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NQTtCE t?F DEEQ R�STRICTIANS: The ur�detyslgaect understands;th�t.thi�>p�rmit=.may,Kbe;sub�ect.ta_"deed"wresfricNons"r.. .s� �`:
<br /> which may�,be�rr�ore°r.�s#Flctive�-th���CountyFfegulatCons:'The�under�igneid'assumes�resjionsidillty�for campliance v�►ith�any"'�` '�� " '
<br /> app!lcable.d�ed restricBiac�s. ;:.�-�.;- �,:.. ,: ` • . .,. ., ., .j
<br /> UAfLICENSED�CONTRACTORS AND -Ct3N#RACTOR RESPONSIBILITIES: °if=ttie�owner�hasYfiired��a-`.caintrac#ar or ^
<br /> contractors to undertake work,-they m'aay,be�req�rlr;ed:tq.;be;licensed In.accnrdance.vKith:st�#e.and�lacal:t?�gulatlons:,�If the°���'� ��a`��`
<br /> contractor�ts nat (lcensed=as�requtred`!iy law, �botirthe owner arid'�contractorz�may�be��cited�for°.a misdemeanor vlalaftan
<br /> under state law. If the awner or Intended�contractor;•,ere,uncertaln as t6 what Ilcensing.requlre�nents.;may-,appiyr�for.�the�--, ��-•;����`
<br /> fn#ended work�"they are ad`vtseii to+coiitact t�ie.Pasco Cauntyw8uitiiing°lrispe4#ton:Dtvlsta�ty-t:lcensing Sec#fon et 727-847-
<br /> 8009. Furthermore, tf the vwner�'has�`hired�'a coniracto� iir contractors� he is advlsed ta have �the contractor(s),sign: .
<br /> portlons of the."cantractor Block°.of.thls.applicatlon fac.,which they,.wilL.be,resp.onslble.:.-ff:=you,.as:the owner'�'sign`�as'�ttie " � � �
<br /> contractor, that�tnay be an Indication that�'he=is not`.prope�iy llcensed�ai�tf`�is'no#ent�led to permlttliig�privlleges in Pasco
<br /> County. - ' � - . . __. __ , � �. . ��
<br /> TR.ANSPC�RTATIt?N-IMRIo►CT1UTtE:iT1ES 1NlPA6T�ls►1��!�tE3QURCE RECQVERY�fEES;�-The�unde�sigited anders#ands
<br /> thatTransportatlan Impact Fees�and.Reca.ur�e RecoveryrvFees may�apply:to�t(�e;constcuctlon of new_buildings�.�change�`of��•"� ���=^`��
<br /> use in existing bulidings,�or��.expamsidnrof-3existi�i�'�buildings� as specifled.'in Pascq County Ordlnancs number 89-0? and
<br /> 90-07� as amended,.;The undersigned atso:understands, that`-such fees;°;as,-mayr�e�:dne;;wiii�be identified at the}time='of`d� .:;.- >.
