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<br /> NO'i10E OF DEE�REST.RICTIONS: The undersigned:anderst�nds°:th�t-tttl�.°.p�rml�,maybe sub�ect to"deed"_resUlctloits"-- , . �„
<br /> v�hich may tie-more°r.est�ictive-thai�'Caunty-�regr�latfons:=�The undersigned'assume�-respdnsibiilty for"cbmpliance with ariy'
<br /> appllcable.deed=rest�lctigns. -.� ,• ... . , , � ._ _ .,
<br /> UNL.ICEN�ED�GOPITitACTORS-A1�D COMTRAGTOR�RESPQNSI�I�:ITi�S: -�If��tiie-owner°EtasV�hired�.a..:cant�actor or
<br /> cantractars to undertake work, #hey.rriey:be;ce►qulred�:to.:b��licen�ed`In;accordence.with_state�.and_local,regulations� :'If�=the-° � �
<br /> contractor i's not ttG+asnsed�as�-required,by law, bo##� the awner ar'id `con#ractor°�rriay�tie clted for a�miscieme�nor vlolatlon
<br /> under state law. If the owner ar intended;;contractor,are;:uncertatn as to what Ifrensing,.requtrements may eppiy�ior�ttie- - � �
<br /> #�tended"work,they��e a�d(§ed to`coritaot the'��Pasco Courity.Building:`Inspectioii,.Dtvlslon-Licensing Sectian at'�27-84?-
<br /> 8009. Funtiermore,� (f fhe owner°has"htred�a contractor�or corittractors. he is aiivised to have�the c:ontractar{s},,,.sign., __
<br /> -..i,.:..�y --�. ; � ,
<br /> portlons of the "conto�actor.Block" of.thl$_application.�for._which they wlll be r.esponslble.- If-you,:LLas#he owner�sign''as'fhe
<br /> cantrac#or, that�ay�tie an indication that�fie°is nat properly`liceiised"antl`is"not'eritiEled ta petmlttfng privlieges in Pascu ,
<br /> - �.;�.
<br /> Caunty. ' ' = . . . .�
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<br /> ' TRANSPOR7"ATICIN..INtPACT1UT1l:ITiES�IMRAC'�AND�t�SOU1tCE RECOVERY�FEES:�The understgned"understands
<br /> that T�ansportation impact Fees;and.Recourse Recove.ry.�ees may�;apply.ta:t[�e construct{on of new buildings,.fchange o#�� `°�� � �
<br /> � use In exi"sttng bulldings, at._expa�sl�n��of��ei�lstin�:'�buildings, as spectfled.in Pascq Counky Ordinance number 89-07 and
<br /> � 90-07, as arnended.,;.�'he under�igned also:�undetstands; thaf:�such fees,��as.may�;�e�:dae;}will,abe Idetitlfied at the�'timek'of��`= .,; >
<br /> per�ilting. It is furtFier understood that Tra�sportatlon Impaat�Fees and�Reaour�ae,�.Recovery��ees,mu'st be paid prio�to
<br /> rece�vtng-a'cerfi�cate;of occupancy".or#ina{��power-;�elease: :1�°the.pro��c#::does�:rio�invalve<a�certiftiicate of occupancy�-o�::.;::: ;:,���
<br /> final power release,��the:fees mu�t'tie pald:prtor ta.permit isst�ance. Furthermore;��if Pasco;Couniy+Waterl$ewec�;impaat� ��•-� �+�
<br /> fees are due,they.must.be,pald.p�ior.#o.permit.issuarice=ln.accord"a_nce witii.;�pplicabte_Pasco'�County artlinances. •
<br /> CONSTRUCTi01d LiEP1�i.AW"(Cfi�pter 713.Flortda Stat�tt�s�as amendec!): t�valua�o�of w�ark is$2,500.OQ�or more.:! : ,
<br /> cerlify that I, �he applicant;.�have=been provided �with�a=�copy�of#he "Florida �onstruatton. Llen .L"aw Homeowner's
<br /> Pro#ectton Gutde" prepared by-tFie F1oi�da Qeparfinent�af Agrlculture and Consumer At�airs. tf the appllcant is someane ,: : .
<br /> other than the"owner, I certifjr.that I�h�ve.,ob#aJned�a�copy.of.the�ab�de..des.c�itied:idocument;and;pfor�ise;.in,goad��faith to - , ��
<br /> de!#ver it to�.the:'owner."_p'r,ior�to�comrnencement:� ' " - � . ., �
<br /> CONTRACTOR'SIOWNER'S AFFlDAVIT: i.ce�tity�.ttia#�ali:.th�xlnf.crmation�in-thia applicetlon is accurate and tha#e1!work '
<br /> will'be done in complianae with all applicable`laws regulating constnuctlon� xoning and:�land-development. Appltcation is
<br /> hereby made ta obta[n�.a.perm€ts,ta:do:worlc�;and=•Instaltatlon as indt�s#ed;.,..:1, cetitifjr that no work�°or 3nstalla#lon Fias
<br /> oammenced prior to I'ssuance o#.a permif`"and tha#�.all work will be pertormed ta meet.standards-of all laws regula�ing-
<br /> construcEion, County and Ci#y cades, zoning regulatlQns, and tand development tegula�ons�ln the lurlsdtctton. !:a1'so-
<br /> certffy that ( uaders#and that the regulations of otM�r government agencies may�apply�to the.lntended work, and#hat it is
<br /> my respdnsibtlily ta ldentlTy•what acEtons 1 mus�t teke:to,be.ni�,carrlpllancs,..S,u�h.agencles include�but�are.not Ilmtted to: : -
<br /> - �epartmen# of Er�vironmental>�Protectiort-Cypress:�'Bayiiead�;'VfU'e�and Areas and Enulronmentally Sensitive
<br /> Lands,Water/Wastewater Treatment. rw
<br /> - Sauthwest F1or�da Vllater Management:;C�[strtct:Wetis; �Cypress. Bay.heaci"s; Wetiand� Areas, Aitering
<br /> Watercourses. - � "
<br /> - Army Corps of Englneers=SeawaNst'Docks,hlavigable Waterways,
<br /> - Department_ of_,Heatth�.8,Retiabilitati�e .SeniEceslEnvitanme►ital�.-Neal#h Uhit-We11s. 1Nastewater�Treatmer�t, �
<br /> Se�tia�'anks.. '_ � � �
<br /> - U�Envi�nmentai Protectlon A�ency-Asbes#os abatement._, � , '
<br /> Federal Avlatton-Authorlty-Runways: ���" -
<br /> i undetstand tfiaE the,followlrig��est�lctlons apply to tlie use of flll:•
<br /> - Use oFfiii is na#aNawed in:Fiood,2one°V"unless expressty perm#ttsd.
