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From: 02/�5/20�8 1'1:05 #9�6 P.002/003
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<br /> Rf0'fICE 0�DE�d RE�7RICYF�; The undersigned understends fhat thfs permit may be subjed to"deed"restridions"
<br /> which mfly be more restrictive fhen County re8uletions. The undersigned assumes responslbility for complfance with any
<br /> appllcable deed restrictlons.
<br /> UIdUCE�lSED COfdTWAC40RS AWD GOIdYRRCTOR l3E8POhlSt�i�lTlES: If the owner has hired a contra�or or
<br /> contractors to undertake work,they may be requ'rred to be ficensed ln arxordance vv�th state and 1o�al reguladons. !f the �
<br /> conlractar is nct Ilcensed as requlred by�w,both the owner and coMractor may be dfed for a m'�sdemeanor vioieUon
<br /> under state law. �f ihe owner or intended contr�actor are unoer�tn as to what licensing requirements r»ey apply(or fhe
<br /> Intended wotk,ttrey are advised to contact the Pasco Courriy BuAding Inspec�lon DiWston--Licens3r�Sectfon at 727�847-
<br /> 8409. Furthem�ore, N the owmer has hfred a canhaetor or contractors, he fs edvi�d to have�e corrtrador(s)eign
<br /> portions of the`eaatrador Blodc"of this appllcation for which they wfli ba respanaibie. !i you,as the owne�sign es the
<br /> contrector,that may be en lndicatlon thet he is not property licer�sed end is not entltled!o permNUng pdvllegas(n Pasca
<br /> County.
<br /> Yit�WSPORTATiON IMPACT/tiTliJT1ES IMPACT ANp RESOURCE RECOVERY FEES; The undersigned ur�derstands
<br /> thet TrenspoAatlon Impad Fees end Recourse Recovery Fees may apply to the construction of new bulidfngs,change of
<br /> use in existing build(ngs,or expanslon of existfng buiidtngs,as speafied in Paeco County OrdJnan�number 69-07 and
<br /> 90-07,as amended. 'Cf�e undersigned also understands,that such fees,as may tre due,wUl be Ider�tlAsd at tha 8me ot •
<br /> pertnftting. !t Is tuRher understood that 7tansporletion Impact Fees and Resource Reoovery Fees mt�st be paid prior to
<br /> receivi�a"cerliAcate of cccwpanc�'or final power release. H the project does not imrolve a certifrcate of occupancy or
<br /> final power release,the fees must be paid priur to permit(ssuence. Furthermore,if Pascfl Couniy WaterlSewer impact
<br /> f�es are due,they must be paid prior to pennk issuance in axordance with appliceble Pseco Ccun�y ordinanc�s.
<br /> CONSTRUCTIOt�UEN LAW{Chapfer 743,Florida Statufes,as amandeeQ: N valuallon of work Is S2,5Q0.00 or more,!
<br /> certify thet 1, the appfica�rt, have been provided with a copy of the "Florida Coruiruction Lien taw—Homeowners
<br /> Protection Guide'prepared by the Florida DepaAment af Agrfcufture and Consumer AfYeirs. Ii the appllcant(s someone
<br /> other than the°owner',I certi(y that I have obtained a copy of fhe ebove describad document and promise in good fafth to
<br /> deliver It to the'owner"pr(or to commencement.
<br /> COA}TTFtACTOR'SlOWNER'S AFFlDAVII': 1 certify thst all ihe infortr�ation in ihis appllcaUon is ac�urate and tha#alt work
<br /> w11I be done in campl'iance with all applicable lsws regulating construdiora,zoning and land development. Applicati�on is
<br /> hereby made.W ohtafn a permit to do work and tnstalladon as indicated. I certify thet no work or InstallaUon has
<br /> commenced prior to Issuance of a permft and thet aA wark w11t be pertormed to meet skandards of aH laws regulating
<br /> consUuctfon, Coaniy and City codes,zoning regufations, and land development regulations fn the jurisdictian. I elao
<br /> certAy that!understand that the reguleSm�s af ofher govemment egencfes may appty to the fntended work,end lhet it is
<br /> my responsibility to itient}fy what aclions I must take to be in compliance. Such egencles include but are not Amited to:
<br /> _ - Depertment of Environmer�tel Protection-Gypress Beyheads,Wettend Areas and Erniranmentally 3ensliive
<br /> Lands.Water/Wastewater Treatment,
<br /> - Southwest Flodda Water Management District-Weffs, Cypress 8ayheads, Wetland Areas, Attering
<br /> watercaurses.
