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<br /> NOTICE OF DE�D RES'�'RECTIONS: Th�und�rsign��,und�r�tands�,th�tt�i�;:p�em,it�rnay,,be�_subJect,to,_:d�ed,",:r.esQ�ictlons,:...,,_,.�. :.
<br /> �►hlch may be`.more=rest�Ictiv��4h��Cour�ty��cegr�latlon� 'Q'heyu"n'derslgried°�as�ura�ea'°`re`ap�insEtilllty�for�compll�nce�vwlthl`�ny
<br /> appllcable.d�ed restrlctlons. .... �.:. �.,._: , - - ' � _ .. . .. .,._ . , ,.. .-�
<br /> UNLIC�N�ED�CONTR�iG70RS �►ND CON�R�1C1'OR RfESPOlN�I�ILI71E�: °I� the4�ovdner'ha�•"h6re:d:`a."conh�ctar or
<br /> contrac@ors 10 undertake work, they m�y,be,�r.�qulred:;to�berltcensed,In.a�co�da��ce.w►1th;state.�nd:loca0,regulaflo[ose�If the �
<br /> con4ractor=t��not�Itcensed�as re�q�alred`�tiy I�riv, bofh tD�e owner and`contPacto�;�may b��clf�d°for°aAml�deme�nor vlola�ton
<br /> under state I�w. IF the owner or Intecid�d;,conte��tor,>,�re4uncert�ln as to verhaQ'Il�n�ing:requlroment�;m�y�-epply��for°th�_-���>• • s-�
<br /> Intended woNc, th�y are aelvts�d"to cor�tact.ffi�:Pasco County�ulldleig,`Irtspecflon�D(vl�lon--l:tcen�ln�Sectlon at 727-847-
<br /> 8008. Furth�rmore, if the owner'has"hlrod-a �contP�cfor o� con�ractoi�, he is advls�d #o have�the cantracfor(s).slgn „
<br /> � �..._y,,..,,,r,ai:.. ..:�.. i�� :' .
<br /> portlon� of the �a:ontractor �lock" of thl��,appllcat(onmf.o,r..wrhlch:.they.wllt�be.re�pon�lble.-:If;you;.�s•:fhe ovvr�er sl'gn°as the"" " �
<br /> _� _._... ,...r....
<br /> coMractor, that ma�y b� an lndicatlon that'`he 1s_not:properly llc�nsed"and ls�not"'�ntiHed to pePiiilttl'ng priirileges !n Pasco
<br /> County. � - -- � _--._�. ._° .-_.,:,,,. .
<br /> 7'�RlSPORTATIOfd=1AA�AC'T/UTILITIE31�lPAC'��A��-�ESOURCE RECOVE�Y°�I�EE�:�fhe unde�slgnetl�und�rsQands
<br /> _ that�'ransporQatioc� ImQact.Fe�s and.F3�co.ur�e Rec�v�ey_F��s m�y�=�p�ly,to�tF�e;constructl�n,of n��r.,bulldings,;change:�of`_�' �� �
<br /> use in eicisting buildings, oc.expar�'at�n<-of>�exlsiin�:��biailding�, as spec6fled.in P�sco County O�dlnance number 89-O7.and:
<br /> � e0-07, as �mended,,.._Th� underslgned �Iso:und�rstands, tha�t:'suc6�$ees;::�s,tnay�:�e:..d.�e;;,vorlll�tie Identift�d at the�t6me�ofi� <
<br /> � permitting. It Is fiJ'�tFier understood th�t Tra�sportatlon Imp�cf�F�es �nd°��Resourc�r,Recoriery"Fees-must be p�ld prlor to
<br /> eece�ving a:°�r�fficat�-of�occupancy"��or-flnal�-power�r�lease: :I�Ehe.proj�ck,:do�s:y�ot Involve°Y�::s.�rtiflc�fe of occupancy2or�'�-°�����.��
<br /> , fln�l power-r�l��se; the f�es-mu�t'ti'e pald;,p�lor to;permit Issuanc�. Fu�lhermor�;�;lf P�sco,Couniy�:iNater/�ew�r_�<Impac� . � ��
<br /> fees are due,.,they�must:be;pald;pclor#m..permlt;lssuance�:ln_�ccocdanc�.iRilth.;appllcatile:Pas�o'�Countji:�ordin�nces. •
<br /> COMSTRlDCT10M�LIEM'L�1W�(Chapt�r T13� Florld��tatut��o a�smended): if v�luaaon�work Is$20500.00�,or.-re�ore;.IP� � : .
