 CP.S S l� J .C'@ hY�l C b <br /> Signattsrc: � Prlrtted Name- <br /> PDsf CONSTRUCTION A FlNALRS ! 7 TfF1CATtCtN FORM must be submitted upon completian of tanstructiotr.Fa+huc Io submli the krm will cause this <br /> REQUIREtMENTS: ❑ECtARAT•ION Q C{]MI'VANCE IQ he declared il3VALID and shall VOID the budding permit anti/or code OXemptiorL A single Final As-Gulls <br /> N*tiffcatiion Farm oat he suhmitred{n comrPlianre 10111 both Of the Followingdeadlin4s: <br /> T. Submit err:within T year of petiatation qFCompliance ascepTance data <br /> 2. Submit rm within 30 days of completion,0"ancy;ur use of structure. <br /> Fla al`i County is an Equal Opportunity Provider and Employer Rev.3/22 <br />