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<br /> NQT10E-QF QEER,.RESTRIG�'IO�IS: The utnder�l ned,under�ttands-;th�t�,thi�: r=.mlt:.ma be,sub ect,toi�'deed",cestricttorisW.� ' ` � `
<br /> f 9 . .. "Pt�. ;.. .Y,�;.�.. 1.:., . ,:. �,. ._. 4.
<br /> which may:tie=more��res#�Icttve�t�an'Gounty�aregufa#Cons:��The u"n'derslgned°�a§sumes �e'sponsi6111ty�for compitance wtth'�any
<br /> appHcabte.deed_rest�ictians. -...:_ � : .. . � :. � . :._,,. �:.. ; - '•- , =� . . , .
<br /> UNLiCENSED�CONTRACTORS A#�D CCtNTRACfiOR•RESPONStBICITiES: °!f �he��avmet`hasYfilred`�a.`contractar or
<br /> aontraators to unde�take work, they may:be;r,�q�ir,ed�.to.be�licensed�ln accordance:with.state�:and;local,-regulatlons: �If��the����� � � �
<br /> contractoF E§ not�ttcenseii as�requlred,"tiy law,-both�the owner and�con#factof=�may�bs=ct#ed�.for,-a'�misclemesnor vlola�on
<br /> under state law. If the awner or intended;�contraG,tor;ara,;:uncertain �as to what ilcensing requirements.�;mey-apply>.ior:''the`- �� �
<br /> .` ` sco County Bullding 7nspe,,:. . .. _� s- . '
<br /> .., s.,.,, . . ,W ., ,
<br /> 8009tl�Furthermareaif�ttie iowne�'tiast hi�dea a ��°��?�!lslon..-t:icensing Sectbn at 727-847-
<br /> Y _ , .
<br /> ` � can�acfot'o� con�ctors, he Ts advtsed to have the canitactar{sj;.stgn; .
<br /> portions of the "contractor.Blocic" of this._applicatian.for:which.tHey.will:be>r.esponslble,- �Ifryau;.as:#he oviiner'stgn�'as`the �
<br /> contractqr, that in�y.be an indica#Ion thaf`fie'ts-nat.propee�y ili:ensed�arid�is.tiot enti�etl tb petmitt#rig�pi�vileges In Pasca
<br /> County. • r. . ., . . � r.:�= . . . . .
<br /> TRANSPORTATIQN-IMPACT/UTlUTIES�INIPAC"�ANb RE$C�UItCE RE�CIKEEtY�FEES:The tinde�signed'understands
<br /> thatTrernspartation Impact Fe�s and.Reco.urse Recavery.�ees may;°:apply:�td°tF►e:constntctlon:af new.buiidings,�change�'of��=;`'��' �r
<br /> use in exisNng bulldings, or.,expansi��rsof��existi�i�:'rfiuildings, as specffled.lo� Pasco County O�`dinanae number 89-07 and •
<br /> 90-07� as amended. ._The undetslgned also;understat�ds, that.-such faes;�as�tnay:b�:due;:anrltl.=be tdent�Eed at the��time�o#=��=" ..r. -..
<br /> permittl�g. It is fu'rtHer understood that T�ir�sportatlon Impact Fees and'Resource.Reco�ery'Fees�must be pald prtar to
<br /> rece�ving a"cert�Rcate=of�occupancy"or flnal��power�elease; :}f�the.pra#ect.:does>no�lnvolve<��certlFtcate of ot�upartcy=oT:���:=: ;
<br /> finai power retease; ,tFie fees mu�t be paid;pi�or#o,permit issuance. F�tthermore;ff.Pasco:�County"VllaterlSewer.,��impact �- .� .
<br /> fees are due,.ihey�rrwst.be-pald.prior to,permit?Issyance°:In,accardance wlth:appllaabte.Pasco'�County�ordinances. •
<br /> CONSTRtlCTiON�C1EN�I.AW�{Cliepter 715,Flortda'Statute��aa.amendedj: If vaEua�on,of wark is�2,500.OQ=ar rrtare�,l�• ; ==..
<br /> certify that-I, the applicant, have.been proylded �wlth-�a�'copy-of._the��"Florida��Cons�vottan��Lien'Law—Homeowner's
<br /> Protectlon Gu1cSe" prepared by.tlie Ff��1da Depa�rtmet�t af Agrlculture and Consum�erAffairs. 1##he appltcant ts someone - �� -
<br /> other than#he"owner", I cert(fy,�that_i,;have,o�talnedfa"�c'�ipy„of..the,above.:de�cribed�tlocuii+ent;and.pra,misieh;tn;good`faith.to _ ��..:,�
<br /> deliver It to.�the"owner":prior-to�cor�m�ncement:` '� , . . ' . . " . } .. ' . - �
<br /> CONTRACTOR'S/OWNER'S AFfIDAVIT: ir.et��'jr��.that>ali�the,informatltm.:in.thi�applicatlan is;accurate.�nd that a11 work
<br /> will'be done in compliance w(th all applicable`laws regulating construction, zoning and:land°develvpment. Appllcation„is
<br /> hereby made to obtaln .a permit::to do;wa�;;and�I�istaliat#on as Indi�ated;.t..:'f. cerf�}t tha# no work°or Ir�stallatlon Ftas
<br /> commenced prior to issuance af a pemitt-'and that.all work wlll be perFormed ta meet,standards�of�all laws regulaxing�
<br /> conshva�on, County and City codes� zoning regalatians� and land devel�pinerit r.egisiatlon"s�in ttie.;t�risdtctlan: 1=ai'so
<br /> ce�ify that I understand tha#the regul�tions af other government agenctes may�apply�#a the intended work, and that it is
<br /> my responsibility to Identify�whak.actlans I must•take:to.bedn�carrlplfat�ce�Such.agencles lnclude bu#�are.natllmlted to:.• _ �
<br /> - Department of Et�vironmental��Protectiori`�Gypress�`8aytiea��; We�and Areas and Envlronmentaliy Sensitive
<br /> Lands,WateNWastewater Treatment. ��,
<br /> - Southwest Ftortda Water Management :C?istrlct Vite!!sr CI+Rress. Bey.#�eads; Wefiand Areas, AIfe�ing
<br /> Watercourses. � . �
<br /> - � Army Carps af Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Depa�#ment af:Heaith::,� ,Ret�abllitative.ServtcesJEnvtronmental i-He�lth llhit Wetls,-Wasteti++cater��-Tr�atment; �
<br /> Septic Tanks.. � ' ,�
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> Federal A�clatlon_Authocity-Runways: .
