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<br /> NOTICE:O�DEED,Ri�STRtCT10NS: The undersigned=.unde.estands:that;this;:permit.�may,.be;subjee#:to:_"d:eed";resfrictioh's"�;'x;,.
<br /> which'•wmay�tie;more..r;estrictive��fha'n��ourtty�:reg�il�tions��=�The'fundersign�d��as�surnes���spo3nsibitify�for�camplian�c'e�writh�;any� �
<br /> appficabte.deed rest�ictions. . .���x,���>-r�=;-.__, .:
<br /> . ... ,�., .:.., :;�.,.,, �:
<br /> :� �. < . ;,� �-::.j.: -
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<br /> UNL[CENSED`��CON'GRACT4RS' AND�CONTR�►CTQR RESP:ONSIBl�:l�i�S:-=1f==the�<owrter�-1ias�liir"e'i�}°a':cart#ractor or ;
<br /> contractors�ta undertake work, #hey:�ayzbe,;c�quiced��.to bejlicensed�-Pn accar.dance with.state:and=iocai:stegulatlac�s:.•a�lf.ttie�=-�::s .
<br /> �"^r� - � t -: .. . -�i1..::.� .z;:,'. .�«.^>- � ..:..::.c.,......�p,a.
<br /> contractb� isKnot�licensed�as�requi�ed:'by:�iaw, b"oth:the owraer:and�'contracfor�ma��be=rcifed=for�==a���iPsdemirveanorYiolation�� - '
<br /> under sfa#e law. if the owner ar inter�ded:.contr,..acfor. are uncertain as.to what..licensing�re:quiirernen#si�hn'ay�appl;y,'>for{;the=�4:':��" ;;
<br /> '�f�.. .���.`s:$'k.d^'ti� _ . . � �
<br /> 4�� � .. . r ... . a..,._. �-_ r?c`.,ii>e'.-l.. �_ .i ,
<br /> intended wo�k,the�r.are-advased"to contact�fiie'Pasco Courity Buiiding-.insp.ecfion;Divi�ion_--;�Licensing Section at 727=847- ;; `��+ :;
<br /> 8049. F�rthermore, if the owner lias°liired'�a�ciint�actor or cantractors, he is advised`#o;:have tlie.,,con#ractor(s),:;s�gn.:4..,:�;, ;;Y `
<br /> n „ • , �r.<,_..r�=s•-..:.:::...:..�.. _, j_..,,�,�.d,- ;,
<br /> portions of the con#ractar Block ,of this�applicatian-:for whichnthey wi!!:be=:r.esp.onsible::=tf.:ya.a,;asx.the;owner�sign��asY:fiie��'=_<;� ,�, ,
<br /> contractor., ttiat.may 6e an indication'�hat he�is'not praperly licensed�and��is no#entitfecl��#o permitting�privileges`frt„Pasco, G.;��;�'. ��;t ;;
<br /> County. __. - �. ,_ .. .�::�.:,���;..,� ,
<br /> TR�►NSP4RTATiON tMPACT�UTILiTtES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.under.s.tands_,+N.� r�-4? �'
<br /> ��.:,�«;tfi.;�,, ,
<br /> tha#Transportation tmpact Fe�s and Recaurse Recavery Fees�:may.a}ipiy ta.the-cons.truc:tion..of�new,:bui�.dings;.•chan'ge�°of'=���'�;! �-_; G!
