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<br /> ,, . , ��th�t:thls:�p�rml�:,may�b,e;sub)ect,to."de�d",r�strictions":..:. ...._._
<br /> MpTtCE��DE��RESTRIC�O�i�: The und�rsigned under�t�nds
<br /> which mayti��inore�r.estfiative=th��Courity���reg�lations: TP�e�-und�rs3gr��d'`asstioiie's'r�sponsiblltty�for°iompiiance�.iwit6i any�"' � �
<br /> applicable:deed=resMctions. ,._�...:...:: :. .: .�= ,._. . ._. _:. ' .. - � ` " . ..
<br /> UNLICENS�D-°CANTRACTBRS AND:CONTRACTOR RESPdNSI�ILIT'IES: ==if`the-�owner�has��'hired�a�:e�ntractvr or.
<br /> contractors to undertake work, they may:be:r,�qul�,e,dhto:�ba:pcensed.in:accordance.with�stat��.and,local�,tegulatlons: �if`the'�" -�
<br /> I contractor is not.licensed�as o�equlr�d:by la�iv, both�the o�er �nd�contractoP°•may ba�cited for'a4misderr�eanor diol�tion
<br /> under slate lawr. If the owner or�Intended>;c,�nt,r;a�tor�ere�uncert�in es to wh�t Iicensing:reqylce�nent9,fenay��apply.�r=!lie�•:�;- - _�
<br /> intended�iork, they ar��dvlsed Co contact the:Pasco'County�ull�li�g'In�pectton:Dlvislon-Ltcensing�Sectlon at 727-�47-
<br /> 8008. Furthermore, if the ovirraer`has Filreil�a�cont�actbr or contractors, he ls advteed to hade the a:ontractor(s);;sEgn,_ ,
<br />� portions of the �contractor �lock"_of.thls:applicatlon-.for which.they,.wlll.b.e•r.esp.onsible: If,:you�;,:as._the oviin�rtsign�as'the " " �
<br /> - -._, .r_ ..
<br />' contractor, that may�be an indicatlon that'he`is not:properly'Ncen"sed'antl 1� o�oY entiNed fo p�rmlEting p�il�ges-ln Pasco
<br /> County. : . ._. . , ,. �.
<br /> TRa4N�i?ORTATION.I�IPACTIU'1'ILIIFIES•r�IPA�`�At�b I�E�0U1�CE RECOVERIf�FEES: The undersigri�d understands
<br /> that�'ransportat9on Imp�ct Fe�s and.Reco.urse Recove.ry„F�s mey:;apply�to�the_constructton of new_b,ulldings,lchange�'of4°� ��;:� �: ;`
<br /> use in exisNng buildings, or._experisio�,�of�eztsti�i���buildings���s specifled.fn P�sco�County Ordinance number 89-07 and ?'
<br /> 90-07, a� amended.r..Th�. undersigned also..�utiderstands, tFi�t`such fees;�as>mayr��e��dne;twilF�.tie.identifled at the��time^;of"- n~�-�`� �.
