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<br /> � �9�'�'IC���F D�IED:F3ES7�ICTI�PIS: The.undersigriec! understands th�t#his pei-rnit rnay be subjscf tc�"deed°restrictions"
<br /> which tria�r be,more rest�ictive than County regulations. The'undersigned assumes responsibitity fs�r cdmpii�nce with any .
<br /> applica6le deed 'restrictions. , � � � . � , . . , . , - ,
<br /> -�U�@�lC�NS�D ,�COPIT�CTQ��a'��l� CQi�4T��C'�'OR R�S�'Q�ISIBI��Tl��: If the-owriet has hi�ed a cantrac�or ar
<br /> , > cantractors to underfake wbrk, tfiey rriay�be'r�quired to be licensed in, accardance with state �nd local r�gulatians. If the
<br /> car►t�actor"is not lic�nsed as r�quirec9;by.l�vv,�both the ovuner'and contraator ri�ay be clted for a�rrtiscfemeanor viqlafion
<br /> under-s#�te law. �If.the awrner tr�•infended contrac#or are�uncertain as to vvhat ticensing requ,irements may apply for �he �
<br /> °• �int�nded work, they are advised to co�rtact the Pa�co County Building Bnspection DiviSion—ticensing Section at 7'27-847-�
<br /> .8009, Fur#herrimo�et if th�; .oi�vn�r h�s�hired a co»tractor �r con#ractots, he is'advised-to have:the contractor(s} sign '
<br /> -, partions of fhe "con#ractor Block" of this applicatic►n for.which #hey wiD be.�esponsible. If yau, as'the. owner sign,as 2he
<br /> cantractbr�:that may be�an indic�tion that he }s nat.properiy licensed a¢td is not.�ntitled to p�rmittitig p�ivilec�es i� Pa�eo f �
<br /> County. - .. • . .. . .. � � .
<br /> . T�PIS�ORT,�TEO� IIWP�,CTPUTILIT'i�S 1�fV�'AC`��N� �E�C�IYRCE f�ECOVE6tY FEIES: The unclersigned understands
<br /> - Ehaf Transp�rta#`i,on #mpact„Fees and Recoitcse-R�covery Fees may apply ta fhe constreiction of n�w buildings, chang� of
<br /> use in existing.buildings; or exp�nsion of existing buildings,.as specified in Pasaa County.t7rdinance number 89-07 nnd
<br /> a,� 9Q-07„as amended. �The und�rsign�d�also und�rsfands, tha# such fe�es, as rr�ay be due, vuill'be:�cfentifi�d at the tim� of
<br /> .. pe�mittin�. it is•further underst�od tha#Transpo�tation Impact Fees and Resource,Recavery Fees.r�ust�be paid.prior to � ' -
<br /> r�ceiving a "certificage of occup�ncy" ar flnal powar release. !f the prc��ect does.not•invalve a cerlificate of occupancy or�'
<br /> - �nal povtirer=release; fhe+fees must,b� paid prior to permif issuance. Furtherinbre, if Pasc� County Water/�ewer Impact ,
<br /> f�es are due, they must be pai� pr'ior 4o permit issuance in accordance with �pplicable Pasco County ordinances.� . .
<br /> . � _ �����T�11�T1t?1�,d»GIE�I-L�i�.��h��f�r�'1l3,�FA�r�tl��t�tnat�s,as �r��er�c9�z9): If valuation�f vvork is$2;500.00�or rriar�, 1° , .
