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<br /> NC}TIGEc C?t� DEE�.R�STF�ICTIt�N$: The undersic�nad understands that#his permit rnay be suhjecf to"d+��d"restr•��:tions"
<br /> whic�O may be mare,,restric.tive than Gat�Eity regufat�ons. The undersigned assurnes respons(b€lity for compfiance with any �
<br /> appl#r.able deed restrictlons, �
<br /> UNU�C��ISED CONY'RA(:TORa� /�►N[) CQNTRAC:T��R RESPONSIBI�ITlES: If the owner, h.as hired a•c�mtractor or
<br /> contr��ckors to undertake work, they may bo requir��d �o be ifcensei� In accordance with state and local rec,�ulatians. If th�:
<br /> contr��ctor is r�ot licensed as requ(red by law, both the owner and contractor may be clted for a misdemeanor vfc�lafion
<br /> under state law, if fhe owner vr intendQd contractor are uncertaiii as to what licensing requirements may apply for fh�:
<br /> �ntenc�ed wark, they are a<ivlsed�o cantac4 the Paseo Caunty Bi�llding Inspeatfon Division—Lficensing Set,�lan at 727-847�-
<br /> 80Q9, f=urthermor�, if the awn�r has 9�ired a cantr�ctor or contractor a, he Is advised ta have the contractor(s} sigr�
<br /> portfons of the "contractor Block° of this applicatlon #r�r whlch they wil) be resportsib4e. If you, �s fhs oWn�t' Slgn �s tR1E:
<br /> contr��ctnr,�thak may bs an indicatlun th�at he is not pi�operly Ilc�nsed�anci Is not entifiled to permitting prlvileges in Pasc�
<br /> County.
<br /> TFtAh�SF'ORTAT(ON IMP�ACT/U'fIL1TtE� IMPA'CT At�D R�SCIl1RCE RE:Ct3VERY FEES; The undersigned �mder;�tand��
<br /> that 1'ransportatian (mpacQ Fees and Ftecaurse Re�,overy Fees may apply to the consfruction of new buiidings, change of
<br /> use in Pxisking buildings, �r axpansian �f exlsting buildings, as specified in Pa:�ca Caunty �rdinance number 89-07 anci
<br /> 90-�7', as �mended. The under�igned �I 3o under;�ta�nds, fhat �ueh fees, as m�y be due, wil! be identifi�d at the fime of
<br /> perm�t#ing, !t is further urEderstaod that TransportF�t(on fmpact Fe�:s and Resource FZecovery Fees musf: be K�ald prior ta
<br /> r�:cei�rinc� a "cerklficate of occupancy" or final power rc�lease. If th� proJect doe� not involve a certifticate af oc.cupancy or
<br /> final �aawer release, the fejes must be pald prfar ta p�;�mft issuance. Fw�khermore, if Pasco County Wat�r/Se:wer Impact
<br /> fees ��ra due, they�must b�� pald priar to permlt I�suant.e in accordance wifh appllaable Pasco.Counfy ordint�nc�ss.
<br /> CUNSTitUCTION LICN LAW(Chapter T13, Floritia ,5tatutes, as amended): �f valuation of work is $2,;iU0.00 or rnore, I
<br /> certif?� fiiat 1, the applicanf, have b�er7 provided with a copy of the "Florida Construction l�len l.aw•--Nc�meowner'�
<br /> Pratectic�n Guide" prepar�d by #he Flori��a Department of Agrlcuiture anc! GQnsumer Affairs. if the appf'scan# 1s sorneonf;
<br /> other th�n the°ovunet", f certlfy tha4 4 have obtalneci a copy af the �bave tisscribed dcacument and promise In �taod faEth tc�
<br /> deliv��r It to khe"owner"prior to cammanr,ement. ;;.,
<br /> C�N'TRAGTOR'SlOINNER'S AhFVDAV9T: 1 certff�� that all the information in this application is accurate �nd that all work
<br /> will�be done in complianc� w(th all applicable laws regulating construction, zoning and land deveiopment. Applicatian is
<br /> herei:ry made to obtain �i permit to da work and ir�sfallafion as indicated. I certify that no worlc or insfaflation has
<br /> camrnenced privr ta issu�nce of a perrnit and thr�t �!1 work will be pe�'armed to meet standards of aii laws regcalatinq
<br /> cansCrucfion, County and City aodes, �oning regtalaEfons, and fand development x�gulatlons 9n tha jurl.cdlction. ! alsc�
<br /> certif,y that 1 understand tt�a# the regula#ions vf ottier ;�overnment agenci�s may apply to the intended wark, ��nd that it i.�
<br /> my r�:sponsfbility to Identify whak actions 1 must tak+�tc�be ln compllance. Such agencies include but are nc�t limlted to:
<br /> - Department of Environmontal Proteckion-Cypress �ayheads, V1/e#land Areas and Environmentally SensitivE:
<br /> Lands, WaterlWastewater Treatment.
