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<br /> �OTICl�C9�����.R��T(���'�'183��: The undarsigned understands.that this,permit may be subject to"deed" restcictions`'`,'"
<br /> vuhich.may..be.mor�:r,estrictive.than Caunt}r r,egulatioi�s: Thet-undersigned assum'es�resporisi6ilifyrfor'�com'p1'i'ancejviiitti�;any '"`
<br /> applicable deed restric#ions. .. , �
<br /> �dft9LIC�R9�E� GOI�TRA��'�f6�� ��CI ���9YRs�C'��9@� (��SP'�D�lS9�6L9TQ[ES: !f ttie o�nrner has hired�a� con�ractor or
<br /> contractors ta underfake work, they may,be required ta be:licensed in accordanc�vuith state and local regulatlons._ If the-�
<br /> contractor is.nat licensed-as r�quired tiy (aw, both the owner and:contrac#6r:rriay 6e�cited�for-.a misdemeanor violation
<br /> under state law. If the ouvner or intended,contractar are uncertain as �a rruhat (icensing requiremen#s:.,ma.y.�apply for::,the��
<br /> intended vuork, they ar�advised to coritact�tli� Pasco Courity Building tnspection�'Divisicin=Licensing Sectian at 7"27-8�7-
<br /> 8009. Furthermore, if the owner has hired a coritractor or contractors, he is advis�d to =have fihe contractar(s}, sign, ;
<br /> portions of the "contractor Block" of this application for which they vuil! be responsible. !f you, as`tFie''ciwr"rrer s'igr► as ttie
<br /> contractor, that may be an indication that he is not properly licensed and is nof entitled�to permitting privileges in Pasco
<br /> County. - �
<br /> �'�a�4�6'ORT�Y1��d 16i��a4��'L9J'�1�.A�'d�S 8����`��a�lD R����DU��l� H����r4���Y���5: The undersigned und�rstands
<br /> that Transportation lmpact Fees and Recourse Recovery Faes rrtay.apply to the construction of nerrv buildings, cfiange°of� ' �
<br /> , use in existing buildings, or expansion of:existing buildings, as specified in Pasca County C?rd�nance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such.fees, as�may be.due, will�6e�identified at�the>tiriae�°of
<br /> permitting. It is further understood that Transportation Impact �ees and Resource�:Reeavery Fees must be paid prior #o
<br /> receiving a "certi#icate af occupancy" or final,power release. tf the project does not inva(ve a certificate of occupancy:or.
<br /> fina! power release, #he fees.-must be paid prior ta permit issuance. �urthermore, if Pasco County IIV.a#er/Ser�rer impact
<br /> fees are due,they must be paid priar to permit issuance in accordance with appEicable Pasco Caunty ardinances.
<br /> ��G��TRUC�'���9 P�d��9 ��+�������ea�7�93, �Isae�i��S���aat�s,a����ra�a��9�c�p: !f valuation of wark is$2,5Q0.04 or more,..l
<br /> certify that i, the applicant, have been provided with a copy of the "Florida Construction Lien Lavu—Hameowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer AfFairs. If the applicant.is someone
<br /> other than#he`b�rner", i certify that 1 have obtained a copy of the above described document and promise in gaod fai#h to
<br /> deliver.it to the."owner" prior.to commencement.
<br /> ���T���'��'�l��ft9(E�'����1��4lflT: J certify.that a!!the information in this applicatian is accurate and that a11 warEc
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made fio obtain a permit,ta do work-and installatian as .indicated. I certify that na work or instaUation�has
<br /> commenced prior ta issuance of a perm'it and-tha# all wark will be perfarmed to meet standards of all laws regulating
<br /> construction, County and City cod�s, zoning regulatians, and iand development reguiafions in.the jurisdiction. t alsa
<br /> certify that ! understand that the regulations of ath�r government agencies may appfy ta the intended work, and that it is
<br /> my responsibility to identify what actions ! must take to be in compliance. Such.agencies include but are nat limit�d to:
<br /> - Department of Environmental Rratectian-Cypress Baytteads,'Wetland Areas and �nvironmenta!!y Sensitive
<br /> Lands,UVater/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wel(s, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps of Engineers-SeawaBs, Docks, Rlavigable Wate�rays.
