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<br /> � � NO`I10E OF DEEP REST.RMCTIONS: The undersigned understands=tt�t:thls.;p�rmltmay.be,subJect b'deed'resirlcttons'
<br /> which may<be,more�resltic�re�tharrGounty��jr�tatConss'Theund�r�lgnad aseumes YespcnsitillNy"fa��co"m''pllance wiih'any
<br /> appttcabts claed resttictlons. •
<br /> UNLtCENSED:CONTRACfiOR8 AND COAITRACFOR-RESPONSIBiE�1TIES: If the owner has�hired e contraator or
<br /> cantractors to underteke work,they maybe�r,eQuir;e�i�.to.be,llcensed In exardan�.with state.and;local ragulatloqs. •If the
<br /> , conlrastar ls rsat ticensed aa�requtced:by taw.both the owner s�id:conifaotor�irisy be-clted•for-��misd�meanor vtolaUan
<br /> under state iew. tt the owner or intended,�.co�fraqkar:ere,�ncertain se to what Iicensing.requiremerrts`may.Jappiy:��foF`the
<br /> Intended wark,they are advised to aontect the�Rasca Counly Building'Inspection btvisiorf--l:icensing Secklon et 727-847-
<br /> 8009. Fuithermore, if the owner has hfred�a contraator or contraators, he is aidvtaed to have ihe contrsctor(s�,.sign
<br /> porktons af#he`cantrsctor 81ock'of fhle.applk:sUon Eor,which they wtit_6e.responsibta.-.-if,you,.as.#he ovrr`r`ie�sign'as��e
<br /> contractar,lhat m�y be�an Indlcation that�he-Is not properl�r Iicensed and'Is riot endBed tb permHiing prlGlleges In Pasco
<br /> County. .
<br /> 'iRANSPORTItTtON-iMPAGTltFfit.FE1ES`IMPA�i"�AN�RESO�i2CE RECOVERIF FEES:The underslgned vnderstands
<br /> ihat Trensparteqon Impact Fees:and.Recouree Recove.ry.Feea mey�apply�b�tf�e.conatructlqn of new bufldings,�chan�e of" ,
<br /> use In exisNng buildings,ar�eicpanslor�of�eXlsBeig.:tiu!ldings,as epeclfted.ln Pesco Ccunty(?rdinance number 89-07 and
<br /> 9Q-07.as amended...Tha undetsigned also�undenstaads,th�iYsuch tee"s,,��ay:��dne:,.vuiit-6e tdent�fled at the•�me=of
<br /> permiHing. It is furtFier understood thet Tran�portaUon Impact Fees and�fteaource.RecoveryrFees muat be pald prior to I
<br /> recefving a."r�rtNicate ot occupancy"or tlnal•power,�elease, l��the proJect,dces�.ci6t�lmrolve;a�certiSEcate of cccupancy or '
<br /> finat power ratesse,�the fees mu�t 6e pald.prlor to:permtt Issqancs. F�tlhennore;fE_Pasco;County�lNatarlSswer lmpact �
<br /> fees are due,.they.:must:ba�pai�.prior to permif•Isayance=ln,alccordar�ce xiilh appllcabfe Pasca.Counly ordlnances. •
<br /> CONSTRUCTION'CIEN I.AW(C6eptgr 713�Florttla Statutes.as amended): !f valuatlon oi work is 32,bQ0.OQ_or more,( '
<br /> certtfy ttiat 1, #he. applEcant,.have.been pcoi[Idesl wiih a copy ot the�`Ftodda ConsWctian�l.ien l.aw--Ftameowr►er's
<br /> ProtecUon Gulde'prepared by the FlbHda DepertmenC of Agriculhrre and ConaumerAtfalts. If the eppltcant Is someone �
<br /> other than the'owner',I certffy that I have,tibtalneilia�copy:,of..the akxtva.deacAbed dacumenhand.proml��irt,good tiatth.to �
<br /> deliver It ta,th�'ownec`pitan:#a�commenc�me�rfi:. ,
<br /> CONTRACTOR'SIOYVNEit'S AFFIDAYIT: I.c,e.iflty.,tHat•all"tFier.lMarmetlon:l'n"�thia sppllcaNan Is accurate.and thet ell work
<br /> wlll'6e done In complfance with all.appllcable lawe reguletlng consdvction,zantng and land developmenG Appltca8on Is
<br /> hereby made to obtein_a.penr�it.#o s!o wofk.,and thstalle#nn as IndEt;efedl °I c:ertify that na wark�or tnstattatton has
<br /> cammenced p�ior to tssuance ot a permit'and that.alt work wi(I be pertormed to meet standerds of.all laws regulating•
<br /> canstruction, County and City codes, zoning regulaticns, and land develapment r.egulatlons�in tha J�risdlcQon. l al'so
<br /> certity that t unde�stend that the tegulala��ans of ofher govemment agenctes may�apply ta the Intended warfc,and that it ts
<br /> my responsibility ta identlfy�what.ecUons I must•teke.to beJn�carqpilanca: S,uch agencles indude bat are.not Ilmited to:
<br /> - Department of Envtronmental�Protecqon=G�ipres�s.'Baylieads;Wetlend Areas.and Eavfronmentaliy Sensitive
<br /> larsds,WeterlWa�tswaterTreattnent.
