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<br /> NOTICE QE�EED RES.T.R�C'�'It?NS: The ut�derslgnedFun�erstands;:ttt�t�th3�:;p�rmit.may:be.sub�ec#.to�"deed"res#rtattons°.' _ -
<br /> which may<be�fiorew�restcictive;th���•Gounty�r�egula#rton§.'Ttie9un;derslgne�d`�assumes �espvnsibility for complience'v6rith�'any ` � 3
<br /> appqcable dsed`rest�ictivna. � _. ._. �.,;, :- .. „-. , : �_._ .` :��.� ' . '
<br /> UNUCENSED':CONTRACTGRS'.ANt� �CONTRACTOR RESPONSlBILITIES:�-�N`�=fhe�owraec e�ttas�fiirec!���':contractar or
<br /> contractors ta under#akework,thr�y.may:be?r.�,quire.d�to:;ba�:licens�d In°.accardance.with;s4ate.and�l�cal„regulatioe�s:,��lf�khe `
<br /> contractor':Is�not-ltcertsed��as�requlred"6y latift; bOl#`I'tIt@ 01Ntlet allds�COtltiSL�OT�titBy'b@�°GI�t3d�for a�niisclemeanor vloiation
<br /> under state law. If the owner or Intended:contr,a,cta�,are,;uncertaln as to what Iicensing,requlre�nent�:�may��apply�for:�tifie�- -��{� j���
<br /> intended work,'they are_advlsed to�contact ttie'Pasca Counfy BuIlding'Inspectlon.,D{vlslon--Ltcensln��Section at 727-847-
<br /> �aas. FurtheTmore;-[f thie awner�Fias`tiifed a carit""ractii� of�coMrractocs� he�is aiivised to have;the contractor�s).,.sign ,
<br /> �- 'L r, t:..l";L'r9r'v�N�v,'. . . .�
<br /> pnrtions of the "contractor Block° of this appilcatian for_which.they.will..be responsihle. ;If-you,-as._the oiivne�slgn�as'tFie
<br /> contraator, that�ay be�an indfca#ion-Eh�t�he�is_not'�propet�y I�censed anc!"Is'iiot-eritiNed�ta peri�il�#ng�piiulleg@s in Pasca
<br /> County» � i. ,,� .. ., .
<br /> TR�INSPORTA710N�IMPAGTlUTIU�'I�S-IMPAC'�ANb-�tESOU�tGE RECOVERY FEES;�T�h�ander�ignetl`unders#ands
<br /> that Transportation lmpact Fees�and.Recourse Recove.ry.Fees►i�ay;applyj#o�ti�e_construction.afi.new..buildings;=change�of`•� `�." ''
<br />, use in exisNng buildings,�o�:expenston��of�.eXistin;gi��uildings; a§ specifled.(n Pascc� Counly Ordinance number 89-07 and
<br />� 9Q-O7, as amended:,,.�The undetsigned a{sorunderstands� th�ti`such fees;;as�ay�be•�-dt�e;�wltl>;;l�e identiffed at the�time;of._ ..: ,�
<br /> e�mittin It is furtFie�underst6od that Trans ortatlon Im act Fees and��Ftesource Recoue 'Fees:mu�t be ald rior to
<br /> P 9• P P rY��' P p
<br /> rece�ving a"cee#tflcrate.-of occupartcy"�or f1na�-power�retease. :!€°the prc��ct,;does:no��Invoive:a;cert�lcafe of occupaiicy at .;, .
<br /> final power�etesse,,the:fees.mu�t�be paid�prlor ta permft Issuance. .Fy�thermore;;•lf Pasco;County'1lVater/Se.wer:�fmpact - - �
<br /> fees are due,they�rtust.be.pald�.pnior ta permlt�issyance��n,accordance witfi:appUcabls:Pasco�Countjrai�dinances.
<br /> CONSTRUCTtON`�tEN"tAiN{C#iapteir 71�, �t���da Statut�s����mended): 1f valuation of work is$2,500:OO�cr more,,h � � .
<br /> ceMify that I, .�he .applicant, .have�been�_pravided with. a�copy�of:.#he° "Flartda-�Constructlon--Lien .l:aw--Homeowne�'s
<br /> Protection Guide" preparett by tlie Fioilifa Dep�rhner�f of A$rlculture and Cor�sum�r;Affatrs. If#he appllcant ts someane . .
<br /> ather than th�"owner", I certffy that.luh�ve.o�tained�a<copy,of.th�above..rles.crit�ed�tiocurrient�and:pro.mise'In,good�faith�ta .
<br /> delive�It to the�`owne�'�priQr�:to�corrirriencement: � � ' � �
<br /> CANTRACTCIR'S►tfWNER'S AFFIDAVIT: 1 c.ertifjr;>tfist all°•the:{nformation�in•this appticatlon is accurat�and that atl work
<br /> will'be done in compiiance with all.applicable�laws regulaNng co�structlon� zoning and°�land�development. Appltcation Is
<br /> hereby made to ob#ain .a.permlt.to:.do. wot`�:�and lhstallatlon as indl�afed:�-- �1 certffjr tFiat no wark'Jo� Installa#ion�ttas
<br /> commenced p�lor ta issuance of a perrnit and that:all work w(II be pertormed to meet standards;df all laws regula�ing- �
<br /> constructlon, County and ClEy cades, xoNng regula�ians, and tand development regulattons-in tlie$°ju�lsdlction.� t al'so �
<br />� certify#hat I u�derstand that the regulattons of other government agencles may�apply�fa #he intended.work, and that it is .
