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<br /> NO'�iCE O�DEED REST.RICT���S: The underslgned und�r�tands���th�t-thi�hp��mit.maybe�sub�eG�ta"deed"restrlc#ians°
<br /> which may-be-mot��res�"r.icttve=tha�t Gounly.�regulattons: 'The ur�de�signed-assum�s�responsi611tty�far�compitarice�rilh any
<br /> appNaable deed resQ�ictlans. . �
<br /> URIliCEPISED CANTRl�CT�RS �lt�t3 CCtNTRA�CTOR RESPONSI�lLI`9'��5: tfi-the owner has�hlr�d a��antr�c#�r or
<br /> contractors ta undertake work, they may b.e;r,�quir:ed.�to..be;itcensed In accr�rdance.with stat�.and•local regulatlons. �if the
<br /> c�ntractor ts not IEcensed_as requlced'by law� �otEr the owner ae�d cont�ator�rr�ay b��cited for a�misdemeanor ulotaflon
<br /> under stat� law. If the awn�r or intended�,contra�tor are,uneertaln as to what Ncensing.requirements;may.>apply�.�for�the
<br /> intended work, they are advlsed to contact the F�asco County 8u!lding Inspection Dlvislon—Ltcensfng$ectton at 727-847-
<br /> 8009. Furthermore, tf the owner has hlred a cont��ctor or contractors, he is advised to have the cantractor(s) slgn
<br /> portions of the "contractor Block° of this �pplicatlon for which they will be ,responsible.• If.yau, as.#he o+nrrier"sign�a§ the
<br /> conttactor, that may be an Indica#�on that�he-is n�t.grvperly lic�nsecl a�d°�Is not entltied to perrniktin�.privileges in Pasco
<br /> County.
<br /> �'RANSPORTATlt�td_IMPACT/l!TlI�ITlES��NlPA�7=A1�6-RE�OU�tCE RECOVEt2Y�FEE3. Th�underslgned understands
<br /> that T�ansporkefi�n Irnpact Fees and.Reco.urs�Recmde.ry.Fees may>apply�#a�the construc#ion of neav bulidings, change•of�
<br /> use in existing bulldings, or:expansl�n>of-�eiiistin�g,'�6uildirags, as speclfl�d.in Pascq County Ordinanc� number 89-07 and
<br /> 90-07� as amended. The underslgned a��o�unders#ands, th�ft�uch fe�s*�:as;tnay�be_dtte,:wlll�n6e 1den�#ted at the�time°of
<br /> permitting. It is further understaod that Tra�sporQatbn Impaat Fees and=Fiesource Recouery9Fees must be pald priar to
<br /> receivt�g�"cert�icate.of occupa�cy" or ilnal�p�wer:re4eas�. :If Ehe.prv�ect_does.not Irnolve<a-csrtiticate of occupancy or=
<br /> final power release; ihe fees mu�t be paid prior ta permit issuanc�. �t��therrr9are;�if Pasco Counfy�1NateriSewer�impact
<br /> fees are due,.they.must be-pald.pnior�o p�rmit-lssuence�in accardance with�appllaable Pasco'.County ordinances. �
<br /> C06dSTRUCTI�N!:Q#�id t.�ltlf(Cfie�pt�r 7'03, ��os�da Sfiatcat���a��ttm�ndet�): If valuat6�r�o#'wortc is$2,500.00�ar more. 1
<br /> certify that I, #he �pplicant, have-be�n pravided with a aapy of the "Flor6da Construction Llen Lau�---Homeowner's
<br /> Protectfon Gufde" prepared by the Fioiida Department of Agric�lt�re and Consum�rAfF�irs, if the appttcant is sorayeone
<br /> other than the°owner", 1 oertify,that t h�ve.abtai��adE�a'copy,of.the:above..describeddocument�and.promise�in,gaod.faithto
<br /> deliver ft to the'.owne�'•prio��#o�cornmencement:` �
<br /> CQNTRAGT{}R'SJt}WNER'�AFflDAYiT: 1.ce�t�'jr=that alt the�.6�ormatlon I�thi��pplicat[on is accurate and that a!i wnrk
<br /> will�be done in compliance with a91 applieable laws regulating constructlon, zoning and�land�develapment. Applicatlon is
<br /> hereby made to ob#ain .a permit ta do. work;�,and instaEla#lon as tndl�sted:• :1 ce�ti�y that no wark�or 3nstailatlon has
<br /> commenced prior to issuance of a permit and that.all work wiii be perfarmed�to meet standards of all laws regula�ing�
<br /> construction, Caunty and Ctty codes, zo►�ing regu9atl�ns, and land development regulatlons-in the Jurtsdlctton. i al'so
<br /> c�rtify that 1 undersfand that the regulaftons of�ther government agencies may•appiy�to the intended work, an�that it is
<br /> my responsibili�r ta identify•wh�t.actions I rrwst take:M be,in:.cartlpllance: �;uch agencie�6nclud�but are,not Ifmlted to:
<br /> - �epartmenf of Er�vironmental�Protecttcn-Cypress�.��ayhead�� 1t�et0and Area� and Envlronmentally Sens6t#ve
<br /> l.ands,WaterNVas#ewater Treatment.
<br /> - Sauthwrest Florlda Water Management� .Ristrlct Wells, Cypress.l�Bay_heads; Wetland Areas, Alt�ring
<br /> Watercourses.
