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<br /> fVOTlC� OF �f�ED I2E�'�'�t1�YIC�PI�: 'The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> , which may be more restrictive than Courtty regulattons. The undersigned assumes respansibility far compliance vuith any
<br /> applicable deed restrictions. �
<br /> i UN�tCIE�f��D CQRlT�Cl"Q�� �1PI9� GC�Ri�'�C'�O� ����'��I��t�IL1Y1iE�: !f the owner has hir�d a contractor ar
<br /> ' contractors to undertake work, they may be required to be licensed in accordance writh state and local regulatians. If the
<br /> � contractoe is not licensed as required by law, both the owner and contractor may be cited for a misdemeanar violation
<br /> under s#ate law. if the owner or intended car�fractor are uncertain as to vvhaf licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-647-
<br /> , 8009. Furthermore, if the ovvner has hired a contractor or contractors, �e is advised ta have the corttraetor(s) sign
<br /> ' portions of the "contractor Block" of this application for vuhich they will be responsible: If yau, as the owrner sign as the
<br /> contractar, that may be an indication that he is noY properly licensed and is not �entitled to permitting privileges in Pasco
<br /> � County. " _
<br /> 1'1�►tV�1�OR7`ATIOiV IR��AG'�/UYILYYI�S �flfl��►C`v'��If� ���I�YJ�Cf� RI�COVERY��fE�: 1"he undersigned understands
<br /> that Transpartatic�n impact Fess.arid Recout`se Recovery ��es may apply ta th�canstruction of newr buildings, change of
<br /> use in existing buildings, ar expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. 1"he undersigned also undecstae�ds, that such fees, as may be due, wril! be identified af the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or fina) power release. If the project does not involve.a certificate of occupancy or
<br /> final power release, the fees must be paid prior ta permif issuance. Furthermore, if F'asca Caunty WaterlSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accardance with applicable F�asco Coun#y ordinances.
<br /> COIU�TR�CTION �.tiE�l �.�►1��C�a���r'��3o iFl�r�¢f�St��¢t�e�, �s ��m�e�d�e9): if valuafion o#work is$2,500.00 ar rnore, (
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Constructian Lien Lavrr—Homeowner's
<br /> Pratection Guide" prepared by the Florida Department of Agricutture and Const�mer Affairs. !f the applicant is someone
<br /> �' other than the�"owner";"i certify that I have obtained a copy of the abave described document and promise in good faith to
<br /> deliver it fo the"owner"Qrior to cammencement.
<br /> COP1T'�tla►C"fOR'SlQVitNIE�t'�i��f9�kiillY: 1 certify that a41 the information in�this apptication is accurate and that alt worfc
<br /> will be done in compliance with all applicable laws.regulating construction, zoning and land�develapment. Application is
<br /> hereby made ta abtain a �ermit to da vuorlc and ir�stallation as 9ndicated. 1 certify that na work oc installatian has
<br /> commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regula#ing
<br /> construction, Caunty and City ccades, zoning regulations, and land development regulations in the jurisdictian. 1 aRso
<br /> certify #hat 1 understand thaf the regulatians of other gavernmenf agencies may appty to the infended wark, and fhat it is
<br /> my responsibility to identify uvhat actians I must take to be in compliance. Such agencies include bu#are not limited to:
<br /> - Department of Environrnental Protection-Cypress Bayheads, V1letland Areas and Enviranrnentally Sensitive
<br /> Lands, WaterNVaste�nrater Treatment.
<br /> - Southuvest Fforida Water tillanagement C�istPict-VVeEts, Cypress Bayheads, 1fl/etland Rreas, Altering
<br /> 11Vatercaurses.
<br /> - Army Corps of Enginesrs�5eawa!!s, [7ocks, IVavigable Watennrays.
