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N�}T10E-OF QEED RE$TRICTIQNS:�'The undersigned.under�tands°th�#;thts:.p�rmif;may:be.ssubJect,ta„°deed"restrlcttorts°:�-- _',-.�,�_.
<br /> which may�be�motre.r.estFict(ve=tfiaa�t Caunty��i�egrilatCons.''The underslgned��ass"umes�responsitilllty-for�'compltance"�with.any"``�'"""�
<br /> UNltCENSED�CONicTRACTORS�A�1D CtJNTRACTOR RESPOt�fSlBtLtTi�S:�:-ff-ttre��ovmer=hasr`liiredf4�.contr�ctcr � � ' :' ,� ^��,�
<br /> .±, or
<br /> contractors to undertake work, they may:b.e.rr.,equired=_to.:be:_,Ilcensed In accordance:with,state:and;lacal,regulatians.:��lf�the���� ��
<br /> cont�ac#or is not Itcenseil�as requlred`liy law�-tioth�the owner arid-cairiytfactoT=rii�ay�be�cltec!}for°�a�i»ls�erriesnor vtaiatEon
<br /> under state law. IF the awner ar Intended�;contrat�tor;,are;uncertaln as to wliat Ilcensing,.requirements;may�-apply�Lior�the` -��� �����
<br /> intended work��they are�dvisei!to-ctiritact tlia,P2�sco County 8uildittg lnspectton�hrlslon_--Ltcensing Sectton at 727-847-
<br /> Sv08. Furttiermore, if ttre ou+ir+er'#ias�filreii`a con�ractoT or contractors, he ts aiivise�d ta have�the cantractar(s),.s19n.,..,,;, ,
<br /> portions of the °c.ontractar Block"...of.this_applicatian.for�which�they.wilt.be.,tesp.onslble.- If:-you,�as_.the ovvii`er"sign`eg�'the`� ' �
<br /> .. _ _._ ._�.. .�_
<br /> con#r�actor� that�may�be an Indication that'fie ts"not�ptcperiy"licensed'arid�ls�not entitted to permitting prtvlleges in Pasc:a
<br /> County� ' � : .;� . _ , � ,_.
<br /> TRANSPORTATItiN�IMPAGTlUTILITlES��IMPACT ANb�RESQUttCE RECOVERY�FEE�;�T�he onder"slgned"unders#ands
<br /> #hatTranspartation impact Fe�s and.Reco.urse Recave.ry.Fees msy��apptyc:#a�the construction,of new bultdtngs�;change��'of'�=`�`U`= ��
<br /> use in exisNng bulldings��or.lexpansi�n��of�existin�:vtiuildings, as specM1ed.in Pasco County Or'dinance number 89-07 and �
<br /> 90-Q7, as amended,�:Ttte undecslgned a4so,understands� tti�E�such fe.es.was tn�be�:dae�:wi1F';be i�ent�ied at fhe�time`�of=t" �.� -
<br /> permitting. It Is iurthe�understaod that Tra�sportation lmpact Fees and�Fiesource'Reco�ery�Fees�must be paid pdor to -
<br /> rece�ving-a."cerfific�tte=of occupancy"or flrtai�,powe,r..rele�tse, :I(°the proj�c#.does.rio��nvoive=:a-certiticate of occupancy-a���.;:", .; .� '
<br /> final power_reiease;_ihe_.fees mu�t tie paid,p�lor#a.,permit tssuance. Fti�thermore;1�Pasco�,.C.ounty°1NaterlSewer>Impact� - ., .
<br /> fees are due,.they�must.be:pald.,prior to.permit�-lssyarice:.in_accordance with�appllcable_Pasco'�.County�ordinances. •
<br /> CONSTRUCTtON'CIEF!`t.AW.�Chepter 713,F1ar�da S#atutea,as amended): tf valuaNan of wark Is$2,500.00;oc�more,.4 ,.
