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<br /> NO'Y'�C�CiF�EED RE�TR4CTI�NS: The a��adecsignect undec�ta�dsith�t 4�lsi�r:mit:may be.subject,to�de�d".resfrlcflonsp
<br /> which may.be.�more�rest�ictive<<th�n�County�regul�tlons. The und�rsign�d'��ssumes-responsibiltfy"for�co�ipliance with any
<br /> applicabl�s deed restetcffons. , •
<br /> Ut�l.tC�ENSED CONTRAC�'t�RS .�►N� -GC)NTRA��TtJ�R RE�POIVSt�iLiTtES: if tfic� ovvner has �hired a c�ntrac#or or
<br /> contractor� Qo ur�de�take woek, th�y may,be<r.eq�ir.ed�ta:,be,licensed Ira.acc�rdanae.wlth state.and.lsscal tegulations., Ifthe
<br /> contracEor #� no# 11c�nsed as requlred"by la�nr, bath #he owne�a�and-�cont�actorrm�y 6e�-ctted�for a�misd�m�anar vlolation
<br /> under state I�w. If 4he owner or InQended�contr..�ctor are:unaertain as Qo woh�# Itcensing.r�quirerrrents:may=�appiy,��for the
<br /> intended wror�c, they are advfs�ei#o�ontact the-P�sao County�uifiifng tnspectR�sn QOvlslrsn--l.lcensEng.Sectlan at 727-�47-
<br /> S�OEo. Fur#hermor�, (f the �wner lias hired a cvntractor or contractors, h� is advised ta have� the contractor(s), sign
<br /> portlans mf the "contr�c�or Block" off this a�plicat6on faP which th�y wiEl be.respc►nsible. If yau,.a,�.#he ovvrier�ign�a� the
<br /> �ontractor, that may b� an indlca#lon #hat he is r�at�.prape�ly licensed and �� r�o#er�titled f€� p�rmlt#ing p�ivileges in Pasco
<br /> County. ' '
<br /> TR�Id�PC1RT�1'10N_lMPAC'TI1J�'1l:�'i`iES�!�!lPAC�'-A{�t?��ESSOURCE REGt9VERY FEE�: The unders�gr��d vnderst�nd�
<br /> that Trensportatian Irr�pact Fees:�nd.Reca.urse Recove.ry.Fees may�appty,.to:th�constructian of new bulldings,:chan�e•of
<br /> use in existing buildings;�or,�expansion��ofy�i�is#i►i;g'�builtfings� as spe�clfi�d in Pasc� �oun� Ordinanc� �umb�r 89-07 and
<br /> 9�-OT, as am�e�ded..,,The u�dec�igned a�so.�nderstands, that�suah fee�,LL,�� cnay,6e:d�e„}wllt:,6e id�nt�fied at tttes-Qim��of
<br /> permlt�ing. It is further understood fih�t Tr�nsp�rt�tion Impact F�es and'�R�source Recov�ry'Fees mu�# be pafd priar to
<br /> recelving a"ce�fificate..of occup�r��y" ac ftna!-p��wree�cele�s�. :!�the proj�cE�d�es.nat lnvalve:a,ceetf�ic�te o�occupartcy ar
<br /> flnai power retease;the���s.mu�t be paid pcior to permiQ is�uance. Fu�khermore;�if l�asco County iNater/Sewer-Impact
<br /> fees are due�,they:.must.be,paid.prlor Qo p�rmit•6�suance-in accord�nce+�tth appllcabie Pasco.County ordlnancss,
<br /> CQN�3'E3�ICT1CtN t�IEN'�..AAYV{Ct��ptar 7'fS,FO�rdd�State�t�ffi,��am�nd�c1�: 6f vat�ation af wark is$2,50d.00:or mote, 1
<br /> certify that I, the �ppotcant, have b��n provided with a capy ofi-the "Florida��ConstrucQion Lie�n L�w►—Homeowner's
<br /> Pro�ectican Guide� p�pared by the Ftartd� D�p�rtmenf of A�rlculture �nd Consumer Aff€tir�. if th+a appl4c�nt Is s�t1neane
<br /> other than the°ow�e�', I certif�that l h�ve,obtained�a copy,af.the abov�..de�crlbed�docuir�ent�and promise�In,gaod f�ith to
<br /> deliver E�to the�"+�wrner�p�ior.�t�acorntraencemervt:
<br /> C�3RIT�ACT�R';St�WNER'S aF��D�ViT: L cer�kify..:that a10 th�-:inforenatian i�ro•thl.s appliaatlan 3s accurat��nd t�at ail work
<br /> will'be done in campliance with all �ppltcable I�wrs regulating constructian� zoning and�land developm�rat. Appltcation is
<br /> h�reby mad� to e�b#aln .a permi�.Co do vu�rk,tand lnstallatior� as tndE�eted:>> `I csrtlfy tli�t no work :�r installa�timn has
<br /> commenced pri�r to Issuance of a p�rmit and #hat.all wark will be� pert�rmed #o m��t standard� of �li laws regulating�
<br /> �onstr�ction, County and C�ty cod��, aonting �egul��lans, �nd tand developme�t cegui�tion� t� the �url�diotion. 1 aiso
<br /> certiiy th�6 I undersfarod th�t th��eg�atatians of ather governm�nt agencles may�apply�tm �he lntended work, and that it is
<br /> my��sponsibility to id�ntffy�what.�ctions I must t�ke:to be,ln,campllance. S.uch ageneles includs bwt-are.nat Iimit�d to:
<br /> - Depart�en# of �r�vEron�nental=£�rotection�ypress.�Bayhead�; 1�etland Are�s and Enviroromentafiy �ensitive
<br /> Lands,�iVat�edWastewa#er Treatment.