<br /> - Deparfm�r�t af Hea}th & Rehabiiitative Setvices/�nvironmental Flealth Unit-VlleNs, Wastewater Treatment,
<br /> ; Septic`Tanks. �
<br /> - US Environmental Protec#ion Agency-Asbestos-abatement. -,��
<br /> - �ederal Aviation puthority,-Runwrays. ' � �
<br /> t understand that the folEowing restrictions apply to the use of fiEf:
<br /> - Use of fill is nat altow�d in Flood Zone"V"unless expressly permitted. `
<br /> - If the �II mat�ria! is to be us�d in Flood Zone ",4", it is understoc�d that a drainage plan addressing a
<br /> "compensating vaium�" .�n+ill be submitted at time of permitting �nrhich is prepared by a professionaE engineer
<br /> licensed by the Stat�of Florida.
<br /> - If fhe fill material is to be us�d in �load Zane "A" in connectlo� vvith a permi#fec! buiEding using s#em wralt
<br /> canstruc4ion, I certify that�II will be used only to fill the area wikhin the stem wall.
<br /> - !f filf materia! is to be used in any area, ! cerfiify ttiat use'of such fi!! uvill nat adversely affect adjacent
<br /> properties. ff use of fill is found to adversely affect adjacent properties, the owner may be cited for vio�ating
<br /> the conditions of the building permit issued under 4he attached permit application, for lofs less than one (1)
<br /> acre which are elevated by fll, an engineered drainage plan is required,
<br /> If I am khe�►CIE�9T FOF�7FIIE O11F91iW�d�, I pramise in good faith to infarm the owner of the permitting conditions set forth in
<br /> this affidavit prior ta commencing construction. 8 understand fhat a separate pertnit may be requirecf for elecfrica! wrork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installafions not specifically included in fhe application. A
<br /> permit issued shal! be construed to be a licer�se to proceed with khe wvrk and nat as authority to vialate, cancel, alter, or
<br /> .set aside any provisians of the technicai codes, nor shal) issuance of a permit prevent the Buiidirig C7fficiai from tfiereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. �very permit issued shall become invalid
<br /> untess the_v,car6�author�zed by such_.permit_is_commenced within six months of permi# issuance,_or__if_vv_ark authorized b�r_ry_ _ �
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in vuriting, from the �uilding Officia! €or a periad not to exceed ninety (�0) days and will demonstrate
<br /> justifiable cause for fhe extension. If wrork ceases for ninety(90)consecutive days, the job is considered abandaned.
<br /> �1i,�RtdING �'CD 01�1�1�1�: 1��UIFt ��1�.U�� 'Y� (�3Et:��tD � 6��YlC(� fl� C�ii�flflEN����NY 6WAY ���ULT IN YC}l1�
<br /> F�AVINC� TVVIGE F�1R V91�f�ROV�iVif�H7Y�YO YO�Df�f�V2CY�f�F�`�'1�. �f�YOl1 IP�YI�WD Y�1 O�YkiIAI �IPI,AR➢�MFI(�, �PJP1�lDILT
<br /> 1fV1TN Y�}UR L.IE�tDI�R{91�6��I�TT�1�fi��Y(��fiFQ�1� ���Q�(f}1W�Y{}U!2 F�OTIC�O�C��I���IC����IT.
<br /> FLORIDA JURAT(F.S. 1 03)
<br /> E71fltF���C}R A�EPlT C��C�'1X� 'i:�tl�"t C��t7'�CTt}�t C�Cv�'
<br /> Subscribed and swo t (or a irmed)b re me this Subscribed and sw to(or affirmed)bp.�fo�g,rr�this
<br /> �c'S i.�'.��C�/Z- � ' �7�°,t l�.
<br /> Who Pstare rsonalty know to me or haslhave produced Wh tslare persanally k o o me or haslhave produced
<br /> as Idenkificatian. as identificakion.
<br /> � ��/"" o ary Public ��- �lotary Public
<br /> Camm sl Com � - •�.
<br /> ;�°;��. JACQUELlNE Bq�Er S� ' ='`r �� �t�t�ttt1�51{�tt�#�����
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<br /> Name of No �F o�,��r�rot��y@�i12,�018 �am �.� ty � ro @INIh�uF�N��I��
<br /> 'h�'�,�i�+y�o 9onded ttau trny Fmu lnnura�a�94Q•385•70i8 �6��5�9dt9
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