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The.0 dersl ned:4ntlergtands{tttrihlasp rrniE:may..'.besubjectstot"deed"rest[Ictlons? ;r,-,;,,.;,,_ _.;
<br /> be morn estrT ive th Fr Goun reg�ilat ons The:r ndersi°netl assumes:rest'onsibill for compliance with any
<br /> y' g P ty', _-
<br /> d'resMctlons:
<br /> ble dee _ _ _ _ g_" sus. hied' "`'contractor.or
<br /> CENSED°'CONTRACTORS=-AND CONTRACTOR':RESPOf4SIbILIT1 St' If;the.owner"h
<br /> i .If;the .= _
<br /> be;re ulred to ba l censed.:ln.,accordance;with•state;,and local regulations ,
<br /> ntractors`to undertake Work ithey:<!nay..,,;.,• :9;_ r.,,.., g:;..,. w �. w.-.
<br /> intractor as':not;:llcensed as re'gfilredatiy law;:both;tti®''owner and:�confractor:ma::ae cited fora:misdemeanor violatlon
<br /> a e owner or Intended>contract014 re:.uncertitInes,:to what-licensing,,requirements may.�'apply for ttit3<:
<br /> ider state law. If h : ,{..::. ;.
<br /> e wvork the 'areaiivised'to'contact,the;Pasco:�County;Build ing'InspectCon„Dlvlsion Lf_ rtsing;Section'at,727�847-
<br /> 09. Furtheniiore=if tFte='owne�has`'Filtb a`cotitrector yr contractors; he is advise to have:.the ,contractors): ,-
<br /> o e "contractor Block ofahis:._a Ilcation�for:which,they-.:wlll,;be:;�re9ponslbie.'..:.,if;you;_>as';the`owner sign as:the`''`'
<br /> �rtions f the-, .. : ` .,..- ',.„13Pµ-. .:.. . . ..... _,._... t-.-.
<br /> ntractora.that=n ajr be an Intlication that he is_not.properly licensatl"and=is'not entitled to pp "I privileg®s`in Pasco
<br /> aunty. ,. .. - T
<br /> IANSPORTATiON.IMPACTIUTIGItiES IMIIRAC'1'ANWRESDURCEAECOVERY FEES: `The°'undersigned'understands .
<br /> it Transportation Impact Fees:and.Recourse Recov..ery.Fees rnayLapply°.tcahe construction..ot-new..buildtngs;=change^of
<br /> e In existing bulldings;�,-oc;expariston of-+e>�IsN builtliiigs, as*specified.in Pasco County Ordinance number:89-07 and
<br /> ,07, as amended.,,.w.The,undersigned 61s6 understands, that'such fees;,as jmay ti®tiue;.will:be identified at thectime'of' ;
<br /> emitting. It is fiirther understood that Transportation.impact'Fees and:: sources';RecovelyTees:..mds be paid-prior to
<br /> Delving a:"certificate;of occupancy"=`or final power,.release :of the:projbct;;doesnot lnvoivea:.certiftcate of occupancy of = r-�` ='
<br /> al owes release,the fees;:musit:b®paid.prto f;to.;permit issuance. :1766iranore #--Pascio4ounty�Water/Sewer lnpact:, r
<br /> P
<br /> 3s are due,;they_must be,:pald prior to'permit Issuance=an,accordance rwithapplicatilenPasco•-County ordinances.
<br /> )NSTRUCTIONUEk Atir1(Cliaptar.713,Florida Statutes,as amended): if valuation of work is$2,500:0.0•
<br /> rtify that. 1, the._;applicant,_,=havw:been:,provlded;with:-a :copy`.of`the._,"Florida•-ConstiuJ con Uen: Law--Homeowner's
<br /> otection Guide" prepared by;the Florida Dep®rhriant;of Agriculture and Consumiar,Affairs - If the applicant is someone;
<br /> tier than the"owner", I certify;that;l:heve.,obtolnt3d=..a-,,Wpy;of..the above.'desc'Ibed, bcurt ent;and:prorxiisean;good;faith to:;
<br /> sliver It to:.the:Iownee'.A:prl ',"Id"t omfiencemerit __4 .:.:..
<br /> MRACTOR'S/OIAMER'S AFFIDAVIT: I:,cei*.,.;that,.all;hhe<Infor-maitI w in thWappilcatlon is accuraW."and that all work
<br /> II'be done In compliance with all.applicable'I,&s regulating construction, zoning and:!land development. Application is
<br /> ireby made to,obtain;a",permit>_to,do, wotk:and'litistellatlon as indicated::; (,;certify that no work or Installation"has
<br /> immenced prl or,to'Issuance of'a pertntt and thot:all'`work will be.performed to meet•.>standards,df.:all laws regulating-.
