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NOTICC 01=aCGD RCSTRICTIONS: The.undersigned undersfi�nds that tliis permil m�y I�e subject to "deecl" restriclions"
<br /> which may be more restricfiive fih�n County regulafiions. The undersigned assumes responsibility�for cumpiiance wiih �ny
<br /> applic�ble deed resfiricfiions.
<br /> UNLICGNSCD CONTR�0.CTORS AIVD GON`fRACTOR I�CSPONSIBILITIES: I( Ll�e owner has hired � contractor or
<br /> contractors to undertake work, they may be required io be (ic�nsed in �ccordance with si�te �nd locai regulaiions. If fihe
<br /> contracfior is nofi ficens�cl �s required by law, both the owner and conir�clor m�y-bc cited �For � misdemeanor viola(ion
<br /> under sfiate I�w. If the owner or intended conir�ctor �re uncer(ain as lo wh�fi licensing requiremenfis may apply for fil�e
<br /> iniended worlc, fii�ey are advisecl to�contacfi fihe I'asco County l3uilding Inspection Division—Licensing SecLion at 727-8�1�7-
<br /> 8009. Furthermore, iF fihe owner has hired � contracfior or coniractors, he is �dvise.d lo have the contracfior(s) sign
<br /> por(ions o�f'the "coniractor Rlocic" o�F fihis applicafiion for which they will be res�onsible. If you, �ts the owner sign as the
<br /> contractor, fihat m�y be an indicaiion th�i he is not properly licensed ancl is nofi enliilecl io permitting privif�g�s in Pasco
<br /> County. �
<br /> TRANSf�ORTAT(ON IMPACTIUTILITIES IMI'/aCT AND RCSOURCC RCCOVCRY f-CCS: The undersigned understands
<br /> fihat Tr�nsportafiian Imp�ct 1=ees and Recourse Recovery Fees may �pply to the construction'of new builciings, change oF
<br /> use in existing buildings, or expansion of existing buildings, as sncci�fied in P�sco County Ordinance number 89-07 �nd
<br /> 90-07, as amended. The undcrsigned also underslands, that such �Fees, as may be due, will be idenLified �fi the Lime of
<br /> permilfiing. It is �Further understood Chal Tr�nsportafiion Impact 1=ees �nd Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate oF occup�ncy" or�final power rele�se. l�F the projeci cloes nol involve � certiFic�te o� occupancy or
<br /> �final power rele�se, the fees must be paid prior fio permit issu�nce. 1=urlhermore, if P�sco County Water/Sewer fmpact
<br /> �fees are due, they must be paid prior to permit issuance in accord�nce wiih �pplic�ble P�sco Couniy ordinances.
<br /> CONSTRUCTION LICN LAW(Chapter 713, 1=loricla 5t�tutes, as �mended): If valuafiion of worlc is �2,500.00 or more, I
<br /> certify thafi I, fii�e applicanfi, have been �rovided with � copy of the "Florid� Construc�ion Lien Law—I-lomeowner's
<br /> Protection Guide" prep�red by fihe Fiorid� De�artmenC of Agriculture and Consumcr Aff�irs. IF tl�e applicant is someone
<br /> other than fih� "owner", I certify that I h�ve.obfi�ined � copy o�f lhe above described document�ncl promise in good��aith to
<br /> deliver ifi to ihe "owner"nrior to commencemenl.
<br /> COIVTRAGTOR'SIOWNE�'S AF[=1DAV1T: I certiFy th�t�II fihe informafiion in this applicafiion is accurate �nd ihat all worlc
<br /> will be done in compliance wifih �fl applic�ble I�ws regul�fiing construclion, zoning and land de�elopmenl. Application is
<br /> hereby made to oblain � permit fio do worlc ancl insfi�llafiion as indic�tecl. I eer[ify Lhat no woric or insfiallation h�s
<br /> commencec( prior to issu�nce of � permifi �nd ll��fi �fl worlc wifl b� performed to meet standards of all laws regulafiing
<br /> construcfiion, County �ncl City codes, zoning regulafiions, �nd fand devefopmenfi regulations in the jurisdiciion. I aiso
<br /> certify fihat I understand fih�t the regul�tions oF other governmenfi �gencies m�y apply to lhe iniendecl woric, anci fih�t il is
<br /> my r�sponsibility to idenfiify wh�fi�ctions I musl t�lce fio be in compli�nce. Such agencies include but�re not limited to:
<br /> - DeparCmenfi o� Environmenfial Profiection-Cypress (3�yheads, WeLl�nd Areas and Cnvironmenially Sensitive
<br /> Lands, W�ierNVastew�ter Treatment.
<br /> - Southwesi Florida Vllaier M�n�gement Dis{rict-Wells, Cypress l3�yhe�cls, Wekl�nd Are�s, Altering
<br /> Wafiercourses.
