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From: Q8/��/20�4 �6:40 #324 P.002/004
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<br /> NOTiCE OF AEEO RESTRtCtiONS: The undersigned understand that this psmsit may be suDJect to'desd'restrictIons°
<br /> which msy tte more restrictive than County►e�ulatians. The unde igned assumes respansibiliry tor compliance wtth any
<br /> sppliceble deed resU3etlons.
<br /> UNLICENS�D CONtFtACTORS AND CONTEiAGTOR RESPON iBiU'[IES: tf tbs owner has hired a contractor or
<br /> � conUactors fo undertake work,they may be required to be Itcense�in accordance with state and local re�uletlons. 1f the
<br /> conlreclor ts not licensed as required by taw,both#he owner and cantrac�ar may be cited far a misdemeanar viaiattan
<br /> under state law. if the awner or Intended corrlractor are unoertai as to wfiat licensing requirements may appty for the
<br /> lntended work,they are advised to contact the Pasco Courrty 6uildi g inspection pivision—Licensing Seciion et 727-847-
<br /> 88Q9. F�rthemwre. if the criuner has hhed a cantractor or oa dars� he is advfsed to fiave fhe oan#ractar(sj sign
<br /> part3ons of ths conUactor Blc�ck'of this applicatian tor which tlrey will be respanstble. If you,as the owrtier sign as ihe
<br /> contractor,that may be an indicaUon that he(s not properiy Iicens d and is not entltlad to pem�it�ng privif$ges in Pasco
<br /> Caunty.
<br /> 7RANSPORTA710N IMPACTNT1LI17ES IMPACT/WD RESOUR E RECdVERY FEES: The understgned understends
<br /> that Transpartef�an impsc#Faes and Reasurse RecAVary Fees ma appty to the car�sstruc8c»o€nsw buiidl�gs,char►ge ot
<br /> usa in existlng bulldings,or expansion of e�sting bufldings,as s ciRed in Pasco Counly OMinanca nurt�ber 89-07 and
<br /> 90-07,as arnended. The undersigned aiso understands,that su feas,as may be due,wi11 be identifiad at the tlme of
<br /> perm3tttng. if is further understood lhat'iranspo�taUon Impact F s and Resource Recovery Fees must he paid priar ta
<br /> receiving a"aartlficate oi occupancy'or flnel powqr release. if th proJect does not invotve a ceAlficate of oacupancy or
<br /> finei power release,the fees must ba paid prlor ta permit issuan . Furtherrncre,K Pasca Cauniy WeterlSewar impact
<br /> fees are due�they must tss pa3d prior to permft Issuance in acoorda ce with applicable P�sco County oMlaancas.
<br /> CON$TRUC'110N UEN LAW(Chepter 713,Florida Statutes,aa odedy: If valualion af work ts 52,50�.Qi�or more,i
<br /> c�s�fy thst 1� the app�iCarrt� have been providsd with a ccpy f the `Flcxida Cans6nsc�ian Uen Law--�Homenwner's
<br /> Protedion Gutde`prepared by the Florida Department ot A,gricui re and Consumer Affsirs. If the applicant is sqmeone
<br /> other than the°awner",i certity that t have obtained a copy of the bova dsscribed document and promise in goad faitfi ta
<br /> det�ver k ta the'owr�er"prior to cornmenr.em�nt
<br /> CONTRACTOR'SIOWNER'3 AfFlDAVIT: I aertify that aU the inf rmation in this application ts accurate and thai aq work
<br /> wiN be dona in c�amplisnce wtth atl appl3cabte iews re�ula#ing co Wction,zaning and 4and develapment. Appiit�ttio»is
<br /> her+eby made to obtein a pemift to do work and Installafion a Indlcafsd. i cerlity that no work or installation has
<br /> commenced priar to issuanoe of e permit and that all woric wiit parformed to meet sfandards of ell(aws re�ulating
<br /> constiruction,County and Gity ccdes,zoning regulations, and ta d deveiopmeni reguts�cns in the JuriSCAdlan. 1 also
<br /> c�rtKy that I understend fhat the regulatione of other gcvemmont gencies may apply ta the fntended wor�c,and that it is
<br /> my responslbiiity to klentitty wt�at actians 1 must talce ta be in comp iance. Such agencies include but are nat limfted ta.
