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<br /> ' =a��.w-�Fy=i3-`�''<`':��. ."°:1���:"'_-:�;��5:�: `"'.•y?1,'".!'f>��4=3�i i.,'�'`"c^�'.^-�°c�;.+^.`�,&';�'��+,�.�8ti"fte21tt32�!:?f.'St;q�'�5f.:'t���ts"tiEE�u'-'iCSii(�uis�FS"
<br /> which may be more restrictive�than County.regulations.- 'Che undersignec!assumes�es�rons±�iiiry 7ar comjrr�t�tc�= ^v�f-a,=ryK
<br /> - app�cabie deed rest��ctians,
<br /> Ui��[CEAtSEFT C4NTRAGTORS APlQ C4NTR,0.GTOt2 t�ESRQNStB1LtTiES: tf the c�bv�er has hired a c�ntractor or
<br /> cq�tractors to underlake worl<,.they may be requi'r.ed_io be licensed itt accardance witfi stat'e and locat=reguta6bns: t�the
<br /> contracto�is nat licensec�as re`q�iir'ec�b}r 4ai�v.tiot�t�tg aw�er si�dr eont�ac�or map be cit�iiJ:fr�r a misderiteanoc violati�n
<br /> under stete law. If the owner or intended contractor are uncertain as ta what ficens3ng requirements may appty for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division--Licensing Seckion at 727-847-
<br /> 8009. Farthermore, if the ownar has htred a cantractar or cant�actors, he Is advised ta have thQ contractor(s} sIgn
<br /> partions of the"contractor B(oc&"of this appiicafian for which they witt be responsible. if you,as fhe owner sign as the
<br /> e;sar��acior,:6;at t�ay-be mr:in�i:,a#�e^?h$!t!e ls.nai.nr�pe�iy licensed and is not entiUed to permitting privileges in Pasco
<br /> �..otstsey. �
<br /> TR1l�1SPCJRTi471DN lN1PACT�U7'iLi3tES IMP�G7�iII RESOLIRCE�EGDV�RY�EES: The undersigned�anderslan8s
<br /> #hai Transportation.impac#Fees and Recaurse Recovery Fees may apply to the constructian of new buildings,change�if �
<br /> use.in eXi�ting.bu'sldings,.�#T.SXQr'3tS5ifl[9 L3�QXiS#itl�.'�RFi�P}il�S.•as spec�ed in P�scci Ccnarsty�rdir�ance number.89-07 and
<br /> 90�{i7,.as�mersded. Th�:und�rsi�ried a3so urtrte,rs#ant3s,;tha#suei�=�fees,�as�ay.ybe due,rvill:be'itlentified at�e time c9t
<br /> permitting. It is further understaod'that Transportatiori'lmpact�ees and f2esource�Recove7yf�es�rcit�st�be paid pi�ar#o
<br /> receiving a"certifreate of occupancy"or fina!power release. !f the project does not involve a certlficate of occupancy or
<br /> ftna!power release,the#ees rctust be�+aad prior to�ermat Issuance, Furthermare,if Pasco Gounty WaterlSewer Impact
<br /> fees are due,they must be paid prior4o permit issuance in accordance wikh applieable Pasco County ordinar�ces.
<br /> CONSi'RUCTlON LlEN L�0.W{Chapter?13,Florida Statutes,as amended): if valuation of work is$2,5p0.00 or mora,I
<br /> �".rQ'6?� i�':�, �,P.,:?.�.'-';.C�itG�RC+ �itiitt`C �t�?'t yivvivcS�t=v%in�t a t"',.,C� 3� uha "fifnrltia f",,,ttttctii}cfiCSTi L�BT1 Lc1W^--�4tt't$OtitJflEC'S
<br /> Protection Guit�e°prepareo+by iii�-r�ax;�:^���;�"i���:;i�a:H�:.h,:�:.:,�=::�.:.;��^_:'Y„w�:.�t:.'�:��.=:::;=r=._;..-�:-;;..:.�:°s sp:�-ru�;-�-,
<br /> ofherthan the owne�',1'certify tCtaf i.kiav�a6fai'rted a co�'y of the above d�scribed docurnesit and pramise�in gand.faith to
<br /> deiivec 1�#o the"ovvne�'prior ta ccimmencement
<br /> CONI'6@�C�OR'SIdWNER'S AF�(Di4V1'F; k certify t�iaf aiF.tha inforrr►aEaor�ic�this appiication.is accucate and,fE��t aiF work
<br /> wlll be done in cpmpliance with alt applir,a6l"e lavus-regutsiting�construct{ors,zoning and.land de��ibpment. Application is
<br /> hereby tnade to abtain a permit to da work arsd ins#aflatl�n as indicated. � certify that no work Qr tnstatlafion lias
<br /> commenced priar to issuance of a permlt and that all work will be perfqrmed to meeE sfandards of alt laws regutating
<br /> canstruction, County and City codes, zoning regulations, and land development regulatiorss in the jurisdiction. I alsa
<br /> certs`fy tfi�t 1 ttnd�r5t�r�tf th�t tfte r��utatibr�s�f otPier g�Vernttler�t�g�n�i��re�ay�p�ly to'tne T�t�t�tled wbeK,�nZf th�t it i�
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies inctude but are nof limited to:
<br /> - �'F';''4:;;�•^�,>• »r•_'.Yi�'Y:�`;:M;�i_r�'t7'.�+".,F;:E7`.�..-�,t��+„,„'.ES3$"3,)7'J'1B`�3�3�"�Vti�ua11C�'rucaS•c^�iau��b'Y.cr.rz�er.;���M'.�?�l/€."
