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<br /> NOTICE CiF DE�D RE�'TRIGTIONS: The underslgr�ect under�ta�nds�;th�t:thls:p�mtlfmay:be,sub�ect;to,"deed"r+as#ric#lons"_....v .�..,
<br /> which may.de�:more:�rest�ictive�tha�'County regulatfons:�Th���underslgned'assuMesx'responsfblltty for�coimpliance with��a�y` " `� �� '
<br /> appiicable'deed rest�fctlans. -:.�=ry.:;- ;,.� . .� . • .. F. ._ , ..,_ � � ..
<br /> UNLICENSED� CONTRAC�'ORS�.AwD CONTRACTaR .R�SP�NSI�ILiT1ES: -df-the��awner has���hired"a"aintrac#or or
<br /> contractors to unde�take work,tkrey may�,be..requl�ed��to.:be-wllcensed In,accordance.anti@h state.and�local„,r,egulatlo.ns:��If the����- ��
<br /> contractor is na# licensed:-as'-requlred;liy taw,:bi�th-the owner and�cori#sactor��r»ay be�ctted�for�a tnlsd�meanar vlotation
<br /> under state taw. If the owner or intended?`contra�tor�ere�uncertain as to what Ilcensing.requlrements.;`may��apply:ior'tiie � • ���
<br /> Entended wcirk,tFiey are advised to cantaci th�_Fasca County,Buiiding�inspection:Dlvlslon--l.Icepsing�Sectlon e�t 727-847-
<br /> Soq9. Fur#hermcire, if the awrier'Pias hlred a conhaotor�or contractors, he is advlsed to have the contractor(s),, sign . , . ,
<br /> portians of the "contractor Blook" of,this�application,far..whfch,they,wiU�be�tesponsible.- �If you�=as-..#he 6wner�`stgn'as tfie`
<br /> con#tac#or, tha#�may tie an indicatl±an thaf`he=1s iiot properiy'llcensec!'�oid"I��nart en#l�ed'to perri�itting ptivileges ln Pasco
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<br /> TRANSP�RTATIQN:IIUfP/s►�TtUTil:iTiES�rMPAC'�A�1b R�l3QURCE RECQYEEtY��EES: The undersfgriediinderstands
<br /> that Transportatlon Impact Fees and.Reca.urse Recove.ry.Fees may�,app1y:�to�ti�e;consiructian,.of new,b.uildtngs,rchange-�of"-� �= "'
<br /> use in existing buildings, or.�.expansl�n��o��ezlsti�i�:`.buildings� as speatfled.in P�sco Caunty Ordinance number 89-07 and.
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<br /> 90-07. as amended.,...The undersign�d also,understands� tha�E�such fees,;;as,-may��e•:due;,wil1.�.6e idenfi�ed at fhe•`t3irie;:of-; ..,.-`; �`"A
<br /> permitting. It is turtHer understood that Transportation impact Fees and��Resource;Reao�ery�Fees mu�# be pald prlar to
<br /> reaetving�a"cert�icate�of occupancy"or-final��powe.r.=celease:..,:lf�the pro��cf::does,no��lrnrolve>a�a�.cetti��ate of accupancy.,o�,;::;, , « -
<br /> flnal power release;�the'.fees mus�#"�be pald,prlor to.permft Is��uance. Fu�thermare,•if Pascv:County'INater/Sewer�;impact --•-�
<br /> fees are due;.they�must.be,pald:,p�tar,ta.permlt�lssuance'In accordancewitt�.:appllcabte Pascp�.Gounty'ortllnances. �
<br /> CONSTRUCTiON CIEN�LAVIi;(Ct��pter T13� Flortda Stat�t���as amenc�ed): if vaturation of work is�2�500.00,or more,.t� : � ��<-
<br /> certify that I, #he. applicant;. hav.e-been provided with�-a-capy< nf the�."Florida� Constructlon: Lten�:Lavu=Homeove►ner's
<br /> Protectlon Gulde" prepared by tFie Flor�da Qepa��nent af Agrtculture and Consumer:Affalrs. If the sppllca�t Is sa'meane .,.
<br /> otherthanthe"owner", Icertify.that,lh�ve�obtained�a'c'opy,of:#he:above..des,cribiadd''acui�ent=and:promise�in,gaod::falih�to .,,,
<br /> deliver 1t to:_the"owne�'p�ior:to'�commencement:�'� � � � :-
<br /> CONl'RACTOR'S/OWNER'iS AFPICMAVIT. i.cer•kify,;tii;at.ali:.#he�lnf.ormatlon:.in�thl.s appllcation is accurate and that ail work
<br /> will'be dane in campliance with all.appltcable�laws regulating constructlan, zoning ancl�land�develapment. AppUcatlon is
<br /> hereby made.to. ob#atn .a.petrrti#:;to,.do.woifc.:,��nd�-lnstalla#ion $s Indt�eted.. '1, ce�tifjt ttiat no wark�or tnstal{ation has
<br /> commenced p�lor to Issuance of a perrriif"and that.all work will be perto�med�to meet standardsmof all laws regulating�
<br /> consiructfon, Counf� and City codes, zoning regulations, and land devetopment regulaEions�In the�urlsdtction.-�i :a1'so
<br /> certify that I u�derstand that the regulattans of ofher government agencies may�apply�to the intended work, and that it is
<br /> my responslbilily to identify.what.actlans!must kake.:to,be,tln:.con�p!lar�ce:,;,5uch.agencies inciude but�are.not limited to: �
<br /> - Departmen# of Er�vironmentai�Protection'-Cypre`ss.`8ayhead�, Wetland 1�reas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest FIOI�CIa Water Managemerit::I�istNat:Vltells; �Cypress.'_8ay.heads�; Wetiand Areas� Altering
<br /> Watercourses. .. a •
<br /> - Army Corps of Engtneers-Seawails;`Docks,Navigabte iNaterways.
