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<br /> NOTICE OF pEEE!R�STRlCTIONS: 'fhe unders(gned understands that th4s permittnay be sublect#o"deed"re�tricttons"
<br /> which may Be more restrlclivp►qan Caunty regulat{ons. 'Fha Undersigned assumes responsibility for compltanca wlth�ny t
<br /> appkieabie deed restriciions.
<br /> U�t�iCENSED GQNTRAC'tORS.At�b GO�ITRA�TOi2 R�SPQNS1piLiTiES: If the owner flas hired a cantractar or
<br /> contrackors to undertak��vork,ttiey rriay he�equired!o be(ice�secl iti accnrclan�e Wifh state and locai regulati4ns, If!he
<br /> contrac4or is not Iicensed as required 6y�ay,i,boih the o�vna�.and contractor may 6e c►ted for a misdemeanor violatfon
<br /> under sta�a taw. tP iha owner or intendad cqntrackor are unce�tatn as ta What iicansing reguirema�ts may�pply for the
<br /> intended work,they ara�dvised to contapt tl�e Pasca Counly Bu{Iding{nspect{o�pivisian—Licensing S�ction at 727-84�-
<br /> e0d9. Furthermore, if t#►e owner has hired a conUaclor or cg�t[aclors, he Is adviSed to have the c4n#r�ctor(s) sign
<br /> portians of the"canirackor�lock"Qf this applicatfon fa�which thejr will he responslble. If you,as Ehe owner sign.as tha
<br /> cont�sctar,that may be an indication thak h�is not properfy Ncenssd and Is no#entitied ta permitting priVil,eges in Pasco
<br /> County. `
<br /> TR,4NSPORTATtON iMPACTIUTIL�TIE5 lt�PAGT AND R�SOURCE REC4VERY FEES: Tha updersigned ynders#a�ds
<br /> that TransportatEon Imp�ct Fees and Recourse ftacovery Fees may�pp�y ta th,'e construction of new buiidings,ehanga of
<br /> use in exisUng bultdings,�ar expans�an of existing buiiding�,as specified 1n Pasco Gounty Ordlnanc�numbet BS-07 and ,
<br /> 90-07,as amended. The undersigned also undersEands,that such fee$,as may�ba due,Witl be IdenUfted at the tfine of
<br /> permltling. It Is f�rlher understood that 1'ransportatlon lmpeck Fees at►tl Resource Recavery Fees must be paid prlor to
<br /> receiving a"certiflcaie of accupancy"or finaf power release. if the projecE does not Invqlve a cecti8cate af ocGupancy or
<br /> finaf power refease,the feas must be pald prior to permil tssuancs. Furthermore,ff Rasco County Water/$ewer tmpact
<br /> fees ara due,they must bs paid prlar to permit lssuance in accord�nce wilh applic�ble Pasca Cqunty ordinances:
<br /> CONSTRUCTION Li�N I.AW(Chapkslr 713,Florlda Statutes,•�s am@ndad}: If vaivatloit qf work Is$2,5Q4.4Q or more,l
<br /> cartlfy Itiat !, the applican#, have b��n provided wlth'a`cqpy of ihe "Fl�rlda.ConstrycUon tfen Law.—Homeowner`s
<br /> Protection.Guide"prepared by the Flodda Departm�nt of Agr{cuiture and Consumar Affalrs. !f the app!{cant is sotneona
<br /> otha�than the"awnat',i�ertify ih�i 1 have obtained e copy of the above'descaihed document and promise In good falth to �
<br /> d�itver li to the"gwner"prior to corrimencement,
<br /> �t�NTRACTOR'SiOWNER'8 AFFiQAVlT; !certity that af{tha informat{on in this appi�cation is accurate and►hat a!1 work
<br /> wiU be done in coinpf{anos with ail appiica6te iaws regutating conskruplion,zotjing and I�nd development. Appiication Is
<br /> hereby made io obtaln a permit to dq work and (nstaUation �s indicated, i cartify ttiat no work or Installaklon has
<br /> cotnrrsenced prfar ta{ssuance of.a permit and thak aq.work wi!!ba pecforrited to meet standards pf ail iaws reguladng .
<br /> constructlon, County and Gity codes, za�fn� regulailans, and land deyeiopmenk regulations irt tha jurisdiGtlan. 'I atso
<br /> certity that i unde�stand thai ihe regulations of other goyernment agen�ias may appiy to ihe interided work,and thak it ls
<br /> my rasponsibllity to tdant{fy what actions i rr}ust take to be�n compiianca, Such agencies includa buk are not Iimitad tot
<br /> - Department of Environmental Prqtection,Gypres�Bayheads,Watiand Areas and Enylionmenkally SensitiVe
<br /> lands,lNate�IWastewater Treatment.
<br /> - southwe�t Fl4rida Water Nlan�gement Dlstrict-11�ells, Gypres� Bayheads, Wetland Areas, ,Alte�ing
<br /> Watercourses. "
<br /> - Arr�y Corps of�n�ir�eers-Se�walis,Doctcs,Na�igaple Water�rrays.
