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Nt3TiC�t}F D�ED RES"fRiCTiONS: The undersignec�unrlerstands that khis pnnnit inay be subject to"de�d"r�strictions,.
<br /> whiah may be more r�strictive ihan Counry regulations. "fhe undnrsigned assume�s rasponsibility for compliance with any
<br /> epplieable deed reshictiot�s, "
<br /> UNL10EidSED COtdTRACTt3R5 APiD CONTRACTi3R F2ESPONSiB3LITtE3: !# the owizer has hited � contractor crr
<br /> cnhftaciors to undortake work,they ms�y be required to be licensed in�cct�rdance with state and local rec�ulatinns. if the
<br /> contra�tor is nat itcens�d as required.by law,both:ihe owner and cantractor m�y be cltQcl for�misdsmean�r viotatibn� ,
<br /> � under state latrr. [f the awn�r ar i»tendsd contrackor are uncoriain as 2o wh�t Iicensing requirements may apply for fhe
<br /> i�lendsci work,they are edvised to contsct the P�sco Gcrtinty Buiicling inspection Clivision—Licensing Seatian at 7�7-847-
<br /> ,8pi39. Furkhertnore, if tho owner has ttired a ct�ntractnr nr contractors, i�e is �dv+sad to have tha conirnclar{s}sign
<br /> parf[ons cif fhe"conirtcior Btack"of this application to�whioh they wiI!t�e responsible. tf ya�,as.the owner sign as the
<br /> contr�ctpr,thak.may be sn iridication tl7af t7e is nak prop�rly.licensed and is not entitled ta perm�tting privileges.in Pasco.
<br /> County,- ` .
<br /> 'TftAtJSF?ORTA71t3�d IMPAG31Ul'!�F"ftES 1titIPACT AMC!_RESC}liftCE RECC3VEftY-FEES: '�'#i�undersigned und�rstands
<br /> that Tt�nsport�tion linpaci Fees and F;ecourse F?ecovory Fees may apply to ihe.canstructlon of nev�bt�iidings,,change ofi
<br /> use.in axisting tiuildings,or expansian o#existing building�,as specified in Pascp Couniy Ordinance number 89-0?and
<br /> 94-AT,as�met�ded: '1'he undersig��ed afso understands,that such.faes,as�ay b�due,wi!!be idenfified at tl�s tim�.of
<br /> permitting.. {t is fi►rther understnod that Transpurtati�n.Impact Fr�es snd R�;sour�.Reco'very Fees must be paid p�ior to
<br /> receiving a"certificats ai'occupancy°ar iinal.pawer rei�ase. if the prajeci.daos not invoive a certificafe of occup�ancy or
<br /> � Ein�l pawer release,the fiees must be p�id psior ici�errt�it IssuanCe. Furtherrnare,if.Pasco County UVaierlSewsr 4mgact
<br /> , fees are due,they i�nust be peid prior to permit issuanoe in accotdance with a�piicabie Pasco County ordinances.
<br /> - CONSTRUC'(fION L1EiN IAYY(Chapter Z13,Fiarida'Sta#utas,�s amended}: if v�luatian o�woik is 52,500.40 or more,I
<br /> cerlity that i, the appticant: have been provided with a copy of the `�lnrida Canstruction Lien �aw—�Nameowner's
<br /> Proteatinn Guide"prepassd by khe Florida Department nf Agricul#urc��nd Cvnsumer Affairs. if the�ppticant is someone
<br /> �iher kh�n ihe"owne�",1 certiiy that i hava obtained�ca�ay ofi the above dr�scribed document and promise in gaod feith to
<br /> de4(ver.It"ic�the'own�r"priar io aamrrtencesrisitt.
<br /> Gt3NTR�iCTOR'S1{}{�NER'S AFFIC}AV17: 1 r,�rtitjr that atI the infcrrrnation in this app(ication is accurate enr3 fhst ei1 srrork
<br /> ' will be dano in aompliance with aii dppiicable laws ragui�tirig canstructir]n,ioning and land development. AppfoaUon is
<br /> hersby made fc� obtain a pem�it ta do work arid installafion as indicz�ted. 1 ceriii�+ th�t no work or ir�sta!lafioi� tias
<br /> corr�menced prior to issuance af a psen�it ar�d #hat all wc�rk uriii be p�rforr�zed ta tr�esi standards of aq 3aws re�ulati�g
<br /> constructfon, Caunty and City codes, xoning.rr�gulaiions, and Is�nd development regul�tions in,the Jurisdiction. I also
<br /> certify tMat i understand that ihe rsgulations of aiher•gauernment ac�enei4s may a��ply to!he intended.work,and that it is
<br /> �y rsspons�b�iity to.ldentify what�cfions i mus�#ake to tae�n�mpliance. S�zcl�ag�ncass uac{ucie buk are nof limited�to�
<br /> - �spartrnenE ofi.E�ivironment�l Proteciion-Cy'press Br�yheads, W�tiand Arsas and Environmenteily S�nsi{ive
<br /> Lar�ds,WaferlWastewatar7reatmant. �
<br /> - 9outhwest Flortda Water ivianac�einent [3'tstrict»Welis, �y{�ress Bayheads, Wetland Areas, Allering
<br /> Waterc�s�rrses.
<br /> - Arrny Corps of Engir��ers-Seawafls,tJocks,t�avigable�Wr�terw�sys. .
<br /> . - D�p�rt:t�sn€ ai tfealih & R�shabii'stative SetvicaslEr�viros�nientai Eie.a!#h Unik Vdeiis, Wasiewa#er Treatment,
<br /> 5�pt1c Ta��ks.
