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<br /> N4TICE�p QEEU RESTRtGTIONS: "(he undersigned undersfahds that this permit may be supJect to"ae�a"rest�iptlons"
<br /> which may be more restricfiva than Caunty regulado�is. The undersi�ned'assumes responsibi{ity for compfiance wit�a�iy �
<br /> appUcable deed restrictioris. '�
<br /> UNLi�ENS�D CONTRAC7QRS A►�D GO�lTRAGTOR R�SPONSiBiLiTiES; if the.qwne� has hired e �r or
<br /> contractore to uridertak�Waric,they�iay pe�equirea to ba(lce�sed it}accar¢an��With state and locat reg'�'`.�..-� ._ -- �
<br /> contrackor is not llcensed as required by►a�r, 64th the owner.and coptracior may 6e clted�for a misdeml ., violatian - - �
<br /> under sta�e law: if the owner or intended contractor ar@ unce�ain as ta What iicensing teguirements may�pply for the
<br /> tnte�ded work,they are advised to contact ihe i?asco County Bullding lnspecllo�p{vislon—ticensing Ssct'ion at'i�7-8Q�'-
<br /> 8009. Furthermore, !f thQ owner has hited a cantrac4or.or cont�actars, he is adviSed to have the conlr�ctar(s) sign ,
<br /> po�kians af the"contractor Biock"of thls applicatlon for whleh the'y Wiii be responsible. if you;as the owner s1gn.�s the
<br /> contractqr,th�k rnay�a an(ndication thai he Is nok propedy Ilcensed and is.not ent.itled to permitting privil@ges in Pasco
<br /> Caunty.
<br /> TRANSPQRTATION iMPACT1UTiL17lES tMRAGT AND R�SOURCE R�CQVERY F��$: Tha und�rslgned understa�ds
<br /> ihat Transpbdation lmpact Fees and Racourse Recovery Fees may apply ko the constru�tian of new bufidings,ehange of
<br /> uss in exfsting buiidings,,or expanslon of existing buildingS,as specffled in Fasco Caunty Ordlnanc$number 89-07 and ,
<br /> 90-OT,as amended, The unders{gned aiso undarstends,lhat such feea,a�may�be due,w{ii be identi8ed at the iime of
<br /> permitiing, it ts fur►her understood that Transpbrtation.impact Fees and Resourca Reqovery F�es musi he pafd priar to
<br /> recelving a"ce�ifi�ate of occupancy"or final power release,. If the proaect daes not involve a cedlficate of occupancy or
<br /> finat power release,the fees must be paid prior to permil issuance. Furihermore,!f Pasco County WaterlSewer Impact
<br /> fees are due,they must be pald prlor to psrmit(ssuance in accr}rd�ncs with appiicaiile Pasco County ordlnances:
<br /> ', CONSTRUCTlON Lk�N I.AW(Chapte�713,Fiorida S�atutes;as am@nded): If valuatlan of work is$2,640A0 or more,I
<br /> certify that i, ihe appqcant, have b�an qrovtded with a cqpy of the "Flortda Constru�Uon Llen Lav,r.—Homaowner's
<br /> Pratecdqn.Gulde"prepared by the Fiorida Dep�riment of Agriculture and Gonsumer Affalrs, if 4he appifcant Is someone
<br /> oihe�than the"owner",!certlfy that I have nbtained a�opy of the above d@sca96ed documsnt and promi$e In�ood fafth ta
<br /> deilver it to the"own@�'prior to cortirpenc�ment, .
<br /> CQNTRAGTOR'�SlOWlJER'S AFFtDAWT: i ceriffy that ali tha informaklpn in this applicatiop is accurate and ihat ali work
<br /> wiii be done in comptianc@ wlth all appllcable kaws regulating�?nstrugtion,zor�ipg and.i�nd development. AppUcaUgn�s
<br /> hereby rrtade ta obtain a permit to do work and (nstatlatlon as tF�dlcated,� I c�rUfy tfiat na work or instaliaiion has
<br /> comme�cad prior to l�suance of� perm�t and that af►wortc iyiii be pe�farmed to meet standards pf aU laws regul�ting
<br /> cqnstructfon, �ouniy aiid Gity codes, zo�ing regulallons, an� land deyelopment ragutations ir� tfie jurisdi�tlaq. t also
<br /> certify thak I unde�stand(hat tha cegu(ations af o�her gouer�ment agenei¢s r�ay apply to the interided�vork,and that it is
<br /> my responsibilify to�denU(y 4yhat actians!r�ust take to be j�comphance. Such�agenbies inctuda hut are not limit�d to:
<br /> De.'pa�#ment of Enyironmenf�l Pratection-C�press Bayheads,ij�etla�d Areas a�d Enyironmentally Sensitlye
<br /> Lands,VV�keflyVastevrate�'Freatment.
