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<br /> NQ'i'��E�F QEED RESTttIGTl�M�: The undersigned under�tancls that thls.�ermit.�n�gt be;sub�ec�to,°deed"restrlctio,ns"
<br /> which m�y be:more=r.e�t�ic#ive th�n Couroty regu{atlons. 'The undersigned'asse�mes responsibility far compllance witii ahy
<br /> applic�ble deed restrictions.
<br /> UNLICENSED �{}NTRI�CTOR� A��1 CCtt�TRACTOR RlES�O�t�IB1�:IT1��: �{f the�awner-has fiir�d �a contractor ar
<br /> contractors to underfake work, #hey rnay be required..to be:Iicensed !n.accardance.with state.and•local regulat(ans. If the
<br /> contractor Is Rot 6i�ensed as�required�by lavv, both the ovvnsr and-contractor rnay be cl4ed-for-a�misdemeanor vtola�E�n
<br /> under state iaw. if the awner or int�nded contra�#or are uncertaln as to vdh�t Iicensing.requirements`may ap�rly.•fior the
<br /> intended work. th�y are advised to contact#he Pasoo Cmunry Building Inspeatlon i�tvision—Licensing Secttan at 727-847-
<br /> 8�09. Fu�thermore, �f the owner h�s �tred a �or�tracta�r �t�contracEars, he is advised to have the contractar{s) s1gr�
<br /> portions of the "cankractar Block" of this appl(catiaaro for which they will be respansible. !f yau,-as-.#he owner sign�as �he
<br /> cont�act+��, that may be an indica4ion 4h�t Fie is nx�t properly (icensed and 6s nat�n�ltled to petrnfttOng priv}leges in Pasco
<br /> Counry. �
<br /> TitAN�PORTATION IMi�ACTIlD71L91f0ES lMPACY AlVD RESCIURC�RECOVERtllfEE3: The underslgned under�tands �
<br /> that Transpo�ta#ion Impact Fees and.Recours�R�cove.ry.Fees may��apply to the aanstruction�f new bui#dings, change af
<br /> use in existing buildings, vr�.expansio�-of�eiilstiric�'�buildings, �s speclfled in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undet�igned atso understands, tha�such fees,-:as<r��y�e..due,:vu1N be Edentified at the`time flf
<br /> permitking. It is further underst�ood 4hat Transporkation Impact Fees an.d Resource RecoVery'Fees rnust be pald pria� to .
<br /> receiving a °certificate of occup�ncy" or flna! power release. .!f the pra�ject does nt�t fnvoive a aertiflcate v�accupancy or
<br /> final povver retease, the fees must b� paid pr4or ta per�+nit issuance. Fu�therm�re;�if.Pasco Couniy�lNaterJSewer impact
<br /> fees are due, they must be paid prior Qo permlt-Issuance�in accardance wlth appll�able.Pasco County ordinances.
<br /> CO�ISTRUCT[ON �.lEN kd�V�{���pter 713��Elorlc#a Sta�u�es��amencl���: i�vatuat#on�f work is$2,500.00.oc more, 1
<br /> certify that I, the applicant, have-been provided v�rith a copy of #he "Florida Constructfan Lien Law--Homeowner's
<br /> Protecti{on Guide" prepaced by the F�or�da Departr�ten#of Agrlcuiture and Cons�are�erAffairs. !f the appltcant ts sameone
<br /> other#han the°owner", i certify t�at t have.cibtained a copy,of.the above.des.crtbed documenfi and.pramise In:goad falth to
<br /> deliver it to the°owner"prior to,c�mmencem�nt:
<br /> GONTRI�GT4�R'�IOWNER'S���I�AVIT: i cerfify t#��t�il#he informatlon in thls appliaatton is accurate and that a1!work
<br /> witl be done in compliance with all applicable I�ws regulating constructio�, zoning and land develc�pment. Appil�atiern is
<br /> hereby made ta obfaira .a permif ta da work.and 1n�tell�#lon as Indtcafed. '1 certlfy that no v+rork �f InsiaEtation has
<br /> commenced prior to issuance of a permit and that ail work wilf be pertormed #o m�et standards of all laws regulating-
<br /> construction, County and Gity codes, zoning regulations, and land develop�er�E regalatfons-1n Qhe jurlsdictfon. ! al'so
<br /> cert�fy that I a�nders�ar�d #hat the �egula#ions mf�ther governmerot agencies may apply�#o th�intended work, and that it is
<br /> my responsibility to iden#i�'jr what,�ctions I anust ta�ke to be,in:.ccnr�lpllance. Such ag�ncles include bwt�re.na�t Iimited to:
<br /> - �epa�ment of E�vironme�tal Protectia�-Cypress ��yh+�ads, tNetlsnd Areas and Enviranrr�ental4y Sensitive
<br /> l.ands, lfi/aterMlastewater Treatm�nt.
<br /> - Southwest Florida Water Management .Dist�iat VVlte!!s, Cypress. �ay.heads; Wetta�d Areas, Aite�n�
<br /> Water�ourses.