<br /> certify th�t I, th�:�appHcant, hade•beer.a prmvlded-��rlth �a~copy .off the� °Florida��Constructlon`:1fen 'Lav�fHomeowner's
<br /> Protectlon Guide" prep�red by 4fie Flor�da Dep�rtrri�nQ�of E\grlc.ultur� and Consumer Aifairs. If th� app0(cant Is someone:�: , .
<br /> �,.�.
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<br /> other than th�"owner", I certlfy`,._that 9-.hav.�.obt�.lned�a�.copy,of:th�:�bav�.r�es.crlb�d�tlocuri�ent;�and�.prcmise�ln,good;;faith.�o . ;
<br /> deliver It to:t9ie°owrnec"':pi�oc to>coeirener�cement:" . � .� , �
<br /> � CONTRAGTOR'�IOWNE�'S AFFIDA�IT: I.certify::tti�t:;alO..Qhe�lnf�rmatiora:,ln�thl�a�ppllcetlon is �ccura�t�.and that aBl work
<br /> wil!'b� done in c�rmpliance wlth all.appltcable�I�ws regulating constructlon, zoning ae�d�land�.�evelopment. Appllcatlon I§
<br /> h�eeby mad� to: obtaln .a .permit:to;do:..w�rkµ,and;In�talla�lon as Indl�eted:•:��.'I� ce�lify thaY no work�:or �nst�llatlora fias
<br /> commenced p�lor to Issuance of a p�ri�lf"and th�t.�ll work wlll b� perform�d Qo meet stand�rds of all la�� �egu(�ting�
<br /> construction, County and City codes, zoning regulation�� and la�d d��velopmer�t regulattons�tn ttie jurlsdtctlon.- (�=�Iso
<br /> cerQlfy th�t I u�ad�rstand that th�regulattoras of oth�r government�g�ncte� m�y��pply�to th�..lntended°�+ork, and that lt Is
<br /> my responsibllity'to ident(fy•what.actions I must•tak�:to b�,�In:.corr�pllan�se,�.Such:agencles lnclud�but=are.nat IImIQ�d to:
<br /> - Departmen! of E�v(ronment�i��Protectton-�'rpr�ss. BayFi`��d�;�Vllea�nd Are�s and Envlronmentally Sensittv�
<br /> L�nds,W�tedVN�s#ewat�r'Treatment. � "
<br /> - Southwest Florld� W�tr�r WlanagemenC:-:G�isfrict-VU�II�; 'Cypr�ss.'��ay�eads; Wletland Areas, Alterfng
<br /> �latercourses.
<br /> - c�rreay Corps of Engltae�rs-S�aw�01s, Docks, IV�vlgable V��t�nrvays.
<br /> - Department of..Fi�alth;:,&�,::RehabllOtativ.e. Services/Envitonmental= He�lth Unit-We91.s, �Vastevuater'�'reaft�enQ,
<br /> S�ptic Tank's:. � � � - _
<br /> - US Environm�ntal Prot�ctlon Ag�ncy-Asb�s4os abat�rnent..,.
<br /> - Federal:Avlatl�n;Aut�ioritty-Runway�:�
<br /> I und�rstand.Rhat the.,follo�ving::restrlctlons apply�fo the us�of fl19:•
<br /> - Use o#flll Is not allowed 1n Flvod:Zon�"V°unle�s axpr�ssly permitted.,
<br /> - if the fili materlal-Is to b.e useii_:In.:flood Zone. "A", IQ. Is understood th�t a dr�ln�g� plan address(ng a
<br /> �corr�p�nsating volurv9e"will be subrr�ltted at tim� of,p�tmit4ing vuh(ch Is prep�red b� a prof��siona! engineer
<br /> Ilc�nsed by Rhe State of florlda: � .
<br /> - If ih�fl10-mat�rlal�°is-'to be�us�d In Fl�od �oree `A" Inti conne�tion��rith:a p�rmitted bullding using stem wall
<br /> construction, I certify that flll:w111_�b.��used onfy.to.flll the-ar�a w(thtn;the.stefn��wall.
