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<br /> NtaTICE Q�DEED RES �R1GTtQNS: The understgned u�derskands that fhis permit may be sub�ect to"deed°iresfrlctions°
<br /> which mey be more resf�ctive tt��n Co�'nty regulations: The under"sigi�ed assumes responsibility for compliance wiEti eny
<br /> applicable deed r�str�cha s. : • �
<br /> UNLICEHSED CON�CTOR� AND Ct3NTRACTUR RESPONSiBiCiTiES: ff fhe.owner has hired•a cont'racfor or
<br /> contracfors to undertake ork, they may be reyuired to be ficenseti in accordance with state and iocal regnEations. 1fi fhe
<br /> cantt�acEor is not i�cense� as re�yuired by law, bath the owner and contractor may be ctted for a mtsdemeanor vlotatfan
<br /> under state law. If the wner.4'r intended cantraetor are uncertain as ta whak licensing requirements may apply for the
<br /> intended work, they are dvised�to contact the Pasco Counfy Building In�pection Division—Licensing Sectiort at 727-847-
<br /> 8009: Furfhermare, ifi f e owner has hired a confr�ofc�r ot contractors, he is advised fo have the confractar(s} sign
<br /> portions of fhe "eon#racf�r B#ock° of this app{icaEivn�fat which fhey wili.be responsib{e. If yau, as the owner sign as the
<br /> cont�acfor; that:may I�e'an indication �hat he is not prop�tfy li�ensed and is not entit{ed #o permilting privileges in Pasco
<br /> County. � � �� � � ,
<br /> TRANSPaRTAT1oN IM ACTlUTILITIEs IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportatian IKnp ct�Fees and Recourse Recovery Fees may appty�a fhe construction of new buiidings, change of
<br /> use in exist�ng buiidings or expansion of exisfing 6uitd'mgs, as spec�eci in Pasco Caunty Ordinance numher 89-07 and
<br /> 90-07, as amended. T e undersigneci aisa ttnderstands, that such fees, as may be.due, wiil be identffed at fhe fime afi
<br /> permif�ng. It is fu�#her ndefstood that Transportation Imp�ct Fees and Resaurce Recovery Fees tr�usk be'pald prior�to
<br /> receiving a� °certtfieake o ocaupancy° or finai power release. !f fhe project does not involve a c�r�ificaEe of occupancy or
<br /> fit�al power�elease, the fees must be paid prior ta permit issuance. Furthermore, iP Pasco Couniy Water/Sewer Impa�t
<br /> fees are due,fhey must be paid prior to permit issuance in accordance wifh applica6te Pasoo Courr{y ordinances: �
<br /> CONSTRUCTION t�IEN LAW{Chapter 7i3,Florida StaEntes,as am�nd�d}: lf vaivation of work fis$2,5o0.OQ or more, 1 �
<br /> certiiy fhat i, fhe appii ant, have been provided with•a copY q# the °Florida Cons#nzction �.�en Law—Homeowr�er's
<br /> Protec#ion Guide" prep red by the Flortda Departmen#of Agriculture� and_Consumer Affairs. !f the applicant is someane
<br /> � other�than the.°ovvner°, certify�that•!�have obtained a copy af the abave de5cribed document and prnmise in good'faith ta
<br /> I deliver it to the°owner" rior to commencement. � •' -
<br /> CONTRACTOR'S/UWI�ER'S.i4�FIDAVIT: 1 certify thaf atl fhe informafian in this appiicafion is accurate and that atl work
<br /> wilt be done in campfia�ce wifh atl applicabte taws regulating consfruction, zaning and land�deveiopment. Applicafion is
<br /> I hereby made ta obtair� a p�r��t Eo do work and insta!latfon as indicated. i cer�iF}r that no wark or installation has
<br /> ; commenced priar ta �ssuance�of a permft and #hat a!! work wiA be performed to meet standards of all laws �egulattng
<br /> construction, County a�d C1ty;codes, zoning regulafions, and fand development regulations in the Jurisdiction. I al"so
<br /> certify that 1 tinderstan�that tFie regulatians of ofher governmen#agencies may apply fo fhe intendect work, and fhaf iE is
<br /> my responsibiiity to identify what actions 1 musf#ake�to 6e:irr compiiance. Snch agencies include.bvf are nafi timited fa:
<br /> - Department af Environmentai Protecfian-Cypress Baylieads� Wetland Areas and Eriviranmental[y Sensifive •
<br /> Lands,lNa er/Wastewa#er Treatment� , '
<br /> - Southwesk Florida Vlfater. Management District Wells, `Cypcess Bayheads, Wetland Areas, Altering
<br /> Watercour es. + " -
<br /> - • Army�Corps of,.Engineers-Seawalls,Docks,�lavigable ilVaterways. �
<br /> - Departme t of Healtii&"`�tehatiiiifafive Serv�c+�s1E"rivironmentai Nealtfi Unit WelEsr.�lVas#ewater Treatment�
<br /> Sep#ic Tan s. � •
<br /> ! - US'Enviro meritalt�Protect�on Agency-Asbestos abatement,
<br /> i - Federa!Aviation Authority-Runways. .