<br /> - Army Corps s��'Engineers-Seawalas, Docks� Navlgab�e Wateavvays,
<br /> - Depa�rrtent nf He�ith � lRehabill�ativ+� ServEce�lEnvironrnenfa# Flealth l��tit 1Netis, Wastewater Tre�#ment,
<br /> Septic Tank�. .
<br /> - US Enuironmental Pe�tea4ion Age��y-A►sbestos abate�nent.
<br /> - Feder�l AvBatlon AutGiority-Runways. � '
<br /> G understand that the following restrictlans apply ta�the use of flll:�
<br /> - Use of fili is nat atlow�d 30�Ftaad Zone"V"unless expees�iy petm3tted.
<br /> - If the �ill m��erial is to be used. in �Flood Zone "A", It is understmod that a drainage plan addressing a
<br /> °compensa�ing volur��"wiii be submltted at t3me af pe�rnitttng r�riiich ls prepared by a professlanal engi��er
<br /> licensed by�he Stato of Florida.
<br /> - !f ihe fiU materla! .is 8o be u�ed in Fic�od Zone �A� in�conneotion�wOkh.a permitted build3ng asing stem �rall
<br /> � constraactimn, i certity that fiti wiU�:be used only.to filt th�area within the stern wati.
<br /> - lf flll material (s to be used in any are�, I c�rtify that .use. of such fill will not adversely affect adjace�t
<br /> propertles. If use of#311 i� fo�nd to advet�ely:�ff�ct ad�acent groperties�.the own�� may be cl#ed for vialatir�g
<br /> the condilions of the building:permit fssued under the attached permit applicatian, for lats l�ss than one (1)
<br /> a�cre which are elevated by#!!!,an englr�eered drairtage pian Is requi�ed. .
<br /> lf i am the�CsENT FAIt THE C11i�NER, I,�pramise i�n goad faith to infarm the owner of-the permltting condl#ions set forth in
<br /> this affidavit prior to commencing const��ctian. I a�nderstand #h�it a-separate permlt onay be required for electrica! wark,
<br /> plumbing, signs, wells, po�ls; air c�nditioning,.9as� or ot�er ins�allatians n+�t.speci#ically included�in f�te applicatioe�. .A
<br /> permit Issued shall be construed to be a Iicense to proceed with the work�nd not as authority to.violate;c�ncel, alter, or
<br /> set aside a�y provi�ions of the t�chni�ai codes; nor shall issuanc�o�a.permit prevent th�e BuEtdfrig 47�1�#a�from therea�ter
<br /> requiring�correction nf errors ln plans, constructian or violatlans of any cc�des. �very permlt Issued shall become inv�lid
<br /> unless the wark authorized by such perm(t�{s.corrimenced�w(th(n siX months of permlt lssuan�e� or If work authorized by
<br /> the permlt is suspendecf or abandoned for a:perlad a#six(6}mnnt�s.after the�3rne#h�wot`k is commenced. An extension
<br /> rnay be requested, In writing, from the Building.Official for � p�riod.not to.excead ninety�(90� days and t�rill demonstrate
<br /> �e�st�iable cause fi�r.the�xfensiora; If work ceas�foe nlnely�90)�or�s.ecuEive days,..th�}ob is aonsideted�b�ndoned.
<br /> U�ARNING TC? O�If6VER: YOU�.FAILURE•TO,RE�C.�RD A-td0'TIGE OF�CQND�VIENCEMEl�T MAY REStfLT IN YC1UR
<br /> P�4YiNC TVMiCE FC►R tAMPR�VE�iAENTS Tfl 1(Ctl1i��RC1t�ERTY.-IF°YO.tl�tNTEND`TO�OBTd�1iN�F1Rtr?�NGi6VG;�Ct7N�ULT
<br /> IN'ITH OIJR END O AN Id1'�TO�RNEY�B FQ►R{��RE�OR�1 G'� O O �C �O � �' E E T'
<br /> PE.ORIDA.lUREi?'(F,S,l.17.QS) �
<br /> pWNER OR A,Gi�NT __. _ - - GONT�ACTO --�`J" ��_=-����,•�^�`~ ' - - -— -
<br /> Subsc�ibed and swom to(or aflinned}before m�this Subscdbad snd'swo #a r a rmed)�b re me'tlits
<br /> by 7-�r1-l5 .by� �,�c� ��s
<br /> 1Nho Islare personally knawn to.me or haslP�ave produced Who Is/are erspnally kn �+rn ta me or haslhave produced
<br /> as Identl�r.a8an. �r tfcrs 'a�! �s tdenBficalion.
<br /> Notery Pubtic t�� �'��E'j�- �X/ Notary Pubt(c
<br /> % S
<br /> Cammfssian Na. Co�nr�! si . ,,,��"r�8,, JACQUEI.�NE S
<br /> ;,,: ;k� ommi •
<br /> :�. :o: Expires December 12,2018
<br /> �tame af Natary typed,prlRted or stamped Name of P! fy�,';j9�Y9,p 4i`�
<br />
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