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NC►TiCE OF I?�EO i2ESTR.iCTlC?NS: Ttie unders4g�ed uncler tands that th;s permit may be subject to°deed^restrFctions"
<br /> wh➢oh may be more r�strictive tF�an County rergulations. The ncfersigrtied assumes responsibility Por oomplParice witti arry
<br /> appiicablc:dec�sd restrictions.
<br /> UIVL�CETtSEC► CONTRACTOR3 ANQ CON'Tf2AG'TOR RE PK}NS[BII-�TIE*3= {� ttse owner has tfEred a contractor or
<br /> contractors to undertahe worK, tF»sy may be re�quirod to b� lic nsed i� accordanc�wift� state and iocat rsgvlations. ifi ths
<br /> contractor is not tic�nsed as reqUired by taw, botF� tY�e vwn r and contractor may be clted for a m(sdemaanor violaYior�
<br /> under state law. IF tFie owner or intend�d cortitractor ar�a un ertai� as to wt�at licansing reqWrements may apply for the
<br /> inter�dad woric, tFiey are advised to contact tF�a Pasca County Building Inspection C7ivision—Licansing Section at 727-84T-
<br /> 8d09_ Furttiermaro, if tt�a owneer ttas t�ired a contractor o contractors, t�e fs ativis�d to tiave th�e contractor(s} sign
<br /> portions of tF�e °contracfor BIocK^ ofi ttr;s appl#cation for whic th�y wiii be �gsponsibSe_ �f yov, as th� own�r sFgn as tFee .
<br /> co�tractvr, tFiat may be an indication that F�e is not proparly ic�ansed and is nof �nfitted to permitting privitc:ges in Pasco
<br /> C!ounty. -
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT ANU RE OI./RCE RECQVERY FEE�: Ti-�ee undersignad undr�rstands
<br /> that Transportation impact Fees and R�=acourso Recavery Fe s may appty to tFae constrttction of new buifdirtigs, change oT
<br /> use in sxisfing bufidir�gs, or expa�sio� of existing buildings, s �pecffied in Pasco County Ord➢nano+� number 89-Q7 and
<br /> 90-07, as amQ�ded. TF�e undersigned also understands, tF� t sucFi fa�s, as may be dua, will be idantified at ther tima of
<br /> parmitting_ It is fa�rther undarstaod tF�at Transportation impa t Pees and R�esourcc. Reaovery Fees must be paid prior to
<br /> rsceiving a °cc-artificat+3 of occa�pancy^ or final powar release_ If the project does not involve a oertiflcate af occupancy ar
<br /> fit�al power rel�ass, tF�s fa�s must ba paid priar to p8rmit is uance_ FurtF��rmars, if Pasoo County Wat�r/Sewor impact
<br /> ft3�s ar�e due, tt�ey must b�e paid prior to permit issuance in ac ordanc�with applicable P^asco CaUnty ordinances.
<br /> CCINSTRIJCT'ION LIEN LAW(Chapteer 713, Florida Statut , as am�nd�d)- If valuation of work is $2,500.00 ar moro, 1
<br /> c�rtify that 1, the applicant, Fiave bean provided witF� a c py of the °Florida Construction Lien Law—Hom+�ownESr's
<br /> P�otectfof� Gufde° prr�pared by ti-�e Flo�ida �eapartment of A +culture and Consurrrer AfFairs_ If the applicant is someone
<br /> other than tl-�e`own�r^. I cartify that 1 t�ave o4tained a copy o ttyt�above described documerat and prortrise f� goad faittr to
<br /> dc3liver It to tF�a"owne�r" prior to cammencemat�t_
<br /> CCINTF:ACTC?R'S/QrWNEFt'S APPIUAVIT: I oertify that all t e ir�formation in this application is accurate and tF�at all worlc
<br /> will be done in complianca witF� all applicabler laws regulatin construction, aoning and land davelopment_ Appliaatiorti is
<br /> t�c-sreby made to obta�n a permft to do wor4c and instaliate n as i�dicatgd. 1 certiTy tf-�at no wor4c or insta(lation fias
<br /> cammenced prior ta issuance af a parmit and it�at aIi wor wi4l be performed ta meek standards of a1I iaws r�guEating
<br /> consYruction, +County and City codes, zoning regutations, d tand development regutations in tha jurisdiction. t aiso
<br /> ceertiTy that 1 understand that tF�e regul�ations of ott�$r gov+am eint agencies may apply to ttie intend�d worlc, and tFiat it is
<br /> my responsibility to identify wFiat�ctions 1 must talce to ber in ompliance_ SucFi agrancias include but are not limikad to:
<br /> - Oetpartment of Environm�r�tal Protaction-Cypre s Bay4�oads, Wetiand Areas and Env{�o�m�r�taity �"ue�sittve
<br /> �ands, WaterlWastawater 7'reatment_
<br /> - Sa�tFiwast Fiprida Wat�r Managem�nt C7ist iot-Wells, Cypress Bayhaads, Wettand Areas, Altering
<br /> Watercaurses.
<br /> - Army Corps of E.�gin�eers-Seawails, Ooafcs. Navi able Waterways.