<br /> per�itting. It is funfier unde�stood that T�insportation Impacf`Fees and�Resource.:Reco�ery��Fees..mu�t�be paid prior to �
<br /> rece4ving a 'certfficate�of occupancy" or��iin�l=power�r•,ele�se: :If��the.proJect�.:does:not Involve:a��certificate��of occupanoy�o�,���� =- �-�
<br /> final power rel�a�e;!tFie�:fe�s rtnu�t be�pattl,p�ior to.,,permit Issuarice. F��thern�ore;°if Pasco,�..C,ouniy�VVateriSewer;Impact , - �••r��
<br /> feesaredue,_1h�y,mustbe,paid=prior�o.,permit�Issuai�ce�in..accordance�wlth.appllcatife.Pasco'�County�orclinances. � �
<br /> CO�STI3�GTIOR� GEN'�I.AYV(C�i��sfer 713� EloNda Sta�ut�s��s amend�d): If valuaHon of work ts$2,500.00�,or more;�l� ,::•-. •�,•
<br /> certify tHat .I, �the.�applicant;-h�de-been _provided•�with�-a copy of�:the�"Florida•�Const�uction�_Lien:Law—Flomeowrner's
<br />, Protection Guide" pr�par�d by the Flo�da Dep�rtment�of I0.grlcu0ture and Cons,�a,mer.;Affairs. if the appl(cant Is someone:. . ,
<br /> ofher than the`owmer", I certifjr..th�t��lyhave;ob,tained``a��copy;of..#h�above.des�cribed_�focu�ent;and;p�or�ise;.in;good:,faitFi,.to . ,�
<br /> deliver it to tfie<°oHme�`p�ior�to�coenrii�ncement:"', �. . ` � � -. ; '
<br />', �ANTF�CTOR'SIOaYM�R'�AEFIDAVIT: I.ceitify:;:that:all.�the.lrif.orrn�ti�rt::in�thl��pplic�tlon is accurate�nd tha4 all uvork
<br /> �._.,
<br /> will�be done in compliance with all.�pplicable laws regulating con�truction, zoning �nd�°land�'development. Applicatlon is
<br /> hereby m�de-to�obtatn..a;permit:;Co�:do.�wo�`k_:.and'li�stall�4lon �s indicefed:.�.��:°I� �rt�y tn�t no wo��'�or Ins�allation fias
<br /> commenced p�lor to issuance of a p�rtii(t an;d thaY.ail work b►III �e pertorm�d to meet.standards-of ali taws regul�ting�
<br /> construction, CounQy and City codes, zoNng regulatiQna� and land development regulatioros=in the lurisdict(on. i�;al'so
<br /> cer�ify that I unde�stand that 9h� r�gtalatlons of othe�governm�nt agencles may��pply�to th�_intended work, and that it Is
<br /> my responsibllity to identif�r�wha�,acttons I must take to b�,In�oompllance:,S.uch.agencles IncEude but are.not IlmiCed to: �
<br /> - Department of Er�vironrrsental�Protectfon-Cypresg.�Bayliead�, V1leNend Areas �e�d Env(ronmentally Sensttlde `
<br /> Lands, Water/W�stewater 1'reatment. �
<br /> - Southwest Flortda Water Manag�ment: .�istrtct-4Nells, Gypress.�+Bsyl�eads; Wetland Areas, Altering
<br /> VNater�urses.
<br /> - Army Corps of�ngln�ers�Seawalls,'Docks, Alavigatile Waterways.
<br /> - Depa�tment of_�Flealth�,&,.Rel�abllit�ffv�.,Se�viceslEnvironment�l=H��lth U�It:Well.s; Wasteviraater=Treatment, ,
<br /> Septic Tanks. � � - . �
<br /> - US Environmental Protection Agency-Asbestoa�bat�ment. •
<br /> Federal Aviat�vn.AutMorlty,,,=Runways:��
<br /> I understand that the following��estr.lctlons apply to-the use of flIL• �
<br /> - Use of flll is not�Ilowed i�'�Flood;Zon�"V"unl�ss expressly peccnitted.
<br /> - If the ��10 mate�l�l=`is to�b�e usetl-ln::flood -Zone. "A", it is und�r�tood that•� dralnage plan addressing a
<br /> "compensating volume"wlll be submilt�d at time of:permittOng which (s prepared by a profess(onal engineer
<br /> Iicensed by tlie��tafe of`Flofida:
<br /> - If ih� flll material=ts_to be�uged IFl Flood Zone 'A° in�conn�ction�with�a•permitted building using stem wail
<br /> ' construction, I ce�(fy that,flll:vulll-b.e�used only.to.fill the area wtthin�the�ste�n vuall.
