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<br /> N�TIC@�F DE�D RE�T.�1�'P�QN�: T@�e undersigned unde�tands;tt��t=;thi�_�p�rmlt:may.bessubject to."de�d"restrlc�tons" .� `. :
<br /> whtch may.be�more.resthicttve-th��t Gaunty�'reguta�Cons: �'fhe u�i`derslgi�ed assurries��`resp�nsililllty`.for°corinpllance with�eiy- ' � '
<br /> appllca�l�deed=reshlcNg�ts, ,. : . .:,.' . . _ * � _
<br /> lJNU�EN��D�Gt�M'�'�ACTORS J4ND CANT�4CTOR RE�PONSIl�1L{'�'I�S: -If-the �awner�has.:f�ired a�contractor or
<br /> oontractors#o und�rtake work, they may�b�,;reiqulred_to�be;llc�nsed In.accordance.wlth state.and;loc�l�regulatlon�.' �If�the � - ��
<br /> cantractor Is-n���Ifr�nsed �s=reqult�d'Eiy �aw, boE#r the ow�ter arad-i;ontractor3�may b��cited for�a�r»1��gmea�ar vi�lation '
<br /> under state larnr. If the awner or Intended�;contra�tor,�are,;uncertaln as to what IOcen�ing.,requlcemen#s,'may���app9yu�or�'ttie� ��� °-
<br /> intended work, they are ativlsetl to contacf.4tie Pasco Counh,r_B�Ilding'lnspeict�on�;D+lvlston-,-�(censing Sectlon at 727-847-
<br /> 8008. Furthermore� 1E ttre owner Fias�F�i��i� a cotiUactor ot coritractors� ii� is aavisea to ha�e tne can�ractaKs},stAn ,
<br /> y�,_,,,�.: � �,.,U �� ,._�
<br /> por�lons of the "cantrecta� Block" of.thls.appllcatlon foc,whlch,they.wlll be.re�po�slble.. If.:yau;as:#he owner sigri°'as'the `
<br /> contr�c#or, that�may'be an Ir�d€cation #hat'Fie is'no4:proper#y 1lcensed and ls'not ent�lsid'to p�tmltting p�ivlleges !n Pascv
<br /> County. `�`"
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<br /> TRANS4ARTATIflN�IMPACTIl�T9LlTIES'I�MPAGY AN�1�tE��U�CE R@CC��►E[21�fEES;�The underslgned uiid�rstarads
<br /> th�tTranspartetion lmpact Fees:a�d.�eco�ar�e Recovecy.Fees mey:.appiy��#o t�e:c�nstn.�c#i�n_of n�vu_butldings,.�change���� L. �- `
<br /> use In exisNng bulldings, or;expansi�m���of�eiilstin�'�6uildings, a� spealfled.ln P�s�o County Ordlnance number 89-07 and •
<br /> 90-�7, �s amended...;Tne undez�lg�ed �Isa understands� fh�t:�such fee�,;,as��may�:be��.due;:;w11F.be ldentlf[ed at the,�nie��of ` -� , ;:
<br /> permitting. 1� Os furtPier understaod that Tra�sportatlon Impact Fees and"�tesource;Reco�ery'Fees.must b� pald prlor to
<br /> receE�ing-a°cecftficate-of occupancy" ar flnal•power;release: :1�-the prcj�cQ::does:r�ot invafve�a.�cert�tcate of occupancy o�''�==�
<br /> final power.:release;:the fees mu�t b� paid.prtor#�,permi� isstaance. F��tB�ermore;if:Pasca,County�lNater/Sewer-=lmpact � .. .
<br /> 9ees are due�:_they.must.be-pald:prlor t�.permit_Issuancei�:ln accordance w1t�..appllcabls:Pasco'C+�unty o'r'dlnances. �
<br /> �t3�t�'CRU�TI{}N'i:9EN"L:A114t((;h�pter 7�3,�1or#id:Stat�t��,a��me�d��): lf vatua�on at wark is$2,500.00,�or,rnare�.1 {.: -w. .
