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NOTIC� O� D�ED R�ST�ICTB�lR➢�: The undersigned understands that this permit may be subject fo"deed" restrictians"
<br /> which may be more restricti�e than County regulations. The r,td�rsigned assumes responsibilify tar campliance vtirith any •
<br /> applicable deed restrictians. '��� �
<br /> !1�lL.00fER4SED CI�idTRA�7C�P�� /a1�IID ���elY�►�'�'�ff� I�f���0�15l�lLQYG��: If the awner has hired a contractor or
<br /> contractors to underkake work, they may be requir�d ta be licensed in accordance writh state and local regulations. If#he
<br /> cantractor is not licensed as required by lawr, both the ovun�r ancl�cantracfor may b�e cited for a misdemeanor violatiQn
<br /> under state law. If the owner or intended contractor are unc�rtain as ta what licensing requirements may apply for fhe
<br /> intended work, they are advised to contaG#the �'asco County �ui(ding Insp�cYian Diuision—Licensing Section aE 727-847-
<br /> 8009. �urthermore, if the owner has hirec! a contractar or contractors, he is advised to have the contractor{s) sign
<br /> parkions of the "contractor Black"' of thfs applicakion for vvhich they will be responsible. If you, as the owner sign as #he
<br /> contractar, that may be an indication thaf he is not properly licensed and is not �ntitled to permitting privileges in Pasco
<br /> County.
<br /> i'�►NSF��31�Y�►�IOtV ��i��,C�'Il7'�'�LiYI�� ��il�,��'��i�Y�➢����H3��� �i�C��/l�RY Fi��s: The undersigned understands
<br /> that T�ansportation im�act Fees and Ftecourse Ftecaver1r Fees may ap�ly to �he construction of new buildings, change of
<br /> use in existing buildings, or expansion of ex'tsfing building5, as specifed in Pasco County Ordinance number 89-07 and
<br /> 90-47, as amended. The undersigned also understands, that'such fees, as may be due, uvill be identified at the time of
<br /> permitting. It is further understood that Transportakion Impact Fees and Resource Recovery Fees must be paid prior to
<br /> rec�iving a "certificate of occupancy" or final povuer reiease. If the project does not invoive a certifica#e af occupancy or
<br /> finai power re(ease, the fees musf be paid prior to permit issuance. Furtherrrtore, ifi �'asco County Water/Sewer Impact
<br /> fees are due, they must be paid priar to permit issuance in accardance r�rith applicable Pasco County ordinances.
<br /> CC?FVS��t�J�TlO�! L.8�P1 ��,1tlt(Cfi��t�r�'93, C�I�eida����gc�4��, �s �ert�r�d�d}: !f valuation of wark is $2,500A0 or more, !
<br /> certify that I, the applicank, �avs b�en pravided v�rith a copy of the "Flarida Canstruction Lien Lauv—Hameowner's
<br /> Proteckion Guide" prepared by fhe Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other fhan the "owner", I certify that I have obtained a copy af the above described document and pramise in good faith to
<br /> deliver it to#he"owner"prior fo commencemenf.
<br /> CC}�#TRl��TO�'SIOif�fFi�i�'� �IF����Vi�': { c�rtify thaf a11 the infarmafian ir� this applicafion is accurate and that al!�vork '
<br /> wil! be done in compliance with a!f applicable lavus regulating consYruction, zoning and lantf development. Applicatian is
<br /> hereby made to obtain a permit to do uvork and installation as indicated. I certify that rto work or insta!lation has
<br /> commenced prior to issuance of a permit and 4hat all vvork �nrill be perFormed to meet s#andards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdicfion. I a(so
<br /> certify thaf 1 understand that the regulafions of oth�r governmenf agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take ta be in campliance. Such agencies include but are not fimEted ta: ,
<br /> - Department of Environmenfal Protection-Cypress �ayheads, W�tland Areas and Environmentally Sensitive
<br /> �.ands, VVaf�rNVastetnrater Trea#m�nf.
