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<br /> ���'H�fE 2DlF���� �(E�'�f����'&��9�: The undersigned understands..tha�.,this;per.mit may be subjecfi to .d�ed;,restriction';s..,_.w.
<br /> i'._.,:
<br /> whicb..may.:b.e.more;res#ricfi��,than.County regulations:=�Ttiea•uni�er:sign�tl���assiaiii`�sr�respo�s�t�ili.tyr:for�'corii'piianc�-'vuitii,=any.,,,
<br /> apptieabte deed restrictions. � ., . ._ �
<br /> �89��.9G��9������b�'�R��'�"�D�� i��H�D� ���I�'��'�'�6� ������d�9���:d'�'���: If-tia� owner has=hired..a��contractor ar.
<br /> contractors to undertake wo�k, 4hey may.be required,to b�;licensed in accordance rrvith sfiate and locai,r:eguiafions:::<�If�:the-r �
<br /> contractor is.not licensed as�r�quir�t!'liy'"lav�r, tiofi�-the o�nrner and:contractot�rriay=Eie-.c9teti.�fcir��a iri'isitemeanor vio(atian
<br /> under sfate law. If the own�r ar infiended contr.acYor are uncertain as ta whaf licensing requir�ments:=ma,y.�=appl�r for:tiflie���
<br /> intend�d wor.(c, they ar� advised to contact�tlie Pasco County Bailding inspec#ion"'Divisio�i-=Cicensing S�ction-at 727-847-
<br /> 8009. Furth�rmore; if the awner has hired�a contractor or contrac#ors, he�is advised ta ;hav�;the confracfor(s).,sign , ;
<br /> po�fiians of the contractor �Jock o�F this application �or which fhey wi11 be responsible.. if you, as�tii'e'oviirie'r''s'ign as-�tli'e
<br /> contractoc, thafi may be an inclicatian that he�is nat praperly Iicensed and is nat eriti#!ed�to permitting priviieges in Pasco
<br /> County. `�+� `°
<br /> �"��R4���1��°�1P9�0� 961�E��4��'L&�'11`61L9�'9��,99l�f����'�B�I� f����@9��lE f�f���DM���IF���: �"he undersigned un��rstands
<br /> thafi'Transportation impacf Fees and Recaurse Reco.v�ry Fe.es may..,apply to the canstruction of.n�w buildings, ciaange�`of°�=��
<br /> use in existing buildings, or�:�cpansian.of;exisfing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> �0-07, as amended. The undersigned-also unde�stancls, that such;:fees, as rnay:rbe.due, wi(I�6e�identified at:kfihe��ime�of�` '
<br /> p�rmitting. It is further understood that Transportation lmpact Fees and Rssource':Recovet�r. Fees n'tust be paid prior ta
<br /> receiving a "certificafie of occupancy." ar final,power release. If the project does not invalve a cerkificate of occupancy:or;.�
<br /> final povver r�lease,.th�fe�s.,.must be-paid prior to permit issuance. Furtliermare, if Pasco Caunty Watee/Sew�r.Im�act.
<br /> fees are due,th�y must be paid prior to permit�issuanc�in accordance wifih applicable Pasco Caunty ordinances. �
<br /> �C��S�'��C�'���9 �:➢��9 9�A�49{GB�����P'7�3, �8�a�i���E�a��a���,�� ��a�u��o�6���: 1f valuation of work is$2„50Q.00.or mare,..t �
<br /> certify that I, th� applicant, have b�en provided with a capy o� �h� "Florida Canstructioe� Lien Lar�v—Homeowner's
<br /> Pro#ection Guide" prepared by the Florida Department o�Agriculture and Gonsumer AfFairs. !f the�applican#:is someane
<br /> other fihan the"owne�', I,certify that l have obtained a copy of the aboue described"docum�nt and promise in gaod`fa9tl:i�to
<br /> deiiver.if ta�h�."owner"prior:�ta commencemenfi. � ,
<br /> ��f��'���'��'�1���9��.'� ��I���1�@D�`�: .I.certify.that all.the information in this application is accurate and�that alf work
<br /> will b� dane in compliance with a!1 appEicable laws regu(ating canstruction, zoning and-Iand�develapment. Applicatian is
<br /> her�by made fo ob�ain a permit to do wbrOc-and installafion as-3ndicat�d. i certify fhat no work ar instatiaficin�has
<br /> commenced prior to issaance of a permit and khat a!! wark v+�il! be perform�d fio m�et s4artdards o�' all laws regulating
<br /> cansfirucfion, County and City codes, zoning regulations, and land developm�nfi regulations in::the jurisdicfion. !� also
<br /> certify fihat ( understand fhat#he regulafions of ofiher gov�rnmen# agencies may apply fo the intended warlc, and that if is �
<br /> my�responsibility�a iden#ify what acfiions I mus�take fo be in compliance. Such.agenci�s includ�but are not limited.to:
<br /> - Department o� Environme.ntal.Prot�ction-Cypress�ayiieads; W�tiand ,4reas and �nvironmentaily Sensitive
<br /> Lands,WaterMlastewat�r Treafimen�.