<br /> . Deparkmenk of Hea_Ith & Rehabilitativa 8erviceslErtyironmental Nealth Unik-We!!s, Wastewater Treatment, �
<br /> Sep{ic T�nks. �
<br /> - US EnVi�on�rental Rratectton,�gency:Ashesios abatement. ;
<br /> - Eedera!Avlatlon Authori�y-Rut�vrays. �
<br /> I�nd�rstand ihat the follawing res(rictIons app�y�o the usa of fill: ��
<br /> - Use of fi!I ts�r�ak�itowed in Fiood Zona"V"untess axpressly parrr�itted.
<br /> . if the fili maferia! is to.he used in Fload Zane "A",�ii is understood ihat a dralnage plan addrassfng a
<br /> "campensat�ng vofuir�e"w[t�ba submltted at lime of parmitt{ng wtifch is prepared by a professionai englneer �
<br /> llcensed by!he 8tate of Flodda. i
<br /> - if the fili materiai is to be used!n Flood Zans"A" in cannection with a permlttad bullding using �tem wat! �
<br /> eqnstrucklon,i cerUfy that flii wIN he used onty to fiU tqe�rea.w{4hin the stem waH. - I
<br /> - If fi11 makerla! ls to pe use� in any erea, i cartify ihat use of such fill will not adversely affect adjacent
<br /> properties. if use of fiil Is found lo adversely affact ad)aoant proparties,the owner may be cltad for vlolattng '
<br /> the candttions of tha huliding peimit issued un�er ihe attached ps�m{t app!►cation,for lats tess than one{1) I
<br /> acra which are etevated by fill,an angineerad dra{naga pian is required.
<br /> !f!am the AGENT FOR THE QWN�R,1 prqmise tn goa�faUh to lnform Ihe owner of the permkting conditions set forth In
<br /> ihls affidevli prlar to commancing construcUon. i understand that a separ�ia permlt may he requlred for-elecfrical vuark,
<br /> ptumb{ng,signs,weils; poois,air condiUoning, gas,or other.lnstaHaklons nat spactf�caily inciuded in the appticatton. A ��
<br /> permlk lssued shaU be construed ta be a licanse to proceed with ihe work�aqd nok as authoriry ta vio4ate,car�cel,alter,or
<br /> set asid.e anjr provisions of ihe.tachnical codas,nar shall lSsuan�e qf a:permi�{�raveni'the Buiiding•Offtclat'frorri theraafter
<br /> rsqulcing a c�rrecBon of errors in ptans,�on�iructian or vto�attons of ariy eddes. EVery permlt Issued shaN become fnvalid
<br /> uniess the work authodzsc�6y such perm{t Is comm�nced wfihin siz rponths of permit issuance;or If work autharized by
<br /> ih�peffll'tt is suspendad or atiando��ed for a pedod of six(6)r�ionths afler the tltr4�the work is commenced, An axtenslon
<br /> may he requesked,in w�ltirig,frorrt khe Bu�iding Qfficfai.for a period noi ta exceed ninefy(90)days and wl!!demonstrate
<br /> � lustiflable c�use for the exien�ion. tf w�rk c�ases for ninety(90}consacutiye days,the job is oonsldered.abandoned.
<br /> iNA}2NING TQ OWt��R:�6t# . �AI�,Uf�E TQ RE�,ORD A NDTiCE OF CQtsli � NT MAY RE$UL.T!N YQUFt
<br /> R+�YIt�G TWICE FORJM�'R01t� iS Tt#YOUI�PRQPER`fl(.,!F YQU(, � 0 �1iN FINAN�if�G,�t3NSULT
<br /> OU L I? O O BE.O ECO G 011 O G'E O ' O E C E . �
<br /> FLORIDA'JUR1tTiF:s: ._3j --_ „�._.._. ...._.,.
<br /> .._.__...�._..� .. �.._,..._�—__....._. ..._..._ .__..
<br /> OWN�R OR AQENT GONT4i(�CTCJR r
<br /> Subscribed and swom ta or ifirmedj bgiore ine ifiis � Subscribed and��ynrn o{ar aff3rmed}iie(ore me this ' '�' '
<br /> by . by _i
<br /> \
<br /> iMio istare pQrsoneliy known lo me qi hasPoade prpduced Wh�isia�peisonett"Kn�wn io me or haslhave prod'uced �
<br /> ss IdeNifiqation. �-�.� as tdeniification. .
<br /> . ,. . j–. ,�}
<br /> .l... „� �'`"� -
<br /> Noiary Pu611c �.'�-.{ �� �� �� , . '���.,_.Noiary Publlc ,
<br /> Commission No. Corr�m[ss on No, l �.�
<br /> y,. . .
<br /> Nams of Noia'ry IypeB,�prtnled or elampad ' g ary iy������s� "
<br /> ,��,wtY.?i;o'��, sion#FF i50422
<br /> ;*; ;: Gommis �018
<br /> =_,�y,�Pa: Expires Decem6er 12,
<br /> sas.zors
<br /> '';,,� F f;,��``` $ondsd ThN Troy Fe�n�neurence 800�
<br /> ,4,.,
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