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N0Tfr3E OF DCt D REI'11 R1CTtON$: the undersigned urtderetarlda that thlt<permit may be aubjaot to°dead*restr&dtons°
<br /> which may be m fern
<br /> then County regulations. The undersigned 85SUmes responsibility for carnpila11 vsftts any
<br /> applicable dead trictions.
<br /> UNLICENSED ONTRACTORS AND CONTRACTOR RESPONSHOUTiES: If the owner has hired a contractor or
<br /> contractors to u aertmlua wactt,they may bs required to bee licensed in accordance with state and local RWations. if the
<br /> contractor is not;Itce;If
<br /> d as required by taw,both to
<br /> owner and c on"ciar stay be oiled tar a tnlatdeorlt rtor v2atation
<br /> tlftdtyl State ISt'Z' n
<br /> owner or intrrllidad GriiiuoltOr era un�rtein as to whet 1lnsing requlrememfa may apply for the
<br /> intended WGIRadvised tQ contact the Pasco County aullding tnspaction gtvtslon--1 icensing 8ecban et 72T-84�
<br /> agog. Furthethe s�d W has hind a contractor or contraatora,he fs advitlsd to have the amctor(s)sign
<br /> pCAloris of theractoronFowhicht oywiltbeto. Iflion,ae the atamer elan sus titlet ckir.tltbie 8A ifidi ticn that fie 18 not properly licensed end to not enBUed to Fs3rmlWn$pttviit�ea In Pasco
<br /> county. ;
<br /> ' MillipORTApaN ll PAC'T nL1lM iMPACTAN b R2aOURCE R .. FEES; 'tire tmderawad Wmdatatsnds
<br /> that TIrllt aftIpA if ipoct FM anti Ret�ltilr�ReCOMY Fins mltymity a ply to Its drat egen of now buff E*,o tettge at
<br /> use in wasting Widinge,or estpenalon of exiatirsg butidings,Go o d In PAttco county CrAnanc�e numbar a0-iilr and
<br /> s�OTO vo Mrn� �+. The unddeneloned also umdamtends,that such fees,Ae may be due.will be identffled at the am of
<br /> permitting. It to further understood that Tranoportatforr Impact Fees and Resource tteeotrery Fen mutt be parts error to
<br /> revolving a moo Ifidsts3 of occup ncy°or gnat power Totem If the project does not Involve a ilertl catei of occupancy or
<br /> final power rot e,the fsl<es must be paid prior to permit issuance. Furtllermow,I Paste County WIWrarta3ow Impact
<br /> Wa are due, must ce paid pins to ya,,,It tesuar,:.r,ir,a.roiCw�~::'tth All "'Pr+ers Cvun�►orrattrrarsrea.
<br /> CONSTRtAUMM N LIEN LAW(CImpter TIS,ltortda Ststutaa,as amended): If valuation of work is$2,500.00 or more.t
<br /> eerslry that r, trio applicam nave been provided with a copy of the 'Fictide ContstrucHOn uan Law—ftomaawwr a
<br /> Protection Gul&'prepared by the Florida Department of Agdoulture and Consumer Affairs. if the applicant is someone
<br /> other than that
<br /> lumer',l ce tlfy that I Have ObMined a copy of the above cNa toed document and promise In good Term to
<br /> deliver It to the owner prior to commenc oment,
<br /> CONTRACT01 WOWNER'8 AFFIDAVIT: i cartlfy that all the information In this application to accurate and that all wank
<br /> wfa be done hi'mi—quilance wish all applicable laws;eguisting construction,scrim;and land development. AppltceNon to
<br /> hereby made I�obtain a permit to do wark and Installation as#ttdh OWd. I cat that no worts or Installation has
<br /> commenced prior to issuance of a permit and that all work wilt be performed to meet standards of aft laws regulating
<br /> canstruetton.G unty and City codes,zoning regulations, and land development legwatfons In the Jurisdiction. I else
<br /> osrtly that I u leretand that the regulations of other government agencies may apply to the Intemied work,and that it to
<br /> MY responalb , to Identify what actions.I must take to be in compliance, Such agencleis include but are nat limited to:
<br /> 0 iatintent of Environments!Protection-Cypress Sayheads,Wetland Areas and Icnvironmerdetiy Genehtve
<br /> do.W3tw maalawatsrTmatmsnL
<br /> $G ufTuaoo"t Plcafda WiW d-l" `--tars ism,F,cit uin l+ut-miss, OrPiMs E;�t�E U ivies,
<br /> W iercoutaes.
