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SEF/05/�CO��''�'°D 04:40 PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 002/002
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<br />� � NOTIC@ bF DER�b RES'1'RICTIDNS: The underalgned undarstande that thle permit may be eubject to`deed'rsetrlotions'
<br />° whlch may be mvre restrtctive than County ropulatfona. The undersigned asaumes responalbllity for vomplisnae with emy
<br /> applla�ble deed roatiictiuna.
<br /> UNLICENSED CON7RACT�RS At�ld CONTFZACTOit REaPON8181L171ES: II the owner has hked e aonb'aotor or
<br /> oontrsotore to undertake work,they may be requlred to be Itcensed in a000rdance with etate and loca!regulstlona. if the
<br /> conGactor is not Iloartaed as roqulred by Iaw, both the ownar and oonlractor may be olted 1br a misdsmeanor violadon
<br /> under atate law. Ii the owner or Intended contractor are unoerteln as to what Ilosns�n8 requlremet�ta may app�y tor the
<br /> Intended Work,they aro edvleed to aonteot fhe Pasoo Cou�rty BuNdtnd In�peotion Dlvisbn-��ensinp 8eodon et 727�8A7-
<br /> 8009, Furthermore. H the wimsr has hlred a contraotor or oon6ractora, he la edvlsed to havf �e confrnotor(e) slgn
<br /> portlona of tha"aonlreator Bloak"of thla epplloetlon for which they wN)be responsible. If you, aa the ownsr slgn ea the
<br /> oontracior,that may be en tndlCadon tha!he le not properly lbbnsed and la�ot enlltled to psmtittinp prlvNegea ln Paeoo
<br /> Counry.
<br /> TRANSPOR'1'ATiUN IMPACTNTILI'I'l�S IMPACT AND RBaOURCE R�COVCIZY FEEB: The undersigned underetands
<br /> i that Transportation Impact Feee and Recourse Recovery Feas mey apply to the oanatruallon o�new buAdlnptt,ahanpe oi
<br />� uae In exieting buiidings, or expanalon ot existinp buildinas,ae epeolfied in Pasao County drdinanos number 88-07 and
<br /> 90-07,as amended. The undarelgned also undarstgnd�,thet euah fese,ae may be dus,wNl be klentlfled at the time ot
<br /> permltdng. It ie tUrther undsratood 4hat Traneportatlon Im�ot Feea and Reaourae Recovery Feee must bs paid,p�lor to
<br /> reoefving a"oertlflcete of ocoupancy"or flnal power roleaee. M the projeat does not involve a oe�te of axupancy or
<br /> Me1 power releaae, the feea mu�t be pald prlor to permit la�uance. Furthermore, ff Pe�oo County WetsNBewer Impaot
<br /> feee are due,thay must be paid prtor to permlt Issuance�n soaoManae with appllceble Pasco CouMy ordtnanaee.
<br /> CONSTRU�TION�.IEN LAW(Chapt�r 713,�torida Statu�,as am�ndad): If valuatlon of work I� 2; ,600.00 or mvro,I
<br /> certNy that I, the applioant, have bqen provided with a oopy af the "�lortda Conatruotlon Lfan Law—•�IoineoWner'e
<br /> prpteotion Quide'prepared by the Florlda Department of Aqrlculture a�d.Coneumer Affalre. If the eppitoant a eomeono
<br /> other then the"owner",1 certNy that I have obtatned a oopy oi the above deac�ibed document snd promiss 1n good fatth to
<br /> deliver it to the"owner"prlor to commencement.
<br /> CONTRAC'fOR'SIOWNBR'8 AFFlDAVIT: I oertify that ali the Intormetlon in thla apFfltcatlon la acCUrAte and that eH work
<br /> wlll be dons In aompl�anae vulth e11 appllcable laws repulating cflnstriictlon,zpnlnp and land davelopmenG Applk�tton le
<br /> hereby made ko abtein a permit to do work end InatalleUon as Indtoeted. I aeHqy that no work ar Installatbn hea
<br /> aommenoed privr to iasuance of a permtt and that all work wlil be performed to meet atandarde of a11 lawe rogulaHng
<br /> � coneWotton, Counly and City aodea, zoninp regulaUons, and land development repulatlons !n the Jurl�dlotion. ( al'so
<br /> certify that i Underatand that the repulattane of ottier povernmant epenalea may apply to tl�e Intended Vuork,and thet it 1a
<br /> my rasponeibility to(dentHy what actlons I must take.to be in compllanoe• Such agenciae k�olude but are not ilmitsd to:
<br /> - Department of Environmentel ProteaUon-Cypresa geyheads, WeNand Areaa and Environmentally 8snaitfve
<br /> Lands,Water/Wastewater 7reatmant.
