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<br /> NC37fC�Ci�D�ED REST42lCTIOtdS: Tttie understgned undersfands fhat fhis permit rnay be subject to"dr�ed"resfrlt;tions"
<br /> whicf�+m�y be more restrictive than Coui7ty regulations. The undersignecf assumes responslbility far compliance with�any
<br /> appllc.able deed fesfrlctions.
<br /> UNL.}�CEN sED CONTRAt:TORS �►Np CONTRACTOR RESPONS1Bt�.ITlES: (f ttis owner has hired a contrartor or
<br /> contr�ctsars ko underkake work, they may be required to ba licensed in accordance with state and lacal regulailons. If the
<br /> contr�ctc�r is naf iicensed as required by iaw, bath the owner and contracEor rnay be elfed far a misdemeanor viniation
<br /> under state law. if the owner or intended contractor are uncertaln as to what Ilcensing requlrem�nts m�y apply far the
<br /> intenifed work, they are a�vised to confact the Pasco Gounty Butlding Inspectivn D3vlsion—L�censfng Sec:t�an at 727-847-
<br /> 80p9. Furthermore, if the c�wner has hlred a contractor ar coniractors, he Is advised to have the contractor(s) �ign
<br /> partfons of the "cantractor Bfock" of thfs appiicatian fc�r which they w3!! be respons(b(e. if you, as the awn�r sign as the
<br /> contr��ctar, fhat may be an indication that he is not praperly licensed and is nat ent(tied to permitting privileg�s in i'asco
<br /> County.
<br /> 1'aAPNSf'GRTA'F14N IMP,�CT1UTiLiT�E� lMPACT AND RESUURG� R�CflVERY F�ES: The underslgrr+�d tinder�tands
<br /> th�t 1'rarispartatian Impact Fees and Reoaurse Recovery Fees may apply to th+� cans#ructian of new buildfn�s, change of
<br /> use ixi�:+�ist�ng bu{Id'sngs, r�r expanslvn t�f exis#irtg buildings, as spectfted in Pa�cfl Cvunty prdfnance number 88-07 and
<br /> 90-07, as amended. The undersigned ��so understands, fhat such fees, as m�y be due, wil( be iden#ifi�d at fFre fime of
<br /> p�rm�tting. !k !s iurther understood thak Transportaffon lmpact Fees and Reso«rce F�ecovery Fess must be paid prior to
<br /> recei�iinc� a "certificafe of acaupancy" or flnal pawer release. {#fhe proJect doea not invoJve a certifica#e of or.cupancy or
<br /> fina! power refease, the fe3es must be pald priar to permit issuance. Furthermore, if Pasca County Water/Sower Impact
<br /> fe�s�re due, they must ba3 pa�d prlar to f�errnit issuance In acc�rdance wEfh app!lcabic�Pasca Cotanty ordlna�c�s.
<br /> CnNSTRUCTION L.I�N LAW{Chapter 793, Flarlda Statutes,as amended): tf valuation af work is $2,�i00.OQ or rnare, I
<br /> certfi�� tfi�at !, the appllcant, have been provldec! with a capy af the "Florida Gonstruction Lien Law—Homeowner's
<br /> Protecfittn Guide" prepared by the �lorida Deparfinent of Agricuiture and Consumer:Affiairs. 1f the appfic�nt is sorneane
<br /> other th��n the"c�wner", I certify thaf i havs obtalned a copy of the above described dacument and promise in gaad falth to
<br /> del�ve�r iE to fhe"owner"prior fo commencement.
<br /> CpN'TR,ACTOR'SIOWNER'S AF�ICIAV�T; I certify that all the infarmatidn In this appllcatlon is accurate and that aff work
<br /> - will be done !n cotnpliance wEkh a!4 applicable laws rsgulating constructlon, zoning and land clev�lopmer�t. Applicatior� is
<br /> hereby made to abtain �� permit fo do work and It�sfailation as indicated. I cerfifiy that no work ar (nstailation has
<br /> cGmr�enced priqr to issu�nce of a permit and that all work will be performed to rr�eet standards of afl laws regulating
<br /> constfucticrn, Counfy and City codesT zoning regulaflons, and lan� develo�ment r�gulations In the �urisdPc4ian. I also
<br /> certi#,y that I understand that Ehe regulations af other govemment agencies may apply to the intended work, ��nd that it is
<br /> my r�:sponsl611lty ta identlfy what actfons I must take tp be In complfance. Such agert�tes Inc(ude but ars ttot Iimited to:
<br /> - Department of �nvironm�ntai Protection-Cypress �ayheads, Wetland Areas and Env(ronmentaily Sensitive
<br /> l.ands,WaferlWastewater Treatment.
<br /> - Sout�west ��or�da Water iVianagement Dlstric#-�lells, tlypress 8ayheads, 1Netland Are�ts, Alterfng
<br /> i Watercourses.
