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07124lZ017 09�5 -: . �AK} P.0071p09
<br /> h�,lln,�Ur ue�v Ke�irU4�i�na; �ne u�tuf3�s�yinsU�rlac�sctnia5 u�ai uus pct�uu�riny va sUL+���w uoov �oaun;w��a
<br /> which may be more resfrictive than County regulaiions, 'ih�unBer�ign�d aSsumes respor�sib[lity tor compllarrc�wfth any
<br /> � appiicable deed restri4�ons.
<br /> UNUGENSEb GONTRACTORS AND GOMTRACTQR RESPONs}B1L�'rlEs: ff�,e cwnar h�s hirad a cantractor or
<br /> cantraetors to undertaka watk,th'ey rtt�y be teQUired t0 4�li�ngeci in aaoordertce�tv;th stata an�i tqcaf�gulatlons. If thE
<br /> contractor is not�icen5ecl as requited byr Iaw,bG�h tha ownar and contra�r may be clted for a migdemess�ar vi�tation
<br /> under stata law, tf the orvner or intentl�tl qontrac2or are uncertain as to whac Ilcer�ing requirements may appEy tar the
<br /> intended wa�ic,�ey are advived ta cant�et�h�Ixasco Coursty @uqding Inspectio'n Divistor:—Lic�sin'g Section at 727-847-
<br /> 800'�. Furd�ermore, if the ownsr has hlred a carstracTor or contra�fors, he is adviseC to have the corrkactor(s)sign
<br /> p�rrtiar,s of 8�e°cdntr ctqr Sletk"af th(s appilc�tion far which they wtll be respons�le. tf you,as the owner sigr+as the
<br /> coMractpr,that may be an indication that hs ls nOt prop�riy Ilc�nsed and ls�ot ertUtled to permitting privileges'sn Fasw
<br /> Counry.
<br /> TRAtdSPORTATiflN�IMPAC�'IUTILITtES 1NlPACT AND RESQURCE RE�UVERY FEES: 'fhe undersigned understands
<br />' th�t'fransportation lmpaet Fees and i�scourse REcovery Fees may appiy to the eonstrucnon of new buldings,chanqQ crF
<br /> usg in exlst�ng build{ngs,or expanslon af exlstlng buildings,as spotvfi�d in Pasco County O�dinance number 89-07 and
<br /> 86.0f,as anrende�. Thc undersigned also und�tstands,that sueh fees,as may be due,wiA be idenffied at th�e time of
<br /> psrmittirrg. it is further�undsrstood ihat Transportaaition Impact Fees and Resource Re�cavery Fees must be paid prior ta
<br /> r�ceiving a"cetiifiCaYa of or,Cupancy"ar tinal powsr release. if the praJect does nrn invotve a certifificate of occupancy or
<br /> �inal pvwer:ele'ese,th�e f�es rTiust be pa;d prior to pgrmit iss'u�nce. Furth�ermore,if pasco�ounty Wa�er/5ewer Impact
<br /> fees are due,they must Esa paid priar to perrn�t Issuanee In accpt�anc¢wtth�pplloable Pasoo Goun�ard'mances.
<br /> CONSYftUC7lOH LJEN LAW(Ch�pter 7�13,F[anda 3tatut�:s,as aMendcdj: If valuaGon oi work is$2,$00,00 or more,1
<br /> certlfjr fhat I, th� applic�nt, have tieen provided with a copy of the "Florida Constna�Eion Gien Law--Hcmeowner's
<br /> Prdtection Guide"pr�'pared by tfre Flartda Oeparbn�nt of Agticulture and Co;�sumer Affairs. #the appGC2nt is 6omean�
<br /> ath'er t�an tite"oVoneY',)G'el'Sty that 1 h�Ve cibEaln�d a Copy of the a6pv�desCribed doCu'rn�nt antt prnmise in gaod f8ith tt!
<br /> deliver iE ta the"aan�'�'prior to commenoement
<br /> COMf�lC1'ORrSlOWhtER'S{iFF1DA�lIT: I dsrtlfy tFiat alt the information in this appiicatio'n i�accurate and tha#all woTk
<br /> will be done in compliatiCe with al�l applic�(e IaWs regulating cortstruction,zOning and fand develapment. ApAliGation i8
<br /> hereby m�de to obt�in a pertnit to do work and insYatle�an �s in'dic�ted. I cartify that rw work o� frwtal{a#fon has
<br /> oommenc�d pPipr to issr�ance of a pemiit and that all workµn�!be pertorm�d fo me��t sianda�ds of a�l laws r��lating
<br /> construc#ir�n, Cown�V and C�ty co'des,zening r�gulstIor+s, end land development regul'sltons in the jurisdicNon. I also
<br /> certify that T urtderstand ittaf th�c�agutatidn�of oiher gpvertmant sgancies may appEy tp��irit�nd�d work,and ihat�t t�
<br /> my responsibility#b Pdet�tify what aotians 1 musk take to be�n oompliance• S�lch agenc��s includ�but ara not I'imited to:
<br /> - Depart�nent of Errvironmerita!Protectip�r-Gypress 6aytt�ttds,WeGand Areas&rtd E�viran�n�nt�qy Ssnsitiv�
<br /> Lands,Water/Wa'stewaterTreatmer�t.
