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<br /> ' -Z'��*'`,>.�_`� "'z'^'.-..�.�':-i��:a.- �-°s'�=`r.�.";?r cA";;:Y`�.�s''8�e�.�T.�c��ti,'ifi;�;,a^rG�1�S�'��:Cf�Etix15[S4'S?�!L18 5���Lf[u"C4e�u iGac`t cutiisi�$'�
<br /> ..,'^ --` � .�-g-�^� .:.t4j-`..; � .;z.,
<br /> whlcdi�riay be�ctare restrictive Ehafl�ounty Feg�iafions: The undersignecl assun�es respbnsr"ts���+vr�om�rs�-v��,ariy
<br /> appScafiie dead restcicEii�r�s:
<br /> UtVUCEFtSED COI�lTFtAG7QE�s.AND COtJTRAGTORt.�t�SPONSIBILiTiES: tf the awn.er has hired a con�ractor ar
<br /> contrantors to und�ctake wart<,they ma�r.ba required fo 6e ticensed in accardance uvith stat'e snd locai`reguSa�c�s. I�the
<br /> sxintractar is not 4icensec�as required 6y iaw, boft�the owner and contractor may be cifed for a misdemeanor vCalafiotr
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended wark,they are advised ro contact the Pasco Gounty Building Inspecfion Div{sEon—Licensing Section at 727-847-
<br /> 8Q09. FuRhermore, If the awner has hEred a contractor or contrackars, he fs adv4sed to have the contrackor(s} slgn
<br /> portions of the"contractor Block°af this epplication for which they will be responsib(e. If you, as the owner sign as the
<br /> +.:uru'���vr,:�af,��ay��_�s^�:es�tC3t�,fl'12!�2��tlnT.��}a2�}r EIGEfLS@tf e"]!1d IS tiOt Entt�I6CJ tQ�)8tti11t21h�jJi1VtI2�@S IF!PSSCO
<br /> Courti:y.
<br /> TRAN5P�R7'ATiON.IIV'1PACTI17Y11.1TIES.IMPAGTAND�RESOtFRCE REGOVERY FEES: The undersignecl unilerstands
<br /> that Transporiaiiari Impact Fees and Recourse-Recovery.��es:may applY�2o-Sh�canstrucf'ton of new buildings,chang�af
<br /> use`in existing buildings,-�ar�exp�nsion�of��istir�g..�rcn"Irlings,�s sp�c+�iia:R�scorCoura#y tJrdinance numbsr:89-07 and
<br /> , 90�07,as amended. The�tndsr�gt�d aiso unders#ar�ds,#hat such fees.as may:be due,v;rl�_be icleritified at'Fhe time aF
<br /> permitfing. !t is further understood tha#Transportation fmpact'Fses and itesource Recovety Fees must'be paid prior to
<br /> receiving a"certificate of accupancy"ar final power release. IP the proJect does nat involve a certificate of occupancy or
<br /> fi�al power reteasa,the fees must be paid priar to�ermit issuance. �urtherrnare,if Fasca Caunty WaterlSewer lmpac#
<br /> fees•are due,thsy must be paid prior to perrnit issuance in accordance with appl�cable Pasco Caunty ordinanoes.
<br /> CONSTRUCTION LIEhI LA1N(Chapter 713,Florida Statutes,as�mended): lf valuation of work is$2,50Q.00 or more, I
<br /> car�ify ?�ai � i�ie_�alie.���,.h�ve t�i� u,�,�i�:, �:;� a s�p, � ±.�� "Fl�ei�n c~,,nn�t.�s�icsn lien Law—{-lorneawner's
<br /> Pratecfiarr Gaicie"prepareta�by zt�s-r�iot��a-z����rnv;r>�ri.'�'d�s;�a:-%i���:��:�::�-�:s'::=.:.•_.r'�-':::_�_::.;'-::;-=�,=�::.-.:�.`:;�a.-c-:a^�
<br /> ' otherfhan the�°ow�ec"'.!certify thaC t�hav�obtaineda.copy�af;llae:at�u��sccii�.document a�ncl.pro�rtise in gcscac�fait[t ta
<br /> dalive�it to the"awnec"priar to cominencemen�
<br /> COfVI'RAG"fE}R'5lGW�4ER'S ACFEtQ�VR►T: �certify�at att;Eh�infocmaE"ri�cr.iR,th€s appticatian is accurate and that aIl work
<br /> wHl be done in cotnpitance with ak{appkicable laws regulating�constcuction,zoning and tand deveiopment Apptication is
<br /> ; hereby made to obtain a permif to da wark and instaiiatian as indicated. t certify t�iat no work or InsEa!latior� has
<br /> commenced prior to issuance of a permit and that all wark will be performed to meet standards of ail laws reguiating
<br /> construcGon, County and City codes, zonirtg regulations, and Iand devetopment reguiatiorss in tfse jurisdiction. 1 also
<br /> ; ceifi'€y tt�at i uniis�t��1c!2h�t tti�r��ul�tionS�f otf���g�ve�r�r��r1t agerl"cCe��n�y a�ipfy t�the#c�'te�cded work,�n�f th�t it i�
<br /> , my responsibility to identify.what acGons i must take to be in compliance. Such agencies include but are not limited to:
<br /> _ '�?t.:'a,'^ ,',?��:'�-^i, ,t+..,.'!' -� r .i n �+ U,� R�f fi cifttra
<br /> {,.r7. ,;5.:�"X�'tM!"c:. ,.t�3?�.G�-L.'�.G'SS f3�y.�Bdt�S. �v8i�ui�u n�aa^ai�� �^ �i13^Sf2f�.,y L'f?_._.._
<br /> .Lands,WaterMtastewater Treain�ent_
<br /> - Soutliwest flc�ri8a 1�9ater 'IVtanagerrtent District-WeSls, Cypt�ss �Bayheads, .Wet�and Areas, Aiterang
<br /> Ullatercourses.