<br /> - Department af Envlronmenta!Pratectian-Cypress Ba eads, Wetla�d Areas and EnvironmentaAy Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwast Fiarida Watsr Marfagement Oistrict- etis. Gypress eayh�ads, Watland Areas. Attering
<br /> Wateroourses.
<br /> - Artny Corps af Englneers-Seawaits,Dacks,Navigabte Waferways.
<br /> - Department of Heatil� & RehabilttaWe 3enrtc�slEn ' ental Nealth Unit•YVells, Wastew�atar Treatment,
<br /> Septic Tenks.
<br /> • US Frevironmentat Protec#on Agancy-/lrbestas abet ent�
<br /> - Federaf Aviadon Autharity-Runways.
<br /> t understand that the toitowing restrictions appty to the use af fili:
<br /> - Use af flfi 3s not allowed'm Ftood Zone"V'unless exP h+Permftted.
<br /> - If the flU metarial is to be used in Flood 2one `A, it is understaod that a drainega plan addressing a
<br /> "compe»sating vatume'wEit be submitted at Ume ai rmittieg whtch is prepared by a profeasiana!engineer
<br /> Itoensed by Ure Stete ot Florida.
<br /> - !f the filt maieriat fs ta he used tn Ftaod Zone`A'i ccnnection with a permitted bulldEng asing stem waii
<br /> canstructJon,{certity ihat t�n wili be used oniy ta fitt area within the stem wa!!.
<br /> - If flU material is to bs used in any erea, I cartify at uee of such flll wlti nat adverssiy affect adjacent
<br /> properttes. tf use af fltt is tound to adverseiy aftect d'�aoenf�rpperties,the owrter may!se dted for v1ola8ttg
<br /> t�ee cond3tions of Ihe truilding pe►mk issued under attached permit applicatton,for lois less than ane{!)
<br /> i acre wh(ch are etevated by ftll,an engtneered dratna e plan ts required.
<br /> � K 1 am the A�pd'T FOR THE OYYNER,i promise hs goad taith to�r�famr the awner af#ha permlttlng c:ondi�ans sef fordr in
<br /> i thls affidevit prior to commencing construction. i understand a separatie permft may be required for electrical work,
<br /> � ptumbing,slgns,weils,pools,air cortdifianirtg, gas,or other ins flafions not speciflcaily induded in tha application. A
<br /> perrnlf tssued sha!!be construed fa 6e a license to proceed with e work and rrot as atslharity to viota2e,.cancel,alter,or
<br /> set aside any provisions of the lechnical cades,nor shaq Issuan M a penmit prevent the Building Officiat trom thereafter
<br /> cequ(ring a r.arrection at artnrs 3n plans,cansWc#ton ar violetions of any codes. Every pem�t issued sheii became(nv�lid
<br /> unless the wo11s authorized by such permft is commenced wifhtn six monthe of permit issuance,or(f work autfiorized by
<br /> the permit ts suspended or abandoned for a pariod ai six(8)mo a aiber the time tha work is ocmmenoed. M exteneion
<br /> may ba requested,in wrlking,tram ttre Buqding Ql�icial tor s�e od noi ta exoeed ninety(80}dsys and will demcn�trate �,
<br /> juatifiable cause for the extension. If work ceases far ninety(90) nsecuEve days,the Job is cror►siderod ebendoned. ;��°r�
<br /> WAFWlNKi TO OWNER: YOtIR FAILUltE TC REC4RD A N TICE QF COMlItENCEMENT►1AY RESULT!N YOUR �°*��cq
<br /> PAYINa TMCE FOR tMPROVEMfMS T4 YOtlR PROPERTX IF YOU iNTEND TO OBT N FINANClMG,CONSU4T
<br /> FLORIOA JURAT(F.$.117.09) �``�a�i Q
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<br /> oIAMER OR AGENT CoNTRA TQ � 0 3<ro
<br /> Sstiuc�4bed atM a�vcm to(or athmsed)befate me thte �', (� s n 6 to{oralCmim�W) tne� .,^�".w'�o'
<br /> �Y by �l"1�R�e.'e tc: S7 2.D m'".n'ii
<br /> W f f a i daro peRppelty krawn to tne��m pntodt�ced Wha lsfa PerconalN b�am_ to a'�e orhaathave ptoduced J'��a
<br /> — ..—. as wa�tfie,�tlmf. m m $
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<br /> Neme af Notery h�Ped�P�nted a�mped Name ot otery p11Med or atemped
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