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No71C£OF QBE�RESTRICTIOiVS: The undersigned underelands that Ihls permll may ba subJect to'deed'reslrlcUons"
<br /> whlch may be mwe resirlctive li�an Gounly regulatlor►s. 7he undarsfgnad eaaumea responslbility for cumplfa�ce w1lh any
<br /> eppNcable daod realrlcllons.
<br /> UNLICENSED CONTRACTQRS AND CONTRACTOR RESPOHSIeiIITiES: It Ihe owner haa hlrad a contreclor or
<br /> oonireclora to underiake work,Ifiey may ba reqWred lo be I�cenaed in eccordance wllh sfate and loca!�epu�aifons. If Ibe
<br /> coniractor Is nol Ilceneed es requked by law, both tha owner and conkac�or may be qted for a misdemeanor violatlon
<br /> under stale law. if the awner or Intanded oonirectw ere uncerla►o as lo wha!Ilcene
<br /> intanded work,�hey Bre advlaed to conlect the Pasco Caunty SuNdtng 1r�sRacNon D�I�vn--Lkena ngtS ctlYon a�y gq4 je
<br /> 8009. Fwihermore, )f Ihe owner has hlred a conlraclor or conlractors, he Is advlsed !o have Ihe conlracla(a) sign
<br /> porllone oi Ihe'conlraclor Biock•ot Ihls appltcat�on for whbh they w!I be re9ponalbla. If you,es lhe owner sipn ss ihe
<br /> contraclor,thet may be en Indfcatlon f�a!he ia not property Ilcensed and is not antlQad to permflUng p�ivBegea in Peaco
<br /> County.
<br /> TItANSP�RTATlON IMPAGTIUTtLiT1ES IMPaCT AkD RESQURCE RECOYERY FEES; Tha u�ereigned underslands
<br /> Ihat TransporlaUon ImpaG Fees and Recourae Reoovsry Fess may apply lo Ihe conslruoGon of new 6uMdings,change of
<br /> use fn existing bulldinga,or a�ansbn oi exlsUnp buNdinga,aa spe�fisd(n Pasco Counly Ordlnance number 88-07 and
<br /> 90-07,as amended. The underaTpned elso understands,lhat euch feea,as may be due,wlll 6s IdenliNed et it�e Itme of
<br /> Pe^^HU�9• ��is fuAher uade�elood thel7rapeporlolion Impac�Fees end Resoutcs Recoyery Fees musl be peld prlor to
<br /> reeelving a'ceHlllcale of oxupancy or}inal povver releasa. It fhe proJect does noi lrndve a cer�iRcate ai occupancy or
<br /> Onel power refeeae,iha fees musl 6a pald prbr to permlf Isauarpe, Furthsrmore,H Pasco Counq�WaleNSewar ImRact
<br /> fees ere due,fhey musl be pald pdor lo permN Isauance ln e000rdance wilh a
<br /> CONSTRUCTION LIHN LAW(Cbapfar 713,Florlda 8lalutea,aa.msndad)�Ij valaallon of wortc Is a2,590 p0 or more,l
<br /> ce�tify Ihat I, Iha appticant, have been provided w►th a copy ot !he •F[or�da ConsfruoQon lien Law—Homeowners
<br /> Proledbn Gulde'prepared by Ihe Fbrida Depar(ment of kgrlcul6ure end Con9umer A/faire. If Ihe appllcant Is someone
<br /> oli►er then tite•oW�e�'.I cer�ify fiat I have oblalned a copy o/!he above deaaibed document end pramfse In gaod failh!o
<br /> dellver fl(o Ihe'owner p►tor lo commanoameot,
<br /> CONTRACTOR'8lOWNER'S AFFIDAVIT: I cerlify that aU the IMormelton In Ihis eppllcatlan Is accurale and Ihat ali work
<br /> wlll ba dona In complfence wfth ell applicabla faws regufaling construcUon,zor►Ing and fand developmenl. ApplicaRon Is
<br /> bereby made lo oblaln a permlt lo do work ar�d Inskellstion ss indlceted. 1 oedi�y tl�at no vrork ar lnslallatton has
<br /> commenced pr�or l0 lssuance of a permil and Ihal all work will be performed lo meei slendards o1 all laws�egulaUng
<br /> conatruGion, County and Cily codee, zoning regu1a11one, and land development regulsUona In Ihe Jurladlction. f also
<br /> cerlify that!understend Ihal the ropulailons of olher govemment agencles may epply io Ihe M�gnded work,arld tAat ll Is
<br /> my reaponslbifiy to Ideotffy wha�scttoru I musl feke to be fn compllance, Sueh aBencies Include bul ara nol Umlled io:
<br /> DepaAmenl of F�vironmantal Prolectlon-Gypress Bayheads, Wetlend Areas end Ernfronmenlslly SenslUve
<br /> Landa,WatedWealewaferTreelmenL
<br /> - Soulhwest Fforida Waler Management DlsbtCt-We11s. Cypreas Bayheeds, Wedand Neas, Altedng
<br /> Waleroourses.