<br /> - Sauthwest Florida Water Management District-Weils, rypress B�yhearis, Wefiand �re�is, Alterinca �
<br /> Wafercaurses.
<br /> - Army Corps of Englneers-Seawails, Dc�ck:�, Navlgak�le Waterways,
<br /> - Depar#ment c�f Heaith & Rehabilltative .3ervices(�nv�ironmental Nealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. .
<br /> - US Environmental Protectlon Agency-f�sbestos abatement.
<br /> - Federal Aviatlon Authority-Runways.
<br /> I understarid that tii'e following-rastrlctions apply fo tha use of fill;
<br /> - Use of fill is nof allowed in Fiood Zone"V" un(ess expressly permitt�d.
<br /> - if fhe flll material is to be ttsed in F�lat�d Zone "A", ft Is under5toad that a drainage pla�i addressi�g a
<br /> "compensating vaiume" wiii be submft�ted aE time of permittir�g whEch is prepared by a prof�ssianal engineer
<br /> licensed by the Stat�of Florlda.
<br /> - !f the flll matQrla) is to be �ased in Flc�od Zane "A" in connection with a permitted building using sfem wall
<br /> canskruction, I certify that flll wlll be us�:d c7nly to fill 4he area withln the stam wali.
<br /> - If fill material is to be used In any r�re�, ( certify that uso of such fi(i wiil not adversely afff;c# acljacenf
<br /> properties. If use of fill is found to adaerseiy affect adjacent properties, the owner may be cited for vlofatinc�
<br /> the condifion:� of th� buiiding perm3t i,�sued under the at#acl�ed permit ��ppiication, for lots I�ss than c�ne (1)
<br /> acre wMch ara efevated by fill, an engli�teE>red drainage plan is requlred.
<br /> !f I am the AGEN3 FOR YHE 01NNEFt, ! promise in good faith to Inf�rm the owner of the permitting conditions set forth in
<br /> this <�fficfavit prlor to comrnencing cvnstructian. ! �.anclerstand that a separate permit may be required for electrical work,
<br /> piumbing, sigrts, wells, pools, air conditioning, gas, �r other installations noE �pecifically included in tha application. �
<br /> pf�rmit(asued shall be coi�strued to bo �� Ifcense fc� procsed with the work and not as authori#y to vloiafe, cancel, al#er, or
<br /> sE�t aside �ny provisions of the t�chnical codes, nor s6�a11 issuance of a permit prevent the Buildirig Offlciai from thereaf�er
<br /> requiriny a correction of errors ir7 plans, constructicrn ur violations of any codes. Every permit Essued sh�N be��ame i�valid
<br /> unle.�s the work aufhorizead by such permit is commanced wifhfin six manths o1'perm�t lssuance, or if work authori:zed by
<br /> the permit is suspended ar abandoned fo��a period of six{6) months a#ker#he tlme the work !s commenc+�d. �1n extension
<br /> may ba requested,,ln writEng, frarn the Buildfng,Oiflclal for a periad not to exc�ed ninety (90� days and will ��emonstrat�
<br /> jtastlfiabie cause for the extension, !f wark ceases i°or ninety(90� consecutive days, th�job is cons(dered �abandane�.
<br /> 1rJrA_f_;tN1N_G TO_aWtdER: YOUFt FAtLv�iE TO RE�ORD A NOYICE t7F_CQMMENGEMEN_T_MAY RE:�UE.T IN YC1Uf2
<br /> F�AYINC�1'liY10E�O�IMIPROV�II��PiT�TO YC3UlR F'ROF��RT'Y.-�)F�iiC-iu iiv i E_�lu"Tt�"�BTt'ii�t-r��f�n1C�N�,��Ot+ISt1L-'T—"= �=�
<br /> W130i YOt1Ft�ENDER OR AN R'TT'ORNE�Y BEFaRE; REC�RI�ING YOtJR NOTlG� ��COMMENCEMl�INT.
<br /> Ft.ORlDA JttRAT(F.S. 117:03} .�. �. I
<br /> OWNIER�R�4GENT CONTFtACTQ '� `�'"�'�` �
<br /> 5ubscrfbed and sworn fo(or af�rmsd}bsfare me this Subscrlbed and orn to(or affirmed)before me this �
<br /> �by by 5' . C.�O ��
<br /> Who islare personally knawn to me or haslhave prvduced Who 4s/are persana{ly known to m�s or has have producsd
<br /> as 1denEfflcatlon. as ldentification.
<br /> ,
<br /> Notary Public r�' �,_ tary Public
<br /> Comrnlssion No. Commissi n a. � —
<br /> ;-u=�., _� �
<br /> Namc�oF t3otary typed,printad c�r stamped Name of Npkary` ,{S�rd, � �y��#�p�0422
<br /> � � ` �' Ex ires December 12,2d�$
<br /> .>b,?.:i�� � 7ots
<br /> �: F�''' qondedThNTro fatntnsu�a+ws&�385"
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