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NOTICC OI= QCCD RL-STRiCTIONS: The.undersigned undersl�nds Lhal�lhis permit may be subject to"d�ecl" restriciiQns"
<br /> which may be more restricfiive ih�n Counfiy regul�tions. Thc undersigned assumes responsibility�For compliance with any
<br /> applic�ble deed resfirictions.
<br /> UN�ICGNSCD CONTRACTORS AND CONTRACTOP RCSPONS1131LITICS: lf lhe owner lias hired � conlractor or
<br /> contractors �o undertake work, ih�y may be required fio b� licensed in �ccordance with st�fie and loc�l regulafiions. If ihe
<br /> contr�ctor is noi: licensecl �s required I�y I�tw, botl� lhe owner ancl coniractor m�y be ciied �Cor � misdemeanor violation
<br /> under sfi�fie I�w. IF th� owner or intended contr�ctor are uncerfi�in �s to wh�t licensing requiremenfis m�y apply �for the
<br /> iniend�d worlc, they are aclvisecl to�cont�cfi the I'�sco County 13uilding Inspeci:ion Division—Lic�nsing Section afi 727-8�1�7-
<br /> 8009. 1=urthermore, iF the owner has hired � conlractor or con[ractors, he is �dvise.d [o h�ve ihe contractor(s) sign
<br /> porlions oF'the "contr�cfior 131oc1c" of this applic�tion �for whidl lh�y will be responsible. fF you, �s the owner sign as the
<br /> coniracfior, th�fi m�y be an inclication th�t he is nofi properly licensed ancl is noi: enfiilied to permiiling privileges in Pasco
<br /> Caunty.
<br /> TRANSPORTATION IMPACTIUTILITI�S IMI'ACT AND PC50UPCC RCCOVCRY�CCS: The unclersigned underst�n s
<br /> thal Tr�nsporlation Imp�cl 1=ees and Recourse Recovery Fees may �pplY to the consfiruclion'o�f n�w builclings, cliange oF
<br /> use in existing builciings, or expansion of existin� buildin�s, as speci�Fied in P�sco County Orclinance number 89-07 and
<br /> 90-07, as amenclecl. The undersigncd also underslands, th�t such �Fees, as m�y be due, wilf be identified �l the time of
<br /> permiCfiing. Ifi is �further undcrstoocl th�fi Tr�nsporfiation Imp�cC 1=ees �ncl Resource Recovery Fe�s must be paid prior to
<br /> receiving a "cerliFic�te oF occup�ncy" or�fin�l power release. I�f Lhe project does nofi involve � cerLific�fie o( occupancy or
<br /> •Final power rele�se, the �fees must bc paid prior fio permii: issu�nce. Furthermore, if P�sco County W�ter/Sewer fmpact
<br /> �Fees are due, lhey must bc p�id prior lo nermit issuance in accord�nce wifih �pplic�ule P�sco Counly ordinances.
<br /> CONSTRUCTION LICN LAW(Chapt•er 7'13, 1=lorida 5fi�l:utes, as �mencled): IFvaluafiion of worlc is ��2,500.00 or more, I
<br /> certi(y that I, th� �pnficant, h�ve been provided wilh � co�y o�f Che "Florida Consfiruci:ion L.ien Law—I-lomeowner's
<br /> Prot�cfiion Guide" prepared by fihe 1=lorid� DeparlmenL oF Agricufiure �ncl Consumcr A(Fairs. I�F tl�e applicani is someone
<br /> other than fihe"owner", I cerfiify ih�t I h�ve.o(�fiained a copy o�F lhe above described documenfi�ncl promise in good�faiih fio
<br /> deliver it to fihe"owner"prior to commencemenL.
<br /> CONTRACTOR'SIOWNC�'S AF1=1DAVlT: I cerLiFy th�l�II lh� information in ihis ap�licafiion is accurafie and that all worlc
<br /> will be done in compliance wifih �II apnlic�ble I�ws regul�fiing cons[ruction, zoning and land develonmenl. Apnlic�tion is
<br /> hereUy m�de fio obtain � permii to do worlc �ncl insfiallation as inclic�Led. I eerfii�Fy lh�t no worlc or insfiailation I��s
<br /> commenced �rior to issu�nce of � permit �nd ih�l• �II work will bc performecl to meet stand�rds of all laws regulating
<br /> consfirucfiion, County �ncl City codes, zoning regu(afiions, �nd land developmenfi regul�tions in fihe jurisdiction. f also
<br /> cerlify fihat I und�rsfiand fihafi the regul�tions oF ofiher governmenL �genci�s m�y apply fio fihe infiended worlc, �nd thal it is
<br /> my r�sponsibility to idenii�y wha1:�cfiions 1 musl fi�lce fio be in compliance. Sud� agencies include but�r� nol limitecl io:
<br /> DeparCmenfi o�F•Environment�l Protection-Cypress f3ayheads, Wetfand Areas and Environmentally Sensilive
<br /> Lands, W�ter/VVastew�{er Treai:menl.