<br /> certify tfiat I, the �applicant,.-have.beer� pmvided �wtth•a=copy-of the�"Florida���onsWction��Lien:Law�-Homeowner's
<br /> Protec#(an Guide° prep�red by.`tt�e Fioi�da DeparEmenf of Agr�cult�re and Gonsumer.�.AfFalrs. 1##he appltcant 1s someone. .� : :• -:
<br /> ather than the`owner", I certify�.#hat I,:h�ve.obta)ned=a��copy;of:#he:abova.des.c,ribed�locui�entand:pr�mise�Jn•;good:faithto ,
<br /> deliver It to ttie,'owne�"p�lor to•i:ornmencement:� " , . . . . : � .� _ • _ . .
<br /> CONTRACTOR'SIOWNER'S AFFiDAViT: i.�rt�y�:.ttfat�atl�_th�,.information:.in'.thia appticattan 6s accurate.and tha#atl work
<br /> will'be done in compliance wfth all.appltcable`laws regulating constructlon� xontng and��land�development. AppOcation is
<br /> hereby made #o obtain.a.petmi#;�ta do-wot�3�:�and;l�istellatlon as Indi�ated:=.:..:1 ce�t1#y that no workIIor Ins�allation tias
<br /> commenced prlor #o Issu�nce of'a pemiit"antl that:ali work will be perFormed�ta meet..standards��af all laws regulating-
<br /> avns#n,tc#Eon, County and Gity codes, zonfng regulatlQnsf and land developmer�t cegtilations�In'the Jurist3iction:� 1-ai'so�
<br /> cer�fy that 1 understand that the regula�tons of othe�gove�ment agencies may�apply�to.the.intended work� and that i#is
<br /> my responsiblltty to(den#ityr•what.acttons!must�take.to be�in:.cotRlp!lar�ce.�,S,uch.agencles,include but are.not limited to:� -
<br /> - Depattment of Erlvironmental=Ptatecttori`=Cypress:"8�yheaii�;�1Netland Areas and Environmentatly 5ensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Saut�rest Flartda 1N�ter Managemen�-:I�istr�c#=Vltells, Cyptess.r.`Bay�teads;� Wetland Areas, Atter�ng
<br /> Watercourses. - ' �
<br /> - Army Carps o1'Engineer"s-Seawalls�Docks�Navigatite Waterways.
<br /> - Departmenf of,.Health::.B,Retrabilitative;SetvtcestEnvitonmen#al�-Health l�nit:Vlletis� �Wasternrater<Treatment, -
<br /> Septic Tanks.. � „ . � �
<br /> - US Environment�l Pro#ection Agency Asbestos abatement.
<br /> Federal Avletlon-AutMo�ity,�Runways;.
<br /> !understand that the.tollovulr�ig:.restricttons apply t6 the use of fllt:�
<br /> - Use of ftlt is not allowed in:Fiood;:Zone"V"unless expressiy permitted.
<br /> - if the fill mate�Nal"ts �to"b.e usedo In��Flood Zone "A", It is understaad that a drainage plan addressing a
<br /> pcompe�sating volume"will be submitted at�ime of�penm3tttng w�itch Is prepared by a praf�ssiartai englneer �
<br /> Ilcensed by�he�tate of;Flotida:� -"� �"i ' �: � � -
<br /> - !f th� f�ll-material=is�-to be:used in Flood �one 'A" In>connec�lon�wlth~a �ert�ttted buildMg using stem wail
<br /> � construatton, i ce�tify that.fliLwail.b.e�used only.to..fill the area wlthln�the�stem�wa11:
<br /> - If fill material Is-ta be used in.any areaf I�certNy that .usa of such fl!I wlll no# adve�ssly aifect adjacent
<br /> praperties. It use of f�lt is fo�nd to.adver.$e�r,.�ffect adjacer�#.prc�perties,.the awner may be cited for utoCating
<br /> the cond�lons'of.the b�ilding`.permit-Issued�under the'at�ached:permit applicatlon,-:.foc�lats:lessthan.one (1)
<br /> scre whlch are elevatetl�6p f�it,a�t ertgineered dralnag�pt�n 1�requlred. � ..