<br /> - Southwest Flo'rfda Wat�r Manag'em�ent 0'�strict Wel1s, Gypress Sayheads, We�land Areaa, Anaring
<br /> wate�cau►szs,
<br /> - �Y�ron7s of�ngine�r�5-Seawatt��DocRs�iVaY�ga3ile Waterw�y�.
<br /> - �spartmant of Wsafth & fishab3l�tiva Sarvica�(Environinenfat t�ealth Unit Wa11s, Wasiswater TreatmQnL
<br /> Sspiic lanks.
<br /> - US Environ'menta!Arotection qqencyAsbestos abatement.
<br /> - Fedetal Awiation Authorify-Runways. , i
<br /> I undersfand that tti�foltowing r�pstriGfions aDpEy ta the u9e of f+U; I
<br /> - Use atfd!is rrot aitawgd in�tcod Zone`V"untsss axpressty psrnuttstl. i
<br /> • If ih� f�l Matanat Is�ta b� us�d 1n Flood Zone "A", it Is understood that a dralnag� Rlan addresSing �
<br /> "campcnsating�olume"w�ll b'e submitCed at tJm�of perm�ting whi�ft is prep��ed by a professional engineer
<br /> ticens�d by 4he S�te•of Fforida.
<br /> - Ifi$►e iili msterie,I is#0 4e u5ed sn F1oqd�one"�4 in �onrteotiqn with� permit#gd building u5ittg S�m w�H
<br /> constcucaon,l c�i#+fy th'at fd!v�ifl be u�d only ta fifl the area wi�hin t�e sfe�wa�.
<br /> - If fill materiaf ie to be us�'d in any are�a, I certify th�at use oi such fill wiil ncjt adver9.,ety afrect adjacent
<br /> properiies. (f use of fill is fount(to adverse(�affeat�djacent propertias,the owner may be c�ted tar viol�ting
<br /> the conditiorts of the building permit issued cmder the attached perrrrit a'pplication,for tots less�tan one(1}
<br /> aere Vfiich are elevafe'd by fill,a'n engiheered drainage plan is required.
<br /> If I�m tk�AGENT FOR TNE OWNER,1 prcmise in good fai�h to inform tFta owrter Qf the pe'rtnitqng conditians set forth in
<br /> �is affida�ht prior to comm�ncirtg aonsbvctior. 1 understan�that a separate pgrmit�ay ba re�qaired 4or etecq�ica[work,
<br /> plumbing,stgns,�lls,paols,air canditlant�q,gas, or ottter installaUons not saecificalty includsd in ths applieaYan. A
<br /> pennit issued shaH be constr[�ed to be a license to praceed with the work and not as authorlty to violate,ca'ncel,e(ter,or
<br /> set aside ac�y prov,sions of the technicat cod�s,r+er shatl is5uance of a permtt prevant the 8uilding Gfficial from thereafter
<br /> requ)ring a�orrecoon of srYars in plans,cqnstruction or�ofa�Gons of any r.o'd�s. �very p6r'm�t fssued sh8�l beCpme invalid
<br /> antess fhe work authortzed by suc�pePmit x aomme'aced wifhin six mant[rs of psr�it issuance,ar fi veork authafaed hy
<br /> the pei:nit i's s�isp'ended or atiandonec7 for a period of six(6)r�ot►ths att�r��timr�the wark is cammanced. An extansion
<br /> msy be requested, in writing,fram the Building Of{�cial fnr a period na#to exceed n'snety{90)days a»d wql demonstrate
<br /> justifiable c�use for the extehsiQn. If work ceases for ninety(90)consecutive dsys,the job is considered abandoned.
<br /> WARDFlNG Tp pWNER; YpUR F141I,URE TO R�GURD A NOTI'CE aF CQMMENCEMENT MAY RESIlLT IN Y•f�UR
<br /> PAYlNG'i'WiGE FAR I1fAP12iDVEMENTS TO XQUR PRQP�Eli'iY, 1F YQU 1M'6ND TQ OBTAt IN I N$1,IL.T,
<br /> WITH YOl7R LENDE'R 4R AN ATTdRN�1f BEFO'RE RECO'RDlNG YQUR nrbnGs oM
<br /> FLORIDA JURAT(F.6.i17.08)
<br /> OINNk3:ORAGENtT Ctin+'1' Q1' � .
<br /> subscrtaea and swom co(or smm,sc)dercra ms mie awo� }
<br /> • by
<br /> H+ho 4s.fere petsonallY known W ma or ttiaslheve protluc8tl w o � er v
<br /> r
<br /> si identificafion. ide
<br /> NoWry Public Noiary Public
<br /> Commtsalon No, mmlesbn Ma. ��
<br /> Name ot Notsry rypetl.P�intea a etsmpea , , p n��,y��r nor� e+n+�nr���a
<br /> yj'a''�p�0
<br /> f�i�� I
<br /> rr �, &A�YAFI ANtd�ROBER'T�flN
<br /> �*y� f�j*° M,v GQlAMISS�CN�fiFF49451d
<br /> '�.,,'�oP'F:ss'� EXP.IREs February 2a,2048
<br /> . �w,�.�
<br /> (aDT)�@8.4�83 FloHqeNatary5ervice,00rn �
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