<br /> - Army Corps oF Cngineers-Seawalls, Dacfcs, Navigable W�ferways.
<br /> - Deparlmenfi o� I-lealth & Reh�bilifiafiive Services/Environmenlal I-le�lfih Unit-Wells, Wasfiew�ter Treaiment,
<br /> Septic T�nlcs.
<br /> - US Enuironmenfial Protection Agency-Asbesios abatement.
<br /> - Feder�l Aviation Aufihority-I�unw�ys.
<br /> I understand tli�i lhe following restricfiions apply Lo ihe use o�f�(ill:�
<br /> - Use o�Ffill is nofi�Ilowed in Flood Zone "V"unless expressly permifiied.
<br /> - If the �Fill maieri�l is fio be used in Flood ,Zone "A", it is undersfiood lha[ � drainage plan addressing �
<br /> "compensafiing vofume" will be submitted at fiime of permifi[ing whicf� is prep�red by a professional engineer
<br /> licensed by fihe Stafie o�f Florid�.
<br /> - If the �fill m�terial is to be-used in Flood Zone "A" in conneciion wifih � permilfiecl buiiding using siem wall
<br /> construcfiion, l certiFy lhafi'fill will be used only to�Fifl fihe area wifihin fihe siem wall.
<br /> - (( �Fill material is fio be usecl in �ny are�, 1 cerfiFy that use of such •Fill will i�ot adversely afifect adj�cent
<br /> ' properties. If.use o(�Fill is �founcl lo adversefy ��ffecfi adj�ceni properLies, fihe owner m�y be ciled �for violating
<br /> the conditions o�f ihe building permifi issued under fihe aifiached permit application, �for lots less than one ('i)
<br /> acre which are elevafied by�fill, �n engineered drain�ge plan is required.
<br /> fF I am the AGGNT FOR TI-IC OWNC[�, I promise in good�f�ith to inform the owner o�f the permiifiing conditions set�(orfh in
<br /> fhis aFfida�il prior fio commencing construction. I und�rst�nd th�fi � sep�r�te permit may ue required for electrical worlc,
<br /> plumhing, signs, wefls, pools, air conditioning, g�s, or other install�tions nofi s�ecifically included in the application. A
<br /> permit issued sh�ll be consfirued to be � ficense to proceed with the worlc�nd nol as �uthoriiy fio.violate, cancel, alier, or
<br /> sel aside �ny provisions of the i:echnical cocfes, nor shall issuance of a permil prevenfi the 13uilding OFPici�l�from ihereafter
<br /> requiring a correction of errors in plans, consfirucfiion or viol�tions of�ny codes. Every permifi issued shall becom� inv�lid
<br /> unless the worlc authorized by such permit is commencecl within six months oF nermi� issu�nce, or if work authorizeci by
<br /> ihe permifi is suspended or abandoned�For� period o�f six(G) months affier the time the worlc is commenced. An extension
<br /> may Ue requested, in wrifiing, 'From the Building'OFficial for � period not fio exceed ninefy (90) days �ncl will demonstrate
<br /> justifiable cause�for�he extension. lf worlc ce�ses�For ninety (90) consecuiive d�ys, fihe job is considered abandoned.
<br /> WARNING TO OWNER: YOUR.I=AILURC TO IiCCOPD ,�l NOTICC DI= COMM��tCEMCNT MAl°' [�CSULT 1N�YOUR
<br /> I�AYING TWICC FOR IMPI�O MCNTS TO YOUR PROI'CRTY. 11=YO[J INTCND TO TA1N i=1NANCING, CONSULT
<br /> WITH YOUR LCNDGR OR ATTORNCY QCI=ORC RCCORQING YO(:JR NOTIC- MM�NCCMCNT.
<br /> PLORIDA JURAT(f-:S.11 _
<br /> OWNGR OR AGGNT CaNTRACTOR "
<br /> /�ubscrib d and sworn to(or af irmed)bef re me i ' S bscribed d sworn to or rmed) oro me h�s
<br /> -7—�0[_ by ,����cJ c�e� ��v�v�I ��Y Ci�.tr�n �row�
<br /> Who is/ar�, ersonally Imown to me or haslhave produced Who is/ar �rsonally 1<rM�i�.�ts mEror�jas/hau�prad�t ced
<br /> // �Or^'zF i - �s�d'�7��A�n• � as ldenliflc�{�c�rtr'.�
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<br /> :��;•' . ' i5,2013 ` - ,
<br /> „ No(ary Public �:. Notary Public
<br /> Commission No. Commission No. ` ,
<br /> Name of Notary lyped,printed or stamped Name of Notary typed,prinled or sfamped
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