<br /> use in existing�bu9ldings;=or:expansi�n�of:existing"buildir�gs, as specified in Pasca Counfy 4rdinance number 89-87�.and._ :�; '':� �t
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<br /> 90-07, as amended: The�ur�dersigned also understands,,#ha#such<fees; as.may;b.e;due; wili'be=xidentitied°��twitie�r:firn��:of���'�`='-'�' ��; j;
<br /> permitting. It�is further�understaod tliat-Transparta#ion Impac#-Fees�=and Resource`�Recovery Fees must be paid p.r.iar'to � ��
<br /> u n �..�< � .p� i;
<br /> receiving a:-certificate of occupancy ar final.pawer release. . If'the..project does not�ira�tolve:a certificate of.occupancy.<oc��;��'''$ � �
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<br /> final-pawer cele.ase;�the.-fees.must�be:paid prior to permit issuance.,..Furthermore,-if:Pasco.County WRaterlSewer,;lmp$aet;-�-�� " `� �;
<br /> fees are.due,.tEiey;:must-6e,paid priar ta permit issuance.in.accordance-with-applicaple�t?asco County ordinances. �
<br /> CONSTRUGTION.�:IEN�tAW(Ghapter713, Ftacida Statu#es,as amended): If valuation af war:k is$2,.5A_0:80:or.roare;�ir_;;;� �. � ,
<br /> certify that I, the�applicant, have been_pravided wiEh-a copy.:of:the :"Floi�ida Caris#rrletion `�ien Law=Homeowner's����
<br /> Protection Guide" prepared�by the florida Department of Agriculture and Gonsumer A'ffairs. If the applican#�is;someor,�e:f ..
<br /> ,,� i;.f+,x,.r..".." `.
<br /> ather than fhe"owner", I certify.that l;;have obtairied'a copy of'the-above:describetl'tlocument=and prot�ase,:ir�.good;fa�tki�;to „
<br /> deiiver,it.ta`th;e:"owner""priar�to commencement. �
<br /> CBNTRAGTCIR'S70WNER'S AFF1DAViT:: �t;ce�tify�tfiafa(l:�ttie inforr�ation in this application is accurate and"fhat all`work �
<br /> will be done in compfiance wi#h aif app(icabie'�aws regulating canstruction, zoning and.iand�.deveiopment. Application,is ;
<br /> hereby made to obtain�a,permiY:to:do,,�work-and. instalia#iort.as'indicated. I certify fhat no wark or.ir�statlation;has �
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<br /> commenced prior to issuance of a perrri�t and=�#hat all work wil! b� performed to.meet-standards-of a!1 fauvs regulating '�
<br /> construction, County and City codes, zoning regulatians, and land development regulations in��the jurisdlction. ���l:�atso �,� ;�
<br /> certify that I understand that the regulations of other gavernment agencies may apply to the,intended work, and that �f is `;;� �;;'
<br /> my responsibility#o identify what.actions I must take fo be in compliance. Such agencies include but:are not-limited.to:. '
<br /> ; - .Department af Enviran'mental%�Pr'o4�etiari=Cypress� Baytieads; Wetiand Areas and Environmentally Sensitive �`�` !�
<br /> Lands,Wa#erNitastev+rater Treatment. - ;`; ;�
<br /> - Southwest Florida Water Manag�ment District Wells, Cypress .Sayheads, Wetiand Areas, Altering i= �
<br /> � :� �� -
<br /> Watercourses. � '�-� �;
<br /> - Army Corps of Engineers-Seawalls, Docks; Navigable UVatenn�ays. _ ' "; 4;
<br /> - Department of Hea(th.,&.Rehabilita#ive Senrices/Enviranmental.�.Heal#h- Unit•Wefls, Wastewiater Treatment; �!
<br /> Sep#ic�Tanlcs: �. ' �
<br /> - US Environmentai Pro#ectian Agency-Asbestos abatemen#. '"
<br /> - Federal Aviation Author:Ity-Runway,s.
<br /> I I understand that�.the,following restric#ions apply fo the use af�U: $ ;
<br /> - Use af fill is not a0owe.d in Flood Zone"V"unless expr.essly permitted. ;..
<br /> - tf the fiil materiai: is to be used in Flaod Zane "A", it is untlerstood that a drainage plan addressing a�
<br /> °compensating volume° wiH be submitted at time of perrimi#ting which is prepared by a professiona) engineer� �
<br /> Iicensed;by the State of Floricla.
