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<br />,NOnCEoFOEEO~STRlctlON$: Toe ~underStsnds:m1ilil>pet'Il1lt~b$~~h1~d"~~~"
<br />-wlilctl maybemore'r6Stnc:tl~lhan(ll:itinty\"6gufatiom;;1'h~ und9r5igne02sStlil'les ~fur OOll'tpltanoe With 'any
<br />applicabJedeedreslrlctlons.., ',' , ',' ", '" '" ~, , " ., ,',"'" "
<br />UNIJCENSED-CONTRACTPRS-A.I\lOCON"rRACTOR. RESPOf-lSIBlU11ES: ,lft!1eowllerhas hired ,eoontractor or
<br />wntractoristo !Jndertake woil(they may be r$qi.ilred~o'PaHG6flSecHn!:lCOOl'dal1ce:wlthi$t8teillndl<icai regutaliOflS' , If Ula
<br />oonlracloris ,QOt Iicem6dati required by law, beth the owner and tlOnlractor may be ciledfuramlsdemeal10fV\c!<lltlon
<br />oodar state law~1f theoWneror~f1tet'ldoo contractOr am uncertain, <!Sto, wllatllcensing requirements may apply 'for th~,
<br />intended work.lhfJyare'aq,.,lmiocornacUhePasco CountY Bl!iiding lnspectionDM'sioo-Licensing 3eGUi:Jn at 727-847-
<br />S(J09~, Furlhel'l'flOl'e, if the owner rlallfllred acontrector Ql'conlraetors, ile, is advised to ha..-e!h;;o'contraetor(s}sign
<br />portions of the~oontraG!or Blocl( oi'(his appilcatlonfoFwflJClithey will be responsible. . If)!ou;as~I)W!:jl9r' ai~nas;tnf:
<br /><.,'Ontractor,thattnsy b& anindlcatlon that heismlt'pl'op$rly Ilcensedand is nOlenilileotoperrnittlng prtvh~.ges, lnPasoo
<br />County.' " " ",', '.',' " "'" ,;,',,'. ",' , ,'",'.
<br />TRANsroRTA nON IMPACTIUTli.meS IMP ACTAND'RESOURCERECOVERYJ:5aS: 1"l'leunosl'5IS!'lEtd unders':J'11'ld1;;
<br />'t.l,alTranspo;iallon Impact Fees and Recourse, RllCO\let') Fees mayspply to theoon5lrUctlonof ~buildings,chang~9f
<br />U$e InexistJng buildings, Qr expansiollofemting buildings. Ill$speciftedln I'>asooCounty Ordinance -'.'~ml'l&r89.07 am::
<br />130-07, as amended. Theundersigoodaisounderstands, that suoh fees,815 may be due, Will be tdentfileda! theJ!me Of
<br />p<ermitting;ll rsfurlher understood that Transportaticn Impact Fees and Re$ource Recovery Fees must be paid ptiorJo
<br />tSQ6iving a"eertill;;ateofoccup3ney" or ffnalpow61're!ease,lftheproJeel does not Involve a ca.-tir.'Ca!a or occupanG~' (>!~
<br />111'lalpo'."ft!lf releese,'lhefee6mustbe peidprior,to permit i$!!luanctr. 'f'urthermcr&, ,If Pasoo Courrty WaterJ&'!wer Impact
<br />'fee9'el'e due, they must till pald prior topem;it Issuance in accordance with applicable PalOco County ordinances, ,.'" ..
<br />cONSmUCTtONllEN LAW. (Chapter 713,' Florida StabJtl!ll,' 3$ amended}: If valustion of work Is $2,500.00 onnore, I
<br />certify that !,theapplicant, have been provlded.....ith:aoopy!Jf~ie~F(orida COll51ruction Uen La\v-Homeowner's ,
<br />Prolection GUide" prepared by fheF(oridaOepartmar.tof Agrlculture and Censunier Affairs. If the applicant If!SOlrtOOoo
<br />otnerlhan the~ov..'i1er',,1 oortlfYiiY.!t I have obtaillede C9PY pf.theabove det;crlbed dooumCl"lt <;Ind promise in good fa10110
<br />dellver it to'tr.e'"owner"[)rlorto commencement. " '".", ,'. :,', .:,..., ,'" "
<br />CONTRACTOR'SfOWNeR'S AFFIDAVIT: Icerfifytilat alHhe iOformatlon In this~iosllon J$~ureteano:l ft-.atallwCl'k.
