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NOTICE OF OEM igESTRICTIO10s The undersigned understeeds that this pettnit may be wbNts to'dear reatrict'a W <br /> which may be more m ilde ve them County t egolations. The undersigned munies respWoUlly for wMpiiam with any <br /> ap0cmbte deed resirictlans. <br /> UNLICENSED COMACTON AND CONTRACi'f)R RESPONSiBH.iT ' if the owner eta ttirfd a emttraetor or <br /> contraatots to undettake work,they tray be tWired to be licensed in ij�ccordanca wilt state end total reguiatitons. If the <br /> r oetreclor is not rwinsed as required by law.Wh the owner and Wntrardor May be gifted for A tnisdamennor violation <br /> under stale law. if the owner or Intended rontrador are tlnCertsin as to what incensing requirements may apply for the <br /> bfttttled work,they ate advised to cordacl the pssao Colony Eulidtng fnspeatton Dh&hm—t tcensfng Soctiors at 727-847. <br /> 8M. t=u►ihermore,it the owner has hired a cOntractafr,at ronUSCIOrs,his is advised to have the owftalorts)sign <br /> portions of the"contractor Stock of this application tar which they whit be tespensWe. If you,as the owner sign as the <br /> contractor.that may to an tndlcetien that he is not properly luaensed and is not eiditd to pOrMM109 pdWeges in Past <br /> county. <br /> TRANSPORTAT11AI 1IMPACT111Ttf tTl S IMPACT AND Rest URCE ti WERY I : The smdersiped tmdersiands <br /> that Trawartallon impact Fens and Rewutse Recovery trees may apply to the Canstrurdiont of new buildings,change at <br /> use in eklating buildings,or etcparrsfon of existing buildings.as ti dlied in Pasco.County Or&s"ce number SM7 and <br /> 80.07,as atnanded. The undersigned also understands,that such fees,as may be due,will its Identified at the tirne of <br /> permiking. It is fudher underefoW that Trsnspottallon lmpct Fees end tiesaurce Rswvwy Fees tnuat be paid prior to <br /> malamutes a'Cac"cate of Ompanoy,or final(rower tetease. if the projerd does not Involve a certi mie of occupant y or <br /> final power release.+ue fees trr W be paid prior to permit issuance. Furthermore,it Pawn f minty WateriSewer twom <br /> fees are due,They must be paid prior to permit issuance in accordance with applicable Pasco t only ordinances. <br /> GONSTIt1tCT1t7tN t tlztd LAW(Chotor?13;Florida S%tutee,}as amended): If valuation of work is'S2,60o.00 or more,t <br /> cerW that 1. the appitaant, hava been provided with a copy of the'Florida Construction Lien Law—tiomeownePs <br /> Protection Guide prepared by the Florida opartfnent of Agriculture and Consumer Affairs. N the appkcwrmt is someone- <br /> DOW than the a meP'_i certify W I have obtak tW a Copy of the above described document end promise in good With to <br /> d6fiver U to tine•owner'prior to co cement <br /> t+t7D TMCTORW0WNER'N Af=b'iDAVIT: I cartityr that all the Ink m flon in this appkation Is atmurate and that all wank <br /> vA be done in compliance with all applicable laws regulating construction,zoning and tared devatoprnent. Application Ir, <br /> hereby Twde to obtain a permll to do work and insta)Wm as indicated. I certify that no work or tnstallatlan has <br /> commetnned prior 116 Issuance of a permit and that all work wAi be padormed to meet standards of all taws regulaft <br /> aonS!fUCIbn,Courny and City,codes.zoning regulations,and land development regulations in the.jurisdicti0rr. 1 also <br /> Certify That I understand that ifis regulations of other government agencies may apply to the intended work,and that h is <br /> my responsibyity to Identify what dciioltsm I must take to be in compliance. Such agandes hrclude