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<br /> NOTICE
<br /> de m ie reWicu e�then County rqu sttans fie undersigned assumes respyonsibidty for compliance oannyy'
<br /> ' appocabie deed rilctlons.
<br /> UNLICENSED ONTRACTORS AND CONTRACTOR RESPONt INUTiES: if this owner has hired a contractor or
<br /> contractors to Un,edake worts,they may be required to be licensed in accordance with State and local rt"Irons. If th9
<br /> contmew is not[ocensed as required by taro,boat the owner and corMfor may be cited for a mladerrraw vloWan
<br /> Mulder state law. I1 the tlwilel OT irntbtaou uyt�uaoivi 41�ul�""'rt;,n`r n,ewt ti! tt:±ir�r enutrerttettts may apply for the
<br /> Intended work, ey are advised to contact the Pasco county Building Inspection Dlvleton—LicaTiolho Section et'7S7.847-
<br /> 8008. Furthe bra, if the owner has hired a contractor or contractors,he is advised to have the amtrector(s)etgn
<br /> Par0Onst of the°.ontractcr aloaV of this application for whloh they will be responeihte. if you,as the owner$tpn 69 the
<br /> GbaGw f,that y he an Indicatlon that he 15 not propady licensed and is not anfdtied to permlttin$pttvilcgea in Pasco
<br /> •. r w—a jj-R,.n.�,.,enc luer+10MY FEESt• The undarstand9
<br /> TRANBAORTA ON ISIPACIIUTILt7iF.13nm6'A4txayst MOURM" srnro■"..m. __-_-„--___.-.
<br /> ##tot iraltcptafteEl omn impact Fag anal RelOuiae Recovely mess may affy to the osim uctlen of new IAIildit�;s,chapp 01
<br /> tuuw In arxiauna tilydings,or errpartsion of alotirrg bulding t,era specifle to Pasco County CRUM ce nuft"89-07 and
<br /> , .a.,.. ,t•e..• ram•^. !*ran I mderatends.that such files,ate may ire due.will be tdensw at the time of
<br /> permitting. it Ia,further understood that TranopodeVdrt Impact Feces end Rre6UM Recovery Feat must be paid prior no
<br /> mosttrfng a•cs Ificate of occupenr`�r°or final power rataatts. If the Project dcea not involve a cariificat�t of occupancy or
<br /> final power rsl sa,the fees must be paid prior to permit lesusnee. Pwt#tenT=,ii Fasce County WaWMewer impact
<br /> . .,.�_.,,.,.... w+...w a.ill.awwllwoM,la(?Arno�tn1r11Y l7Rrre18nC211.
<br /> f809 an3 cue, must D®patui klivi au
<br /> CCNBT{itlC7INN LiBN LAW(Ctt;lgtar T43,!toride ffitatutes,>ts amended} If valuation of work is S2.600.4Q or more,t
<br /> a>o" that 1. ttie applicant, nave been provided with a copy or the -Florida constructlon Uan Law—t"t0meewriars
<br /> Pn�ctlan Guidi?I"aracared by the Florida Department of Agriculture and ConeUrner Affairs. If the applicant Is someone
<br /> other than the Aer`111 car*that I have obtained a copy of tha above McribeQ document and promise in good isim to
<br /> dtd#ver It to the owner"prior to commencement.
<br /> CONTRACTO 'BIOWNER'S AFFIDAVIT: I oertl$r that all the Information In this appiloatlon Is accurate and that all worts
<br /> YYIU f719 170nC A,�SOl11 iICU w tiv1111-1 all® i Math-i--i -wviwui:wai.i. " a 1. .1 1w...lwww.ww► Awwltweitww 6
<br /> hWeby made a obtain a permit to do work and Uutedatian as indicated. 1 cerffljt that no wont or Inlstalfsticn has
<br /> commenced p or to issuance of a permit and that all work will be pefformed to meet standards of d taws regulating
<br /> c(ITIMctlan.C' tv and GIty codes, zoning regulations, and land development regulation in the jurisdiction. i also
<br /> oerttly Chet I ersfand that the regulations of other government agencies may apply to that Intended'vM,and OW If Is
<br /> My responsibly�to Idenfify what actions I must take to be In compil ut Iance. Such agencies include but are n MIW to:
<br /> - D iadmemt of Environmental Proteetion•Cypreas taayheads.Wetland Areas and Environmerdafiy t3ert %-M
<br /> d3 VtratertimasiswaterTmaftnt
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<br /> Wlu, luuuct `VVMW aoullaSM116 t w1valutwrolar, wpfflu 01jyn E W' Vttt3UMM Af6ib, Affifti g
<br /> DCorps of Engineere4sawalb,Dacke,mevilIablo UVtatsnrYaye.
