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NOTiCE O�UEED RESTRICTiONS: The unders�gned understarsds that fhi permlt may be subject to"deed"restrictions"
<br /> which may be mare restrictive than County tegulalions. The uadersigaed a sumes rasponsibpity fot compltance witfii any
<br /> ' apQUcabla deed restrictlons.
<br /> UNGlCENSF�? GpEiTRACTORS AND CONTRACTOR Ft�SPONStBtLiTi S: {f the owner has hired e cantractor o�
<br /> co�tractors to undertake work,they may be required ta be Itcensed fn atxo�dance wlth state and[oc21 regulaUons. If the
<br /> contractor ts not(ICensed es required by taw, dath tfie owner and cantrac ar may 6e elted tor a misdemeanor viotatFon
<br /> � under state law. Ef the ownsr or#ntended contractor are uncertain as W wihat Itcensing requlrements may apply for tha
<br /> intended work,they are advised to contact the Pasao County Bu(l�ng Inspqctlon D'nrislon-�.icensing Section at 727-847-
<br /> � 8009. Furtfiermore, if the owner•has hired a cantractor ar confradors, he is aclvised ta have the contractor(s} sign
<br /> ' portions of the'contractor Block'of thls appllr�a!'ion for whtch they w(!1 be y�espanslble. !f you,as the o+rmer slgtt as Rhe
<br /> car�tractor,tha#may be an inrJication thaf he is noi properly licensed and Is nof enfiflad fo permifting privileges in Pasco
<br /> i County. (
<br /> � TRANSPORT`ATION(MPAC�lJTiLlT1ES IMPACT AND R�SOURCE RECOVERY FEES: The underslgned understands
<br /> that Transportatton impact�ees and Recourse Recovery Fees rnay appiy fo tfis consfrucfio�of rtew buitdings,change of
<br /> use in exfsting build'sngs,cr e�ans[vrt af eztsting bulidtngs,as sQedfied ic�Pasco County Otdinance num6er 89-47 and
<br /> 90-07,as amended. 'fihe undersigned also understands,that such fees,as may be due,wiA be IdenGf+ed at the time of
<br /> permitting. 1f is further understood fhaf TransporfaUon lmpact Fees atsd�esottrce Recovery Fees must be paid pr�or to
<br /> recelving a'certifiaate of accu�ancy"ar flna!power release. Ii the pro;ect�does not invotve a certHicete of occupancy or
<br /> final power release, the feas must be patd prior to permif iasvance. Fu�ttjermore, H Pasco Counfy WaierlSewer Impact
<br /> fees are due,they must tre paid priar to pern�it Issuarsce tn accardance wtth appticable Pasco County ordfnances.
<br /> CONSTRUCTIUN LIEN LAW(Chapter 713,Fkrrida 3tatutes,as mnend�d): iP valuation oi work is$2,50Q.OQ or more,I
<br /> certify that t, the appttcatrt, have been provided witfi a copy of fhe 'F�orida Cansfrtrefion Lien C.aw—Nomeowner's
<br /> Protectfon Guide'prepared 6y the�lotlda Deparkment oi Agdculture and Consutr=ar Affalrs. Ii the applicant Is sameone
<br /> other than the"owner",I csrtify that I have obtained a copy oi the above described documenk and promise in good faith to
<br /> deiiver ft to the'owner'prior fo commencemen#. _
<br /> GONTRACTDR'SlOWNER'S AFFIpAVl7: 1 certHy that all the EnformaUon n thls application is accurate and that all wvrk
<br /> wiii be done in cromptiance with atl appticable.taws t+egutating construction,l zoning and tand deveiopment. Appticatio�Is
<br /> hereby mada to obtaln a permit to do work and f�stailaklon as lndfcaE�d. t ce�t!(y ttrat no worfc or tnstaifatian has
<br /> commenced prior to lssuance of a permit and that a!t work wlll 6e perfo�med to meet stendards of alI laws regulating
<br /> construction, Counfy and City codes, 2oning regvlafions, and (and developmenf regulattons in the)urisdtcqon. I atso
<br /> cartffy Yhat I undersfand th�t tt�e regulations af othes govemment agencies�may agply to the ir�ter�ded wodc,and that it is
<br /> I my responstbilfty to identify what actions I must�ake to bs in compliance, Such agencies irtclutte but are not Ifmited to:
<br /> I - Depacfinen#of Environmenfai Profectlon-Cypress Hayheads, �Vteftand Areas and Environrnentalty Sertsitive
<br /> Lands,WaterlWastewaterTreatmsnk
<br /> - 5auffnvesi F(orida Wafer Management districf-Weqs, iprass Bayheads, Wefiand Are�s, Aitering
<br /> Waterconrses.
<br /> - Attny Corps of Engineers-Seawalfs,Dodcs,(VavEgatale Watetways. .