<br /> certify that I, the .appllcant,-�have been pravldetl��wtth-•a=copy�of.`#he "Florida Constivct(on� Llen Lav�-Homeow�er's
<br /> P�oteckton Gu#de" pr�p�red by ttte Fiorlda DepsrEmenf af Agriculture snd Consum+er.:Aff�lr�. lf the�ppltcant is someone ..
<br /> other than the`owner", I cert(fjr.th�t I h�ve.a�talnatl°a�eopy;of:the;ab�va-.de�scrltied�locuri�ent:and.promise�;ln;good`:faith to _,
<br /> deliver!t.l�the.".owne�'�pr9oc�:Qo�commer�cement:' - � . . . �
<br /> �ONTii�CTOR'�OOWi�lER'S AFfIDAVIT: O.cer.#6[y,°.that,�il�tfi�e�;ie�fmrmatid�:irnthi�applicaNan i�accurate.and fha#atl woric
<br /> will'be done in compliance wlth aU appllcabl� laws regulating cons#ructlon, zpning and:�lar�d�development. Applicatlon is
<br /> hereby made to obtaia� .a permit�.to do.�rr.oik:.�snd�liigtalla#lon as Ind[ceQ�d:=:,::1 ce�ti�"r th�t no work`Y�r lo��talta#ton #ias
<br /> commenced p�tor to Issuance of a pemiit and that.all�work wlll be pertormed #o mee� standards-of all laws regulating�
<br /> const�uctlon, County and Gity ccxles� zoning �egulattQns, and land devalopmer►t regafatlons�En the jurtsdlctlon. ! al'so
<br /> ce�ify that 1 und�rs#and that the regulations o�other gadernm�nt agencies may�apply�#a the tntend�ad work� and that it Is
<br /> my responsibllity t�Identity•wh�t,acttorts I must tak�:to,b.e.dn�cortlpllance:.�uch.agencles Includ�a but�are.nat IlmJted to:
<br /> - Depactment af E�vironmental:°Protection-G�rpre'ss,�Bayfieacf�� We�and Ar�as and E�vtronmentatly aerrsi#ive
<br /> Lands,lNatedlNa9tewater Treatment. ,.„ �
<br /> - Saut��rest �lorfda Wat�r M�tt2tgett'#ett� �f�fStrlC!We118� {%YPress. Bay�eads; Wef#and Areas, Altering
<br /> W�t�rcaurses. . - ��
<br /> - Army Corps af Englneers-Seawalls��ooks,Navlgatile Wate�vv�ys.
<br /> - Depa�tment of.Health�& -Ret�abllitative,Setvicssl�nviranmet��ai .Heaith Uitit Welts� tlVastewater�Treatment,
<br /> Septic Tank�: " � .
<br /> - U5 Enviranme�t#�0 Pra#ection Ag�ancy Asb�stas ab�temen#.
<br /> Federal Adlalton_Authorfty-wRunways.���
<br /> 1 understand that the..follciwing:restrlctl�ns apply'to the use of fl!!:•
<br /> - Use ofi fili is e�ot allowed in°�Fiood,:Zone"V"uniess expressiy peranitted. .
<br /> - --- It the-filf material�ls to b.e usetl:ln:-:Flood Zane °A", Ik is und�rstood that a drainage pla� addressing a
<br /> °compensating volume"w€11 be submltted at�ime of;p�rmi�ting wFii�lt is prepared by a prof�ssianal engln�er
<br /> Ilcensed by thie State of�Florlda: - �, " � -
<br /> - !f th� filt enat�rial=!s:to-be<used in Ffood �one 'A" i�=connec�lon�with�a �►ermi#ted b�aildirtg using s#errt wall
<br /> � construction, I certil�r..th.at.fUi:wJ0l:be used only.to fill#he are�withlro�the stem watl:
<br /> - If flll materlal Is to. be used ln any area;�1�`aertlty that .use �f such�flll wlll not adversely affe�t adjacer�t
<br /> propertles. If use of fill ls fonnd�.ta.adverseEy,�{#aat ad)seer�#��prop�rtie.s,.the owner may be cifed for�folating
<br /> the coredl#ions..of..the.bullding`:permlt Issued;under tFie�at�ached�p�rmit appilcatlon� for.lats�less than.one (�j
<br /> �cre wi�tcli ar�elevated'!iy tIll,a�t er�glneer�d draln�ge plan is required. .
