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<br /> �1��'��IE�IF���� ����'�0�'P9�V��: 7he urtdersignec4 understands.tha�,fihis.,P;er.mi�ma}j be subject to"deed; re5fricti`ora's'' "
<br /> ._ .. . ,.. . _.,;,:�.,..�-...,��:..:.�. ,.:.,,.:..,,a,.<,. ..�_.w
<br /> which..may.:b�.more.resfPiefiv�;than;County r.egulatiohs.=Thea.undersign�tl��assiim'�st�responsiliili#jr'for�"coii�pli'ance viri#ti;�ariy"�'
<br /> appiicabte deed restrictions. ., .�� • � �
<br /> �e���C��9�1��,���I'�O��i�'��D�� �aR�i�� ���1'����'�G�� ������d���6(LD'��[��: If.�fifi� owner has°iiired..a.confractar ar
<br /> contractors to und�r#ake wark, they may be r.equired;to be:licensed:in accordance vuith�state and local cegulafiionsE:=:=�lf-.the�-� �
<br /> contrac#or is.not licensec! as rcquir�tl by`law, bofh th� owner and��contractot.l'riay�li:e�-citecl���#or-.a ;m'isdemeanor vialatian
<br /> under stat� law. If the own�r or inf�nd�d co,ntr.actor are uncertain as to what lic�nsEng require�ents.:.=.�a.y.�:appljr for.-:�tlie���
<br /> intended worEc, fhey.are•advised to�confiacti�tli� F'asco County Building inspection�'Qivision�Licensing Section af 727-847-
<br /> 8009. �ur#hermore; if fhe owner has tiir�d�a contractar or cantractors, h��is advised to ;havef fihe confirac#or(s).:sign=. ;
<br /> portions of the "canfiractor �tock" o�this appiicafiion for which fhey wi(I be respansibie.. if you, as��tFi'e`'ovune`r``sign as'fii'e
<br /> contractor, #haf rnay be an indication that he is not properiy licensed and is nofi�entitled�to permitting privii�g�s i� 0�asco
<br /> County. � � � `
<br /> `��d��4���D��'�1P9�1� B�L��4C�f/.�9'�9�0�9��.96�V�1���'�E�9� f�f���49���ff�f����9��� �'l���: 'Che uncl�rsigned und�rstands
<br /> that Transporkation Impact Fees and Recourse Reco.very Fees may:.apply to�the construction of,n�w buildings, cliarige�`ofi` -��
<br /> use in-existing baifdings, or�xpansion.of;existing puildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The und�rsign�d-alsa cande�stands, that such;:fees, as ma�r�.be.due, wiil"i�e?identified a��fihe��time>'cif�
<br /> permitting. It is fu�ther understood fihat Transpar4ation lmpact fiees and R�soures'=Recoveey Fees rtlust be p�id prior ta
<br /> r�ceiving a "certi�icafe of occupancy" ar fiinal,power release. !f fhe praject does not involve a certificate af occupaney}or
<br /> final pawer release,.the fe�s.must be-paid prior to permit issuanc�. Furtiiermore, if Pasco Caunty W..aterl�ewer,Impact.
<br /> fiees ar�due,they mus�be paid prior to permit issuance in accordance with applicable i�asco Caunty ordinances.
<br /> t���S�'��J��'��� �:4(��9 ��l�9��6a����e�'���;f�����������aa���,�����s��1�c��: (f valuation of work is$2,:5OQ.00.or more,..i
<br /> certi�y that 1, fihe applicant, have b�en prcivid�d uvith a copy of the "Florida Canstructio� Lfen Lainr—FEomeawner's
<br /> Protection Guide" pr�pared by the Florida DeFartment of�gricul#ure and Gonsumer.Affairs. If�he:appiican#:is someone
<br /> other fihan the"owner", I.certify thafi I ha�e obtained a copy o�the above described'document and prorr►ise in gaod`faith�to
<br /> d�iiver.i�fa fhe.°owner"prior;-ta cammencemenfi. ;
<br /> ��(��3�'���`��'�1�����'�l��(��[���96`�: .i.certify>that ali.the information in this application is accurate and that alf work
<br /> wil! b� done in compliance wifih a!1 applicabfe iaws regufating construction, zoning and-Iand�devetapment. App(icafion is
<br /> hereby mad� to ob�ain a pe�mi� to do wor8e-and installafion as ;indicat�d. I c�r�ify thafi na worE� or.irtstaflafian=has
<br /> commenced prior to issuanc� of a perm'if antl that a!I work will be perForm�d to m�et sfandards of atl tavus regulating
<br /> cansfructian, County and City codes, zoning regulations, and land developm�nt regulations in:-the jurisdictian. ! also
<br /> certify that ( understand fhat fihe reguiations of ofiher government agencies may apply to the intentled wark, and that it is '
<br /> my respansibilifi�r fio identify whafi acfiions 1 musf take to b�in complianc�. Such.agenci�s inc(ud�bu#are not limited.to:
<br /> - ��partrraent of �nvironmental�Pr.otection-Cypress-�ayheads; W�tland Areas and �nvironmenfiatly Sensi#ive
<br /> Lands,WaterMlastewat�r Trea�ment.
