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<br /> �p��qt�������� ����'�Q��'.��1��: T.he undersigned understands.fihaf.,fihis;per.mi#may,beysubject to"deed",restrict�on's'v; W,
<br /> which.;may..be:m,or.�.resfiPictiv�•than Caunfy�regulations:='The�aundersigned�•assumest�responsibaiity'far compliance;with.Lany
<br /> applicable d�ed restrictions. --� ' ` �
<br /> tl��§B�flCl�i��������9'Il'�a�'Q'�U�� ��91�� ��V��'8�C'P�� (�����?�9���99�fl�'8(��: If#fae owner has��kiired;..a,°confrac�tor or
<br /> contractors#o und�rtake vuork, th�y may be r.equired to be;lic�nsed in accardance rn+ith-state and�:iocai r:egulafions:•:��if�:the;�
<br /> cantractor is.not iicensed as r�quiretl'by'`I'aw, bofih-th� awner�and:contractor-may��:e•:cifed�for��a'mis�demeanor vioiation
<br /> under state iaw. If the owner or infiend�d,;contr.actor ar�: uncertain as to what lic�nsing requirements::=ma,y.»apply fc�r�;.ttte��
<br /> intended wor.k,fih�y_are�advis�d to cor'itac��tt��'Pasco Courity Building Inspecfiori"Qivisio�=Licensir�g S�ction af 727'-8�7-
<br /> 8009. Fur#hermore, if the ovvner has liired�a cantractor or confractors, he�is acivised to thave;th� contrackor,.(s't,sign,,. .
<br /> . , ,.,,.�.,, � ;��-
<br /> portians of fihe "con�eactor �bck" af this applica�ion �ar which they will b� r�spansible.. If you, as��the'owiier'sign Gis�fiii'e
<br /> confractor, thaf may be an indication that h� is not properiy lic�nsed and is nof erititled�to permi�ting privileges in �'asco
<br /> ;=t. ..
<br /> County.
<br /> 'P��4���1�1C��'9��1 96l4�f����'l�91I'�1�6�8E�.9�I���'P��9l�����fl���{E�k����9lE��!�[���: 'Che undersigned understands
<br /> that Tran'sportat9an lmpac�Fe�s and R�course Recovery Fees may..;appfy to the constructian of new buittlings, ctiar+ge�of�'�'�
<br /> use in existing baiidings, or�xpansion.of;exisfing buildings, as specified in F'asca County Ordinance number 89-0� and
<br /> 90-07, as amended. Th� undersigned also und�rsfiands, that such;.fees, as may�•be.due, will"6e�:identified at�.th�>tiir�e�of�'
<br /> permitfiing. lt is further understood that Transportatian lmpact Fees and R�sourc�':Recovery Fees must b+e paid priar to
<br /> receiving a cerfiificate of occupancy. or final,power release. k�fhe project does nafi involve a certi#ica�e o€accupar�cy:or=
<br /> fina! pov�rer release,.#he fees-.mus� be-p�id pr.ior ta permit issuanc�. FurtFiermore, if Pasco County WatedSew�r irnpact�
<br /> fees are due,they must be paid prio�fo permif issuanc�in accordance wifih applicable�asco Counfiy ordinances.
<br /> ����7'��d��'6��4 �a(��9 ��a@�9��8v����P�'�3, G�@�e6���4�gaa���g����u��a�9���: lf valuation of wark is$2,5QQ.00 or more,..!
<br /> certify thafi !, th� applican4, have been pcovid�d with a copy a� the "Flocida Gansfructian L'ten Law—@�omeowner's
<br /> Protection Guide" prepared by fihe �lorida Depattment af Agriculture and Cansumer.Affai�s. ifi#he�applican#�is someone
<br /> other than�he`bwner", I:cer�ify fihat I ha�e obtained a copy of fhe abo�e desceibed"documenfi and promise in good fa�ith�to
<br /> deiiver.it to the."owner",prior:.to commencement: •
<br /> ��b�9'����'�!�'�!�@9�4���'���f�8��;�a�°: .I.certify;tha#al1.the infocmation in this applicatPon is accurate and that atl�work
<br /> will be don� in compfiance with a!I applicab{e laws r�gufating cans4ruction, zaning and-land-deveiapment. Applica#ion is
<br /> hereby made �a abtain a p�rmit,fio do wbrk-and instaltafion as -indicated. I certifiy fhat no work Qr installation-has
<br /> commenced prior to issuance afi a permit and�that all work wil( be per�ormed fo m�et s4andards af all laws regulafiing
<br /> consfiruction, County and Ci4y codes, zoning regulatians, and land deve(oprnenfi regulatians in.:the jurisdic�ian. i aisa
<br /> certify that ! undersfiand fhat fh� regulations of oYher government agenci�s may appiy fo the int�rided wor�, and #hat ifi is
<br /> my responsibili�y fo identify�rvhat acfiions t must take to be in compliance. �uch.agenci�:s include buti are not limited_tu:
<br /> - pepartment of Environm�ntal-Protecfiion-Cypress�8aylieads, Wetland Areas and EnvironmentaAy Sensitive
<br /> Lands,Wat�rMlastewater Treafinent.