<br /> - Depaetmen# of;Heaith�,:8.Ret�abilita#iv�..ServicesJEnvitonmentai .Heaith Unit Weti.s� Wasteuu�r�ater�Treatment,
<br /> Sepkic.Tanks:..:" ' � � - :
<br /> - US Envlronmentai�Protec�on Agertcy-Asbestas abatement.:- ,
<br /> Federal Avlatlon:Authorlty=Runways.� ' _ _
<br /> �!understand tt�at the.foNowirig.restrictlons appiy`to the use of flll:•
<br /> • Use offillis not atlowed 1n.Flood>Zone�V"unless expressiy permttted.
<br /> - if the :flif material��(s �to be used_:�In.:Flvad=Zone. "A", (t�is understaod #hat a drainage plan addresstng a
<br /> "compensating va�tume"wiil be submttted at#ime of=.permifting w�iich is prepared by a professianai engineer
<br /> Iicensed by�he 5tate of'Flo�ida. � � �- � - . _ _, -
<br /> - Ef th� f�li-materlal�Is=to be.used In Flood Zone 'A° In�connection�witti�a permltted btaitding ustng stem wa11
<br /> constructiqn, I cert(fy.th.at flll:wlll:b.e u�ed only.to.fill the.area within the�stem-�wall: _ • ,
<br /> • !t fill materla! Is to be use� In any a�ea, 1 �cettll'y t�tat .use of such�flN w141 not adversely affect adjacent
<br /> properties. tf use of fil) is found to adv.ersieFy.:�ffect adjaEeat`�pr�per#tes�.#he owner may be cited for vtolattng
<br /> the condi�ons of the bullding;permit is"sued-under tfia attached�ermit applicatlon;�far.lots-:less.than one (1)
<br /> acre wh3ch are elevated�by fflt�a�t engineered dralnage ptan is�eguired.
<br /> If I am the AGENT FOR THE OIMNER, I�.promise In gaod faith to infarm°#he�owner of-the perm(tting conditlons set farkh in
<br /> this affidavlt�pr4ar to commencfng const�actlon. �i u�derstani!that a=s�parate permit may be reqult�ed for eteat�Ecal work, � ,
<br /> plumbing, signs, W8$S�,poot8�, 811'.conditianing,.gas� ar,.othec instatt�tions no1.spec�i�lly included�in the apptication. .A
<br /> permit Issued sha�ll be canst'tued to be a�Hcense to pmaeed with thie work�nd�not as:authoNty:to,vlolate;.:canciel; al#er. or
<br /> set aslde any�provlsians af ttie technlcal.codes;�nor shalt Issuance�of a.petmit.pceven#fhe 8u1ldtrig t3�cial from therea�tec
<br /> requiring a,correction af enors in.plans; construction or violatlans of-any codes: Every��p�ermlt lssued sfiall'becbme inval(d
<br /> uhless #he work authorized by such permlt:3s-cornmencedw3thin s�t.months af�permlt Essuattce, or If wotk authorizeci by
<br /> 'the perrtrit is suspended or:abandoned:•for.�.;periad of�sU�fH)monfE►s.efler#he tirne�the�avork�is commen�ed. An extension
<br /> may be requested� In writing�:from ttie Bullding,C3iflciel for a� petiod.•not#o-exceed�ninety�(90��days a�d�wiA demonstrate
<br /> �usttftabte cause for the extenslon: If work ceas�s.for nlnety,{90}cons.ecu#Ive:days...the�ab�Ps considered aba�doned.
<br /> WARNlNG T4 CtMtNER: 11OU1�-�FAILURE�TCI,RE�QttD:d�1.NOTtCE:OF.�CQMMENCEME�+tT.Mie1Y=RESULT IN�YQUR
<br /> PAYIIVG TVVICE:�OR..IMPROVEMEMTS,Tfl YOt�R�:PR�PER'IY: �IF°YOU�IIV�'�E�D:TQ:'OBTAiN��FIN�►f��fNNG;�ONSULT
<br /> -- 1MIT lJ :O. AN TTO N �� �'C1RE�RE�A.R� f:<YQU ' • �� ' -: °..' E�Y! � � --
<br /> FIORIdA JURA�:{F.S; .7.03} � �- � . ' - � _ ' . _
<br /> OWN61t OR AOENT ,�/»�-C, "- - �i GgM1'RAGTO �/�.._
<br /> Svbscrlbed and swom or atflnne be re me thfs Su�s bed and'swo aw aNtrmed}'betore me#til�
<br /> - -!? v"Yl I s r-- S� 7 �
<br /> Who Islare nat y knovm me or;haslhave produced Who.lslare p. rsonally kno. , me;or haslhave�produoed � .
<br /> as Identl�ca8on, as idanl�3cs�ttan.
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<br /> � � t..__I.L... s .
<br /> � ubilc . ry ` Notary Public
<br /> aunh, V!A A,.CAMP�ELL, / � �a��N�a &YI.YFA A,CAMPBEI.L�
<br /> Go is or� ., �`'w'�r. Co�b�tttsslon. : �'� 4
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<br /> � ti, _ ' �c My Comm.,Expdres Jul 1�,2017 � '� •� My Comm.Expires'Jut 19,2ot7
<br /> �8tii@ O� �ry r PBotided i�0111��O�iiy�Slfl. Name of Nota � ��n�nu��' $0 de h OUQh h3ti0�2 Nnt2ry Ass�t
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