<br /> permitting. It is furtFier understaod that Transportatlon Impact�Fees and°Resource_,RecoVery�Fees:.must be pald pria�to
<br /> receEving-a.•certificate�of=occupancy"oc�in�l�power.�elease.• =4��the.proj�ct:cloes:iio#Involve<s`:certific�te of occupatticy�ti���::.} ':_.`:;;
<br /> flnal power-release;.the�,fees=mu�t be paid p�lor to;permit is�uance. Fu�thermore;�tf:Pasco;�County"1Nate�/Sewer.�:lmpact , •� ���,°.�<
<br /> fess are due�..theyrmust-be-pald:.prtor ta permlt:issuanc+��:ln ai:cordance.wlth:appllcatite-<Pas�co'�County=drillnances. •
<br /> CONSTRUCTION'tfEN"LAUV'(Ctiapiter T13�Flor�da State�t�s,as ameededj: if valuaflon af work ts$2,500.00.,or more,.I� :;. =--::
<br /> certifiy tfiat I,-�he applicant,. have:.been proylded with -a=capy-of�the�"Florida��Consttuctton� Llen=.Law—Hameowner's
<br /> Protectton Gulde" prepared by tlie"Fioi�da Depattment�of Agriculture and Cansum,�r�Aftatrs. If#he applicant 1s someone • •,,�
<br /> other than the'owner", 1 certlfy that I have:ob,tained�a'copy;of:the;abave.riescrlbedtloauinent=and:promise�ln,g�od_faith,.to .. ��
<br /> deliver It to:the�'owner."=pdor:-��ta�coriamiencemerit:�' ", . , . � - , _ �
<br /> CONTRACTOR'S/OWNER'S AFFIDAViT: 1.ce,�klfy.;tti;at�all�the�,lnf.ormaticm:,ln�tht�appltcatlon is ac�urate�nd that all work
<br /> will'be done in compl(ance with all.appllcable laws regtilattng oonstructlon, zoning and��land°development. Appllcatlan Is
<br /> hereby rnade ta ob#aln..a perm�t�:ta;da, work;;and•-lnstaltatlon as Indt�ated:��-.�1� certifiy"ttiat no wark�or instaltation�Fias
<br /> commenced prlor to Issuance oP'a perrriif'and #hat�.all work will be perfarmed�to meet.standards�of all laws regula�ing-
<br /> constructlon, Gounty and Clty cades, zvning regulations, and tand de�elopment r.egulations�fn tl�e J�rlsdtction._ !-a1'so .
<br /> certlfiy lhat I u�derstand that the regulattons of ather gavernment agencles may�apply�;to the..lntended.work, and that it is
<br /> my responstblf#!y to Iden#ify�what.acttons 1 must�kake:to besln:.cotr�p!lance:..S,u�h..agencles-Include�but=are-.nat lfmited to: � -
<br /> 6 . . ,, . ,. , ,;
<br /> - Departmen# of Er�vironmentat��Protection=Cypress.�Bayhead�, WeHand Aress and Erntronmentally Sensittve
<br /> Lands�WaterNVastewa#er Treatment. � � '
<br /> - Sau#hwsst Flortda W�ter Management�:�C3istrEct:lNells;'��Cypress.�Bay.�eads; Wetiand Areas� Altaring
<br /> Watercourses. � . " ' �
<br /> - Army Corps of Englneers=Seawalfs�'bocics�Navfgatile Watexways.
<br /> - Department of Health,.;.S,.Ret�abilitative;,Servtces/EnvPtonmentai•Nealth Unit Well.s; Wastewater Treatment, - �
<br /> Se�tla Tanks:._, : : , . . • , _., �.._ _. .:.
<br /> - US Envlranmental Pratection Agency-Asbestos abatement. . � ,
<br /> Federal Av.lativn.Autk�orlty=Runways. �
<br /> 1 understand that the.foltawing:�t�estrictlons apRly to the use of tll1:
<br /> - Use of fip Is not a0owed In,Fiood:Zo,ne"V"unless expcessly permitted.
<br /> - If the .fllf materlal=ls to"6�.e usetl:.`In :Flood Zone. "A", It Is understood that a dralnage pl�n address(ng a
<br /> "compensating volume°will be submitted a##ime of:permttting wraich ts prepared by a prafessional engineer
<br /> Ilcensed by�he State of'Flo�lda: � �
<br /> - If the f10-materlal�.ls to be used In Flood �one "A" Itt�connecffon�vfti#h�a.�ermltted builcti�tg using stem wa}I
<br /> ' oonstruclton, (certify th.a#fill:v��ll.be-used only�to.fll)the area within the�stem�wall: �
<br /> - If fflt materlal is to be used In.ariy area, ! cetklfy that .us�t. af such flll wN# n�t adversely affeat adjacent
<br /> propertles. If use of fit) is found�.to advers�Fy��fiecf adJaEent�prc�perties�.the owner may be cited for viora#ing
<br /> the cond�ions.of the bulld(ng;perrrilt I§suetl�under the.-attacHeid_permlt �ppllcatlon, for.:lots.less,.than.one (1)
<br /> acre whlcFi are etevated�liy flli;a�t englneered dralnage ptan is requlred. .
