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<br /> NOTtCE OF L?EEt7 RESTR1CTiCiNS= Tii�undarsignad unde�rsta ds tFiat this p+ermit may tre subjact to°dB�sd"rBSXrictions"
<br /> which may be mare restrictivg tF�an County r�gulations_ 7'ha und rsignad assumas responsibility for compliancer witt� any
<br /> aFP�icable d6ad restrictions.
<br /> UNLICENSEd CONTRACTCIRB ANd GONTRACTCSR RESPO S�E3�LITIES: If tl-�e ow�er has hirQd a contractor or
<br /> contfaokors to undertaica woric, they may be requirerd to ba ticens d in accordanco witl� stata and local �agulatio�s_ !f tha
<br /> contracto� is �ot licenns�sd as reqtiir�d by taw, both ttre ownar a d cv�tractor may be citod for a misdemeanor violation
<br /> undar statc-s law_ If tt�e owner or intendad contraclor ara uncart in as to what licensing r�q�irements may apply for tF�a
<br /> intendad wor4c, th�sy �re advised ko cor�tact ths Pasco Cota�ty B�.ai ing tnspaction Qivisia^—Licansing Section at 727-847-
<br /> SU09. FurtheYrmora, it thr� ow�ar F�as hired a contractor or co traotors, tia is advisad to F�ave �ha contractor(s) sign
<br /> portions of ttt� °contracto� Stoo4c^ of tf-tis appiicatior� For wtsictE tt� y wili be �esponslble_ If you. as the owner sign as tfiB
<br /> contractor, tF�at may ba a� incfication that Fia� is not p�op�riy Iice sed and is not cintikied to parmitting priviteges in Pasco
<br /> Couraty.
<br /> TI2ANSPORTATiON �MPACTlUTti`�TIE3 tMPACT ANQ RESQU CE RECOVERY FEES: The und�rs3gned uncferstands
<br /> that Transportation Impact F�aes and Recoursa Raoovery Fees ay apply to tha construction of new buildings, cF�angea of
<br /> a�,e in axisting bu{idings, or c3xpansior� of existi�g bvitdings, as pecif3ed in Pasco Cotlnty 0lydinanc� number 89-Q7 ared
<br /> 90-Q7, as �mended, TF�a u�dersigned also u�tlet-stands, that s ch faes, as may ba due, will ba Identifierd at tF�e tim� of
<br /> p�rmitting. It is further undarstood that Trartsportation {mpact F Qs a�d F2esource RBCOVery Fees must be paid prior ta
<br /> racaiving a ^certificata of occup�ncy^ or fi�al power reteasa. if t a project does not invoiva ra cgrtificate of occupancyror
<br /> final powar r�leasa, tho f�es must ba paid prrinr to parmit issua ca� FurtF�armore, if Pasco County Wateer/Sewer Impact
<br /> f�es ara due, tiiay must bg paid prior to permit issuancB;n accor anc�wittx appiicable Pasco County orditiances.
<br /> GONSTRIJCT�ON LIEN L..AW(Chaptr�r 713, Floritla Statutgs, s amenderd): Ifi valuation of worlc is $2,500.QO or more. 1
<br /> certify ityat t, tMe appiicant, havB beean provided witt� a capy of the °Pto�ida Co�struction �ien �aw—f-Iomeowner's
<br /> Protection Guid�r^ preparad by tha Florida departmeryt of Agric Ikuree and Consum�r ANairs_ if the appiicant is someona
<br /> othc�r ttian tt�a�"rswrrer^, i certify tF�at 1 have obtaf�ed a copy oT tti abov@ dascribacl documc:�t anc! promisr� in good faikt`to
<br /> deiiver it to fhe°owner"" prior to oommeFncement.
<br /> rCONTF2AICTOR,*3/GIWNER'$ AFFIUAVIT: 1 ce+rtify tF�at all �t�� i formation in tl�is applicatio� is accurate and th�t�11 work
<br /> witi be done in compiiance with aii appi;cab{e laws rr�gulat;ng c nstruction, zoni�g and land deva�opr»ent_ App{ication is
<br /> hersby ms.�d� to abtain �a parmit to do worK and installation s indicat�ed. 1 cortiiy tl-tiat na worK. o� installation Fias
<br /> cornm�nced prfor to issusnce of m p�ermit and tt�at ail wprk wi 1 tra perform�ed to msst star�dards of a{I faws �sgulati�g
<br /> construction, Cou�ty and Gity codes, zoning reguiations, and �and dovetopmant reguiakions in �!-�e jurisdicfion_ i also
<br /> aertFfy that 1 u�derstand that th� resgulatior�s of other govemme t agencies may apply to tF�a intended worK, and tFiat it ➢s
<br /> my responsibility to idantify what actions i must taFce to bs ih co piiancer_ Such aganciees Lncluda ba�t are not Iimited to-
<br /> - C7epartment of Environm�ntal Protection-Cypr�ss ayF`eads, W�tland Ar�as and Environm�entally S�nsitive
<br /> Lar�ds, WateNWast�water Treatmgnt.
