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<br /> NO'flCE OF DEEQ RESTRIGTIQNS: The underslgned undeirstands;th�#this:p�rmlt may be ssub�ect fo°deed"restricttons° �
<br /> which may be�more;restrictive�th�n Gounty'`regalatlons:"�Therundersigned'es`sumes responsibility for'compllance witti any
<br /> appltcabis.deed rest�lc#lons, ., . � . .
<br /> UNI�ICENSED CONTRACTCtRS AND CONTRACTCIR RESPONSIBILITIES: If-the awner has�fiiced �a contractor or
<br /> contractors to undertake work,they may be:cequ'Ired,:to:berlicensed In accordance.wlkh state.and:lacal regulatlans, ff�the�
<br /> con#ractor ts not licensed as requlredy6y lew� both the owner and contr�c#or=may be�c�ted-for�a'°mistlemeanar vlalation
<br /> under state law. If the owner or intendedjcontrr�ctot are uncertain as to wha# (tcensing.requirements may,apply�far'the
<br /> intended work, they are advlsed to co�tact the Pasco Caunty 8ulldfn�g EnspectRoii DlVislon--l.icensing Section at 727-647-
<br /> 8009. Furthermore, if the awner has htred a cont�actor o"r`contractors, he is advlsed Ita have the cantraator(s) sign
<br /> portions of the "contractor Black" of this application for whtch they wilt be-responsible. .If you�=as-.the owner sign�as'tfie
<br /> contfaetor, tha#may be an 1nd#a�tlon that he #s �ot�.prape�� llcensed artd�is.�ot ett�tled;to pemiittit�gaprivileges in Pasco
<br /> County. �` �� �` ` .�
<br /> TRANSPORTATION;!#�PAGTIUT!l:IT1ES lMPAC`1'�ANb ItE3QURC@ RECOVERY�FEES:��Theunderslgned anderstands
<br /> that Trenspvrtatioh I'mp�ct'Fees'and.Re�Ca:urse�f�ecovery.Fees may,.appiy;to:the cons#r�ction of new buildings,e change�of' ` -
<br /> use in ex�sting buildi�gs, or,expansi�n�.of-ezistin,g°�b"uildings; as specifled.in Pasco�County Qrdinance number 89-01 and
<br /> SO-07. as amended. The uncfersigned alsaunders#ands, #hat�suah fees,:,asr-may_��e�<dne;,:wiil:�be Identi�ed at the time of -
<br /> permitting. It is furtfier unde�stood that Transpo�tation Impacf Fees and Resowrce Recoaery=Fees must be paid prio�to
<br /> rece�ving a "ce�fi�icate.of occupancy"ar#inaF-powerreleass: :If-the proJect.does:not invotve�a_.cert[ffcate of accupancy.oc°� �-
<br /> finai power release;,the fees�must be paid prior to permit issuance. F��thermore;-�if:Pasca��County�Water/Sewer�lmpact - �
<br /> fees are due�they>must be-pald-prior ta permlE=l�suance-in accordance witli appllcabf�Pasco'.-Coanty�ofdinances. �
<br /> CONSTRUCTION`LlEN LAW(Cliapter 713�Flortda Statutes�as amendedj: if vatuatlon af work is$2,500.00�or more, I - - .
<br /> certify that I, the applicant, have been .provided with-a-copy- of the°°Florida- Constructian:_Llen`:Lav�Hameowner's
<br /> Protect�an Gulde° prepared by_the Flor�da D"eparfine�tt of Ag�icutture and Consumer Affial�: If the appltcant ts someone P
<br /> other ihan the"ow�er", I certify thak;l,have,obtained�a�copy.of.the above..des.cribed document�and:promise in,good faith to ,.
<br /> deliver It to.the.°owner."r p�ior�.to�commencemerit:° . ,., � .. ... • .
<br /> CONTRACTBR'S/OWNER'S APfIDAViT: 1 ce'rfi[y_:that,ali.the�:information ln this applPcation is accurate and that ail work�
<br /> will'be done in compliance with all appUcable laws regulating�constivctlon, zoning and.land�develapment. Appltcation is
<br /> hereby made ta abt�ln..a permit #a do. work_..�nd instaltation a� Indt�ated:�:: ;1 cerl,ify #h'st na work'or #nstaltation has
<br /> commenced p�lor to Issuance of-a permiC and thaf.-all work will be performed�to meet standards of all laws regulating-
<br /> constructton, County and City codes, zoning regulattans, and tand devefapmer�t regula#ions�In the�urisdtction: �1 al'so
<br /> certify tha# i understand fhaf the regulatians of ather government agencles may apply�to the intended work, and that it is
<br /> my responstbility to identffy�what.acttons i must take to be�ln_.cor�p!lat�ce: S.uch agencles�include but are.not ilmited to. -
<br /> - Depa�#men# of E�vironmental�Pratection=Cypress`Bayheads, 111letiand Areas and Environmentaliy Sensitive
<br /> Lands, WatedWastewater Treatment. �
<br /> - Southuvest Ftorida Water Managemen#� .Dfs#rlct Welts, Cypress. Bayheads, Wettand Areas, AI#ering
<br /> Watercourses.
