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Jan. 12020 9:03AM No. 0648 P. 2 <br /> No7iCE OF bEEO RESTRICTIONS: The undersigned understands that[hie Permit may be subject to'dead,rasitictions' <br /> which may he more res4tetive than County regulations, The undersigned assumes responsibiily for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIDII-(TIES: if the owner has hired a contractor or <br /> Contractors to undertake work,they may be required to be licensed In accordance with slats and local regulations. if to <br /> contractor•Is not licensed as required by law,both ttis owner and contractor may be cited for a misdemeanor violation <br /> trader slate low. N the owner or intended contractor are uncertain as to what licensing requirements may apply for fie <br /> Intended work,Ihey are advised to contact the Pasco County Ouldirrg Inspection Division—Ucensing Section at 727.947- <br /> 8009. Furthermore, If the owner has hired a co*mlor or contreotors, he Is advised to have the contrertor(s) sign <br /> poftiona of the'contractor Bloole of Ihfe epplicallon for which they will be responsible. if you,as the owner sign as the <br /> contraotor,that may be an Indiction that he is not property licensed and to not enNed to permltt(na priWeges in Pasco <br /> County. . <br /> TRANSPORTATION IMPACTNTILM&S IMPACT AND i{ESOURCE RECOVERY FEES: The undersigned underetands <br /> that Transportation impact Fees and Recourse Recovery Feee may apply to the c:onslroctloti of new buildings,oltange of <br /> use In existing buildings,or expansion of exioling buildings,as specit'ied Ih Pasco County Ordinance number BH7 and <br /> 90-07.as amenoeo. 1 no unaersrgneu imu uimvi-41A;0,UIp;PYW/66—.w I,hq wv -Z u-c:? <br /> •i/'.w w e�-+�i�i:�••rw..�....w..w.wMr wr t,,,o,Mwur,rMMrw n nw,n,nt�.a uYvo,w,�,Av�ro 0 w.1uN•�•'ir.w.. ..w......a .• <br /> older inan trio r7wNm ,1 vusmy usm 1,1av0 vu,enwv.,.r t"..,.........v._...- .._.--._-. ' <br /> deliver it[o the`owns'`prior fo eomrnencement <br /> CONTRAGTOR'S/OWNER's AFFIDAVIT: I cry that all the information in this eppilcallon Is accxrrola and that all work <br /> will be done In compliance with oil appllcble taws regulating tmnetruollon,zoning and lend development. Appilr:aft Is <br /> hereby made to obtain it permit to do work and Installation as Indicted. I us*that no work or Installation has <br /> corrinwrCed prior to Issuance of a permit and that all worst will be performed to meet standards of ail laws segulaft <br /> construction,Courtly and City codes,zoning regulations, and land development regulollona in the jurisdfollon. I also <br /> rarltfy that I Onderstand that the regulations of oilier govemmerit agencies may apply to the intended work,and That It Is <br /> my responsibility to Identify what soUoris f musl fake to be in compliance. Such agencies include but are hot limited to: <br /> Depadmitt of Envim mental Prvlactlow0ypress Bayheads.Welland Areas and Envirohmehlany Sensitive <br /> Lands,WsledWastewaterTrealmenL <br /> Southwest Florida Water Management Dts ol-Wells, Cypress 9eyheads, Welland Areas, Allartng <br /> Wateroourses. <br /> Army Corps of Engineers-Seawalls,Doers,Navigable Waterways. <br /> Deparlmen[ of Health 81 RehabiiffaQve Sdrvtoae/Environmental Health tJNt Wells, Waslewater Treatment, <br /> Septic T'Oft. <br /> l)S Environmental Protection AganoyAsbaslos sbaWWpL <br /> Federal Aviation Autharlly-Runwayo. <br /> i understand that the(olloWng metrictlons applyto(hie ties of NL <br /> Use of fin is not allowed In Flood Zotte IV unless axprmly permitted. <br /> If the fill material is to be used In Flood Zone "A', it In understood the! a drainage plan addressing a <br /> 'compensating volume'will be submitted at time of pwml ft whkdt is Prepared by a professlonal engineer <br /> licensed by the Stale of Florida, <br /> if ihd fill rnetertal is(o be used in Flood Zono IR in connection with a phrrnitled bullding using stem wall <br /> construction,I etotf ry that iIIl will be used op(y to fill the area within the slem wall. <br /> If fill materiel is to be used In airy anew, 1 certtfy fiat use of such fill vidll trot Adversely affect adjacent <br /> properties. if use of fiU is found to adversely allied 8(tWnt propedles,the ousel may ba idled for violating <br /> the conditions or the buiidinp permit Issued under the attaclied parmft application,for iota[ass than one(1) <br /> am which are elevated by fill,en engineered drainage plan is requlmd. <br /> if i am the AGENT FOR THE OWNER,i promiee In good faith to inform the owner of the psrmil(ing conditions set forth In <br /> this affidavit prior to commencing cartsbuaUonn. I understand That a separate penult maybe required for eledical work, <br /> plumbing,signs,wells,pools,air conditioning,gas,or other Instafiallons not specifically included in the application. A <br /> pormll issued shall be colhetrued to be a itc enso to proceed with the work and not as 00crity,to,violate,cancel,alter,or <br /> set aside any provisions of the technical Codes,nor shall issuance of a permit prevent the BWdhfg Official from thereafter <br /> requiring a correction of dnm in plaice,conelluetton orvieiations of any codes. ivory permit issued shalt become Invalid <br /> unless the work authorized by such permit is cammenoed within sbc months of permit issuance,or If work auttrofted by <br /> the permit Is syspended or abandoned for a period of sic(a)months after the lime the work Is cwrnmoaced. An extension <br /> Wray be requested,in wrlUng,froin the Buildfng_oftiotal for a pddod not to exceed ninety(0)days and will demonstrate <br /> justifiable cause for the WdensloM Irwoik ceases for ninety(90)ecnseeuthre days,the <br /> Qob is considered atiandorted. <br /> WARNING To OWNER,. YOUR FAILURE TO RECORD A NOMCE OF COMMSNCF.NIENt'MAY RESULT iN YOUR <br /> PAYiNti't'WICE POR IMPROVWENT8 TO YOUR PROPERTY. iF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> OUR O N IY O E G N <br /> fIOHIDA rt1RAT(Fs.i17.Q3) ,r� _ <br /> OwNu AbAgm "7, _ COHtrZAGTOR—�' �*•.-' ..------ <br /> g and mmi effi�mIM� o emsub Silt+bedarldeurorata�rel6rm¢d}�elviat�atl_da <br /> •• Y �F""� �G'11F�?FF <br /> VYfFa�pu6ei�si{YKnoaailiomeorherlhavep Wholelele>>�rmGYlalownromCerr�ae�eer�aGar�. <br /> ae tderiIItkason. r.---� <br /> it <br /> /r <br /> o�yPuDQc G�'`'�" obryf�ubGo <br /> potnmr5srwiNa Cr/ tlamq�erohNo. <br /> Name of Ndery typed,piinteu or ao tary rYPed+rtF� �Ccrnmis9lon#GG24562t <br /> 4 OIu u rr 9b562i � � <br /> txptruAuguA10,kug <br /> 2C2". <br /> ',�,� �o¢� a„�aear�rw�u0en�"'�e "'sOF�°4'� 9ondedThro9nd9arPnotahYBark.sh, . <br /> of <br />