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Om: 11/CS6/2414 �O.S? #aQ25 P.t?01lOt71
<br /> RiC1TtC�OF ��E�i RiES'Y'4�iC'�'80FdS: The undersigned undersfands that this permit may be subject to"deed"resirictions"
<br /> which may be more restrictive than County regulatiot�s. The u�ders gned assumes responsibility for campliance with any
<br /> applicable deed restrictians.
<br /> Llt+lLOCENSED COMTR�i�T�lYS J�PdD C�1@d]�'i2P►�T�FF @2E9�06�1 1�8�iiC'kES: kf the owner has hired a contractor or
<br /> contraclors to undertake work, they may be required to be licensed n accordanae with state �nd loCal regut�tions. If the
<br /> caniractor is ndt Iicensed as required by Iaw, 6oth the owner and ontractor msy be cited for a misderneanor v�otation
<br /> u�der state law. if the owner or lntended aontractor are uncertai� as to what liaensing requirements may apply for the
<br /> inlended wark, Rhey are edvised to cantact the Pasca County Buildi g Inspectton Dlvfsion--Licensing Section at 727-847-
<br /> 8008. Furthermore, it the ow�+ar has hired a cont�ac4or ar contr ctors, he is advised ta havs the cantractar(s) sign
<br /> portions o! the "contraclor f3loak" of this appllcation for which lhey ill be responsible. If you, as the owner sign as the
<br /> contracto�, ihai may be an indioation that he ts not properiy iicens and is not entitied ta pe�miiting privifeges in Pasco
<br /> County.
<br /> . 74�./LNSPOR'�AYOOId �P�P'AC�Il9Y1LIT1E5 iWYP�1C7�I�C1 12�50U�t E �7:ECOQlEF3Y�E��: The unde�signed understands
<br /> that Transpartation impact �ees and i2ecourse RBCOVery Fees ma sppiy to the construation of new bu3ldings, change of
<br /> use in exisffng butid�ngs, or expansion af exRsting buildings, as sp citied in Pasco County Ordtnance number $9-07 and
<br /> 90-07, as amended. The undersigned also understands, that suc fees, as may be due, wiil be identified at the time of =
<br /> pefmitting. it is further understoad that Transportatian impact Fee and Ftesaurce f2ecovery Fees must be paid prlor to �
<br /> receiving a "'certHlcate of occupancy" or' fnai power release. If the praject does nvt involve a certificate af occupancy or
<br /> fina� power retease, ihe fees must be paid prior to permit issuenc . Furthe�more, if Pasco County WaterJSewer impact
<br /> fees are due, they must be paid prior to permtt lssuance!n accarda ce with appticabie Pasco County ordinances.
<br /> CC3FIST12UCTIOPI LIEP9 L�►bV(Chapter 7�3, FPorida S�atu�es, a� mended): If valuation of work is $2,500.00 or more, I
<br /> certify that i, the appiicant, have been provided with a copy o tfie "Florida Construction l.ie� l.aw—tiomeowner's
<br /> Protectian Guide" prepared by the Flarida Department of�lgricultu e and Consumer Affalrs. if the applicant is someane
<br /> other than the"owner", I cerlify that 1 have obtained a copy of the bove described document and promise in good faith to
<br /> deSiver ft tn the"owner"prio�to commencement.
<br /> COR!?i2/1CTOR'SlOV1fN8E�i'� /,F�YIpAViY: ! ae�tify that all the 4nf rmafion in this appllcation is accurate and th�t all work
<br /> witi be done in compiiance with ati appticabie laws regulaling con truation, zoning and �and development. Eippllcafion is
<br /> hereby made ta abtatn a permit to do work and instaliatiot� as indlcated. 4 certlfy that no work or insta#lation has
<br /> commenced prior to issuance of a permit and that all work wil) e pertormed lo meel standards of all laws regulating
<br /> canstruction, County and City codes, aoning regulations, and la d deveiopmertt regulations in the jurisdiction_ I aiso
<br /> cettify tt�aE i understand that the regulatlons of other governmeni gencies may apply to khe intended wark, and that it is ;
<br /> my responsibility to identify wnat eclions I must take to be in campl anca. Such agencies i�clude but are not limited to: ;
<br /> - Department of Environmentai Prateetion-Cypresa Sa heads, Wetlsnd 1�reas and Environmentally Sensitive
<br /> Lands, WaterNVastewater Treatme�t. J
<br /> - Sauthwest Floride Water Management District- Ils, Cypresa Bayheads, Wetiand /�reas, Aitering ?
<br /> Watercourses.