<br /> - Southwesi Florida W�icr M�nagement Dislrict-Wells, Cypress f3�yhe�ds, Wetl�nd Are�s, Altering
<br /> W�fercourses.
<br /> - Nrmy Corps vF Engineers-Se�wafls, Docics, Navigable W�fierways.
<br /> - Deparlment o�� I-lealth & Reh�bilitaiive Services/Environmenlai I-Ie�Ith Unii-Wel(s, W�slew�ter Treatmenl,
<br /> Septic Tanlcs.
<br /> - US Cnv.ironmenfial Protection Agency-Asb�slos ab�l�meni.
<br /> Feder�l Aviation Auihority-R�mw�ys.
<br /> 1 �mderstand th�t fihe following resfirictions apply lo'th� use o�f�Fill:�
<br /> Use o�f�fill is noi�Ilowed in Flood Zone "V" unless expressly permitled.
<br /> If lhe �fill materi�I is io he used in 1=1ood Zonc "A", it is undersfiood lh�L � drainage pi�n addressing �
<br /> "comnensaiing volume" will be submitted afi timc of permitting which is prep�red by a professional engineer
<br /> licensed by the St�te o�f Florida.
<br /> IF ihe 'fill m�ierial is to be�used in Flood Zonc "A" in conneci:ion with � permittecl building using stem wail
<br /> ' � consfirucfiion, I cerlify th�l�fill will be used onfy fio�fifl fihe �rea wifiliin the sfiem wall.
<br /> f(.�fill material is fio b� usecl in �ny area, I cer[iFy Lhal use of such �fill will not adversely a(fecl adj�cent
<br /> ' properties. If.us� of�(ill is �(ound Lo adversefy ��FfecL adj�cent properties, lhe owncr m�y bc cited �For violating
<br /> the conditions of fihe building permil issued under Che atlached permit applic�tion, �for lofis less tl�an on� ('I)
<br /> �cre which �re ele�afiecl by�fill, �n engineered drainage plan is required.
<br /> fF I am the AGCNT I=OR TI-IC OWNCR, I promise in good�F�ifih to in�form fihe owncr o�P the permifiting conditions sel Farth in
<br /> fihis afFid�viC prior to commencing construction. I undcrsl•�tnd tl�al � sep�raLe permit may ue r�quired �for electrical worlc,
<br /> plumhing, signs, wells, pools, air conclitionin�, g�s, or other install�tions noi: speciFically included in the �pplic�tion. A
<br /> �ermit issued sh�ll be construed fio be a ficense io proceed with the worl<ancl nol• as aufihorifiy fio.viol�te, cancel, ali�r, or
<br /> seC�sidc �ny provisions of the tecl�nical cocles, nor shall issuance o(a permil prevenl the Building Offici�l�from ihere�fter
<br /> requiring � corrcction o�f erro�rs S c'�n�r�il isrcotmmenc I Ilwitl in six�mo,uaeor n rm ssu Ince,uor if Iworic�aufil o�ized by
<br /> unless the woric aulhorized y p
<br /> ihe �ermil is suspendecl or aU�ndoned�for a period o�F six(6) monlhs �fler the iime fihe worlc is commeneecl. An extension
<br /> may Ue requested, in writing, 'from i:he Building 'O(ficial for a period nol to exceed ninely (�JO) d�ys �nd will clemonstr�le
<br /> justifi�bie c�use�for the extension. If worl<ce�ses'For ninety. (90) consecuCive d�ys, the job is considered abandoned.
<br /> WARNING TO OWNCR: YOUR.Fla[LURC TO PCCOf�D .�1. NOTICE 01= COMMENCEMCNT MAY RESULT IN�YOUR
<br /> PAYWG TWICC 1=0P IMI'ROVCMT��G R o OR� P�L-CORDING YOUR NOT�I pE OF COMM�NC�MCNT ' CONSULT
<br /> WITI-I YOl1R LCNpCR OR AN A ` ��
<br /> �LORIDA JURAT(f-:S.117.03 , /
<br /> CaNTRACTOR
<br /> OWNGR OR AGCN /Su4o rib d and s�orn to�C!������f�
<br /> ubscnUe �nd sworn t (�r affi�ad) fore �his �� —
<br /> ,�0—�,3 bY Who is/are personally I<nown to me or has/have produced
<br /> Who islare personaily I<nown lo me or has1have producecJ as identiticalion.
<br /> as identificafion.
<br /> �
<br /> Notary PuUlia
<br /> � ,'� Nolary Public
<br /> ATl1TdDV Commission N . . . ,,t,
<br /> COI11f11I5S10� D. PL�T iC STATF nF F'1.(1RTTlA �ulapil�' BAitr
<br /> -. Sur.anr.e Bahr
<br /> " ed rinted �' o[nrra5s�nn . �,�
<br /> ry Yped',,, �°q�', I�R� \OV 22,2014 Name of Nolary tYp �P :., .; �x.i:;�; ;�;t.3�� ?2,2014
<br /> (�lame of Nola t � ., ,. Y " " . , ,>o co,rxc
<br /> BOFDEDTEIRLAiLr_,; _ � �i„\GCO,INC. BOSDEil�f;ik� �
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