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"'.^_ .._..�...�e...�.,-�.9.-�=nn�cc�vseo.^ss...sr:vr::..:.s'Ta'„�Y.X'1•�Cit�".ti�L"L1°.�_'�LI�,.."1":+�:s>iil!.��+4iksb'S;�
<br /> �ll��'@�lE�1F��(�� �lE��"����'9���: The under5igned understands.that..this,permi�may.be subjec�.ta"deed,' restciction's"�"'`
<br /> , ,: , .;:' . ��;. ° .� . .., �•,�:,.,.,y.�.�; : ...-._ .i;:•.m':;.�,,.�t.. ..,.: , W,g:',i:'�"_.,"'.
<br /> which..may.b�:mare;r,esfiPicti��.than County r,egulatici�s:=�The:�un�ersign'�d���assum'es��cesponsi�ality`�foricom'pli'anc�'�nritti=�any �'
<br /> apptieabte.de�d restrictions. ��.. : ° ��� �
<br /> 8�8��8����(���C��9����1i'�D�� �iR�l[D� ��6�"i���1��'�6� i����d�.G����8�6'�6E��: if>�fFi��owner has�hired..a,°contractor or
<br /> contractors to undertake wo�k, th�y may be cequired;to b�i.licensed:in accordance with-state and:iaeai reguiatians�:=>�if�.the:-
<br /> contractor is.not licens�d as•rc�quir�tl by�'law, bo4h'th� owner and�con#ractor�rt�ay�lie cited�yfar=a'm'isdemeanor vioiation
<br /> under sfate law. If the own�r or infiended.�o,ntr.acfior are uncertain as to whaf licensing requirer�e�ts::�may,�apply for.;:tfa����
<br /> intended wor.lc, fhey are advised to conta�ct�tiie Pasco County Building Inspection�'Division�Licensing S�ctian.at 727-84?-
<br /> 8009. �urthermore, if the owner has iiir�d'a contractor or contractors, he��is advised to ;have;fih� confracfor(s)::sig,n .
<br /> parkions of the "contractor �loc�" o�this �ppficafiian for which they vuiil be responsible.. lf you, as`jtfi'e`'oviiner''sign as%'fiii'e
<br /> contractor, that may be an indication that he�is not properly lic�nsed and is nat�ri�itled�#o permifiting priviieges in Pasco
<br /> County. ' ��` `
<br /> '������b��'�'P9�Gd 9�(���1PL�D'�BILV�'9��.BQNV���`��aB�� �f����D��� V����@�����[��S: 1'he untlersign�d understands
<br /> thafi Transportation Impac�Fees and R�cours� Recov�ry Fees may;apply to the construction of new buil.clings, cfiange�`ofi`'��
<br /> us� in existing buildings, or expansian of;exis�ing buildings, as specifiied in Pasco County fJrdinance number 89-07 and
<br /> 90-07, as amended. Th� undersigned-also unde�stands, #hat suc.h;:fees, as rr�ay:�be_d�te, rrvilf-be,identified afi:�.fih�>#ime=of�
<br /> p�rmitting. It is further understood that Transpar�ation lmpact Fees and Rssource':Recovery Fees must be paid prior to
<br /> receiving a "certificate af occupancy." or finai,power release. lf the project does nat involve a ceitificate of occupancy:ar:
<br /> final pavuer release,.th�fe�es�.must be-paid prior to permi#.issuance. Furtliermore, if Pasco County W.,at�ee/5ev�rer.Impaet �
<br /> ' fees are due,they must be paid prior�to permit issuance in accordance wifh appiicable I'asco County ordinances. �
<br /> �����'(��D��'6�h� ��(��9 9�A@�9�����x4��°7��, 1�8¢��6�f�����a����,����a�av��e��: If valuation of work is$2,500.00 or more,..l ��
<br /> certi�y #hat 1, 4he applicant, have b�en provided with a copy of 4he "Florida Gans4ruction ��en L.aw—Flomeawner's i
<br /> Protection Guide" prepared by the Florida Department of Agriculture ahd Gonsumer Aifairs. !f�he applicant:is sorrteo�e
<br /> other than the"owner", I.certi�r that I have obtained a copy of 4he above described"docum�ent and prornise�in good�faith to
<br /> d�iiver.it�o�he.'°owner"priar;ta commencement. .
<br /> ��E�'�'���'��'�i���9�i�'� ��(�8���6�°: .t.certify.#hat all.the information in this application is accurate and�that all"work
<br /> I will be done in compliance�rvifh a!f applicabie laws r�gulat9ng canstructian, zoning and-land�d�vetapment. Application is
<br /> � hereby made to obtain a permit.to c4o wbr6c-and instailatian as-indicateci. i c�rt9fjr thaf na �nrork or instalia#icin�has
<br /> cammenced prior to issaance of a permit and that all wark will be perEormed to m�et s4ancfards of alf laws regula#ing
<br /> consfiruction, Counfiy and City cod�s, zoning regulatians, and land development regulations in:-4he jurisdiction. I also
<br /> c�rtify tha# t und�rstand fhat the reguiations af ofher government agencies may apply to the int�rided wark, and that it is
<br /> my�esponsibilifiy fia identi�y whaf acfiions t musf take to be in complianc�. Such.agenci�s inc(ude bufi ar�not limited.fo:
<br /> - Department of �nvironmen#al.Pcot�ction-Cypress�Baylieads; Vt/�E(and A�eas and �nvironmenta(iy Sensifiive
<br /> � Lands,Wat�rMlastewater Treafimenf.
