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<br /> Nid�T`tCE��DEED RE�'TRICTt�1d�: "�'he ur�dersig�roed under�tar�ds that this,p�rmit.may be.subject to"d�ed"re�strictians"
<br /> whlch may be:more.rest"r.tc#ive than County reguiat�ans. The undersigned assueries responsibii6#y far aamplia�nce with any
<br /> applicable deecf restticQlons. .
<br /> UtdLIGENSED C�DNTRACTORS ANID CQNTRACTOR RES�Q�lSl�!!:lTIES: !f the owner ha� hlred a contraator or
<br /> contractors to undertake work, they may be required..to be.Ifcensed in.accordance.v�r(th state.and•lacal regulations. !f the
<br /> contractar is not licensed as requlred�by i�nnr, both the owner a�nd con�iactor m�y be cited for a misderneanor vlolation
<br /> �snder state Oaw. if the owrner�r tntended contractor are uncertain as to what �icensing.requiremenfs may apply�or the
<br /> intended uvork, they a�e advised to cantaci the Pasco Gourtty Buqding 9nspectior� Qlvtsion--l:EcensEng Sectlor�at 727-�47-
<br /> 8009, Furthe�more, if the owner has hired a cont�actor or co�atractors� he 1s advtsed t� have the con�eactar4s) sign
<br /> portions of#he "cantrac@or Block" of this application for which they will be responsible. If you� as.#he owner �ign as the
<br /> cvntractor, #fiat tr�ay be an indication that he is not.properiy licensed and is no# entltled to permitting privit�ges In Pasco
<br /> County.
<br /> 'CRAN�t�ORTI�TIClN fl91t9��+,GYOUTILITl��lMPACT'AN�RE30l��t�E RECOVEff2Y fEEB: �'he underslgn�d understands
<br /> that Transpqctakion Impact Fees and.Ftecourse Recave.ry.F�e�s may apply to the construction of new bu!ldlr�gs, change of
<br /> use in �xist6c�g buildir�gs, or expansian.of��existin,g'buildings, as speclfled.in Pas�o Caunty Ordlnance numb�r 69-07 and
<br /> 90-07, as amended. The undersigned also wnderstands, that such fee�s� as rm�y�be�due, wilB be Identified at the time af
<br /> perm�tting. #t is further und�r�toad that Transportati�n impact Fees �nd Resou�ce Recovery Fees mus# be paid prior to
<br /> rec�iving � °certf�icate af occupancy" ar fina9 power�e0eas�. 4f#he project.does not inv�lve�ae�tificate of accupancy ar
<br /> --- .fir�a!_pouuer x�l���e,_ths_f��s mtast b� p�ld ��lor-t�o p�s��4�assa��n�: F��thee��re,.6f���co-�Cou�fy-1��te�l�evuer=lmpac4_____
<br /> fees are duet they�must be paid pr#or to permit Issuar�ce�in accord�nce w1Qh appltcable Pasco Co�anty ordlnances.
<br /> Gf�N:�TRUC7IG�N LiIEN Ll�W(Ch�pter 713� Florld��t�tutes,a��mended): If valuation of wark Is�2,500.00 ar more, !
<br /> cerfify that I, the app0ican#, have-beero provi.ded with a capy� of the� °Florida Construction Lien Law—Hocneawner's
<br /> Protecti�+n Ga�ide° prepared by the F1orlda Dep�rtrr�er�t e��AgricuOt�Pe and Consumer Affairs. if#he apptican#is sam�one
<br /> other khan#h�"owner"� !cer�lfy that i h�ve..ob�ained a ccspy�f the above_.deseribed tlocurr�ent°and.promi�e in,good fa�h ta
<br /> deliver it to khe°owner"prior ta�cornmen�ement.
<br /> CONTRIa1CTOR'S/OWN�R'3 AFFID�e1/iT: I ce�tify that�II the inf�cmattmr� in this applicat4on is accur�te snd that a!1 work
<br /> will�be done in coenpiiance with ali appiicable laws regulating construction, zoning �nd land deveiopment. Applicatian is
<br /> 7�ereby rnade t� obtain .� petmi# Co de� woric and insQailatian as indic�teci. '1 certffy that no w�rk or i�st�ilatian ha�
<br /> c�m�►enced prlor to issuance of a p�rmit artd tha�.�!! vvork wili b� pertormed to meet standards af ail {aws regutating
<br /> construction, C+�unty and City cades, zoning regulatl�ns, and land developrne�tt tegulatio�s°in the �urisdiction. i aiso
<br /> certify that 1 understand that the regulations of other government�gencies may�apply�to the 6ntended wark, and#hat �t is
<br /> my responsibility to iden#ify.what.actians I must talc�.to be,ln:.compliance: S.uch agenctes Include but are not Olmited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetl�nd Areas and Envlronment�ily Sensitive
<br /> 1.ands,WaterlWas#ewa�er Tc�atment.
<br /> - Southtnrest Fiarida Water Manageme�tE Dis6rict Welis, Cypress. �ay.h�ads, �Neti�e�d Areas, Altering
<br /> Watercourses.