<br /> - Army Corps of E�gineers-Seawralls, Docks, Navigable Waterways. �
<br /> - Department of Heaith & Rehabilitative ServiceslEn ironmentai Heaith UnU-Weiis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - U5 Environmental Protectipn Agency-Asbestos abate ent.
<br /> - Federai Avialian Authority-Runways.
<br /> t understand that the foflowing restrictions appty to the use of fill:
<br /> - Use of Tiil is not allowed in Flood Zone"V"unless expr ssiy permitted.
<br /> - If ihe fii9 mate�iai is to be used in Ftood �ane "A , it is understood that a dralnage plan addressing a
<br /> "campensati�g volume" will be suhmitted at time of ermitting whlch is`p�epared by a professianal engineer
<br /> licensed by the State of�tortda.
<br /> - ff the fili materiai is to be used Pn Ftoad �one "A" i canneciion wrfth a permitted building using stem wail
<br /> construction, I certify that fill will be used only to fiil th area within the stem wall.
<br /> - tf fitt materiat is to be used in any area, ( certify hat usa af such fiit wiil not adversety sftect adjacen#
<br /> prapert(es_ if use oi tiii fs fourtd to adversely affect dJacent prope�ties, the owner may be cited for vtalating
<br /> lhe conditions of the building permit issued under th attached permit application, for lots less than one (1)
<br /> acre which are elevated by titl, an engineered draina e plan is required.
<br /> if! arn the�GERlT F��t T6�lfE Q3lNNiEY�, I promise in good faith to inform the awner of khe permttting conditions set forth In
<br /> this aHidavil prior to commencing construction. I understand th t 8� separate permit may be required for elect�icat work,
<br /> plumbing, signs, wetts, paots, air condit'soning, gas, ar other ins allations not spec�csiiy inaluded in the applicetion. A
<br /> parmit lssued shal! be construed to be a license lo proceed with the work and not as authoriy to violete, cancel, alter, or
<br /> sel aside any provisions of the teohnicei codes, nor shail issuan e of a permit prevent the 8uilding C3fficial from thereafter
<br /> requir3ng a correction of errors in plans, constructton or vioiation of any aodes. Every permit fssued shaH trecome lnvalid
<br /> unless the work aulhorixed by such permit is cammenced withi six months of permil issuance, or if wark authorized by
<br /> the permit is suspended or abandoned for a period of six (fii) mo ths after the time tha work is cammenaed. An extension
<br /> may be requested, in writing, from t#�e Suilding Oiflc#a! for a pe od not to exceed ninety (90j days and wil) demonstrate
<br /> juslifiabie cause for the extension. If wark ceases for ninety(90) ansecutive days, the job is considered abandoned.
<br /> bllP�lg2QUlY�➢G 'T4� OWhIIEH�,: YOIDSZ F�I�I!(ifE Y� �tI�CCii�[1 �A P�i 'YICE �F CO�I�A�PlCEflflEP1T Nli►Y F2�SLy�T li�l Yf5Q1C2
<br /> pl�.YIN�TVHICE IFOFE II1flPROV�YII(E�iTS TO YOUFt�Ri09�E1� . (F YOU ii�4��P➢D TPa OIB�'AIN FtNANCtNit3. C�PlStJL'9"
<br /> �11t1TiH YQ �.EE ER tJ �ft ���t}ff3E if21ECOi8C} �.s� !� Q IGE t)F CC? Et1iC�iYlEF1T_
<br /> F�ORIDA JURaT(F.S_i17_o3)
<br /> O{NNER G1R rAOEfdT C T CTl7iR �
<br /> $ub crt gd n byvr�e�, o ffirme � e�t��,e S b n and bwo t or �rme b f r " e t�i`• . �r
<br /> `1 1 �.1'a. !��'t��� ..��
<br /> who S !are pers��S't�'Rtspwn to me o has ave produced Wh Ist perso wn!o me or has sve producea
<br /> ---•�-� as i I cation. .� as identificalion.
<br /> -�':�%'�~����~� Notary Public � ! 1 Notary Publia
<br /> i? r
<br /> Com I io�No.� (-Z� 1`) Commis o. ' �,� ��
<br /> � Jernifelr i.Mt�,Kinny ,�.1
<br /> � � �, Jar�riter 1.
<br /> Name oI tVotary typed,prin NHme oC Natary typed,printed or stampe ���Y��`�
<br /> Sl`ATE OF FLt?RlDA `�°"`•
<br /> . . Gmn�lt FF127134 ST���F1'�pA
<br /> Expires 6/24J2018 - ,�, sann#t�F127134
<br /> �,.,.._...,�._._.._.�_. .� ._._,_._.._...._.._._--.v—__.___. .... _ ._... � Expir�s 4l20
<br /> .. �...... ... ._. � 1�
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