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NtJTiCE OF OEEO RESTPL�CT�QNS: Tfie undersigned und�rstands tfiat ttiis permit may be�subj�ct ta"de�d°rastrictio�s°
<br /> whicF� may be mara resRrictiva tFtian County rergulations_ TF�er undarsig�ed assumas r�sponsibility for complianca with any
<br /> appt;oabie deaei r�strictions.
<br /> UNLICENSEO� CONTFGACTQRB ANO� CONTF2AQTOR RESPONSIBILITIES: If tlrye owner has hireed a con#raator or
<br /> cont�actors to undertalc�worfc, they may k.ae requtred to b�s lioe�sed in accordar�cee with stata and tocal �egulations� If ttte
<br /> contractor is �ot ticernsed as reqt�ired by taw, both tt�o owner and contractor may be cited for a misdemeanor vlolation
<br /> under state law_ If tt�e ownar or intended contractor arrs unceertain as to wt�at licensin8 r�quirements may apply for tFia
<br /> intanded worh, t!-»y ara advis�d to contact ths Pasco Couczty B�iiding inspeect}on Oivision—Licensing S�ctian at 727-847-
<br /> 8009. purthsrmora, if tha awnar Nas hired a cantractor or contractors. I�e is advisc�d to hava tl-�e cantractor(s) sign
<br /> portions o! tt+e1 °contrackor BlocFc^ of tf�is appiioai:on for wt�ich ttssy wiN be resportisib{e. 4f you. as tt�a ow�er sign as tfies
<br /> contractor, tFiat rnay ba a� indicatian tF�at i-�c� is not prop�rty ti��n�.ned and is not antftied to pe�rmitting privilegas in Pasco
<br /> Cou�ty. -
<br /> TRANSPdRTATiON IMPACTJUTI�iT{E8 IMPACT AN[7 RESQURCE RECOVERY�EE3: The und�rs3gned underst'ands
<br /> ihat Trarisporkatian Impac# F�es and R.ecourse Raoovery Feees may apply to the constructfon of new buildings, cF�anges of
<br /> usa in existing buiidings, or erxpan�ion of existing buitdings, as spacified in Pasco County Ordinance numbe�r 89-07 and
<br /> 90-07, as amended» TF�a undersigned also understands, that such fees, as may b� due, will b+a identifiad at tha [im�s of
<br /> p�rmittfng. tt is further u�dBrstood tt��f Transportatio� impact FQes and Resourca Rercovrery Fees must be pald prior ta
<br /> rec�iving m "certifice�te of oc¢upancy^ or finai powe�r r�ater�asa. if tF�+3 proj�ct daies not invoWe a cqrtiticate of occupartcy.or
<br /> final powa�r ralease, th� fees must be paid priar to parmit issuance. Furthermore, if Pasco !County Wateer/Sawer Impact �
<br /> fees ar�due, thay mvst ba paid pripr to p�rr»it 9ssuanoa in accordance witfi app4icabt�Pasco County ordinances_
<br /> CONSTR4lCTIdN L�EIV LAW(Ctiaptor T73, Florida 3tatittas, aa amendmd): If valuation of worlc is$2,500A0 or mare, 1
<br /> certiiy tt+at I, tYr6 appiica�t, t�avES beien p�ovicfed witt� a copy oT tF�ee °Piorida Cons4ruction Lien Law—l-lomeowner's
<br /> Protection Guid�er" preparsd by the Florida Oapartment of Agricultura and Consumer Affairs_ if tha appiicant is someona
<br /> ottir3r lhan ttia"owner', i certiTy tFtat 1 ttiave obtained a copy of the abov� dpscribad documer�t atid promis� in good faith to
<br /> daiiver it�o tFia°owner"prior to comm�ncement.
<br /> +CONTRACTOR`SIIC?WNER'S AFFIOAVIT: 1 c�rtity ttrat all ther informaUon in tFiis application is accurake and tFrat�11 woric
<br /> wili be done Yn compiiance with atE appEicabye taws cagu�ating canstr-uction, zoning and ia�ci cfeve�orpment_ Appticaticrn is
<br /> her�by mades tv obtain a permit to do worK and inskallation as indlaatad_ 1 cortiTy thai na worlc or installation has
<br /> aommgnced prior to issUance of a R�rmit and tt�at af1 worK will ba parformrzd to maet startdard� of afl iaws �agulating
<br /> construction, County and City oode�, zoning reguiatio�s, antl i�nd davaiopment reguiakiortis in tt�e jurisdicfion_ i a�so
<br /> cer#ify tt�at 1 understand thak the r�gulat[o�s of other government acJenoies may apply to tFie intended work, and that it is
<br /> my responsibiiity fa id�ntify whai actians { must taMce to ba tn compiianca_ SucF�agencias inciuda bu#are�at iimited to:
<br /> - G>epartmant of Environm�ntal Prokection-Cypr�ss Bayh�eads, W�tland Ar�a� and Environm�ntally S�nsitiv�
<br /> �ands, Wate+rfWastewatar Trestrnant.
