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<br /> NOT1GlE��DEER RESTRlCTlONS: The undersigned.under�tands�.th�t{thl�.;p�rmlk�,may,be;subJect.to.°deed,",resUictlo'ns".,�.,, ;"
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<br /> which may be:.more`�r.esthlctive>th�in��County-r'eguletfons:���The�underslgned"assumes'responsibllity`far'compiiatace with�'any` ,' � ,'
<br /> applicable_deed-rest�ictians. ,;, ,;,,,,;;;,; ,: ;_ . � , �,_ , -
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<br /> UNLtCENSED�`CONTRACT�RS .AND Ci'3N�"RAC70R�RESPONSIB1CiTtES: °ff�tiie�awner has��hired� a��contrac#ar or
<br /> contractors#o undertakewortt, they may:be:reEqerEred=.to:be,llcensed.ir�,accordanae.wttft,st�te.ar�d�locai_regulation�. ��lf�the�,-, �
<br /> con#ractor�ls-not.ltceri'sed�-as�%�equlred`tiy (aw, �oth:�th� a�rner antl-'confractor�may be�ciked°for°a�ri�lsdemeanor ulolation
<br /> under state Iaw. If the owner or Intended�:tcontr�ctor:are,;uncertaln as to wFiat Ilcensing.requirements:;may��apply�:ior��the� � � ��
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<br /> Intended work�they are:advisetl to=contact`the.Pa�cn County�uliding;inspei:ttonVDtvlslon-�Llcensing Section at 727-847-
<br /> 8009, Furttierinor�, if ttie owner�has lii�+ed�a��con�racto��or contractors� he is advised to have �the contr�ctar(s},r slgn,., ;
<br /> partb�s of#he "contractor 81ock" vf..this.appllcatlon.far:wMch,they..wltt be�r.�spanslble.- If:-you;:.as_.#he_owcier'stgn'�as��the- � : .
<br /> contrac�or, that�rnay�be�an indicatlon thaf'he'�ts no#:pro�erl'y�llcensed�aritl�ls'not entltled ta permlkting prEvlleges !n Pasco
<br /> County. � , � . , f : _ . = ,. .
<br /> TRANSPORTATION�IMPACTIUTII:ITIES�(MPAC7�ANb R�SOU�tCE RECOVERY�FEES,� The understgned�understands
<br /> that Transportation Impact Fees and.Reco.urse Recovery.Fees may�rapplyGto°#(�e.consttuction,of new_buiidings��.chan�e of�'- � �"°"
<br /> use in exis#ing buildings,�or.�expansibn=•of=�exis#in,g�=bu�ldings, as sp�c�led:in P�sco Caunty Qrdinance r�umber 89-07 and
<br /> 90-07, as amended..:The und,erslgned al�o.underst�ntls, th�t:�such fees,�.aszmay;�`e•�due,:,wllf.;be tdentt�ed at theµtiirie'of:�-�� -�� :;
<br /> permltting. !E Is#urthier understood that Trac�sp�ockatlan Impact�Fees and'�Rssource:�Reco�rery;Fees,must be pald priar to
<br /> receEving-a 'cetEtficate af occupanay" o�flnal�-power;r.eleaBe� :If�the proJect�does:.nnt�Involve:a�.certlffcaEe of occupancy,o���==��° `�'
<br /> flnal power release;=ihe,fees'Mu�t be"pald;prlor to ypermit Issuance. �t�rkkiermore,-tf:Pasco,.Countyi'INater/5ewerWlmpact � .
<br /> fees are due,.they must.be;pald;,prtor,#o permit�issuance=ln accordance wtttr:applloatite Pasco'.Countyso�dinances. �
<br /> CONSTi�UCTIt3N"LiIEN�lAW(Cli�p�er 713� 1=1ar�da Statut���as atner�����: If v�tuation of work ls�2,SOO.Ot�;or mate,.!� - =�t:;
<br /> certify ttist I, #he. appllcant�. have=been proYlded wi#h�a=capy�of the�"EI�rEda- Constcucttan: �leti .t:aw Homeowner's
<br /> Pcotecttan GuEde" prepared by=�Elie Florlda Department�of Ag�tau�knre and Cansumer;;Affalrs. !f the appl4cant ls someone:... , i
<br /> other than#he"ownet", 1 certffy':_th�t I.;h�ve,obiained�a=copy,of:the;abova.des.crlbed tlocuii�ent°and:.promisi�;ln,gaod'.faith to . . � �
<br /> deliver It to.tfie�'owner"�=p�ior.'to�commencemerit.''" � ' ' ' � � � � ; � �' - . - � �
<br /> CONTRACTOR'S/OWNER'S AFFtDAVIT: 1.ce�tity:,fhat��iit.:the�,inf.ormationy:in�#hi�applla�tton is accurate�nd that eli work {
<br /> witi`be dane in camptiance vvith �11.applicabie'laws regulati�g constructton, zoMng and_�land devetapment. Appticatian is ,
<br /> hereby made to abtain .a permit.to do:.w.,ork„and •If�stall�tlan as tndtca#ed:. '1 cectffy that no work�`:or [nsEatlatlon lias
<br /> � commenced prloi� to Issuance of'a perrrilt�"antl that`:a!! work �rlll be perFnrmed to meet standards-of atl laws regulating-
<br /> c�nstruation, �ounty and C1ty codes, zoning regulatians� and land development tegulatlons�tn the .jurlsdlctlon., 1-al'so _,
<br /> certlfy that I und�rstar�d that the regulatlons of other government agenates may�apply�to the Intended.work� an�that it is
<br /> my responsibltity to identify.what.actiona I must take:to besin:.cor�pl)ance:.,.�uch,agencles Inclwde but�are.not limited to. �
<br /> - Department of E�`�vironmental>�Pmtectian=Gypress.`Bayhead�;��/eNand Areas and Envirorimentally Sensitive
<br /> i Lands,WaterlWas#ewater Treatment.
