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<br /> NC►TiC@�F DEE�►RE�TRICTION�: The undersigned,und��tartds°-th�t�this;p�rmlt.may:be:zsubJect to°deed"�r.estrictions":�_,.,'��. ,�.�.,
<br /> which m�y��6e=mote resttictive=tha�Gou�ty":regalatCor�s:'�'The�unde�igned-as§umes'resp�nslbllity�'.foK compllance`witti=any M`.' `."�
<br /> appllcable deed'restricttons. :: ., ., ..,.,_. _ , � •� _ � ° _
<br /> UNLICEWSED�CONTRACTORS �AND GONTRAGTOR�RESPON818tL�ITiES: •ff tiie��owner°has°��hired°"a�con#faator ar
<br /> contractars#o undertake wark, #hay maybe:tce�quire_d_.<to.:beillcensed`In accordance.w(th�st�te.and•local regu4atlans: .�lf�khe= = -
<br /> contractar is no# licerised�as�requlFed`6y laufr, bath°the o�nmer and�coiit�actor may lie-�cited'for��a�mtsdemeanor violatlon
<br /> under state law. !f the own�r or lr�teiide��;cont,r,a.�tor;are„unce�tain as to whet Ilcensing..requireKnents�;may�apply�`forwthe'- � - -
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<br /> Sntended work�they are,advMsed to cainfact-the�Pasca�ounty�ulltling`Inspectlon D(vlsion--Licensing Sectton at 727-847-
<br /> 8009. Furttiermore� If the owiner�iias'�hired�a coni�acto� or coritractors, he�is advised to have :the contracta s}, sign
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<br /> port(ons of the "cantracMr 81ock" of-this_appfication.foc.whlch,,they.wltt,be_r.esponslbte:, If you;�as_�#he awiier"sign°as°the` ` '
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<br /> contractar, that may�be an indication th$t'Fie`is not:properl'y'1lcensed-ariiJ�is�not entitler! to permltting privileges !n Pasco
<br /> County. ,. _ . ��j��. �`-- �
<br /> TRANSPORTATI�?N.IMPAGTlUTILITIES�IMPAC7AND�ItE30UitCE RECOVERY°PEES:� T�he undersigned`understands
<br /> that Transportation Impact Fee�s and.Reco.urse Recovery.Fees may�:apply�to�the�construction of new_buildings,:change°af=`�`�°��� ��=�
<br /> use in existing bulldtngs, or.�expansi�irt�of-ezis#I��g;��uit�fings, as speai�ed.in Pasco County Ordir�ance number 89-07 and
<br /> 90-07, as amended,.;;The undatsigned also;:untlerstands, that�such fees;�as�may�be��due;Awill:.be Iderit[fted at the'�time�of�°� �� �
<br /> per�itting. !t is fu'rther�understoad that Trai�sportation impaat`Feea and�Re�oucce�Reco�ieryyFees..mu'st be paid prlo�ta
<br /> rece€ving-a_"cerfi�cate of occupancy"�or flnal�powec�release: :If��tlae.proJ�cta�oes.nof involve<a.ceniftcate of accupanay.>or�'�{�=', =:`
<br /> fina! powec�release,:the�fees�mu�t'be paid:;prlor to:permit issuanc�. F��thermore;if:Pas�ro,County'1NaterlSewet�;lmpact �-� ..
<br /> fees are due�.they�.must.be�pald:�p�lor�o.permit�%tssuaace tn_accordance with�appticable Pasc:o',County�ordinances. •
<br /> CONSTRUCTION'LIEN"LAW(Cliapfer 713�Florid�3tatute��a�amendad}; {f valuatlon of wotk!s$2,5Qd.00�or more„1� °� .=:.�.�
<br /> certify that J, #he.-appticant,-haue.been provided �w{tfi--a copY� of the "Fiortda° Ccinstruct{oci� Ltert :l�w:Hameawner's
<br /> Protectlon Gulde" prepared by the Fio�i�a Depart�nent of Agrlculture and Gonsum�sc:Affalrs. I#the �ppl4cant!s someane� , m,� �:
<br /> other than the"owner", !cerklfy th�t I h�ve optaineidya'-c+opy;of.the:above:desc�ibed�ilocu�ent�and,pror�lse:in,gaod:faith tn, _ _
<br /> deliver it to the�"owne�':.pi9oir'to�comrnencement:�' . . , .� , � ' . ��
<br /> CONTRI�►CTOR'S/OWNER'S I�FFIDAVIT: 1.ceit�fjr-:ttiat�all:�the,information::tn�thi�appllcation is accurate.and that eti worh
<br /> wiii'be done in compiiance with all appticabie laws regutating construc#lon� zontng and:•land develapment. Appiicatian fs
<br /> hereby made ,to abtain .a perm#t�,to.,do;uuarka;,and;�ln�tallatian as indlcsfed:�.=:1• ca�tt�r that no work:or insEaila#lon has
<br /> commenced pridr to issuanca of`a permiE ai'td that'.all work wtfl be performed�io meet standards-ot' all laws cegulating�
<br /> �onstruatlonT County and C9ty codes, zoning regulatians} and land development cegulattons�In the Jurtsdtctlon.� ! al'sa.
<br /> certify that ! understand that the regulations of other�government agencles may�apply�to the intended work, and that it is
<br /> my responsibllily#o iden#ify�whet.�cttons I must take;to,be.tn:.c�ampltance;a S.uch,-agencles include-but are.not Itmited to:.
