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� • � <br /> I <br /> NO�C���DI�E�RESTRlGT10NS: 'fhe unde�rsigned undet�ta�tds=.th�t:thi�.�a�rmlt�may.be.subject to"d��d"r�strictimns" <br /> which m�y b��m�r��r.estttctiv�-tha�Gounty.fegulatCons: �Tti�und�rslgn�d assumes responsibNitji for c�mpllanoe with a�y- <br /> appl[�able d�ed c�strlotions. � . • <br /> UWLICERIS�D CCINT�CTORS AND C�NT�ICTOR�RE�POR1Si���:1TiES: �If ih� owr�er has �hired �a con#raato� or <br /> contracta�rs to undertake work, t�ay mna�y be:r.eiquired�#�.be;lEcans�d#c�a+r.ccrrdae��e.vu�th sEat�.and•{ocal re�u4attons. -1f the <br /> contractor ts not It+cen�ed a� reqa�Ired-tiy #aw, both the owner�nd cvn�s�ct�r rriay !a� alt�d for � mi�tleeneanor xtolatton <br /> und�r st�te law. !g the awnsr+nr lc�tended.c,ontt�actor•�are�unc�mrtaln �s to uvhat ilcensing.requlremeMs may sppfy�for the <br /> int�nded work, they are advis�d ta conta�ct the.Pa�sco County Buitding�Inspectlon Dtvtsion--Lic�cr�ing Section at 72T-�4�- <br /> 8009. �urthermore, if the owner has iilr�ci�a cc�ntractor or c�r�tracfors. he is advlsed to hav� tha� co�tr�ctsrr{s� sigr� <br /> portions �f th� "contr�ctor Bloak" of#hi� app!lc�tlon for which they vtrllk b� resp�nslble. If y�ta� as.#he owi�er stgn �s tfie <br /> contractor� th�t�n�y b� ar� 8ndi��tlon t#�at'tie�Is n�at:prop�rly Iicensed and i� no�entltl�d ta �ermmtttti�g privllages� !r� Pasco <br /> Cgunty. <br /> T�MSPORTp7`id�RI.IMPACTIUTILITi�S-I�RAG�'�ANb-I�ESOURCE REC�1dLEtY FEES: The�under�igned und�rst�nd� <br /> that Transportation Imp�ct F�es�and.R�course Recc�Ve.ry.Fees may,apply to�the consbvction�f new buitdings,°chang���� <br /> use in �x6sting b�ildings, or�exparrsi��rof�exis#i�,g,'6uildings, as specifl�d.in P��co C�unty Ordiz�ance num6er�9-07 and <br /> 90-07, as amend�d. The undersigned �iso:undet�tand�; that:such fees�_a��m�y_be-du�;,wtlR�=�ie Ident�ted at fhe @i�ri��of�- <br /> �ermftting. It is#urth�r unde�s400d th�E Tr��sp�rtatlon lmpac6 F�es �etd �tesource Recouery"Fe�s must be p�ld prlor to <br /> rec�ivir��a "�er#lElcate of�o�ccupar�ay" �r flnal pawer;Keteasr�. :I��the pra�j�ct=,.�o�s not�inv�Iv�.a�.c�rtiFicate of accupancy,or � <br /> final power rele�se, ih�fee�s mu�t be paid pei+�r#o permi# (ssu�nce. F�xtherrr�ore;�t�Pasco +�aunty:INat�r/Sewer impact <br /> fees are du�,th�y.must b�patd prior tm permit��issuance-in.accordance w1t��applicabl�.Pasc�County ordinances. • <br /> �ONaTRUCTiUN LIEW L�W(Ctiep��r?13� FI�rlata St�tu#ea,a�amen��ad): If vaSustEon of wark is$2,54�.00 ar more. 1 . <br /> certify #hat I� �he applic�rtt� hav�-been pravRded wIth a copy of, the�"�Iortda���ConsEnsct{an� Llen l.