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<br /> �Il�'�'��f��IF���� ����'l�Q��'���9�: 1'he undersigned unders#ands.tha�..fihis;per.mifi may,be subjec�.to',deed�,�esfiri�tion;s",�.:",
<br /> which..may,b.e.mar�;restPicfiiv�•than:County regul'ations.� The��wndersigned�assum`esr�responsi�ility�.f�r5complianc��v'ultti`any ''
<br /> appiicabte.deed restrictions. "-� • � � `
<br /> �6�§�.qG�6���f�����l�'�8���'��� ,�b��� ���9�'�i���'�(� �����D.����68��`�8��: lf;.fiiae owner has°hired'..a•�contraet��r or
<br /> contractors to under#ake�nrark, they may,be r.equ,ir�d to b�:licensed:in accardance r�iith sfiafe and�loea! r:egulafiions:>:��If=.the� �
<br /> cantractor is.not licensed as rcquir�tl'l�y`law, botfi�the o+�rner and��contrac#or=rriay=��e�-ci��d�for-�a�,misclemearior violation
<br /> under stat� law. If the owner or int�nded co,ntr.actor are uncertain as ta what lic�nsing requirer`nents:smay.,>appl.y for::tiie��
<br /> intended worlc, fihey are�advis�d to contacfi`th�Pasco County BuiPding�Inspection"Divisio��Licensing Secfion=at 727-847-
<br /> �00�. Furthermore, if the owner has Fiired"a contractor or contractors, he�is advised to �havei th� confracfor(s}.,sign,. ;
<br /> por�ions of�he "canfiractor Biock" of this applicafiiori for vuhich they will be respansible. tf you, as'jtFi'e''oviiner'sigri a�'#i�e
<br /> contractoc, tha# may be an indication that he�is not properly licensed arid is not��rifitled�to permifking privil�ges in PaSco
<br /> County. ' `
<br /> 'it°��4����1��'s��'9�G� �Vl����1f/.�9'��6.G'�9��,9V�(���1�t��t9f� �����9��IE �1���@9���'����: The undersigned understands
<br /> thafi Transparkatian Impact Fees and R�course Reco.very V�ees may,,appiy to the canstruction of.new bui[dings, chan?�e�of`°= '
<br /> us� in existing baildings, or��cpansian.ofi;�xisfiirtg liuildings, as specified in Pasco County Ordinance number 89-07 and
<br /> �0-47, as amended. The und�rsigned also understands, that such:,fi�es, as tna�r�b,e.due, wilf�kie�identifiied a�xth�>fiin7e=of=
<br /> permitfiing. It is further understood that Transporfiation Impact Fees and Resource'.Recovery F�es must be paid prior ta
<br /> r�ceiving a "certiflcate of accupancy." or final,power release. If the project�does nafi involve a cei�ificate of occupanay:or
<br /> final power release, the fe�s..must be-paid prior to permit issuanc�. i�ur#iiermore, if Pasco County W:aterlSewer�Imupaet
<br /> fees are due,they must be paid prior to permi#�issuance in accordance with applicabie Pasco Caunty ordinances.
<br /> ���dS�'��D��'�Q�9 B��f�� ���9��9������7�3y !i ��S���C�I 4y��t4Q.O���y�����avd��p: If valuation of warEc is$2,;50Q.00 ar mc�re,..I
<br /> certify that I, the applicanfi, have been provided with a copy of' the "�lorida Construction Lien L,aw—Homeowtier's
<br /> F'rotection Guide" prepared by 4he Florida D�partmenf of Agriculture ar�d Consumer AfFairs. !f fihe�applican�:is som�:one
<br /> other fihan �he"owner", l,cerfif�fhat I have obtained a copy of the above described"document and promise�in good fai#�i�ta
<br /> d�liver.i�fo#he.`°owner".prior;-to:commencemenfi. �
<br /> ��f�'�'���'����/���9�i�'� l���r8�d��9�`�: 1.certify>fhat a(i the inf.ormation in tfiis application is accurate and that all work
<br /> vuill b� dane in cornpliance with all applicable laws regulating cans�ruc#ion, zoning and-land develapment. Application is
<br /> hereby made fio obfain a pecmit.fio .do v�rork-and installafian as-indicat�d. I c�rtify fhafi na work or instalkation�has
<br /> commenced prior to issuance of a perm'if and �hat all work will be perfiormed fo meet standards�of all laws regulating
<br /> consfrucfion, Counfiy and Cify cades, zoning regulations, and land developm�nt regulations in;:the jurisdiction. I also
<br /> c�rtify that i understand that the regulations a�ofher government agencies may apply�o the int�nded work, and that if is
<br /> mv responsibility�o identify vuitat acfiians 1 must take ta be in comp(iance. Such..agenci�s includ�but.are not iimited,to:
<br /> i - �epartm�nt of Enviranmental�Prot�ction-Cypress-BayYieads; Wetiand Areas and �nvironmentaily Sensi#ive
<br /> Lands,WaterNVasfewater Treafinent.
<br /> - Sauthw�st Flarid� Wafier Management District-We!!s, Cypress �ayheads, 1Netland Areas, AItE�ring
<br /> - Wafercourses.
