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<br /> Ftc;re .e: «..•�ru��^ ••�ve�'-^i�,� ':x ,.rvF€ •'=: eF: 4Sro- op a �rf'St��C���"i�EE'�"C23fCt�itG7iS"
<br /> . •a.,��:=::._.::'i�=:- �f;:l�c.�;.. '�'�.`: , !�,+... .f-:�r�>kic^:,";+9;:�,=a�c.a""`i�,y;.�.^-'��.�.��...��'9,..'S�"l1.,.SY�c...'+V.
<br /> .s,_�"',
<br /> vlhictt�m�aybe�naze resir'ietive�than Eounty regulafions:. The unciersigned assumes_respansiarrrcy.r'or c-�m��arrca�v�i�aiiy
<br /> appticabie deed restnclions
<br /> U�1LlCENSE� CQM'FRRGTORS Al�D CONTRAGTOR_l2ES�Q�tStBtl.IT[ES: (f tft� t�lamer has hired a conitacfor or
<br /> cantractars to undertake.worl<,they may be requi'red.to be licensed in accordance wiEh state and.local regulations. If Ehe
<br /> contraator is nat licer�sec!as required�iy Eaw, f�af1�tf�e owner anct coc�#ra�tor rriay be ciYed tar a misde�neanar uiolation•
<br /> under state (aw. If the owner or intended contractor are uncertaitt as ta what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco Cnunty Building Inspection Division--Licensing Section at 727-847-
<br /> 8009. Furthermare, if the awner has hfred a contractor ar contractors, he ss advised ta have the conkrackor(s} sign
<br /> partions of the"oantractor 81ock"of this epplication for whicfi they witi be-responsible. If you,as tfie owrtar sign as fhe
<br /> ��n7actpr,ttrt may.ba�,n#r.�i:.a!dr+rn-+h�t-hp-ls.s!c�t,�+�a�aerlyJicensed and is not entitled to permitting privileges in Pasca
<br /> �ti:.caurieg.
<br /> T.Ri17d�1�'DR�AT�t3N.U17Pa4CTii1XJLiTfES=tMP�lC7�D RESQI�RGE.�2EGU{IERX-�-E�S: The undersigned undersiands
<br /> that Transportation tmpact fees and Recourse Ftecovery Fees m�y appty to fh�constnti7lion of new buiidings,change ufi
<br /> a�se in ezisfing-.bsti4dissgs,x�Qacpans'son af ezisting:�riiidi�zgs,=as sp�ed in 3?asco,�ounty Qrdinance nuraaber 89-U7 and
<br /> �5�7,as��rrrettded. �The tindersigned aiso uraderstands,#ha#s�ch�ees,.as.may be due,wi�i:be identifled at'tt�e time o#
<br /> permitting. It is further understaod that Transpartation lmpact'Fees and Resoarce Recavery Fees musi`be paid pr+or to
<br /> receiving a"certificate af occupancy"or ttnal power release. If the proJect does not involve a certificate of occupancy or
<br /> ftna!power release,#he#ees must be paid prior to permi#issuance. FuRhermore,if Pasco Gour�ty UVaterlSewer lmpac#
<br /> fiees a�e due,they must be paid prior to permit issuance in accordance with applieable Pasco County ordinances.
<br /> CQ�tSTRUCT101V LIEtd I.AW{Chapter'P13,Florida Siaiutes,as amended): If valuatiqn of work is$2,5Q0.00 or more,1
<br /> �,.r��?-r�t ,#i�.j;.tae. 2:��i"sc�t h�Le��t;r��,videt3 ov::h�a r.cpytrf the,"�4�+'.ns�+2:�.�a�ctc�ar,t�ocz Lien Law—t{omeowner's
<br /> �CO�EfIQC4�`UIClB°,prepareQ 6y trt�-=iQfiY.9'�2F7��ETc tTt�3y:�:3::�'�?3��.�'.:i[='i�«:'?`arC:fF:;'..:"„^a:. +_. _.t _:t�,_�..°"::'i. :r:i'"'"f:'^.,"'"-.�.
<br /> otPter ttian t45e°awn��',!cettify tltat!ha�re.o6tai[ted a copy of tfie above described docxrmerrt artd•pramise�in gopd faith to
<br /> aetiver.it to the"awna�'g�or to cammencement.
<br /> CONTRAC'FOR'STOWWi�}}�R'S APFt�]k��: E'ceitify tFiat akC fhe information ii►this�appticaticu�!�accuraC�n andthaf al[waric
<br /> wrfll be done in compfiance�nn�th alf apptica6te taws reg�tating conste�ction,zoning,and land develQpmenf. Applicaiion is
<br /> hereby made to abtaln a permiE to do wark and insfatlatian as indicated. � certsfy fhat na work or Install�afion has
<br /> commenced priar to issuance of a permit and that ail work will be performed to meek standards of afl laws regulating
<br /> construcGon, Gaursty and City codes, zonirtg regulations, a�d I�nd devefopment reguiations in the jurisdiction. I alsa
<br /> �er�ifyr tF��t t un�f�r�t��cl it�at tfle re�ulatibP��of oth�r g�rve�ri���t�g�n�1e�inay a�pl'p tb the int�t�ded wotk,�ntl th�t it i�
<br /> my responsibility to identlfy what actions t.must tafce to be in compliance, Such agencies inctude but are noE iimited fo:
<br /> - �'�+�;'k-,�•'3Ts=„+r,�'C,`;"'`�YS;�'.'i�t1-y+,�;'"�'.�.' t�'+t�'.f^,,,�+[h"-C�!"ESS.B"c3}+41L'8(JS.'�'�lEU3Pi��F1fc�3?tY�EttVl�Qftl33@(1�3�14'�'?IiS.+JVe
<br /> iands.VUaterJl�Yastewater�reatmer�'t.
