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Sep. 20. 2017 9:28RM Gulfcoast Rermitting � No. 6432 �. 2
<br /> No1'ICE OP O��D RESTRiCTIOMS: 7hs undeis',gned understands iheF thl�permlt may be su6ject to"Qeed°res�ictlons'
<br /> W�71c411p�y 5e mare tBBViCtiV9lhart Cour�y i�g►11flU011B. 7tta underslgned assumes responslbqlty fo�compifanse wllh any
<br /> e»p{lr,able deed res(�cfions. ' �
<br /> UNLICENS�D CDNTRACTOR3 AIVD CON'i'HAC=OR RE8P�N91SILiTI�S: If�e Ov,mer hss hlred a COt�tractor Ot�
<br /> c�ttfraCtots to underiake wQ►ic,they may be required to pa Ilaansed ln accordance with 81ate and tocsl re�ulaUcn�, lf the ,
<br /> conlracior�s not llr,ensed aa requtred by taw,bnth fhe uvmer at�d contracior msy be cited For a misdemeanor vla{�Ucn
<br /> under atale la+x. If the awner or fniended�ntraclor are uncertaln as to what Ilcensing requlrements may appty for!ha
<br /> lntended vro�k,they ara advised to sanla�!th�Pasco County 8unding InspecVon Dlvtslon—Ucensmg 5eation at 727•847- �
<br /> 8009. �uriftermore,if lhe owner h&9 hired a conG�ctor ar contractors,he(8 edvised fo have th9 Colltraclo�sj s�gn
<br /> � paruons af the°contractar Block"of ihi�atopllcaHnn ior whlch they wiu be respen�{bie. If you,as the owber s(gn as Uie
<br /> con2radar,thsf msy be fln!nd(calion that h8 IS not prop�i�y lloensed and Is not enl�'tfAd to permllUng pr�18gB6(R Pasco '
<br /> County.
<br /> �'RAM1I3POR'fATION�M4ACT1UTRi'ilES It�PAflTAND hE3flURCE RE�OY�RY���5; 'fie urtdetsfgn6d unde�stends
<br /> lhat TranBpCridtlon Itnpact Fees and R6t;oUrs9 C2scoVery•Fees may apply to th9 COOS(rucUon oFt�N 6Ulldings,change of
<br /> ase in e�fisEing bulldings,or expansiort 4f eXlsting hufldfiBs,as spea�ied in PaeC4 Counly 4rdfnanC911umbeP BS-07 and
<br /> 90•U7,as amer,d2d, The understgned�fso undetstands,Ehat such f�es,ss m�y ha dua,wNl be tdentlfed at the t►me of
<br /> '�aeTmilGng. 1t 161�Aher undersfood lhat'�'anspadal�on Impact Fees and ltesoU�Ce Etecovery Feee must ba pald prior!o
<br /> recei+rIAg fl°Catlfl►cate of oceupancy"ar flnalpower release. fP the�roJael doea not rnvotve a cenilleala nf oxupaney or
<br /> f�na1 paw2r r2tease,lha fees musE be pald'pdor Io permiE Isst�anca. Fudhermore.If Pasco CouMy V�/alerlSewer[mpsot
<br /> fees ar�duo,fhay must be paid prior4o permlt Issuance In acaordan�wth appllcaUfe Pasco Covnty ardinances.
<br /> GQN6�i,UGT►OM LtEN LAW(Ghept9r 793,Florida 3tatutea,ss�fi811d6�: Iiwdfuslion oFWOrk te$2,540.00 or mvre,I ,
<br /> cectify thaE !,fhQ apptleant, have been ptavid�l wlth a Copy of 1ha "Flatids Construetton i�9n �vh-Homeownera
<br /> ProteCUon Gulde°prapaired by ing F(odd3 Deparfinent oF Agricuf tute snd Cnnsumer Aifal�s. If ths eppltcant Is someorte �
<br /> oiher Fh�rt ihQ"nwneP,I cerilfy Ehat(h�vs oblafned a capy ofthe above deeCr{bed docament and ptbmis9in gaod faith to ;
<br /> de(1�eril(o fhe'bwnet"prlorfa GommencemenG
<br /> C�NTRAC70R'SI�WNER'3 AFFNAVi1' I ce[�fy tha(aU tha infomtsfi0n ip�hls appHca6on i8 SCCu�ate and Ihat all Wor(c
<br /> wi0 be ddn0 fn eomp4ance wlth all appllC9afe laws regutaqng construcUon,xoning arxl land dEveiopment, AppltcaUon Is
<br /> hereby mada to o6tatq e parmi!ta do work and installzfton as 1nQicafed. I oerUfy ihaE na wOrlt Or 4n�laIIatl�n has
<br /> ' commanced.pdor to issuance af a permit and Ihat a►I tti'ark wiil be perfortned l4 meet standaMa at aii laws regafaling
<br /> canstn,ction,County and Clty codes,zoning requfat�ons,and land deVe[vpment fegulaitons in the jpri6dlcU0n. (ats� ,
<br /> cerilfy that l ut�darel�po lftat tha regufat[o�s of oiher governmeM agencles may sppSy io f�e Inlended work,and Ihal tt fs
<br /> my respon�Ibiiity to tdenlNywhat ecttvns 1 muef ta�e to ba In compllance, Such�gencle8lnduda buf are noE limited to:
<br /> - Oepa�tment of�nvlronmental PmfecGon-Cypres8 Bayheads,WeHand RreaB flnd FnvtranmenfsAy Sen8lthJe
<br /> Lands,VU&l9iNV25tewaier 7YeatmenL
<br /> - Soulhwesk Flot�d� Waker Managemerit Dl9friCt-WaDa, Cyp�ess 8ayh�ade, We�land Areas, AIt9�i lg
<br /> Watercoarses.
