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i <br /> .....__..-_...__.....a.m.<.-.z�.�.��m-c�m-_nr_._r.ax.^u_^�'-_....�.•,-n,s..,�„. e..,,�""�3.'7Y'F-i.'.Nw"L:�'�P2:;5$.:�:� <br /> R10TICIE O�DEED RESTB�IGTIOAlS: The undersigr�ed understands.that.this;per.mit may be subject to°'deed"restrictiqn's",;�`;" <br /> .. �., .,...:,,..,..�:,,�.. .....:::..:_,,....:-� . . <br /> which._may..be.more;restrictive,than�,Caunty regulations: -The,-undersig'neclF=assurii'es��cespons'il�alityrfor'�"com'piiance vuitti°«any""" <br /> appticabie deed restrictions. �,., , _ . ,. <br /> UiVLICENSED-CONTRA►�T�R� AND� �ORITRACTCIR R�SPfJNSIBILITIES: If �tlie-owner has�hired�a�•cantractor�or <br /> cantrac#ors ta undertake v+rork, they may be;,required;to be�licensed:in accordance with state and.locai_r.egulations:::�lf:.the�=�;� <br /> contrac#or is:no# licensed-as required �by`'lair'v, both�the awrter�and:contractor.may-=�ie�ci�ed�for-�a riiisdemeanor vio(ation <br /> under state lavv. If the owner or intended_contractor are uncertain as ta what ficensing requirements:.�may�,>apply for.�.:tFie°�, <br /> intended wor.k, they are•advised to contac�'the Pasco Gounty Bailding°Inspec#ion�Division=Licensing Sec#ion-at 727-847- <br /> 8009. Furthermore; if the owner has hiretl�a con"tractor or contractors, he�is advised to ;have the contractor(s),,sign,,,; <br /> po�tions of the "cantractor 8lock" of this applicatian far rrvhich they will 6e responsible.. If yo�u, as�`tli"e�owne'r`sign as`Tthi'e <br /> cantractar, that may be an indication that he is not properly licensed arid is not entit(ed�to permifting privileges in Pasco <br /> County. � - <br /> TRAt�SPORTAYION IMPACY/l1TILITIES IMPAC'�ARiD RESO�JRGE R�COVERY FEE�: The undersigned understands <br /> that Transportatian Impact Fees and Recourse Recovery Fees may.:;apply to the constructian of new builtlings, cfaange�:of���>� <br /> use in existing buildings, ar expansion.of:exisfing�buildings, as specified in Pasca County Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned also understands, that such:.fees, as�may:;be.dwe, vviil��ie�identified atFthe�fime�of� '` <br /> permitting. It is further understood fhat Transpartation lmpact Fees and Resource:Recavery Fees must be paid priar to <br /> receiving a "certificate of accupancy° or final,,po�rer release. I#the project does nat invalve a certifcate o#accupancy,-.or <br /> fina( power release, the fees�.must be-paid prior to permit issuance. Furttiermore, if Pasco Gounty W,aterlSewer<<lmpact <br /> fees are due, #hey must be paid prior to permit issuance in accordance with applicable P�asco County ardinances. <br /> �Oi�STRUCTI��! d��EN LA�(Chapter 7�93;'Flor6da S#atutes,as amended): If valuation of wark is$2,500.00_or more,.,l-; <br /> certify that 1, the applicant, have been provided with a copy. of the. "Flarida Construction Lien L.avu—Homeowner's <br /> Protection Guide" prepared by the Fiorida Department af Agriculture and Cansumer.Affairs. tf the applicant�is someone <br /> o#her than fihe"owner", l.certify tha#I have obtained a c�py of the above descriaeci`tlocument and pramise�in good�faith�to <br /> deliver.it to the�"owner"prior ta commencement. <br /> Ct3R�TR�4CTOR'S/OI�Ift��R'��►FFIDAl1(Y: l.certify.that all.the infor.mation in this application is accurate and that alf work <br /> wiil be done in camp(iance with all applicable,`laws regutating canstruction, zoning and-land development. Application is <br /> hereby made to obtain a permit ito do,.work-and insfailation as :indicated. I certify that no work or installation has <br /> commenced prior-to issuance of a peri�iit and that ail work wilf be performed to meet standards of all laws regulating <br /> construction, County and City codes, zoning regulatians, and land developmer�t regulations in>the jurisdiction. 