but are not limited t0_ <br /> 0"artraent of eivirorm vial Protection-Cwpresa ftybeads,Welland Areas and E rivimnmenWly Sensitive <br /> Lands,watertwash waWTreatment. <br /> SouAtwest ftffla Water Menagemertt Dialrici Welts, Cypress Bayheada. i alland Areas. ARadng <br /> waterc,outses. <br /> Army Cops of Enginaers-Semiatls,Docks,Navfgabfe Waterwnya <br /> Depwilment of Health a tiehabtiftative Sewlced&vfmnmenlal Health Uni>+Wells, Wasteturttter Treatment. <br /> SepticTanks. <br /> US Ernrirortrne'W Prrrtection Aganay-Asbestos abatement. <br /> • Fedetal Mallon Authcrlty4WmNays. <br /> t understand that the 11640460 restriwona apply to the Use of Sit- <br /> Use of flit is not alto wed In Flood Zone'V'unless exptaw)y permitted. <br /> If the Qit material Is to be used in Flood Zone W, it Is understood DMI;a drainage pizn addressing o <br /> `corrmpttmsaUrtg volume°will be submitted at time Of penral tttS vAITch is prepared by a professlor,at engineer <br /> licensed by the State of Florida. <br /> - If ft fig material is to be used In Flood Zone A'in eorutedion W01 a permitted builft ufdng stem waft <br /> mnspui lon.i certify that fill will be used Only to fill fha Area within the scent wait <br /> if fill material is to be used in.any area I rxrtify that use Of such fill will not adversely affstt adjacent <br /> properfies. if aloe of fin Is found to adversely affect O*Wnf prapertles,the owner may be cited for vloluldrtg <br /> the conditions of the building permit Issued under the boached permit application.for lots less Than ace I,) <br /> at7s vvlurh we elevated by fiU,an angtttr+ered drainage plan it requhm:tt, <br /> E I am the AGENT FOR TH9 OWNM,I prondse In good faith to inform this owner of tine pemdning conditions w loin in <br /> Oft altldavit prior to commencing cm ruction. i understand that a separate permit may be teq fWd woric. <br /> pttutwd".sans.welts.pools.air aondit(ordng.gas,or other Inatallatrons not spW4Wy Included in the appticatitut, A <br /> WWI issued shalt be c;onslruad to be a town to priamed Qh the work and Rol as authmtty to vtutate.=me,after.or <br /> set aside aityz provisi0rte of the Wdu Xi codes,nor shall issdaf=of a permit prevent the Bttadirng Official from thereafter <br /> rut ILwM a ad-Won of errors ire ptarts,construction or violations of any wdeg. Every mot i8stuet3 Sheet CkCorne invalut <br /> unless sure wmxk authorized bye such penrill is comnowed wUhtn sac months of pemtit intents.or it work authorttbd by <br /> the Permit is suspended or abandoned for a period of Ox($)months attar are time-ow work is comm0nwtl. An exterdlon <br /> may be requebfed,in writing,tram the Suldlrtg oifrClei tOr a peti0d fwl to eX06d nirnity t901 nays and will demonsirdle <br /> jtttttrriabse muss for the axle nttsmt. it wotk come for ninety(90)conset tdlve days.the fob Is waidered-owdmttxl. <br /> WARNING 70 t3fAINER: YOUR FAiLI)RE TO AWORD A NOTICE OF COWASHCOMT MIAV RESULT IN YOUR <br /> PAYING TWICE FOR JapkOv"Eva To YOUR PROPL M. W YOU INTEND TO t T#m 1tiNflmKCMG,CCNMXT <br /> FLOOMMAMRT <br /> ZF a V7.031 : <br /> OWMERtan+RilJ „r,��' Ct7N1lbtSCmR <br /> ���„k! coats rho y�pRy . <br /> y pwsonwry vt+aunswp )�O�sotilgbw�rercomsores�sgilddwe� <br /> ,_ rewwsubon atsristias><pN <br /> ids Ikerw19rAft <br /> • terns �tslrrY4�N!d•W+�bKlar+�aYweJ t�Yn,W,i�tds ♦���'_"'^'-.......... <br /> ��yyrnm Notary Pubrmc Stala cf Flodda �, Notary Public State of F'lotds <br /> ie JESSICA ROMGUEZ % JESSICA RODRIGUEZ <br /> y, My tommisslon GG 116183 My Commission GO 116183 <br /> �t we Expires o6118r2021 p Expires 08H6/2021 <br /> d by CamScanner <br />