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<br /> �O'�'8C����D��� 8����'�.8�'�'1�D�1S: I he undersigned uncferstands that.this,permit ma}i.be subjec�to deed, restrictions
<br /> which may.be more;r.estrictive_than Cqunty regula#ions. The��undersigried assumes respansi�ility'-for�coni`pl�ance vsiith'�any ' �
<br /> applicable deed restrictions. �
<br /> tU6�LpC�i��l�6� �0�1'b`R,�a�T�G�� A�9� �29�"P`R�C"�'�� 8���9�d�P��1�9LG�'6E s: lf tlie owner hasi~hired��a� contractor or
<br /> contractars to undertake wark, they may be required to be.licensed in accordance with state and local reguiatians. -If the �
<br /> carttractor is rtot licensed as required�by faw, both the awner and�can#ractor�rriay-=be�cited-afar a misdemeanor vioia#ian
<br /> under state law. If the owher or intended contractor are uncer#ain as to what t9censing requireriments:�rrtay�:apply for::the
<br /> intended wor.ic, they are advised to contact th� Pasco Courity�uilding lnspection Division—Licensing Section at 727-8�47-
<br /> 8009. Furthermore, if the owner has hired�a contractor or contractors, he is advised to ihave the contractor(s).sign
<br /> portions af the "contractor �iock" of this application for which fhey wi(I be respansible. if yau, as•;the owner sign as th'e
<br /> contractor, that may be an indicatian f�hat he is not properiy licensed and is not entitled ta permitting privileges m Pasco
<br /> County. � ,
<br /> 1�'�Afi�S��ff��'��'@0�9 @�(iPs�a�lf/99"6'9�9'�fi��.@�E?'��T�1�4� �ESOlBR����C�'��RV����: The unclersigned understands
<br /> that Transportatian lmpact Fe�s and R�ecourse Recovery Fees may:apply to the construction of new builtlings, change�of�
<br /> ; use in existing build'ings, ar expans�orn of.�xisting buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> i 90-07, as amended. The undersignec�afso und�rstands, that such fees, as may be dve, wilt be:icientified at�the time�df
<br /> permitting. It !s further understood that Transpartat�on Impact Fees and R�source�:Recovery Fees must be paid prior ta
<br /> receiving a "certificate af accupancy" oir final power release. !f the project does nat involve a certificate of accupancy or
<br /> ' final power release, th� fees must be paid prior to permit issuance. Fur#hermore, if Pasco County Water/Sewer Impact 1
<br /> � fees are due, they must be paid prior td�permit issuance in accordance with applicable Pasco County ordinances. I
<br /> I ��l�S7'R�d�T���9 �:8(E�@ ��@t�{�&���,��a���3, �(�a�i��S���aa���, a�s a�m�ca��d�: If valuatian of wark is$2,500.Q0 ar more,..l
<br /> certify that 1, th� app(icant, have been provided with a copy of the "Florida Canstructian L.ien Law—Nomeowner's
<br /> Protec#ion Guide" prepared by the Flor�da Department of Agriculture and Consumer Affairs. If the�applican� is sorneone
<br /> ' other than�he"owner", I cerfify that( have obtained a copy of the above described document and promise in gaod faith to ' I
<br /> detiver i�to the"owner"priar to cammencement.
<br /> ��R9'S6�a��'�8�'�/���9�ff�.'� 6���8��@�`�'�: I certify that all the information in this app(ication is accurate and that all work
<br /> � will be dane in campliance vtri#h �1i applicable iaws reguiating cans#ruction, zaning and�land dewelapment. Appiication is
<br /> �, hereby made to obtain a permit ta do work and installatian as indicated. 1 c�r4ify fhat na wark ar installation has
<br /> � commenced prior to issuance of a pe;mit and that a!! work wilf be perfarmed to meet stancfards�of al! laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I also
<br /> c�rtify that t understand that the regu(ations of other government agencies may apply to the intended wark, and that it is
<br /> my responsibi(i#y to identify what actions i must take to be in compliance. Such.agencies include but ar�not limited to:
<br /> - Department of Environmer�ta! Protecfion-Cypress �aylieads, 1Netland Areas and Enviranmentally Sensifiive
<br /> Lands,WaterNVastewater Treatment.
<br /> , - Southwest Florida Water Management Distric#-WeAs, Cypress Bayheads, Wetland Areas, Altering �
<br /> Watercourses.
