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Apr. 30. 2020 8:59AM No. 0784 P. 2 <br /> No'ke OF DF WO RIWBT@.MMOM 'The undersigned understands that this permit may be$ubjsotto'deed'restilottans" <br /> which may be more resirIfte than County nagutallons. The unda*ned assumes responsibility for Compliance with any <br /> appecoble dead restrictions. <br /> uNLIMSFir CONVACnIM AN13 CGNTUCTOR RESPcTMOIRIT'1E83 if the owner has hired a contractor at <br /> cordrookn to Undertake wank,they may be required to be Heonsed In accordanca VAh state and local regutatlons. If the <br /> contractor is not licensed in TegMd by law,both the owner and contractor may be cited for a misdemeanor violation <br /> under state lean: if the owner or Intended contractor are uncertain as to.wlrat licensing reWraments may apply far time <br /> intended wont,they are advised to content the Pasco County Buliding Impeollon Divlaloti--lcensing Seaton at 727-947- <br /> song. FWhennore,if the owner has fired a contractor or aonlrsckm he Is advised to have the contraotor(s)sign <br /> portions of the`oontractar Blo*of this appplication for which they will be respomaible. If you,as the owner sign ut the <br /> cotutracim that may be an indication that he Is not propoo licenrad and Is not entitled to permitting privlegas In Pasco <br /> County.. ' <br /> TRAt4SP RTATION IMPAi:'PMtt.t'fite#MPRC7AND Ft SOURCE tt,):COVERY FM.- N undemlgned understands <br /> that Taansprarfation Impact Fees and Recourse Recovery Fees may apply to the eonstructlon of now bulift Ms,change of <br /> use In extsttng buRdirgs,or expansion of exisling butidrr o,as spectiled In Pasco Courtly OMlnanos number 69V and <br /> 0"?,as amended. The undersigned also understands,that such feas,!as may be due,will be Identified at the time of <br /> permitting. It Is further understood that Traymporialian Impact Fees and Resourm Recovery Feet;must bs'pald prior to <br /> receiving a"catt'dfoate of occupancy°crfinal power release. If the project dons not involve a certificate of aoctancy or <br /> final power relsaaa,the foes must be paid prior to permit Issuance: Ftrr(heww%if Pasco Counfyr Water/Sevver Impact <br /> Ws ere due,they mint be paid prior to permit Issuance,In acoordame with appfimbie Pasco County ordimnaes. <br /> CONSTRUC'IFON LIEN LAW(Chapter M,Florida Statutes,w amendedjc Nvefuallon ofwork is Asoo oo or more,I <br /> cexitty that 1,tha applicant have bem provided with a copy of the"Modda Coriftction Uen Lwi-Homsavwcees <br /> Protection Guide°prepared by the Florida department of Agriculture and Consumer Affatra, it the appifeant is someone <br /> other the»the"owner".I c er*first i have obtained a copy of the alcove descrtbed docusriernt Wit promise in good faith to <br /> deliver Rio the"owner"pdorto commencement. <br /> CONTRA::OR'Sli}{rENW8 AFAbAVIT. t cuffy that all the ittfcomation in this application Is accurate and that oil warlc , <br /> will be done in compliance vAth all appltcablo We regulating construction,zoning and land development, Ap :!cation is <br /> hereby made to obtain a permit to do work and Installation as Indicated. I certify that no we*or Installation has <br /> commenced prior to Issuance of a permit and that all work wilt be performed to meet elarcards of all laws Mutating <br /> construction,County and C.'tfy codes,zoning regulations,and land development toguIallons In the jurisdialtan. I eno <br /> corf)ty that t rinder8tand that the regUisitone of other govelrutuenf agencies may apply th the Intended:work,and that It is <br /> my tespansfbtllly Ea ldenCmfs+what rrcttons f must Take iQ ba to corrafallanae. Sunk agendas lrxluda butane not ltrrilted to: <br /> i3aparbment of tltivtrortmortlal Ptaiectlaar Cypress Hayheads,(Netiand Areas and EnvironrenlallynsiQva <br /> lands,Wet$allfYae!