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<br /> • �o-*:.5:'.`. a-..4�':,=4ih:-,..�...•:,rl."�'.?�.y.`=.�.��:�n'�je�r�a`<�'�.==3�sy:y^`u.F:':sc"+..�i;:��i;`�'��:o.�f0:>Sa...-ry`f�:t�St��7;'-.t:K":��C!"4�'C�t�.°��att'it�.�,�dvlra,�
<br /> which�may 6�mare�restrictive than Goun�y reg�fa�ions: Ti�e undersigned assumas respansiai�i�y€i�r car'rrp'r�-v�=G=;`ai��
<br /> appGcaGle deed-restrietions.
<br /> UNLICENSED'CQNTtiAC'FQRS�Aktg GONTRAG'tQR ttESE?C3NStBiLtTiES- 4f ttte owtter has.hired a cots#actor ac
<br /> contractors Eo undertake work,fhey may be required Yo be'licensed'irr accardance wHh st�ce and'tocaP regulat4nns, lE the
<br /> cantractar is not ticensed`as reqt�ired bY taw, boih fhe owner and cantractor may tie ci#ed fec a misdemeanar viofatiorr
<br /> under state law. tf the owner or in#ended contractar are uncertain as ta what licensing requirements may appCy for the
<br /> intended w�rk,they are advised ta contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Fu�#hermore, (f the awr�er has hired a contractor ar contractors, he is advised Ea have the contrackor{s} sign
<br /> portions of tfie"contractor'Btock"of this application for which they wiii Ere respons'sbfe. If you,as the awrter sign as the
<br /> v`c�niract�r,tf;at-may�e;rs i::�l:atian that kze:Js.n�at Rro��rly Jicensed and is not entitled ko permikting privileges in Pasco
<br /> �.czesrztg:
<br /> TRANSPORTATtON iMPACTl177lL`Ri�S'tMPACT Ai�tD E�tffSOURC�REC4V�RY fEES: The undersigtted•�nderstands
<br /> #hat Transportation lmpack Fees and Reaourse Recovery'�ees�r�iay app'h,��#o'.[he��dstruction of rrew bw�dings,change ofi
<br /> use in ezisfir�g�zzi�ifc#'u�gs,os�acpansion of�xisfsr�g.bnildic�gs,as speccfied in Pasco:County flrdinar+ce•nurnber 89-07 and
<br /> 9(}»fl7.as amanded. T�e�tas3ersigned also understar�ds,,#t�atsuch.�ees,as may,be dua,,vJili_�e identified at the fims o#
<br /> permitting. It is further u�derstoad that Transporkation lmpact`Fees and Resource Recavery Fees must be paid pr+or to
<br /> recetving a"certificate of occupancy"or fina!power release. If the project does not involve a certlficate of occupancy or
<br /> finat power retease,fhe#ees must be paid prior to permtt issuartce. Furthermore,i#Pasco County WaterlSewer lmpact
<br /> #ees are due,they must be paid prior4o permit issuance in accordance with applieable Pasco County ordinances.
<br /> CONSTRUCTlON LIEW LAW{Chapter 713,Florida Sta#utes,as amended): if valuation of work is$2,500.00 or more,I
<br /> csrt,"#y �a€"F, i}ie �n�stic�of..Fia�r� t�ee-;t.�t��� ��.lh~a :^.�,t � t�*e "�tn���.t�.r���tn.�r..tina Lien Law-Homeowne�s
<br /> F'rotectiorr G-ui�se°prepare'r�'tiy Yiie rYsnrra-ve��,i�i�;,.:a:•`r�;��i.;:;:�su, :. .'J�.-=��:;-.r:;.:-��•;:_>.,�. .-�.�:_f'x;��:�,.�:�:°�-:�:��a^�=:
<br /> other than the owne�',E ce�Ty t�iat-1 bave.obfafiaed-a capy of t6e a6ove di�scribed d�umenC and pramise in guQd faith tu
<br /> dekiver itta the"ovrner"prior ta camroencemenE. -
<br /> CO{V�RAC'idR'SYOWN�F2'S-AF�'tE7/iV1't�: I certify ttiaC al[tfie infi�rmatian 7n.thisapptication is accurate atid ffia€aIf work
<br /> wil{be done in comp{iance vrith atl�applicabla.iaw�regulating construction,zoning and land devetopmeo�. Appiication is �
<br /> hereby made fo obta'sn a permif ta do work and (nstafiatian as ind[cated. ( certffy that na wrork or Installafion �as
<br /> commenced priar to issuance of a permit and tha#alI work wiii be performed to meet standards of ail iaws regulating
<br /> canstructian, County and Ciry codes, zaning regulations, and land development regutations in the jurisdicdon. 1 aisa
<br /> "r,�rtify th�t 1 uni3�e�t�ntl lhst t#te i�eguiatit��S of oilt��gaVete�ttl�nt�g�nc't��rrisy�pply to th�intertded wbtk,�n�1 th�t it i�
<br /> m.,y respansl6ility to identify what actions i must take fo be in comptiance. 5uch agencias inctude but are nof iimifed to:
<br /> _ :�?�a��^ ��-M--v:x�;Ua^�r,'�;S'??�+*�;:��-c.y�ress Ba,yheads,'vb�tla�d;,rsas ar,�-Envir�nr�sent�!!y�'e�.�t���a
<br /> :3..ands.VlfatertVstasteweter'Tteatment.
