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<br /> :
<br /> ��"�'9�fE�!F����.�l����'l�Q��'�Q��9�: The undersigned unders#ands.thafi..t�is;pecmit may,be subjecfi.to"deeds'restrict�aii's'.''�.w.
<br /> , ., . :•..<.....:.... ,.:.ii.,..,,..;,.:,..-::,::�•e 1. � ;;'�.:�"+,,_.�:.;,.,...,.�;.`,.,y;.-.�,:,�;`^.;i:,�t'.,.,,.
<br /> which.;may�:be.mor�.rest�ictive than�,County r,egulatia�s:�'The=�undersigri�tl�assumes_r.esponstb�lity,f�r compiiance w�th�any
<br /> applicabie deed restrictions. ' ... , - _ .
<br /> �a��9C�b����:C�D��'�a�'�'��� ,�E�� ���fi�(f���'4�6� ������4�9���:8'P�(E�: �f..ttie awner has.:hired..a;°cantrac:tar or. .
<br /> contractors to und�rtake work, they rnay�be r:equired;to be�licensed:in aacordanc�vuith�sfia�e and:loeal regulations:.-.��lfi:.the��
<br /> contractor is,nat licens�d as r�quiretl bjt''lavu, both�the awner and:°contrac#or�rriay=�:e�.cifiedsfor��a m'isdemeanor uioiatian
<br /> under sfate law. If the owner or infend�d contcac�or ar� uncertain as fo �nrizafi licensing requir�inents:�;may�»appty�f�rr:.#Fie-��
<br /> intended wor(c, fih�ey ar� advised to contacf�tlie F'asco Courity Building Inspecfion"'Division=Licec�sing Section.at 727-8A�7-
<br /> 8009. Furfhermore, if fhe awner�has (iired�a c6ntractar or contractors, he`is aclvised to thav�i th� confracfor(s;1.,sigp ;
<br /> otfiions of the "contrac�or �lock" ofi this a lica�ion for which the, will be r�s onsible.. If ou, as��th'e�owne'r's`i`'n �is�tfie
<br /> p PP� Y P Y i._ 9 '��` `
<br /> contractor, that may be an 'sndication that he�is not properly licensed arid is ncif�rititled�to permif#ing priviieges in �'asao
<br /> County. � _�-; •
<br /> �'��4�9���D6��1'�11fi'A�G� B�Ni1��a�1fJ.�B'PBILB�'8��.B6�'V�G��'P��9�1����0�6���I�����1�������: `The undersigned unde�s�ands
<br /> thafi Transportatian tmpacfi Fees and Recourse Recov�ry Fee.s may:_.;apply to the constructian ofi;.new builclings, ciiange�of`°• -
<br /> e�se in existing buildings, or expansian.of;exisfiing �uiidings, as specifiied in Pasao County Ordinance number 89-07 and
<br /> 90-07, as amended. The ur�dersigned-also unel��stands, thaf such:;fees, as may:�b.e,due, will�i�e�id�ntified afi�th�>firne�af�
<br /> permitfing. l# is further understood that Transportation Impact Fees and Resource':Recovery F�es rrtust b� paid peiar ta
<br /> e�ceiving a "cerfificate of occupancy" or fiinal,power release. Ifi the project-does �ot involve a cer#ificafe of occupanay.or�
<br /> fina) pawer release,.th�fees..must be-paid prior to permit.issuanc�. Furttiermore, if Pasco County Wat�r-/S�ewer..lrripaet
<br /> fees are due,th�y musf b�paid priar to permit issuance in accordance with applicable Pasco County ordinanc�s.
<br /> ���5'�""t�U1��'���1�:fl[��9 ���f{��Oa�����7��y �0�����1�LL��QII�1�..�' �����ova9���: lf valuation of wark is$2,500.00 or mc�re,..l
<br /> certify that I, th� applican�, have b�en pravided with a copy o� �h� "Florida Consfiructioet Lien Lavv—Homeowner's
<br /> Pro�ection Guide" prepared by the Florida Departrrtent ofi Agriculture and Consumer.A�'airs. !f the�applicant:is sort�eone
<br /> other than the'bwner", I:cerfify that I ha�e obtained a copy of fihe above descritied'docum�ent and promise�in good fai��h#o
<br /> deiiuer.it fio�he.'�owner"prior;to_cammencemenfi: ;
<br /> ���d3'���'��'�/�@f��9�i�'����8�d���`�": 1.certify.that.all the inf.ormation in this application is accurate and that alf work
<br /> wiH be don� in compfiance wi�h atl applicab(e laws regu(ating cons#ruation, zoning and-iand�development. Applicaticm is
<br /> her�by made to ob�ain a permit ta .do vv+rork-and installation as :9ndica#ed. i certify fihat no wor6c or instaliafion�has
<br /> commenced prior ta issuanc� of a perm'if antl�that a!! work wil! be performed fo �ee# standards�of all laws regul�ting
<br /> consfiruction, Counfy and City cod�s, zoning regulations, and land developm�nt regulations in.:�he jurEsdiction. ! atso
<br /> certify fhat I undersfiand that the regulations of oth�r gavernment agencies may apply fo the int�ended woek, and that it is
<br /> my responsibilify fio identify what ac�ions 1 must take to b�in campiiance. Such.�g�nci�s include but'are not limited_to:
<br /> - Departm�ni of Environmenta! Rr.ot�ction-Cypress�ajriieads; Wetiand Areas and �nvironmenfial(y Sensi#ive
<br /> Lands,Wat�rMlastewat�r Treafinenfi. �
<br /> - Sauthwest Flc�rida 1!4(ater Management District-U1fells, Cypress �ayheads, Wetfand Areas, Piltering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seawalls, Docks;IVavigable Wat�rways.