<br /> - Army Corps of Engineers-S�awalls, Docics, Navigable Watenivays.
<br /> - Department af Heaith & Rehabiiitative ServiceslEnvironmentai Heaith Unif-Weits, Wastewater Treatmenf,
<br /> Septic l'anks. ` �
<br /> � - US Enviranmenta!Protectia�n Rgency-Asbestos abatement. •
<br /> �i - Federal Aviation Authority-Runways.
<br /> I understand that�the following restrictions apply ta the use of fill:
<br /> - Use of fitt is not aliovved in Fload Zone"V°unless expressly permitfied:
<br /> - !f the fi(1 material is to be used in Flood Zane "A", it is understood that a drainage plan addressing a
<br /> "compensa�ing volume" wil! be submitted at tirrte of permitting which is prepared by a prafessional engineer
<br /> licensed.by the Stat�of Florida.
<br /> - If fihe fill material is to be used in Flood �one "A" in connection with a permitted builtling using stem vuall
<br /> � cans#ruction, I certify that fi(Ilwili be used only to fill the area within the stem wail.
<br /> - tf fill materia( is to .be used in any area, 1 aer�ify that use of such�fill wi11 nat adverseiy affect adjacent
<br /> prop�rties. If use af fill is found to advers�ly affec#:adjacent proper�ies, the own�r may�be cited for violating
<br /> the conditions of the kiuildiri�g permit issued under the attached perrnit applicatian, far lots less than ane (1}
<br /> , acre which are elevated �y fill, an engin�ered drainage plan is required.
<br /> tf I am the,�GE6�T����'H�Q3@9@l�I�R, � promise in good faith to inform the owner of the permitting conditions set farth in
<br /> this affidavit prior to commencing const�uction. 1 understand that a separate permit may be required for electrical worlc,
<br /> plumbing, signs, wefls, pools, air conditianing, gas, or other�instaflations not specifically included in fhe application. A
<br /> permit issued shall be constr.ued to be a license ta pracead with the work and not as authority to violate, cancel, alter, or
<br /> s�t aside any provisians of th�technicallcades, nor shall issuance af a permit prevent the Bui{ding Q;fficial from thereaf#er
<br /> requiring a correc#ion of errors in plans, construction or violations of any codes. Every permit issued�shall become invalid
<br /> uniess the work authorized by such permit is commenced within six months af permit issuanee, or if work autharized by
<br /> the permit is suspended or abandon�d for a periad af six{6} monfhs after the time the work is cammenced. An extension
<br /> may be requested, in writing, from the Buildirig C}ffiicia] for a period not to exceed ninety(90) days and will demonstrate �
<br /> justifiable cause for the extension. !f worlc ceases for ninety(9Q)consecutive days,the job is conside�ed abandoned.
<br /> �r9�aB3619(81�� '�'�D 0����: ��dD� l�d�(Lfl9�� �"� �E��92� � �fldC9'9`6�E �3� �Cei1fl�1li�611C��i6EQN"Q' t�A.'�j RE�UL� VYl� �f04JP�
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<br /> FLORIDAJURAT(F.S.1 7.03� — -y-- -� � -� �
<br /> OW�i�R O�?;4GE�91' � - CQR4T OR I
<br /> SuI�scr'bed and s rn to ar ed)befare e this Su cri ed an sworn to or a ed)6efare e this (
<br /> °I 11 �by £N �1 by /2 L. ,
<br /> Who!slare personally ` av produced Wh ' lare person n to me or haslhave produced
<br /> — as identification. as ldentificatio�.
<br /> ��` � � Notary Pubtic l"'gs ��' � ;_ � Notary Pubiic
<br /> Commission No. Commi ' If� �
<br /> ���'�p�.., �1NNA MARIE,LYNGH tERRY '
<br /> o`t►a ue.
<br /> Name �1 c#� � �o ot da �
<br /> Name of o ab aty�e.��prin e tate o{Florida , , �
<br /> Natary Pubflc- .•� Gammission A�fF 858064 -
<br /> �� �r+ �*.; Commission#FF�'��fi� %� P; y Comm.Expires Apr 4,2020' �
<br /> =;« .Q. ires Apc�.2Q2Q +"`%°���°` 8onded tt�rougA.Nation�l_No�aty A'ssn:,
<br /> :s. p; My Comm.Exp pssn.. •
<br /> �'�:;;oF Ft°:O' gonded tt}raugh-National Nota[y
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