<br /> - Army�orps af Engineers-Seawalls, �ocks� Navigable Waterways. �
<br /> - Department of Hea4th��& Ret�abllttative Servlce�lE�tvironmental He�lth 11h1t�lVell.s, Wastewater�Treatment,
<br /> Septla Tanks. � ,
<br /> - US Environmentai Pratectlon Agency Asbe�tos aba#ement. -
<br /> - Federal Aviattvn_Auihority-Runways.
<br /> I understand that the foliawing:restricttons apply to the u�se of flll:•
<br /> - Use of fild is not allowecf 3n Fload Zor�e"V"unEess exprassiy permitted.
<br /> - If the fiil materlal is to b.e used. In �Flood Zone. "A", (t is unders#6od that a drainage pla�n addr�ssing a
<br /> "compensaEtng volume"wiii be submitted at time v�f permittfng whlch is prepared by a profe�sfanai englneer
<br /> llcensed by#he State of`F�orlda: �
<br /> - If ihe fIA materlal is to.be used In Flood �one "A" In�aonnec�ion�vdith�a ��ermitted building aasing�stem uvall
<br /> � construction, I cerfiiy that�II�.v+��li-b.e�sed onCy.to fill the area within the�stem vvatl. ___
<br /> - If fill material is ta be used In-any area, I �certify that .use of such flll will not adversely affect ad)acent
<br /> progat#ies. #f use af fil) ls f�nr�d to adversely:�ffect ad�a�n#-prc�pe�ties, the owner may be ci4ed fa�r vla�ating
<br /> the conditions of the building:permit Issued under tha ak�ached p�rmit applicatian, for.lots less than.on� (1)
<br /> acr�whfch are elevated�by illl,�n englneer�ed dralnage plan Is��qulred.
<br /> If t am the AGENT FOR TM�CIYVNER, I�promise In goad faith#o isfiarrrt#he ownet af•the permitttng canditions sef forth tn
<br /> this affidavit`prt�r#o commer�cing ca�nstructlon. I underst�nd theta•separate permit may be requtred for electrical vvork,
<br /> plumbir�g, signs, wells, poals; alr canditlonln9,.9a�s� or ot�ec In�#alt�t�ons noE�spec�l�ily Indu�isd�in.tF�e appilcation. .A
<br /> permit Issued shall be consteued to be a�Iicense ke� proceed with the work and not as.�u#hoNty to.vlalate,.�ancel, alt�r, or
<br /> sek asid�any provisi�n�of tl�e#echt�lca!ctades; nor shall issuan�e�of a.permtt.prevent the�ulldtrig 0�1clal from thereafter
<br /> requirin.g a correc�ion�errors fn plans, consti�netian or vtoiadtons of any codes. �very-pt�rmi#issuad shall became invaiid
<br /> unless the work a�uthorized by such permit:�ls-commenced•within sUc month� of permit Issuan�e, or if wr�rk_autharized by
<br /> #he permit is suspended��r.a6andoned�for a:periad of s�c{E3}�ontF�s.after the#Ime the wo�k 9s cammerecad. An ex#en�0on
<br /> may be requested, In writing, ftom the Building,Official for a perlod-�not to exceed nlnety(9q) days and will derr�onstrate
<br /> justtfiabfe cause for�She e�enslon; tf work cea�s�es:for nlnety.(90)r.ons.ecutive day.s...th��ob�is-cons{deted aba�done�.
<br /> WARNING TO OWIdER: YDUR.FAILURE�TQ..�E�E.C.O�tD A.MOTIGE OF�COMMEMCEMENY�MAY RESULT IN YCCyUR
<br /> PAYIRI{9 YWICE��C1R I�iI1P�ROVEMEI�lTS?t).YQUi�:PR£�PEF�TY. I��Y�.U�1M'�EE�i1ZD'hTQ"�iB�",I�IiN��FIN�►N�1NG,'CCliE1SL1lT
<br /> WIT U D A TTLl N � C1. E��.� CO d f�� OU ' � `O .�� �°' � E �E
<br /> FI�RIDA JURA�{F.S:1_ 43)__ - `` - — . �`
<br /> OWNEit OR OEN7l �- .GQ.�..�..� COPITItACTC# �72-e—
<br /> Si bsr�,rlbed+��m M r aNirmed �r e this S scrl ed'a (ot��ed)� ra me tP�P�s
<br /> '� � ��It.���'���v� �t���
<br /> Wlio Is are �sanally knovm t e or has�have produced Who.is/a�per8onallykno • 1ne or hasJhave�produced •
<br /> as�dentlHcatlpn. as Identlftca8on.
<br /> �
<br /> ,
<br /> ' �'-� hlotary Publta . /��v Nofary Publlc
<br /> Com 15510fI N0" ••�"""'�-•. A A.CADpPBELL , CORIRi18910�N0. ..����^��., MPBEII .
<br /> .r°„�,�:� Notary Pu6lic-State of fkorida ;2�* ;�°; Natary Pubtic-State afFtarida
<br /> - ' ' - CommissionkGGii2939 = •�� .e
<br /> ommission#GG 112439
<br /> Neme ot Nof2ry oN'�fa111p�tlPires u 19, Neme ot Notery typed, phe�Xomm.Expires u ,
<br /> „°xFt.•�•'` NandedthroughHationalNotaryAssn. '•.:FaFft°,.�'
<br /> , gonded4tlroughNatiflnaiNoiaryAssn.
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