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Nt�TICE:Ot�DE�[)RF.3Tt�tCYlONS: Ti� un arstgned andersfands that this permi#may be sub)scf fa"doed?'restrir.fions"
<br /> whlcta r��ay be mors rastrk�tive than Caun y rc� ulatlons. 'the underslgned as�um�s rssponslblllty for com�lianc�3 with any
<br /> appllcable deed restrictlons,
<br /> UNLt�CF.tJSED GpNTfiAt:T012S I�FICi Otd RACTOR RESPONS{814.iTtES; if fhe owner has hired a ct�ritrFactor or
<br /> cantractors to undertake work,they may �e r qulced to Ue Hcenssci In accordanc�with state and local re�ulallon��. !f the
<br /> contr��ctor Is not Ilcensed as requh�ed by law, both thc� ownar and contraator may be oltecl for a misdemoanor vloi�t(on
<br /> under sEafo law, if fhe owner or infend+a��ca trector s�rer unoertairi as to what 31Gensing requlrements m��y�pply for fhe
<br /> intencied work,they are acfvlsod to corfta Q th Pasco County 8uilding lnspectlon Clivislon—Lioensing Sec:tian at 7�1-2347-
<br /> 8D09, F�urthermore, If th� owner hai� h red cantract�r or coniractors, h� is advlsed fa have fhe confr,aafor(s) sign
<br /> partlons of fhe"aantr�Ctor Block"of thls �ppl1 aflon for whleh they will be responsibls. If you,es the o�uner slgn�s fhe
<br /> contr.�ctar,thak may be an Indicetlun th� he s not prc�porly Ilcnnsed and Is not�;nkltled to permltting privllegi�s in i��sca
<br /> Caunly,
<br /> TFtA1�dSF}ORTATIt3N iMP�4CTlUTiLIT6E INiP C'f AND RESOURCE R�C�WEF2Y FEES; Ths underslgned tinder:}t�nds
<br /> tt��t�'rar�sporkatfon lmpac4 Fees and Ftacaurs Recov�ry f�ees may apply to ih�construotlon af new bulldirig�,ohan,ye of
<br /> use in�xisting bulldings, �7r expanslon u oxl ting bulldings, as speclfied In F'asco Caunfy Ordlnancs numb'ar 1i9-07 and
<br /> 90-0't', es simendad. 'Che undarslgned t��o u dersfands,fhat such fees, as may ba due, w1(I be identlfiad at tlie fime a€
<br /> perm�tt(ng. Ek Is turkh�r under:�tood tha�t ran portation#mpact Fee�s and ita�source i2eoovery�ess musL be pald prlr�r to
<br /> r�celvinc�a"certificate of uccupancy"or nal ower release: If the�praJect daea riot Involv�a certiflcete �f oc;cupanr.y or
<br /> flnai powar release, the f��es rnust be p d pr or ta permit issuance. Furthermore, ff Pascc�County Wafc�rlSt�wer Impact .
<br /> fe�s��r�due,they must ba�pald pr4or to p rm! Issuanoe!n accaedanae with applloabl�Pasco County ordq��inc�ss.
<br /> Ci)NSTRUCTION LIEN LAW(Ch�pte�r 13, Iorida atatutes,as amended): If valuaflon of work is$2,>(I�;OU or mare, I
<br /> certliy #t�at 1, the appilcent, have bper� prn lded wlth a capy o1 fhe "Florlda Canstrucilon �len l,aw---Nameown�r's
<br /> Protescklon Gulde"prepar�d by ths Flarid Do artmenk ot Agrlculture and Consurner Affalrs. !f tl�e appllcant is surneone
<br /> other thE�n the"owner",I cortify that I hav�ob alned a r.opy of tha�bove ciesor(be�i document and pram(se In��ood fa(ih to
<br /> delivcar(t ta the"ownsr"prlor fa comm�an+, m�s t.
<br /> CqN7Ra14TOR'8lOWNElR'S AFF9DAV9 ': I ertify�hat all khe Informatlon In this appllcatlon Is accurate and khat all work
<br /> wllf bo done In compliance wikh all appll able laws re�ulat�ng con;itruot(on,zpn�ng and land developmeriE, Appiic:atir�n is
<br /> herek�y made to obtaln st perm3t to da wor and 1nst�rllation as Indlcated. 1 cert(fy that no wosk or Insfailation has
<br /> com��enced prlor lo lssu,ance ot� porr It e d that all wnrk wlll be perfarmed tn meet standards of all laws regulating
<br /> construotlon, County and Clty cocies, z nin regulatlons, end tand deve(opment r�guiafions in fhe juriadicilan. 1 aisa
<br /> cert►fy that!understand that#he regulatl ns f attier govemment aganolr�s may appiy to the intended work, Eind that►t fs
<br /> my re�sponelbipty tq Idc�ntify whak actlons mu t take to bE�!n oompllance. Such a�encles lnclude I]ut are nUt Ilrnite�to,
<br /> - Department of Envtronmant I Pr fectlon•Cypress Bayheads, VVetland Areas and EnvironmHnt�iiy Sen:�itive
<br /> Lands,WatsrtWasteweter Tr at nt.