<br /> lands,ltVateritivasiewalr�r i.r�airi}es�. �
<br /> - Southwest Florida "iri7ater 'I�larragemerit L)istrict We}Is, Gypress .Sayheads, 1NeUarsd .Areas, Aitering
<br /> Water�oucses. �
<br /> - Army Carps of Engineers-Seawa{is,"Docics,Naviga#ile':U�atsrways.
<br /> ; - De�artment af Neaith & f2ehabiiitafive'SeiVices7Environmentat fieattl� i9r�i#=1Ne�s, 1Nas#ewa#� Trea#men#,
<br /> Septic Tanks.
<br /> - U8 Environmen#a!Protection Agency=Asbestos abatement.
<br /> ' - Federal Aviafsan Autharity-Rurnvays,
<br /> I unders#and that the follawing restrictlons apply to the use of flll:
<br /> - �se of fifi is not aitowed in Flood Z�ne"Y°unless expressly permitted.
<br /> � 5- .r.». ,-„rn-c�-:.-y�-, . r xi�r .,� rF� r• ?"j�", -a.?S b;"t:%�'a��`%,'S3�f:�.i�a3t;� .'�`�+,dzt ttt'SL'tt'CSS[itu` c
<br /> :��.2'i0. {:...-:.w�.z._C.,._ � :.l �1'�'L�.�.�' . /{� � .2 : .
<br /> "cotnpensaGng va{ume:vuiU f�e.su6mitted at time.oi permitting wnich fs prepareif Yiy a proress+�sra3•eng:r,cc€-
<br /> licen5ed 6y the State oF Florida.
<br /> - [F fhe�fI mafedai=Es ta be used in FtbQd_2ane A=i�� c.�nnection wtEh a perruit#ed buitding us'sng.stem wait
<br /> construction,l_ceriify khat fili:wifC be used only fo fill the area within the-stem waft.
<br /> - If fitf materia! is to be used`in any area, ! certify that use of such fill wi{4�no! adVersety affect adacent �
<br /> properties. If use of flll is fourtd to adversely a€Feck adjacent.propert`ses,the owner may be cited for violating
<br /> the oonditians of the building peRnit issued under the attached permit application, for lots less than one(1)
<br /> acre which are elevated by fil(,an engineered drainage.pian is required.
<br /> If 1 am the AGENY FOEt THE OWR�EE2.1 promise 3n good faiti�fo Infarm the owner of the permitting cand�tions set forth in
<br /> �fs a;f;�&vi!�,isaC-:o�mr:!s.^.c��sg xnsfn�c���n. I understand thak a separate perrnit may.be required for electricat work,
<br /> ��'litiit"tui(tg,-3iiJ.i?a�s L`ifB�f,�,:..'Q'Ls�.>.��'-:X`=`,',`�'!�'�?z-''g:;�.".-'<r.�=r��_."`.;�'.'.::.._ ""�':'T,�� '.-. . t��r.`t�pl-�''���;FS:�;.3r;•,.,f;�Npz�;^w'�:`l�';. :�
<br /> permit issued-shall.be.cr�nstrusd#ohe:a I'tcense io.groceed with#he work and,not as authof�y ia violate,cancel,alier,or
<br /> � set aside any pravisions of fhe iechriioal codes,nor sha11 issuance of a permit.pr+event the Buildtng-Official firom thereafter
<br /> .requiring a°�or�eefiom�ofi�rrars:ir��,��a�+��constraoctivra.ar uiolatfons Qfi�ny codes. E�e.ry-�emaii issues!shat)become{nvalid
<br /> unless ihe v�rk authurized•by s�ch=p�r�i#is car�arnenced�nri#hir�six�onihs of.perrr�it`.issuance,ar'iP wor�c authoiized f�y
<br /> the permit is suspended or abandoned for a periad of six(6)months aiter the firne the wark is comm2nced. An e�ctension
<br /> may be requested, in writing,fram the Building Official far a period not to exceed Nnety(90)days and will demonstrate
<br /> ;usti�able sause for#he extensiar�. If work ceases for nir�ety{9D}consecu2ive days,the;ab is cansidersd abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE QP COiLAMENGEMENT MAY RESULT IN YOUR
<br /> p`,�'sF�t#fa�+��'�'�EZ'€+�����i:uc+e'��;�'[Sr,':'�.':tl'�.dFL.P.re.`L."'PEf?rY, !F'v�s.!-!N?Et�!O T0 06TAi{V FtHANGf4VG�GONSU�T
<br /> tNi'iF�51'�1:i�f:�iVF3��"t3�`�3ti��fi`'fa:iE::�stLY-���'€�E:.����:�3i�?==':`=��f�=€���'Y��CC��£`�`�����.Y�w "�:�aw�`,�;..
<br /> FtvRlDaJUR�►T�F:s:tta .,
<br /> t1WtSEROftA6ENF_5��� CDNTRAC7QR
<br /> Subscrl6ed and swam to oraf'i dj eYore me this 3ubscri6ed anc#`s�voecrta(oraft¢cmed},hetace-cr'e this
<br /> by bY
<br /> Wha fs(are personaNy known ta me ar haslhave produced Who Is/are persanalfy known to me or hasfiave produced
<br /> as[dentSflcaHon. as Identitfcatton.
<br /> Natary Fubtic Nafary Pubiic
<br /> +iorrts;�:=..�:�P?s5.. _ {'ix!ir�ss4r�s:tc�.
<br /> _Name nt:Nala,ry-typed,,printed or stamped Name ot Notary typed,printed or siamped
<br />
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