<br /> If I am th�AGENT FOIt THE CIWIVER;,I�promise On.goodyfatth to tnform th�owner cf the permltting condR�ons�set forth In
<br /> thia affidavit p�lo�to comrr�encing constructtvn. ! understand #het a-s�par�te permlt may be requlred for eEeatrfcel`work�
<br /> plumbie�g, signs, wetls, paots; �Ir.canditio�ing,..g�s,-�r.other lns�all�#tons no�.spec�tcsatly inciu�.ded-in.#he application. .A �
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<br /> permlt Issued shall be consirued to be�a l(cense'�to�proceed wlth tNe�n'rork�nd not�as:authodQy to:vlolate;.cancel, aiter, �dr
<br /> s�t aslde any provisEoits of the tec#infcal cade��; nor shall lssuance°of a.p�mtit.pceven#the Bultditig�d�l from thereafter �
<br /> requlring a carrectlan af ercors in pians; constructlan or vlmlat(ons of•any codes. Every,pi�rtnit lssued sfiall become invalid
<br /> un4ess the wrork aukhor(zed by such permlt:�s-cornmenced•wlthln sGc months of penntt lssa�ance. or!F woek authorized by
<br /> the permit is suspended�or:abandoned;for a:period�nf.six:(8)mc�ntt�s�aiter the.�irr�e the�v►+ovk�ts commenced, An e�ctens6on
<br /> may be requested, tn writing, f'ram tlie Bullding,Of�clal�for a per9od:not.to �xc�ed"ninely�(90) days and virilf demonstrate
<br /> �tts#�iatbie cause fot�the extension: If v�ork c�as+es:far nlnety{90}cons.�cutiv�d�y.s,_th\job�is consldered aba�doned:
<br /> 11k�AR10lIP�4a Ttt OWI�Ef3. YOUlfi,.FAIl.URE•TO�R�COEtD.AhN!}TtGE Q���°+OAfIdVl�NCEMEMT 11�AY-REStJt:T IIN�YOUR
<br /> PAYtMta'iYl►ICE FCiR�iM1�RQti/EMENTS�TO YFi111�:PRC�PERTYd��IF�YOt1:�IB�'FEwD�'TO`�JBTAIN��FINAI�EING;'CCINSUL.T
<br /> VIP'IT U D �O. �1µ TTO NEI�� FO'R��, OR� Ea';� AU :'• . ,� E°af :�. < , . E T. �
<br /> F[.ORIDA JURA�'• F.S:"k1T. � . . , .__ � ._ .�- = - —.—-—_.___ _ _ _ _ __ -_—.---
<br /> �.._._.�_._{----_____.� _ �. --- -- --- �, _ 4 ... ..
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<br /> OWNER OR/4t3EP1�• ' li�^�'�"""'�-- GONTRACTO �r�
<br /> 8ubscribad and swom to a�ltmed}beiore �thts S'bs��b nd' at aflirtned}-before me thi�•
<br /> bY l.., . . �-
<br /> Who Is/ere personally k cn�m to.me or haslhave produced o.le%re;pe onallykno •to me or hasihave•produced
<br /> - as tden8ftc:s8on. �s iden��catlan.
<br /> � Notery Pub�c . ��__ , � Notary Publtc
<br /> Ca�smisston Na::. Cam���„j� . 1
<br /> ,�,�,ti.��^Ya��; JACQUELINE.BpGES
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<br /> t�ame ot Motary ty�ed,Pdnted or stamped Name of idot - _��flt�i�5��r 12,20f 8
<br /> ��''rP;;;.°.�`'� Bonded Thru Tray Fmn Ineurance BOa385•7019
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