<br /> � Nmy Corps ol Engineers-Seawalls,Doolcs,Neyigable Weterwaya.
<br /> - Depa►tmsnl oi Heallli 8 Rahabillletive ServlcsalEnvironmenlal Heallh Unll-Welfs, Waslewa(er Trealmenl,
<br /> Sepl�C Tanks.
<br /> - U5�nvlronmentel Proteallon AgencyAsbastoa abatemenL
<br /> Federef AviaUon AulhorNy-Rurw�ays.
<br /> 1 undersland lhal lhe followinp reetrfcUons eppy Io lha use of flB:
<br /> - Uae af iN!Is not ellowed tn Flood Zone"V'uoleas expressly permlEfed,
<br /> - !f the flll mateHat Is lo be used In Flood Zone %1', li fe underalood lhet a drainege plan addressing a
<br /> 'compensaling velume"wUl be submil{ed at tlme of perml!ling whlch is prepared by a protesatonal englnaer
<br /> liceneed by tha Stale ol Flodda.
<br /> - IF ihe tlll malerFal la Io be used fn Flood Zone'A'in connection wllh e parmitted butlding using atem wsll
<br /> co�sWcGon,I cerilfy Ihel flll wIH be used only lo Oli Ihe area withln!he slem wall.
<br /> - 11 filf materlal is ta be used In amr area, 1 cerllfy lhat ueo of aucb flll wifl not adveraely affect adJacenl
<br /> praperUes. IC u9e o(flli Is found!o edverseiy attect adJacen!propeqlea,Ihe owner may be Gted lo►vlolaling
<br /> fhe cflnditlorts of!he building permft lasued under Ihe ailaehed perm[t appl�cellon,for lots less tl�an one(1)
<br /> acre whkh are efevaled by fdl,an englneered drainsge plan Is raquired.
<br /> If!am 1he AGENT KOR'fHE pWNER,l prori7(ea In good fallh io Inform the oyuner oi Ihe permNlfng condlUon�set torth In
<br /> Ihls ei(Idavit prtor lo cammenaleg oonslrucdon. 1 underatand Ihaf a separefe parml!may be requfred for eleclrfcai worlc,
<br /> �umbing, aigna,yvells,paols,elr condilforting, gas,or alhar InslaNallons nol aRecHN�lly indudad in Ihe eppAc�tlon. A
<br /> permlt Issued ahall be eonstrued fo be a Ifcense to proceed w�th the work snd not er suthorily(o,vidale,cancsl,after,or
<br /> se1 ealde a�r provlslons oF the technlcal codes,nor she11 Issuance of a permli prevent the BuNdtng O(qcla)hom thereath�r
<br /> requUing a correcUon of errors In p�ans,oonelrvctlon or violaUons oi eny codes. Every permll Issued ehatf become lavalid
<br /> unless Ihe work authorhed by such permlt la commanaed wlfhin sbc monlhs of permfl Isanance,or It work sulhorfa_ed by
<br /> Ihe permll fs suapended or abendoned fot a pe►Eed oF slx(8}moMhs after the Ilme the work Is commenced, qn extenalon
<br /> may ba requesled,In writlng,from the Bultding Offlclal fnr a perlod not io exceed nlnely(BO)daya and will demonsUale
<br /> Justfflabte cause for ihe exlertslon. Itwork ceasee for ninety(90)oonseculfve days,lh�Jop��conaidered ebandoned.
<br /> WARNIMi3 TO OWNER: YOUR FAILURE TO RECORD A N0710E Of COMMENCEMENT MAY RE6UL7 IN YOUR
<br /> PAYING TWIC�FOR!NlPRQVEMEN73 70 YOi1R PROPERTY, 1F YOU IN7END TQ OBTAIN FINANGNG,CONSULT
<br /> E OE N F ING C F C E C
<br /> FI.OAtDA JURAT(F,9.117.03)
<br /> OWHERORAOENT COH7RAC7p `. ���[,��✓
<br /> Subsal6ed�nd wwm lo(or aNkm�d)bafon me We Subs end (ol �ed befine rt �hb
<br /> Who Pahn paw��9y irp►m�O me a hufi�W produced YNa I�by ��b me a p� �
<br /> ss Ida�58cabn. nillcaUon.
<br /> — 1r'olary Puhdo ol�ry Public
<br /> Comrnlulon Na bn No._ C���p�O C)
<br /> P7azns of Nofary bP�.P�ted a alamped Name ol NW� %n'/�
<br /> �Y(YP�.V� or sFampol
<br /> � �+ �����
<br /> . ��►E�+n�2a.Z0� 1�+w,
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