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<br /> NO°�"1���F DEEl�RE�TR��TIAN�: T1ie u�nder.stgned.u�derstands°;th�t:4hts,Pprm�t,:may.be:sub�ect to�deed"restr8ct6oe�s", '._ .
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<br /> which may.°be.=more r.estcictiv�+�than'Gounty,regulatfons: 'The`�undei`slgn�d�'�ssume�-�esponaiblitty far`cornpqanc�-witii"any
<br /> applEcabPe.ifeed restrlc4ions. , ,..,r� -. ' . < � , . .
<br /> UNLIC�NSED GONTit�ICTORS .AND COM'fRACTGR RE�PONSt�ItiTil�S: ff-the owner has fiired a�`c�ntrac#or or
<br /> contractors to unde�#ake work, they may:be�c�qui�ed.:ta.-be::licensed in.accordance.with;�tat�.and�loca,p,regulatlons. .�If�the��
<br /> caa�tractor Is not li�ensed as required`6y lar�r, both #he owner and:contractor rriay be-cifed�for a�mis�emeanor vialatton
<br /> under state law, If the oavner or Intend�tl=�contra�ton,ar��uroce�taln �s ta vnrhat'Itcensing.reguirements,.'may�:apply�or..tfie
<br /> fnt�nded wark,they are advised t�contact t�ie�'�sco�County Built3fng'le�spectfon Dlvision--l:icensfng S�ctian�t 727-847-
<br /> So09. Fu�Fiem�mre, if the owrner Fias�hl�ed�a cantracfmr iir confractors, he ts �iivls�d to have the canfractor(s),sign,'
<br /> portions of the "contractor Bloak" of thls�appll_catlon_for w+hich.they will be tesp.onsible.� If.yau,-as:#he owher`"sign�as fhe
<br /> cont�actoa�, that may be an Indicati�n that he 6s �o#.properi}r licen�ed antl`.ls no�entitled tb pecrrt6tting privlleges In Pasco
<br /> County. � `' � -
<br /> T�td�PQRTe�1`I�NiiNIR�iGT/l!�'1#�ITI�S�IM���'���I�RES�U���RE��VERY�E�S.� The under�lgried ianderstands
<br /> that'Pranspo�t�tian fmpact Fee�s and.Recou��Recovery_Fe�s m�y�apply�.tc:the constnic�ian_of nev�►_buildings,.�change of '� �
<br /> use !►a existing buqdingst or�expan�ls�n��•of�eiilsting.,�Wldings, �� specifled.(n Pasco Caunty Clydin�nce number 89-OT and
<br /> So-O7. �s �m$�aea.,-The undecs�gn�d alsa:understands, that`such fee�,;as�may_be�.due;;�,wifi tbe tdenttfled a#fhe tiivie�of'"� "
<br /> perrnitting. It is further under�stood that T�a�spor4ation Impact Fees and�`Re�ource:Reco�ery�Fees.must be paid prior to
<br /> rece�ving� °cert�fcate.o#�o�cupancy"or flnal-�powe,r-.r.elease: :4�fhe.pro��ct.does.not involve?�=.cert�lcate o#occupancy o� -, '
<br /> final powec relea�e,�the fees.mu�t be pai8,pclor#o,pecmit i�suance. F�r•thermore;if l�asca County�`1Nater/Sewer;lrr9pact
<br /> fees are due,.they.must be=paid..prlmr#a.permli�issuarice��n.�ccardance wltt��appflca6le P�sco'Gouoaty ocdlnances. -
<br /> C�N�TRtICTfQ��O t9�R1�LAV{�'��Oi��at�r 713,FAa�rt�a�it�tut�����rei�et+��d): if valuatian of wor�t is$2,500.00..or tr�ore,.l ..
<br /> certi�jr that I, �he applicant; have been provided �wi#h a copy of the��"Flor(da Constructlon Llen Lav�r—Hameowner's
<br /> Pro#ection Guide" prepared by tFie Flo�da D�pa�tment�of Ag�i�uEttare and Co�su�caer Affairs. If the appttcant is so�neone
<br /> other than the"owner", I cer#ify,that I h�ve.ab.tained�a copy.of.the:�bove..descelbed�docui�ent=and.promis�:fn:good`faith,to .
<br /> deliver iQ to the,"awn��'�piioc to•co�urnence�t�r�f." ' -
<br /> COMTRAGTOR'SI�WN�tt'S AFF11��4Vi1: I.certify.�:that,all�_th�;lnf.ormatlon..ln�this appllcatlon is accurate and that all work
<br /> wiA'be done in compliance with all applteable laavs regulati�rg constructian� zoning and land°develqpment. AppHcatian !s
<br /> h�reby made ta obtaln .a.permit..fa da worlc;and=instaEia#ian as Indi�Eed:��- 1 ce�tiijr that no wark=°or Instatiation fia5
<br /> commenced p�ior to Issuance of'a perrinit`"and 4hat.ap work will be perf�rmed to me�t standards of �11 laws regulating�
<br /> constructlon, Count� and City codes, z�ntng regulations, and land deuebpment regal�t€ons in the�urfsdtctl�n. t ai'so
<br /> cerkify th�# I u�derstand that the regulatior�s of other gav�rnment agenc(es may�apply�#o the lntended work, and that it is
<br /> my r�sponslblliEy to identify�wrhat.actians!must t�ke:t�be,ln>c.ort�pllance, S,uch agencfes tnclude but are.no#limltec!tc�:
<br /> - Departmen# of E�vironmentah�Protection-�►pr'�'s"s.'Bayt�`ead�, Wetlar�d Are�s �r�d Environrreentalty Sensitive
<br /> Lands,WaterNVastev�a#er Treatment.
