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NOTICG 01=DCGD RCSTPICTIO n C u'nt rege la�ons�. Tlae unde�rsignedt'�ssumes sp nsi�ilby 1'or�ompl a'nce iw lh any
<br /> which may be more restricfiive ih Y
<br /> applic�ble deed resfirictions.
<br /> UNLICGNSGD CONTRACTORS AND CONTRACTOR RCSPONSIi3iLITIGS: lf fihe owner has hired � contrac or or
<br /> contractors to underlake work, they may be required fio be licensed in �ccord�nce with slate �nd locai regulations. I(the
<br /> contractor is not licensecl as required by law, bo�lh the owner and conir�clor m�y be cited �For � misdemeanor violation
<br /> under state I�w. If the owner or intended contr�ctor are uncertain as Lo wh�t licensing requirements may apply �For the
<br /> intended worlc, they are advised io�coniacfi fihe I'asco County f3uilding Inspection Division—Licensing Section ai 727-8�1•7-
<br /> 8009. f=urthermore, iF fihe owner has hired � coniracfior or contractors, I�e is �dvise.d fio have tl�e coniracfior(s) sign
<br /> porlions of'fihe "coniractor C3locic" o�f fihis application for which Lhey will be responsible. f��you, as the owner sign as the
<br /> con[ractor, that m�y be an indicai:ion th�l he is riol properly lic�nsed ancl is not enlifiled to permi�ting privileges in Pasco
<br /> Couniy.
<br /> TRANSPORTATION IMPACTIUTIL171GS 1MI'ACT AND RCSOUI�CG R�COVCRY rCCS: Th� undersigned understan s
<br /> that Transporlation Impacf Fees and Recourse Recovery Fees may �pp1Y to fihe consfiruction�of new buildings, cl�ange of
<br /> use in existing buildings, or expansion o� existing buiidings, as specified in Pasco Co�mty Ordinance number 89-07 �nd
<br /> 90-07, as amended. The undersigned also undersi:ands, tli�fi such �fees, as m�y be due, will be identiFied �t the time o�
<br /> permitting. lt is •further uncferstood th�fi Transporlation (mpact f-ees and Resource Recovery Fees must be paid prior to
<br /> receiving � "cerfiific�te of occupancy" or�final power rele�se. I� the project does not involve � certiFic�te oF occunancy or
<br /> •Final power rele�se, the �fees must be paid prior to permii issuance. Furthermore, if P�sco County WatertSewer (mpacfi
<br /> �fees are due, they musi be paid prior fio permii issu�nce in accord�nce with applic�ble P�sco Coun�y ordinances.
<br /> CONSTRUCTION LICN LAW(Chapter 713, 1=lorida Si:atutes, as �mencfecl): IF valuafiion o�f v+rorlc is $2,500.00 or more, I
<br /> certiFy fihat I, the a��licanfi, have been provided with � cony o�F lhe "rlorida Construction Lien Law—I-lomeowner's
<br /> Proteciion Guicle" prep�red by the f=lorid� D�parim�nl o�f Agriculfiure and Consumer Aff�irs. If the applicant is someone
<br /> oiher than fihe"owner", I certify thal I h�ve.obfi�ined � copy oF the above described document�nd promis� in good�F�ith io
<br /> deliver ifi to the"owner" prior to commencemenl.
<br /> CONTRACTOR'S/OWNER'S Af=1=IDAVIT: I certiFy ih�C all lhe information in this application is accurate and ihat all worlc
<br /> will be done in compliance with afl applic�bfe laws regul�ling construction, zoning and land developmenl. Apnlication is
<br /> I�ereUy made fio oblain a permifi to do worlc �ncl installafiion �s indie�fied. I certiFy th�t no woric or instaliafiion h�s
<br /> commenced prior fio issuance of � nermit �nd Ch�l all worlt will be performed fio meet sianclards oF all laws regulaling
<br /> construclion, County �nd City codes, zoning regulalions, �nd fan�f dev�lop�npp Y ul�iions in ihe jurisdiction. I �Iso
<br /> certify that 1 undersfiand ihafi ihe regul�lions of otl�er governmenfi agencies m� a I fio fihe intended worlc, and fih�t il is
<br /> my responsibility to ideniiFy whai actions I must t�lce to be in compliance. Such agencies include bufi are noi limified to:
<br /> - Deparlmenl of Environmenf�l Protection-Cypress I3�yheads, Wefiland Areas and Environmenialiy Sensitive
<br /> Lands, W�ter/Wastew�ter Tre�fimenl.
<br /> - Soufihwest Florida Water M�nagement Dislrict-Wells, Cypress 13ayhe�ds, Wetl�nd Are�s, Altering
<br /> Wafiercourses.
<br /> - Army Corps vf Engineers-S��w�lls, Docics, Navigable W�terways.