<br /> _ Southwest Florlda Water Managament District-Wella, Gyprese Bayheads, Wetland Areas, Alterinq
<br /> Watercourses.
<br /> . Army Corps of Engineera-3eawalla,boolce,Navigabla Waterways.
<br /> - • Departmant of Heaith & F2ehabllitadve 88NioeelEnvironmental Nesith Unit-We118, Weeteweter Treetment,
<br /> Septic 7anks.
<br /> - U3 Environmental Proteatlon Agency-Asbestos abatement.
<br /> Federal Avlation Autharity-i2unweys.
<br /> I understand that the faltowing restrictions epply to the uae oi fll(:'
<br /> - Uae ot fill ie nvt aliowed in Flood Zone"V"unlesa expreaely parmltted.
<br /> If the flil matarlal ts to be uaed in Fiood Zone 'A", it le underotood thet a dralnege plan addreselnp a
<br /> "compensating volume"wfll be aubmltted at tima of permitting whtoh[e prepered by a profeselor�i en�linee�
<br /> Iicensed by the State of F[orlda.
<br /> - If thb flll mmterial la to be used fn Ftaod Zone "A" In conneotlon with a permitted bueding usinp atem wsil
<br /> construotion, I aertify that flll wlll be used only to tUl the area within the stem wail.
<br /> If fill matarlal Is to be ueed in any area, I certify that uae of auoh flll wiil not adv�sely affeot adjeoent
<br /> prope�ttea. If uae of flll is found to advereely alfect adJaoant properNea, the owner may be oited ior vldNing
<br /> the aonditione of the bufiding permft lasued under the ettached pertnit applioedon,tor fots less than one(1)
<br /> aore wh(oh are elevated by flll,an en�ineered dreinape plen Is requlred.
<br /> If I am the AOCNT FOit TH�OWN�R, I promlae in pood.falth to irdorm the owner of the permltttng oondK(ont set forth in
<br /> this affldavtt prlor to oammencing oonatn�otion. I underetand ihat a 4aparate permR may be required for e�ecMoel work�
<br /> piumbinq, signe, wells, pools, air conditiontnp.ges, or other installatfone not apeolflcally induded In the wpplioadon. A
<br /> permlt issued shalt be construed to be e Iicansa to procoed wlth ths work and not as authority tc vtolate,oancel,alter,a'
<br /> set aside any provlsions of the techn(cal codes,not shaii lesuenae af a pem+lt prevent ihe BuBding Offlda111rom t�eafber
<br /> requlring e coRection oi errare in pians,eonstruction or violatlons oi eny oodee. Evary permit leauad ahall beooma kwaNd
<br /> unlese the work�uthorized by auch permit ta commenoed within abc morrthe of permft iseu��or ff work authorir.ed by
<br /> the�it Is suspended or abandaned far a period of alx(8)montha after the Ume the work ie commenoed. An e�ension
<br /> may ba requested, tn writin�,from the BuAding,Officlal for a peNod nnt to exceed nlnety{90)days and will demonetrate
<br /> )usUflable cause for the extension. If work oeaaes for ninQty(90)conaecuthre daye,th�)ob la consldered abendoned.
<br /> WARNIN(3 TO OWNER: YOUR FqtLURH TO RECORD A NOTICE OF COMMENCEMHNT MAY RESULT 1�1 YDUR
<br /> PAYINa TWICE�OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU ItdTEND 70 OB7111N FINANCINQi CONSULT
<br /> FLORiDA JURAT(F�: . 7.03)
<br /> OWNlR O�t A06NT CONTRACTOR
<br /> sub + a d o � Maro m�th s Qorlbed b (or e elore o thie
<br /> by
<br /> fC_�� � y
<br />� �Who IWare �rs� W ma or t �ave produo�d Who dara erYonnll to ms or he��Ibn.
<br /> ee Identlflattlon.
<br /> No1ary Publlo �� f -Nofarv PubMo
<br /> commbs�on No.^„�SF�!� �'� _ Commhetan No. ,(G� ��C!'2'�(9 -
<br /> am�o otag� rfnt �leqt o Md.;ra u af Florida em�of om . ar nampod
<br /> � = Christopher Ov�a�s o.�'� Notary Public State of Fbrida
<br /> � My Commissro� aJd06246 = Christopher Owens ,
<br /> �or a� Expires 03/13,ru(� `�'��p` My Commisspn DD4p6246
<br /> or n Expires 03113/2009
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