<br /> - Sauthwest Florida Water li�anagement District-Wells, Cypress Bayheads, UVetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, �tavigable Wa#ervvays. -
<br /> - Department of Health � F2ehabilitative Servicesl�nvironmenta! �ealth llnit-VhJeNs, Wastewater Treatrr�ent,
<br /> Septic T'anks. Q
<br /> - US E�virc�nmental Pratection Ngency-AsbesEos abatement.
<br /> - Federa!Aviation Author'tty-Runuvays.
<br /> I undersfand that the following restrictions apply to the use of fill:
<br /> - Use af fill is not atlowed in Flood Zone"V"unless expressly permitted.
<br /> - lf the fi(I mat�rial is to be used in Flood zone "A", it is understood that a drainage plan addressing a .
<br /> "compensating vo(ume" will be submitted at time ai` permifting uvhich 'ss prepared by a professiona! engineer
<br /> licensed by th�State of Florida.
<br /> - !f the fill material is to be used in Flood Zone "A" in connection v�rith a permitted building using stem uval!
<br /> canstruction, ! c�rtify that fil!wiU be used only to fil!khe area within the stem r�all.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> praperties. If use of fill is found to aduerseiy affec# adjacent properties, the owner may be cited for viola#ing
<br /> the condi#ions of the bui(ding permit issued under #he attachecf permit application, for (ots less Ehan ane (1)
<br /> acre which are eievated by fill, an engineered drainage plan is r�quir�d.
<br /> If I arrt the ACIENT �QR TH�0��4�1�, t promise in goad faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. Y unders4and that a separate permit may be required for electrical vuork,
<br /> plumbing, signs, w�ells, paols, air conditioning, gas, or other installa#ions not specifically included in the apptication. A
<br /> permit issued shall be construed to be a license to proceed with the �nrork and not as auEi�arify ta vialate, cancel, aifer, or
<br /> set aside any provisions of the technicai codes, nor shall issuance of a permit prevenf the Building Officia!from fhereafter
<br /> requiring a correctian of errors in plans, construction ar violatians af any cades. �very permit issued shali became invalid
<br /> un{ess the work autharized by such permit is cammenced vuithin six months of permit issuance, or if vuork authorized by
<br /> the permit is suspended or abandoned for a period af six{B) months after the time the uvork is commenced. An extension
<br /> may be requested, in writing, from the Building Official for a period not to �xceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If wark ceases for ninety(90)cansecutiv�days, the job is considered abandoned.�
<br /> v�,���o�� -ro or����: �au� ����u�� �c� ������ � �o��c� �� c�������c���� ���r �.��u�.� �� �ou►�
<br /> ��1YtN�TVNI�E lF��2 ��F�R�7►VE�fiE�l�� 7Q YCit�� I�F20#�fE�tlY. B�'S(OtJ D�lTE�tf�T� t��YAtP1 �1�l1�t�Y�lf��, �OP�St!!L�"
<br /> lfiitlYN Y�2t��t�.�Nt��l��[t�HI a�i'�QIRP1fEY I��l���tl� �lE����9(r�➢�Z'OMJ�P10T'!C���'��l��i���lCf�f�i�P�Y.
<br /> FLQRIqA JURAT(F.S. 117.03) ��
<br /> OUVid�R 4f2 AG�P1T COAIT�CTO� � �—
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed) efore me this
<br /> by , �.,,�-b}r"--�....
<br /> Who tslare personaily known to me or has/have produced Who[s(,at'e sona p-k�a n to me or haslhave prdduced �
<br /> as Identlfication. / as identification.
<br /> tVotary Pubiic t Rtotary Pubtic
<br /> Commissfon No. Com is
<br /> _*�Y+ '::__ Commissian#FF 150422
<br /> Name o1 Nokary typed,prfnted or stamped PVame of ' ,y
<br /> ''��P�,,., � 9 8 ns Tray f��s��§`800assaoi9
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