<br /> Corps of Engineocs-Seawlss,onto.mIlvIgable Wgla wayyra..
<br /> I
<br /> tmsnt of Health & RehabiAtetiva i enrtcestsnutrtrnnrcantaai Heaith tdnlI We?I9, V!►a_ for
<br /> c Tanks.,
<br /> - nvironmental Protection Agency-Asbestos abatement.
<br /> raf AWEIIIIon Authority-Runways,16'rtQOmtand ,ti f'Clia3tivlt',�tot tractions appiy b trio use 01 iti1,
<br /> Us of fill Is not allowed In Flood zone' r unlesai elipresaly,permitted.
<br /> 11 le fill malarial Is to be used In Flood Zone W, It to understood that a drainage plan addrMirig a
<br /> "cc�tnp®n&ating volume"will be Submitted at time of pormiNing which is prepared by a proft.tort.y ertai"_,
<br /> 11 88a by Ile state of Florida,
<br /> if ile fill material 1a to be Used In Flood ZOrls W in connection with a pr�rplltEald building using stem wait
<br /> co etructicn,I certify that fill vA be used only to III the area within the stem wall,
<br /> I? III materlal Is to be used in any area, f cerUy that use of atich 13U will not edvaraa3ly et[isot�jap�t
<br /> t3 parties. If use a Ott fa found to adversely affect acgacertt properties.,the owner�be am for vroraUrlg
<br /> a : which
<br /> of va buildfn penult Issued under the abohed permit application,for Iota teas then one(1)
<br /> a which are elevated byy tip,an 2MIneared drainage plan is required.
<br /> if I am the A3 3�T FOR TMf i OWNEH.I promisS in goats faint to fnf min ft after of the pefforg conditions set faith bt
<br /> this etlidavit p or to commanotng construction. I undatst rid that a tleparata permit may but required far eUecaioal wra h
<br /> pe mi t G sign' walls,pools,air conditioning,gas,or other installations not specifically Included In the
<br /> permit issued all be construed to boa ficenjo tit aroceed urfllt the wrack and r+at ras aulhortW�y b application, A
<br /> '"ga MV lone oi=tr'tet Onlcat t'attes,nor shall leMince ore polmitrlsei fytthe BuUdfin -m
<br /> requbg It cc acllon of arras In plans,canstnic.11on Orvlolations ofIssuedll'�rll oco InvWW
<br /> unless the wo authorized by such permit Is commenced within Slim s of£�tery Permit ,Or If We*obeli 6aconstx lr d by
<br /> the petmlt lee spended ar abarsdoned for a perlod of aix o monrfra after the time ties work is cormmenicd extension
<br /> mayr bb ro e ,In wddng,from the auUd ng olttcfai fora period net to exceed ninety(SO)days end Wait demonstrate
<br /> juettfiale caul:for the extension, if work ceases for ninety(90)ecnsecut►ve days,the job Is considered
<br /> Milandanlel
<br /> WARNING TO'OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN lfOtlft
<br /> PA1rINft1 TWIG FOR IMPROVENIENTO TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN NMANCINtG.CONsut.T
<br /> e , G ��-
<br /> �.a
<br /> O ORA a ,
<br /> an I r eoNraaeTe
<br /> UP tt rid and=
<br /> whra r+ nJfyfmoWn m96td8n cA onmd;i; UUlsawa RQ Imam arnaelhsveprcduad
<br /> 6s ldanU�mifsrn.
<br /> "� Clary PCbIiC t�rYFtittlic
<br /> C4rM!>99rOfl P1Qti { ' co ^ On N t02A
<br /> htY GOM y3 2020 ON#
<br /> E Fe 23, :*' {yy Cc
<br /> <• bruary 2020
<br /> EXPIR No'o'YSo�mcc.con' ,' ExpiRES February 23.
<br /> riot ;ur1M1.• y9erv,co.con
<br /> 14CT)3'18 Ot53 Ftoridallo a
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