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<br /> NOTICE O�DEE�2 RES'FRICTIONS: The underslgned u�der�#ands°_th�t.thi�:permlt�.may.be.subject to,"deed"tesUtcttons" -
<br /> which may be�;more'-;rest�tctive�than County:.regulatfons.=�TFie•undersigned�assumes'�esp�insitiiitty#or�corvipliance with ariy
<br /> appiicable deed:res#t�icttons, .. . . . � �
<br /> UNLiCENSED.:CONTRACTORS�AND CONTRAGTOR RESPONSIBiL{TiES: ---tf tiie awner has-�hired �a cantractar ar
<br /> cantractors to undeotake wark, thay may,be;r.�,q.u,'ired.�to.:be;llcensed In accordance.with.state.and•locai regulations, •�if�the -
<br /> cont�actos.,:is:Tnot:llcensecf as ce+qulred°by law� both the ovtmer an��:cciint�actoT��may be-c't'ted�for s��misdemeanor vtolation
<br /> under state law. If the owner or (�tended�.contrac;tor.are uncertaln as to what itcensing.requiremen#s may�:epplyt=�for.:the
<br /> intended work,they are advised ta contaat�ttie Pasco Cou'nty Builiiing Inspection Divlsion--Llcensing Sectlon at 727-847- !
<br /> 8009. Furthermore, tf the owner fias��hired a con#�actor o�cciritractors, he ls acivised ta have the confractar(s).Fsign `
<br /> portions of the "contr�acto� Block" of,thls appllcation for,which they will be r,espo�slble. .If you�..as.the owii`er'slgn'�as�the � �
<br /> contractor, ttiat rna�t be�an In�ication that�he ts not.properiy 1lcensed ancl�'Is not`entitisd to permitting privlleges in Pasco �
<br /> Counry. �
<br /> TRANSPOR�'ATlON IMPAGT/UT!l:1TIES(MPAG7'ANb�RESOU�tCE RECUYERY�FEES:The underslgned understands �
<br /> that Transportation Impact Fees and.Recourse Recove.ry.Fees m`sy'appiy�ta�the°canstruction of new,bufildings,ichange of - s
<br /> use in existing buildfngs;�or:�expansion�af�ezistiri�;�auildings, as specffted.in Pascq County Ordinance number 89-07 and �
<br /> 90-07, as amended._��;he undet�igned also.understands, tha��sach iees�.as�may�be__due;:w,111,;be Ideritif�ed at the�tirrie�of � 4
<br /> permitting. It Is fu�tFier understaod that Transportatlan Impact Fees and Resource Recovery�Fees.must be paid prlor ta ;
<br /> �eceEving a "cerfl##c�te.of occupanay"ar ifttal-power:release. _I�the pro�ect does_not irnoive=.a:cert#ficate of occupancy or !
<br /> final powe�-release;:�the:fees-mu�t be pald prior to perml# Issuarice. Furthermore;�ff Pasco,C,aunty�Water/3ewer�:lmpact
<br /> fees are due�_they�must.be>pald prior to permlt�lssuance-in accordance with appltcable Pascv�-County ofdlnances, , '
<br /> CONSTRUCTtON`�:1EN'LAW(Chaptsr T13, Fla�lda Statutes,a��mendedj; !fi vatuation af work is$2,50q.00•or mare, 1 ;
<br /> certify that I, lhe.-.�pplicant, have-been provided wlth a copy�of #he "Flarida-Construction Llen Law:..Homeowner's '
<br /> Protection Guide° prepared by the Florlda Departmenf of Agrlcutture and ConsumerAffairs. tf the appltcant ts someane �
<br /> ather than the°owner", I certify that I h�ve.obtained`a copy,of the.above.�iescribed�docunnent°.and.p.r.omise ln,good faith.ta
<br /> deliver!t to the:"owner"pr:ior:-to�cammencement: � �" �� ' , ,
<br /> CONTRACT�R'S/�WNER'S AFFIDAVIT: i.ceitity.that ali the information in�this applicallon is accurate and that ali work
<br /> will�be done in compliance with all applicable laws regulating construction, zoning and�land development. Applfcation is
<br /> hereby made to obtaln .a permit to do. worlc..and instatlatlon as indt�eted�;. °I cettify #haf no woric�or tns�a4la#ian has •
<br /> cammenced prior ta Issuance of a perm(t and that.all work will be pertormed to meet standards of all laws regulating� ,
<br /> constructian, County and City codes, xoning regutati�ns, and tand development regulatfans�in the jurtsdiction. ! aCso �
<br /> c�rtify that i u�rder�#and that the regula#ions of other govemment agencies may�appiy�to the intended work, and that it is ,
<br /> my respanstbility to ldeMify�what.actions I must take to be,in:_compliance. S.uch agencles Include but are..not Iimtted to: �
<br /> E - Departmen# of E�vironmental Protec#ion�Cypress.BayFiead�; VI/etland Areas and Enviranmen#alty Sensitive j
<br /> Lands,Water/Wastewater Treatment. �
<br /> - Sauthwest Flor�da WaEer Managem�nt :Distrlc#-Wellsr CYRress. Bay_he�tds; Vite#land Areas, At#ering :
<br /> Watercourses. `
<br /> - Army Corps vf Engineers-Seawalls, Docks,Navtgable Waterways.
