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<br /> MOTiCE QF DEEQ RESTRICTIONS: The ut�derslgned�under�tands�:tt�rslhts.p�rmit:.may�be,subject#o."deed",res�rtctio�is"_;^.{.r y
<br /> which may tie�more•r."est�lcti�re��th��'Couiity:�i�egulat�ons:��The�underslgne�d�°"assumes'resprinslbiltty'far compfiance=with a�y
<br /> applicable.daed�restriotlons. „ �_.., �,.. , �,- � �. _ _., .. � � " � _
<br />' UNLtCENSED�CClNTt�i4CTORS AND Ci�NTRAC�'OR RESPONS1�1C11'IES: �xff�the�cwner has���hiced��a ct�ntractar ar ,
<br /> contractors to undertake work, they,,may:b.e�:�r�qirlre.dato;bezllcensed:ln:acca�dance..with state.and,lacal:,regulatlon_s:�If�the-= �' � � -
<br /> i C0�1tt�C�Oi�S ROt•IIGS�ISL'CI'-8S'tBqUIF@t�"tiy law, tiotl��the ovuner arad��cvntEactor,may��be�cl#ed for�°a�misdemeanar viofation
<br /> under state law. If the awner ar Intended,contrai�tor,:are_.unce�taln as t" what Iicensing.reguireRnents;may:apply��for:tlie Y �� �-~r
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<br /> fntended inrorkf tfiey_are adviseii�"fo'coritact ttie:Pasco County_,Building�fnspectton�Qlirlslon--l.Icensing Sectior�a!727-847-
<br /> 8U08. Furttiermore, if 4the ornrner'tias��Fiirei��a criri�aator"of contracfors, he is�adrriaec! to have hthe cantractor{s),rsign .
<br /> ,,,:-ru. = .;,,
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<br /> portians of the_°conttactor Blaak° of.,this._applicatian_for:whtch...they:will.,be�.r.esponslble. If ynu;�as:#he owner stgn'�a`s the`
<br /> contractor, #hat-�ma�r.be an indicatlon t�iat`he is �ot.proper�y llcensed�a�cl��Is�tibt�enfi�ed to psttnittiitg pr6vlleges In P�sco
<br /> County. ` M �:. ._ I � :;._ _, ,: ,,,
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<br /> TRANSPORTaI`IQN-.lMPAC7"/UTllITIES'CMRAC�`�ANC1 RESC?UItC�R�CC1VEEtY'�FEES.�The undersfgne��understands
<br /> that Transportetion impacf Fees.and.Recourse Recavery:Fees may-,appiya�:to�tfie�construction:af new�b.uildings,�changez of`�=��"'� �'�
<br /> use In existing buildings;rvor�expansion�of�ei�istin,g.ibWldiags, as specmed.in Pasca County Or'dinance number 89-07 and
<br /> 90-07, as amended.,r_The undersigned alsa:�Rdersta��s, #lia�t°-such fees;�;as�may;tie�:dtte;�wil��6e identiffed at the�time;of j' - � >_
<br /> permit#Ing. It is furtlier understood that Trr��isporkation Impacf`Fees and';Ftesource.;Recovery'Fees�mus� be pald priar fo
<br />, rece�ving-a`cerf�#cate.af�occupancy"�or�flnai��powerh�elease:�':4�the.projec#...does;�not Ic�vo�ve�a:�certi�cate of accupanc�o�Y=<_�'�- �•`�°
<br />' finai power release;��#he,fees�mu�t tie"paid;pr.lor#a.;permit tss�ence. Fc��t�iermore��1f:.Pasc;v;County�lNater/Sewe��:lmpact -� .. .�
<br /> I� fees are due,;.they tnust:be-_pald.prlor�o.,per,mit,iss.t�anceain.accardance wl�th appitcaale:Pasco'��Coun#y-�ortlinances. �
<br /> CONSTRUCTtBN°L'1EN`I:A11{l'(Ctiepter 713�Elortda St�#ute��as atnentl�tl}: if vatua�an ot'wark is$2,500.00;or more;l � - �,