<br /> - Deparlmenfi o•F I-lealth & Reh�bililative Services/Environmen�al I-le�lfih Unii-Wells, Wasfiewater Treatment,
<br /> Septic T�n{cs.
<br /> - US Env.ironmentai Protection Agency-Asf�esfios abalement.
<br /> Feder�l Aviafiion Authorifiy-I�unw�ys.
<br /> 1 undersfiand thafi the following resfirictions apply Lo�ihe use o�f�filf:�
<br /> Use o�F�fili is not�Ilowed in Flood Zone "V" unless expr�ssly permiit�d.
<br /> If the �fill materi�l is to be used in Ffood Zone "A", it is undersfioocl [hat a dr�inage plan addressing �
<br /> "com�ensafiing volume" will be submifited at fiimc oF permit[ing whicl� is prepared by a professional engineer
<br /> ficensed by fihe State o�f Fiorid�.
<br /> If the �fill m�►terial is fio be-used in Flood Zon� "A" in connection wilh �t permi[tecl building using stem wall
<br /> ' construction, I certify that'fill will b� used only to�fifl fihe area within the stem wall.
<br /> If.�fill material is to be usecl in �ny area, I cerfiify �hat use of such •fill will nofi adversely affect adj�cent
<br /> ~ properties. If.use o�f�filf is �found to adversely ��fi�eci adj�cent properfiies, the owner m�y be cified �for violating
<br /> the condifiions o�(fihe building permi[ issued under lhe afifiached permit application, �(or lots less than one ('I)
<br /> �cr�which are elevafied by�(ill, an engineered drainage plan is required.
<br /> I��I am the AGCNT 1=0R TI-IC OWNGR, I promise in good�F�ifih fio in�form fihe owncr ofi the permitting conditions set�ForEh in
<br /> this aFFidavil prior to commencing construction. I undersi�nd thal a separ�te permit may Ue required �for electrical worlc,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other insfiall�fiions not speci(ically included in lhe a�plication. A
<br /> permit issued sh�ll b� construed to b� � license to proceed with ihc worlc and noL as �uihority fio,viol�te, cancel, �ffi�r, or
<br /> set asicle �ny provisions o�fih�fiechnical codes, nor shall issuance of a permiC prevenl the Ruifding Official�from thereafler
<br /> requiring � correction o�f errors in plans, consfiruction or viol�tions oF�ny codes. Cvery �ermit issued shall become invalid
<br /> unless the worlc authorized by such permii is commencecl within six monlhs oF permit issu�nce, or i(worlc aufihorized by
<br /> ihe permit is sus�end�d or aUandoned�For a period of six(6) months ��fter the Lime ihe worlc is commenced. An extension
<br /> may be request�d, in writing, �From the Building'Ofificial For a period nofi to exceed ninety (90) days �nd will demonstrate
<br /> justifiable cause�for ih� exfiension. IF worl<ce�ses��or ninety (90) consecutive d�ys, the job ls considered abandoned.
<br /> WARNING TO OWNER: YOUI�.f=1aILURC TO I�CCO�Q A NOTICG OI= C�MMENCEMCNT MAl° RCSULT iN YOUR
<br /> I'AYING TWICG 1=0R IMPI�OVGMCNTS TO YOUR PROI�CRTY. II=YOL'1 INTCND TO 013TAIN 1=1NANCING, CONSULT
<br /> WITH YOUR L�NDCR OR AN ATTORNCY f3CFOR� PCCO]�Q(NG YUUR NOTICE 01= COMM�NCEMCNT.
<br /> 1=LORIDA JURAT(f-:S.1'17.03) , /'� (_�np//� �� i�r""""-��5
<br /> -R OR AGCNT �k� �"��"��S C�NT�CTO�RsWOi "�"—irme�)bef ro tl�is
<br /> �WNC ubscri`er an
<br /> ubsS�ribed and sworn to(yr aTfir� e o e m i� ��_7 �� �Y �C�� �4r� y
<br /> /51� —�Il•�-- bv +� Who is/are personally Imown to me or has/have oduced
<br /> Wlio islare persona�o�to me or has/have pr ducecJ _�, as identlfcation.
<br /> �s identifcation.
<br /> �� Notary Publia
<br /> Notary Public
<br /> Commission N �, , . i ,
<br /> Commis ' n No. _ --
<br /> Suzanne Bahr .. SuzanrYe Bahr'
<br /> �� ' Name of Nolary typecl�Princed ors, dComm�ss�on�FE044504
<br /> Name of Notary lyped,� e x p i r s. �':�V.2 2,2 0 1 4 '-.,, ,,.�`Exp�r�:; �'OV 22,2014
<br /> �' '� BOI�'DED'IHR:?.t! ,� +�r�U"�,�rn INC.
<br /> BONDED THRL z!'L''�! ..;t���iI\G CO3 INC.
<br />
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