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NOTIGE OF OEE[? RESTR�CT�ONS: TF�a undersigned undarsta ds tF�at this parmit may ba s�bjact to°daed'rverstrictiofts" <br /> whicF� rnay bch morb res[rictiva tFian Cou�ty regul�tions. Tl�a und rsigned assurrfas rasponaibility for cornplianca with a�y <br /> appiicr�bte doed restrlctions_ <br /> ilTlL)CENSEQ CfJNTRACTOE2S ANi3 C4NTRACTLlKt RESP NSiB�L1T�ES- if tfiFS ownear tias t�ired a co�tractar or <br /> contractors to und�rlaRc�s work, tF�ey may b�s requirs3d to be iiaians d in accordance w4th statet and tocai r�gutations. if ttza <br /> contractor is not licens�d as raquirad by law, bokt� thEe ownar a d contractor may bv� cited for a misdameanor vtolatton <br /> undar stata law_ If tF�e ownar or i�tanded oontractor are unc@rt in as to wF�at licansing raquireme�nts rnay aprply for tF�e <br /> intendc3d wo�h, they are advisgd to contact tt�a Pasco County Sui d1�g I�spection �ivision-4_Icensing S�ction at 727-847- <br /> 8003. Furttt+3rmorQ, if tt�e owrter fias tt's�eed a contcactor or c tractors, F�e Fs advised to have> ti-sa cositracior(s) s9gn <br /> portions of ti'�e "cantractor Biocic" of tt�is appiication far wn;cn :n y witi ba raspor�slbla. If you. as tt�e owner sign a� the <br /> contractor, tF�at may be an indication tFiat Fia is not properly lica s+md and is not antitlod to parmitting privileg�as in Pasco <br /> County_ <br /> TiZANSPORTATfON IMPACTJtJT1LtT1ES iMPAQT ANG1 RESO RCE REGOVERY FEES: Tt�e aindersig[ied ur�derstands <br /> tfiat Transpartat"son Impact Feas and Recoufse Recovar}r Faees ay appiy to ttr� construction of n@w bui4di�gs, cfiianc,�,e of <br /> use in existing buiidi�gs, or expansion of e�x:sting buitdings, as paoified in Pasco County K7rdinance number 89-07 and <br /> 90-07, as amendad. Th�e undarsig�cid also undeersta�ds, thak s ch feas, as may ba due, will ba identified at the tima of <br /> permqtting_ It is �unner under�tood tFiat Tr�nsportatiorti Impact ees and Resource R�acov�ry Feers musk be paid prlor to <br /> receiving a "certff'icate of occa�pancy" or finai powar rErl�sase. tf t�es proj�ck doas not involver a cart�cater of occupanay or <br /> Finai power rateasa, ttsa fees must bia paid prior to permit is�ua ca_ Furkhermore, if Pasco Cou�ty Wat�rtSBwar Impact <br /> faes e�re due', tFiey must be paid prior to p�rmit iss�anc+3 in accor a�ce witFi applicabl�Pasco Counky ordinance�s_ <br /> CONSTRl�CT10N LIEN LAW(Chaptar T^13, Florida Statuters, s amsndgd)= If vala�ation of work is $2,500_04 or mora, 1 <br /> certify tF�at 1, tF�es appUCant, have baen provid+r�d with a cap of the °Florida Construction Li+�n Law—Homeowner's <br /> Pfotaotion .t"`.�,uide' prepared by tfiie Fiorida Ospa�trrrBnt af Agric iture and Consumar ATfairs_ ff the apptfcant ts somerone <br /> ottier tfia�tt�e°owner°, I certify tfi'+at I have� obtaine3d a copy pt tF} abovB d�ascrib�d dooument ar+d promise in good fmiti�t to <br /> delivesr it to ttie°owner^prior to commencement. <br /> CONTRACTOR'$/OWNER'S AFF/C?AVIT: 1 cer#ify thak all �Ftire i Pormation in this applicatior� is accurata and that all wor4c <br /> will bee done� in complia�ce with all applicable laws �agulatir�g c nstruction, zoning and land devezlopm�ernt_ Application is <br /> hereby made to otrtain a parmit ta do wortc and instaitation s indicated_ 1 eart;fy that no woric ar i�stallatia� taas <br /> commenced prSor to isffivance of a permit and that aii wo�lc wi t ba performad to meret standards of a�t taws �eguiating <br /> construction, County and City cod�s, zoning �iergulatioris, and land dav+elopmt:nt ragulations ir� the jurisdiction_ 1 also <br /> certify tF�at 1 undarstand tF�at the regulations oP otF�er governme t agencit3s may apply to th� intanded worK, �nd tt�at it is <br /> my r�sponsibiHty to id�ntify what actions t must taKe to De in co pifancs. Such aggncias include but aro not tFrnited to: <br /> - Oepartment