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<br /> NOTICE.4F DE�D R�STRIGTif3NS: The undersigned understands that.this;permit may be subject:to,".deeti",resfnction;s"�.°r�;r;
<br /> which;ma :be�more cestrictive;�#han�Count; cegulations:-Therundersi"nediassumes=�es,onsibliif 'for com'�liance`with=an ':�,
<br /> Y . Y 9 ' '� p Y p Y
<br /> - aPplicalale deed�estrictians. - - ..;=1=t=;::� :�`=:<.�::m:`'�w�
<br /> UNLlCENSED-GONTRAGTQRS ANC?' CONTIZACTt?R RESP:QNSIBIl:ITIES:- 'If itfie=owiierrv�lias��hiretl��a���contractor or ��
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<br /> contractors ta undertake work; they,may:be re.guired.to be�licens�d in accordance.with_state;and=local--regula�tons:.���lf�#Fie.``��,;�
<br /> contractor is not licensed�as reqwred by'I`ainir both the owner�:and`canfraetb�;map�=6e citedb=far�a misdemeanoc violation• :,_�
<br /> under sta#e�law. �tf the owner or intended:contrac#or are uncertain as to wha#.licensing.requireiinents:;maytapply:for�`;the;�.�;-�:�`?
<br /> ,.,.-;;t.�.. .....::�,,.: - - .�
<br /> intended work,-they.:are=advised to cdntact"tiie`Pasco.Counry;Builtling tnspecfion�Division=[.9censing Section at 727=847=
<br /> 8009. Furtherrnore, if the owner has'fiiteil`a contractor ar contractars, he is acivised ta�'have the con#rac#or(s,),�sign_,a�,,,;
<br /> �,.-15:4.''✓;'�_'�`_....s:.y ':Yy.r,7.t
<br /> portions of the "contractor Block"of this application.,for which they vvil! be_resp.onsible. =!f:ybu, ast#tie`ownet sign as��.the4� :-_,°�
<br /> contractoc, that may 6e an indication�#hat he-is not prope�ly�licerised�arit4 is not�erttitled�to permitting�priviteges,in�,Pasco.,,;ya:��;;�
<br /> County. � , _ ._ . ... . ' _ = : :.�
<br /> TRANSPORTATiON-tMPACTNTiLiTIES•iMPACT AND RESOURCE RECOVEERY FEES:�The undersigned undecs#ands _ ,�
<br /> � sj:i:_p.v�, t... .
<br /> thatTransporkation tmpact Fees.and Recourse.Reaovery Fee.s�may�applytorthe canstruction,of.new.builifings, change;af`�°;�`::;�
<br /> use in existing bitit#Ings,:or;expansiart�:of.';exist�rtg buildings, as spec�fied in Pasco Caunty Urdinance number 89'-07�.and =;` �
<br /> 90-07, as amended. The�undersigned also ur;�derstands, that suc�i.z€ees, as"may,:b.e.due, rrvilt be�identified at:£tEie�.tiirieF3of�:����`y',
<br /> permitting. �It is further understoad that Transpo�tation 7mpact Fees�and Resource%Recovery Fees must be paid:pr.ior ta
<br /> receiving.a "certificate.of occupancy"�ar:final;,power release. If the.pr.oject does not�invalve a certificate of occupancy'cir==F<'�'`.�'�
<br /> finai.power release,_the,fees.must be,paid�prio�to permit issuance. ;Furtliermore, if Pasca County WaterlS.ewer;wlm�pact:�,-K•' �7
<br /> fees are due,tfieyy musf 6e.paid prior to permit`issuanee in accordance wi#h�applicable.vPasca County ordinances. � + � �
<br /> CONSTRUGTIQN�l:iEid�t�AilV{Chapter 713;Florida Statutes,as amendedj: If vatuation of work is$2,500.00 or mar,e,,i,u;r.. ;
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<br /> certify that I, the appllcant, :have been- pcavided with a copy. of.the "Fioricfa Construe#ion..�Lien.-Law=Nomeowner's ' .
<br /> Protection Guide" prepaied-by tk�e Florida Department of Agriculture and Consumer Affairs. If the applican# is someane..>,,
<br /> other than the"owner",��I:eertifiy,that L_have obtairied a copy of the above`descri6ed tlocument,and;prom�se��n goo,d'�<faith#o ::..,
<br /> deliver.it to.the;',owner"::priar:to=camrnencement: � � '
<br /> - CONTRACT�R'S%01NNER'S AFFIDAV�T t J.certify that ali the information in this application is accurate and'that alf work
<br /> will be dane in comptiance wifh a(I appl'icabie laws regulating canstruction, zoning�and land-develapment. Apptication,is -
<br /> hereby made to obtain,_a:,:permit to .do,,work=and instalfation.as indicated. 1 certify that no work or in"staiiation�has •
<br /> commenced prior,#o issuance of a permit and�that all work wil! be performed to meet standards of a!1 laws regulating
<br /> ca�nstruation, County and City codes, zoning regulations, and land development'regulations��iri-:the jurisdiction. i-! also
<br /> certify that I understand that the regulations af other gavernment agencies may apply to the intended work, and that it is �
<br /> my responsibiiify to identify what actions t must take to be in compliance. Such agencies include but are not�limited�to:
<br /> - ,Department of EnvironmentaC Prafectian-Cypress Bayheads, VVetland Areas and Environmen#ally Sensitive
<br /> Lartds,Water/Wastewater Treatment. ; r
<br /> - Southwest Florida Water Management Dis#rict Wells, Cypress 8ayheads, Wetland Areas, P►itering �
<br /> Watercaurses.