<br /> certify lfiat I, #he applicant, have b�en provided with a copy of the °Fla�ida Const'ructoan Lie:n Law=F9omeown�r's. �
<br /> Prot�ction Guide° prepar�d by t�te Fi�rida DepartQn�nt of Agsiculture a�d Consumer Affairs, tf tti� apgl�cae�t�is soineane
<br /> o��rer t9i�n the�"owner", 1 certify that I have obtained a copy of the aba,ve described documenf and pramise in good faith to
<br /> - d�liver it to the"owti�r" prior tm commencem�nt. � . � � , . - ,
<br /> ���'A�Y��CTCP@�'�!{�1��lER'���'IF9�AV��': .1`certify that alE the inform�fion in this application is accurate and that al1 work '
<br /> will�be done in�compliance with all applicable laws regulating construction, zoning and land develapment. Applicatian is �
<br /> he�eby enade Qa,abtain a pe�r'rtit. io do•v�raa�k �nc#-�nstallation as iitc9icated.. 1 ce�ify ,that no ir�ork or installatio� has
<br /> _ commenced prior to issuance mf a perrinit a�p�d that all vuork will be-performed_to mee# standards.of�all I�ws regulatirig _
<br /> - cc�ristruction, Gaunty and City caties,-zoni�g regulations,�ancl land develc�pinent reg�tlations in the jurisdictian. I �Iso
<br /> � �certi#y that 1 undePsta�id that t���regulations of atheP goverr�ment agencies may appiy_ta fti� infended virork, and.that it is
<br /> � iiny responsibilityto identify�ivhat actions I must t�ke to be in complianae: Such agencies include ba�k are nat limit�d to:
<br /> - Department of Envi�oninental��ratecfiian-Cypress Bayhe�ds, V{/etland Areas and Eriviraninentally �ensi�ive ��
<br /> Lands, WaterNVastewateP Treatment. '. � - ' � � ' ' � �
<br /> , � - Southwest Florid� �Vlfate�� 6ttlanag�menf District-W�tls, C}�press �ayheads, V11�tla�d Areas, Altering� .
<br /> - Watercourses.` , , , - � , ' ' - . , - - - �.
<br /> - - ; Army Corps of Engir�eers-Seaw�lls, Docks, Navigable Waterways. . ' . •
<br /> -. � D�parfrnen# of Hea{#h �. Rehabilttative Serrtic�sJEnvironrnental Health�C1nit-VVells, �IVastewater TreatmPnt, ~, -
<br /> ' '. Septio Tanks. � ' . " . ', . - �
<br /> '. - ., l�S��r�vironmental �rofection Ag�ne�-RsbesEos abatement. " �
<br /> ` � - . Federal�Aviatian�AuQhorit�-Runw�ys., � " ' . . �� -
<br /> � 1 ur�dePs�and that the foUowring restrictions apply fa the use'of fift: -
<br /> _ -, Use of fill is not allowed in Flood�on�"V"unless expressly'permitted. '
<br /> , � - If fhe fill material is to be used in Flood Zone "A", it 6s urtderstood tha't a drain;�ge plan addressing a ,
<br /> "corttpensafrrtg volume" urill be subra�it#ed a# tirne of perrrtitting vyrhich is Prepared by � p�ofessional engineer�
<br /> � licensed by the Sta#�of Florida. � ' ' . ' � . �,
<br /> - ` IF�4he fl! materia! is to 6e used i� Flopd Za�r�e,"P�" iri cannectioii v�ritti a permi�ted buildirig.�us�ng sfem wall ,
<br /> '� , ; . cohsfru�#ion, I cer�ify that fill will ��used only to fill the area within the stem wall: � �
<br /> � , - If fill inaterial is to be �sed in any area, 1 certify that !�se'of such fi!! wi!! u�at_ady�rse(y affect adjacent. ,
<br /> - � properti�s. -if use of fi11 is found to advers�ly.affeck adjac�nt prop�rties, the owner may be.ci#ed for viola�ing
<br /> ` � the.conditions of �h� building permit essued under the attached permit application, for Iofs less.than�one (1)
<br /> . , acre vuhich are eleVated by.fill, art�ngineered,drainage plan is required. - - • , � .. � .