<br /> ent of Health A RehabrClrairva 9etvrgaaiErsurrnnrrtarm man h tin»wattfl wantaum"",•r"aew.a..►
<br /> U Environmental Protection Agency-Asbestos abatement.
<br /> Felaraf Aviation AuthorityRuir ways.
<br /> tgriM'U I u L�-idiloiV iq tali icuuoi-r6 apok tt,mo Ube tied
<br /> Us of fill is not allowed In Flood Zone W unless expressly permitted.
<br /> If 8 fill material ie to be used in Flood Zone"A", It is understood that a drainage plan addressing a
<br /> " mpensatiM volume"will be aUbfiiftald.att ilea M...aArxniNlna.wt?tr+i+ra wrmnau�oA,tt...®�.�,r. , ,
<br /> 102894 by the State of Florida.
<br /> - if 9 till material la to be used In Flood Zone"A"in contraction with 8 permit ed building usilig atom wail co�•structlon,1 ceriitSr that fill wlli be used only to fill the area within the stein wall.
<br /> If iM matarlal I8 GD be used In any area, I cerury that use of such fl0 will not advaroely attisot tadjacant
<br /> p�pertias. If use of fill is found to adversely afibat adJatxtrtt propartiea,the Omar may to CM for Viotatutg
<br /> fh ;conditions of the buildin Derinit Issued under the coached permit application,for lots less then one(1)
<br /> a whtoh arc elevated by 1,an engilisered dralnega plan la required.
<br /> If i am the AQr�POR THE OVWNco'R.i promise in good fftnd to Irtfcnlr th0 owner of the pamtflting conditions set forth in
<br /> this aflldavlf p Or to t+ammemc(n$conttruGtian. t undeng#end ihltt a separltte pemtit may be required for etera oat vm
<br /> Piurrtbing,slgn watts,pools,air oonditloning,Sec,or other Instillations not spacilical y Included in the �
<br /> permit ioaued all be construed to b8 a licence to arocaed vhth eta wrnru m9d.n�.!lA,3�►1}�i/.A►v.1�Aw,.la.-epplicati�-�A
<br /> = ►9�} rc_t7rvratesitnicai txsoi ,nor"hall rmuince ore permit ptevartt tits�� t 'Tn#tttsm t
<br /> roQtdtlttg a ccUon cf errors to!ti#ana,constnaaron car ulotaliona of a codas. �v
<br /> unless the wo ssued shall become kmaw
<br /> i authodaed by such permit is Commenced within eIx m�onlha of pen It permit
<br /> itxt or if wrcitt such
<br /> the permit Is a epended or abandoned for s period of ON(a)months fifer the time fire work to comtf If WGd.authorized
<br /> orizedt r
<br /> mury be roq ed,to tNrltLtq,from the 6ulld n8 Oificlei for a period not to errrtred ninety(g�days and will demonatrata
<br /> Justifiable taus for the extension, if worts ceasim for ninety(so)ccn3ectttive days,me job!s considered ebendoneli.
<br /> WARNING TO;OWNER: YOUR FAILURE TO RECORD A N
<br /> PAYING OTICE OF COMMENCEMENTOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> ENTA'i0 VOURPROPERTY. IF Y01i_INTEND TO OBTAIN FINANClme..CDatsuLf
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<br /> OWNER OR A��yyt i
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<br /> a nIlyknown firbeamevepmdt�cs whotel anylm to fist,pradlrud asidenuRsaUan. ae�enBittatt�,.
<br /> •vp � PMn 675 to _.4++L�,�w•A rS r Ptiyila
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<br /> 1 '• 33 FSaridallo:ary '" fiti N AC
<br /> ac,lseso A ®A KERSON
<br /> MY COMMISSION#FF963675
<br /> EXPIRes,dC7,398-0:53 February 23.2020
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