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NOTICE OF pEEd RESTR�CTION3: TFia understgned undarsta ds tF�at tF�is permit may be subject to°daed' r�astrictions°
<br /> wF�ich may ba mora rastriotiva iNan County regulakions, TFie und rs➢gned assumes rersponsibility for complianc�with any
<br /> �pplicabte dasd restrictio�s_
<br /> t.lN�i+CENSE.R C4NTRACTOFt3 ANO COhTE2ACTQl2 RE$P SiB�L�TIES= if tF�a ownasr has tEired a contractor or
<br /> contractors to und�na}co woric, tFfey may b� required to be ticans d in accordanca with stata and Iacai eeguiatio�s_ if the
<br /> contractor is not licensad as rsquirerd by Itaw, botFi tha owner a d contrackor r^nay bcs oited for a misdameanor violation
<br /> under state I�w. If tF�e owner or intErnded ContraCtor arEe uncryrt in as to wFiat licensing requiremErnts may appty for tF�e
<br /> i�tend+gd warFc, they ara advis�d to cantact tt�a Pasco Gounty Bul diing I�apectian pivislan—:_icensing Saction at 727-547-
<br /> $008_ Fur#hqrrtaore, if ti'�a oWnar ha9 }-tireec� a ContraCtor or co tractors, he is adv;sed ta fiav6 tt�a contractar(s) s{gn
<br /> portions of tYie °cant�actor Bbcic^ of th4s appllcation for wn�on tt, y wiil t>B �esponsibtee. If you. as th6 owner sign as tl�e
<br /> contraotor, Rtiat may be an indiaatio� tF�at F�e is not praperly lice sad and is not entitlad to parmitting privileg�s in Pasco
<br /> County.
<br /> TRANSPORTATlQN lMPACT/I.ITfLiTiES iMPACT ANO RE�OU CE RECOVERY FEES: The undersigned u�7derst�nds
<br /> ttyat T�ansportation impact Feos and Recourse Racovary Fee�s ay appiy to tFfa co�struction of new bu�ldings, change of -
<br /> v�se in existing buiidings, or axpansior� of erxisting buildings, as p�acifi3ed Pn Pasco Caunty Cfrdinance numbar 89-0?,aeid
<br /> 90-07, as amend�d_ Th�a undarsigncrod also undarsta�ds, thz�t s ch fees, as may be due, will be identified at the tim@ of
<br /> permitting_ It is fur-ttier underatood tFrat Transportadon Impacl F es and Rasource F{!�covary Feers must be paid prlor to
<br /> recaiving a °certiflCate af occaapancy^ or fin.a; pow�r ralQSase. {f t 6 project doaS �ot invoWg a cart3ficatB of oC+Gt�pa�Cy or
<br /> finaf power reFeaso, ttia fees must b�e paid prior to permit issus ca,. Fa�rthermare, if Pasca +Cou�ty Wat+srlSOwe� tm¢act
<br /> feas are dua, they must be paid prior to perrmit issuanc�er in acaor ance with appiiaabt�pascc+Counky ordRnancas_
<br /> CONSTRUCT�ON LIEN LAW(Ctiaptier 7'13, Florida Sta�tut�s, x►mendad)= if valuation of worFc is $2,500_00 or more, 1
<br /> certify that 1, tFia applicant, have b+36� provideeti with a copy of ttia "'Florida Construction Lieen Law—Homeowner's '
<br /> Protaction Guide' prepared by tha Piorida C>epartment of Agriou tur�s and Consumer AfFairs. if tha applica�t is sorriao�a
<br /> ottier tha�ttia"owner°, I oartify tt�at I ttava abtainQd a copy of#F� abova describ��d docume�t and promisa in good faitF�to
<br /> deliv+er it to the°owner^ p�;or to oomm�ncement_
<br /> CONTRACTOR'S/OWNER'3 AFFI[?AVIT: 1 certify that all tho i forma�ian in this applicatipn is accurat� and tF�at all woric
<br /> wi1! b@ done in complisnce witfi all applicable laws ragulatir�g c nstra�ction, zoning ancl land devc3lopmant_ Applica#fon is
<br /> t�eraby mada to obtairr a permit Xa do worK and instaliation s indicated_ i cer#1fy tt�at na wortc o� ir�staitation has
<br /> commenced prior to issuanoe of a permit and tt�at ai! worR w#I ba performed to meest standards of ait taws rBgulating
<br /> construction, Cou�ty and City codcros, zoning rr�gulations, and ar�d devalopmant rergulations in the jurisdiotion_ 1 also
<br /> certify tF�at 1 understand that tF�e regulations oP ottier govemme t agencias may apply to tha intended worlc, and tFrak it is
<br /> my��sponsibility to identify what actions ! rnust taMce to ba 1n co plianca. �uch z�gencies inaluda but are�ot timited to=
<br /> - i7epartment of Er�vGroRmantat Protection-Cypres� ayheads, Watiand A�eas a»d Environmentally Sansitiva
<br /> Lands, Wat�r/Wa�tewat�r Treatme�t.