<br /> certify that I, lhe. applicant;.-.have::been�.proylded�with-a-capyyof. the{"Florida �onstructlon:Llen�Lav�—Homeowner's
<br /> Protecttan Gutde" prepared by:#tie Fla�lda Department�of Ag�icult�re and Consumer�.Affatrs. If tt�e applicant is someanet . �
<br /> ather.than#he`owner", I certifji.that;,.l�have.,obtained�a'copy;of.the,ab.ava-.iiescritietl�tlocuim,ent�and.pmmisi�.i�,good::failh�fo :>.: �
<br /> deliver It to:.the;`owner":'.prio�a#o commeiiaeinent `��� . , ,., � , .,. ,� „ . ,
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tify,,.that�att.the�lnf.ormeti,tr'�n;in=thi�application is accurate and that att wor`k
<br /> will'be done in compliance wi#h all applicable laws regulating oonstructlon� zoning and:.land�`devetopmer�t. Appl[cation Is
<br /> hereby made to obtain-.a perm�t,:Yo,;do;woik;;and;in"stalla�lan as Indl�ted:.,,.�:1� cen�'jr tlist ria work-tor tnstatlatlon lias'
<br /> commenced p�lo� to I'ssuance af'a pemiikVand that.all work will be pe�Formed�ta mee# standards-of aIP laws regulaking-
<br /> cans#ruction, Gaunty and Gity cades, zoning regulatia�nst and land dev�ebprnertt regt,tla�ons�tn the Jur�sdiction.'�� #�also
<br /> certlfy that 1 u�derstand that the regulations of other government agencl s may�apply�#o the.intended work, and that it ls
<br /> my responstbiltty to Identlfy�what.act(ons 1 must-take.to be<ln:.car�pllance._S.uch agencles include but are.r�ot Ilmiked to: : ;
<br /> - Departmen# af Er�viranmentaf-�Ptotection=Cypr'es�i`�aytieaii� �VCletland Areas snd Envtronmentatly Sensitive
<br /> Lands,Water/VVas#ewater Treatment. ;
<br /> ' - Southwest Ftarlda Water Management .Dis#rlct V11e1ls� CYPress.'.8eyheads�,� V1lettand' Areas, Altering
<br /> Watercourses. •
<br /> - Army Corps of Engineers-Seawalls�Docks,Navtgable Waterways, i
<br /> - Depar�ment of,,Health,.;,&.,-Ret�ablEitative.ti:.Servtcesl.Envitonmertt�l�Nealth Uitit:Weil.s;,�1Nastewater=Treatrrtent,
<br /> Septic Ta�ks..` .. ' . . '.- � . .. . i
<br /> - US Envlronmental Protectlon Agency-Asbestas abatemen#,...- � '
<br /> - Federal Av.lativn-Aulhority�;Runways:-° � . �
<br /> f understand.thai the following;.restrfctlons ap,ply'to'�the u�e o#fil1:� ' � � • -
<br /> - Use oFfltl is not atbwed insFiood�:Zone"V"unless expcessiy p rnnitted. �
<br /> - If the���ll matei�lal�M�ls`to��'be usetl:�in��:Flood-Zone. "A", It. is �nderstood�that a drainage plan addressing a
<br /> °compensattng vofume"will be submitted at#ime af;petmitttng whlch Is prepared by a profe�sional engtneer
<br /> Iicensed by#he-State�of"�Ip�ida:� - �_ - � ,�� � '
<br /> - !#th��fili-mate�ial���s'ta�:be:used In fload �one 'A" in�conneclEon�w1th�a �aermlt#ed bnilding using stem waii
<br /> � construction,,.1 certify that fiil:wall.b.e-used only.to..fill the are,a w thln�the�stetn�wall: , '
<br /> - � if fill material��is�ta be used-in.any area; ! �certlfy that .use� of suah fll! will not adversely afFact adjacent