<br /> ` ArmY Corps of Engineers-Seswalls,Docks,NBtigable Wetervvays.
<br /> - DepaAment of Health & Rehabllftative Servioe&►Erfvironmental Heatth Unit-Wells, Wastewater Treatment,
<br /> Septic tanks.
<br /> - US Environmenial Protectlon Agency-Asbestos abatemenL
<br /> - Federaf Aviatian Authortty-Runways-
<br /> 1 understand that the fcllowtng restridlons apply to the use of fiIF.
<br /> - tJse of fUl Is not allowed(n Flood Zone"V°unless axpressty permiried.
<br /> • I►the fill material is to be used in Flood Zone 'A", ft is underetood that a drainage plen addressing a
<br /> 'compenseting�alume'v�riil be sabmitted at 6me of permitling which Is prepared by a professional engineer
<br /> Gcensed by the Siefe of Florida.
<br /> - 1f the hH material is to be used In Flood 2one'A"In connectfon wlth a permitted bullding using stem wall
<br /> consWctiar�,l certify thet flN w(fl be used anly to fiA the area within the stem wefl.
<br /> - If fiil material fs to be used fn any area, f ceAlfy that use of such Tili wiU not adversely affect adjacent
<br /> prnpertles. N use of fifi is faund to adversely aifect adjeeent properties,the owner may be cited for violating
<br /> the�ondlNons of the build�ng permit fssued uhder the attached permit applicatlon,for lats less than one{1)
<br /> acre which are elevated by fili,an engineered dralnage p(an is requlred.
<br /> ii,l am the AGENT�OR THE OWNER,I promise in good faith to irdorm the oumer of the permiqing condiiions set tortb in
<br /> this affidavit prior to cammenar�g cansiructian. i understand that a separate permit may be required for efecUical wark,
<br /> �umblog,slgns,weHe,poats,eir condiUoning,gas, or other Ir�sfallaUons nof specific�tty included in!he applicatlon. A
<br /> permit isstted shaii be canstrued to be a Uceruse to pr+oceed with the woric er�d not es authority to vfolate,cancel,alter,or
<br /> set aslde any provlsions af the technical cades,nor shall issuance of a permit prevest the Bullding Officiat irom thereaRer
<br /> requlring a correctlon of errars In plens,construction ar violetions of any codes. Evary permit issued shall become invelid �
<br /> unless#he work authorizad by such permit is commenced within six months ot perrnit issusnce,or if work atitltorfzed by
<br /> the petmR is suspended or abat�doned for e period of six{6)►rwnihs after fhe Ume the work(s oommenced. M extension
<br /> may be requestsd,in writing,irom the Building Officfal for e pertad not to exceed ninety(9D)deys and wil)demor�strate
<br /> justifiable cause ior the extension. ii wark ceases tor ninety(90)consecutive days,the job ia mnsidersd sbandoned.
<br /> WARt�1POQ TO OWNER: YOUIi F/41WRE TO RECORD A NOFICE OP GOlW�6EtdCEMENT MAY RESULT Itd YOUR Q��°4��
<br /> PAYiMG TUdiCE FOR IlYQPROVEMEM'S TO YOUR PFiOPERTY. !F YOU ItdTEND TO OBT Pt FlPU6PiCINC3,COPISULT � b
<br /> RN c�.
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<br /> OWNER CR AGETtT` COHTRACTOR.. - . - ' 3��°�
<br /> Subsalbed and cwam to(or affumed)trefora me Ihfe S cribed�nd m to(or�iflrtnedj be rt�tlds �
<br /> Dy dt. IS 1 t3 by s'V'�ii f e.�C.��+6 ��r.'o
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<br /> Who fs/ara petsoneFly la�own lo me a hesRiave produeed H+fro itlete peRormBy kncum to m�or heslhave produoed �r
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<br /> es IQentltuation. es IdBMMeaQon. s2��
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<br /> Nofery Pubfic � Motery Publlc o �
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<br /> Camml4s(on Ho_ Cammission No. C.`�LY �o�R�47 � &
<br /> !'����( $���A-zt-•i. °'
<br /> Neme of Notary lyped.PAnted or d�mped Mame M N pMted a e�ped .
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