<br /> - Deparfiment of F�eaifh � Ft�habili�a#ive Services/Enviranmental ,Hea(th Unit Weiis, Wastewater TreatmE;n#,
<br /> S.eptic Tanks. }
<br /> - US Environmenta!Prot�ction Agency-Asbestas abatement.
<br /> - Feder.al Aviation Authori�y-Runways.
<br /> i understand that�the f.oilowing�.�estricfions apply to the use of fill: .
<br /> - Use of filt is na#ailawed in Flood�one"V"un(ess expressly permitfied.
<br /> , !f �he filf ma#erial is to be used in Fioad Zone "A", it is understood thaf a drainage pian addcessin� a
<br /> "compensafiing valurne" wi!! be submitted at time of permitfiing which is prepared by a professionai engin'eer `
<br /> licensed.by th�Stat�of Florida. �
<br /> - If fihe fill material is to be used in Flood Zone "A" in connecfiion wifih a permifted building using stem wal!
<br /> construction, (certify#ha#fill wil( b�used only fo fill the area wi�hin the st�m wall.
<br /> - {# �il( �material is #o :be used in any area, i certify that use of such�fill will naf adv�rs�ly afi�ect adjacent
<br /> proper#ies. l�use of fiEl is�aund to ad�erseiy affect�adjacent properties, the ovuner mayibe cited for vioia#ing
<br /> the sonditians of fitae:building p�rrriit,issued under�the attached permit application, for tots.less than one (1}
<br /> acre wtiich ara el�vated by fifl,an engineered drainage plan is required. ;
<br /> If I am the e�c��ft9�°I���"P�� c��R�f��, I promise in good faith to inform.the awner of the permitting canditions s�t forth in
<br /> this affidavi� prior fio commencing cansfruction. I understand that a separate permit may be require`d for electrical work,
<br /> pfumbing, signs, wells, poots, air canditioning, gas, ar oth�r'irisfallafians no� specifiically included in`th� applicafiion. A
<br /> p�emit issued�sha!!°be cons#ru�d to be a iic�rtse ta proceed with fihe viror•k and no�as autharity to vioiate, canc�i, alt�r, or ,
<br /> set asid�any provisians of th�techrtical cod�s, nor shal! issuance of a permit prevent the Building Official from th�reaft�er
<br /> requiring a correction of errors in plans, construction or violatians of any codes. Every permif issued�shal! b�cott�e invalid
<br /> unless the work authorized by such permit is comm�nced within six mon4hs of permit issuance, or if work authorized by
<br /> fihe perrnit is suspended oe abandaned_for a-periad af six(6}Pnonfihs af#�r�he time fhe virork is'commenced. An ext�nsian
<br /> may be requested, in uvriting, from the �uiidirig {3ffiicial far a period no�to exceed ninefy(90} days and�will demonstra�e
<br /> justifiable cause for the extension. If warlc ceas�s for ninefiy{90)cansecutive days,the`job is considered abandonecl.
<br /> �d�a��9V8�� "I�'������f�: �P��D� �A�8�:49@�� 7P'� ������ � �9C�.'H'�C� �� ��D.6�J6l�f��9��8��@�!!'� �V6�1(�6���999�'� D�9 '��91��
<br /> tf�a��(0619�����6����6��R��l�����i'�1P.��t'�:Q:bR,����i�?�V�;fCY:. E�Yd:9d;D..B��'�Bl9D�=;g'�,;���'�ao�',IFB��ihi9�@IV�,C�R9�Q.D��'
<br /> �8�'f��83fl��1�{E������`��R������5��(����9.��:����6��o�d���D�D�'B�9�� ��� ' � �4i���C�6i�1��1i`,
<br /> FLORIpA JURAT(F. 117.03 ' � _
<br /> OW�i�4�OR d1G�i�� - �� C€36�1°f92,�C1'�31Z �
<br /> Sula cri6 d and sw � � re me thi Su orl ed and sw d o a " • efore me this
<br /> l0 i 1 by er" La.sOd� 6C7 I PJ �l by . �2 a Wdc7
<br /> Wh tsCare personafly knarrvn ta me or has/ ave produced Who islare persanalty known fo me or has ave produced
<br /> as identification. as identificatlo�.
<br /> lic otary Public
<br /> Co mission Na. Commission No. I
<br /> iVame af Nata Name of Notary typed,printed r
<br /> ,�t „ KELl.! B. RYNlAN
<br /> `""� "' KELtt B. RYMAN �#°' 8� Commissi n ti FF 905017
<br /> d"��RY�yo�
<br /> a' ��% �
<br /> Commission.q ff 945Q1? '' *'
<br /> ;•�._ :,.,, = My Comn issian Expircas
<br /> „ ,�; My Comrnission Expires -,,",,�o,,.o"s�' ,}�yy {�! 20�q
<br /> ''�:'fa:fi4�s July 3Q, 20i9 'hu���«�� �
<br /> %�„�,�.,.•.
<br /> �
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