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<br /> iVt?Ti�����E�Q R��TR�GTI�NS: Th�uo�d�t�tgn�d,Under�tar�ds°.:#11�t:#hls;p�rmlf:may,.;be.subjeCfi��;"de�d".�est�ict�ons" . .,
<br /> v�hich may be�more.restr(ctNe��tha�Gounty��fegulatfon�:�'TFie�:under�igned��s'§urries re�ponsitilitty�far�co�ptlance with�any ' `
<br /> appNc�able desd res#�ictlons. � -
<br /> UN�.ICENSED CONTRACTd�RS AN�D CANT6tACTOR FtE�PONSMBiLIT1ES: -�!f-the owner has"`hired��a �contractor or
<br /> cont�actors to undertake work, they may:be;ce�qulred.;ta:;be,llcensed in a�cardance.with state.and�local�..regulatla.ns: i#'-the� � �
<br /> contra�tor Is not�llcenseif as�requlred_;6y I�niv� both the o�nrner and��contfactc�r-may be��ct'ted�for a�misder�neanor vl�tatfan
<br /> under state law. If the awner or Intended:�cont_r;a,�tor;�are{uncertaln as to �sh�t Itcensing.requirements,:Pra�y apply��afor:�the'• -
<br /> lnfended�ork,tHey a�e advlsed to coritaot`ttie�Pasc�County Bullding'lrispectlor►,Dlvi�lon--l�Icensirtg��ectfon at 727-8�7-
<br /> 8�09. Fcirt#iermo're, if the owmer has`tilr�d`� confract�T or.contra�ctors, he is advlsed to h�ve the aontractor(s),:r�ign _
<br /> po�tions of the:"contract�� Black°_of,this applicatian.fo,r..which they.will,be.,cesponsible. If=y�u, as.#he orniner�`sfgn'�as the �
<br /> contractar; that�may be an indlcation that"'he 1s-not.properiylicensett�antl:ls:no#"entltle�! to permitting prlvileges in �asco
<br /> County. '` � �
<br /> TRAN�PARTAT'ICIN�IMPACTIU3�L17'lE��IOVlPAC�'�ANl�RE�C1UItCE RECQVERY FE�S: The�nderslgn�d�t�ndersta�r�ds
<br /> thatTransportation tvnpact�ee�s�nd'Reco.urse RecoveryyFees may�:appiy�.to�the construction,of new_buildings,°change�of"T �
<br /> use in existing bulidings,�oc-�expansi�n�of�ei�istiri,g`:�buil�ings, as specifled.fn Pasco County Ordinance noamber 89-07 and
<br /> 90-07, as amend+�d,,_,The undersigned also;�undetstands, that:such fees;�.a�s=�may�tie:<due;.w.il#.}be identified at#he•�time�of��' -�
<br /> permit#ing. It Is hi'rtfier understood that Tra�sporkation Impact Fees and Resource.Recovery�Fees,mu�t be paid prb� to
<br /> recelving-a "cerf�icat�.of occupancy"�or�#inal��powec�,release. :1�'the project.does.not tnvolve<a.�ae�tiftcaE� of occupancy or'::�: .
<br /> fin�i povvec release;�#he.,fees must'Ue paid;petor #o,.,permit Iss4��nce, F��thermare�if Pasco,County�1NaterlSewer�lmpact �
<br /> fees are due,they_must.be-pald.,prior,t�o_permlE:l`ssyance=ln..accordanae witfi:appilcatile:Pasca'.County ordsnances. �
<br /> CO�l�T13l�CTtON C1EN`LAW'{Ch�pter 713�Flor��a�tatt�t���aa�mend�dj: if valua#ion of work is�2,50d.00:�r more;i - -,
<br /> certifiy tNat I, the. applic�nt;: hav.e.been .provided��with-a�capy of�the� a�lorida� �onstrtaction� Llen :Lau�--Homeowner's
<br /> Protectlan Guide" p�epared by tlie Flo�ida Department:o�Agrlculture and �onsum�sr,Affairs. If the appticant ts someone .
<br /> other than the"owner", I certKy that_I�have,ob.tained�a�-capy.of.the?above.des.ceibed docuii�ent�and,pcomisi�in,gaod:faith to �
<br /> d�lider It to.the.°owner."::prlor to�coriamencer'rterit�:'' .. , ,�� , . . : , ,
<br /> �ONTi3A�T�R'S/01NN�R'�A���C►AViT: t.certi[y:,ttiat�ait.#he,inf.ormati�n:,in�thi� appiication is accurate and that aii wor`k
<br /> will'be done in compliance with all appl(cable'laws regulating cons#nac8on� zoning and land��development. Appllcatlan Is
<br /> hereby made to obtaln .a_perm�t.Co�do_ wprk,.,anti'lnsfella#lon $s Indt�#ed:» .'1 cettity that no v�rork�or tns#atlattoit has
<br /> commenced prior #o Issuance� of�a permik"and that.ali work wilE be pertarmed�to meet standards-of �II laws regulaking-
<br /> GQT18tt!lCtl4ft, Goun#y and City coQes, zontng regutatians, and land developrnent regtalatians tn the Jurlsdlcffon. t ai'so
<br /> certify that I unders#and #haf the regulations of o�her gavernment agencles may appiy�to the.Mntended�a��k, and thak it is
<br /> �'�� my responsibillty#o identify�wh�t,actt�ns I must Qake to be<in..corqp!lance; S,uch:agencles Include bu4 are.not Ifmited to: � '
<br /> - Departrnent �f Et�vironmentat F'ro#ec#ton-Cypress.`�ayhead�; tlVetland Areas and Envlror�mentaliy �ensitive
<br /> Lands,WaterNVastewater Treatment. ,
<br /> � - Southwest Florida Watee Management .C�lstrict Welts, CYpress. Bayheads; Wettand Areas, A#tering
<br /> Watercourses. <
<br /> - Army Cerps of Eng#►�eers-SeawaNs}�7ocks, �4avlgable Wate►vv�y�,
<br /> - Department of Heaith;�&.ReMabltita#ive,.S��iiceslEr�vironm�r�tal. Heaith 11hit:Weil.s, Wastev�tater�Tre�tment,
<br /> Septic Tanks:. ' ,
<br /> , - US Envlr�nmer�tal Pratectlan Agency-Asbesto�abatemen#. � .