<br /> - If the filf mate"ciaf'is fo=b.e used: In.�Floodn�one. "A", �If. is understoad tha�t a drainage plan addres�ing a
<br /> °campe�tsa#ing v6lume"will be submitted at tlme of permitttng wiiich is prepared by a professlanal englneer � : '
<br /> Iicensed by�tFre.State.of'F�orida: . `. , '
<br /> - 1f th� till materlaf.�i�ta be used In Flood �bne `A" !n�connec�lon�v�rltli�a��ecmltted building using stem wall . ;
<br /> � constructfon, i ce�tify that fiil:watl.b.e-used only.#o flll the area within tha stem-wail: �
<br /> - !f fi!! materla! is to be used In any area; �I�certify that .use of such flll whl not adversely affect adjacent !
<br /> properties. If use of fi11 is focrnd to adversely..:�ifeat adja��nt��pmpertie��.the awner may be cited for utaCating �
<br /> 1he condl#ions:,.of.the building:perrriit issued=under the attached_permit application, for lots�.less than one (1) j
<br /> acr�wMcli ar�elevated�6y�ii,an englneer�ed draln�ge plan Is�equired. i
<br /> If I am the AGENT.�OR.THE.OWNER; I,spromise In,goad,faith#o infarm the°owner of•the,permttting conditians set-forth In �
<br /> this atfidaVit'prlar to oommencing construc#lon. I understand that a�separate pertnit may be requtred for elect�ical.work, . ,
<br /> plumbing,,signs, welis,.poots;. air condltioning,-.g�s, or:.ott�e� instalt�itions na�•spec�icatiy Inatuded�in.the appticatton. .A
<br /> permit issued shall be construed to'b'e�a�Iicense'�to��proceed with`tNe;work end not as:authoNty::to:vlalate;cancel, alter, or
<br /> se#aslde a�y provistans of the teahnCcal c+odes;�nor shatl issuance�of a.permit.prevent the Buitdirig O#�lclal from the�eafter
<br /> requiring a correction af arrors.in:pla�s; consCructlan�or vlolatians of-any codes:�.�very�p�ermlt�=tssued"shali tieaome•.invalid
<br /> unless the wark authorfzed.by such permit:�s-commenced•withtn si�c months of permlt tssuance, or li work authorized by
<br /> #he permi#is suspended>or:abandoned�for a;period,.of-s�C��)�monti�s,.after,the t#�e fhe�we�rkis commenced. An e�ctension-
<br /> may be requested� in writing;:fram tHe.�Bullding.O�icfal for a period-.not..to ex�eed��ninely=(90)'�days and will demonstrate
<br /> Just�fiiable cause for.�the extension: !f work ceases_for ninety.(SO}cons.+�cutive day.s,.th��ob_is consfdeted aba�dot�ed. � .
<br /> IMARNI�IG TQ OINN�R; YOUFt�.fAll.tJRE,TO.,R�ECO#tD A:�N�TIC�:OF:�COMMENGEME�tT.MAY-RESU�T IN YOUR
<br /> PAYING TIMICE,EOR_iMPROVEMEN'�S�tA..Y0U1�<PROPERTY:�:t�°.YO.UaI�'�ENtTTEa=�iOBTAiN•�FiNAwE1NG��GONSUt�T
<br />--!!!!!T v � U - - D =C��-Af� �'TO N - - F�RE� � •A�1 �:4 Od! :. : =alF::- `,. E " _. _ _- -- —
<br /> ��.o�tpa auRn����.s.���.os} _., .._ r � ... , . . .
<br /> OWNER 4R AtiENT CClN7'RAGTOFt , �
<br /> Subscrlbed arn1 swom ta(or afiflrmed}before me thls Subscrtbed and`swom to(ot a�imsed)•6eiore me�ttit� .
<br /> by •by -
<br /> Who Is/are pers�nalry knovm to.me.or;ha�lhave produced Who.is/�re p.ersanally ki�own�to me:or haslhave�produaed •
<br /> as Id'en�fli��on. � as iden#i�caflon.
<br />� Notary Pubitc . Nofary Publtc
<br /> CammissRan Na: Commis�ian_No,
<br /> Name af Notary typed,Printed ar stamped iVame of Notary typed,Pdnted ot stamped
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