<br /> !undecstand.that the following:'resUlctlons apply�ta"the use of flll:�
<br /> - Use af fitl is not aliawed in�F1ood,�;Zone"V"unless expressiy permifted.
<br /> - li the>fill mateNaf Is to`'b.� useid:In.��Flood Zone. "A", ik Is underetood that a drainage plan addressing a
<br /> "compe�sating volume*will be submltted a##ime af,permt#Ing wtalch Is propared by a professlonal engineer
<br /> Ilaensed by�lie�tate-of;Flairida:� � - ` _
<br /> - if th� #1!I mater#ai-!s�to:be-used tn Ffood �one 'A" Ins cnnnection�wlth�a��ermltted buildlr�g using stem wali
<br /> ' construction, i certify,that till:wall:b.e-used onty.to fill the.area within�the�stem�wa1L •
<br /> - � If flA material�is ta be used in any area;"I�'"certify tha# .use af�such�flll wlll not adversely afFect adJacent
<br /> ' praperties. If use of.flA is f�und�to adverse�y:.,affect ad�i�rit�prc�pertles�.the owner may be clted far uio�ating.
<br /> the cond�ions..of tha b�ildtng;permit.issued-u�der the:at�acfied�permit appllcatlon,.foc�lots.less than.one (1)
<br /> acre wtileFi aitia elevated�Eiy flli;a�ang3neer�d drainag�plat�is required. • . ..
<br /> If 1 am the AGENT FOR.THE<OWNER; i;�.promise,in good,.falth#o l�form the�awner of�the permitting condi#lans set forth in
<br /> this aHidavit`jarior to commer�oing constructian. t unders�tand #hefi a-aeparate petmlt may be requlred for electrlca#�work, ,. - •
<br /> ptumbing, signs, wetis�.Poots;.atr,cflndittoning�-.9a�s,'or ather Install�i#iotis not,spea�laatly induded�in.#he apptication. .A -
<br /> permit Issued shaq be constcued to"be``a'Naense`-ko��proceed wlth tNe wwork�ntl:not�as:authoHty.:to.vialate;�'cancel, alter, ar
<br /> set aslde any provlstans af the.tecl�ntc�1 aodes;�nor shail issuance�of a.permlt.preuent the Buttdirig CtFftcta�iram therea�ter
<br /> requirtng a,correction af errors in�pians, aons#i�uctlan,or vlolatians of any codes. �very.permtt I.ssued sliall become invalid
<br /> unless the wark authortzed.by such permlt��s,commsnced�withln stx.mar�th� of�permlt Issuance. or If work sutharized by
<br /> the permit is suspended�ar:abar�doned,for:a:period,rof siic{8}�monf�as.:after.,ti�e#Itne the�wark��s cornmenced, An extension
<br /> may be requested�.t�.wrifing, from tlie:Building,Offlcial for a period.nat to exceed':ninety_(90) days a�d will+demonstrate
<br /> _ ___ _�_�_
<br /> _yusti�abie aaa�e ior�ihe extenston:_ii wor�c ceases:far niaety�90}cons.scut#v+��days�.:tFie job:is cons#dered abani�oned:
<br /> . F„�� [ , - � . `
<br /> WARNING TC? OVYNER; YOUl�.FAIl..WRE.,TO.f�E.CO�tD;A:.NC}�71GE�:QF��COMMEMCEMEMT:NtAY°RESL!!:T fN`YQUR
<br /> PAYiNG TWtCE;.�QR�tMPROVEMEN'���T�.Y:OUI'�:PRt�PERTY.��1��YO.U{t1��Efi�tT'TQ���C3iB7'AiN�FIN�I�EING,'CCINSULT
<br /> WIT U D O AN TTO NEY FO.E�, OR'�1 f� OU � � .� "O ;". :� . E
<br /> FlORtdAJtJF�A'i= F.S�11�: ` •-.� ... ,. ..;_ , - , .�, � .
<br /> { t ,Y�/ „ .. ...
<br /> OWNER OR AC34NT �Q��,. � CONTRACTO
<br /> 8ubscrlbed and swom to{or a�inned}bstore tne lhts Subscrlb+�f and' m'#a{ot af�nnedpbafore rtie�t�i�� .
<br /> by .�y.. - �-
<br /> Wlio is/are persanally knc�wwn to.me.or heslhave.p►oduced Who.ls/are p.ersonallyknown•hr me;or has/have�rodiice�d •
<br /> � as Id'en8flc�8pn. ' as tden��cation.
<br /> Notery Publtc . ' Notary Publtc
<br /> Cammisslon No:`�� CcmR+i�aton No.
<br /> Narae ot Notary typed,Printed or stampsd Name of Natary typad,Pd�ted or s#amped
<br />
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