<br /> - `Sonthwest Florida 'Water fi�llar�agerner�# Distr�cFWelis, Gypress Bayheads, WeUancl Areas, Aiteririg
<br /> SNatea�conrses.
<br /> - Army G�s df Engineers-Seawalis,Ltocks,�Vavi�a`b3e 1Naisrways.
<br /> - Department of #��atth 8 Re#tab�itaiive 8erviceslEnV�ronmen#al'Heatfh tlnit-1Ne3is, Wasteu+ater 7reatmerrt,
<br /> Septic Tanks.
<br /> ; - US Environmen#al PKotecfsat�Agency-Asbestos aba#emen#.
<br /> - Federai Aviafion Authority-Runways.
<br /> I understand that the following rastrictions apply to the use of fill:
<br /> - Use.nf.fli{.is not aliowed in F4oad Zone"V°untess expressty permitied.
<br /> _ ;y.<,,�:,.. Y----_ .v =_ �^::.��. _:��c::� "A,`: ^�.�tr� t�.�f a t�.fas!s�e �t�cn ac�t�e�ssinu a
<br /> ' "comp'ensating volume"wil4 kae su6cnifted.at time af.permitting wtiicFi is prepareci oy a proressrc,rra�engr�er'
<br /> Eicensed 6y tFte State of Ftar�da
<br /> � - [f the fit�materiai is:ta be-used in Ffcrod�ane"A"[n cc�nnecEiorr-sutEh.a permiifed b�iiding usi�g stem wa[t.
<br /> construction,L certify khat fiU wift 6e used onty to filt the area within tiie stern watf.
<br /> - If fiR'materia! as ro be used in any area, !"certify that use of such fiIl wiR not adUersety affect adjacenf
<br /> propertiss. Ef use of fitl is found fo adversely a�fect adjacent properfies,tha ovmer may be cited for viotating
<br /> the oonditions af the bufiding permit issued under the attached permit application, far lots less than one (1)
<br /> acre whtch are eleveted by filt,an engineered drainage.ptan is required.
<br /> If 1 am the AGBtdT FOR THE ONiAFER,1 promfse 9n good faEth fo inform the awner af the perrr�ittEng candit#ons set farth in
<br /> #his a�daiit�r�Csr to�ommen�i.��rna�t!v�.���n. I.Lnderstand that a separate permit may be required'for electrical work,
<br /> �}'X:13Yt3tPt�:Sif�siza'.'if.'-'n".;S;��Se d;'-�fr;��:k'r•".:„ ti'i;1...:i�;�wi�-:r-. -_,:sµ,,,o..c:,'.'S4'��4�'3'.✓`'.a`.�i.�r:r-r.-,�,'Y.,,�^�'�„r; �a;s,�.Ti��,t�"��r'. l�
<br /> perm9f issued sha#1 be const�ed#o'be a lice�e#o proceed with#he vrrork and ontas au#horiiy ta vaotate,cancet,altsr,br
<br /> set aside any provlsions nf ihe technical.codes,.nor stiall issuance aF a perrnit.prevent ihe-Bu�i ding�flfficial from thereafter
<br /> reqviring a correcfion of+�rrorsin�tans,��ansfi�uc#xora or.uiola5�s ofi�arjy�odes..�yery,permit,issusd shal)bQcome invalid
<br /> unless ths wor.k at�i�or�z�:d 3�y suci��rxni#�s r.c�inmeAced�niifti�six anon#hs of psmiii`iss�ance,or'zf wot�c au#horized�y
<br /> the permit is suspended or abandoned for a periad of six'(6)months after the time#lae work is commenced. An extension
<br /> may be requested, in wrlUng,fram the FJullding Officfal far a perlod not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for#tae exfension. If work ceases for r�lnef�{SQ)consecuTlue days,the Jab is considered abandoned.
<br /> WAI2PIING TO OWNER: YOUR FAILURE TO RECORp A M0710E.OF COMMENCEMENT MAY R�SULT IN YOUR
<br /> �'�Y��i�.'�zf�E�t3�(E+1'�R£}SI�t1l�At�'.c's'T:�!';L'i:'P nP,,L"E'EQ?Y..!�Y�!.?.4�T�TII�TO f1BTAtN FtidANGiN6,GOttitSULT
<br /> t ? nr � :S> :. �-. .� , .,_ i � w;_r � � -
<br /> #lt�fT('i�l'E�t1f�f�77)��'z,+�ra3t�i�c=ifr 3s;i�a''ai�=�s3:�::=:-� �;7i:=�.�<'�r+.`��s::t ."��:�:.; t.;.=:�y�-..>-:,;.:z.�"x:_�-.-
<br /> S _ - �`4:`-`=;`" o�a:
<br /> FLORlOA,lURAT(F.5.11 ',{,� �~+ ^ � :::..::`�'�'•: �'•,•�,
<br /> OUitHEii Oi2'AGEhiT � M, GOFtF1TAG'fQft
<br /> Su6scr�bed and'swom to or a 'r ) efore me this 5u6scrit�ed and scmrrrta(rn afiiimedZ 6efore me tMs
<br /> by by
<br /> Who islare persanalty known W me or haslhave produced Wtw tslare personally known ro me ar haslhave produced
<br /> as fdentSftcation. as idec�tiflcatlon.
<br /> Notary Pubtic Nofary Pubiia
<br /> ti��-rn::-S�, - - _ ,..�,..._�s�zr^`ti�.
<br /> Plart+e ot Nofary typed,prmted or stamped Name af Notary typed,printed or stamped
<br />
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