<br /> - Army Corps of Engineers-S�awails, Docks;�iVavigable Wat�rways. �
<br /> � - �epa�ment of Healfih & Rehabilita�ive Serrric�s/Environmental .F�ealfh Unit-Wells, Wastewater 1'reatment,
<br /> . S.ept�c�Tanks. •
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - ��deral Aviation Authori��-Runways.
<br /> 1 understand that!the foDowing:��`strictions apply fo fhe use of fill:
<br /> - Use of fill is not allowed in Ftood�one"V"uniess expressly permitted.
<br /> - !f the fill material is to be used in Flaod Zane "A", it is understood fhat a drainage pian addr.essir�g a
<br /> "compensating volume" v�ill be submitted at fame of permit�ing vRrhich is prepared by a prafessiona! engin'�er
<br /> licensed.by the S#ate of Florida. '
<br /> - If �he fill materiat is to be us�d in Flood �one "A" in connecfiion wifih a permifited building using stetn wall
<br /> canstruction, I cerfiify that fiili will be used only to fill the area within the sfi�m wa1(.
<br /> - !f fill �mater'ta! is �o .be used in any aeea, I cerfiify that use af such`fi(I wi(1 nofi adv�rse(y affect adjacent
<br /> properties. !f use of fi!! is found to advers�ly affect�adj�cent prflp�r�ies, fih� awner mayib� cifed for viota�ting
<br /> the conditions of the:building permit issued under�the attached permit applicatian, far lots less than on� (1}
<br /> acre wliich are elevated by fill, an engineered drainage�plan is required.
<br /> if I am the�1�i��9'�i��(�1P�0I�t��6dl��, i promis�in good faith to inform.fihe owner of the permitting conditions set forth in
<br /> this affidavifi prioe to cammencing consfiruction. ( understand that a separate permit may be required for elecfrical work,
<br /> plumbing, signs, weils, pools, air conditianing, gas, or ofiher'insta(lafiions no� sp�cificaily inciuded in �fh� applicatian, ,4
<br /> permit issu�d shall�be constru�d �a b�a license�o proceed with th�v�rork and no#as authorifiy to viofat�, canc�I, aifi�i�, or,
<br /> s�t aside any provisions of th�technical cod�s, nor shall issuance of a permi#prev�nt the Building Offiic9al from thereaf#er
<br /> requiring a correcfion of errars in plans,�construction or violations of any cades. Every permifi issued!shall become invalid
<br /> unless the work authorized by such permi# is comm�nced wifihin six months af permit issuance, or if worlc authorized by
<br /> th�permit is suspertded oe�abandoned.for a period�.of six(6}vnonths after�he time the work is'commenced. An extension
<br /> may be requested, in vutiting, �ram the IBuilding C}fficia! for a period��ofi fo exceed ninety{9£}) days and:wiii demanstrate
<br /> jusfi�able caus�for the extension. If worlc ceases for nin�fy(90)consecutive days,the`job is considered al�andoned.
<br /> ���8�i�� '�� �����: 'i���H�3 iF���..49�� '��;������� s� �!�'�AC� �� �&��h�19[��4��f�69��9'�' HfB�'.��6���8��'� 0�9 b'O�UR
<br /> �RaV9���'t�lt�l�� ����6!"1��8��@iEE6�J����`�'�'4�1P'�:�!l.�:����i���'f�l(.. ��'Y�9�:.06��'������ff'�,,���'�aV6V�,iF���i,'9��8iV�, C�P9�1�'DBr�'
<br /> �9�'�'!��I�UR l�l����� .,�`���R '1f"T '��f��P'���Q��:R�G�6��GN�'���DR' ��`8� .�'�� 6i�������8��`.
<br /> FLQRIDA JURAT(F.S. 17 - ) ' �
<br /> OW�t1�4a�OR AtaEis9'C- �t91V'T�ZACY4}2
<br /> Sub rib"d and swo aff ) ' e this Su scri ed and swo or a� e fore me this
<br /> If3 j�a by Yl� CL (,UC7t� ����by fi I�JCc�GI
<br /> Who islare personaVly knouvn ta me or ha lhave produced Who isl re persanaily•known ta me:or ha Jhave produced
<br /> as identification, as identiflcatio�.
<br /> �
<br /> �,,.��� Notary Public Notary Public
<br /> ...—. .
<br /> miss' ����r� ommi sion o. ���V�� I
<br /> -e-i li ee �e.l(� ,mcp- I
<br /> Name of iVata ' e�w,iwu�r� � Name of Notary typed,printed or � -
<br /> "'����" KEtLt B. RYMAN
<br /> """"" KELEi B. RYMAN
<br /> _`;�4�fit syB6n M ,`p�'R����y
<br /> Cortlmission�f �F 905017 '1��' �ommis�sian#FF 9050t7
<br /> _•�*: 'z. ,?
<br /> ;,,R ar'ff My Comnussion Expires ,.=- N�Y Con4m�ssion Expires
<br /> e oQ� w'.t m r���`'�
<br /> y.,OFFi'i� ,fuiy 30, 2019 ~ '��m��,,,•� Juf�Y 30, 2019
<br /> �„����,.
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