<br /> praperties. If use of fill is„fo�tnd�to adver�eEy-�ffect ad�acent�prs�perties�.the awner may be cited for violating
<br /> the condi#ions_of,.the building;perrril't Is'sued�under the:'attach�dapermit appllcatfan;rvfo�:lots.less�tha'n.one (1�)
<br /> acre wHtct�are e!e"vated�by flll,a�t engineered dralnage plan Is required, ;
<br /> If I am the_AGENT FOR THE OWNEit;.I�.pnamise In good faith to inform the owner of the permitting condit{ans set forth In
<br /> thls affidad(t~p�ior ta�commencing construction. 1 understand that a;saparate permlt may be requlred for elecErlca#work,
<br /> plumbing,Msigns�.wells,..poots;, air,conditioning,-.gsts,.-or att�ei install�i#toris not,spec�ic�tly inctuded�in.the application. .A
<br /> permit issue� shall be conshued to'tiie`a�ltcense��to`proceed wlth ttie:yuork and�not�as:.authoNty to,vlolate'.;cancel� alter, oP
<br /> se#aside ariy"provistoits of#tie tectinEcal-c�des;�nor shail issuance�of a.p�rmit.pr.even#ti�e Bulldl�ig t�clal fram Ehereaf�+a� �
<br /> requiring a co�ectian af,eRors,�in;plens; constniction�or vlolatians of-any c�odes:�.�very�perrr�it�t.ssued shall become invalfd
<br /> unless the work authaHzed_by such permit�is-co�tmenced�withtn sfX.;mortths of�pemilt Issuanae, or If work authorEzecf by
<br /> the permtf is suspended=or:aba�doned_f,or,a:period<of�si�:�)�monfF�s,:after.";�he;tir►ae the�wotk�as commenced. An extension
<br /> may be requested, in writing;_#`rom.tHe�Building,Offlcial for a perlod:not.to�-exceed'�ntnety�(9U) days a�id-wlll derr�onstrate
<br /> � justlf�abi�cause for�the exfenslon. 1f work ceases:for ninety.(90}cons.ecutive day.st_the�ob�1s consldered aba�done�. E
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<br /> �� WARNING TO OWNER: YQUR,FAIlLtREPTQ.,REGOEtQ,A..M�'��lGE:OF..°GOMMBMCEMEMT:MAY��REStl�T_IN YC►UR _
<br /> -- PAYiNG TWIC�:,{�4�R I�I�QV{�AAEPA';'S�T�►yYOUt�.�R1�PER?tY:��i�°YO.U�t�Y°€EA1D:�TQ��TAIN•�FIN�pE1NG;'C.ONSULY
<br /> WIT U ` � D �O: A � d N O.E��,�� -OR�1 �;,. .pV :� .G �p :�' `,:
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<br /> FlORlDA JURA�';{F.B:4.l�:Q3) . ._ - _ , . -
<br /> OWNEIt OR AOENT.- - CONl'RACTO �• ��
<br /> Subscrlbsd and swom io{or afflrmed)before me this Stibscribed' ru!' � (ot a tmed}-��jfc�re'm ' .
<br /> by I�-�� .�by• r� )�` ��
<br /> Who Is/are personally,knrnm to.me or has/have produced Wh s/are�,e�r���Qn�al .�o� •tCt me;or has/h e�produced •,
<br /> ' � � as id'enllftcaUon. ' � �� �3i2i 2r-e�;Gi C� as tdentNicatlon. — .
<br /> � t _ � ,
<br /> Notery Pubttc �- Nlotary Publlc
<br /> Commissian No°: Co s1an.No. I .
<br /> ,=q1�::ei�;�,, JAC •
<br /> :: Commissfon#FF 150422
<br /> IVame oI Notary typed,ptlnted ar stamped Name oi Notary typed ' " �IS eo$ttt e� ,
<br /> ��'�,pF ��:` Bondld7hruireyPdninaurcnaa6C4•589=7Ai9
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