<br /> - SoutF�west Florida Water Managament �istrict Wells, Cyprsss BayF�eads, Watland Araas, Ait�ering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Saawaits, Gocics, IVaviga Ia Watenr-ways.
<br /> - C7eparime�r�t oT Her�lth 8. R�F�abilitativa Sarvices/ nvironmental Hetalth IJnit-WHlis, Wastewat!�r Treat�nent,
<br /> Septic Tanics.
<br /> - tJS Enviranmet�tal Pratection Agency-A�be�tos aba ermont.
<br /> - Federai Aviation Aut#�ority-Rvnways_
<br /> 1 u�dorstand tliat the following rastrictions apply to tFtie usa of fill
<br /> - lJses of fli1 is not altow�d in Flood Zonr:°V^aa�less o pressly pgrmitted_
<br /> - if the Fli me�terial is to ba used in Flood Zone� A°, it is undars#ood that a drainag� pian addrgssing a
<br /> °compa�sating voluma° wiil be submitted at time f permittin+g which is preparod by ta profr,�ssional eangine�r
<br /> lic@nsad by tI'�e Stata of Plarida.
<br /> - If the £II material is to b�e usad in Fload Zone °A in co�nectian with a permitted building usi�g stem wall
<br /> consfruct;on, i certify tfi�at fili wiH bie used onty to filt he area wittfitl tha starxt wa41.
<br /> - IT fi�l maierial is to be usod in any ar�a, i certi that us� of such fiif wilt �ot adversely affect adyacenf
<br /> praparties_ If usa of fill is found to acivorssly affo adjac�s�t propartie�, tFie owner m�y be citezd for violating
<br /> tF�a conditions oT the buitding permit isst�ed und�r the attached permit appiioatiori, Tor tots Iess ttian one C'i)
<br /> acre wt�ich are elavatad by fill, an angi��e��d dra➢n ge pla� is roquirad.
<br /> (f 1 am the AGENT FqR THE fJW/VER, � promisg in gaod faitt�to inform the awrsar of tt�e� parmitting conditions sest fortt� in
<br /> this a�d�vit prior to commancing canstruckion. 1 understrand hat a s�parate {a�srmit may be r�quiracf for aiectricai work,
<br /> pi�mbing, sGgns, welis, poals, ai� conditioning, gas, or othar i stallak4ons not specifically ir�dud�d in th6 application_ A
<br /> parmit issued shalt bc� con�trued to be a ticense to procemd wi h tF�e worlc a�d rtot as auttiarity to vioiata, c�ncel, aft�r, or
<br /> sat asid� any provisio�s of tt�eF tachnical codes, �or shall issuance oT a permit prevent tF» Building O�cial from ther�eaf#er
<br /> requiring a cor�ection of errors Gn ptans, construction or viotati ns of arsy cod�s. Every parmit issued st�all become invalid
<br /> unless tFre woric authori.zed by sucFti permit is commenced wit in six montFi� of parmit issuance, or iF work auttioriztsd by
<br /> ther pe�mit is suspanded or abandoned for a ¢eriod o1 six(S} onths after tt��a tima tha worlc is commenced. A�e�xtensto�
<br /> may ba requested, in writing, Trom the Baailding Official for a �riod not to axcaed ninety (90) days and wit� demonstrate
<br /> justifiabfa cause fo�the extansiort. If worlc ceases for ninety(9 j consocutivc-s days,tF�c:jab is considered abandoned.
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<br /> NI/ARNING TC} OWNER- YdUR FAILURE TO RECCSR� A OTICE CMF COMMENCEMENT MAY RESULT IRV YOIJR
<br /> PAYINC#TV1i;GE FQR 1MPROVEMET)TS TO YOi3R PRQPEI2 _ IF YOtI �TtTETtO TO OSTAIN F�NANCING,CONSllLT
<br /> V1/,T Y E O R , Y BEFOR'E RECQ �IN„ R T� E F C T.
<br /> FtiORiOR JUR.AT{F_S. '11 O _�_�),/ �
<br /> oWNER t3R AC3�NT �� CoN CTOR G' ✓ 4 �/�,y�(, �
<br /> S�bs�a,Gi�bswom �r ifi �iy b�t��Y�this S s bad rad swom ko{or; @Q)befq�e�jg mq iYYrv�
<br /> Y._ {�"LO Cl'1 _ ` l bY Y'"�y 1�"i0i^l.Gx3
<br /> wl'ro I�iar arsonally Knawn .o me ar f�axs/have producatl Who i a ersonally Icripwn to maip�ti,HS/��avet producad ��
<br /> F-( : n��q,r Ct �¢�.'i as id�ntlficatlan. _!, - G�cv�. as ida�tlflcatio�_
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