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<br /> �OT�CIE 1',F DE�[� RES"Q'6�OCTlONS: The unders}igned understands�that,this-permit may be subject.to"deed?'restci"t:tiori's"�'`�.
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<br /> which..ma.:,:be.moce.:restrictive,than Caunt �.re ulations:�-Thea-undersi ned assumes`res'ons'ibali#� ':for`co'ii�"liarice�`viriih �
<br /> Y . Y 5' 9 � P.. � � '�:arty,.,,:..:
<br /> appiicable deed restrictians. ,
<br /> UA1l.ICEI�SI�D. COIN7'RACTQ625 i�,ND �ONTRACTt3R RESPONStBIL:ITIIES: lf-tiie owner has Fiired•�a��cantractor or
<br /> contractors to undertake work, they may be required,ta be:iicensed in accordance viiith�state and (ocat regula#ions::=:,�lf-#he��� �
<br /> contractor is.not licensed as r�c}u�red tiy`{aw, bo#ti the owner�and�con#ractor-rYiay 6e-cited�=for-a rriis`demeanar violation
<br /> under state law. if fhe owner or intended;cont�actor are uncertain as to v�rhat licensing requir�t»ents:�ma.y.��apply-fcsr:atlie�� "
<br /> intended uvor.k, #hey are.advised to contact'tfie Pasco County Buifding Inspection�Division--�Licensing Sec#ion-at 727-847-
<br /> 8009: Fur�hermare; if the awner has hired��a' contractar ar con#ractors, he is advised to ;have the contractar(s).sign„ ,
<br /> portions of the "contractor Block" of this application for which #hey wiN be responsible.. If you, as`�thie atiine`�sign as�tfie
<br /> contractor, that may be an indieation that he is not properly i�censed and is ncif entitled�fo permifting privileges in Fasco
<br /> County. � , �
<br /> YR�►RlSPC1RT�,TtOPV tRfiPACT/U7'ILiTIES INIPACT AY�D RESO�lRC�dt�CfJVERY FEES: The undersigned understands
<br /> that Transportation tmpaat Fees and Recourse Recovery Fees may::apply to the aonstruction of.new builtlings, ctian�e-of��'�
<br /> use in exlsting baiidings, ar expansion.of:existing�uildings, as specified in Pasco County Ordinance number 89-07' and
<br /> 90-07, as amended. The undersigned aiso understands, that such,fees, as may...be.due, wilt'6e'�identified at�the=time>of�� ��
<br /> permitting. It is further unclerstood that Transpartation Impact Fees and Resource:Recovery Fees mus# be paid priar#o
<br /> receiving a "certificate of occupancy° ar�nal,power release. !f the project does not involve a cerkificate o#accupane;y.�or��
<br /> final pawer reiease, the fees-must betpaid prior to permit issuance. Furtherrnoret if Pasca County W,aterlSewer Impact.•
<br /> fees are due,they must be paid priar to permit issuance in accordance with applicable Pasca County ardinances.
<br /> ��1�STRiJGTl�1� L:t�i� Q.Al�!{C�apter 7�3, Fbe�6d���tatuf�s, as �rro�nd�dj: If valuatian af work is$2,500.00.or mc�re,,.l
<br /> certify that !, the applicant, have been provided with a copy af the "Fiorida Construction Lien Law-Homeowner's
<br /> Protection Guide" prepared by the FlQrida Department of Agricultur and Consumer Affairs. If the applicant.is sameone
<br /> other than the"owner", I:certify that I haVe obtained a copy of the above desciitied`tlocument-and promise in good fait:ii to
<br /> deiiver,it ta the�"awner"a priar to commenc�ment.
<br /> G�i�TRAC1fd�i�'SICi��I��'���Fi��,�ltT; t.certify.that all the information in this application is accurate and that aU vvork
<br /> wiil be dane irt compfiance uvith a!E app6cable�la�vs regulating canstrucfion, zoning and-land development. Application is
<br /> hereby made to obtairt a permit to do wark-and instaflation as �indicafed. t certify that no work or installation has
<br /> commenced prior to issuance of a perm'it and that all �nrork vuill be performed ta meet sfandards af ali laws regulating
<br /> construction, County and City codes, zoning regulations, and land developme�t regulations in�the jurisdiction. I aiso
<br /> certify#hat i understand that#he regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions t must take to be in compliance. Such.,agencies include but are not limited.to:
<br /> - Department of Enviranmental.Rrotection-Cypress Bayiieads; Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Sauth�rest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks;Navigable Watervuays.