<br /> - Department of E�vironmental-Protection=Cypress.'Bayhead�;+N�e�and Areas and Enviranmentai{y Sensitive
<br /> Lands,WeterM/as#ewate�Trea#ment.
<br /> - Sauthwast Flartda Water Managament:i�is#r1ct-We!!s; 'Cypr�ss." Bayheads; Wetland� Areas� Altering
<br /> Watercourses. . , ,
<br /> - Army Corps of Englneers=Seawalls,�Docks� Navlgable Waterways.
<br /> - Departmen#. of..Heatth_;&,, Ret�abilt#ative SeniicestEnvironmenfai ,Heattt� Unit Wefis� Wastewtater<Treatrrtent, �
<br /> S�s�tic TanKs:. ':. ,�. ` `'�.. ..._� .
<br /> � - US Environmental Protectlon Agency-Asbestas sbatement.,.- _
<br /> Federal:Avlatlon�Authorlty,Runways. �'
<br /> !understand that.the.follo�ving.'resi�tctions apply to the us�of flIL••
<br /> - Use af fill Is not aqowed in Fiood Zone"V"unless expressly permitted.
<br /> - If the.:flil material�is #o�`b.e used:In:�Fbod-Zone. "A°, it ts understood that a drainage plan addressing a
<br /> "compensating volume*wlii be submitted a�#�me of:permi#tic�g whlch �s prepared by a professional enginee�
<br /> � Acensad by-#he=StatercfF'lorlda: - �� t..._ : .
<br /> - �If the 3i11 materlal°�I"s #o be�used in Flood Zone "A" in�cannec�ion��vlth�a�permitted bulldlr�g using stem wali ,
<br /> construatbn, l cert(fy th�t flA:wall:�b.e used only.to.fill the-area�wtthin�the s#em=vvall:
<br /> - If fill material ts to 'be used In any area; I-ce�tify #fiat use. of siich�fitl will not adversely affec# adjacen#
<br /> properties. tfi use of fill Is found�to.adversely:�ff�ct adjacerit'prctperties,.the awner may be eited for vlolating;
<br /> the�condl#ions�of.the,b�ilding-.per�riit issuei��urider tiie=attached_permit�appticatlon;for;lots�less�than one (1)
<br /> acr$rnrtifcti are etevated 6y f�it;a�engineered drainage��pian i��equlred. . ..
<br /> If!am the AGENT�C?R.THE 01MNER; I{pro►rilse ln.goodyfalth to i�forna-the�owner of•the.permltting condftions set forth In
<br /> thts affidavlt�prior to'commencing constructlon. �1 understand that ay_separate perm(t may be required for electNcal�work, .
<br /> plumbing,,.signs, weils,,poots;. alr condttioning,:ges� or,othe� ins#aii�fions nol.spec�icatly inctuded�in.the�apptication. �A .
<br /> permit issued shali be constcued to'be`a�license•to�proceed vvith the dvork.anil,not:as:authority to:vlalate,,cancei. alter, vr
<br /> set aside any provisEons of the technlca)c:�de�;�nor shall issuance�of a.permtt.prevent the Bufldlrig t?#�1cta!from Ehereafter � .
<br /> requ4ring a correction af errors,ln.plans;constivctlon,or vlolatio�s of-any�codes;- Every��•permit=lssued�slial!become inva!!d
<br /> unles� the work authorized.by such permit:�s.commenced�within sGc..m.onths of permit Issuance, or If work authorized by
<br /> � the pe�mtt is suspended�or:abandoned�f,or.a=periad of�slx;�)montf�s.afte�the#tme the�wo�k��s commenced. An ex#enslon
<br /> may be requested,_in writing,,:from.tFie�Bwilding.C3fflciaf for a period:not�.to exceed�ninety�(90)days and�wiH demonstrate
<br /> just�iable cause focthe ex#enslon: if work ceas�a�:for nineqr.(�0}consecutive:day.s,..#h�)ab�,is consldered aba�done�. -
<br /> l�1�1RNING TA OWNER: YOUI�4FAILURE�T�.RECQEtD.A:NCITIGE.O�.�COMMENCEMENT:NfAY�RESULT IN YOUR
<br /> PAYMG T1MI.CE:FOR:IMPROVEMENTS:TO:YOIJi���PROPERIY:�I�°YO.U:+Ii�TEMD��TQ�i0BTA1N�-FINAI�EIN,1".�,;�CON3UL7
<br /> WiT UR ' N� CIRN � FO. �� � -O � ��� Cy►U ' ;� =0 �. : ". - - � .
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<br /> FlOR16�JURAT(F.S. '
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<br /> OWNER QR AGBNT . CONTRAGTCIR �
<br />; Subscrfbed artd ssnrom to r edj tode me this Subscribetf��nd'swam�to{ot at�rmedj�befpte me'tlil� .
<br /> bY.._. . .'�`�S�_,_.. ' •bY
<br /> WhoisJarepersonaliykro o.m .or,hasfiave.prpduced Who.ts/arep.ersonaliyknown:to.me�orhasfiave�jtroditced-
<br /> asidentlRcatlon. ' aslden8Nca0an.
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<br />� Notery Public . Notary Publlc
<br /> Comr�IssRon Na.` Commisslon.No,
<br /> i Name ol Natary typed,printed er stampad Name at►Jotary typed,printed or slampsd
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