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<br /> NQTICE C?F QEED RESTRICTICINS: The understgned understands that this permit may be subJect to"deed"restrictloris"
<br /> which may�.be.mocesest�Estive than Caunty regulattons: •The undersfgned assumes:�esponsibE!#ty.for campliance with any �
<br /> appiicabte deed restrietions.
<br /> UNLiCENSED Ct1NTRACTORS AND CONTRACTUR t2�5PONSIB11.iTiES: tf the owner has hired a contractar or
<br /> contractors to undertake work, they may be requl�ed to be licensed in accordance with state and [acal regulatlans. If the
<br /> contractor is not !(censed as requfred by taw, both the ov�ner and eantractor may be citec! for a misdemeanor vfolation
<br /> under s#ate law, if the owner or intended contractor are uncertain as to what licensing requiremen#s may appfy for the
<br /> intended work, they are advised to can#act the Pasao County Building inspection Division--L-icensing Seatian at 72T�847-
<br /> i 8009. Furthermore, if the owner has hlred a contractor or contractors, he is advised #o have fhe contractor(s) s(gn
<br /> porttons of the "contractor Bloak° af thts appllcatton #or whfah they w111 be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indlcativn�that he ts not proper�y licensed and is not�entitled to permikting pr[vileges.tn Pasco
<br /> County.
<br /> � TR�►NSPORTATION IMPACT/UTf�ITiES iMPACY�AND R�SQUt2CE RECtiVERY FEE$: The�undecsignad understands
<br /> � that Transpartation Impact Fees and Recourse Recovery Fees mey.,apply to fhe construction of new buildings, change of
<br /> use in existing buildings, o�expansian of exlsEing butldt�gs, as specifled in Pasco Counk}+prdlnance number�89-07 and
<br /> 90-07, as amended..The unde�signed aiso understands, that such fees, as may be due, wiii be fden#ified at the t�me af
<br /> pe�mitting, it is further undersfood fhat Transportafion Impaat Fess and,Resoutce Recovery Fees,must be paid prior#o
<br /> receiving a °certiflcate of occupancy" or tinal-power.cetease, If the project does not;involve a.cettificate of occupancy or
<br /> finaf pawer r.elease, the fees must be pald prEor to permit issuance. Furkhermore, if Pasco County Water/Sewer lmpact
<br /> fees are due,they must-be paid prior ta peFmit issuance(n accc�rdance�nrith appliaabie Pasco'County ordinances.
<br /> COiVSTRUCTION LIEN La4W(Chapter T13, Florida Statutes� �s amendedj: If valuatian of work is$2;500.00 vr more, i
<br /> certify that !, the applicant, have -been provided with a copy af the °Florida Consfruction Lien Law—Homeowner's
<br /> Protection Gu#de° prepared by the Flarlda Department af Agrtculture and Consumer Affa9rs. !f the applicant is sameone
<br /> other than the°awner", 1 certify tha#i have.abtained a copy of#he abave descrtlied docum�nt and promise in goad.faith to
<br /> � detiver it to the"owmer"prior to commencement. •
<br /> CONTRACTC�R'S/Q,WNER'S l�1FFlDAVIT: 1 cerkify•that all the information In this appllcatian is accurate and that ail work
<br /> wili'be done in cori�pliance with al! applicable laws cegulating construction, zontng and land development. Applicat[on ts
<br /> hereby made to abtain a permit•to do;wor:ic and instailatian as indicated. i aertify that no work or instaflat'son has
<br /> commenced prior to issuanae of a permit and that aR work wili be pertarmed to meet standards af ait taws regulating
<br /> canstructian, Gounty and City codes, zantng regulations, and iand development regulations in the jurisdictian. i aiso
<br /> certify tha# 1 understand that the tegulations o#ottier government agencies may apply to the intended work, and that it ts
<br /> I my responsibility to identify what acfions i m�st take to be In compliance. Such agencles'fnclude but are not timfted to:
<br /> Department of Environmental Protection-Cypress Bayheads, -Wetiand Areas and Environmen#aiiy Sensitive
<br /> ; Lands,WaterlWastewater Treatment.
<br /> - Sauthwas� F4orida Water Management�=Distriat-Wells,.- Cypress Bayheads, ��Wetland Areas, Altering
<br /> Watercaurses.