<br /> ' - Southwest Florida Water Managemenfi District-We!!s, Cypress �ayheads, W�#land Ar�as, Altering
<br /> ' VUatercourses. '
<br /> �� w Army Corps of Engineers-Seawalls, Docks;�iVavigable UVaterways,
<br /> Departm�nt of Heai�h � EZ�habilifiafiive S�:rvices/Environmental ,Heaith Unit Weits, Wastewater Treatment,
<br /> , S.eptic°Tanks, �
<br /> ', - U8 Environmenta!Pratection Agency-Asbestos abatement.
<br /> - Federal Aviatian Authori�y-Runways.
<br /> � 1 understand fihat:.fhe following:restricfions apply�fo the use of fill: '
<br /> % - Use af�ii1 is nat atlawed in Flaod�one"V"uniess expressiy permitted.
<br /> I - !f the �il! m�teria! is to be used rn Flood Zane "A", it is understood t�►a� a drai�ag� p(an addressing a
<br /> °compensating volume" will be submitted at�irrie of permitting which is prepared by a professionaf eng�neer
<br /> �� licensed.by the State of Florida. �
<br /> - If fhe fili material is to be us�d in Flood Zone "A" in connecfiion with a permitted building usi�g stem wal!
<br /> construction, t certify that fill will be used only to fili the area wifhin fih�s�em wall.
<br /> I - if fi8 materia( is fo :be used in any area, i certify that use of such"fill wil( not adv�rs�iy aifec# adjacent
<br /> propecties. lf use of fill is found to advees�ly affect=acljacent praperti�s, �he ovun�r maylb� cited far viotating
<br /> � the eondit9ons af the�buElding p�rmit.Essued und�r�the attached permi# appticatian, far lots I�ss than one (9}
<br /> '� acre which are�levated by fill, an engineered drainage�plan is required.
<br /> ` ifi I am fihe�1���9"�(���`�(����M�l��, I promise in good faith to infarm.fihe owner af the peemitting conditions s�t forth in
<br /> , this affidavit prior to commencing construction. 1 understand that a separate p�rmit may be required for electrical vuark,
<br /> plumbing, s�gns, we11s, pools, air conditioning, gas, ar ath�r installa�ians no� specifically inciud�d in �fihe application. �,
<br /> �� ��rmft issu�d shal! be aonstrued �o be a lic�nse fo proc�ed with the work and r�o�as autharity fio vio�ate, canc�l, alt�r, ar
<br /> ii set aside any provisions of fihe fiechnica! cad�s, nor shal! issuance of a p�rmit prev�nt th�Building Official from thereafter
<br /> requiring a correction of errors in plans,�construction or violatians of any cades. Every permif issued;shall become invalid
<br /> unless the work authorized by such permit is commenced wi#hin six months of permit issuance, or if worlc authorized by
<br /> the permit is suspend,ed ar abandan�d.for a period�.o�six�6}�nonfhs.afiter#he#ime the work is commenced. /�n extension
<br /> may be requested, in.writing, from the Buildirig �fficial for a peribd n�t to exc�ed�ninety(90} days�and-�rrvi#i_demonstrate
<br /> jusfiifiiabl�caus�for fhe extenslon. If warlc c�as�s for ninefiy{90)cans�cutiv�days,�he`job is cansider�d abandaneci.
<br /> ��Rh�Bd�� '�'2� ���$��: �f'��9� �'9��fl:d.9�� Vl�. 8������ �A G��."�A�� �� ��Dfl�d�li�6���tV9��9�' iU9A1(���SUQ.:'� V� �f�B�6R
<br /> (����a11��1�(C�����P�B�@!�(�6d�'�"6'6���''�.BDR�:��Q3��6�'.ii�(:. 6F Y6��,:.89l9�"�AlD�=�B'�-.���'�ii�l�,(��V��a�l9�BA9�, ��RN�lD6m�°
<br /> �8�'!�G YCDfl:9R�i�8�B�1�������'N'3' ����Y���d:�.��:�{E�6��t�t�{9'��'P�D '��8��'�C���'C� i'� P����fl��8'�.
<br /> FLiJRIDA JURAT(F;S.1 7.0 � ,�
<br /> OW¢��Qa�O��.t'sE@�1' �' ( �'i' "__ Ct3R4`T�B,�C'T092 i I
<br /> � - ._.—,...,_,
<br /> Sub cri ed and swo t ( irtn " ore me thi scri e and s ar or af e� fare me this
<br /> �f��[t��by . '2 r - tR.1(�C �� 1 ta by Pl�l l Q IR.�Ck1
<br /> Wh is(are personaV y known tp me or has ave produced Wha is are personaily. nown to me or has/h ve produced
<br /> as Identification. as identificatio�.
<br /> i
<br /> /�',:---.., .�.' .,,� � i
<br /> ___� ,„__ Notary Public Notary Public
<br /> Com ' t� ��� 6�� �I" `l V���� I ' ,
<br /> , �.�(( ��l 1� � �r�'�-� 1
<br /> Name of Notary Name of otary typed,pri ted or st �
<br /> �,,,�E�,,,., • ,•,•","•,,, K'�L L I B. R Y M A N
<br /> :i°4�ar"usr^i KELLI B. RYMAN 4.,��o�FM1*�40���i=
<br /> ?a *' L
<br /> Commission#FF 905417 :,, ;, Com 1tSSi6�N FF iJO�JQ1�
<br /> �*� paa�, My Commission Expires ;;r~ a,�= My(�pmmission Expires
<br /> f"'�,`,°;;;��"' Juty 30, 2Q14 R�'%;°;,`„°�` July 30, 2019
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