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I�O'�IC� O[� DE�D ���'T�lC�"BI�P��:, The undersigned understands that this permit may be subject to"deed"restrictians�'
<br /> which may be more restrictive than County reguiafiions. The ur�dersigned assutnes responsibility for corrtpliance with any
<br /> applicable deed restrictions. � � �-. �� - "� " � ' . . . •
<br /> 11�LIG��4�ED �UIdTRA�CTOR� ��4� CCi�#T�CY�}�t I����'{�N�it�1l��'0��: tf fihe o�vner has hired a cantractor or
<br /> contractors #o undertake work, they may b� requir�d to be'�licensed�in accardance.v�rith.state and lacal regulations. If fhe
<br /> contractor is not licensed as required by law, bath the avvner and cvntractor ii7ay be�cited"for a i�nisd�meanor violation
<br /> under sfate lawr. if#he owner or intended confractor are uncertain as to what licensing requirements may appiy far the
<br /> intended work, they are advised to contact the Pasco County �uilding Inspectiion Division—Licensing Section at 727-847-
<br /> 8009. FurthermQre, if the ovuner has hirsci a cocttractor or contractors, he is adv9sed to have the contractor(s} sign
<br /> portions of the "contractar Block" of this application for vvhich they uvill be respansible. If yau, as 4he awner sign as the
<br /> contractor, that may be an indication that he is.not prop�rly licensed and is no# entitled to permikting privileges in Pasco
<br /> County. � . . � �- , . � . � , ,
<br /> 79�R9�PO�i7'�YION lliN��CY/9JTILl'q"!�� V�V�AC'Y/�Rl�9 f�f��O�J�Cf� �E�G��/��Y FE��: T'he undersigned understands
<br /> that Transpor#ation Impac# �ees end i�ecourse Recovety�Fees may app}y to �he canstruction�of nevyr tiuildings, change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco County Clydinance number 89-07 and
<br /> 90-07, as am�nded. The undersigned alsa und�rstands, fhat such fees, as may be dtte, wifl be identified at the time of
<br /> ' permitting. It is further understaod that Transpor4ation Impact Fees and Ftesource Recovery Fees must be paid prior to
<br /> receiving a "ce�#ificate of occupancy" ar f'sna! povuer relsase. !f the project does not involve a cartiftcate of occupancy or
<br /> � final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County tlVater/Sevver Impact
<br /> I fees are due, they rnust be paid prior�o permit issuance in accordance with applicable Pasca County ordinances.
<br /> CfJP1�TRt9CT1{}N �.I�R9 �.�liiir(Ch��Y��-�'��, �I�P����f�4ta��e�, ��.�r�n�n��ef}: �f vatuafion:of wrork is$2,500.OQ or mare, 1
<br /> certify that I, the applicant, have been provided with a capy of the "�lorida Constructian Lien Lavu—Homeowner's
<br /> � �'ratectian Guide° prepared by fhe Flor9da Departtn�nt of Agricultur.e and Consumer f�ffairs. Ef fhe app{icant is sameone
<br /> ' ather than the"owner", I certify that I have obtained a copy of the ati'ove described document and promise in good faith to
<br /> deliver ik to the"owner"prior to commencement.
<br /> ���tT'R�CTC}�',/�i�Pi�F�'s ��'���d�►�1�': 1 certify tha� a1! th� informatio�t in this application is.accurete and that al( vvork
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land develapment. Application is
<br /> hereby r�tacfe ta obtain a permit ta do v�rark and installation as indicated. I cerEify 4hat no v�tork or instatlation has
<br /> commenced prior #o issuance of a permit and fh�t all vvork avill be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zaning regulatians, and land develapment regulations in #he jurisdiction. I also
<br /> certify thaf 1 understand thaf 4he regulations of oth�r government agenci�s may apply to the infended wark, and fhat it is
<br /> rny responsibility ta identify whaf actians I must kake to be in cotmpliance. Such agencies include but are not limited to:
<br /> - Department af Environmental Protecfian-Gypress �ayheads, Wefland Areas and Enviranmentally Sensitive
<br /> L.ands, V1later/Wastewater Trea#ment.
<br /> - Sauthuvest Flarida 1lllater ti�anag�ment Dis#ricf-V�e11s, Cypress �ayheads, I�l�fland Areas, A1t��ing
<br /> Watercaurses.
<br /> - Army Corps of Engine�rs-Seav4ralls, C7ocics, Navigable Water�nrays.