<br /> - Southwest Florida Waker Ma agemenk Dlatrlct-Weps, Cypress Bayheads, Wetland Areris, Altc�rfng
<br /> Watercourses,
<br /> • Army Cvrps of Englnears-Se wa!s,DOG}C9,N�vfgabie Waterways.
<br /> - Department of Health & R habl Itaklve Servioes/Env(ronmenial Heafth Unit-Wells, Wastew�ater 1"raatment,
<br /> Septla Tanks.
<br /> - US Environm+�nta!Pro#ectio Ag cy-AsbE}s#os abafement. `
<br /> - Federa!Avlatlon Autharity-R nwa s.
<br /> I�mderstand that the fo�lowing resirlction ap iy fo the use of fili:�
<br /> - tlsa of flll ls naf allowed Ih fl sod one"V"unl�rss exprHss(y permffted,
<br /> - If the flll materlal Is to tre use In Fload �one "A", It Is under�tood that a drainaga pl�an �ddressing a
<br /> "compenseting volume"wi11 o s bmitted af ttme of permftHng which is prepared by a profe��siortal ezngirieer
<br /> llcenssd E�y fhe 5tate of Flori a.
<br /> �• !f tlle flll mat�3rla! !s to bo sed n Flood Zone"A" In connoc{ton wlth e permilted bullding using stem wall
<br /> cansiructlan, (cerE(fy that f111 vill e used only Qo fi(I the area wltl�(n the ste�m wai(,
<br /> - 1f fiN maEerlal is ta.bA use in ny area, 1 certify fllat use af such fili w81 naf adverselu afte�ct a<I}�cent
<br /> propettleo. If use af flll Is f und o adver,ely affect aclJacent properties, the awner may be vlte.d for violaling .
<br /> ihs candiBon:� of the buiiciin pe mit issue�d under the attached permlt�ppiicaflon, for(ots less fhan cme(1}
<br /> acre wh}ch aro elevafed by f!I,a englneered dra(nago plan#s requlre�d.
<br /> !f I�m the AGEN7 FQft'CHE OWNEti, pro !so In gcrod faith to Inform tho own��r of the permltting condlilon,s set forth in
<br /> thls affidavlt prlor to commencing const uaf( n, 1 understand ihat e separafe permlt may be requ(red fu�•alc�etrical work,
<br /> plumbing, signs, we(is, pools, a1r cortdi ianl , gas, or other ii�staliations not��ealftaaily Inol�sded ln tha�{�plic<atlan. A i
<br /> pE;cmit l:fsaed shall bo conskrued t�b� lica se to procsed wlth the work and not as authority ko,vlolate,cancel, altc�r, or I
<br /> s��t asfde�ny provlslons af the teohnical cad s,nor shall Issuance of a permlf prt3vent the 13ulldirig Official fram thereaffer
<br /> requirinp a correctlo�of errors in►�lana, an:�ructlon or vio3ations ai any codes. �very permEt lssued shaii bocome irnalld
<br /> uniess th8 work�uthorize:d by such per nit I commence�wlthln alx monlhs oF permit issuance, ar if wc�rk.autharizE;d by
<br /> tha permlt Is sUspended or abandoned f r a erlod of sbc(6)months after the time the work is commana3ci, Ftri axtension
<br /> may be requesfed, In wriiing, from the Giild ng.t3fficla(for a perl�d nof to exac�esd ninety(90)days and wili��Eaman:>trake �
<br /> )ustlf(ablc�causo far ttie exlenslon, If wo k ce ses for niriety(80)cansecutive de�ys,th�Job is aonsidered anendoned.
<br /> WAi�NIFtC 1'0�OWFfER: YtIUR FAi� RE TO FtECO(�k?A N0YlG�flF CQMiUIENCEfUIENT!VlAY RLl3llL.T'IN Yf7UR
<br /> f'AYINt�TW4CE FOR IMIPROVEM�N7 '1'0 YOUR PROV'ER?Y. IF YOU INTrNp'f0 OBTAIN FINAN�BNG,Cf�tJ:�ULT
<br /> WI1��,y0UR 4.END�j�OR AP�ATTO E^ FpR RECORi)1NG YOIIF2 NOT(CE OF Cd{ViNi�NC�MF�t�,
<br /> F4ARtDA JURA7(F.S,127A3}
<br /> I
<br /> UWWIER Oft AGEN7 C4NTRACTOR� �..__ I
<br /> 9ubscd6ed and swom to(ar aHirmed)before ma la Subsadhed and ewom io(or affirmed)befora ma ihis
<br /> �by 5Y��.. »---
<br /> Who Islare personelly known to me ur heelhav�p aduc d Who Is/are pereanally tcnawn to mo or haslheva produced
<br /> _,�Was ldentiticatian as Rdentlficaftan.
<br /> ata Pu61fc ___Nutary Publlo
<br /> Cammisslan No,,,,_ ,.,__ Commisslon No, ..,.,__.__..
<br /> NamE�of Nolary lyped,ptlnted or stamped Namo uf Nntary lypad,pdnled or etampetl �'�� �
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