<br /> - Sauthwest Ftorida Y�0�4e� Managemeret: :�8s�lct-Wells, Cypress.`"8sy.heads; Wefland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Ee�gir�e�w,�aSeawallst Cl�cks� Na�r��a�s wat�rw�ys.
<br /> - Depar�mer�t of Health � Re�aabilitativ� Services6iEnv3r�nmentai Fdesith Unit:V9teils, V11ast�water�Treatrvicenf,
<br /> Sept9c Tarik�. � ,
<br /> - US Environme�ta#Pr�#�ction Age�r-Asbe�to�abatemenf.
<br /> - Feder�t Aviatlon Authori9y-Runways.
<br /> &understand tha#the followlr�g.�r�strl�#ions�pply to th�t�se of fl!!:•
<br /> - Use of#iti is not atiouved in�load Zone"V"unless expressiy permitted.
<br /> - If the flll materlal is ter.be used:�In.�Floa�d Zon�. "A°, (t. ts ur�d�rstood that a drainage ptan addressing a
<br /> "cc�rvrpa�sating volume"wlft be submitt�d at#Ime of permltting vuhlch is prepae�d by a pr�f�ssfana# englneer
<br /> Iicensed by�he-State-o�Florida. ,
<br /> - !# th� �il! materi�l.ts to.be used f� Ftoad �one °�!� in{�annec�io��wlth:a �rmitted buiiding usfng stean walf
<br /> canstruction, i cettify that�19:w119-be wsed ortly to filt the area within the�stecn�w�li.
<br /> - If ftll mat�rial 1s �to be u�ed On any area, 1 certlfy that .use. of such fill wl19 na4 adv�aesely a##ect adjacent
<br /> propet#ies. !f use o#fil� is f�un� ta a�ver�e�y-.a#f�ct ad�a���t�prapertle�,.t�e owner may be cfted for violati�g
<br /> the cvndilions of khe"buliding-;p�rmit I�sued under tha at�ached permit�appllc�tlan, for lots less than one (1 y
<br /> acre w►hich ar�elev�tetl by fl11;a�ertgtneered drain�ge plat�ts required. .
<br /> if 1 am �he,�GEM7'_FAR TM�PJVE�RIER,`i;,promise in go�d faith to tnform the°owner of�khe permitting.condf#lons set forth In
<br /> ' this aaffidavit`prtor to commen�ing constn�ctlon. f under�t�nd fh�t��separate permlt may be tequtred for electrtcal �,rork,
<br /> n:�,...-x�r,�
<br /> plurnbing, signs, wells, pooEs; alr condittan�ng,.g�s,��ir=ather lr�sfaEratlon� no�.spec�lcally included�in.the application. A
<br /> pePmbt issu�ed shal! be�aonstrued to be a Ilc�nse-t�proceed wvith the work and not as.authorlty to.vlolate� cancel, alte�, or
<br /> set�slde any provlsfoe�s ot the techrtfcal.codes; nor�ha�il lss��nce�of a.pe��nit.pc�vent th��u{Iding O#fiic�al from therea�#t�r
<br /> requtring a correction.a�'errors in.piens; cans4ructlon or vloiatlons.of any co�de�. Every permlt Issued shall become inv�alid
<br /> unles� �he wrork authmrized.by such permlt�ls-co�nmenced�withln sfic months �f p�rmlt tssu�nce, or !f wark authorfzed by
<br /> the pe�it 3s saspended�ar abandoned-for a:peeEod of�six f8)�manths.after the t3me th��wark is coer�m�nced. Aro extension
<br /> may be requested, in writing,.from the Building,Official for a perlod��not to exceed nlneity(�4� days and wilf d�monstrate
<br /> �ustl�3able c�use fot=the exten�lo�: �f muork c�ase�for nir�e�r(9Q}cons.ec�ative:d�yst..th��ob��s�consldered abando�ed.
<br /> WARIVONG T� 04VN�R; 1fOldR.FA!l.URE TO.;��.�.t�lt�,N �OTIGIE gF-C�l�lM�W�EI�iIE�t`T:MAY R�SU�T it� �lC�i1R
<br /> PAYIIV�TWiCE iFOR OMPROVEMd T��Tfl Y-S)U��:PR�U�ERTIF. IF Y�.U�IN'��D�TQ��BT iN•�FINf�I��'IidG;'G.ONSULT
<br /> WIT YO /41�l� O'.Es �CO D G� O ` � � �:q `' T
<br /> FLORIDA JtlFtA�'�{ S:t .03I .l�
<br /> . �
<br /> �OWN�Ct OR/1t3ENT -,;.__ � GONTR�CTA - --- -- - - ---
<br /> 8ubscrtbed and�wro ' {or afllrr�e b� 'r�e thls Subscribed�t'td'satam ta{ar aillrmed}•b' tne iS
<br /> �y .by
<br /> VVho Islare personally known to.me a has/P�ave produced VYho(s/are per�onallykno4�un ta me ar as/have-produced •
<br /> asfden��catlon. �siden��ca8on.
<br /> 4
<br /> Notary Pubiia . tdotary Pubitc
<br /> Cnmml�ston Na. Coms�►isstan.No.
<br /> Plame oC tdotary typed,printed or sRamped IVame of Motary typed,printec!or s#ampad
<br />
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