<br /> - Department o# Health 8 Rehabilftative ServtcestErrviro»menFat Health ilnit-WeBs, {Nasfewater Treatmenf,
<br /> Septic 7'a�lcs.
<br /> - U5 Envkronmental Proteotton Agency-Asbestos abatement.
<br /> � - Federal Aviafion Au#horiiy-Rumn+ays.
<br /> � 1 understand that the following restdcilans apply to the use of ftll:
<br /> - Use of fi0 Is not altowed ln Ftood 2ane'V'uniess expressiy pe� itted.
<br /> - tf the flE! lnatetEaE Is to be used !n Fiaod Zorte 'A", It Is understaod that a drainage plan addressing a
<br /> °comQensatfng volume"wf11 be submitted at time of permitting which ts prepared by a professlonal engineer
<br /> lieertsad by the Sfate of Florida.
<br /> - 1€the fill materla! Es ta be used in �lood Zane 'A"in conneetion wlth a permltted building using stem wall
<br /> construction,I certil'y that fill wIl!be used oniy to fill the area wRhin the stem wa0.
<br /> - Fi t3l1 meterisl fis to 6e used in any area, ! certtiy that use(of suct� fii1 wi11 na# adverse[y afEecf ad�acerTt
<br /> properUes. If use of flA is fauncf to adversely affact ad�sceRt propertles,the owner may be cited for vtolating
<br /> the conditions of ihe buiidi�g permit issued under the aftach�d permit appllcation,for lots iess than one(1}
<br /> acse whfch are elevatet!by fll1.an englneered dralnaye pian is�equtrad.
<br /> if I am the AGENT FOR TliE OWNER,1 pramise in gaad falth to fnt'txm the owner af the perrnitting condl#ions sef forth fn
<br /> this affldavit prior to cammeneing constrvetian, i understand that a separate petmit may be requlred fot'eieofrical worit,
<br /> piumbtng,s:gns,wella, Pools, atr condBioning, gas, or other lnstallaUuns not spedllc�lly}nciuded 1n Ehe applica6on. A
<br /> permit issued shalt be constrved to be a license to proceed with the work and not as suthority to vioiate,cancei,aiter,or
<br /> set aside any provislons of the technlcai codes,nor shaii issu�ce o!a pe it prsvertt the SuRdirig OECclai irom thereafter
<br /> requiring a cot�ecllon of enors in plans,consfruction or vialations of arry codea, Every pertnit Issued shall become fivalid �
<br /> unlsss the work authorized by such permii is commenced withfin sbc monihs of permtt tssuance,or ff wark aufhortred by
<br /> the permit is auspended or abandoned iar a psriod at slx{6j months after�tee Ume the work fs commanc�d. An exlenslan
<br /> m�y be requested, In wriGng,from the Building QffEcial for a period not t9 exceed ntnety(90}days and witi demonstrate
<br /> jusiifiable cavse for the extertsion. Sf work ceases for ninety(9a}consec�days,the job is cocisidered abandaned.
<br /> WARNIr3C'a TO OWNER: YOUR FAfi.UR�TQ RECOftD A NOTtCE OF GOMMENCEMENT MAY RESULT 1N YOUF2
<br /> PAYING TWiGE FOR 1MPROVElIAENT5 TO YOl�R PROPERTY. I�YOt�4NTENd TO OBTAlN F1NAhfClNG,CONSULT
<br /> WITH Y,�UR LEN�ER OR AN ATTORN�Y B�F4RE R�CORDINC.,YOI,lR NQTICE OF COMMENC�MEN'T
<br /> F[.ORipAJUWiT jF.S,ttT.q3)
<br /> OWNER OR ACiENT GONTRACTOR �,�p-=—�,=�•� .�
<br /> Subsatbed and swm tv(or affirtnad)belore me lhts ,� Subsalbed (or af9rtnsd)hefore�thl� ��i �
<br /> by �>`�.}cQt..r L "� by . °C'4 .afi^'S 4�* ��—�1
<br /> Who Isfare personany knoNm to me br hasliufve producad Wh fslr�0 at lurown tn or haslhav�roduced
<br /> as kianttfrcattan. _�""3���+`�a�� as ld� �tloa
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<br /> hiWaty PubEtc � ' ��°'6— Nofary puh!!a
<br /> Commisaion No. � Cammisstars No.� �� lti� .A � . �!— .
<br /> \�� ��'.�C'I',��V �y
<br /> Name otNoGary typed,prtMeO ar stamped 1Jeme ot NuFary iyped,{tdated or mped
<br /> pUU�ee
<br /> ' ���<PµY AG���i�� M.gTANLEY
<br /> =_< :°' Notary Publfc-State of Florlda
<br /> rs: .Q�;My Comm.Expires,Sep 26,2018
<br /> "� Commission#FF 136556
<br /> ,'4'��iii��p4`
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