<br /> - Ig fill materlal Is to tie used In �ny area� I �ce�tlfy th�t .us�. of�such flll wlll not advers�ly �t��ct ad)acent
<br /> pcopertles. Of use:of flll Is found to adver�e�y.a9t�ct adJ�cer�t��:prope�ti�,.th� ow�o�er may be'clted for v�orating.
<br /> th� condl#lons:of the bullding°':permlt lssued.under the:��aEfaeh�d��rml�...�pplicatlon,�for:lots.iess�than.one (1)
<br /> acre wNicFi are elevated�tiy flll,an�nglne�red dralnage p9an I�requlred. .
<br /> If I am QFte IIGENT:FOR:TH� OWNER,,I;promise In good_f.alth to Inforrr�the owner of Qhe perrnOt�ing condftfons s�t forth tn
<br /> thls affidavit�prior to comQriencln8 constcuctlon. .�e understand thet �-�,�paret� perrtnit enay be requtred for eEectricaf.v�ork,
<br /> plumbing,:>ffiig�s, w�lls„pool�;..alr.condttl�oning,-.gas,,or othe� Install�tfor�s nol.specffl�lly included-Ln.4he �pplication. .A
<br /> perrnit Issued shall be cons#rued to�be�a�alicense�to-proceed wOth`tt'i��work,�nd:notr�s::�uthor.0ty��to:dlol�te,�:cancel; alter, or
<br /> s�t aslde.an��rovlstons of th�.t�chnlcal.;c+�des;�nor shall Issu�nce�of�.p�rmlt.prevent th��ulldl�ig�#iicl�l from therea�ter �
<br /> ,:.�. :
<br /> requlring a coe��ctlon af eRors=in.plan�;-coreatn�ctlon.or_Vlolat[ons of��any codes. Every�-p�errr�tt�ls�ued sfiell�become invalid
<br /> unless fhe work authortzed by such peemlt:ls.coanmenced•,wlth(n s�t�c:;moreths of�per�r�IQ issuance, or If work authorized by
<br /> 4he pernni!is susp�nded-or;abandoned::for::a;perfod.of�slx�,�8)inontf�s:�ftec the tlme the�work�l�cornmenced. An�xtension
<br /> may be r�que�t�d,,ln writing;,.from.:tfie,�ullding,Offlcl�l�for a p�rtod.:not�to exc�d'rhlnety�(90)rd�ys �nd-�illlY d�anonstrate
<br /> justlfiable'caus�for.�the ex�ension�. If dnrork;cea�e�:for nlne�y.(90)cons.ecut6v��days...the)ob�is consld�red aba�doned.
<br /> �i0lI�RPdING��'O 01lVWER: YOUi�.;�i!11UJRE.;TO;,REC.O�D;�4;;�IOYI��:O.F:�COAAPWENCEMENf7`.9Hi�Y=:RE$ULT IN`YOUR
<br /> {�AYING'T1�YICE,:FOR>IM,Pt��VEMEN,T�;S,TQ;X�A.UI�::P�PERTY:���I��.YO.U{IN�'�END�'O���OBTIRIN�jFIR1�pEFNG;'CON3ULT
<br /> �IT . D Ald� TTO N ORE�+, � �'? Ald �C ;' - - :.,�-
<br /> FLORIDAJURA�=(F:S:117:03)��. � - . .� . • � . �;r� _. .
<br /> OWNER OR�40EidT ;. - . . � C�N1'RACYO , � �
<br /> Sub�cribed and awrom M{or aHirtned)before me thls � Subso ��ci� '�wrorn• rm •bef� � v� ��
<br /> by J , ' .
<br /> �o Is/are personally known to.me.or;has/have.prgduced, VYho:te/a per�on�l, own:to.,ta�e_or aslhave.•prod ced- •
<br /> ' 'e�Id"eritlAoatl4�:� as Identlflcatlon.
<br /> , - �
<br /> NoQury Publlc . � Notary Publtc
<br /> Commisslon No•: CoMm�torr.N� , ,
<br /> Name of Notary typed,printed or stamped fdame o9 Flotary Qy e�
<br /> ; .*: ';*: o �� #FF 150422
<br /> � . :�� P; Expires December 12,2018
<br /> ■ �•.,��'�pF'F,.?.�` Banded Thru Troy Fein Insurance 800-385-7019
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