<br />' - Southwest Florida Weter Management 'blstrict-Welis, Cypres.s.�8ayheads; Wekland Areas, Altering
<br /> Waterapurses,
<br /> - Army Corps of Englneets�eawalts,Docks,Navtgable Wa#ernays.
<br /> - Department of Neatth�& Rehahliitafive SetviceslEnvrronmerdei Fteatttl Unft Welfa„Weatewater�Treatment,
<br /> � Septic Tenks. ' .
<br /> - US Environmenta!ProtecUon Agency Asbestos abatement
<br /> Faderat AvlatlonAuthcrity:Rurnvays.
<br /> I underetand that the.follovving reaUl�tlbne apply to the use of flll:•
<br /> ' - Use of ftl!Is not allowed in Flood;Zo.ne"1("unless expressly petmfkted.
<br /> - If ftfe fll! mate�lal ts ta be used:'tn.:�laod Zane.A', tt is underatood fha# a dreinage pfan addresstng a
<br /> "compe�sattng volume"will be submttted at Ume of pe�mitting which ts prepared by a profess(onal engineer
<br /> '� _ Ilcenaed by.the Stete of FloNda: ` _
<br /> !f thA t�l! materlat ts to be used in Flaad Zone"A ins connecfion•wEth a�itted 6uitding using stem wail
<br /> ; construuctlon,I certify thek fl11:�VJll.b.e�sed onty.to ml the a[ea within�the�atem wall.
<br /> ' - If fll!'R181@del I9 10 bB U88d•'Ip..etly 81LB� !.certity,Htat use of such ti{t wlti qot advetsely aftect adjacent
<br /> pruperttes. If use af fili la found to adversely.�ffecf aslJaeent prespertles,,fhe oumer may be ci#ed tor.viotating
<br /> ihe cond�lons of tMe bulldlag;pemilt Issued�under the�attacfied pertnit qpplkatlon,far lots less�than.one(1)
<br /> acre whlch are elevated�by flll;��t�nglneered dralreage plan Is requlred..
<br /> tf 1 am the AGENT FOR TF#E OWtliER,!;promtse I�good faifh to inform the owner af the pemiitting�ndiNons�et farth in
<br /> thls aftldadlt'prlor M commeacing conshiicGon. I under"afend thet srseparate pertnit mey be requtred for electrlcal work,
<br /> ' plumbing,_slgns,wells,,pools; alr candltloning,.gas, or:ot�er Ins'tal�pons not.spec►ffca!!y Induded tn.the appllcatton. .A
<br /> petmit Issued shall tie coi�slrued to be a�ltcense-to pitsceed wlth#fie work and not as.aafEtarity_to,vtotste,cancel,atter,ar
<br /> � set aslde any provlslons of ftie.tectinlcal codes;nor ahall Issuence^ra�f a.permft.pcevent the Bulldlrig Qffidel irom thereafter
<br /> requlring a carrectlon�_errois In prans;canetFiictfon or vlolaUona ot•any codes:��very pgrmft tsaued shall become Invaltd
<br /> '� _ unlesa tlt�wtitk authorized:by auc#t permlt��ts_cammenc�dwtfhln s�c,moolhs of-gernnit tssaance,or If wo�ic anthorized by
<br /> iha permit.ls auspanded or..abandoned for�,period of elx(�)�monfEis�iter;lhe�me lhe�wark�s commenced. An extenslon
<br /> may be reguested,,In wrlting,�f�om.tlie,Bullding,(3fflclal for a perlod:not-to exaeed nlnety(90)•days add wlll demonshste
<br /> Justi�a6le'cause fet:•the eattettsfot� tf work ceasea:for ntneqr,{9{}}consec�thre days..t�e iob�ta c:ansidered a6andoned.
<br /> � .. ., ;- ,., :. , ..
<br /> WARNING'1"O OWNER: YOUR;FAILIIRE 7t1 REGORQ./�>NG'F�GE:OF�COMMENCEMEHtT•.MAY•RESt�1:T IN YOUR
<br /> I; PAYIN�TWtCE�F,ttR:IMPRQVEMENISrt'Q:,Y#}�t�P.�4RER7Y IF°af0 � . D4'T�O'�8�'�AiE1�`Fii+�i�#Cd�:�O�tSU�T
<br /> � ' �
<br /> V FLORIDA JUFtAT(F.�t1T.03) ' • : - ., -
<br /> ! OWNERORAOEHT . C
<br /> ISubeaibed an�m ta(or�mmted)beforo me fhle end'ewom �";eq e�;befotq me'fhl!
<br /> �// , .
<br /> Who Islare perao�lly Imwm to.ma,ot haalhaue ptpduced. Wha(�/ara petaon ta me orhadhavepraditt�d
<br /> � " , " ad tdenUflcati9n: aa tdenti�CaHcn.
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<br /> Rtofsry Publtc . Nqtaty Fubttc
<br /> Commisslon Wo:` Commbalon.No. '
<br /> Name af Notary lyped,printed or stamped Nam�ot Notery typed,printed or etamped
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