<br /> - SoutF�west Florid� Waker Managament �istrict- alls, Cypress Bayheads, Wiatla�d Areas, Alk�sring
<br /> Watarcoursas.
<br /> - Army Corps oT Engi�ears-Seawaiis, Ooctcs, Navigab er V1lata�evays.
<br /> - [�apaNment af tteraitFa 8� Ratiabilitative SorvFceslE vironmantafi tieaittr Vnit-Waiis, Wast+ewater Treatment,
<br /> Saptic Tan{cs.
<br /> - lJS Environmental Protc�xc�ion Agency-Asb�estos aba mc.nt.
<br /> - Feda�ral Avfetion AutF�or;#y-Runways.
<br /> i unda3rstand itaat tF�e foHow9ng restriciions appiy to th�usa of fiii:
<br /> - tJse of Trii is not atlowed in Fioad Zone`V°unless ax rassly p+armitt�d_
<br /> - If th� T11 material is ta be used in Fload Zona ° , it is understood that a drainage plan addressing a
<br /> °corrtipensating votume^ will bo submitted �t tim!� o parmitting wn�cn is preparad by a prafessional engineer
<br /> lice�s�d by tt�e Stata of Florida.
<br /> - !f ther fii4 materiaF is to be us�d in Ftood Zone "A° in connoction witti a permritted buitding us4�g st�m waii
<br /> cons#ruction, I cartify that fili wiii be used only to fill t@ area withtn tt�e si�am waIl.
<br /> - If fill mater➢al is Co be �sed in any area, 1 carkif tFiat us+� of �such flll will not advers�ly afFact adJacent
<br /> propeerties. If usa oT fill is found to adver�aly afi'ect adjacant proparties, khe owner may bc-x cited for violating
<br /> ttie co�ditiqns of the trufid"eng permit issuerd unde� ha aKa¢hed pfarmit application, Yor lots less tfian one ('1)
<br /> acre wi-+ecfi z3r�eiFrvatad by filt, an ar�gineerad drain go pian 1s raquired_
<br /> If 1 am tF�e AGENT FOF2 THE OWNER, � promisa in good faith t i�form tt�a owner of the pormitting conditions seE fortt� in
<br /> this affidavi# prior to camme�ci�g canstraaction_ 1 undeerstand t at a s0parate permik may 4e required for elactrical worK,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or otF��er i stallations not .�pecifically includrsd in the application_ A
<br /> permit issuad shati tre coftstruad to be a ticenss to proceed wit the wo�Fc snd not as autt�ority to vioiat�e, ca�cet. att+e�, or
<br /> set aside any pravisions of tha technicat cades, nor shalF issua ce of a p�srmit prevert#tt�e Ruiidin�}Officis!frorn tF�a��aftar
<br /> requiring a correction of errors in plans, aonstruotion or violatio s of any codes_ Ev�ary permit issued sF�aft become ir�va4id
<br /> unlgss �Fia worK autF�orized py such permit is commenced witli n six months of permit issuance, or if worlc authorized by
<br /> tF�e p��mit Rs suspe�dBd or abandoned for a periad of six (6) m nttis aftar tF�e xime th�s work is coenmenced. An extansion
<br /> may be fequestad, 3n writing, f�om ti'�e Buiiding O�cial for a p riad not to axcaed ninety (90) days and wiii demonstrato
<br /> justifi3sb{e cause ior the�xtansion_ If woric oeas�s for ninety(90 cansecutiva days, th�job is co�siderad ahandoned.
<br /> WARNING TO CIWNEFt: YOUR FAILURE TO REGC►RO A O"1'ICE C►F CC7IMMENCEMENT MAY i2ESU�T IN YOIJR
<br /> PAY�NG TW�CE FOR �MPRK7rYEMENTS TO YC7UR PF20PER _ IF YOIJ �Nl"EN�`1"O OBYAIN F�NANCING, CONSULT
<br /> WiFFi YO{J#i LENOER t}R AN ATTQ�Y BE�(�RE„ E t Y _R(MOTiCE OF CC►MMENCEMENT,�
<br /> FLC?RiOA JVIT.AT LF.S. tt7h.0,,3) �}�
<br /> OWNER OR AGE� .sl_��� �'^��,m�- CQIJT CTOR Q+� �--. - - '1)�4!�•-a+ . _
<br /> Subscribed anc7 swom to{or aRirmadj before ma this Subsari ad and swom to(or affirmad)beforo ma this
<br /> bY_. _.._ bY_
<br /> VYha tstars parsanaity Knawrs Ro me or fiasttiave proWUCed Wt�o isf r¢parsonatiy Knowf'�to m�or F�asJhava pro�ucatl
<br /> as{denOficsHOn_ as identlficaGOn.
<br /> IVOtary Pubflc Notary Pulalic
<br /> mission#FF 137073 _ C sbn#FF'137�73
<br /> Comm ° Commi sion �� '
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<br /> Nama of N ry p�d.prinfatl or steimped Nama f Notary typa . or�kampad �
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