���meawner's <br /> PfOtBC��Ot1 U`UICI$�' prepared by the Ftocida Qepartment�of e4gr4cultnre and Con�um�rA�Fairs. !f the appltcant ls so�neone <br /> other than the"auvner", I c�rtify that l�h�ve,obhained a aopy of.th�:above-.d�scrib�d tlgcur�ent°and.pXor�ise-In:go�d faith to <br /> deliver It to khe.'own�t�-prior to�commencement. ' � � , <br /> �O1V"rRe�CTOR'SIOWNI�R'8 AFFIDAVIT: i.cerEify tE�at ali:tha�.inf�rraaation imthi��pplica�ion is�ccurate.�nd that a�{f work <br /> �r►11�be don� in �ompliance with �ii-applicab3e laws r�gufa#ing c�nstructton. zor�ing and:land-d�vetopment. Appiicatlon is <br /> �er�by mad� to �bt�ln .a ���„�t to �o_�o�_��� i�,�t���t�on �� ��ar��t�a:..-.'1 certify that na� work"or Inst�llaEton h�s <br /> commenced prdor to Is�uanca of a permit and that.af! work Hrtl) be p�rF��med�to me�t standa�d�-�f atl lawrs r�gulating- <br /> �ansixuction, County and City codes, �oning regulatians, and land doveloprn�nt r.�g�laQtons in the jurlsdiation. 1�alsa <br /> c�stify that I underst�nd that fhe regulaEions of other gav�rnment ag�nctes may•appty�to th� intended wark, and that it is <br /> rzy re�ponsibility to idenf.ify:wh�t:sctions !mt�st•feke#o be,in�c+�r�p9iance; S.uch�gencl�s incfud�but are.not limited#o: <br /> - D�parten�nt af Envirc�nm�ntal Pro#ecfia�-Cypre��.��ayh��ei�; V{letland Ae�eas �nd Envlr�nrr��ntafi�y Sensitive <br /> Lsnds,WaterlVYastewafer Tr�ate�ent. <br /> - �s�ufhwes� Florid� Water Managem�nt� :t�istrict Wells, Cypr�ss.'���yheatds�, . Wetland Aceas, Altertng <br /> Water�ourses. <br /> - Army�Gorps of�ngin�ers-Seawails, Docks, fVavigabte Watetways. <br /> - Dep�r#m+�nt af He�lth-& R�Iiabiiitat�ve Servi��slEa�vitanm�nf�i l�+eat�ie Unit W�ii.s� Was�er�tater.�Tre�t�ne�t, <br /> S�sptic T�riks. <br /> - US Eravlr+�nmental Protect�on Agar�-Asbes#os aba#em�nt. <br /> , - Federal Aviatl�an:A�athori#y-f�urnvays. <br /> ! und�rstand itiat th�foll�wing.r�strlctibns�ppty to fh�use of fli1:- <br /> - �l��af fi1!is not aiiowed in Fioad Zane`Vs ur�ess e�ressiy permi#t�d. <br /> � - 6f the flll na�teriaf is #o be us� 1� �F3�i Z��e 'A`, �t �s�und�rstood th�t a drainag� pfan addr�ssing a <br /> °comp���aling v�l�ame" ��ril! b� su��sltied �t '�� � �'�rn�ing�uliich ts prepar�� by a �ofessl�na4 engtr��er <br /> 1lcensed by ths State a�f�[orlda. � <br /> - If ih� flil-material�is to be u��d ln ��a� Z�r� 'AE r�a-t�tr�tfor�-wiEh:a p�:�mit�ed burzdir�g using stem wall <br /> consfruction, I cerfify that f�i��+i_b���ed o�r�y f��'t�-r�a�w��tn t3�e stem°,�t1. � <br /> - df filt material is fo �e use�d �n a�ty �: 1 c�� �` c� a,` s� t� � r�` �we�seiy affi"ect adjac$nt <br /> prapertles. if use of f:�# is f��f to a�v�-�� �'���� p'ro�.