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NC)1'IGE: Ot� D��[) RE�ST1,tIC1�iONS: The3 uridersigned understands #hat this permit rnay be sul�J�ct to "d�ai�d'' resfric;t(�ns"
<br /> whicYu rrr�y be more r�strictive than Caur�f,y rE�gulafians. 'i'f�e undersigned assurne�s respon;�ibil3ty for comF�fiaricf�vvi�h any
<br /> appiic;ab9e deed restrlctlons.
<br /> UNLl�CEWSED CC)NTRAt�Tt?RS AN�) C{)�I'('RAC'COR fitE3PQNSIBIL.lTlES: !f Ette awner has hired �� cs�r�tr��c.tor or
<br /> contr��ctcus to undertalce work, they may !]e required tt� lae licensec� in accordane�; with state and local tec,�ul�i.ions. !f tne
<br /> contr��ckc�r is not licensed as required by law, both thE; awner ,and contractor m�y be citeci for �i misdeme:ai-�or vic7lation
<br /> under sf�to law. if the ovvner or interid���� cc�nfractor r�rc: uncertain as t� what Ilc;en:�ing requ(rements rri��y!G�pply for the
<br /> infencied work, Qhey are advis�sd to corit7cfi tho Pasco C',ounfy Biatld(ng Insp�cti�n h�ivision—Licen.;ing Sec;fion af 72�7-�347-
<br /> 8009, F�urthermore, 6f tha ot�ner ha;� Ftired a contr�cf��r ar cantractar�, he is ac�vised to hav� the c��i�tr�ctor(s} sign
<br /> parflans of Ehe "contr�ctor 81ock" c�f th1}s ��ppilcatlan far uvtiioh they will be respc�r�slb{s. If yau, as fhe o�v�te�r� slgr� ;as the
<br /> con#r�ctc�r, that m��y be at� in�icaticm 1:h<�t he fs noE prcap�rly lic��nsed anci i.� nat E:nti#fed to permitti�g pri�vll�g�;s ir� G'�3sco
<br /> County. • -
<br /> TFtAPJSF�ORTATl1�N EMP�►CTNTILIT�E�5 INIV�ACT,�ND RESOIJRCE REC�7VERY FEES: The undersign��d;�inder.�t�inds
<br /> th�t 1"rar�sportation Impac� FeEas and Ftec�aur��se RecovE;ry Fees may apply f� thE; con�tructian of rrew bu�i��ing��, change of
<br /> use ii� �xisting buildings, �r e;�pansion c�f existing buildirigs, as specified in Pa;�co Counfy Ordin�nce nu►nb'�r�� i39-�7 and
<br /> 90-07`, �s �mend�d. The undersigne�� ��1;ya understands, that �uch fees, as m��y be due, wiil be id�nfifi+�� at tl�e time of
<br /> perm�tting. }t is ft�rthe�r trrider&food th�t T'ransportatiorti Impact Fee=s and Resotarc:e F�ecavery Fe�s musi: I�e; �7aid pri�}r to
<br /> rE�ceit�lnc� a "cerEificat� of t3ccupancy° or f6na1 pawer rsfe<�se. !f the: pro�ect does> ��ot involve3 a cert�flcate c�f oc;cupanc:y or
<br /> fina! �aower release, the ff�es musk be p�ld �rior to permit lssuance. Fui•#hermor+�, i1` Pasc� Cour�ty Wate:r/S�:w�er lmpact
<br /> feGs s�re due, they must be paid prior to E��;rmit issuanca in accordance with applic�bl:� Pasco County ordinF�n�c�.e�.