<br /> - U�Envirnnnten#a!�'rotectian Ac�ency-Asbestos abatement.
<br /> - Federa!Aviation Autharily-Runways.
<br /> - t ursderstand ihat the iottowing restrictions aPpIY ta#lan use of fili:
<br /> - Us�of fill'is not allpwed in Flood�one"V"unless expressly permiited.
<br /> - If ihe �i11 materlat is ta be used in Flr�od �ona "A", it is understnead that a drainage pi�an addressing a
<br /> - "cotispensatir�g volums"will be submifted at tim�ot permift�ng s��ick,is preparod by a pra€essiona!ettgiaser
<br /> licensed by ttie State of Flarida.
<br /> - if.ihe.�11 msierial is to be used In-F'laod Zane "A" in cnnneetion wi#h a permitted buiiding using stem waii
<br /> etrn"struciion,l certity th�t fi!4 will be used oi�Iy ka fi1I the arsa within the sterti walf..
<br /> � - if fiii materiaf is ta be usmd in any erea, 1 certify that case nT sunh fili will nof adversely affect adjacent
<br /> �prapertias. (f use ot fiil is found to`adversely affier,t ad�acent prbperties,tNe ownermay be cited for violaiiric�
<br /> lhe�ond'stlt�ris ot the buitding p$rr�tit issusd urfdec the attaChed psrnait applica€ion,for ldts€ess than oste{1}
<br /> acre which ars eievat�d by fili,an.engineerad dr�inage plan is requirad. �
<br /> If I arri ttre AG�NT FClFk TH6 OVIfAlER,1 proinise in good f�ith to inform the own�r of the permitt(ng cnnditions set fnrth in
<br /> this a�davit prEc�r Lo oammencing cnnstn�ct'son. i understanc3 th�t a separate permi#snay be requirad for�IscUi�al work,
<br /> . , piis�nbii�p,siflns,weils; puo#s,�ir cor�ditioninp,9as,or ntE�er instsllatians noi speciiic�lly in�lud�d tn the appEict�tian: A �
<br /> permit issued shalFbe.constnied to be a licens�to proceed with the work ard nat as autYinrity to viaiate,cancel,alter,or
<br /> set aside any pravtsions nt the t�citnic<�ai codss,nar shatl Issusnce a4 a perrnii prevent the Building O�ciai fram thereafter
<br /> raqutsing a correctit�n of errots in-plans,cansiruc#ion or viblaiions ofi any codes. Every permit issusd�h�li become invalid
<br /> unle5s the:i+vark au#hnrized Liy such permit is commenced within six ma7khs rrf parmit issuance,c�r if work auihorixed by
<br /> the permit 1s suspended ar.abandoned tar a periqd of six.(6).months after the time tha wrnrk is.commenced. An e�ctension•
<br /> �tsy be re.q€�est�rl,in writing,frrorn the�uilding t7(fscia(€or a period nc�t tx��xceed ninety(�t#)days and wili demtsnstrata
<br /> jusiifiabl�cause fior.,the exlonsion, if wnrk ceeses tar ninety{90)consea,ative days,ttie Job is considered abandoned. .
<br /> ` WAt?t+tiN�3ty E#Wt�3ER: Y£tUE2 FAILUfiE T�'}t2EGORD A IdOT[GE t}F Gt3N1MENCE�itEidT MAY RESUL'F li�YUUR
<br /> �PA'f1PlG NUiCE�i3R IMPROVEiVIENTS:TO YOUR PRCfpERTY. iF YC►U tRiTEPiD TO' �INANCiNG,GCENSULT
<br /> ITH Yi3UR 1. N1Q R qR AtJ ATTOR Y BEFi�RE EC RRItr1G Ypt1R NOTICE A OM #UCEhAEI+lT
<br /> � FLOftiDA JURltT{F.S, 97.�
<br /> OWNEt2 QR AGEHT /�,�'����,�L� , COMTRACTOR —
<br /> 3ub,acrik�ad end swo o ar Affirma bpfare ma th15 Subsnribatl and swarn to ar irmedJ before thia'
<br /> by«-���� �'Y._�(�i�t ���
<br /> W istere r�srsa a3�knowo ta ms ar ht�sths�va produced ,�l piszare oersonsit�knavs�T to me ar hastnave pr�rfuced
<br /> � �1,yf�S _��crfis�� as ieenliBcaGon. �' as Iden�cation.
<br /> .�"
<br /> ���y_i�t ��Nnfary_Public W_____ NbtsryAubiic
<br /> ��tasion No.t'"i� ti'p��`t� ,_„ _„_ Con�missk+n No. � �
<br /> 12.,,- 0'� ar���
<br /> N�ane No ry typed,printeci vr stampnd ; ' ' Nama of Notary typr�d,�rintad or stam d
<br /> YFUite
<br /> °a .i� -�•-. C4TY JOHN�ON
<br /> �Q,••. `' MY CpMMISStpN!���07197� -
<br /> �ti.Fi��;�;.,, TQPfYMR4N MARTlNEZ n �. = EXPIRE8:F�bEu ���1
<br /> � ,; �� MY GQ►1MISSICM�1�GG(1�3040 . .�..�r �Y r �
<br /> �•� EXPIRES'.Match:6,2421,.,'�,- 'x",�,��a Baru4�0iTi�ufJafaryPr��}r�l�v►it�
<br /> � �QF�iA*�� �flQdd��Pl�u�l$' - �
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