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<br /> NOTIrCE OF bEEQI RES7'R�C'M"IONS: Tha undersigned undorsta�nds tF�at tFiis parmit may ber subj�ct to°daed°rostricttons°
<br /> which may 4e mora restrictiva than County regulakions. The undarsfgned assumes r�ersponsibility for complianca witF� any
<br /> ci,ppfiCabla daad rB�ttrictlons_ '
<br /> fJiVLlCENSEO CS?NTROaCTORS ANO CONTftACTOR RESPQNSIB�LiT�ES- tf tha own�r has isirad a cont�acto� or
<br /> contraotors to undesrta�co worlc, tfiey may ba reqWrad to be ticgns�d in accordanca with sfat�+ and Iocai ragutations_ if the
<br /> contractor is not licensad as r�quire�d by law, both thee own�ar ard contraotor rrr2y b� cited for a misdameanor violation
<br /> under stata law_ If ttie awnar or int�nded contraotor ara uncart m as to what licensirtig raqufram�nts may aprply for tFie
<br /> ir�iend�d worh. thr3y are advisead to cantact tfie Pasco County Bu�di�g Inspectlorti �ivision—;._icensit�g Sr�c[ion at 727-847-
<br /> �009_ �urtF�Brmora, if the ovtrner F�as fiiraci a contractor or co+ntractors, F�e is advi�ed ta t�avp tt{e co�tractar(s) sign
<br /> portions of tt�e "contractor Biacic° of tt�is application for which th�y wiii ba responsibie. if yvu, as ttia owner sign as tF�e
<br /> cont�actor, ttiat m�ay be an indiaation that he is not properly lice�sad and ;s not antitl�ad to parmit#ing privilagees in Pasco
<br /> Coun[y. �
<br /> TRANSPORTATIQN fMPACT1llTiL{T�ES iMPACT ANO RE$Ot�RG'.E R�COVERY FEES_ "C'F�e undersig�ed understands
<br /> that Transportaticin impact Faas snd Recourse FZacovary Fer�� rnay appiy ta tt�s const�uction of naw buildings, change of
<br /> use i� existing buildinga, or axpansion of eex:stirig buildings, as �paoi£@d in Pasoo Caunty C?rdinanca r�umbor 89-07 a�d
<br /> 90-07, as amend�d_ TI�o undarsignod also undarstands, tF�at swcFl fees, as may ba due, will be icfentifirtad at tha tima of
<br /> permitting- It is fiurther undarstood tF�at Tr�ansportation Impaci F;eees and Rasource Racove�ry Fe�s must be p�aid prior to
<br /> receivfng a °cartificafe of occtapancy" or finai ppw8r ra�ease� 1f�h� project doss not invoiv� a cert�catca of occalpancy or
<br /> �nal power releaso, tfia fees must ba paid prior to parmit issua�ce_ Fue�ttFserr»ore, if Pasco County W�tertSOwer Impact
<br /> fees are du�, tfiey must ba paid prio�to parmit issuancH in accor a�ca witF� applicabla Pasco County ordinancees_
<br /> CON73TRUCTION LIEN LAW(Chaprtar 713, Florida 73tatut��, �s amgnd�sd)= If valuation of worlc is $2,500_d0 or more, 1
<br /> certify tF�at 1, tF�er applica�t, have been providad with a copy� of tF�a °Florida Construction Lieen Law—Homeowner's
<br /> Prot�ctio� .t"`.7uida° prepared 4y tF�e Ftorida pepartrrtent of Agric�tta�re and Consumer ATfairs. if th�s appticant is somieone
<br /> other tfian#t�ie°owner°, t ceriify that I haver abtain+eed a copy pf tfi�above descr�bed docum�nt and prom3se in+good faitt�to
<br /> delivr�r it to tNa°ownar^ prior to commencBment.
<br /> CONTRACTOR'$/OWNER'S AFF�OAVIT: 1 cerklfy tFrat all tF�a i�farmatian in this applicatton is accurat� and that all worlc
<br /> will bo do�a i� complianca with all .applicable laws regulating c nstructia�, zoni�g and land devtslopmont_ ApplScatior� is
<br /> tiereby made to obtain a p�rmit to do warxc and instaEiatio» �a� tndicated_ I ceftify Yhat no woric or instaNatipr� has -
<br /> commenced prior to iss�.ranca of a permit and LI'iat al! worlc wiii bts parformed to maef standards of ail iaw� �egulating -
<br /> constr�ction, County and Ci�y codc-ss, zoning reegulations, ar'�d ;land dev�lopment ragulations in the jurisdic�ion_ 1 also
<br /> certify that 1 underrstand tF�at the res7ulations of ather governmer}t agencias may apply to tht: intended work, and th�k it is '
<br /> my r�sponsibfFity to identify what actions i must talce to ba in co�piiance. Suct�agencYss includs but ara not 13mited to:
<br /> - OeRartment of Environe»entai Protaction-Cyprass ayt�eads, Watiand A�eas and Environmentatty Se�sitiva
<br /> Land�, Watar/Wastewat�r Tr�aatmenk. !