<br /> � - Sauthwest Flor�da Weter Manageri�ent=:�Is#r�ct-Wells; Cypress.��Bay.#�eads; We#land Areas, Altering
<br /> Wakercourses. , . . �
<br /> ' - Army Cnrps of Englneers-Seawalls,'Doaks, Navlgable Waterways.
<br /> '� - Departmen# of,Heaith;:�.8 ,ReMabiiita#ive SecviceslEnxironmentat.:Nealth Urti#Weiis; Wastev�rater�Treatment,
<br /> Septic Tanks..`. .::.,: `, ' ..-- .-
<br /> - US Envi�onmental Pro#ectlan Ag�r�cy-Asb�stos sba#ement��_. � �
<br /> - Federal:Avlatlon-Authorlty-Runways.� � �� �
<br /> I understand that.the.:following:�reatrl'ctlons apply ta the use of flll:
<br /> � - Use af fill ls not altowed in:Fload�.Zone"V"untess expressty permitt�d.
<br /> - if the �.fiil material is to b.e used:In ;Flood.Zone. "A", it. is understbod that a drainege plan addressing a
<br /> �compensating valume"will be subr�ltted at time af.permltting�v�ilch is prepared by a professiona! engineer '
<br /> ltcensed by the State of'Flatlda: '� ._ - . ,- -
<br /> - . !f!h� flll materlah Is�to 6e used In Flood �one "A" !n�connection�wltfi�a permitted building using stem wall
<br /> construction, l cerkify:th�t fill:wlU-b.eused only.to.flll the�area�withln the�stem�wall: �
<br /> - If fflt materlal�is to be used`In any area; l�certlfy t�af .use. of`such fili vnill �ot advers�ly affect adJacent
<br /> properties. if use of fiil is for�nd_to, adverseEy��ffeat adjac�nt pr�pertie�,.the owner may be clted for violating
<br /> the condf#ions.iaf ths building permit Isstied=under the:'attach�d permit appllca#bn, for_:lats�.less tFian one {9}
<br /> acr$whtch"are elevated�by t!1!,a�t englneered dralnage plan is requlred.
<br /> � If!am the AGEMT l�OR.THE OVYNER; I;.promtse ln.good.fatth to l�form the�qwner of the permltting condftions set forth In
<br /> � this affidavtt�prior to coiinmencing construc#ion. 1 understand thata�sgparate permtt may be requtred for electrlcal'work, �
<br /> ptumbing,_signs, wells,.pools;, alr conditionirtg,-.gQs,.or othe'r: instaii�tioris na1�spec�icalty Inctuded�in.the application. .A
<br /> i permit lssued sha1l be construed to be;�a�il�ense��#o�procead wlth"trie:work antt nat�as:authortty ta:,vlolate,°aa"ticet. atter, ar
<br /> set aslde�ny provislons of ttie technlcal,codeis;�nor shall Issu�nce•af a.permit.pr.event the 8ulldtrig Officfa!from thereafter �
<br /> requlring a correction nf errors In,.plans,�cansUuctlon or.vlolatlons�of-any�codes:� Every�permlt=lssued shall tiecome�invalid
<br /> unless the work autho�ized.by such permlt-ls.commenced�wlthln sGc..months of�pe�rnit Issuance� or tf vvork authorized by
<br /> the permit is suspended=or:abac�doned�for:a:periad nf s�C(8)montiis,.'afte�;Q�e time the�wo�rk�s commenced. An e�cfension
<br /> may be requested, in wrlting;wfrom tlia�Building,�fficiai for s perlod�:not•.to.exceed-nirieiy�(90} days artd-wiil~demonstrate
<br /> )ustifiabfe cause for.the exfenslan, 1f work.ceases:for nlnety.{90}cons.ecutive�day.s._the�ab_�s.�considered abaadoned, ..
<br /> W/ARNlNG TO OIMNER; YQ.Ul�.-FAILLlRE�T�,RECO�tD.A NCITICE:OF;l�AMMENCEMEMT.MAY�RESULT��lN YOUR
<br /> PAYING TWICE:FOR�IMPRO.VEMENTS-TO:YOUI�:P�tOPERTY:-1�°YK�.U�IR1'fEWD?TO'OHT�IN�FIN�4R�� G,�CONSULT
<br /> :�,�9T U .s . �A M� CAR FC�13�t Oi'��i f��1fE�1:1 :. C ` F�. :,:'M E .
<br /> FIORIDA JURA�(F.S:Z . , - . - -__ .___ -
<br />� OWNER OR AOE � CCSNTRAGfiO ,
<br /> Supscrib�t and swo a rme } etar th s n,,, `1�. �u bsctfb �tflttn �(g' ,,,,,,
<br /> �5�-�-/7 by � ,�����/ J-3r�'� •b. e'J
<br /> Wlio��s,�are,,p���;ona y k own to.me or has/h ptodqced UVho ��r o tts.me oc hasfiave�produced �
<br /> l��4-��'z�4v��'$' h..�-=asld"enURcallon.- . /�Z-����_.x.00 asldenUflcatlon.
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<br /> � Notery Publlc • . Natary Publtc
<br /> �m �g Com. ss No
<br /> ',�' �Py�:: Commission#FF 150422 •
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<br /> Name oI!V � p�z.Qou.�ao�s Name oi Notary d' �o
<br /> a •,g;,;�`��'.�ea �+: :*= omm ss,an#FF 150422
<br /> , ;;��. oP; Expires December 12,201$
<br /> 'q�oF F;,.� Bonded Thru Troy Fein Insurance 800�385-7019
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