<br /> - SoutFiwest Florida Water Managemant �istrict-Wells, Cyprr�ss Bayheads, Wetland Araas, Altesring
<br /> Watarcourses_
<br /> - Army Corps of Enginears-SF3awaiis, GocFcs, htavigabi�Watarways.
<br /> - �eprartme�t of HealtF� 8. RaF�abilitative S�rvices/Enviranrnental He�alth 1Jnit-W�ells, Wastewat�r Traatrnent,
<br /> Septic Tanks.
<br /> - lJS Environme�tal Protection Agency-ASbestos abatomant.
<br /> - Federai Aviatiort Autt�ority-Ftunways_
<br /> 1 u�darstand tF�at the following restrictions apply to tl�a usa of fill•
<br /> - Llsa of£+H is not aflawad in Fload Zon�°V^unless�xpressly`peormitted_
<br /> - if the Fii material is to ba used in Ftood Zona °A°, it is undarsioad tfiat a drainaga pian add�essing a
<br /> °cpmpensating volum�^ will be submittad at time of permi#ting wF�ich is preparad by a profossionat engine+er
<br /> Iicatisgd by tF�a State of FlorGda.
<br /> - if RFie fill material is to be usod in Fload Zona °A° in ao�neotian with a p�rmitted buildiny using stem wall
<br /> construction, i certtfy tt�at fi11 wiit ba a�sed orrly to ftil ths area wittein the stem waN.
<br /> - If iill ma�erial is to be us�d in any ar�a, 1 certify that �s�a of sucF� fiil w9fi r�ot adversety affact $djaconf
<br /> propStYias_ If use of�1! fs tound to adv+arrsaly afF�ct adJac�nt praperties, tha owner m�y ba oitad for violating
<br /> ttie conditions of tha buildF�g permit issuad undar tha attactsad permit appiioation, for tots kess than o�a (1)
<br /> acre whicF� are elavatad by flll, an angin+eeerred tlrainaige plan is raquired.
<br /> If i am #Yis AGENT FOR THE L7WNER, i Prosn;sB in good faitt�ta inforr»tfia ow�er of tha parm;tfing cond"stions s�t fort#� in
<br /> tFiis aHidavit prior to oornmt:ncing construction. 1 undc�rstaind that a saparate permit may be requircxd for �Iectricai wo�ic,
<br /> piumbing, signs, wa11s, pools, air conditianing, gas, or ott�er tnstallat€ons �ot speroffically 7�cludgd in the application. A
<br /> p�rmFt issuie,d sF�all ba con�tru�ed to be a ticensa to procaed with tt�a work, and not as authority to viatat�a, cancei, a4t�r, or
<br /> sat asid� a�y provisions oT tha t�ct�nical codes, �or shall issuance of a p�rmit prevenk the Buiiding C7fficial from thereaf#er
<br /> requiri�g a aorraotion of errors Gn pFans, construction or vioiations of any codes_ Every p+�rmi#4sst�ed staatt baaome invaRd
<br /> unless the work authoNzad by sucF� p�rmit is commenced witF�in six montFis of parmit issuanae, or if wor4c authoriz�sd by
<br /> tfi�e ps3rr»it is susp�ndsd or abandoned for a pariod oT six(S}monttts aitar tt�e time tt�er worlc is commancad. A� axtcfnsion
<br /> m�y be requested, in writing, irom the Building Official for a pariod not to axc�eed ninety (90j days and wiil demonstrate
<br /> just"sfiabirs cause for the sxt�nsion. if worlc ceases for nieiety�90)ca�socutiva�days, tl-��s jab is cansidared abancioned.
<br /> WAf2NING TC] QrWNER: YOUR FA/LUR'E TO RECC7R� A NOTICE pF Cd `EME T AY RESULT IN YOIJR
<br /> PAY�NG TWiGE FOR �MPi2QVEMENTS TO YC3UR PROPERT`Y_ IF YOti !ht EN O fJBT ��NANClNG« CONSULT
<br /> WITH YK�U,R LENUER OR..AN ATTORNEY Gt�EF',�;E C IN O R T C T_
<br /> FtiORiOA JtIiZAT{F.S_ Z 17.09)
<br /> OWNER C1R A6ENT ICONTRACTO
<br /> Subscritred and swom to{or sH3rmadj bafora me�tht� SubscFib$d mnd swo to afNrtna afore me is
<br /> �bY by
<br /> W'Mo 1�/ar�e pnrsonally Icnown fo me or hafs/hava produc�d Wha is/a�e parsonally Ic.nowri to me r hasRiav produced �
<br /> _as tdentlflce�tlon. as! tltication_
<br /> _ .__. Notary Pu[alic _.. Notary Publ3c
<br /> Comrnisslon No. ,,, ,,,,__ Gommtssiot�No. _�, ,,,_, _
<br /> 1Jam�of Notary typaci,pMnte�d or st�mg�d Nama of Notary typ13d.prEntad or stamped�� ^�
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