<br /> !understand that the fr�llowing�restrictions apply to the use of�It�
<br /> '� - Use of fll1 I§not allowed in Flaod Zane°V"untess expressly permifEed: "
<br /> � - If fhe fitl maferia is to be used in Ftood Zone �A", i# is understood fhat a drainage pian acidressing a
<br /> ".compens�Fing vo��ume"vuiil be su6mitted at•time of permittzng which is prepared by a prafessidti�l`erigineet'
<br /> ilcensed b�fhe State af�lorEda.
<br /> , - : 4f the ftll t�taterial�is ta be used in Flood Zone "A" in connection with a permitted building Using;stem walt
<br /> ' constructi n,.l cert#ify that fill will be used only fo filC the area within the stem wall.
<br /> - If flll mat rial is ta be used in any aFea, 1 cerE'riy fhaE use of such fiil wili not adversely affect.adjacent
<br /> ' properties tf.us� af filf is found to adversely affect adjacent praperties,the owner maY be cited fac viataEing
<br /> , the condiEfians-of�fhe building perm9E issued under the aftachec! permi#application, for lots less than ane ('1)
<br /> acre which are elevated by ft!l,�an engineered drainage plan Is required..
<br /> If 1 am Ehe AGENT Fq�R THE�OWNER, t promise in goQd�faithi to inform the owner of fhe permiffing cc�ndifions set forth in
<br /> khiS affidavit priar to ci�mmencing construction. t understand thaE a separai� permit inay be required far elecfrical work,
<br /> � piumbtng, signs, weti , pools; air concii#ioning, gas, or afher'instatlations no� specifiicafly included 4n the appiicatian. A
<br /> permit issued shaii be�constrited to be a license ta proceed with the wark and no#as authortky to_v�olate, cancel, alfer, ar
<br /> ! set aside any provisio�s of fhe technical cc�des, nor shafl issuance af a permit prevent t�e Buiiding Offic'saf fram thereafter
<br /> �requicing>.�;.co�rectiort:�of..err:ors-ia..plat�s-,;.constr.uctlo�.oe'violations of any cades. Eve�r permit issued shall-became-i�valid- �--..
<br /> uNess the work authc�rized by such permit is commenced within six months ofi permit issuance� or if work a�fhorizec�by
<br /> the permit is suspend d ar abandc�ned for a period of six(6)monfhs afiter fiie time th�work is commenced. An extension
<br /> may be•requested, in�wciting from fhe Buiiding Officiai for a-period no�tv exceed nirtety.(90) d�ys and w�11 demanstrate
<br /> ' jusfifiabte cause far fhe exte�sian. if worK Ceases fer n�nety(90}eQnsecuEive�iays,the�ob is cor�s�dered abahdoned, ,
<br /> WARNlNG TO.,OWN R: YOUR FAILURE-TO RECORD A NOTIGE OF COMMENCEMENT 1fAAY RESULT IN YOUR
<br /> - -----PAYIt�IG�TWICE_FD.•_M@ROVEMENTS T+D�YOUR•PROPEFITY. �iF Yt�L1,INTEf�D,Td.OBTAi�1 FINANCING,,CQNSUl.T
<br /> WITH`YOUR LENRER OR AN�A1Tt1RNEY"B�FC}i����F(��Qi�i31�iGYtC��P,�fiQ'�'l��C11F>GO�l�1l�NCE`'MENT,� _ - __ �__
<br /> FLORiDA Ji3RAT(F:S.11�.03) .. , � . f
<br /> OWNEF2 OR AGE ,
<br /> ` cONTitACToR r--'��.-�,_. . .< � .�
<br /> Sttbs ri�t d and swam fo ��!}b�fate me thls ' - Sabsctib and swom�to(or a,�ed efo_r�me th�s
<br /> jz��� {yy ,,�J<�I��di�"+^�' VU�/�;,L�bY �".'�'v�'�'�`Lll� �""'e.
<br /> Who is/are personaify knoVun to m�ehasR�ave praduced o is/are p�rsonatly known fo me oc has/have prodnced
<br /> i a identification. as identi�cadon.
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<br /> � Notary Public r��:�— • Notary Pu6iic
<br /> .�'":tt••p:;� DOUG BUAlE7T � a�`;��:;°�� . DQUG.BUE�,Ei'f' �
<br /> commtsslon Na. • Cotnmiss2on 1'+l0.
<br /> * * IRES;November 1 i,2019 s i. Ea(PlAE3:November 11>2Q19
<br /> Name vf Notary typed, filtatedft�r � � �� ' Piame of f�totary typed.priated o ped ervC
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