<br /> - krmy Carps of�ginsers-Saawalls,Docks,NavigAbl�Watarways.
<br /> - pepartment af Health& aeh�blqfaBva SenrlceslEnvitonmenfal N�alth Unit�lVelfs,Wastewa[er Treatmeht,
<br /> Sepllc Tanks. •
<br /> ^ US�nvlronmer�sl Prot�cuonl�q6ncy-As66stos abafement
<br /> - �ederal Av�at►nn AuthorityRurnvay�.
<br /> (unde�stand that ihe followiny restrtctlons appfy to the use 4f'�I;
<br /> - use of fi1l�s not alfowed rn Ftoad Zone''V"unless expressiy permilted, �
<br /> - lf the fili mat6rral Ie to ba used in Ffaqd ZonA"A", it(s understopd ittat� dfatnage plan addree9irtg A
<br /> "compensating volume"wtll�e submitied at tims of petmllflrly�whfch ts prepared by$professlon�t engineer ;
<br /> ' itcensed hy tha Slate oP FlOttda, '
<br /> - {f tha€I(I matetlal ia to be usad In Flood 7ona"A°in conneCt�on wlth a permil(ed build�ng usfr�2 stem�vall
<br /> . oonstructlnn,I certi�y tha(fill wlll 6a used onty tp filf ihe at6�vAU1fi lha sFem wali.
<br /> , it`fllf maEerlal Is ta ba used In at�arae,t cer&fy ihat uee oi such ilU wRi not adversaiy affect ad]acent
<br /> propQrtles. If use of btf is fol�ld lo adversety affect adjacenE properiles,lhe otaner may B6 Clled for vlofaUng
<br /> th9 ConoU�fons of the building peimll fssued under the aUached p2rmit appfl�ilon,t'or Ivls fess t�n one(9}
<br /> aae wl�iGh are elevaled by fin,�n ettgltleered dra(nage p(an fs�qufred.
<br /> if I am ihe Ac3�I17'Fpi�'�H�OW11ER,I promise In good(a1fi ta fnform 1he aWnOf ot fha permltUng condiilORe 8et Rot�h 1n
<br /> � Ihls a�ldavi[prior ta commenaing cons6uo0nn. I t�nders(and that a separace pertnit may be requ(red for e(ectrlcal work
<br /> pJ�pp�pg,�gpg,,,yyg�,,�pq[�,,af�condiUonlhg,,ga9R o�' er(nstallattons not spetaflCall Ty nctuded fn the applkCallOtl. A . ,
<br /> perrntt tssued shall b�constCued to he a itoensa to proca0d vrilh�he work anal noi&a euthori�y to vlolaCe,caticel,-afCet,or
<br /> ' sel aside ahy provisibn8 oY tha lechnlcat codes,no[shall I9suan�a of a permlt prevent lhe Bu1lding Officyal from ihBCea�eP
<br /> reqoldng a carreetian of eifora In pfans,cons[�cti�on otvlolallops of a�y codes. Eaery etmll Issued shafl becoMe fttvelid
<br /> �
<br /> unfess tha wqrk authorized b�r such perm((Is commenr.�d Yfthln six morilfis of pe[mlt ssuance�or(F wotic aufhoriz2d by
<br /> tha permlt 1s susnended ot abanaloned for a period of 8ix��mo�ths after the tlme th6 work Is commettced. M ekteltSloll '
<br /> may be requested,in wriling,from tha Bulidfne QfEtcial for a perlod nol io exceed nine�(9�)days and will demonet�ale
<br /> justlflable cause folr[E�e Bx(enelon. lFwork�ases foP nin6ly(80)ConsecuUve days,ih6�ob tS consldered abandoned. �
<br /> • WARNIMfl TO OWM�R: YQUft FAILURE TQ R�CaRD A NQ71GE OF COMN[�NC�M�NY DAAY RE3ULT tN Y�UE� �
<br /> PAYINO TiMCE FQl2 IMFR�VF�UI6MT8 YO YQUR PEtQP�R'i'Y. 1K YQU tP1TEND TO OBTAfN�'IHANClNO,QO�d$ULT �
<br /> WITHYOURLEND A7TORNEYB �CO INGYOURi30Tl COMMENCEiVlENT
<br /> FLORIDAJURAI' . .9iT ,
<br /> GWNEROR{lOEtJT COHTRACTOR � �i '
<br /> B samed and swomJ4(or a4t(medl atxa me Wa acelb�d snd s�wm tsdo�a a�etore�na Ih1a i
<br /> � 6Y ib.rv�e i o,� f5iwtt ii��r�-e/^` ,
<br /> wtmtetarap�mearh�avaproaucod Whota/arepsreo orf�asrhavapro�ced
<br /> , ae 1denQlkaUori. ee IdenflflcaUan.
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<br /> , (/'��.� `�° NotaryPaGii(c �.�'r'�"r� NotnyPubllo �Q����c`�Z�19
<br /> CommisslonN GommtaefonNo��r _ ��,�g���mbe��6o�'� �
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