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07�43/2476 23;51 8136311426 WESTC�AST #3020 P. 442J043
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<br /> NOTiCE OF DEEp li�S't'RIC770NS: The undersigs�d uniterstands ihat this pe�mit may be subjedto'deed"resuicirons'
<br /> wnicn may be more restric�ive=han�Qunty�gu�auons. Ttie unaerslgneq assumes raspansfbiifty tor comp�ianr,e wi{h any
<br /> appt'�cable deed resvicti4ns.
<br /> UNUCENSEb CONTRACTORS AND GONTRACTba RESPONS19tLiT1ES: If the owner nas hir�d a ccntractor or I
<br /> cpnVBCiorS tq undertake Work,they may bs required to be:lic,�nsed in accordanoe vrith state and tocat regulations. U th@
<br /> contrador is npt lioenseti as rsquir�tl by taw,both ihe awner and contractor may be cited for a misdemeanOr vipiation
<br /> under stete law. !f the owner or inteoded conV��tOr are vnCen2�n 28 to wha��q2nsing rgquirements may epply far me
<br /> intendeci woric,they are advisea ta con�ac�the Pasco Cou�aty 8uiiding i�specuon Division--Licensing Sec;tioa at 727�847•
<br /> 8009. Furtftertnore. �'me owner h2s�1red a cornfactor_ar cauractors, he is aavisetl 1a have tne contraaor(s)sign
<br /> poriions of the"canuactor 81odc'of this appTication for which they wip be respons;bts. If you, as the otivn�r sign as me
<br /> contractor,that may be an irtdiqtiofl ti�ai he is rrot properdy licensed and is not et�led to pem�itting privilegp.s in pascp
<br /> Caunty. �
<br /> TRANSPORTATION iMPAGT/(mu7iES lH1PAGT AND fi�SOIiRCE RECOVERY FEES: Th�undero�ned uqdergtantlg
<br /> tnat Transportallon Impact Fees ana Recourse Rewvery Fees may appfy to the oonswction of new bwydirtgs.change of
<br /> use in exlsting build3ngs,ar expansion of exPssirtg b�ildir�s,as specibed in Pasco County Ordinance numDer 69-07 and
<br /> 90-07,as amended. The undersigned also und�rstaads,�hat such fees,as may be due.wilt be idemified at the time of
<br /> pertniriing. It is(urth�r understood that i'rar�sporLatiOn lmpact Fc�s and ResourCp Recovery Fees musi be paitl prior tp
<br /> receiving e ncecti6cat2 of occuRancy'ot firtai power t2iegs2. If tn2 projtct dbGs not invptve a cer�ificste of ocCupaAcy or
<br /> fraal power feT�ase,tn8 te25 must be paid priar to perm'st;3ssuance. Purtharmor2,it Pgseo County Wetedgewer Impaa
<br /> tees ar�due,they must ae paia p�or to permit�ssua�ce in�ecoardance witn appticeble Pasco Gounty oramances.
<br /> GONSTRUCTtON LfEN LAW�Gnapter 793,Fiorida Statntes,as amendedy: tf va�c�aGon of work is$2,5p0.pG or mare,I
<br /> cettify that i, the applicant, have b�en provided witn a copy of the "Florida Cansuuction I..i�n Law--Elomeovmer's
<br /> I Protecrion Guide°preparetl by t++e Flprida Departinnent of�4gricu►ture and Qonsumer Affairs, If uie appGCBnt�5 someone
<br /> other than ihe"owner',I certify fhat I have abtained a copy ot the above descxibed document arw proml5e 9n good feith to
<br /> deliv2r il td the`owner"ptf01'to CoirlmEltCEmBqt.
<br /> CONTCtACTpR�SIOVVNER'S APFIDAVIT; 1 certify tnat aaff tf�e infotmaL'an in ml3 appGcahan is accurate and that all work
<br /> will be don�io c.ampli�nc�e with all applicable laws re�ulaCmg�nstruqion.zoning and lan�development. Apph�aUan is
<br /> hereby made to obtain a pemiit to do wock an8 inst8lkation as ir�dieatetl. 1 ceriify tnat no work or installation has
<br /> cOmtt�nC@q pri0f t0 i55tt8nC8 Of 8 p8Yf1111 8t1tl 1N8t 211 wCtK wili bC p@tfOfMef9 t0 i;'tECt 8t2�d`atdS Of 8U 1aw5 r�ul8ting
<br /> construction, Gounry and City codes, zoning regulaNpns, ana �ana deveropment tegulatio�s in tne jurisaiction. i a�so
<br /> oettify lnat t understand t�at tne regu�at�ons of other goveJnment agenaes may appty to U►e intendea work,and that+t is
<br /> my iesponsibility l0 ttlsMity wflat actions I must tpke to be in ComplisnCe. $uct�sgartcieS Ir�(ude but ar�noi�imRetl l0:
<br /> - Department of Environmental Pratedion-Cypress 8ayneaas,Wstlana Areas and Erivironrc�entatly Sensitive
<br /> Lantls,Water/Wastawalet Tte2tmer�t. •
<br /> - Southwest Florida Water Ntanagement OesUia-wsUs, Cyprsss Saynsa�s. Wsuana Areas, Altering
<br /> Watercourses.
