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<br /> ���'@c�lE�9����� I����'l����'��l��: The undersigned unclerstands.that,fihis,per.mif.may�be subjec�to"deed;' �estr'sctions.
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<br /> which..may.:b�:,mor�.r,esfi�icti���than:County regwlations:- Thea�wnder�ign�tl�=assume`st�respoiasiliility'fa�^cQrz�plEance�`viritia.=aiiy`"m"
<br /> I applicabie deed res#rictions. � �:.,. : �� -� �
<br /> �H��.8��6����:C�I���B���`�DB�� r,��8�� ���I'111°-�s���'�6� �����2.�R���9�.8"��i��: if�tiie owner has°hired..a�contractor or
<br /> contractors ta underta�e work, �h�y may be cequir�d,#a b��ticensed.in accordance vvith sfia#e and loea) regwlafiions:::��if-.the:- �
<br /> contractor is.not licens�d as�r�;quired bjr'law, bofh the owner and:con#ractcir�rrtay�6e�cj�ecf��#or-a'miselemeanor viofa#ion
<br /> under state law. If fhe owner or intended cantracfior are uncertain as to what lic�nsing requir�r�er�ts=�amay:apply for..tf�e�a ��
<br /> intended wor.lc, fihey.are advis�d to�contact�tti�`Pasco County Building Inspection"Division�Licensing Section at 727-847- ;
<br /> 8009. Furthermore, if the own�r has hir'ed�a contractor or cantractors, h��is advised to ;havel fh� contracto[(s).:sigp,= ; I
<br /> parfions o#fihe "con�ractor �1ock" o�ti�is applica#ion for which fhey wili be r�sponsible.. If yau, as�itiie�oviirie`r`'sign as'fFi'e
<br /> contractor, thafi may be'an indication that he is not prop�rly iicensed arid is not erititEed"to permifiting pri�ileges in t�asco
<br /> County. ' `�'� ' -
<br /> "������D��°�11f'@�I� 9V���AC�'/.��°@���'9���8����1�t�6�1� f�����R�C� V�f���@9����[���; 'Che undersign�d understands
<br /> thafi Transporkafion impact Fe�s and Recaurs� Recav��r Fees may.;apply fio the construction of new buildings, change:of`�'-'
<br /> use in existing bui[dings, or expansion.of;�xisfiing E�uiidings, as specified in 6�asco County fJrdinance number 89-07 and
<br /> 90-07, as amencled. 7he undersigned-also unde�stands, that suct�,fees, as may..b.e.dtte, wilt tiei I�Gi iLI'{�� G1L:kfih��fiim°e>of� .
<br /> p�rmitfiing. It is further understood that Transpa�ation lmpact Fees and Resout'ce'.Recov�ry Fees must be p�id pr�iar to
<br /> r�ceiving a "ce�fificate of accupancy" or fiinal,power release. lf fhe�project does not inuolve a certificate of occupancy.or�
<br /> final power r�lease,.the fe�s�.must be-paid pr.ior to permit issuanc�. Furkhermore, if Pasco Co�nty W.,atee/Sewer:lmpaet.
<br /> �ees ara due,they musf be paid prior to permit issiaance in accordance with applicabie I'asco Caunty orc�inances.
<br /> ���5�'����'���9 �:9l��4 ��a@�9��������7��, U���g6�P��4�aa����,�����ov����: if valuation of work is$2,50Q.00 or more,..l
<br /> certify tha� {, the applicant, have b�en peovid�d WftP'} � G0�3� a� �he "Flarida Constructiort Lien Law Fiameawner`s
<br /> Protection Guid�" prepared by 4he Florida Department Qf Agriculture ahd Gonsumer:Rffairs. If the�applican#�is sorrteane
<br /> other than the"owner", I:cerfify that I have obtained a copy of the above described tlocum�nt and promise in goad faifh�to
<br /> d�liver,ifi fio fihe."owner" prior ta commencemenf. �
<br /> ���3'��"���'�1�����'���I���1���': I.certif�.that.all the informa#ion in this application is accurafie and"that all"work
<br /> uvil! b� dane in compliance wi�h af! appl9cable laws regulating canstrucfiian, zaning and-lanci�deveiapment. Application is
<br /> hereby made fo obtain a perrnit.fia .do worle-and instaElafian as indicated. I cer�ify that no work ar ins#a(Ea�ion�has
<br /> commenced prior to issuanc� of a permif anci that al! work will be performed 4o meet startdards o�' al! laws r�gulating
<br /> constructian, Counfiy and Cify cad�s, zoning regulations, and land developm�nt regutations in;�the jurisdiction. ! afso
<br /> c�rtify that t understand that fhe reguiations of ofher government agencies may apply fo the int�ended wark, and that ifi is
<br /> my responsibilifiy fio identify what acfiians I mus#take to be in campliance. Such..agencies inc(ude but.ar�not fimi#ed.fo:
<br /> � - Department_of Er�vironmental.'Fratecfiian-Cypress��aylieads; Wetland Ar�as and �nviranmenfiaily Sensitive
<br /> Lands,WaterlUllastewat�r Treafimenfi.
<br /> - Southwest Florida Wafsr Managem�nfi Distric#-Wells, Cypress �ayheads, W�tland Areas, Altering
<br /> ' Watercourses.