<br /> ' - Army Carps of Engineers-Seawalts, Docks, Navigabie Waterways.
<br /> - Department of Health � Rehabllftafive .ServlceslEnvironmentai Healfh Unit-Weiis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentai Pratectian Agency-Asbestos abatement. .
<br /> Federal Aviatian Authority=Runways.
<br /> , !unde�stand that fhs fallowing rest�ictions apply ta the use of f(li:� � - �-� -� -
<br /> ' - Use af fili!s not allowe.d in�Flood=Zone"V�unless expr,essly permitted.
<br /> - If the #ili materiai fs to be ased in Fload Zane "A", it is understood that a�drainage plan addressing a
<br /> "compensafing volume" will be submitted at#ime of permifting whlch is prepared by a prafessional engineer
<br /> licensed by the State of Flor[da:
<br /> - tf the flil material fs to be used in Fload Zone °A" in connection with a permifted building using stem wa(i
<br /> � canstructian, i certify tha#fiil wiN be used only to fl!1 the area withtn the stem wall.
<br /> - if fill material is to be used in any area, i c�rkify that use of�sucM fiii wili not adversely affect ad}acent
<br /> properties. If use of fill�is found to adversely affect adjacent properk�es, the owner may �e aited for viatating
<br /> the canditions of the build9ng permit issued under the attached permit�-application;.for lofs.iess #han ane (1}
<br /> acre which are elevated by fiit, an.engineered dralnage plan is requtred.
<br /> If! am the AGENT FOR THE OWNER, i promise in-good.faith to inform the awner af.the permitting cor�ditions set fo�th in
<br /> this a�davit priar ko commencing construction. I unders#and that a.separate permit may be required for electrical wark,
<br /> piumbing, signs, weils, poots� air conditioning, gas, or other instattatfons not specfficaliy included in the appiication. A
<br /> permit issued shall be construed to be a liaense ta praceed with the work and not as-authoriqr ta.violate, cancel, atfer, or
<br /> set aside any provisions of the technicai codes, nor shaii issuance af a permlt prevent the Bu!ldirig Official from theceafter
<br /> requiring a°correation af errors in pians, construction or viotations of any cades. Every permit issued shali becanie Invalid
<br /> uniess the work authorized by such permit is commenced within>six manths;of permit issuance, or if work autharized by
<br /> the permit is suspsnded or abandaned�far�a period of six{6)months�after the ttme the work is commenced. An extension
<br /> may be requested, in wrriting, from the Buiiding C�ffiela4 for a period nat to exceed n[nety(90) days and wil! demonstrate
<br /> }ust�able cause far the�extension�. tf work ceases for nine�y(90)cansecutive days,th��ab.is.considered abandoned.
<br /> WARNING TO OWiVER: YOUtt FAfLURE Tq RECORD`A NQTIGE OF�COMMENCEMENT�MAY RESUL.T�tN�YOUR
<br /> PAYING TVYICE FOR IMPRt3VEMENTS'�t�YOUR PROPERTY. IF YaU ENTEND,TC1 OBTAIN 1=1NANCING,GONSULT
<br /> Wf7N YO R L N ER O. A ATTOR ft3 - CORD� G;YOU : 1 �O G E T
<br /> ---��c:�.c���u��=(F��_�- �Q ?-- _ _ ___ ---
<br /> OVYNER t?!2 AGEN7 CONTRACTCI - - - -
<br /> Subscribed and swc�m to(or atflrmed) efore me thts Subsaribed and..swom to(or aBirmed},befare me Rhls
<br /> � aY . ey ,
<br /> Wh slare ersonally I�own to me or ha�have produced Who I are p rsanaiSy known to`me ar hasihave produced
<br /> �c as Identlficadon. �. P. :�» as identl�cation.
<br /> � ,�_ Notary Publlc � Notary Publta
<br /> Camm slo No. Commis Fto, �
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<br /> Na f � ed Nam o_f. *_ . {���}¢�
<br /> _� ;: ammission#!F 137�73 �,a: Expires June 29,2018 I
<br /> ;�; :4; Expires June.29,2D18: ��'�;�'`'�:•`� � � �
<br /> 2 p'F��,� BondedTfuuir Faininsurancs8W385.7019-.
<br /> °iYp���°�`� BondedThn�TmyFein(nsurancaq00385-70i9� , , � , �
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