<br /> If I am the AGENT FOR THE�OWNER; I;promise In.good falth to Infarrra the owner of-#he permltting condftlons set forth In
<br /> thts aff�davit`prlor to coinmer�cing constructlon. 1 undet�tand thst a=s�parate petmlt rnay be requtred for elect�tcaFwork, . .
<br /> plumbtng, signs, welis,,poots;, air conditioning,-,.gats;_or other. install'�itions not.spec�tcatly included•in:the�apptication. A .
<br /> permft Issued shall be constnued to'b'e�a�Itcens�`ko proceed wtth'tNe.�work and-not�as authority to,vlolate;�'cancel; alter� or
<br /> set�side aiiy provistons of#he#echalca#-cod�s;�nor shell issuence�of a.permtt.pr.event the 8u11dlrig O#flctal from Ehe�ea#ter
<br /> requlring a.correcNon nf eRors in•plans; con§tFuctlan.or vlolatlons of�any cades. �very pertnlC lssued:sfiall become invalid
<br /> un4ess ihe work authortxecf.by such permft:3s-cornmenced�wlthln si�c,months of�permlt fssuance� ar If wark authorized by
<br /> the permtt is suspended�or:abandoned-for a;period�of�si�c�t�)monftis,:after.the tlt�te the�wo�k��is commenced. An extension
<br /> may be requested� In writing�from#kie:�Bullding,Offlclal for a peNotl��not.to exceed=hinety=(90)��days a�d�virlll`demonstrate
<br /> justitiable c�use for-�the extenslon. (f work ceas+�s,for ntr�et�r.(90}cons.ecutive days,_th�f ab�is consfdered aba�doned. .
<br /> WARNING TO ClWNfR: YOUl�-FAILURE,T4,.RE,CCt�i�A::N4TIGE:OF=�C4MMEMCEMENT:MAY�RESULT 4N�YOUR
<br /> PAYING T1N'ICE;�OR:IMPROV'EMEAt�'S TU.YOUF�<PRLIPERTY:�1�°YOtJ=1N'�E�D:TQ'�G�BTAIN��FIPI�I��1NG;'CONSULT
<br /> —_1l11lT _. - U�t- D �Q. �#N_�1�_ O N FC?RE� -OR�@ f=' OUR` �;C "C� '- ,. . E � T• _' _
<br /> FZORIOA JURN►;{F.S:1.1 TA3} �- , . - , . , � .
<br /> OWNElt OR AOENT , �`���� CONTRAGTO '
<br /> Subsalbed and svwm ta(or aifirrr�ed)betore me ts Subscrl6ed and'swom=to(at�af�tm�drbefore e'Uii�;
<br /> by W�n c �.0��.F�.cz.� •by 1�1�r(I c�_ u1����,�2:-' .
<br /> - -
<br /> W�jp Is/a ersonally,knevm ka�me onhas/have produced Who s/are p r�o alty kn vqn�kn me or haslheve produced :
<br /> �!{�t�t.:�S`L�`�ao�i as tden�RcaHP�• � � � ����f lci�.-�1�2_ as ident�€cattan.
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<br /> � '�- No Publlc . "' '''"�-� Nofa Y PubUc
<br /> � �Zt,,, tary �Y ,
<br /> Cn Sss n Com ss .No � .- '�.. M
<br /> � ...�.. „�,�,,, .
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<br /> ,.�;�i�'eG�f�, JACQUELINE BOGES �,,� R= Commission#FF 150422
<br /> Name of NotarY tYP € � :�` Name af Riotary type _ ,.," �
<br /> t��, �_ � ecem6er 12�2d�$ � '.n; .. tuu Tm,i�ain insu.anca 800-385-7019
<br /> �,�,�rq,�� Bonded Thru Troy Fein Insuranca ED0�385•7019
<br /> �r.�
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