N0TI0R OF=D REMCTiONS:The undefsigrted attderstaatds Ihat lets psrfnit arigy tie$tibjeat to°dart"rri�trictiolr�'
<br /> wilitiruwyirrittwatowito.iiveL'tatrvvmriyls,>,tulautrrto. +Irotatt,olo�tt3t+wwatuawb:wij,i,Fiia„nn�rvtwngttir.ir.�tu
<br /> applicable dead'naStrtctlona
<br /> UNLICEN$gD 0*NTRA=R8 AND CONTRACTOR RESPONSBUTIES: it fht;+owner hU hired a 00"Wfor or .
<br /> aarttractors to nndortaim walk,they may be required to be licenead in stccordartae with state and local regulstlons. if the
<br /> contractor to not'Itaonad as required by taw,both the owner and Conha*r may be cited for a mlidemdafrdr VIOiifllart
<br /> for ft
<br /> Intended under state
<br /> wolaw,
<br /> rk,they are advised t contact the Pam C�oudy Burins Inspection ftdor am uncarialft as to what Q�[slron cenaing W1011 at T2 -W-
<br /> SMS. Furft 'ore, H the owner has hired a conbector or contmatora,he is advised to have the contractoKO sign
<br /> portions of the . r Biof kk"of this appilcoWn for wtflah they wlil be tssponsibla, it you,as the owner sign as#0
<br /> MIMMor,that may be an Indication that he is not property uaenaad and-is sot entitled to pormlaing privileges in Pasco
<br /> county.
<br /> TRANSPORTATION IWAt:Ill,iIWIIftV IMPAUI ANU tttODUKt:t:KCUWVJtt'tT t`&W— 1118 000NOndttuttatitl Ntft
<br /> that Transportaton impact Fees and Recourse Recovery Face may apply�the Carsftruofion of nfaw Isuitdirrga-Chsngt of
<br /> use In existing buildings,or expansion of existing buildings,as apacified In Pasco Covq Ordinance number SM and
<br /> i W47,as amended. The undersigned also understand$,that such fees,as may be due,wilt be fdanacd at the time of
<br /> permitting. R Is further understood that Tivne ortstlon impart Fees and R08091`08 R"MY Fees must bo paid prior to
<br /> receiving•'cartlflata of ecoupanoy°or final power Mines. it the project does not involve a ceftifiVOW of octupaMY or
<br /> final power roles$,the tees mutt be paid prlar to Pormtt Wsnsnca. FUdit.mtora.N Pasco County VVahrleswar Impact
<br /> less arc due,tt*must be paid prior to permit Issuance In accordance vrith OPPlIc+ble Pasco County ordinances.
<br /> CON8TRUVV6N UGN LAw(Chapter 1%Florida 6tatul as.as amanded): if va(ustfan of work is S2,MD.M ar more,I
<br /> asrtt4i► that 1, the apptiant, have been provided watt a copy of the "Fiodda Construction lien L&W—HomeownBI S -
<br /> pmtection GulcW prepared by the RorWa Department of Agriculture and Consumer Affairs. If the appllcant to someone
<br /> other than the 90wrior",i wAIN tract I hove obtained a copy of tea above described document and pMMU In good pith to
<br /> teleran lt to ihs"courier+`prior to corrrrrtencement.
<br /> CONTRAOTOFt'1StOVYNBR'S AFFIDAVR: f cadiflr d+at a1i the fnfarmaflan in this application is scourer$and that ati wreck
<br /> will ba done in°eompt(anoe vuitttt o!I spptloftbf®taws rogufafing,coning and land developmartt. Application Is
<br /> hereby made t obtain a permit to do work and instaRattan as tndltated. I eerdty that no work-or tn0lat(on has
<br /> commenced poor!o issuance of a permit and test SIi snack wilt be perfartrtad to meet standards of all laws regulating
<br /> conartlotion,County end City codes,�ntna rsgutatiatts,and land development regulations In the patsdtction• I also
<br /> c®rtty that t understand that the ragulatlons of ether gavarnmerrt agencies may apply to the Ittts Wed work,and that it to
<br /> my responelbfilty to identify what actions I in GompVante. Such agencies include but are not limited to:
<br /> Cepatmerd of ErrwirOMenbl f+ronaitorcaCypress Baylmd%Wa hand Areas and Enviromm ntStly ftnOve
<br /> I Ott".wes"Wartlaviamr Treatment
<br /> So;vtlaeraal Florida Water Managemotit Dlatriat-Walks, Cypress Bayheade, Weiland Areas, Aftortrtg
<br /> vNercouraft
<br /> • Arfhv corps of Engineere4leao b,Docks,Navigable Watemraye.