<br /> - Army�or.ps df Engiaeers-Seawalls,�ocks,'Navigable Ui�aterways.
<br /> - Uepartment of tiealih & ftehabilitafive�erviceslEnvfronmental Neaftri ttrrit-VilE�s, ;ldastewater T3eatmerat,
<br /> i Septic Tanks.
<br /> i - US Environmental Protection Agency-Asbestos abatement.
<br /> � - Federal Aviatian Authority-Runways.
<br /> I I unders#and#het the foltawing restrictions apply fo the use of fiih
<br /> l)se of$11_is no!a!ltawed ln Flood Zcana"V".untess expressly Qermittsd.
<br /> - ;a'_�:'1.`'n�'.:c:r`?u`�:'_S "QJ' "tCs ;i�: ,',•;-`=,.`4��?'�fis'°H "�t"i �"-..�;:�'.;`�`'^;�.S`S1C�w.tµw'4.2r 3t3§t?�CP ,fi}3%dtl dc�(:`teSSiSi�t a
<br /> i � � "compensating•va#ucr�e'wiik_6e submittsd at tiineof permitting.wt�ict�is pre�rsreci t>y a prai�ssterrr�l��r�e�-
<br /> Gaensed 6y fEie State of Fforida.
<br /> - tt the fi[t material:t��tt be.ttse�i in F{aod�or►e"A"ia conttectiam with a permitted building using stem wal[
<br /> constructioa,Ccertify tttat fitt wilt be used onfy t'o fiit ths area withii�ifre siemwall:
<br /> - tf fill material is to be used ir� any area, I ceRify that use af such fiti wi{{ not adversety affect ad"jacent
<br /> propettiss. If use of fiil is found to adverse4y affect adjacent propertiss,the awner may be cited for violating
<br /> the conditions af the building permit issued under the attacned permlt application, Por lots less khan qne{1}
<br /> acre which are elevated by fill,an engineered drainage.ptan is required.
<br /> tf I am the AGENT fOF21'HE OVt/PiER,1 promtse in good faith fo Iriform fhe owner of the permitting condltions set faRh in
<br /> �„�;Q�;�o�:;;p�;-•������o�,rlrta�,n�tr��:t��n, 1 understand that a separate permit may be required for electrical work,
<br /> �� �3LUlYftiYt3. �iisi'�a.1Ff9%3;�."�s;L_'�`:r�`..n.�.�:;:�w--- . �. �w�%'.�' �.':`�..�.r. :s:�3 ��_r,:0.y+��_"�^' ``"� v,���;�;r'sf. %�
<br /> �-t ;^� '?.� .r: » .:� ?iw
<br /> .permit issuec#shall ba r;onstr�ed ta 6e alicense fir proceed with the work and.nat.as auihority ia violate,canset,-a�ter,.or
<br /> set asicle:any provislons ofihe�echnicat'codes,nor shatl is`svance�a psrmit prevent the'Btn"Iding`��ciat frorn"thereafter
<br /> requu�ng a correc�ion of er�rors�:�taris,construc�sua�r violai"rz�s�fianyaxles. .Every,permit.issu�:d siaaii.beoame invafid
<br /> unless.ttse aroork aufhoriz�c!#�y such.�rmit-�s r,omr�er�ced wiihin six�anths of pstmit.issuaace,or if work atitfior"tzed by
<br /> i the permit is suspended or abandnned for a period of six(6)months afker the time the work is commenced, f#n ex#ension
<br /> ' may be requested, in writing,from the Building Officiai for a period not ta exceed ninety(90}days and wDf demonstrate
<br /> justifiabla cause for tbe extensiar�. !t wnrk ceases far niaety{90)cansecutive days,ike job is ca»sidered abandoned.
<br /> W�V,P2NtNG TO OWNER: YOUR FAIi,URE TO RECORD A h107iC�flF CO3Uf�t1ENCEittiiENi'MAY i2EStlLT li�YOtiR
<br /> �<'�k'��,'-.'��g"F��'t?�.'t r���:��A.��1''�'4ro1'1�id'#;�-T�Y'^c��l:'�i:'�!?E.o3�!. !F Y�Q��!NTFSI�7Si OBTAIP►F4NANCING,CONSULT
<br /> UUtYi�^'�Yt�R�L��NtPi�+�.'��r�'ii.`�'�,��=t�;t�_�i'- r:> :�:*;�;r,�:;. . ..w.;. -.,r�,.-..y.
<br /> 'L �j..�3L;r�,—.r'•�y �Y`-- '"rSd-'��'^-i=t`�: .�':r xr.+-..�.,%r.'.is;
<br /> l q` ' ~�«H"`a�a..�.�:."dw..%vSbiv'-
<br /> EL4?RIf}A-JURRT(F 5 11T f}3 -
<br /> QYU1�fER QR AGENT� `�,�_ CONTRAG74R rv
<br />� Subscribed and swom to(or a 'r BfOre rt18�S'�'� SUbsCribBd 8nd BcvonA ta(Or 3ffiatted�'6eft�rrrf this
<br /> by 6�+
<br /> Who islare personally known to me or hasfhave produced Who is/are personally known ro me ar hasfiave produced
<br /> as IdenBficatfpn, as ider�{fication.
<br /> Notary Pubtic Notary Pubtin
<br /> liR7n S�G'S�aS^.. �'�h'f'...�^^�i?^-.�t?.
<br /> , _Name of.NDiary typed,printed orstamped Name pf Notary ryped,printed ar stamped
<br />
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