<br /> - Southw�st Florida VI(afer Management District-Wells, Cypress �ayheads, W��Iand Areas, Altering
<br /> Watercourses. , �
<br /> - Army Corps of Engineers-S�av�alls, Docks;�Navigable Waterways. -
<br /> - Deparfm�nt of �ealfih $� Rehabilifativ� S�rvic�sJEnvironmental .Fi�aifih Unit-W�lis, Was#ewater Treatment,
<br /> S.ep#ic�Tanks. �
<br /> - US Environmental Protec#ian Agency-Asbestos abatement,
<br /> - Feder.al Aviation Authori�jr-Runways.
<br /> � i understand thafi the f.oilowing:restricfions apply fo the use of fill:
<br /> ' - Use of fiitt is nofi ailawed in Flood�one"V"un(ess expressly permi#ted,
<br /> - If the fil! material is to be used in Fiood �one "A", it is understood #hat a drainage plan addressing a
<br /> °compensating volume" wi!! be submitted at�ime of perrrritfiing which Is prepared by a professiana( engin�er �
<br /> , licensed.by the State of Florida.
<br /> - If fihe fil� material is to be us�d in Flood �one "A" in connecfion .wifih a permifited b�iltling using stern wal!
<br /> construction, I cerkify that fiil wil( b�used only to fill the area wifihin the stem wall.
<br /> - If fill �materia! is fio .be used in any area, I cerfiify that use� of such�fill wil( nat adv�rsely affect adjacent �
<br /> properties. If us�of fil! is faund to adversely affect:adj�cen# properties, fih� owner may!b� cited for violating i
<br /> the conditions of�he:building perrrtit,issu�d under�the attached permit apptication, for lats I�ss than one (�}
<br /> acre which are�levated by fill,an engineered drainage plan is required.
<br /> if I am th��4���9�`I���I��B� ��96�(��, I promis� in good faith to inform.fih�owner ofi the permitting conditions set forth in
<br /> this affidavifi prior ta commencing consfiruction. I understand that a separate permit may be require'd fior electrical work,
<br /> plumbing, slgns, w�tls, paofs, air conditioning, gas, ar afih�r�iristallafiions no� specr#ically includ�d in �he application. ,4
<br /> p�rrnit issued sha!!°be constru�d�a be a licens�ta praceed �nrith the�nrarlc anci not as authorifiy fia violafie, canc�i, alt�r, or
<br /> set aside any provisions of th�technica! codes, nor shall issuance of a p�rmit grevent the Building Otficial from thereafter
<br /> requiring a correction of errors in plans, construcfiion or violations of any cades. Every permit issued;shall become invalid
<br /> unless the work aufhorized by such permifi is comm�nced within six monfihs of permit issuance, or if worlc authariz�d__by
<br /> the p�rmit is suspended_oe abandoned.for a-period•.ofi six-t6}enonths.aiter the tim��he work is'commenced. An extension
<br /> may be reques#ad, in wr.iting, fram the �uildirig Official fior a periiad.rtoE to exceed ninety(90} days and.:wili demonstrate
<br /> jusfifiable caus�e for the�xtension. If worlc ceases for ninety{90)cons�cutive days,fh�'job is cansidered abandoned.
<br /> �i�R�,iV�2� '�� �t�Yt9�9��: ��QE(t� ��II�4D�� �'� ������ � �9�."�'AC� ��' ���fiM���9��9��P9'E' fld9�'��9��5�9�:'� ll�9 �09nQR
<br /> �A�f86��'�'�E�����96�����{EBk����'�'�d3�,f.�tid.�:��G�i��62'il�f:. 9�Y�.&:D;;O��'�6ld����'�.R��V�GG���(F0�9�6��Bi��; �����D�'9'
<br /> �4"��9��D4:D��;iE�� �� ��'t��B `8'`6' 6���P'�fE(�O��.R��6���oNts`Y�98� ` �'�`�� � "Cd� ��E�d�9�9'�'. - -
<br /> _ FLQRIDA JURAT(F.S.11 03) _ - ' - 'f' I
<br /> OWPilER�OR iAGEA9'C �CD�Ii'O�,�Ci'OR _�._.__ �
<br /> Sub crib and sworn o( e �' , f s� Sub crib d and swar ffi b e me this � +
<br /> t �5 � by 'z�1 c,�.s8� P1 I"1 by ^�Z'll 1 � Ck t.ck)v (
<br /> Wh islare ersonally knoWn to me ar hasth ve produced Wh �slare personally,knowt►to me or haslh ve produced ,
<br /> as identification. as identification.
<br /> �- ..� Notary Public i Notary Public
<br /> C mmission No. Commission No. I
<br /> I
<br /> Name af Nota ty ed,printed or stamped Name of Notary typed,printed ar sta �.,r. — - —
<br /> +`"` � """,,•, iCELLI B. RYMAN
<br /> �,,,,,��u,,,, KElLI B. -RYMAN ��`'"••"';%,.
<br /> `+o���rr���^M �: � �o�rrmission#FF 8Q5017
<br /> =R�.+ Commission#FF 905p17 - �= tvty Comrnission Expires
<br /> _. .
<br /> �'�'t a r4°�.��` 1
<br /> �,o�r� ol,��,; My Commfssion Expires - %.. . July 30. 2019 i
<br /> ��ni:i,�o�d Juty 30. .ZQa 9 r�m�a
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