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<br /> WOTICE�F D��D RESTItICYIOR�S: The undersigned,understands��,th�t-.this,-.p�cmit.may__be.subJect to,°deed" restrictlons" �.. � ..
<br /> which Pnay be�more-re'striettve-4h��a County fegula�fons. �Th��:uiede�igne�'assumes'r�sponsibility'for"'compliance vdttti a�iy � " "
<br /> applicable.deed•restrlctions. � �
<br /> UNLIC�N�ED� COIV7RACTORS AND CONT�►CTOR RE�PONSI�ILITI�S: (f=the=�wner has��'h(red a:contractor or
<br /> coe►tractors 4o undertake work, th�y may:be;ceiqutred�to=be-:licensed In.accordance.with state.and;local-tegulatlons. �If�the -�� "
<br /> contractor Ps not Iicensed�as� re'quired�tiy lavm, both the owner and'conU�ctor�enay be�cBted�for a misdemeanor vdol�tion
<br /> under state I�w. If th� owner or OnQended�.contr�ctor;are.;uncert�ln as to what Iicensin�.,requlrements.;may�apply:-��for:the =
<br /> intended"inrork, #h�y are adviseii to,contact tfie�Pasco County�uliding'inspectton_,:DlvOslon—Licerasing Sectton at 727-847-
<br /> �009. Fu�thermore, tf the own�r fias�'h9Ped`a cont�actor or cor�trac4ors, he�is �dvised to have th� contractor(s),.sign _ _
<br /> portlons of the "contractor Block" of..thla application:for�nihich they.wll�.be responsible. If::you;=as�.#he owner'sign"as th�� � �
<br /> contractor, that in�y'be an indication that'ti�`is not:prop�rly flcensed a�i� 0��not entitl�d to perrviiQting prOvlleges In Pas�
<br /> County. ��" �
<br /> TR�IN�PORTA7'ION.�IMPACT1lJTILIT'IES`IMPAC7'ANb�ItESOURCE RECO�IERY FE@S:�The und�rsigned understands
<br /> that Tr�nsportetion Impact Fees.�nd.Recourse F3ecove.ry.Fees may�apply�to the:congtru�tion of new.buildtregs��change��of' - � �=
<br /> use in exBsting buildings, or,expansi�n:�of ezisfbng�buildEngs, a� speclfled.in Pasco Gouroty Ordinance number 89-07 and �
<br /> 90-07, as a,mended,...Th� undersBgned also;und�P�tainds, ttoat:�such fees,:;as�may_be�du�;:wlll:�be ident(fled at the�time°�of��' ����
<br /> permitting. It Is fu"rtlier understood that Transport�tion Impact Fees ac�d'Re�ource..Recovery'Fees.must be paid prior to
<br /> receiving-a °cerEi�cate of�occupancy" or flnal-.power:release� :Bf�the project..:does.not involve�a=�.certificafe of occupancy-or�'��
<br /> flnal power-rele�se; the fees�or�u�t b� paid.prior to permft Is�uance. Ft��thermore,•if Pascv,.County"INater/Sewer�:lrrepact : ��
<br /> fees are due,.lhey_must be,pald.pelor to.permit iss4ance=ln accordance wiitti.applicable-_P�sco�County�o�ditoances. •
<br /> CONSTRUCYlON"LIEN LAV��(CIi��4�r 713� �I�rlda�t�tut�a��a am�n�ed): If valuatEon of work is$2,500.00:or more,.I� : , �
<br /> certify that I, �he. applicanQ, have.been provided�v�rtth a copy- of the �Fiorida� Construction� Llen.:L'avir--Homeowner's
<br /> Protectfon Guide" prep�red by tti� Flo�ida Dep��ment of Agric.ulture and ConsumerAff�irs. If the applicant I� someone ,- ,
<br /> other than the"owner", I certify thaQ I h�ve,obtained}a'copy.of.the�above:.describeddocui�ent°and.promis�In,ggod:faith,to
<br /> deliver It to.-the"owr�er"�.p�ior�:to�cornmenceme�iE:" - �
<br /> CONTRACTOR'SlO1MNER'�AFFIDAI/IT: I.cerQify th;at�Bl.Qh�;lnf.ormatlon::in�this appl�catlon is accurate�nd that all vvork
<br /> will'be don� in compliance with all.applicable laws regulating constructlon� zoning and l�nd development. Applic�tion is
<br /> hereby made to obtain .a perenit�30 ,do wotk;.,and�In�tallatlon as Indl�aRed:.� :i cer�ify Rhat no work-or Installation fias
<br /> c�mmenced prior to issuanc� of�a perrriit and that.all work wtll be performed�to meet standaTds of�ail laws regula�ing�
<br /> construction, County and GBty cod�s, zoning regulatlans, and land development t�gulations�in the jurisdicQton. i al'so
<br /> certify that I undersfand that the r�guiations of other governmen� ageneles m�y�apply�to the intended work, a�d that it Is
<br /> my responsibili�to identify.wh�t,act(ons I must t�ke:to.be<In:.complia�ce,.,Such:agencies Include b�af are.not limited to: �
<br /> - Depa�tment of Er�vironmental�Protectiori-Cypr�ss.`Bayhead�, 10!l�aand Are�g and Envirorameretally Sensitive
<br /> Lands,W�terMlastewater T'reatment.
<br /> - Southwest Florida !lV�t�r Management .Di�trEct-I�/elis, Cypress.'�Beyhe�ds; �VVetland Areas, Alter3ng
<br /> W�tercourses.
