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<br /> RIOTBC�OE IDEE�r RESTRICTICIN�: The und�rslgned u�d���tands°:that t�ls:per•m�t.m�y.be.sub�ect to�de�d".restrtctlons"
<br /> wrhich may:be::moce'restr(ctive th�n Giaunty�regulatlons. �The und�rsigned�assur�ies responsibillty for�corropliance witti any
<br /> appAcabie;deed r�stricttons. _
<br /> UMLIC�WSED �CON'FRA►�TBR� ANCb Ct)NT��T�R �2ES�t�NSt�tLi'1rtE�: �tf the owner fias hfir�d a contractor or
<br /> oantract�o�s to undertak�wark, �h�y may be;eequieed.to.be:licens�d In a�cordanc�.with-state.and•locai r�gulations,. If the
<br /> cantra�4or_,fs not,tlaensed as requlred'`6y lariv, both the awnet and�cor��actor-may be-cffed�for a�inisdemeanar vlolation
<br /> under state law. If the owrner a�r intended,ccantracto� are.wncertaln as to what Iicensing.requlrennents eraay;,appiyh�for�t6roe
<br /> intended work, th�y are advised ko contact the Pasco County�uAiiing"inspectdora Dlvlslon-Llc�nsing��c#is�r�at 727-847-
<br /> 8009. Furthermare, i€ the oinrner has hi�ed a contra�foi- �r cor�tractnrs, he is advised to have the �ontractar(s) slgn
<br /> portion� of the "contractor Block" of this application for which they will_be responsible. If you,.as.#he owner'stgn°as tfie
<br /> co�ttractor, that may be �rt indic�tion that�he is n��.properly 13cens�d and !s not entitted to permitting pr��ileges In Ras�a
<br /> County. ;
<br /> TRAN��QRTATIAN�,II4�PA�T/U'�"�LITIES-lMt�AC'g'AND�RESOURCE RECClVE�'�C FEES: 7'he under�igned understands '
<br /> th�t Trensport�tian Itv►pac#Fees and.Rec�urse Reca�ve.ry.F�es may apply ta tfie c�onstPuation af new bulldings,_change of t
<br /> use in �xisting buildings,4or-�expari�ion:�f�e�Osti�g,`�ulidings� as specifled.in Pasco Counf� Ordinance number 89-07 and
<br /> 90-�7, as amended. .The'undersigned �Iso�u�derstands, that�such feesf;as�may��e�_due;.,�nrill��be Id��tified at the fime of
<br /> perr�itting. It Is fu�tfier understaad that Tran�po�tation Impact Fees and Resource Recovery'Fees.must �e paid prlor ta �
<br /> receiving�"aerfificate��f occtapancy" or finai power release. :I�the p�s��ect,ciaes.no4 ir�ve►tve��a;certif3ca#e a�mccu�ao�ay or-
<br /> finai p�wer reiease, #he.fees must be paid prlor ts� permit I§suance. Furtherrraore;-i�Pasco County�Vllater/Sewer-Impact ,
<br /> fees are due,.Qhey�.must_be�pald prior Qo permit�lssuance-tn accordance w(tfi appllcable Pasco G�unty o�dinances. �
<br /> GON�'�'#�UCTION CIEN'L:JaiN"(Gha�Q��7�i3, Flor�d��tatut��,�ame�nd��): fff valuati�r�mf work is$2,5�0.�0 or more, t
<br /> certify that 0, #h� .applicant, ha�v�-been prov(ded with. a copy of #he "Florida Constru�tion Lien. l;aw:.Homeawner's
<br /> Protectian Guide" prepared by the Flarlda Depa�ent af Agrl�uEture and Cons�amer Affalrs. �f the appltcant Is s�meone
<br /> other than th��owner", I certify#hat 1 h�ve.obtained a.copy,of.the abov�.described docurnent and.promise in,good faith to
<br /> del9ver It ta the nowner"�prle�r�to•ccamer�en�emen4: '
<br /> CON'TRACTOit'S/QWNEt�'�AFFt�A'�IT: i ce�ify fhat aN the informatic�n in�this appllca#ime�is �ccurat�and that all wrork
<br /> will�b� done in compliance with all applicable laws regulating construction, xoning and land d�velopment. Applic�tion (s
<br /> hereby made ta obtatn .a per�»it ta do. woi�C and installatlon as tndlceted:�;_ 1 certlfjr"th�t no woik or i�stslla#ian has
<br /> camrroenced prior to I§suance of a permit and #hat all work wil) be pertormed to meet standards of ail laws regulating�
<br /> constructian, CounQy and City codes, xonEng cegulaQEons, and land development r.�gtalations�in the �ur�sdiction. i al'so
<br /> certify that i uz�derstand Qhat th� regula#I�ns of other government agencles may apply�ta th� intended work, and that it is �
<br /> my respo�sibility to Qd�nti�y�what,actlons i must t�ke to be,ln:.cgmpllance. Such agencles Include but-ar�.nc►t Iimfted to:
<br /> - Depa�tmen# �f Envirs�nrr»t�ta1�Pratec#ion-C:ypr�s"s.Ba�heatls, Vll�tiand Areas and Errvirr�nrrtientatiy Ser�sitive
<br /> L�nds, W�t�rMlastewater Treatment. ,
<br /> - Soe��hwes# �lorida V�later M�nagerv�ent Dfstrict Vilells, Cypress. 8ay_heads; ldVetland Are�s, A#terinc�
<br /> iNaterc�urses. �
<br /> - Army Corps of Engineers-Seawallsf Docks, Naul�able 1MaQe�virays. ,
<br /> - Department of Health � Rehabilitativ� Seniices/Ertvitonmenfat Heaf#h Unit Weiis, Wastewater �'reatmen�,
<br /> Septtc'fi'anks. ,
<br /> - �1S Environrn�entai Ptotection Aget�cy-Asbestos�batem�nt.