<br /> - Departmenf of Heaith & R�habilitative Services/Environmental .Health Unit-UVells, VVastewater Treatme:nt,
<br /> Septic°3'anks.
<br /> - US Environmental Protection P►gency-Asbestas abatement.
<br /> - Feder.al Aviatian Authority-Runways.
<br /> I understand that'the following restriations apply to the use of fill: -
<br /> - Use af�II is not atiowed in �1ood Zone"V" unless expressly permitted.
<br /> - !f the fill ma#erial is to be used in F1aad Zone "A°, it is understood that a drainage pian addressincl a
<br /> "compensating volume"�vil! be submifted at time of permitting which is prepared by a prafessionai engineer
<br /> {icens�d.by the State of Florida.
<br /> - lf the fill material is to be used in Flood Zone "A" in connection with a permitted bu'tlding using stem v�all
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to .be used in any area, I cer#ify that use of such`fill will not adversely affect adjac�:nt
<br /> properti�s. tf use of fill is found to adversely affect:adjacent properties, the owner may be cited for violating
<br /> the conditions af the:buiiding permit issued under-the attached permit apptication, for lats less than one �1)
<br /> acre which are elevated by fitl, an engineered drainage plan is required.
<br /> If I am the,�GEf�7' �OR TNE Ol�fRII�R, ! promise in good faith to inforrn.the owner of the perrnitting condi#ions set forth in
<br /> this afifidavit prior to commencing construction. I understand that a separate permit may be required for electrica! woi k,
<br /> plumbing, signs, welts, poots, air canditioning, gas, or other installatians not specifically included in the application. A
<br /> permit issued shalY be construed ta be a iicense to.proceed vuith the work and not as authority to violate, cancel, alter, or
<br /> set aside any pravisions�of the technicat codes, nar shall issuance of a permif prevent fhe Bui(ding Official from thereafter_
<br /> requiring a correction of errars in plans,�canstruction or violations of any cades. Every permit iss�ed shafl become invaEid
<br /> — unless the work authorized by such permit is commenced wi#hin six months of permit issuance, or-if�work authorized (�y
<br /> the permit is suspended or abandoned.for a period.-of six(6) months after the time the work is'commenced. An extensic�n
<br /> may be requested, in writing, from tiie Building tJfficiai fior a period�nat to exceed ninety (90) days and will demonstrate
<br /> justifiable cause far the extensian. tf v�rark ceases for ninety{90}consecutive days,the job is cansidered abandoned.
<br /> lAl�+�26�lIdG TO O!�►RdER: YOI�R. �I�ILURE 'PO R�C062D A N�TlCE OF CQMME�lCEMEtdT !1l6AY RESULT ![� YC?UR
<br /> PI@YING'P!!�lICE 1FOY2 IMPROVEMENT$T.,O YO.UFt.PROPERTY. IF YOU;:Ii�TEIdD��TO.O[�3TAIM FIMAMCIPlG,CO�lISUL,T
<br /> �IOTH YOUR LENDER C3R AN ATTQ idElf�E�OR(E.RECORDING Y UR id 10E OE" OflAM CEMEPIT.
<br /> _, Ft t�RlPA.J►_1RA?{F.S 'f7.03 - - -- - - -- — - - — — ---- - - - -- - �
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<br /> OWid�R QR AGER3T _" COPlTRACTOR
<br /> Su c' ed and sw to � b�fore me t�ais Sub rib d nd s (or a } ' fare me this /
<br /> l(J I� �'7 by�2�1 n r C� ��"l I� I� by �-�1 rtT c.v�`c�c� -
<br /> Who islars personall_ y known to me or h s/have produced Who is/are personally known to me or has/ ave produced
<br /> as tdentlflcatian. as identification.
<br /> ,
<br /> G� �'�' � —_ fVotary Publio � ' �� Notacy Public
<br /> Commis �— Gommission No. ,��+•t EE I.YNGN tERRY�
<br /> ``�A4��p�e�,, AN1VA MARIE LYNOH TERRY � �?a` °<�; Notary Rubltc'-State of Flotida
<br /> . .
<br /> Name of t� ,print Name of Notary ty a � s��omm.Expites Apr 4,2020
<br /> ��irt'f��(���FF 958064 ,, o,•
<br /> �;,,f �,a;� My Comm.Explres Apr 4,�ZQZO � ,,��f t+i�iit�P� Bonded tt�rough National Natazy Assn.
<br /> ��OF il �
<br /> ��������"` Bonded through National Notary Assn.
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