<br /> , Feder�)Aviatton_Authori,ky-Runways:� � �
<br /> ' !u�ders�and.that the.iolloav�ng:restrlcElons appty to`#Fie use e�f fl14:• r
<br /> - Use affilt is not ailowed in:Fiood�Zone"V"unsess expressty permitted. •
<br /> - If the�flll mate�lal-is to-"be u�e��In:�Flood Zone. "A"� It. is und�rstood th�t a dr�inage pla�n addtesstng a
<br /> °compensating valum�°will be submitted a#time of;permifting whiah is prep�red by a prafe�sianai engineer
<br /> Ucensed by'�he-State of'F�orida: �
<br /> - tf the fitl matertal•Is to�be�us�d In Ftood �bne °A" in�conn�c�fon�vtirlth�a permltted b�ildlrag using stem wait
<br /> � constructton, I ce�tify.that fiil�.wall:be-used oniy.to.fill the area within the stem�wall:
<br /> - If flA materlal-is to be used 1n .�ny area� I ��rklfy that .use of such flll wl!! not adversely �ffect adJaaerat
<br /> propertles. If use ofi fi19 is f�nd:.to adversely:�ffe�t ad)acerdt�pr�perties,.the oevner may be cited for vioTaling
<br /> the canditions-of the building�:pecmit is"sued�under the.�att�ched_�ermit application, for.lots-.I�ss_than one (1;)
<br /> acre�tcti aire elevster��tiy fl11,��er�gtneered dralnag�ptan!s rec�uired.
<br /> If I am the AGEN1'FOR THE OWNER; l,�promise In good faith#o Infarm the owner of°the.permitting condi@�ans set forth in
<br /> thls a�davtt`prior !a commencing cortatructton. 1 underst�nd that a=��parate:permlt may be requtred for electrtcaf woek.
<br /> p#umbing, signs,we#9s,.pools;, air canditioning,.gats, oc ot�rec instaR�i#tons not spec�(calty included�in.th� appiication. .A
<br /> permlQ issued shall be canshued to'6e a'license'ko�proceed vulth ttie work�nd nat as:author.iqr;to.vlolate;"cancel� alter, or
<br /> set�side ai�y"provisfons of ttie techiilcal cades;�nor sh�lt fssuance�of a.permit.preuertt#he Bulldlrig Of�clal from thereafte�
<br /> requiring a correction af eRors in,:ptans.; constructian or violatirans of any codes. �very�p�erm(t Issued sliall become inv�lid
<br /> un{ess the work authorized.by suah permlt:�ls-comrvtenced�wi#hln sF�t.months of p�tmlt i�suance, or if wark authoclzed by
<br /> #he permit is suspended�ar:ab�ndoned�for a�period of si�r�(8)mo�fhs:after,the time fhe�wo�ic is commenced. An extension
<br /> may be requested, in writing; ffom.tHe.�Butlding,Offlc(al for a perlod-not.to,exc�ed'�nlnely�(90) days and�will demonstr�te
<br /> �ustlfiable`cause for.�the extensian: 1f work ceas��:for nlnety.{90}cons.ecut3v�day.s�._the�ob-is co�sEder�d a�a�doned. ;
<br /> �tlARNlMt� TQ�VltN�R; YOUR.FAIl.URE TO.RE..C.Ult�A>NA�Tt�E:QF aC�MMEMCEMENT_.MAY-RE�U�T IN�YC�tlR
<br /> I�AYtNG TWIC@;��iR�iM�ROVEMEN.TS�TU YOUR;P#tClPERTY:�_�.1�°.YO.U{I�1'�END:TQ�J�TAIN��FIN�AT1ElNG;'CONS�JI.Y
<br /> WIT UR D �O AN�TTO N FORE�. ECOR�d G%� OU ' �� 'O `� `�' E T'
<br /> F�aR�a,a�uRn�-{�;s.�.�7.os) .._ . . . -- . . . - _ __ -
<br /> , OWNER OR A�3ENT���„�..�.hl , r)C�� L '1;�� G'ONTRqCTO .-- � � ,O
<br /> Subscribed and swom (ar�fltrmed}bef 1? me thls tibsctl and'swo �#o{o�afflt't�ted)'b te me'ftit� �
<br /> ft �r~
<br /> by `�l r1 l r� r. �.�4{51�1 .�I� 0 _2�f� .b`_ � _�.. G S I .q O
<br /> Who fs/are pe�sonally known b.me or asJhave proc�yced Who.is/ re persona lyknown•ko me,oc haslh�ve•�mduced • v
<br /> �s td'enUBca�on. �L•��-�r-� �,ea� as idetf�fication. _ .
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<br /> Notary PUbilc , ° � — Notary Publ(c
<br /> ,� `�ti�:Y ev��, J UELlNE BOGES
<br /> Commtsslan No: Commtss o F�%» _
<br /> ;�;, �a;; Expires December 12,2018
<br /> Mame ot Rlatary typed,printed or stamped Name of Natary typ
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