<br />Wlif:be.do.'ie1n oompfJance wilh ait applieablela\....sregulallng constNotion, wning and land development.i\ppiicationls
<br />l1ereh~' made-tooblain a permit to do ,wOtkand irnllallationa~ inditaled.' I certify thaloo work, of,instanaIlOfFli~
<br />>:ommencedprlortolssuanceof e ~rmil2nd that all work will be perfonned 10 meet standards of alIl!;ws regulating
<br />i:lOflstruc!ion, County and Cityaadas, zof'llng regulations, and' land development regulations In :the jurisdiction. I also;
<br />certify IMt IlJl'\derstandthaf 'lhereQi.llatlonsor ~ther govemmsnt, agende8 may apply to me ihtendedll'rorK, and that itls
<br />my responsibility to k!!lntlfy what actions I musttalle lo,be-10 compliance. Such I3gem:ie& Include but SfllTlO! limited to:
<br />, Depsrtmentof En\'lrunmental Proteetion-Cypl'l'J&Saayheads, Weiland Areas8nd;Envirot'lmeniaJIYSensi~
<br />Lands,WaterM'ast&v.r-merTreatment.' " ",.""",." "., " " ",',
<br />Southwest Flodda Water ManaaemaritDlstricWvells,Cypress Bal'heads,' Weiland.Are~; Ali&rf.ng
<br />,Watsrcoll1Sa.:';', ':', "',' ..".". ,';", ,: " '" ,
<br />Arrny Corps of Englneers-S&awal!I,l;Dooks.,NaVigableWatarw~, .".', ," ,,' ", ',' '"
<br />Depart.-rnent of HealUI" &~eI1abiliialJ\I@SeJ'YicesJEriVlronmentall-lealth" Un1t-Well$;:Wastev...a~Traatmenf,
<br />SepticTanks. , ' ......,' ... ",,' '",'..,"'.,,"'::.'."<, >,'" " ,
<br />US Environmental Protaotlon AgtlnCy.AsbestOsabalenmht.
<br />" Fad~a! AvililtlorrAuthorily-Runweys, '."",,'.,'.', d "
<br />1 uP<!tRtand lt1at tile followi"9 restrlCllOl'lS apply to lrtii! -us€tor fill: . _",
<br />, Useaffdi is not allowed in Flood Zone 'Y' unless expressly permitted.." ," '...' ,', ' " .'
<br />If the fill mal~riai is to be used In, Flood Zone ~A", It is uncSstood t'laladf<linagepfan,'a(.\d~&inga
<br />'compensating volume' wHt besubmifletlat,llme of permitting which is prej)llred by aprof",s~iona!l\lJjglneer
<br />licerisedbythe$tateofFlorlda..", '< ....." "." ,,',. '."..." ,"',',""
<br />If the fill matsria!:ls robe used in Flooo'Zone "A' inconooction,wttha permitted buildIng u$ingsiemwal!
<br />4:;lOflslruclion, I certify ~hat fill WIll be used only to fill the area within th~ $Iem wal!,
<br />If:fil! materia~ Is to be used fnany area, f certifY that IJseofsuoh fill wI!J not adversely Bff6ct~jacent
<br />.properties, .If use offill Is found ,to adl/al'S&Jy affect adjaooni prop&rtlell, the owner may be cited for vjolaliog'
<br />the L'Ondltlons of thelnlUding permlt iSSIM'ld under lht; attad1ed permit app!!catil1n. fot iotll)ess,than one-(1)
<br />acre which are elevatet.11)y flIT. an engineered drainage plan Is requtreO. ' ,'" , '
<br />rflalwthe.AGENT F"OR THe OWNe~. I promise in go<<lfalth to inform !he O\vner of ,the permitting conditions set iOi"th'in
<br />tht~ mfklavit prior to' commenolngconstrucuon. I under&land that a separalspermit may bee, requirnd for,electlicalwarlt;,.
<br />::plumbing,slgns,wells, pools.atrcondlttonir.g. gas, or-o!ne.r im.taUations not'speClf'lCaBy incl1Jdad In 1heapplicmion.,,A
<br />parmil !$~~dshall be oonsiruedloba a licen~e to proceed with L'le work~ oo! as authort1y,to vjolate,cancei,alter.~'
<br />set aside any pro...l~ions 01' the technlr.:al oodes. nor shalll$$I.11imCS ,of a perm[lprevent ll1e Build"lllg Offlclalt'romthereafter
<br />teql,liring a ~-:!rrection of errors in plans,construcllon or violations of any codes. EvelY permit llisued ShalLbecome Inval!<J
<br />,UnIBB21 the workiilulhorized 1>'1 such perml! 1$ commenood ....~fuin6iX.mQothI10f pennit issLlal1ce. or ITWoricauthoriz;ed by
<br />ilie permit is sus,')GI'"odao or abandoned fer a, period of six (5) mQnths after the tlme \he WIJfk is commenced. AI'l:extension
<br />me}' be requested, In writing, from the Build!n~ Official fur a period not tn exoeeO ninsty (00) df:lYs and will demonstrate
<br />Justifiable cause fOTthe.exre,"lsion. If...'OI'k cealiGO fur ntnety (eo) consecu'JvEl days, the job is consideredabendoneC.
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