<br /> Deperhytent of Health& Rehabilitative BervlaatEnvlronmental Health Unit-Wells, Wastewater Treatment,
<br /> Septlo Tanks.
<br /> US Environmantal Protection Agency-Asbestos 8batement.
<br /> Federal Aviatlan Aufhar[ty-Runways.
<br /> I underrotand th_t the following restrictions apply to tea use of OR:
<br /> Ueb of fill to not alloyed In Flood Zone"V'unless expressly permitted.
<br /> if the fill material is to be used in flood Zone M. it 10 understood that a dialrtape plan Addressing a
<br /> "adrrptn"ttng Im"Urns"VIP!be Si_tkmlbd a1."—. of opa!rniglnQ t0.ish to f;.elppyod tw a ll{eWoft (eq
<br /> ilcdnaed by the State of ftrida.
<br /> it to fill matedef to to be used in Flood Zone"A°in connection with s permitted building using atom WAD
<br /> ca*uatlon,i certify that fill wail be used only to fill fire area w 1hin thwatem welt.
<br /> if at material is to be used In any area, I certify that use of such-OR wait not advanely affect adjacent
<br /> prgpedtsff. if use of till Is found to adveregly offwt adjacent pinperties,the War may bs cites for*1019
<br /> t*conditions of the b HO%permit inued odor the oftftd permit applloatlan,for 10 less than one(t)
<br /> atop waft are otavated by ti0,an anginearod drainage plan farequirrtd.
<br /> 0 lam the AG91T FOR THE OWNER,I promise in good fault to(nftnn ft oaateraf the pemisttirtg condlttofu set forth to
<br /> this afAdsvil or to commencing combustion. t undembind that-a.aparale gemtlt may be faquired forelectrial waft
<br /> plumbing,si walto,pools,air eondidontrsg.pos,or otfmr Irtafia��•l•tationa tat ffaafiy[ftatttdsd In the appRoation. A
<br /> n,.....a.l._a A- .a•.-.,*_O• u..s..�.•r_•.•i-.;$I. ,t• „e •si a-.•f W�a11,•b•d.t..� ..s-•1 ♦Y..- s
<br /> ofir1111t IwD11W 41ttatt ba zarl iota d tV ba a Rahn w ptta•a,a�+.ast�t u .q I ts„a•awe sail�'u„tv,w w♦w.r ,aw,wno •.aw,w
<br /> set aside any provisions of tha teahnicat ofrdeea flor ehatt IiY' IWQO of S i> jfinent"But�tljff(�Dtt'ict91'fbfn i
<br /> requiring s rm6ction of errors In plans,constnrctiorr or viofallorm of any cadres. EVery pemif ft llnd sWlf became MV W
<br /> unless tea we*sulhorind by such permit is commenced vAthin SM menace of permit Inuanee,or if work autharRad by
<br /> the pern t Is et spended or abandoned for a period of six(8)months afterthe t1m0 tea work to catgut t. An extension
<br /> may be requarlted,in wrlttng,from the Building Offlofel for a period not to emead ninety(SM days and will demonsbate
<br /> Justifiable asus6 forthe extension. if work caries for ninety(80)Consecutive days,the job is considered abandoned.
<br /> WARNING T OWNER: YOUR PAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TVIttCE FOR IMPROVE(tAI;NTS TO YOUR PROPERTY. IP YOU INTEND TOVOTAiN FINANCING,0ONSULT
<br /> OVUNaRORAa�IT_ CONfRKOTOR,.�
<br /> on } t(o ft mad) Toro me th, &btodbed and to or $core On 19
<br /> s one!y rnoafn me or Tres aw ➢ me orha ria"prod
<br /> a,denbrroetinn. on tds�i7roatton.
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<br /> comnussfon fm
<br /> —CA LA
<br /> fffa 0 NbWy Prh1W dampw'',F MY COMMISSION#GG 925496
<br /> b; EXPIRES,February 23,2024 A
<br /> MMISS AMANDA ACKERSON
<br /> Bonded Thru NotaryP YMCO ION#GG 92'" EXP 549pF FLQP� B February 23 2024 6
<br /> EXPIRES.-Fe
<br /> onded Thru Notary public underwrit@rs
<br />
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