<br /> CtJN'ST'12UCTI�PJ LIEiN LA�W (ChaptF:r 7'I3, 1=1arlda �fatutes, as ameneied): 9f va(uation r�f work ia $2,,'i(101(l0 or mare, I
<br /> cerfifi� that I, the ap��licant, G�ave bEen �rcavfded wii;h a copy af fhe "Fiorida Cansfrucfion �ien Law••--Hc�n�eowrier's
<br /> Prot�ctic�n Guide" prepar�d b}� the Fiaric�<� D�parfineni; of Agricu}ture ancl t;onsurner Affairs, If the applic�an't is sorn�ane
<br /> other th��n the'bwner", i c�rfif,y tha# ( have� ak�#ained a r,o��y of fhe above �iescribei� dc�cumer�t and promis� in c�ood taith ta
<br /> t��I3VE;:r it to the"owner" prlor tca comm�:m:�;rne.nt. � �
<br /> CS�N7'F��ICTOR'S/ONJNEfZ'8 AFF9DAVtl1'; ! certEfy th�t �ll the 4nfarmation 1n this application ls accurate and 1:h,�t aVl work
<br /> will�be done in complfance wiRh all applic�bir� laws rec�ulating con:>truction, zoning and land dev�lopmerit. P�p��licatic�n is
<br /> h�rPl,�y made to obf�iin �i permit ta da woi°k and in.7f�i�lation as Indic�fed. I cErtify that no work or insfailatian has
<br /> ce�mr�nenred prior to issu�ance� of � permif and that ali wark will be peri�ormed t�► meet sfandar+�s of all F�ws regtalating
<br /> consi;rucfion, County and Cit}� codes, zaning reguiations, and lar7d devele�pmerat rfagulafions In the )urlc�ciic:�ic�n. I aisa
<br /> certif�y t}'�at I understand t��at the regulat'sc�ns trf otfier governmertt ��g�ncltas may ��pply to the intended w��►�k,�r�nd that st is
<br /> my rf:;sp�nslbillty ta 1d�r►tify wt'iat actEons I must take to bf, in compllance. Such�c�encles 1nclude l�ut are nc>Q lirnite� to:
<br /> - Depa��tment af ErtvlronmQnta! Pro#ection-c�ypress �ayheads, Wekl;and f�reas and Envlronm�:nt��lly Sensitive
<br /> Lands, WaterNVa:stewater TrE,atrnent. !
<br /> - Southwest Florida WatPr Managemeni; Distr(ct-W�IIs, t�ypress E3��yheads, Wefland ��re�is, Alfc;ring
<br /> Wafercourses,
<br /> - Arrny Cvrps oF EngineE�rs••Se€�w�lis, Docks, f`J�ivigable Waterways. ;
<br /> - Dspartm�nt of H+�alfh & Rei�abifitat(ve Servlces/�:nviranmental Ne��lth Uni#-Wells, Wastevv<��e�• 1'rE�atment,
<br /> Septic Tanks. - �
<br /> - US Et�vlrcanm+�ntal Protection Agzncy-Asb��skos abatement. ;
<br /> Federal aviatlon F�uthority-Ru�nw;�ys, �
<br /> I understaritl that�he 1`ollowing restrictiona apply to the u:�e of f�ll: '
<br /> - Use af fill is nc�t allowed (n Flc�c�d 7_one "V" unle►ss exprE;ssly permitt�d. !