<br /> - Arrrty Corps of Englneers-Seawalls, Dc�eks, Navigable Water.vays.
<br /> - Department af Heaith 8� Rehabifika#1ve Servlces/Environmenta! HeatEh Llnit-Wells, tNastewater Treatmenf,
<br /> Septic Tanks.
<br /> ' - US �nvironr��nta! Protectiort Agency-Asbestos abatetner�t.
<br /> - Federal Aviation Aukhorlty-Runways,
<br /> k urtderstan�that the foflowl€s�restrlcticsns apply ta ths use of fiil:
<br /> - Use of fil( is not allawed in Fi+aod Zane"V"uniess expressfy permitted,
<br /> , - If tha f�ll materiai Is ta be ussd in Fload Zone "A", ik is under�,tood that a drainage plan addressing a
<br /> "carnpensating volume" wiil be subm�tted at time vf permi#tir�g which �s prepaeed by a prof�ssioi�a) engineer
<br /> licensed by the State of Fiorida.
<br /> - !f ti�e fi11 materlal 1s fo be usecf irr Flc�od Z€�ne "A" in cann�ct�on wlfh a permlfted building using sfem wall
<br /> , constructlon, I ceMify that fifl will be used only ko f#II the area uvi#hin ihe stam waH,
<br /> - If fil! �tateriai is #o be used in any are�, I c�rtify tE�at usg Qf such flll will nok adversely affect acijacent
<br /> praperties, tf use of ffll is faund to adversely affect adjacent properties, the owr�er may be cifed for violating
<br /> the conditians of the buifding permit issued under the attacl�ed perrnit application, far Iots (ess than ane (1)
<br /> acre whlch ara elevated by f(11� an engl�eered dra€nage plan Is required.
<br /> 1f I am the AGEN7 FOa'�HE OWNER, i promise In gaod falth ta(nfarm the owner of the permitting candition� set forth in
<br />� fhis Ea�ficiavlt prlor to comrnenc�ng consfructlon. 1 understa�d that a separafe }�ermit may be required #ar electrical work,
<br /> , p(urnbing, signs, wells, pools, air conditfoning, gas, ar other Installations not specificatly included in fh� appfiication. A
<br /> p�rmlt i5susd shal! be construed ko be �� license to praceed with tMe work and not as authority to vlala#e, canaei, alter, or
<br /> set aside �ny pravisions cif fhe technica! codes, nor shall issuance of a permit prevent fhe Rulldi�ig C}fficlal firom fhereaffer
<br />; requiring a correctlon af errars in plans, construction ar violations of any codes. �very permit issuec4 sh�il became invalid
<br />' ur�less fhe work authprize�d by such permit Is commenced with4t� six mc�nths oP perr�it issuance, or if work autlzoEi.zed by
<br /> the psrmil is suspended ur abandaned far a period of slx (6} months after the time fhe work ts cornrnenceci, �n exfension
<br /> rnay �� requested, �n wr4?ing, from the �uilding �fficfa! for a period not to exceed ninety (90) days and wil{ demonsirate
<br /> justifiable cause for ti�e eacfensiQn, If work ceases far ntnety{9t3}ccsnseetakive cf��ys, the��b is cons�dered abandone�.
<br /> WAUNING TQ t}W#��Et: YOUR FAlL9JR� TC? RECt�RQ A NOTIGE OF COMMENGEMENT MAY FZ�SULT fM YC7UR
<br /> PAYIAIG TWtC� FOR IMPR(}1/EMENT'+TO YfaUR 1'ROP�RTY. tF YOt1 iNT[�ND'1't3 OBTAIN �INAN�;9NG, CQN�tJLT
<br /> _ n_WI'Tlf�YqUR d.�NQER R AN ATTi�#ZNEY BEFORE E�ECCfRU1NG YOt�,�NOTICE C1F COMMENCEMiWhJT,
<br />� �FI.OR{DA.)URAT F.S.1i7. }
<br /> UWN;ER OF2 G�N7 }�—��� CONTRACTOR
<br /> Su sc•r�ed g orn Ea{or atftrmed}befare ms ihfs Subscribed and s�varn#�(or af�rmed}before ms thls —�
<br /> � bY
<br />� Y�fio lsl�ar persv k�own!o me or haslhava produced Wha Is/are personaliy known to mo or has/have produced
<br /> as Iderttlflcation, as ldentificatton.
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<br /> ot2ry P b11c Notary Pubiia
<br /> Comrn ssi Na �«= Cammissl4n FF 154422 Commtsslon tJo. r.
<br /> ;�r�; X
<br /> pondod 11w Troy FeIB IH6Wana 800�385•7010
<br /> ����¢��of��, �,r s��p$� Name of Notary fyped.printed ar stampad
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