<br /> - Army Corps ofi Engineers-Seawalls, Docks��Navigable Wat�rways. �
<br /> - Department of €�eal�h $� Rehabiiifa�ive Services/Environmentai .Healfh Unit Welis, W.astewater Treafiment,
<br /> � Sep�ic��'araks. ,
<br /> - US �nvironmenta!Protection Agency-Asbestos abatement.
<br /> - F�deral Aviatian Authority-Runways.
<br /> i understand fihat:.the following:re"sfric#ions apply#o the use of fill:
<br /> - Use of fiii is not a1lorNed in Flood�one"V"un(ess expressly permifified.
<br /> - !f �he fill ma#eria! is to be used in Flood Zone �A", it is u�derstood that a drainage p(an addr.essing a
<br /> °compensa�ing volume" vuil! be submitted at time of permitfiing which is prepared by a professionaf engin�eer
<br /> licensed.by th�State of Florida.
<br /> - lf fihe fiill material is to be used in Fload �one °A" in connecfiion .wifih a permifted builtling using stem wall
<br /> cons#ruction, 1 certify that fil(wiil b�used only fo fiill the area wifhin the st�m wall.
<br /> - if fi(I �material is to :be used in any area, 1 certify that use� of such�fili will nafi adve�s�ly affec# adjacent
<br /> p�op�rtiss. !�use of fill is fpund to adversely affect:aefj�cent proper�ies, �h� awner may�be cited fior vialating
<br /> the eonditions of the�buildirtg permit,issu�d under�the°aftached permit applicatian, far iots.less than one (1)
<br /> acre wliich are�I�vated by fill, an�ngin�ered drainage�plan is required, '
<br /> (f I am the��I��➢�'�'��"�f�� ��4�I�R, I promis� in good faith to inform.th�owner of the permitting conditions set forth in
<br /> this affidavit prior#o commencing canstruction. I und�rstand that a separate permit�may be require'd for el�cfirical wark,
<br /> pfumbing, signs, we1ls, paals, air conditioning, gas, or other�iristailafians na# specifically included in fihe application. A
<br /> permit issued shal! be construed �o be a lic�ns�ta proceed r�r'sth the vvoric and no�as authori�y fo vioiat�, cancei, ait�r, or. �.
<br /> set aside any provisians of th�technical cades, nor shall issuance of a permit prev�nt the Su�ld9ng Official from thereafter
<br /> requiring a correcfiion of errors in plans,�construction or violatians of any codes. Every permit issued'shaq becom�invalid
<br /> unless th� work authorized by such permit is commenced within six mon�hs of permit issuance, or if work authorized by
<br /> fih�p�rmit is suspended or abandoned-far a pesiod.cf six(6)eronfhs-afi#er�he fime�h�work is'commenced. fi+n�xtension
<br /> may be requested, in vur.iting, fcom tlie �uild9ng �f€icial for a period.not to exceed=riinety{90} days and..�witi demonstrate
<br /> ' jusfiifiable caus�for the ext�nsion, !f worlc c�ases for nin�ty{90)consecutive days,th�`job is consider�d abandoned.
<br /> ��a��6�dG �"� ��R���: ��6��2 �e��1L�9�� 'P�,��2���� � �9�.�'9�� �� ��.h�16l4���1��6l69��1�' 6lfdi�lf��$��@.�8�� 0�9 �f�U6�
<br /> (P�1f9P��'9�t9��� I"r��6iVd��0�9���9���.�'; �,f��l.�;��i�i��93'fi'Y:. 9���&.01�.�.�fi�'P������'�-���' V6�,iF9��6i��6i��; ���9�Q.Dfl�'P
<br /> �H�'�4 YQ�9���:��9���2��'� �`�"�'�ti ��6��:��.�IE����GB�G Y�D�DR'��'B' =t� ��'- diii�6��E4t�Ei��`.
<br /> FLORIDA JURAT"(F:S.- '17.03 i � - � �
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<br /> Su s,grib d and sw4r�to o � ` d e e}�s Sub ccibe and s ry {o � �q ef re me th�i
<br /> f i rl� i7 by J�J1 � G�cs'" 1( �i –1 by Yl �I`iG l,l)(k)�" I
<br /> Who islare gersonaity knawn to me ar h ave produced Wha 9slare persanat own me-.�r ha have produced
<br /> '"'"�`� as identification. � as identiflcatian.
<br /> /
<br /> �_��'�" —Notary Public Notary.Public
<br /> Commission Na. Commission No. �
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<br /> Name of o t ed ri ted a�r stam ed Name af Notary typed,printed or stamped �� .`��-
<br /> ,.•`m,:�:'�'- KELLI B. RYMAN .�``*°o""�� KEL! B. RYMAN �
<br /> =�°f ,�,�"`�? Commission N ffi�J05017 `�'�* 4¢�""'- Commis ian# FF 9050i7
<br /> `W�'�� �Y Co�nmission Expires ;. •?
<br /> ;..,�4'; My Com is5ian E�pires
<br /> ��''�%°,;,,;;`''� July 34, 2019 �'%:;p��•°:•` Jul � 30, 2dt9
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