<br /> - lf the fl(I mai;erial is to t�e �.�sed tn Fioad Zone "A", €t is ur�der��tc►ad that � drair�age pla5� ;�it�cfressirig a
<br /> "campen.�ating va�um�° wili t�� :>ubmitted af time of permittir�g whf�lh 4s prepared by a profe.:7siorta! E3nginesr
<br /> licensed by the State af Fiorlda. �
<br /> - If the �!! matsYria! is to bE tas�d in Flood Z��ne "A" In cann�ci:lon with � permitted building tasir7g sieun wall
<br /> constructton, ! cerkiiy that fIll�vill !�e used only to fill fhe area within the ste�m wall, ;
<br /> - !f fill material is to bP used in any are�i, I certify tfiat us� of surh fi(I wii( nof adv�rselv ��ffc;ct ��djacent
<br /> prop�rtie;�, If us� of ffl( Is faiand to adver��ely affect adjaaenk prop�rfies, the owner rnay be cif�:d for via(ating
<br /> fhe condifion;a of the buiid(nc� pf�rmit issuE3d under fhe attacl�ed perrnif s�pplicafion, for iots I�ss lh�n cine (1}
<br /> aere which ar�elEsvated by fili, ar7 englneered dralnag� plan ls requlr�:d. �
<br /> If I atn #I�e AG�N�'Ft�R�'HE OWNEFt, 1 promise fn g��od faith to lnforrrr thQ own��r oF the permittEng conciltio;ri:z set 1�orth in
<br /> fhis ��(fidavit pt'ior to t�ammencing constriaction. ! understand thak a separate ��erml� may be required fc�r el��cl:rical wark,
<br /> f plumbing, slgns, weiis, pools, air corlditioning, gas, tar other insts�llations not ,�pecifically included in fh�: a�:�plic�afiori. A
<br /> pE;rr�clt i.>sued sh�ll b�; cons#rtaed to b� �� license to pr�aceEsd with the work and naf as authnrity tc� viaiate, cai�c�si, altr:�r, or
<br /> seit �slc�� �ny provisic�ns t�f th� technical codes, nor srtall issuance of a permif F�ri�venf the 13uilding Offici�i f'rt3m fherE:affer
<br /> requirin�� a correction of error� In plans, c;c�n��tructlon ar vi��fations �f any cades. �very permit issued sh�xil b'�i,c>me invalld
<br /> unle��s the work �uthorizE:d by such permit is commenced wifhin �ix months ai` perrnl# fssLtance, or if wtarls;��Utllot'i;�E�d by
<br /> the �Nermit is suspended ar a�andaned fc�r a period of slu �6} mr�nti�s after the tlme the work is commenc�.c�.i /�ri ext�nsion
<br /> may he requesfed, in wri4ing, fram Ehe 8�uiicifng Offlcl�f far a period not to exc��e:d ninety (90) d:�ys and will ��emon:>trate
<br /> justifiat�l�cause#�r the exten�ion. If work c��ases for nir�ety(90) consecutive d�3ys, th�}ob is considered �k�aridone�,�,
<br /> V4lAF�WlNG T(7 (�WNER: Y(7UR FAIL4JiI�tE TO RECOIZI7 A NOYICE UF COMMENCEMENT WiAY R1:;5Ut„T' {iV Y�UR.
<br /> F�AYINC�TWICE FOFt IMIPRC)VEN1Et�TS 'TC6 YaUR PRr�iPE�Ci'Y, iF YCiU-INTi=taC9-'1'��C7�TAtN F1iVAN��1111�7C;{, CtJ��f::i!lLT�� -
<br /> Wi.`TV�d YOl1R LiENDER O�t AiN A'TTORNE;Y E3EFOFtE RECt3RiaihlG YOtJR NOTICE OF Ct�MfUIEwNGEM��I�lT'.
<br /> Ft.Ofi�1DA JURAT(F.S. 117. 3)
<br /> OWNIER�R �NT, �I � K..a-K..� `_ CONTFtACTOR,�„ ._._�..__
<br /> Stabscsribed an d'(or afflrmecl}before me ihl� .�ubscribed and sworn to{ar af�rmed)before me this �
<br /> ..��Y.�._.. _._._,_...bY..— ._.__._._�
<br /> Who Islare personally known to me c�r haslhave prociuced Wha is/are perso�ally known i:o m��or i�asJhave produced !
<br /> as idenfiflcat(on. _ _ _� as Identificatlon. i
<br /> ��.....—_^ � �
<br /> !
<br /> T�� ____ Notary Public _ _, __ ._,_Nc�fary Public
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<br /> Comrnlssion No.,�� _. __.__ Cotnmi�slon No.^,_� ._._..__._—_.-
<br /> Namc�of tVotary typed,printad c�r stamped � ^ Name af N<�tary typed,printed or�tamped �� � �^�
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