<br /> - ArPny Corps of Engineers��awalls, Docks, N�vtgatil�W�terways.
<br /> - Department of Health:'.8 -ReY�abllitat(ve�ServEcesfEnvironm�r�t�9 Health Uni�VV�II.s, VNast�v�ter�Tre�trn�nt,
<br /> Septic Ta►oks. � �
<br /> - US Enviroromental Protection Agency-Asbestos abat�ment. �
<br /> - Feder�l Aviatlon_Authori,ty.-Runvvays. -
<br /> I understand that the following;restricllons apply'to the use of flll:•
<br /> - Use of fill Is not allowed in:Flood.Zon�"V"unless expressly pe�naitt�d.
<br /> - if the fill mat�rfal is t�"be us�d,ln.�Flood Zone. "A", IG is understood that � dratnage plan addresstng a
<br /> ycompensating volume" will be submltted at time of;p�meifting which Is prepared by a professional engin�er
<br /> Iicensed by the�tate of;Florlda: - �
<br /> - if the fill materlal is to :be,used in Fl�od Zbne '�d" In�connection�with�a peemitted building using stem wali
<br /> construct(on, I certify.that fll�:wall:be-used only.to.fill the ar��withtn the�stem�wall:
<br /> - If flll rro�terial is to be us�d ln any �rea; I c�rtlfy tfiat .us�. of such flll will not adversely affect adjacent
<br /> properties. If use of flll Is foa�nd to �dversely.,�ffect adJaEen��propertles,.the owner may be c04ed for violating
<br /> the condFkions.of.the building'.permlt i§sued under 4fi�.attached_.permit application, for:lots�.less than.one (1)
<br /> acre whtch are elevated�by f111,a�t engfn�ered draln�ge plan Is required.
<br /> If I am th�e4GEPIT FOR TM@ OWNER; I��iromise In good fa0th�o inform th�owner of the p�rmitttng condi�ions set for�h tn
<br /> this affod�vit'prior to commencing construction. I uniler�fand that a,separate permit m�y be required for electrical vvork,
<br /> plumbing, signs, welis,.pools;, alr conditioNng,..gas,, or"other in�t�ll�tfons nol�spec�ically Included�in the appl6a�tion. .A
<br /> permit Issued shall be canstrued to be�� Iic�n�e'to proce�d vvlth the`vvork and not as�authoNty to.violate��-cancel, alter, or
<br /> seQ aside�ny provistons of the teclinlcal codes; nor shall issuanc��of a.permit prev�nt th�Bulldirig Of�iclal from thereaf4er
<br /> requiring a correctlon af errors I¢�:plans, const�uct6on.or violat�ons of�•any�c�des. Every pi��mlt Issued sfiall become indalid
<br /> unless 4he work author(zed.by such permit:�s-coFnmenced•wtthln sfx m.onths of permit Issuance, or if uvork authorized by
<br /> the perrnit is�uspended�or:ebandoned:for a:period of:six:(8)montfi�.�Rer-'the time the�wo�k�ts commenced. An ext�nsion
<br /> may b� requested, In writirig,from the�Buildtng,Of�cial for� p�rlod noQ to ex�eed:nine�r�(90) days ai�d-will demonstrate
<br /> justifiable cause for.�the exten�ion�. If work ceases:for ninety(90)cons.�cutive days;..th\Job�is considered abandoned:
<br /> �lARMING TO OVVRIEFl: YOUR.EAILURE.�TQ..PdEC.OttD,A::t�OTIGE.OF,�CONiME(dCEh�lENT=NiAY�RES�JI:T IRl YOUR
<br /> Pe4Y1N(�TWICE.FOR�INIPROV�IVIENTS�TO.Y�UE�::PROPERTSY. I�°.YOUr91d'F��:TO��O�TAIN;FINAI��ING;'CON�IJL�'
<br />—�1i�6�-��40R LEi1�D�R 0�A�54-r$�4'OR�J�Y���OR�'��Ic�O�3�1P:�-'7Q41�'�T-�rC�'O�`�OM�lE�lC�i��R9'f—`-
<br /> FLORIOA JURA�(F.S.1.17.03) � _, - • .
<br /> OYdPIER OR/At3�M4�LfS/CM��� GON�CTA �'�K���
<br /> Su scrlbed and swo tosor Pflrtned) efore me th(f Subscrlb and' (o aflirm��e/d)�befc�te me QPi�y@'`
<br /> - � by � C fJ('i./� �CL'^/I�.LI �c�'� .by- ' ��i,t)Q�CS� �-�`� l � 1�C�S•
<br /> Whq.F�/are,personaily_knowm to.me or h�slh�ve produc d Who.I��Pe,p.erson�lly�Cnc�vu�to me:or hesfieve�produced •
<br /> __ I-'L.., 1J►4-s1�s l�c� ae ldentlAc�tlon. _ -r/, '�:ul�-� �ctr4L2� �s ld�ndflcadon.
<br /> r a � Notery Publlc f �--�. Note�ry PubIIC
<br /> �ti��Pj:&�. JACQUEII
<br /> Commi slon °�' �: BOGES Co mission o.
<br /> � : : sion 150422
<br /> „���,,,,,
<br /> =;;. ,P; Expires December 12 2 ,,,•:;��.r, . JACQUELINE BOGES
<br /> Name of Pdoi� �a�a8W�3A5•7019 Name of Notaty @d�= t�o
<br /> I ;. •,: xp r ember 12,2018
<br /> I ��.;;ul��?�'� Bo�d Ttw Troy Fdn Insuraae BU0�385d019
<br /> assu�
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