of E»v.ronmBntai Protaction-Cypre+ss ayheads, W�tiand A�eas and Env":ronmentatiy S�nsitiv� <br /> Lands, Wat�r/Wastewatar Tresatment. <br /> - SouthwesR Florida Watar Manag�ement �is#rict Wenlis, Cyprass BayFieads. W�tland Areras. Altering <br /> Watiarcours�s_ <br /> - Army Corps oT Engineers-Seawails, pacfcs, Naviga IB Wat�rways_ <br /> - Oepartment of ti�aitFz t4 Rahabititativ� Service�f nvironmerntat Heatttt Unit-Wetis, Wastewat�r Treatme�t, <br /> Saptic Tank.s. <br /> - US Environmental Protaction Agency-ASbelstos�ba em�snt. <br /> - Federral Avfation Autt�ority-Runways_ <br /> i und�erstand tfiiat ttye foltowing restrictions appiy to tY�e use of flIS <br /> - Use of fiit is not aliowed in Rood Zea»e°V°uniess e pr�3ss{y p�rmittesd_ <br /> - IT thr3 flll matarial is to be used in Flood Zona A°, it is undarstood that a drainage plan addressing a <br /> °compensa#ing volum�^ will ba submittgd at timws parmitt4ng wF�icFi is preparod by+ a professivnal engineer <br /> tice�sed by tt�e State of Florida_ <br /> - If ttier Fi44 matarial is to be us�d in Flood Zona "R in connaction wi{ry � permitted buiSding using stezm waH <br /> constructio�, {certify that Fiii wiN be used oniy to ftt t�a area wittiin ttae stam wall. <br /> - If FII matarial is to ber used in atiy ar�a, 1 cest`tif that use� of �uch fill will not adversaly affeect adjacent <br /> proparties. If usa of fill is Tound ta adversely affec adjacent proporties, tt�e owner r»ay ba cited for violatin� <br /> ft�e conditio�s of lt�e bviiding permit issue+d under ths attached pormit application, for lots less than one (9) <br /> acrps wFyictt are g�BVat�d by fitl, an ernginsared drain ga pian is requirad_ <br /> If 1 am tho AGEIVT FQR THE OWNER, 1 promise in good faitF� o inform the owner oi ttie parmitting conditions set fortfi in <br /> this aKidavlt prior to commencing construotion. 1 und+erstand t at a saprarata permit may be re�quired for ele'ctric�al worMC, <br /> plumbing, signs, wells, pools, air conditioning, gas, or oth�ar i stallations not spec➢flcally includr3d in tFie applicaRlon_ A <br /> permit isstaed s1-satt be construed ta be a licensa to proceBd wi h the worFc a�d not as autfiority ta violate, cancel, alter, o� <br /> set aside ariy provisions of ttta technicai aodes, nor shaii issua ce of a permit prevant tt�a Buitding Officfai firom thareaftar <br /> raq�iring a correction of errors in plans, construction a�violatio s of any oodes. Eveery permit issued sFiaN bacome invalid <br /> unl�ss tha wor{c autF�orized 6ry such permit is commexnced wit in six months of permit issuancer, or if worlc authorized by <br /> tha permit is suspend6rd or abandoned for a pariod of six (6) m nths aft�xr tF�a tima tF�a woric is commanced. An ext+ension <br /> may be rr�quest��i, in wriYi�g, Trom tFae Buitding O�ciai Tor a riod r�ot to exc�ed ninaty (90) days and wiii demonstrata� <br /> justifiabia cause tor iti�a extension. if worfc ceasas far ninety{ j aonsac+ativs days, the job is conside�ad aba�doned. <br /> WARNINC'+ TO OWNERc YC1UR FA�LI.IRE TC1 REC'K7Rd A CMTICE CiF COMMENCEMENT MAY RESl1LT IN YOUR <br /> PA.YiPiG TW�CE POR tMPF2CiVEMENT3t TO Yt7UR t°iROPER . �F YClU �NTENd TO OBTAlN F�NANCINK3, CONSULT <br /> W�TH Ydl.iR LENOER_OR ��A QRNEY BEFORE RE R [ G Y��JR NOTiCE OF COMMENCEMENT <br /> FlOR2tOA JURAT(P�.S. 1 t7 --)�-��•R��e��//�;� <br /> � . � r�,rJ {, <br /> OWNER OF2 AGENT ���" _ C'dNT CTOR '"' <br /> SubscAbed e�nd swcrm aRirtnerd)bafora ma t1�im� Subsc bad and swnm ' afflnnad)befor'e ma kM1is <br /> oy ......— —.. br <br /> Who islar¢p�rsonatty Knowrl to mee or haslisava prvduced Wt�o i ara Rersonatiy 4wra to ma or haa/have producad <br /> am iOantlflcatlon. ,,. as idrn'srificatian. <br /> .. _... Notary PubiSC _ . . Notary Public <br /> Commission No._„ � ., Comm ssion No. , <br /> Name oF Notary typad.print+e�or st�mped � N�'ma t Notary typaA,printad or f�tampexd <br />