�.�es, � �r may b�c#ted#ar.ulaTating <br /> the condtfions of#he buij�i� �re+rm�� fs�t�# �.�� � ��-��i ��t �p�l;�#i��, �r lo#� (ess than.one {9) <br /> acre whlch are e(evat+�d-by t�l, an er�€n�e�e�dr�i��e c��r�is re�u�r�. .. <br /> If I am the�►GI�MT FOR TtiE OY6�N��t, (���xrkk�e !n �aad fa�L�to Ers�c�rn the a�vrt�r o�t�e p�er2nitting conditlon�set forth in <br /> this affidavit�p�ior #o commencing cons��r?. f ur�d�rs�r�d that a-�gpara{e petmi{ rrtay b�e requtred for el�ctrical work, <br /> plumb)ng, signs, wells, pvo�s, alr c:a�dEtror�3r�, g�s, c� o#k�� Irrsi�atk�ns no� s�3��y Irtduded-in.##�e appt€catian. -A <br /> pertnit Issued sPtall be coststrt�sd to b� a l��ts� tv �rr��zi �i� tf�a u�cark and not as a�r�f�o�rity to violate. ca�cel, alter, ar <br /> set aslde�ny pt�vlslons of the#�chndca! Gades, rro�r sha�i! l�sua�cs rrf a�ermlt.pr�ven#t}t�Bu1ldIrig O�'icla!fmm#hereafker ' <br /> requlr6ng �corr�ction af errors in plans, construc#i�n or vi¢lat€�ns vf any codes.- Every�it)ssued shall become invalid <br /> unles� the uv�rk authmrized:by suah pet�nif-i�.commenceci wif��n six months of p�rrnit l�suance, or if work aufhorized by <br /> fhe perrnif is suspended�or.�bandoneti f�r a�period of s3.c(£) m�taths sf�er th�$rtte t3�s vv�rk ls commertr,,�d. An extension <br /> may be ��qu�sted� In writing, fr�m the Bullding_t7fttc[a} fo� a �+��rrd n�t to excet�d r�i�ty(9�) days a�d wi11 dem�nstrate <br /> �c�sll�able c�use far�the exkenslar�. 1#work ceases.for nlnety{�0)cons.�ctttive da�-s.-#ha Job�is consld�red aba�doned. <br /> � <br /> '1�/ARNINC TA OVNNER: YOtdR..FAILURE�T4,REC.O�� A P�0'T1�E f�F COMMIENCEAAEI�T 16fiAY tdESU�:T IA9 YQUR <br /> �AYiMG'91A1iGE��R tEHP�OVEMENTS Tt3�Ot1F.�-:PRt3PERfif, i�°Yt}.tt-tTl"�iD:1`En'°BT,�tN��FtiV�I�EING;�CON�ULT <br /> � �{� �Y llR L� D :G. AN�l�'T�►RN�Y �f�R� �E�It�R�}t�C:�Yp . ��' � -= � E <br /> =l.ORIDA JURA�(F;S:417.43j .` .. . - <br /> �WtdER Q!�At3E�9T �0141TE2AGTA - . <br /> Subscrtbed and swrom!o{ar��lrmed)batore m�thls S�hscrlbed and' rte� {at afRrmedpbefiotB e thfs <br /> b�' •by- = . . <br /> vVho{st�se p�rsnnaity knawre to.m�or-hasthav�prgdttcsd Who.{stare personalty lmowrrht nta or t�asfiave prcdi�i - <br /> as IdenUfleaBon. �s����� <br /> . ; <br /> Hotsty Ptabtic _ ,,�,�.,�; <br /> e.YT3�'S7�'k�;"R"� �+,, <br /> V.��"�'Frx�S x,7r.'.�I'�r!tiy�':. <br /> ' ��'�_`y�"?:7"L'�S»�d:.��'J'�:dA�r ;'�cIE'3+*.^��A,�tif'1C-�I"� ?"�.:A'f�'_t 1�F5"cS�9�[i <br /> . �'--_ -. ..._, ._ _. - _ �. - •- - -`-'---__._..__..__�___ :"'� <br />