<br /> - , Army Carps of Engineers-Seawalls, Doaks, Navigable 1Naterways. �
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<br /> - Department of Health & Rehabilitative Senrices/Environmental .Health Unit-Wells, Wastewater.Treatment,
<br /> Sepfiic Tanks. � �
<br /> - US Enviranmental Rrotection Agency-Asbestos abatement. _ ' _ `
<br /> Federal Aviation-Authority-Runways. , � '
<br /> I understand that�.the fo!lowing restrictions apply to the use of�ll:
<br /> - Use af fill is not allow�ed in Flood Zone"V"unless expressly permitted.
<br /> - tf the fil)=material is to be used in Flaod Zane "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" wiii be submitted at fime of permifting which is prepared by a professiona) en�gineer "
<br /> licensed°bythe Stafe:of Flarida. ;
<br /> - If the �II rriaterial is to be used in Flood Zane "A" in connection with a permitted building using ster;rm wali
<br /> canstruction, !certify that fill�will be used only to fil!_the area within the stem wall. ;
<br /> - If flIF rnaferial�is-�to -be used in any area, I certify that use of such�fill will nat adversely affect adjacent
<br /> properties. 1f use of fili is found to adverse(y affect adjacent properties, the owner may be cited for violating
<br /> #he conditions of the.building�pe�mif issued under the attached permit,application,.for lots less than ane (1) '
<br /> acre which are�elevated by fll, an engineered drainage plan is required. '
<br /> If I am the AGEN'P FOR TFIE t?WNER;=l.promise in good faith to in#orm #he owner of-the permitfing canditians set forth in
<br /> this affidavit prior�to commenciiig copstruction:";1 understand that a separate permit may be required for etectrical;work,. ,
<br /> ptumbing, signs, wells, pools,,,air.conditioning, gas, o� ot�e� installations nat specifically included in the application. A, , ,
<br /> permit issued�shall'�be construed�to�tie a license=to.proceed with the wark and not as authority.to violate, cancel, alter, or
<br /> ,set aside any provisions of tfie�fechnical codes, nar shall issuance af a permit prevent the Building Official from thereafter
<br /> reqttiring a correctian af errars.�in plans,,canstruction or vioiations af any codes. �Every permit issuec!shall become invalid
<br /> unless the work authorized by such permit is commenced vuithin six months of permit issuance, ar if work authoriied by - -
<br /> the permit is suspended.or.abandoned-for,a period.:of six(6)months after the#ime the work is`cammenced. An extension
<br /> may be requested, in`writing, from the Building FJfficial for a period not to exceed ninety(90)days and will demonstrate -
<br /> justifiabie cause fior fhe extension, If work,ceases for ninety(90)consecutive days, #he job is considered abandoned`.
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<br /> WARNlNG TO�QWNER:- YQUR.FAlLURE,T,O RECORD A.NOTtGE qF COMMENGEMENT MAY�RESUI:T tN YBUR
<br /> PAYING TWICE'FOR;IMPROVEMENI'S.xTQ Y0U_R:PROPER.TY. IF YOUxINTEND=TCI:OBT�1N FINANClNG, CONSULT ;
<br /> WITH�YOUR"LENDER 4R AN AT'fORNEY BEFORE RE�Ol�Dl�lG-Y�ddR�id)'���E O�=C�?i�ili�iEN�Eii9ENT: "���"�
<br /> --Ftt3RIDAJCJr"tAT"(F�S.117�03) ,,,,4 ` ` _
<br /> OWNER OR AGENT�:�`'�'� �^"— <`�`Sc`►�'s-�,�`.s�—, CANTFtACTOR �-'�'��1� 1---C��'��� �,
<br /> S scribed and sytem�t,o(ar affiirme ore me thts Su scribe and sw o(ar affirr�e4�befn{e me this - •
<br /> �2-� by�._`_..�..�rt, L._ �x--�.-, ��—�-�by�z..�t�,JY 1_.�-�„��o.-.
<br /> Who is/are er�,onall known t me or has/have roduced ' V�lo is/ e�agrs_onal,ly knov�m t e or has/have roduaed :
<br /> �L � �IFea�YL��m_,nS� as identifica�on. y"�L� �C tt+�'S'(.[`Co�-+�v-.- as identification. �
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<br /> .1 Notary Public Notary Pubtic
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<br /> Commis ion Na. Co iss' n No
<br /> ==°S�Y Pya`c",� Commission#FF 450�22 '_' ''°` Commi s' F 150422
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<br /> Name af Rlatary " ' 'i�e Name af Natary typed ' ;�t c m er ,
<br /> ':?�• o;','' �pndod T�r�Y oy a�n Ineurence BOOaB+`•7019 '•pPF;�q,�•
<br /> B ed ihru Troy foln Inoursiicu 840�385-TatB
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