<br /> - Department of Heaith & Rehabiiitative Servic�s/Erniranmenfal �OealtF► Unit-Weils, Wastewater Treafinent,
<br /> Septic 7'anks. ,
<br /> - US Envi�onrnental Protection Agencjr-Asbestos abatement.
<br /> - F'ederal Nviation Authority-fRunv�rays.
<br /> I understand that fhe fallauving restrictians apply fia the use of fill:
<br /> - Use of fill is not allovved in Fload Zone"V"unless expressly permitted.
<br /> - If the fill �aterial is fo be used in Flood �one "p", it is understood that a drainage plan addressing a
<br /> "compensating voiume" will be suhmitted at time of permitting wP�ieh is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - 1f the fill materiat is fa be used in Fiood Zone "A" in connec9ion with a permitted building using ster� v�ali
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If f31 mat�ria! is #o be used in any ar�a, ! certify that use of such fil) vvil! not adversely affect adjacent
<br /> prope�ties. If use of fill is found to adversely affect adjacent proper#ies, the owner may be cited for violating
<br /> the conditions o# the building permit issued under the akfached permit application, for Iots less than one (1)
<br /> acre which are eievated by fill, an engineered drainage plar� is required.
<br /> If I am the A6�I�N�" FOIR�'HIE C➢i�9'YV��, I promise in goad faith to inform the owner of#he permitting conditions set forth in
<br /> this afFicfavif prior to comrnencing cor�struction. 1 understand that a separa#e permit may be required far etectrical vuorlc,
<br /> i plumbing, signs, wells, pools, air conditioning, gas, or other installations noQ specifically included in the application. A
<br /> i permit issued sha!! be canstrued to be a license to proceed vuith the �nrork and nat as authori#y to violate, cancel, alter, or
<br /> i set aside any provisions of the technical codes, nor shall issuance of a permit prevenf the Builcfing �fficial from thereafter
<br /> requiring a correction of errors in plans, constructian or violations of any cades. IEvery permik issued shall become invalid
<br /> unless the work autharized by such permit is commenced uvithir� six months of permit issuance, or if uvork authorized by
<br /> the permit is suspended ar abandoned for a periad of six (6) monfhs after the time fhe work is commenced. An extension
<br /> may b� requested; ir� writing, from �he Building Ufiicial for a periad not to exceed ninety (90) days and wil! d�monstrate
<br /> justifiable cause for khe extension. If work ceases for ninety (9Q)consecutive days, fhe job is considered abandoned.
<br /> �AR�iN� 7'43 01{�1���: YOU�t ��i��l�(� Y� �����tD � ����CiE O� Ct3�G���1���(EPlY f�i�Y G�(E�Ul.T !�l �f:}t!�
<br /> �'�iYIPVf.� �1fVI�E �CDR G�iI�ROVI�f�I��IY� YCD 1(09.bl� I�I�C�fPf�i�'I�'Y. I��O11 V�B�f��lD TC) 0�7AIR1 fFIPI�I�CIRI�, CO��II�.�'
<br /> 1�l1�H YC�U���NC���t OR��I�1�O�RR�Y(������ ��CO����1G Y�U� i��YtC�C1F COCi�6i�ENC��H�NT,
<br />' FLORIDA JUR�T(F.S. 117.03)
<br /> t��l�l�F2 OF2 AG��1T �� ?C�iUl'RACTO� � �l��_
<br /> _.Cs!��� ''"'!d�.��e-�`
<br /> Subscribe�d swom (or a rmed ,�e,jore me this Subscribed and worn to( r ir d)befor me this
<br /> �'Lz-t S by Y V l I✓yl �--Z2-i s by
<br /> Who istare personall�v known ta e or haslhave praduced Who Estare personativ knovun to me o haslhave prod ed
<br /> as Identlficatian. as identification.
<br /> � �.t/Y ! 4 ��� Notary Publlc �G U� Notary Public
<br /> ��-��
<br /> Commisslon PJo. r � 3��!� Commission No. � v� � C��t �
<br /> ,,,,.aY•P...,,
<br /> Nam 4`k�! ry"�type , t Name af Notary ryped,printed or sta p@�iP" !'�4�:_ �VANCY J BROOKS
<br />! '" '" MY COMMISSlON#FF093699 -
<br /> =�Ny�� :ot; * Q= MYCOMMlSSIdN#FFQ93639
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<br /> '''-,rFOF�,oe..� EXPIRES February 18.2018 ="�.. o:
<br /> (ao�)398-0153 F1orldallotaryService.com �•.',�oF;�;oa:° EXPIRES February 18,2018
<br /> (407)39$-0153 Flor'rdallotaryServtce.com
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