<br /> ', - !f the fA matetial �s to be used in Flaad Zone "A" in connection with a permitted buitding using stem wall' ���
<br /> canstruction, I certify:that fill will be used only to fiil the area within the s#em wall. � �";
<br /> - if fiil materiai is to be used in any area, I certify that use of such�fill will nat adv�rsely a�`ect ad}acent+ y �
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating� ` ! �
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<br /> '� the canditions of�#he-buiicling.perm'rt issued under the-aftached pet�rnit..apptication, for lots�less than one (1)? � i
<br /> � acre which are elevated by fili,an eng�neered drainage pfan is requi�ed. � �.� �.�
<br /> � If! am the AGENT FOR.THE QWNER,-4 promise in_gaod faith ta Inform the awqer of the permitting condi#�ons set forth in� �".,� �-!
<br /> 'i this affidauit prior t'o commencing consf�uction. I understand that;a,sepa�ate perrrt9t may be requ9red for electrica! work,;- �'�
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<br /> plumbing, signs, wells, pools,:-air,:,conditioning, gas,,.:or�otfie��in;s`�allations not specifically included !n the application: A.;, .._�
<br /> , permit issued�shaiF1�e constnied�to��e a li�cense,to.proceed with'the work:and not•�as.autFiari�r.ta violate, ca�cel, alter, or; �'�`.i �`�
<br /> set aside any prov'rsians�bf�tFie"technicaf cades, nor shall issuanc+e of a permit prevent tfie Building Official fram #her.eafter; •'' '
<br /> requiring a-correctiom ot:er�ors�In�pfaris;�'constr_uctfon,or.violations of any codes.=Every permit issued s�aii'become invaiid; �_�� �.�
<br /> unless the work authorized by such permit is commericed within,six months of permit Issuance, or if work authorized by�s ��°, ��.;
<br /> the permit is suspended�or.abandoned-for.a peciod:,of six(6).rrion#hs after the time the work is coinrrienced. An e�ctenslor►; � �� �
<br /> may be requested, in.weiting,.fcom ttie Buitding~Officiat for a period.not to:excee� ninety(90)�days and will demonstrate ; _�,: �"�
<br /> justi�abte cause for the exfension. :tf,work:ceases for ninefy(90}consecutive days,the job is considered abandoned. �' ;:~', ���
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<br /> WARNING TO°OWNER: YOUR::FAILURE.�TO,:R�CORD,A,NOTIC� O� COMMENCEMENT•MAY=RESULT-IN YOUR; ��;_%:;r
<br /> �,_., ..�,..... ,_�.,,. _ ;
<br /> _ PAYING TWICE'FOR;IMF�F�OYEMENTS:�TA:YOl1R:':P!ROPI�l�TY., }F-YClE1:adCJ��END_�'O�t?BTAiAifi�fAf+iG�N�;CONSUI�T ��y � ;
<br /> 1N1TH YOUR'LENDER OR3AN�0.1TORNEY BEFORE RECORDING'YOUR�N �TICE'OF'�C�MMEN�CEMENT. ;:� ; ;
<br /> FLORiDA JURAT(F.S.'t 1�.03)- - • . � . � , . . '
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<br /> OWNER OR AGENT ``' -- "^ CONTRACTOR t G�---`—'
<br /> Subscrihed and swom to(or aflirmed)before me ti�is Subscribed and swam to(or affiRned)before me this �
<br /> �Y �Y
<br /> Wha Is/are personally known ta me or has/have produced �Who Is/are personally.known to me or has/have producad '
<br /> as idenfiflcatlori. as idenUflcaBan. y
<br /> Notary Public Na#ary Publlc
<br /> Commisston Na. Commission No. '
<br /> Name of t�atary typed,pdnted ar stamped Name af iVotary typed,printed or stamped
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