<br /> - S��thv�st Fforida ��#er �l9anagement:�:D#str�at Welts, Cypress.��Bay.heads; lNetland Areas� APtering
<br /> Watercourses. -
<br /> - Army Carps ofi Engine�t�s-Seaws�ils,D�cks,Navlgabte Wateruvays.
<br /> - Department of .Health::& Ret�abilitative ServiceslEnvit�nmenf�l Heatth Unit 1N�elis, Wastewater 1"reatment,
<br /> Sep#ic Tanlcs.. .
<br /> - US Environrnental Protectlon Agency-Asbestos abatement.
<br /> - Fede�al Avlatlon.Authority=Runways.
<br /> 0 understand that th�following.�restrfctions apply'to the use o�fl!h•
<br /> - Use af flii is not ailowed in.Flood Zone"V*unless expressly p�rmitted.
<br /> - If the flli� mateNal is ta be used. Itt �Flood Zone. "A", It_ is understood that a dralnage plan addressing a
<br /> �compensaEing volume"will be subtr�itted at time of�.permiftins vv�ich is prepared by � professiona) engineer
<br /> Ilcensed by the St�Ce of�'lorida. � ,
<br /> - If th� �ill mater{al�is t� be �sed 1n Ft�od Zone °A° In�conn�ction-wlth�a {��rmlQted buiEding using stem waiE
<br /> � constructfon, i certify th.at fill�:v�IlO:b.e�used only.to.flll the area wlthin�the�stem wall.
<br /> - !f fl!I m�terlai Is to be used !n s�ny area, 1 �cettify that .use. of suah ti!! wiil not adverse6y affect �d�acent
<br /> properties. If u§e of filt ls found to adversely:�ffect adjacent properties,.the owner may be clted for vlo�ating
<br /> the condi#lons o#the building;permit Issued�under the.aktached,permit appqcatlon, for lots�less�than one (1)
<br /> acr$which are elevated�by flll,art englneered dralnage pfan Is arequired. .
<br /> If I am the AGENT FOR TFI� OIMN�R, I;promise In good faith to Infarm the owner of the permitting condi#ions set forth tn
<br /> this affidavlt�prlor M �ommencln�cs�ra�t�ucttan. "1 un�e�taeed #hat a�separate permit may 6e requtred for eleat�lcal work,
<br /> piumbing,_signs, welis,.pools; alr conditioning, .gas,-or oth�r Instali�flons raat spec�flcaliy lncluded�in.tP�e application. .A
<br /> permit issued shall be canshued to be a�Iicense'#o�-praceed with the v�iork and not�as.eutho�Ity to,viol�te��cancel, alter, or
<br /> set aside eny pr��3sions of#h�technt�al ct�des;�nor shalt I�suance�of a.permi#.pcev�nt fh��ultdirig�ficd�l f�m th�reaffer
<br /> requlrOng�correction af ercors.in.plans, cansfructian or vlolati�ns of-any codes. Every�permtt issued sfiall become invalid
<br /> �niess the work authorized by such permlt:�is-�ommen�ed�withle� st�t,months of permit fssuar�ce, ar if work authorized by
<br /> the permit is suspended or.abandoned-for:e periad ofi�s�C(8)montiis.after the time the�work is commenced. An extenslon
<br /> may be requested, In writing, from the Building,Offlcf�! for a peNod.not to exceed-nln��r(90)ilays a�d�wltl demonstrate
<br /> j�s#�tabfe cause for the extenslort. If wark ceas+a�.for niriety{�t}}cans.ecutive days�.#t�e jab�is considered aba�doned.
<br /> U4lARNIN� TQ Qt�V�1fR: ��UR fA1L.t,IRE�T�,RE�A�D,A N47`IGE�:@1F:•��MMENC�MEt�tT.[i�AY RESUI:T IN YAUR
<br /> P�4YIMG TWICE.�'t7R IMPROV�INEN.TS TC1 YOI�R PR1aPERTY. 1�=YO.�rIN�'fEN�`T��A�TI�IN��PINAt��1NG;�CONSULY
<br /> �4/IT E. D Pt OR.�►N��'#`TI� Ii! •� � S�R�, ,,c��D3�b�;, .O£3E�' � ��� �� ' �••' �`E � '�".�__- -- - --
<br /> �FLORIDA dURA'�{F.S:i.1TA8 - � . . _
<br /> �/ r ` .- �
<br /> OWN�R OR AO�NT �`"' ---��"�'�L-�L CQN1'RAGTA
<br /> S sai ed and ssnrom ta or rrr�ed}before m�thfi� Su sc ed and's to(af afflrm �fore me#1ii�
<br /> medy�
<br /> - l- se.r��Y i7 ;by�"���� I�'�-fs�i,�,r
<br /> Who Isfa ~personally knovm to. e or haslhave produced Who.ls(�re�. rsonally knoum�fC►l�ie or has�hav.e�prads�ced �
<br /> as Ide�t�fica�an. as tdenNficatton.
<br /> ' �
<br /> �i' II� . Notary Public
<br /> ,.,,����,,, �
<br /> ��PpY PUy�i�
<br /> Commissle Rtii�' %'=. Notarv Public-SEate of Florida C mtsslon.No,
<br /> :.; ;•: M}•.Comm Expires Jui 1 , ` a�P ' • .
<br /> w O�P 4�;i��
<br /> =�+ "e= on #FF 034230 -°r+ •�; Notary Public-Stafe of Flprida
<br /> �a��°r� �Y ° ��,4�'d�93E�+94lationai Notary Assa. Narae of hlotary typ ,~ t � }S �m.Expires Jut 19,2017
<br /> "�i ='+r °"° Commission #FF 034230
<br /> �''°���ap�`.
<br /> . Bonded Through National Notary Assn_
<br /> �
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