<br /> If 1 am the AGENT�OR 7HE OWNER; i�.promise In.good faith to Inform the awner of-the permitt(ng candftlans set forth In
<br /> this affidaVit�priar!o cornmeracing consbvctRon. 1 undersfend that�a�,separate patmtt may be requtred tor electrfcal work, _
<br /> plumbing,.signs, weiis,.pools; atr candi�oning,-.ga�s,,�.ar other`: iristalt�fions nat•spea�tcatly included in.the apptication. .A ..
<br /> permit issued shall be canshued to'be�a`Ilcense'-to�p�oceed wlth"tNe work and not as:authoNty to:violate;::aancel� alter, ar
<br /> se#as3de any�pr+avlslons of the.#eclin#cal code�;�nor shelt Issuancs�a#a.permit.pEeveM fhe Bulldirig{�ctal trom thereafter
<br /> requfring a;co►rectian af errors in�plans,-consfruction.or vlalations of�any codes. Every p�rmtt-=lssued siiall��ecom�invalid
<br /> unfess the work authorfzed.by such permi#:�s_cosnmenced�wtth{n s[x months af�permft lssuance, or iF w�rk suthat�zed by
<br /> #he permit is.suspended.ar,:abar�doned-t'or:a:perfodrof�si�c�:Efl)�manths:.:after;th�tlrrae.the�wo�lr�s commen�ed, An e�ctension
<br /> may be requested� in writing�.from tHe'Building,Offlcial-for a_period�.not_to-exceed<nineiy�(90)'-days-and=vvlll-demQnstrate-- - -- ---
<br /> �ust�fa6te cause for.�tlie ex#ension� If work ceas�ss.for nlnefy.{90}cons.ecutive:day.s,..the job�ts consfdered aba�doned:
<br /> WARNlNG Tt3 OWNEI�; YOUI�.FAIE.lJRE,TtI,RECQ�tQ,A,�lt?TlCE.QE.tCQMMEMGEMEMT-.MAY°RESULT•fN Y4UR
<br /> PAYtNG TWICE.FOR�IMPROVEMEN'fi3�Tt1.�lOUR==PlttaPERTY:��IF�YO.U{I�FTE�D�'�T��'JBTAIN��FINAt�E1NG;�CONSULT
<br /> WIT D � � N� O NEI� FO'R ',, OR�i G�; QU ' � � -:p '. . E ,..
<br /> ,..: , . . . . _ .
<br /> .. , .. ..- . = ,
<br /> F�ORIOA JURA�'�{F:S:1 : } . „__......__ =_ -
<br /> � �
<br /> OWNEIt OR AO�NT " , CONTRACTO '
<br /> Suhsccibed and swom to{or a m�ed)before me lhts StibscxE6ad and'swom=to(ot aifltmedpbefare me tht�.
<br /> by „by .. .. ., .
<br /> o I�are personally knrnm to.me.or haslhave produced Who.ls/are;p.e,r�anally�Cna�wn�lo me�or heslhave•produced
<br /> � as IdenURcaUPn. as tdenti�cation.
<br /> Notery Pubilc . � Nbtary Publlc
<br /> ��.� w.�:�:<P�:a:,� •
<br /> Com n y�• � L�9C��,1__ Com s � ..,�.,,r. .� � :_. .
<br /> � .,.r• .a
<br /> '��mission#FF 137073 :.; ::: Car.��risr;i;;u„�-; :i:?'r�i:i
<br /> i*� :rt g,'rr,,. nc;�• )r1�o
<br /> Name o1 Nota + T�I�+d�ranro&'�385-i019 Name ot a �„ �d.prieted or stamped:_l.nee.rots
<br /> ��,�.„ �,:-.;,�,�:�:��,�.
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