<br /> - Souti�yva§t Figrida V+later Nlar��9e�nent District,y�eiis, Cypres$ Bayheads, yVetland Areas, A4tenng
<br /> Watercourse��
<br /> - Army G.orps of En�inaers-SeaWalis,Docks,Navigapl�Watet�vays.
<br /> . pepartment of Neallh & Rehabilitative �ervicesiEnyironme�rtai Healih Unit-Wells, W�stewater Teeatment,
<br /> SeptiG 3�nks,
<br /> US EnVironmental P.ratection/�gency-Asbestos�batement.
<br /> - Federal Avtatlon Authori{y-Runways.
<br /> I undarstand that�he fa8owing rpsiriciions apply ko!he usa of flll:
<br /> - Use nf fiU ts`not aklawed in Fload Zbne."V"uniess expressly permilled:
<br /> - if tha fiii materlal Is to�be used in-Flood Zona "A", it'fs understood ihat � drelnage plan addresslnc� a
<br /> "compensating voSume°witi bs submiited at itme of Qermltting which!s preparad by a prof$ssfonai engineer �
<br /> iicensed by ihe State of Fladda.
<br /> - if the flit materiai is io be use�i in Fiood 2ane"A"!n connectlpn with a permitted buiiding using �tem walt
<br /> construotipn,f cerilEy that fiil wlli be used aniy to fi11 the area.w(khln ihe stem wall.
<br /> - if fii) materVai ts to be used In any area, I certliy Ihat use ot sucfi fili wiil not adversely affect adJacenE
<br /> properlles. Vf use gf fitf is found ia adversely affe,pt adjacent propert►as,the owner may'be qited for viotal(ng
<br /> ihe condldons of the bullding peimlt tssued under the aitachad permli appliGation,for tots less than one(1)-
<br /> acra which are elevaled by fiii,an engtnaered dralnage plan Is requ{rad,
<br /> if i am tha AGENT FOR THE QWNER,1 promfse fn�ood faNh to fnform ihe ow.nQr of the parmitting condiUons set forih In
<br /> thls affldavit pdor to commenoing canstrucUon, !undQrstand that a sep�rate permit may be requfred for elec(rtcai work;
<br /> plumb(ng,slgns,wells; poats, air cqndittaning,gas,orother ir�stallatlons nok spaclfica!!y lnclyded 4n the applicatlan. A
<br /> permit issued shali be construed to be a license to prpceed wiih 1he work•and nat as authority to vioiata,caneel,alter,-or
<br /> set aside any provisians of ihe.technicai cades,nor shall lssuance af a perinik prevent the Building�Qfficlai fratri thereafter
<br /> raqulring a corractiot►of ey�rars!n plans,�o�sUuction or Vioiatfon�of ariy codes. Every permit tssued shaU hecAme lnvalid
<br /> � uniess ihe work authoiizec►by such permlt Is commanced W�thin six r�ionjhs of perrpit issuance,ar'if work aufho�lxed hy
<br /> ,� • uia pe�mil is suspended.or atiando��d for a period af six(6}monihs�fter the,tjr�e 1he�yorl�Is cornmanced;.An exlensian
<br /> may be requested,in Wfiki�g,from t4e Hu�lding q�iclal for a period not#o axcead ninety(sU)days end witl demonstrate
<br /> - justiflaple c��se for t�e axter��fan. if work cease�for ninety(9(1)consecutive d�Y��the job ls consfdered abandoned.
<br /> V41ARNtN�TQ QWN� ' .. t�t��Ai�,Ui�E 70 R��O�tD q NOT�GE OF�,{yt _. _ , NT MAY RE$UL'�iN YOUi�
<br /> PAYIl�G TWlGE F�..IM� .. ... �NTS TQ Yt)Ui�PROPERTY, IF YQU , 7�N. 4 �AIN FINAN�Ii�G,�ONStfLT
<br /> 'i' OU L D Q 8E-0 Gd G 0 O E OF �0 E GE
<br /> Fl.l'3RIDP:�U F: ._.._.-,_.._��._._..._�...-....._ r,., _ ,.M,u....,_.,.. ._._. ..,
<br /> OWN�R OR A,ENT ' GONT��#CTqR "
<br /> Subscdhed�nd orn ;reffitmad)before ine ihis ' " Subscribed and s r aifirmetl)tiefore ms'ihis` �"' ' '
<br /> by . by .. .
<br /> Who is/ere personeily k n ' e oi ha'slhava Qrod'uc8d W6o lsl�ra peisonsiiy Known, me or hasltiaJa prad'uced '
<br /> as{denliflcaiion. es tdenllticaiton. .
<br /> Notary Puhiic Naisty Puhitc
<br /> Commission No. . ' Gommisston No. . .' ..
<br /> 'Name of Notary iypad,�pdnied or 6iamped � Naina of Notacy lyped,prinlad or stpmped
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