#ewatra•'ll�reatmsnb ' <br /> .. Sauihwe# Florida Waist A+Iam�ement bls(rtct-:Atria. Cypress Hayltsads, Weiland Areas, Altering <br /> Watercourses. <br /> Army Corps of&gineere-Seawalls,Docks,WvWOla Watenvoo. <br /> - ' FSWrtrnant of Health& Rohabigtative SdrvicesMivlronmer fat Health UnMVetls, Wasimler Treatment, <br /> Septa Tanks. <br /> Us Ernlrammontal Protection Agm Aebestos abatament <br /> Fedora(Melon Aulhcrllyftirw m <br /> f understand that the tollowlt>g restilct►ons applyto fhb us a of OU." <br /> Use of fil to not allowed in Flood Zone V Wess expressly permitted, <br /> If the fill malarial To to be used In Flood Zone"A; 9 is understood that a drainage plan addeessIng a <br /> "mmpansating volume*vAll be submitted at fitae of ponnifting which is prepared by a prafesalonal engineer <br /> licensed by the State of Ftodda. <br /> If Ot fill material is to be used in Flood Zone"A"in connochon Wft h a permitted banding using alem wall <br /> corxst ucdw,i csrttry'thottill vA housed Only tog the area within the stem wall. <br /> If fl[materiol is to be used in any are% t cerft that use of such fill x'fll not adversely effect adjacent <br /> properties. it use or fit Is found to adversely sited a$werd properiles,the owner'may be dUd for violating <br /> the condiftons of the buitditrg penult issued under the allached pa mot of application,for fats leas than one(1) <br /> aorewhich are elevated byfil,hn engineared drainage plan Is requw, <br /> if t am the AGM FOR YM KFWWA;,I pstxrr W In good follh to inform the owner of fire permuting conditions set hxrM in <br /> this afffdavrl'prior to commencing construction. I trt>deratand that o separate permit maybe required far electrical wait <br /> pfurbfng,sfgirs,watts,pools,air condifkanlrig,gas,or other lndaliations not spadffaatfy Inrludad to fire application. A <br /> permit issued she be construed to be a Ocame,to proceed with the work and not as ou$oruy tct violate,canoes,ausr,or <br /> set aside any provisions of time technlcal tortes,nor shall lssumos of a pormIt prevent the Sulididg Official flothm11maftor <br /> requiting a connotion of drMrs in plane,oonsbuctlan ar vloiallano of any sodas. Every permit issued shall becoms trtvslm <br /> unless lira work authorized by such parroll to commenced Whirl slat months of permit Issuance-ar if worfc authorized by <br /> fire psrmu is suspended or abandoned for a period of sot(0)monffss after,the time the work is cornmenaad. An extension <br /> may be requested,In willing,froth fire sutldbmg,Offtcdal for a pWod riot to exceed only(trio)days and wfff damonstrao <br /> justiflatxle CaUa9 for ilia erRetualon, if vrotk cessas for ninety(do)cotlsecti6ve days,th kjob is considered abandoned. <br /> WARNINuj To(?ticVVNat YOUR FAiME To RECORD A NO1105 OF WIVIli iCENIFNT MAY f+t 6LT IN YOUR <br /> PAYli lC,TWIDL.Fott,Mpit011H1l1 E,4'f6 Tr,]Y4TUR pitopM�TY, gl YOti INMIID TO OBTAIN FIWWCNG,COt+I = <br /> U d d O O GO <br /> Ft,i7Rr0AditRNT(Fta.1tT,U3 <br /> OWMORACM CONMCTQ ._...— <br /> awswma a oretfinraJbbelu�� Who <br /> pyrsor►s�y i019or ffMV edp a yknoYnttaaneertaVba *WeU <br /> ss rdtnlfAct6on. <br /> CarnN arlNa MMMW= <br /> pjjjLRF-YE6 <br /> Natge 0(rvoxaty �.pNsted orstadspad <br /> PHiI RiYf:S <br /> • dxpiresfu9►as110,2022 Mewwv <br /> CCrrrmi$sjon#GG245621 <br /> {aF4ao*ol d°tacyowgrpflasAugustit),24?,2 t 8�ixtro9udgptNataNBeNk°e <br />