<br /> If i aen the�C�PY7�O�YOi� 09fl9P�E[�, p promise in good faith ta infar�n.the owner of the permitting conditions 's�t fort�i i�'-
<br /> ': . fliis;affidavEf priar �o comm�ncirig cor�strucEio�.. 1 understand-that a.s�parate permit may-be reqc�ired #or electrical work,'
<br /> � _plurribing, sig�is, vuells, pools, air,conditioning;:gas, or ather installa#ians not specificaliy includ"ed in.the apPlication. R
<br /> � � p�rmit issued shall be constryed to be � licens� to proceed wikh the work and not as authority to_'vialate, c�ncel; a!#er, af '
<br /> � s��aside any provisions of�he t�chnical cod�s, �t�r sh�ll issuance of� pePrrtit p�'eyent th� �uildi�ic��Official from thereafter .
<br /> � �' ,r�quiring`a correction of errors,in plans,-construction or vi�lations of any codes. �very perrinik issued shall b�come invalid
<br /> � •unl�ss'4he work au�hor�zed bl� �uch �errrait is commenced'wit7�in six r�onfihs af pe[m�t issuance; or if inrork�itthorized by
<br /> '� ;' th� permit is suspended or abandoned for a period af six(6) ma�nths'affer�the time the wrorlc is commenced. An'extension -
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<br /> `� '_ �rria . be�re u�s�fed,-:an writin fr�rm tt�e BuiJdin Official for a eriod �rst to exc�ed ninei 90 da s and�tinri9l demonstrate-
<br /> Y �d �, . S R Y { ) �
<br /> ���._��r jusiifiabie cause.�for�he extensimn.�tf�t+ori�ceases for niriet 90 cons�cutive da s, the,'bb is aons�dered ab�ndoned. _ � . � '
<br /> - -. . -- _. Y t ) _ .___ . _ Y_ 1 � _. . - - –�_ _ _
<br /> � �i9���1�� 1't� ���1�R: 1'��9� �A�ILLB(�� TC�.��C{��I� � �07'IC{� OF CO�i�ENC����1T 6�E�Y RE�tD�T �� Y��9�
<br /> � . �'(�►,1lYR➢�'f�i9iC� f��R lii���OV�i�l�ta9`9"�Y�1f�V.902�R(D�'�R7`1(. 9�1fOU IWYEPOD TO O�T�16�➢ �Yfi11,�1PlCIi�B�, �H�R9S(.O�T . -
<br /> 1'fid6�'�Y�9t�R L�N�(�R Q��41�1siY�'��P8�1(���t����E�Q��IiVt3 YI�R��Pf�°T1C�OF CO����d�(�il���I�'. �
<br /> FLOR(DA JURAT(F.S. 117.03} � - ; � � `� ,
<br /> _�Wt��Bt tFF2�GEP9T � ' , . ' � 'CQ6UTft�C'FO 0.�'� �� �-{ l �,Ct.,X���Y� - *
<br /> � , .Subs�ribed and sworn to(or affirmedj before me#his Subsc�ibed and sworn to(or affirmed)before me this .; ' ' � _
<br /> . ' _ by ' - �, .y - � � - ' � _
<br /> Who Eslare personatty knavan to me oe hasltiave produced " - Whb{slar persottally knouvn to rne or haslliave produced ' -
<br /> ,� , - as identification. ' as identification. '
<br /> ff.��'.�',s,,j�; , , , , .
<br /> ',i'"r:f':f�?`' . ' _ .
<br /> ;�' • Notary Public � �lotary Public �.
<br /> `` �� _ . ; . . - . � � , , , ,. ' �
<br /> `_ Comrrilssian No. - C Ission o.
<br /> �� � . , . - ;:?o�'�""`"'��;.:JACOUELlNE HORFiUtTINER " , .
<br /> ;,; P�ame of.Notary typed,printed or skamped " . " Name of Notary typ dv�. oa�' � � ,
<br /> " „ ' . , ���OFF��•�+ EXPIRES July•24, 2018�.
<br /> � {ao�}�ee-a�ea Fkoridallotaiy&ervlce.coin.
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