1 atso <br /> certify that I understand that the regulations of other government agencies may apply to the interided vuork, and that it is <br /> my responsibility to identify what actions t must take to be in compliance. Such,agencies include but are not limited.to: <br /> - Department af Environmenfai Protection-Cypress BayFieads, Wetiand Areas and Environmentally Sensitive <br /> Lands,WaterNVastewater Trea#menf. <br /> - Southwest Florida 11Vater Management Dlstrict-U1fefls, Cypress 8ayheads, Wetland Areas, Altering <br /> Watercourses. . <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Healfh � Etehabilitative Senrices/Environmental .Health Uni#-Wells, V1/astewater Treatment, <br /> Septic°Tanks. � , <br /> - US Enviranmen#a!Pro#ection Agency-Asbestos aba#ement. <br /> - Feder.a!Aviation Authority-Runways. <br /> I understand that�,the following restric#ions apply to the use of fill: <br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. <br /> - 1f the fil( materia( is to be used �in Flaod Zone "A", it is understood that a drainage plan addressing a <br /> "compensating valume° wi{! be submitted at time of permifting which is prepared by a professianai engineer <br /> licensed.by the State of Florida. , <br /> - If the fill materia! is to be ussd in Flood Zone "A° in connection with a permitted building using stem wafl <br /> construction, I certify that fill will be'used only to fill the area within the stem wall. <br /> - lf fill- material is to .be used in any area, I certify that use of such'fill will nat adversely affect adjacent <br /> praperties. If use of fiill is found ta'adversely affect:adjacent proper#ies, the owner may be cited for violating <br /> the eonciitions of ttae:buifding perrriit.issued under,the attached permit applicatian, for Iots less than ane (1) <br /> acre which are elevated by fill,an engineered drainage-plan is requited. <br /> !f I am the,o4GE�lY FOd�TH�OV4lNER, ! promise in good faith ta inform.the owner of the.permitting conditior�s set forth in <br /> this affidavit pr.ior to commencing construction., I understand that a separate permit may be required for elec#rical work, <br /> ptumbing, signs, wells, pools, air condi#ioning,,gas, or other installations not specifically included in the application. A <br /> permit issued shall°be construed#0 6e a license to proceed with the wark and not as authority ta violate, cancel, alter, or <br /> set aside any provisions af the tachnical codes;nor shail issuance of a permit prevent the Buiiding fJfficiat fram thereafter <br /> requiring a correction of errors in plans, construction ar vialations�of�any codes. Every perrizit issued shafl became invalid <br /> unless the work authorized by such permit is commenced within sEx months of permit lssuanc�, or if work au#horized by <br /> the permit is suspended or abandoned.for a period�af six(6) months after the time the w�ork is'commenced. An sxtension <br /> may be requested, in wr.iting, from the Buildin'g Official for a period,not to exceed ninety(90) days and will demonstrate <br /> justifiabie cause far the extensian: if work ceases for ninety�90}consecutive days,the job is considered abandoned. <br /> !RlARNlRlG TO 011�NER: YgUR FAILURE TO REG062D A NOTICE OE CC?MMENCEMENT MAY RESUl:T IN YgUR <br /> PAl'IR�G TlNICE FOFt lMPROVEMEN'1'�.TO VOUI3.PROPERTY. !F YQU•�IN:T:END•�TO OBTAIM,FltdAI�C11dG,CONSUl.T <br /> l�/iTH YC1UR`LEMDER C1R,d�N/�;TTC1R(dEY��FG1R�.RECORDINGYOUR-NOTICE OF'COMM�PICEMENT. <br /> - - -- - - - - .«_ ._ _ <br /> -- F�Of2tDA JURAT(F.S 't 17:03} -- _ _. _ _ - -- <br /> OWPdER OR AGENT G� �� G�C)'� �, COV�TRACTOR U- �CCG l)U� <br /> S bsc bed and to�oj �yed)befare e this �t�'l Su rib d and swo a or�ff rm }be re m this °�'�� Ct,�' <br /> � (5�� by �CIGL. N(� WU�J-C��� ��l��by L�Q �Q, �lS�� <br /> Who is/are personally, own to me r has/have produced � Who is/are personally kn . n ta me or h s/have produced <br /> as identiflca6on. j '�" as identification. <br /> � � � <br /> � Notaty Public `'Ia�JfJ� �< '� � Notary Public <br /> comm�ssion�so. �R�3$ti77� Comm3ssion No. �F�r�'S��� <br /> c�n��s- A/ ',�Y`T�'�'!( ' � YJtI�.�"�J— /v y ?�1��Q:v(�.Gf <br /> Name of Notary typed,printed ar stamped . Name of No ed,printed ar stamped - <br /> � ; --....... <br /> � :,;�"•"'"S�•,.� JEFlNtFEFt N TRAMMELL <br /> -�' "� MY COM <br /> -`t+�" JEWNlFER t+f TRAMMEI.L i'� MtSSiON�t FF938073 <br /> '� � MY CQMMtS810N#F�s3tIQ73 � ; '•.,°"���, EXPIRES.danuary 15.20�0 <br /> i �40� 39p-07p� FlwyqNNutM� � <br /> ��,�• EXPIRES Januery t5.2020 "'w».� <br /> � ,, -- <br /> �4o��39s-0�51 FlwmNdri S�nucr.uvn i <br />