<br /> - Southwast Florida Water Ma�agamant �istrict-�Wolls, rCypress Bayheads, Wakland Araas, Altering
<br /> Wat�rCOUrs�s_
<br /> - Army Corps of Engineers-Seawaiis, Oac4cs, Naviga e'VYat�rways_
<br /> - OepaKme�t of Fi�alth $� Rahabilitative S�rvice�sfE virortmgntat W�aaltt� tJnit-Weits, Wastowatar TreaXment,
<br /> Saptic Tanks_
<br /> - US Environmental Proteation Age�cy-ASbastos aba ament_
<br /> - Fedaral AvFation At�thority-Ra�nways_
<br /> I und�arstand tt�at tt+e foFlowing rest�;ctions appiy to ttaB x�se of flll
<br /> - llsa of Fit is not aliowed in Fiood Zo»e°V^unieas e rassly psrmittetd_
<br /> - If tl�ea flll material is to ba used in Flood ZoriQ ° , it is unde�stood tt�at a drain�ge plan addressing a
<br /> `compensating volume^ will be� submitted at tima o parmitling wltiiaFi is preparad by a prof�ssional engineer
<br /> liceri�ed by the State of Florida.
<br /> - if t#�8 fili material is to ba usad in FFood Zone °A in cann�eection witt� a permitted buitding using stam waii
<br /> coristructiorv, 1 cortify tttiat fiil wili ba used oniy to fiH a area within the statn watl.
<br /> - If fill materlal is to ba used in ar�y ara�, 1 cartiT that usa of sucF� ffll will not advers�ly afF$ot adjacent
<br /> propr�rties. If usa of fill is found to �dversely a#fsc adJacent propr�rties, tha owner rrray b�a cited for violating
<br /> tF�e conditiat�s of tt�e btailding permit issu�d under he attached psrmit applioatFon, for lots less ttian arie �'!)
<br /> acre�wFiictt�re e{exvated by fill, art an+gineered drain ga ptan is raquired-
<br /> If 1 am the AGENT FOR THE OWNER. 1 promis�z in good faitti o inform tha owr�er of the pormitting conditior�s sat fortt+ in
<br /> ttiis aHidavit prio� to corrlmencing construction. 1 und!�rsta�d t at a separate permit may ba required ior eie�ctrical worlc,
<br /> plumbing, signs, wells, pools, air canditioning, gas, ar otF�ar i stallations not specifically includ�d in the application. A
<br /> permit isst��d sfiait ba construed to be s tfcenser to procead wit tha worlc and not as autttiority to viotata. cancei, aiker, or
<br /> sef a�ide ae�y provisions of EFi�tectinical codes, nor shall issva cs of a p�rmit prevent ttte Building Officia/from th��ea#ter
<br /> requiring a correction of errors in plans, construction or violatio s of any codes. Ev�ary permit issued shati becoma itivaiid
<br /> unless tF�e woric authorized by sucF� parrtnit is comme�nced wit n six months af permit issuaincee, or if worlc authori.z+ad by
<br /> tF�e psrmit is suspiendad or aba�donied for a period of six(6) m ntl�s afte�r tF�e t;me the wor{c is commanced. An extsnsion
<br /> may ba reequest�ad, rn writing, firom ttse Bt�iiding Officiai for a p riad not to axca8d nitiety (90) days and wiN demonst�at�
<br /> justifiabia causa far tt�c� axtension. If worFc ceasr�s for�inety(9 )consaet�tive days,tFte job is cansiderad aba�doned.
<br /> WARNING TO ClWNERc YCIUR FAILUf2E TCt RECORU A OTICE C1F CIDMMENCEMENT MAY RESIJLT IN YOUR
<br /> PAYING 7'W�CE POR�MPRClVEMENTS TO YC?UR PROPER . �F YOIJ �NTEN�TO OBTAIN F�NANC�NG, CONSUL'1"
<br /> {t1i�TH YOtJ�2__��VOER t?R AN AT7"OF2N�Y B�, Q i .f"s Yd�R NOTiC�OF CCfMMENCEMENT
<br /> FLORI�A JIJfiAT(F.5 t'17_0313 y
<br /> OWNER OR AGENT CC?NT 1GTOR ����-"�'f��"'�C
<br /> Svbscribed and swom to(or�ftirtned)be(ora ma tF�l� SubscA ad mnd swrSm to(or a(flrm�d)before ma this
<br /> ��Y � trY
<br /> Wtio fslare parsonafiy icnowr�to ma or t+aslhava prerduced Wt�o ist ro parsonaity k�own to me�or ha�/hava produc�d
<br /> ... . as identlficaL3on. ...._ .. as identlfi�atloti_
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<br /> _ „iNCrkary Putailc » „ , Ncrtary f'ub{Sc
<br /> Commission No._,,,,, ,_ Commi sipn No.
<br /> Nam�3 of Not9ry HP�.Printad or st�amped Narna F Natary typad,pfintacf or atampad
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