<br /> - Department of Health & Rehabilitative Ssnric�s/Environmental .Health Unit 1IVe(ts, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Pratectian Agency-Asbestos abatement.
<br /> - Federal Aviatian Authority-Runways.
<br /> 1 ctnderstand that the follo�nring�estricfians app2y ta the use of fill:
<br /> - Use of fi!! is not allavued in Flood Zone"V" unless express(y permitted.
<br /> - lf the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitfing which is prepared by a professianal sngineer
<br /> licensed.by the S#ate of F(orida.
<br /> - If the filf material is ta be used in Flood Zone "A" in cannectian with a permit#ed building using stem wall
<br /> canstr�ction, 1 certify that fi!!will be used anly to fill the area within fihe stem walf.
<br /> - If fil! mat�ria! is ta .be used in any area, ! certify that use of such fill will not adversely affect adjacent
<br /> properties. lf use of fill is faund to adversely affect�adjacent properties, the owner ►nay be cit�d for vio}a#ing
<br /> the conditions of#he building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevafed by fill, an engineered drainage plan is required.
<br /> If! am the e����9T�OR'��� O@i�l�t�R, 1 promise in gaod faith to inform.fhe owner of the permitting conditions set forth in
<br /> this affidavit pr�ar to cammencing construction. I und�rstand that a separate permit may be required for electrical woric,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other instaAations nat specifica!!y included in the applEcation. A
<br /> permit issued shall be constru�d to be a license to proceed with the wark and not as authority to violate, cancel, alter, or,
<br /> set aside any provisians of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correcfion of errors in pians, construction or vio(ations of any cades. Every permi#issued shall become invalid
<br /> �nless the �nrork autharized by such permit is comm�nced wifhin six months of permit issuanc�,-or if work authorized by
<br /> the permit is suspended or abandoned for a periad.of six(6)manths after the time the work is'commenced. P+n extension
<br /> may be requested, in wr.iting, from the Building Official for a period not to exceed ninety (90) days and_wi!! demonstrate
<br /> justifiab�e cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> 4�9A��lI�C "�'� ��9��6�: �(Clt�f� �AiL�DC�� �"� Rl�C��2D � f�tDT�C� �� ��3i�H6Ui���Eti�Ei�T ii�A'Y 82E�Ui�T �6d YOtIR
<br /> �s�1f14!!4a�'tl�IICE�Q&��1�i� "O!!E6lf��1d7'S YC�VOUR_�Fa.4�F?�BaYY. 1�Yt�U..11�l:T:cMD��'�:i�Bl't� ���4A�1COR�ta,�t3t�Sl.�L'!"
<br /> �f9�'Pi VCDl9i��:�fi6��82 QIZ�8��`Y"� i�6d��C��1FlJl�IE R�COF2DIMG V�&9R N�?T'�G���'Cd� �I�iE�T.
<br /> FLORIDA JURAT(F.S. 17.03) - r �—
<br /> OW �13 OF2 AGEPlT % � C0�9TRAGTOR � ��� _
<br /> u sc ibed and s rn to ff ' e tyis Su 'sc ibed and sw rn o a ed e . me t�s
<br /> 7 l� by r at5 sot _ii���'�.L�—b �
<br /> W o slare personally known me or aslhave produced Who i lare personal! nown to me or ha have produced
<br /> as iden#ification. as identification.
<br /> � Notary Pubtic _ Riotary Public
<br /> Commission No. c.� t��_ Commissian No. ��
<br /> � �
<br /> Rlame af Natary typed,prmfed or stamped Name of otary type ,printe or sfamped -
<br /> ►�"�;: JENNIF�R GR�IENE '��TM'%`'"'. JENNIFER GREENE
<br /> ��� ±� `"!�:
<br /> •`c MY COMMISSION�GG003779 ''' ''� MY COMMISSIdN#GG003979 ,
<br /> "�',�� EXPIRES June 19,202p ,"�'•?;inn;�' ExPIRES June 18,2020
<br /> � ����,�`� (447)398-0t53 PbridaNats Servlca.wm
<br /> ({p)y 398AS53 FtaridallotaryServiae.com .
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