<br /> - 5outhw�st Florida 1f1(ater Management District-Wells, Cypress �ayheads, Vi/etiand Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-S�awal(s, Docks;�Navigable Wafierways. �
<br /> - Depar.tment of Health � R�habilitafiiv� S�r+ric�slEnvironmen#a! .Neal�h Unit-Wells, Was#ewater 'freatreient,
<br /> S.epfic TanEcs.
<br /> - US Environmental Pco#ectiori Ag�ncy-Asbesfias abatem�nt.
<br /> - Fedecal Aviation Authority-Runways.
<br /> 1 understand fihat�.#he follovving:r�stricfions apply fo the use of fill:
<br /> - Use of fiD is not allowed in Flaod Zane"V° unless expressly permiftsd.
<br /> - !F the fil! materiaf is to be used in Flood �ane "A", it is understood tha� a drainage plan addressing a
<br /> "campensating valurne" will be submitted at fime of permitting which is prepared by a professional engin�+eer
<br /> (icensed.by th�e Sta#e of�(orida.
<br /> - tf fihe filY mat�rial is to be us�d in Flood Zone °A" in connection with a permitted building using sfiem wail
<br /> construction, 1 c�rtify that fii11�nri!! be used only�o fi!!the area within fhe s4em wall.
<br /> - If fill rrtaterial is to�:be used in any area, I certify fhaf use of such`fiili will nof adversely af�ect adjacent
<br /> proper�ies, (f use of fill is found to adversely affect�adjacent prop�rties, th� owner mayyb� cited far violating
<br /> the conditions of the:building permit_issued under•th� attached permi# applicatian, for lots less than one (1)
<br /> I acre which ar��levat�d by fi!!, an engine�:red drainage plan is required. �
<br /> �� If I am th��+1���9�'l����'�f�{��f.���, I pramise in goad faith ta infarm.fihe awner of the p�rmitting conditions s�t fiorth in
<br /> this affidavit prior to commencing construction. 1 understand that a separate permifi may be r�quired for electrical work,'
<br /> p(umbing, signs, weils, pools, air conditioning, gas, or oth�r iristallations not specifically included in fihe application. A
<br /> permit issued shall��be canstrued fo be a licens�to praceed with the work and nofi as authority to violate, cancel, alt�r, or.
<br /> set aside any provisions of#h�technicai codes, nor shall issuance of a permit prev�nt the Building Official from thereafter
<br /> requiring a correctian of errors in pians,��cons#ruction or violafiions of any cod�:s. Ev�ry permif issued;shal! b�com�inwalid
<br /> uNess the warlc authorized by such permit is commenced within six monfhs of permit issuance, or if work authorizec9 by
<br /> fihe permit is suspended or abandon�d.for a period•.of six{6)months.afi'ter th�time�he work is'commenced. An exten:�ion
<br /> may be r�quesf�d, in wr.iting, from �hs Eiuildirig Of�icia! far a period-r��t fio exceed ninety (90) days and.:w�ll demonstrate �
<br /> justifiable caus�for the extension. if worlc c�as�s for nin�ty(90}consecutive'days, �h�`job is considered abandoned.
<br /> �9s�a����+� '�� �����: ��4�� I��,�fl.:�9�� li� �f�C��� � �§CD�'9G� �� ���6l���9���G��l�' 6i��l.f`�lf�����'8" 96� ��►9��
<br /> [P��fG�9��"�4lPE�l����6�f9���99�6'��P��'�'�;4��,(.�,89�:��d?l����. @����D:�.O�'�'�����'6'�.� ��a�f�,��R���fi���t�, ��������'
<br /> ��1�'�G Y'�DB�R Il;o1����6�������"B'�'� '���Y�fE��D6��:����{��86����9� ����- 8� � � i'��18(�������6V'.
<br /> FLORIQA JURAT(F.S. 17.Q3) � ' �
<br /> QWPdEFa�014;4CsE�9T Cf3i�TR�4�T'fl
<br /> ��h �7 , }f � me thi
<br /> Who islar personal4y knawn ta me or ha !ha e p od ced W o isiare pe sona,ity known to eor h fia �r�
<br /> �o t�� ��O efore
<br /> `J `# / � 1 6 _ 2Vi rl� �� __
<br /> ve produced
<br /> as ldentification. -- as identificafio'.
<br /> .�� `�� . w�
<br /> ��'` �,.� _Notary Pubtic ` Notary Public
<br /> a o. i" .. d� ��� ' zan No. b5��� I �
<br /> -�.��� �t t�`1�..�} � � 1 '� 1�4'�UG-t1 �
<br /> Name of Notary r' te a stat�i ed IVame of tJotary typed,printed or s�ampe
<br /> i .
<br /> �",���",,` KELLI B. RYMAN
<br /> `��\�11111/II� ,���thRT t�B fI
<br /> y�;o,�*T��e�c KELti 8, RYMAN =r° �^= Commission q FF 905017
<br /> �t '� Commission 11 fF 905017 '" •'-
<br /> j ,w; MyComn�issionE;c ires
<br /> %'�o,t�o"';•'� �Y Cammission Expires ~��''i;;i a�� I JUIy 30, 201 9
<br /> ���,,,,,,..� J u iy 3 0, 2 0 i 9
<br />
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