<br /> - if 4111 m�terial is 4o be used�lia eriy a��a; 'I�certlfy tha4 .use. of such flll will no4 adversely a4fiect aajacent
<br /> ' properdles. If use of fill.is f�und to;.adversely.,�ftect �dJaEent�praip�r�les,.the ov�rner may be clted for vlol�tOng.
<br /> the condllions of the bullding':permi4..lssued undeP the.Aattached,�ermit�applicatlon, for lots:less-than:one (1)
<br /> acre vvtiich ere elevated'�by flll, a�r engineered dralreage plan Is requlred. � .
<br /> If I �m the AGE(dT FOR THE OVYNER; I�promise,ln__good,fatth to inform the oumer of��the permitttng condftions set forth tn
<br /> this aiiidavit�prior to commencing constructlon: I under.starid thet_a-separate permit may be requlred for elecMcel work, ,
<br /> plumbing, signs, w.ells,.pools;. �ir condltioNng,-.g�s, or�oth�r- Insf�li�tlons�no�,specpfl�ally included�in the�application. .A
<br /> permit Issued §hall be const�ed to fie'�a�license'-to�-proceed with tNe work an�-not�as:�uthoNty;to,viol�te��cancel,,alter, or
<br /> set aside any provlsions of tii�teclinical,code�;�nor shail Issuance�of a.pe�rntt.prevetat the�ulldirig 06flcialfrom thereafter
<br /> requiring a correction-af ercors In.plans;constructlon or ylolations of-�ny codes.. @very p�ermit issued sfiail become•invalid �
<br /> unless the work authortzed.by such permtt:�s.commenced�wlthin sfx,months of permit issu�nce, or if work autho�ized by
<br /> the permit is suspended�or..aba�doned-for:a�;peNodrof-eix�(8)�montFis:.afte�the tlme the�work��s commenced. An extenslon
<br /> may be requested, In_wrftttig;:_�om tlie.�Building,Officlal_for a p�riod.not to exceed•nineqr,�(90)'days and-wlll demonstrate
<br /> justlflable cause foP:the extension�. If work ce�sea.toe nlne�y:�90)cons.ecutive d�y.s...th�)ob�Bs�con�idered aba�doned:`
<br /> !M/�RMING TO O{PYIdER: XOUR..FAILIJRE,.T�1,It��:ORD.A:;�IOTI�E:OF:�COMMEIVCEMIENT�MAY°RES(JLT IN�:YOt1R
<br />� PAYING'PWICE:POR,IWIPRAV�lklIEN�'$•T�A�OI•IR;PRflPERT�1(:��I��.YO.EI,IAF�END�T��:° .�AIN��FIN��1E11VG;'C.ORlSUL'�
<br /> WIT U D � O N �'R t, OR� �:� OU �• _ � �� � .;�' .�' � �
<br /> FLORIDA JURA'�:(F:S: 7.03): '` . � ' .. '
<br /> I OWRIER OR AO�N �� . COidTRACTO "'- � ^ �
<br />, 5ubsarlbed and�wom ta(or afliRned)betore me fhls Sub�cribed end'swom'to(ow efflrmed)�before me'tfii8.
<br /> by •by -
<br />, Who isfare personally,known to.me.or.has/have produced 1Nho.ls/are p.ersonally�cnowm•.to.me orheslhave•produced • -
<br /> as IdenUficativn. as Identlflcation.
<br />' Iute�qcPublic � Notery Publlc
<br /> Commis lo .o`.s"'' Commis "'�`�"`�
<br /> ��,,, `�,,,.cr;g�; .
<br /> ,,•'si�:�-., JOEL E.BACON :,,• .._ Commission#FF 13i07� �f
<br /> Name e!� ,_, ��1d� Name oi � oP, , �
<br /> :;a; �a: xpiresJune29,20�8 ''�RFn;,.� BondedTlwTrayFanlns�r;.ncev�3Bs•7C701
<br /> %'�,,pF��°:'�` BondedThmTroyFainlnsuranceBW385•7079
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