<br /> - Qopartment of Healtfi 8. Rehabi4itativ� Servic I�nvirontnentat t-�eaytn tlnit-WBiis, Wastewater Tr�eatmant,
<br /> Saptic Tanics.
<br /> - VS Environm�ental Protection Ag�ncy-Asbestos batemant.
<br /> - Faderal Aviation Aa�thority-f2ainways.
<br /> i undarstand that the followi�g rsstrlctYOns apply to Xhe ust�x o fill:
<br /> - lJse of fitl is�ot a4iowed in Flood Zone°V^unt�as �xpressty pe�mitted.
<br /> - If the flil matariat is to ba ust-�d in Flood Zo e "A°, it is understood that a dr-ainage plan addrt3ssfing a
<br /> °compansating voiume" will be submitke�d at tim of permitting which is pr�apared by� a professional �nginaer
<br /> licensed by th�a Stata of Florida_
<br /> - tf tt�e fii4 matarial is to ba usad in Ftaod Zone °A" in corinection with a pormittcid building ustng stem watt
<br /> aanstruction, f certfify tt�at filt wiit be us�d oniy to iIt ttie ae-c�a within tF�e stem wa11_
<br /> - If fill material is to be u�ed in any a�ea, i c rtify tF�ai use of sucF� fiii wiii not adversaly afFect adjacant
<br /> propertios. If use of fili is found to adversely a ect adjacent p�opertiss, thr� ownr�r may be aited for violating
<br /> th� conditions of tha building parmit issued u� er tF�e attacFi�d permit application, for lots t�ss tFian on� (-1 j
<br /> ac�e wF�icF�ara elevatsd by flli, an enginesred dr irs.age ptan ts r�quir�d_
<br /> If 1 am tfie Ai3ENT FOR TtEE LIWNEFt, t promise in good fa tt� to iRform tha owne3r of tha permitting conditio�s s�et fortF� in
<br /> tl'iis afFidavit prior to commencing con�truction. 1 utidersta d that a separate permit rrtiay be requir�d Por �lectt-ioai worlc,
<br /> plumbing, signs, werlls, pools, air conditioning, gas, or otF� r installations not spc.cifically included In tFier application. A
<br /> permit issued staatl be cortstrued to bee a licansa to proc�ed wltf� tF�a worK and not as authority to violate, �ancsl, alter, or
<br /> s�et aside a�y prov;sfons of ttia tr�cfinica� cod�s, nor sfia/1 is uance of a permit prr,�vent th$Suiiding C1fFceai from thsreafter
<br /> raquiri�g a correction of orrors M plat�s, constra�ction or vioi fions of ariy codes_ �very permit issu�d shali become invalid
<br /> unlass tFie work authoriz�sd by sucF� parmit is commencad ith➢n six months of p�rmit i�suanoe, or if worFc authorized by
<br /> the permit is suspended or abandoned Por a period oF six (6 montF�s aRer tFie tim�tFie worK is commenced. An �xtension
<br /> may ba reqv�asted, in wNtit�g, fram tt�a Buiiding dfficiaf for period not to �xceed nin�ty (90) days and will damonstrate
<br /> justifiabte cause for tF�s exkension_ If wor�c cr�ases fior nenr�ty(90)co�s�cutiv�days,YF�B,jotr is consideared abandaned.
<br /> WARNING Tt3 OWNER: Y01.112 FAILURE TO RECORO NOTICE OF COMMENCEMENT MAY RE'SULT IN YC?6.JR
<br /> P'AYINC+Tb1/ICE FC►R IMPROVEMENTS TCf YOUR PRC1P RTY_ IF YOU INTENO Td OBTAIN FINANGING, CONS(JLT
<br /> ]fKETH XOUFZ�ENCiER 012 ATf ATTORNEY$EFORE iNG OU NO CE C7� COMMENCE�NT"
<br /> FL013/CfA JURAT(F.S. '4'17_43) _,,,/�'e ���,,f�J'
<br /> CIWNER OR ACiENT_ C NTFZ.ACTQR 6:�.nr�..�!i�Y��-z���'"_'�
<br /> Subscribad antl�wom!o(or aPlir'rnad)bBfore me�ti�fs Su s..rf4 nd s�m tc�(oc�mffirm��U)�b fora me tM1is
<br /> pY 1 by 1- �n t-.. �,n c l�r3 c� P �C__.. _
<br /> V'Viio is(are personaE�y Known to�me or hasft�av�produced W Is! ra parsonaNy 4enowrz to me or has/have produred
<br /> as IciantlHCation_ ..... .. as 3dee'stificatton.
<br /> _ ,Notary PubliC ,_(�,L� �r nn i --{ r.y �— .............. .�Notary Pub1iG
<br /> Commtas3on No. ` �� �
<br /> ........ mts i nNO_ �� 1J�f�7�,"�
<br /> .... ao�"�'.'n=�'_�. OiWt.ENE�Y?RD
<br /> Nama of Notary typed,printe0 or stampad Na cs of Notary typed,printad or stamp .a�" EXPIRES:Auyuet 7,2017
<br /> �''itws� Oaw�0i1ru8WyetHOlaryS«.#ss
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