<br /> - Departcnent of Hea4th 8 Ret�abltitative ServtceslEnvitoa�meo���l Flealth Unit Weli.s� Wastewater Treatment,
<br /> Septic T�nks: " � . :
<br /> - US Environmental Pratectbt�Agency-Asbestos abatement. ..
<br /> - Feder�l Avlatlon:Authority-Runways.
<br /> I understand that the fo11ow1ng.�restNctions apply to the use of flltr
<br /> - Use ofi flli is not allowed iri Flood Zone"V"unless expressty permitted.
<br /> - If the fill material.,ts to�be used: In :Flaod Zane "A", It is undersfoad that a drainage plan addressing a
<br /> °comp�nsating volume"w3Et be submitted at time of permlfting wlifich Is prepared by a prof�ssianal engineer
<br /> licensed.by��he-State�of Florida.
<br /> - i# the fiil materlal.ts_to be.used In Fload Zone `A" in�connection�wtth.��ermitted bu3lding using stem wafi
<br /> � canstruc#ion, I certliy#hat fdl:wall:be used oniy.to fill the area wlQhin the stem�watl.
<br /> - If fill materlal Is to tiie�used tn �any areat I •certify`that use of'�uch fll! will not adversely affact adJacent
<br /> proper�ies. !f use of filt is fonnd to advet��ly.,�ffect ad)aeent��properties, the owner may 6�e cited for viaCating
<br /> the�condltions of the building;permit issued under the.atf�iched permit appltcation, for lats less than one (1)
<br /> acr�which are elevater!�by#!1!�an engineer�ed dralnage plar�3s requi�ed. . ?;
<br /> If i am the AGENT FOR THE OWNER, l;:promise In good faith to i�form the cawner af-the:permit#Ing condftlans set forth In
<br /> this affidavtt'prior to commencing constructton. I"understand that a�s�parate permlt may be requtred for electric�l work, ,�
<br /> plumbing, signs, vrrelis, poofs; a1r,condi#ianing,.gas, or ottier- ins#alla`tions not.specilically included�in.the applicatian. .A
<br /> permit issued shall be constcued to be°a'Iicense:to�proceed with,tNe work and not as:authority to.violate,cancel, alter, or . ' �.
<br /> set aslde e�y prov�slons of the technlcal.codes; nor shatl issuance�of a.permlt.ptevent#he Bullditig U�flcial from thereafter °
<br /> requiring a correctian af errors in.plans, cons#ruction or vlalations of any�codes.. Every petmit Issued shail become invalid i�
<br /> unless the work autha�lzed.hy such permlt-�ls.commenced�wtthin sfX m�nths of pennft l�suance, or if wark authoriaed by i
<br /> the permif is susp�ndecf ar.abandoned for a:period:af�six(6)montfis.after the tirne the�wofkis commenced..An e�ctension
<br /> may be requested, in writing, from the Building,Officfal for a per(od:nat to.exceed ninety�(90) days and�will�dema�strate '
<br /> �us#I�ab1e cause foe the�tenslan: If work ceases:for nlne4}r{94}cons.ecuttve:day.s�..the job�is consldered abandoned.� ''
<br /> WARNING TO OV9tNER; YOUl� FAIl.URE-Tt?.,REC:QltD;A:.NOTiGE QF�CQMM�NGEMEMT�.MAY�RES.U�.T IN YOUR
<br /> PAYiNG TWiCE F�►R IMPROVEMEN�'S TO�fO.UR�:PROPER71f.;:IF°YC1.U�iNTEND�'T�=OBTAIN��FIAtANEfNG;�CONSULT ; �
<br /> WI7 UR D O AN A� O NEV�� FO. E�-RECOR�D G; �U = O �� : �'� -
<br /> F[.ORIDA J�lf�4;•(F.S.-917,03) _ _ __._ _ '�_ - .- : � . � . _ _.=—.. � __ _-_ ' —
<br /> DWNER OR A�3�N7 ` r ��,����,.-� CONTRflCTOR,,,,
<br /> 3ubscribed and suv� ta a�eY be � me lttis Sub'scri6ed and'swam-ta{ot a�irrned}�befor+s rne�ttilg
<br /> 0
<br /> by�,��t=� D�11� �• •bY
<br /> Nha Is/are aersonal y knawn to.me or has/have produced��,+��o ts/are personallyknawn to me or haslhave produced •
<br /> --'----a�iden�flc�Bon. as[den��cat�on.
<br /> 1'--��z��� i a a�� - _
<br /> otery�P�ubtic _ Notary Public
<br /> :ommisstan No. •- ' � Commtsslcn No,
<br /> �+�...,,,�, - .
<br /> MY COMMIS510N ri FF 021742
<br /> +tatne of tVotary typed,. �s : �ptemb9r 27,2Q1� Name of►Jatary fyPad,pdnted or stamped
<br /> 'qr,�AfR`oP'� 6bndedThrueudqetNotiry5�rvkec
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