<br /> - ArmY Corps of Engineers-Seawat�s,pocks.Navigatxe waterways.
<br /> - Dppartm�nt oi Health & Rehabi{'rtative ServioeslEmirornne�rtal HeaRh Untt-WeUs, Wastewater Treatrnent,
<br /> Septic�'anks.
<br /> - VS Environm�ntai Protection Agency-Asbestc�abatement,
<br /> - �ederet Aviation AuthorityRunways. '
<br /> 1 understand tNat the follawing restrictions appty to the use;et fiN:
<br /> - U8p of fiil is not allovred In Fload Zone"V"unless exDressiy permifted.
<br /> - tf U1e fill mateRal is to laa used in Flopd ��o�e `A", it is untlBrstoOtl tflat a dt2rinage pian addrassirtg a
<br /> "compensa�ng volume"wil}be submiited at tlme of pertnitting which[s p�epared by a professional engi�eer
<br /> li�ensed by t�se Staie of Florida,
<br /> - If the fiu materia[is io be used i� Flood Zw+e^A'in �rmection with a permitted bu�lding using stem wali
<br /> cor+strucfion,l cedify that fill wili be used only to fill th�area wi�in the stem waU.
<br /> - If flll material is to be used i� any area, t:certlfy that use of such �i! wili not adversely affect ad�aoent
<br /> propecties. If use ot fiu is tound to adverse�y'aftect aajacent properties,tne awner may be utad�ar viotsbng
<br /> the condfidons of ihe builCing permit issu�d wvtler the anachetl permit application.#or lois less than pne{7}
<br /> acre wn�n are eie�rat�p ny 8u,an eng�n�e�d�d�atnage pian�s req�rea,
<br /> tf I am ihe AC3ENT FbR THE OWNER,!prpm35e�n gpod iaith to intorsn th�owner of!h2 permitling�ond�ions SBt fprth in
<br />� this afftlavit¢tiof to commencing tonstruciion. I urKlerS�nd that a separate permit may rie reqwrBd fov eledricel wotk.
<br /> I plumbing,sEgns,wells.pools,au condihorung,gas,or o(ner installations not speafically irtclude:l in tne appNcation. A
<br /> pem,�issc�ed sha�t be canstn+ed to be a lice►�se io procaea wim me worK and not as authority to vioiate,cancei,attec,or
<br /> set aslCe any pro�isions of the technit�k code5,nQr Shall is$u2�te Of e p�fiYlit ptevEAt ihe Buildil►g OttiCi21 frOm therp,a$gr
<br /> requiring a vorte�ion pf eaors in pfans,constn,�tion or v�olations of any coaes, Every permit issuea snan beoome irnatid
<br /> unless the wocfe authorized by&uCn perrnit is comrttenCed wittdrt S�x months of patmit lssuance,or if w4rk 0utfiorized by
<br /> tt��rmit is suspef►tiea or abantlonetl Eor a pQriqd of Slx(B}months after U�B iime tha work is commenced. M e�9nSipn
<br /> m8y t�tequesi9d,in wr'it+ng,from the Builqing Oifiaal ior a period not to exceed ninety(90)days and wui d�moasirafe
<br /> Jvs6fiable cause for the extension. If work ceases for nin�y(90}consecutive days,the j4b is CORsidered abarsdoned.
<br /> WARNlNG TO OWNER: YOCIR FAlLURE 70 RECORd A NOTIGE OF COMMEFiC�MENT MAY RESULT IN YOuR
<br /> PAYING 7YYtCE FOR IAAPROVEMENTS TO YOUR PROPERTY. IF YOU INT�ND TO O�TAIN FINANC{NG,GONSULT
<br /> WITH YOURLENDEft OR AN ATTORN�f BEFORE RE�ORDIPIG YOURl10TICE OF MBNCE�RENT.
<br /> FLbRiCA JURAT(F.S.11 T.0's) � �
<br /> OWNERORAGENf . CONTRACTQR
<br /> 9ubsa�dea end��n�o ior a��e eu1�6 ItlB U1i6 '..•• 5uD8CiiC94 dAtl 9wOf�drt� 09�s me m�
<br /> bY t,7q[J�L i�alil7�0.�fn� ' bp �t Rv�t�4�� �Gf0.VYn
<br /> Whe p,.J�e�rsenaNy knenvn to Me et h�xR��vq prqqu�qp 1(Vho��re�r;,�iy knawn ro me or hasMeve pra7uoe0
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<br /> Natary PuniK ._,...� _.,_.. _ ..NOtery Pubi'�C
<br /> Commisaion No. . .,.,.._,.� 6omniy,inn Np
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