<br /> - Army�orps vf EngineersSeawalls. Docks, Navigable Watenrvays.
<br /> - Department of Heaith & Rehabllitative Servlces/{Envi�onmental Fle�lth Unit-W�II.s, Wastewater Treatment,
<br /> Septfc Tanks. � .
<br /> - US Environme�tai Proteation Agency-Asb�stos abaterr9ent.
<br /> - �edera!Aviatior�AuQhorlty-Runways.
<br /> I understand Qhat the follow6ng.restrictions appl�to the use of flN:
<br /> - Use of fill Is not allavered in Flood Zane°V"unless expressly permitted.
<br /> - ff th� fili materiai is to be used in �Ftood Zone. °A", it. is understood that a drainage plan addressing a
<br /> "cvmpensating vo(um�"wiil be s�abmitted at time af peerrritting which is �rr+epared by a prafessianal engineer
<br /> licetesed by�he State of Florida.
<br /> - !f the fill rnaterial is to be used fe� Flood Zone °A� in�cor�nec�ior� �tl�h.a permitQ+sd buiiding u�ing stem wa�f
<br /> � consUuction, l certify th.at fiU:�rlll::be used oe�ly to.#i!!the area wlthPn th�stem�wall.
<br /> - If fiA material fs to be used in any area, I c�ertify tha# .u�e. �f such flll wlil t�ot adversely aftect ad}ace�t
<br /> praperties. tf use �f fill 1s found to adversely:aff�ct adJac�nt properties, the owner may be c(ted fo�violating
<br /> the condltians of#he buitding.permit issued under the ��tached�perrtiit �pplicatian, for iots less than one (1)
<br /> �cre which�re eleua#ed by f�91,an engtneerad drainag���an is required.
<br /> If!am the AGENT FUR TME CIWNER, l;rpromis�!n goad faitb to 1�for�»the awner af�the permltting condiklons se##vrth tn
<br /> this affidavit priar to commencing construction. I und�rstand that a=s�parate permlt may be requlred for electrical work,
<br /> piumbing, signs, weils, poois; air conditioning, .ga�s, or other Ins#�Ilations not �pec�flcally includ�ed in the application. �A
<br /> permit issued sttali be cans#cued to be°a'license to prmceed with the wark�nd not a�.authoriiy t�violate, cancel, alter, or
<br /> set aslde any-provisi�ns o€the technicai codes, nar shatf Essuance�of a.permit.pceve�t the Bulidirig O#iicial frmm thereafter
<br /> reqcoiring a ca�ra�e�tion nf erroes In-plans; constrs�c�ion or vlolations o#any cades. �very p�rmlt issued shali becom�inv�lid
<br /> �anl�ss the wa�k authorized.by such perm3t�{s-�mmenced�wlth(n�I� rnonth� of pert�lt issuance, or If work a�thorized by
<br /> Qhe permi#is suspended or.abandoned fo�a.per[od of six{6) monghs:afke�the time th+�work ts commenaed. �n extenslon
<br /> may be requesked, in writing; from tha Building_Offial�l for a peNad=not to.exceed ninety�(90) days and wlli demonstrate
<br /> )us#ifiable cause for.the extension. If work�eases for c�inety(90)coros�cufive days�..the job.is considered aba�dor�ed.
<br /> 9NARNlNG TQ'QWNER; Yt�UR FAILURE�TCJ..REG.ORD A:NO''�IGE OF�C{?MMEMCEt�IiEMT NtAY�=RESUE�T IN•YOUR
<br /> p'AYlNG TWICE FQR IMPR�VEMENTS,TCp YQUR:PRAPERTY. !��YA.E�!N'F��_�TQ'O�TAIN��F1AlAHCINGs�GONSUl.'T
<br /> If�I1T OUR fdD O AI�ATfA NEY B CARE R C� �1 C:�1F�UR• �? � =0 �' C€ E T'
<br /> F�oaroa suw+r t�.s.1.1 �
<br /> �WidER OFt AO�NT �d��-� CONTltA�7A
<br /> Subscribed and swom ta or a rmed)beior�me s Subscrlbed and'swqm to(or aflirmed)�defor+e tele'tliis
<br /> by •by�
<br /> VVho is/are personally known to.me or has�ay produced Who(s/are p.ersonally�cnown kt�me ar has/have produced. •
<br /> --. as idenUflcaBan. as�ndflcaUon.
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<br /> Cammissta�t'No� Commtsslon,Ng:
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<br /> � .`� •`"'Y:�'�� JbEL E.BACON
<br /> Name of t� t+�e �"e�enn�aiQs�FF 37d73 Fiame of Natery type �;s . ACON
<br /> ; �'a: Expires June 29,2Q1$ _*: ;A: �ommission#FF 13T473
<br /> . �-�;pF��;Q•' Bonded Thru Troy Fain Inswance 800-385-7019 ;; Qo: Expifes J une 29,201$
<br /> * +� ''�F.p�;;��'� $anded Thru Troy F�n tnswanca 800385J019
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