<br /> instruction, County and City codes, zoning regulations, and land development tegtalations in the.:jut isd(ctlon:>,I talso
<br /> rtify that 1 understand that the regulations of other government agencies may apply-to^the.intended:work, and that it is
<br /> y responsibility to Identify•what,actions'I must oke;to bedn,.compllance:,.S.uch-agencies Incitide but-are:not Ilmitedao:',
<br /> Department of Environmental Protectlbn= `press:Bayl Bads A 611asnd RAreas.and Environmentally Sensitive
<br /> Lands,WaterMastewater Treatment. °
<br /> Southwest Florida Water Management :17tsfrict Wells, Cypress.F.Bayhoods; Wetland.-Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls Docks, Navigable Waterways.
<br /> Department.of;.Health;:.&„Rea#abilitattve ervtces/EmdronmenCal':_Hs»Ith,Unit:Wells,:WastewaterTreatnent,
<br /> Septic Tanks y
<br /> US Environmental Protection Agency-Asbestos abatement-.,:,., -
<br /> Federal AvlatiomAuthority=Runways:
<br /> inderstand that the following;restrictions't pply td1hevse of fill:-
<br /> Use of fill is not allowed in.Flood„Zone"V"unless expressly.permitted.
<br /> If the till material:is="fo:;:be:.usdd'an:-Flood-.Zone. °A", iE 19 tanderstooti that a drainage`plan addressing a
<br /> "compensating volume":will.be submitted at time-of permitting which is prepared by a professional engineer!-'
<br /> licensed by,the State---of�Flotida� : .
<br /> If the.fill.material Is-to::ti®:used In Flood Zone "A" ins connectionwith'W permitted building using stem-wall
<br /> construction,.1.ortify;thst--h mlllAhwused only.to.fill the-.area viithinlhe stem::wall.
<br /> 1f'fill'-frlaterial iis"4o'*'W-used-1m:any-area;i%dertify that -use. of.su6F"fill"will'.not adversely affect ad)acent
<br /> properties. If,use.,of fill is.found to adversely,affect"ad)a`eent;*.:properties,.the owner may be cited for.violating• .
<br /> the condlllons:of the�biildingslpermtt issued;under tha atlached..p®rmif=applicatlon;for aots...less-than.-one (1)
<br /> acre Which 6re`e6"ted`by fill;art engineered drainage plan is required:.
<br /> am the AGENT,FOR.THE�OWNER I p-'—"i a;ln good,faith toinform the owner:ofahe permitting:conditlons-.set forth In
<br /> s affidavit prior to commencing�constructi6n: " 'un'tidt tend-that a soparate permit may be required for electrical work,,
<br /> imbing, signs, wells,;,pooisi alr..cond'lUoning,:gas;or,other lhii: i 'bons not.specifically Included-In.the application, .A
<br /> rmit Issued shall be con stiuedto'tie�.a'license,-to;,proceed with tM§*0tti and riqtowauthorlty to e+lolate;:cancel;alter, or
<br /> t aside any provisionsTof�the`t®chnicaI=des;-nor shall issuance,of-a.permif:preveri the Bulldtfig Official from thereafter.
<br /> qulring a correction_af errdrsan::plans;_`cgnstructlon.orviolations of"any'codes.::Every, pormiLlssued;sheR,become invalid
<br /> iless the vW rk authorized by-such"permit•is-commenced tnlithin alX_months:of permit Issuance, or if work authorized by
<br /> 3 permit Isµ suspended-.or,abandoned�for:a,:period of.sbe:(6);months,,.iii t4he timethe`work-is commenced. An extension
<br /> 3y be requested, in writing;,;from'tlie''Bullding;Of blal'fora pearlodunotao'':exceed`ninety{90)-days-shid will-demonstrate
<br /> Mable cause for�the extension--If work;ceases;for ninety(90)consecutiye:days,..the job is'considered abandoned.
<br /> ARNING TO'OWNER 'YOUR,FAILURE,T0,`RECORD" .,,.NOTICE;:®F COMIIAENEEMENT4MAY=RESULTilN,YOUR.,.
<br /> TYING TWICE:FOR IMPROVEMEfkTE�T�)YOU1�:PIi<OPERTY. IF YOU{INTEIi1D"Tfl O@T�AIN FIidAWE-ING CONSULT
<br /> IT OU - O ` TTO N R ®. ,® G., ,O. , C - - —
<br /> 3RIDA JURA1••(F.S::t1.7.03} /
<br /> iINER OR AGENT,
<br /> CbNTRACTO v` • ✓ -��
<br /> )scribed and sworn to(or afiirmed)'before me this Subm Abed'and'aworn-to(orafilnnadybdforwine:thlb
<br /> by
<br /> e isfam personally icnowo to-me or'haslhave produced. Who:ls/am personally_known:to,m®.orhasthave-produced: -
<br /> asadentlflcatfon: as,Idendfitimon.
<br /> Notary Public Notary Public
<br /> nmisslon No" Commiselon•No,
<br /> ne of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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