<br /> � my respansibility to(dentffy�what.actions I must•t�ke to be,ln:.conlpllance:{Such agencies include but-are.not Ilmlted_to:
<br /> - Depart�nent of E�viranmen#a1�rProtectibn-Cypress.Bayheaid�;�1Net�and;Are� as�d E�vtronmentally Sensitive ;
<br /> La�ds,WatedWastewater Treatment. �
<br /> - Southwes# Ftorida tNater Management�.�t�strlct Wells, =Cypress.£�8�y�ead's; We#land Areas, A#tering �
<br /> Watercou�ses.
<br /> - Army Corps of Engtneers-Seawalls,flocks, Navtgatile Waterways.
<br /> - Department cf .Health� 8 Ref�abtlit,afive Ser,vices/Environmenfal F#eat#h tlnit:Wells� Wastewater�Treatment, � `
<br /> Septtc Tanks. � _ �
<br /> - US Envlronmental Protectlon Agency-Asbestos abatement.
<br /> - - Federal Aviatlon_Authortty-Runways.�
<br /> I understand that the following.restrictions apply to'the use of fll1:•
<br /> - Use o#ffll is not atlawed in Flood:Zone"V"unless expressiy permltted.
<br /> - If the fill�material 'Is �to �be useii:�in.�Flaod Zane. "A", it. ts understoad that a drainage plan addresstng a
<br /> "compensating valume"wtll be submlfted at#ime af permitting uvlilch is prepared by a professlonal engineer
<br /> Iicensed by��he;State af Flnrida: -
<br /> - t# #he tlll materiai_Is.;ta be used In Ffood Zone 'A" it��con�tection�w3th:���ermitted buitd3ng using s#em wali
<br /> � construction, t certify that fiil�w111=b.e used onty.#a#ill the area wlthin�the�stem:walL -
<br /> - If ffll matertal is �to be� used-°In any area, I �certtfy that .use. of such�'flll �will not adversely affeat adJacent
<br /> prape�ties. If use�of fi1! Is fonnd#o adverseGy.,�fFect'ad)acer�#•�pra�pertfe��.#he awner may be cited for uiatating �
<br /> the condi#ions of_the"`building_;permit issued•under the at�ched permit�appltcation; for�:lats less than.ane (1)
<br /> acre whfah are elevatetl�6y�fl11,a�t engineered dEainage plan[s required. . .
<br /> If I am the AGENT�OR THE:OIMNER;I�promise In;good faith ta inform the ownet af�the permitting_candit�ons set forth In �
<br /> thls atfidavlt��prlor to comitmencing coristruction. �1 underst��id thet�a�s�parate petmit may he requlred for electrfcaf workj. "
<br /> plumbing, signs, vvelts,:pools, air.,,candittoning�..gas, ot'otMer ins#a�E1�tEciris na!•spec�ically fincluded�in.the appiication. •A , ��,
<br /> permit issued shall be constiued to be�a'Ilcense�to��p'roceed with the work and not�as.authority.ta.violate,cancel; alter, ar .
<br /> � set aside any provlsions of the.tech�ilcal.cadeis; nor shalt tssuanc��of a p�rmit.preven#the Bultdirig t1#fifcial ft�m therea#ter ;,
<br /> requiring a correction af errmrs in°�plans,'consfiruction,or violations of any codes: Every p�ermit lssued�shall become invalid
<br /> unless the work authar�zed.by such permit_�s.co�nmencsd•wlthln sFx months of permlt Issuance, or Ef work authorized by
<br /> the pe�mit is saspendad:ar.abandoned for a::pecfod;of six(8)montfis':after the tirne fhe�wor`k>is cammenced. .An e�ctension
<br /> may be requested, In writing,._from the 8uilding:Offlclal�for a pertod-not to�exc�eed'ninetyr-�(90) days�and will'demonstrate �;
<br /> � ustl�able cause far.�ths e�ensio�: If v�ork ceas�s;for nlnety(90}cons.ecu#tve:day.s�..#he job�s.consldered aba�tdoned.
<br /> NARNING TO OWNER; YOUR.�A!l.URE T�?.=f�EC:QttD;A:NATlGE,QF=COMMENGEMENtT�MAY�RESUl:T iN YQUR ;
<br /> �AYING TWiCE.FOR�tM,PitOVEMENT3�TO Y�OUI�;PROPERTY.���I�°YOU�I�'�'E�VD:T�-�tSBTA1NuF1(V�►1�E1NG;�CONSULT
<br /> 17 YQUR ND O� AI� � TTO •.�� FOR�t � �O �D G:�YOU '� � ���� ' � °' � E C � ' �
<br /> =l.ORlUA JURA�`(F Aa� . _ . � � �—
<br /> ---- — -- c: - - -- -- - - ----• _ - - _ - —._ � __ —_ —
<br /> DWNER O!t AOEN�"— -i�— '- - M1 ,�i�.�� CONTRACTO
<br /> 'subscxlbad and swom to t a#flrmed}be r me ts Subscrlbei3'and'swam� ot ai�mied}�betora me tti($
<br /> Vho IsJare rsonell . to.me or has/have prqduced - Who:is/are e onally a to me or haslhave�produced • -
<br /> as tder�$�i�tlon. � es Eden�flcatlan.
<br /> . ` _ -"r �
<br /> Notary Public . � � Natary Pubtfc
<br /> ssian •�+��""°'�""'_ Comr� n.tdo. ,,,���«:
<br /> �::�;�;.,, ;�'���"•4�-., C
<br /> ��: ';�: Commission#FF 150422 _,,: ;�: ommission#FF 1504�2
<br /> IBRi@ 4I`N0�3 �Rt � ��8�.3g5d014 Nama af Notary type • (� Sr Fa��nsursnea�sU!�385-74i9
<br /> ��'�iQi1i,o�a� Bwrdadthru '�re�n,.*``, °Y
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