<br /> - 5oiithwest Flnrida �iVa�er fiiianagerrient i�istrict-V�ells, .Cy�aress .Bayheads, Wetfanii Araas, Alteting
<br /> Waterconrses.
<br /> - Army Cocps af E�inesrs-SeawaSis,CTocks,"1+taVigatile Wateruvays.
<br /> - DepaRment of ftea#h & t�ehab�ktaf+ve ServiceslEnviranmerrtai tieaSth Unit-YUs31s, iNas#ewater Treatmer+t,
<br /> Septic Tanks.
<br /> - US Environmeniat Qro#ection Agency=Ast�estos abatement.
<br /> - federat Avia6an Authority-Rurnvays,
<br /> I understand ihat the following restrlctions apply ta the use of flll:
<br /> - Use of fl31 is not a4toweii in 6tood Zane"V"unless expressly permltted.
<br /> - ee`.':,'tt�. "� .'ii,:'.Y?:i�::� ':v �a;:.Se'y' ''^?�.S:�vr_'�'�.�=:� ".*"�"� +�; Sb,-^;`.��tt1.'+a�dff�.f��E.2: �C'dk(S$QA (3't`citl dt�t'Ei�SS�ttt{.ct
<br /> "compensating vealume°uvill.be.suhmffted at time of permitting.wtiicti is pr�pared by a professionai engineer-
<br /> Eicensed"by the State o€Ftorida.
<br /> - Ef.fhe.8i1 materia3.is�to.be used:in FEci�d.2oste"A"En connect'sor�wiih.a permitted buitding:using stem watt
<br /> construction,G certify that fill.wiil be usect oRly to filtthe area within Ehe stem wakf.
<br /> - Cf filt material is to be used in any area, P certify that use of such fi{t'wilk not edversety affect adacent
<br /> properties. tf use of fill is found to adversely a#Fect ac3jacent properEies,the owner may be cited for violating
<br /> the conditions of tha building permit issued under the attaohed permit application,for lots less than one (1}
<br /> acre which are efevated by fil(,an engineered drefnage.pfan is required.
<br /> IF E am#he AGENT fOEt TFEE OWf�ER,1 promise in good faifh to€nform the owner o€the permitUng condttions set farth in
<br /> #his a��av;ty^or.to sammen��g crncr�r.��nn. .I.understand that a separafe.permit may be required Par etectriaal work,
<br /> pturr�trirtg,siyr5s; r•v�r�'}�..;:�:,-a.�-�:�k.��.A.��."�'�.�r_•�:;�;-;� ,�.�sa;;,�:�,�.'�:.,tit R��.�w�:�'"=.�:)����ai�Ft�.fh,��s��l3ca�ias2. i�
<br /> gemiii.issu�cf sha11 be cx�nshued ta be a license#o proceed with the wtatk arid.rwf as authoriiy-to via]ate.cancef,aiter,or
<br /> set aside any.pravisions of#hE technical codes,nor shalt+ssuance oT a permit prevent-the:Huiltiin'g flificial irom th�resfter
<br /> a�equ�r+ng a�flccsctinn ofi�srflrs-irt;�ans,:coristruc.Gar►,a'ar.icilat§ons a#any cades. .Every psrmi#issuedshalJbecome inv�lid
<br /> uriless#he work autl�r:ized f�y such.per�nit.as sxautr�er�ced wifE�u�,s�c mon#tas of�ermit'.issuance,orif waiic su#horizeii�y
<br /> the permit is suspended or abandoned for a periad df six(6)monYhs after the time ihe work rs comman�ed. �r+e3ctension
<br /> may be requested, in wridng,from the Bullding Official far a period not to exceed ninety(90)days and wlll demonstrate
<br /> jus#ifiable cause ftar the ex#ensiara. �#wock r,eases for ninety{90}consecutive days,the;ob is considered abandoned,
<br /> WARPIING TO OWNER: YOUR FAIWRE TO RECORD A IdOTICE OF COMiU1ERICENiENT MAY RESULT IN YOUR
<br /> ts�.�YE�iG������1t��E`c€3e'LicZciJT`,�''�v`:.�.'•,'�c oo,�cca-rx ic vnl4lNTFt�ft1 TO K38TA1N,FINANCING.CONSUL7
<br /> W1�9'Yt7t3+i�LE`3lIf3��-dF`c t�tfti.�"1`I��;iS.€�`-E3�t��f��"�.'�u:�'-,:,a�%i�:��;:%,?5:�:•�=�x=_a=.�:,._.-- .�:.i»"s.z:=..`_�.�,.=�w:
<br /> E�oEupaJUtzar�F.s..t� s
<br /> OV�1NEEtClFtAGENT�I�� CONTRAGTOR
<br /> Subscrtbed and swom to(or a ir i d hefo me this -' Subscrit�d a�d ssvUm ta(or afiirmed)t+efcu�a m�Hvs
<br /> by bY
<br /> Who islare personally knawn to me or haslhave praduced Who is/are persanally known ta me or haslhave produced
<br /> as Iderriiflcatlon. as(dent3ficatlan.
<br /> Notery Pubtio Notary Pubiio
<br /> Gc�-s�es=:�. _ =+=^`���e. -
<br /> Nama oi Noiary typed,,printed or stampeii Name af Notary iyped,.printad or stamped
<br />
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