<br /> - Army Corps of Eng(neers�=Seawalls,flocks,Navigatite Waterways.
<br /> - Department of Health;'� Relaabiiitative S�rvices/Enviranmental Heaith Unit VNelis, Wastewater Treatment,
<br /> Septtc Tanks. ' _
<br /> - US Environmental�Pro#ec�ion Agency-Asbestos abatemen#.
<br /> - Federal Aviatton.Authorlty-Runways.
<br /> 1 understand tt�at the following..�estrictlons appiy to the use of flll:•
<br /> - Use of fllt is not attowed in Flood�Zone'v"unless expressiy permitted.
<br /> - If the flll mate�ial is �to�be,usedr'In:�Fload Zone "A", it. Is under�taod #hat:a drainage plan addressing a
<br /> "compensating volume"wilt be submitted at#ime of permttttng�nrfiich Is prepared by a professionat engineer
<br /> licensed by#he�State-of Florida,
<br /> - If th� fiti material.is-to be used in Flood Zone 'A� tn�cannectior� w3th=a permitted bu�lding using stem wa�l
<br /> � construction, I cettify that fiil�wlll:bs used oniy.to.filll the area wtthln the�stem wait.
<br /> - If flll materlal is to be used in any area; 1 certli'y that .use. cf such fl1! �rlll not adversely aifect adJacent
<br /> properties. If use of flll is found to adversety.affect adjaEent�properties�.the owner may be cited for vioiating
<br /> the aanditions of the building,perm(t issued under the at�actied permit application� far lots less than one (1)
<br /> acre whlctr ate elevated by flll�a�t englneered dralnag�i plan Is requtred, .
<br /> If i am the AGENT FOR THE OWNER, I,;promtse In gaod faith to infarm the ownerof�the permttting condftlons set forth in
<br /> this affidavtt�prtor to commencing construcflon. ( uniierstand that.a�separate pe�mlt may be required for etectrical work,
<br /> ptumbing, signs, wetis, poots; air canditioning,.gas, or,other Install�tions no��spec�icatty included in.the application. A
<br /> permft Issued shalf be constcued to be a Ilcense�to-p�ceed with tFie work and not as:authoriiy to..violate� cancel, alker, or
<br /> seE aslde any provisians of#he techi�lcal codt�s; nar sha0 issu�nce�of a.permlt.pcevent the Build[rig t�tclat from thereafter
<br /> requirin.g a correctlon af errors in pla�s, canstruction or irlolatlans of any aodes. Every permlt issued shail become invalid
<br /> unless the work authorized.by such permft.ts-commenced w4thin s�C months of perm4t lssuance. or If work autharized by
<br /> � the permit is suspended or abando�ed for a period of six(H)mont�is:aftec the tlrne the�wotk is commenced. An extenston
<br /> � may be requested, in writing� from the Building.Officfal for a perlod.not to �xceed ninety(901 days and�wil! demonstrate
<br /> ' just�iabie cause for.the e�ens3o�: If avark ceases:for niriefy{90)cans.ecutive day.s,_the�ab�is considered abandoned.
<br /> WARNING TQ QWNfR; YOUR.FAILURE.TO.,RE�C1�tD.A N4TIGE OF�GOMMENCEMEt+tT-NrAY R�SULIC tN YOUR
<br /> PAVING TWICE.FOR IMPROVEIIAENTS T�O. �OUT�PR�JPERTY. �IF°YO.U�INT�1D'�TG'OBTAIN�-�IIV�ANCING;'CONSiULT
<br /> �WA]' _ ..DUR TT - B RE.; �ECOR^�INC.��� _ R� _��' �' ',. ;� � � � _ ���.-�T.�--- ' — . . -- —
<br /> - Ftc������� .s:,� -- _-
<br /> 0'mfVNER OR AOENT COIdTRACfiO
<br /> Who 4slare persona�lly knovm to.me�or has ave produced Who�arep.erso alty dcnown�me�°h�sm� �pro�duced���
<br /> r ��
<br /> as Iden flcabon. as tden8fica8on.
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<br /> _'�--� Notery Pubila Notary Public
<br /> Gomml No:' �,�„�,�„ Com/
<br /> ,�„�„�, '' : .
<br /> ,yrpf/�;.,, JOEL E,BACON *';� Y�`.«: Commission�FF 137073
<br /> Name of tVatary , �. - � 29 2018 �tame of N =P
<br /> + � '''..PF �Q.�` 8ondadTMuTmyFain su�arice860,385J0i9
<br /> .. •'h�'„PF�,°,�``, Bonded Tlw Troy Fain Inxurance Ba0�85�7019
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