<br /> - Federal AvBat(a�n_Authori4y-Runways.
<br /> I under�tarad that the following rest�lctio�rs apply tv the use of flA;�
<br /> - Use of fili i§nat aliowed in Flood Zone"V"un{ess expressl�permikted.
<br /> - 9f the fill materfal is to be used. ln Flvod �one "A", It. (s understood that�a drainage plan address[ng �
<br /> "compensating volume"will be �ubmttted at ti�ne of per:mltttr�g wh�c� is prep�red by a professlonal engineer
<br /> liaensed by the State-of Fl�rida.
<br /> - If the fiil materlak_is:#o be used In Flood Zone �,4" in�cannec$ion �rl#h.a��ermit#�d bu14d1ng �sing ste�t �nral!
<br /> � construcfion, I certify that fill�.wilt::b.e�used only.�o fil�the area within the stem wall.
<br /> - If flll rnaterlal is�to be used in any area, I aertffy that .use. of'such fil9 wii# not adverssly a��'ect adJacenQ
<br /> properties. 1�use of f311 is#ound to adver�ely.�f�ect ad��eent prdpe�ties,,the awner may b���ted fvr violatir�g
<br /> the conditions of tlae building,permit issued•ur�der the attached pecmit application, for I�ts less than one (1)
<br /> a�cre vvhlch ar�+�leva#ed by#l11,an englne+�red dralnag�plar�Is requlred�
<br /> If I am the�►G�NI'FUR'g'HE OWNER, I;promise In good faith to inform the awner af�the permitting.conditlons set forth (n
<br /> this a�idavi6 prior k� oommecncing cons�ruction: 1 �anderst�t�d that aYseparate �ermlt may be requtred for electrical work, ';
<br /> plurnbing, signs, weils, paots, air cond6tioNng, .gas, ar other anstallatlons naE.�pec�3calty inclusied�in.th� appticatian. .A
<br /> permi4lssued shall be construed to be a'Itcense to proceed with the vi►ark and not as �uthortty to.violate,cancel, alter, ar
<br /> set astd�any pro�islons of the technlcal.cod�s;�nor�hall lss��nce��a.perml#.prevenf#he Bultdirig O#flclal fram the�ea#ter �
<br /> requUing a correction af errors in plans, constiruction or vialatlons of any codes. Every piermlt Issued shall become invalid
<br /> unless the wrork authorized.by such perrv�ik�is-coErimen�ed�wEthln �i�c�trtonths of permit issu�t�ce, or if wor�authorized by �
<br /> the perrnit is suspended or.abandoned fo�a:petiod ofsix�8)montfl�.after the tit�ne the�uvatk ts commenced.,�n extension
<br /> may be requested, tn writing, from th� �uilding.Officlal for a p�riod not to exceed ninety(90) days and will demanstraQ� �
<br /> �us#�iabl�cause for.the extensi�t�. �f w¢rek ceases for nlnety��0��o�s.ecutive days,..the�ob is.ca�ns{deted�bandoned.4 :
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<br /> I�tARNiN� TO OWNER: YQUI� Ea�QLURE�T!'�=REC.QRD�A..NCb7iGE �F•G�1U!lM�NC�ME1sl3' MAY°�tESULT 1N'1rQUR
<br /> paYtNG°NViCE�oR tMPROVEMENT�T�YOUit:PROP�RTY:�:1�°YC�.u�iNTEND�TO OBTAIN•�PI�t�►NCING;�CONsuL7 ;
<br /> UV17'�1 YAUR I�,ENDER:ORl,AN�A�TO�NEY B�FOR��RECOR��(�V��YOUR'N�lTSC�;�F�`CI�MMENCEMEN'T.� ____ _ -
<br /> Fi.�'iRIf�A JtfF'cA e(F.a�9 9?:t�3) �--- - ---- -- �
<br /> DWNEIi OR AGENT COIdTRA�CTOR
<br /> 3ubscribed and swom to(or af�mted)be#ore me thts Subscribed and'svuom#o{at af�rrsied)�betor�`me thi�
<br /> by �by
<br /> IVho Is/are personally kno�m to.me or hasfiave produced Who Is/are personelly knawn ko me or hasfiave�produced •
<br /> as identlflc��on, as Iden�flcat�on.
<br /> ..,.
<br /> Natary Pubiic tJotary Public
<br /> ;orttmisston tdo. -- � Commisslon 9Vo,
<br /> Vame a►IVofar�r typed,prfnted or statt�pec3 Name of I�atary typad,pdnted or stamped
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