<br /> - Sauthw�sfi Florida Wafer Manag�tz�ent District-Wells, Cypress �ayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Crocics;�Navigable Wat�rways. �
<br /> - DepacQment of Nealfih & F2�habilifative Servic�s/Environmental .Healfih Unit-W�IIs, Wastewater Treatmen#,
<br /> Septic°7anlcs. {
<br /> - US Environmental ProtectEon Agency-Asbestos abatement.
<br /> - Feder.al Aviation Authority-Runways.
<br /> I understand fihatathe following:�estricfiions apply fo the use of filL• - ,
<br /> - Use of�ii1 is not ailowed in �lood�ane"V"unless expressiy permifiQed.
<br /> - If �he fill material is to be used in Fload �one "A", ifi is understaod tha� a drainage plan addcessing a
<br /> °compensating volume" will be submitted at time of permit�ing which is prepared by a professiona( engineer
<br /> licensed.by.the State of Florida. '
<br /> - If the fill material is to be used in Flood Zone "A° in connecfiion with a permitted building using stem wa!!
<br /> construction, 1 certify that fili will be used only to fiill the area within fihe sfiem wall.
<br /> - Cf fi(f �materiai is �+� :be used in any area, I certify that use of such�fii1 wiil not adv�rs�iy afFect adjacent
<br /> properties. lf use af fill is found to adversely affect�adjacent properti�s, th� awner may!b� cited far viala#ing
<br /> the eondit9ons of�he•buildir�g p�rmit..issued under<<the a�tached permit application, for tots less than one (1}
<br /> acre wliich are�leuated by fill,an engineered drainage plan is required. ,
<br /> if I am the eA�1��9�`(���'��@�c���l��, I promise in good faith to inform.fihe owner of the permitting condi#ions set forEh in
<br /> this affidavifi prior to commencing consfruction. I understand that a separate permit may be require,d for electrical work,
<br /> plumbing, signs, wetis, pools, air canditioning, gas, ar oth�r�iristailations no� specifically inciuded in �the applicafiion. ,4
<br /> p�rmit issued shall be construed ko be a Iicens��o praceed �+ith the worlc and no4 as autharity to vioiat�, canc�l, alt�r, or
<br /> set aside any provisians of the technica! cod�s, nor shall issuance of a p�rmit preven#the Building Of�icial from thereafter
<br /> requiring a correc#ion of errars in plans,�eonsfiruction or violatians of any cades. Every permit issued';shall become invalid
<br /> unless the work authorized by such permit is comm�enced within six months of permit issuance, or if worlc authorized by
<br /> the permit is suspended ar abandoned for a periad..af six t6}enonths.af#er fihe fime the work is'commenced. An extension
<br /> may be requested, in.wr.iting, fram t1�e Suildirig �f�icia! for a periad r�o�to exceed�ninefiy{90) days-and_wi11 demonstrafe
<br /> jusfigiable caus�for the�xtension, !f v+rorlc c�ases for ninety(90)cansecutive days,fh�`job is cansider,ed abandoned.
<br /> �ie��PdB�lG '�'� O�@96d��: l��d:6� ��@1Lfl9�� 1P'� ��91��� � G�9C9.R'AC� �� �6��,.�lflif��l9���i9�Vl9'&' �ki8i�,1(�6��S49B�'�' V6l� ��4;@R
<br /> (P�1f��R��t���OE�6���8��/�E��i��' '�.4��I'�&9�,��Q���Q�'�'Y.. 6�'Y��.�GN'd'�B�D�='8'�-�E�TA➢R9',�9�9s��9�ef�2�; C�P9�fl�l�'P
<br /> �8`[f'G�Y�U�'t���8��9����f� ��'`�'� ' �1(����DR�.R��6���I�B49'Y��R'�1R63�'9'�����' d�i'�6ii�����6�fl�@�V`.
<br /> FLORIDA JURAT(F.S.1 ,03 -�,._ �
<br /> aw���o�����r �o�°r�,�cro�a
<br /> S scri ed and swo to �ne ef ine this Sub cri ed and sw ed • efore me thi
<br /> b tr by .�"e ni ��G�WUu� [ "l by , �' C1. (,v`cXJ� �
<br /> W o istare personally 4cnawn to me ar has av�ed Who islare personaiiy known to me or has have produced
<br /> as ldentification. as sdeatiBcation.
<br /> �
<br /> t�� �.: — ,_...�.�„�"J
<br /> i _7 Notary Public Notary Public
<br /> Co missio + I���r� ion iVo. �� V���� � .
<br /> �����i ��►�-n �.-1�i N�C-E'1 �
<br /> P�ame of Notary r' ted orstam ed Name af Notary typed, rinted orstamped .+�����, KElll B. RYMAN i
<br /> .��tTUt�Li�i
<br /> �1� �n��
<br /> ;�;::pt����e,a,,,, KELLI B.RY(y�AN _ _ Commission U FF so5ot 7
<br /> _.�r= �ammissian N FF 905017 ;., 4w y P
<br /> M Commission Ex ires
<br /> %�, Q<-' My Cort�r�irssian Ex ires %%°;i::�`' Jt1ty 30, 2019
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<br /> ��''%°;;;�:`�` July 30, 201 4 �
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