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<br /> P10TIC� OF �f�f�D �[�STf�ICYlOR9�: The undersigned understands that this permit may be subject to"deed" restrictions" �
<br /> which may be more restrictive than County regulations. Th� undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. T . ' _ � :. . - -
<br /> 11WLICfEf�SED COf�T93d�CT0�� G�Fd� CORY�'��'�'�� ����ORI�I�YLIYV{E�: �If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be lic�nsed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by lavu, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the ouvner or intended contractor are uncertain as fo what licensing requi�ements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the ovvner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which 4hey will be responsible. If you, as the owner sign as the
<br /> contractor, fhat may be an indication that he is not properly licensed and,is not entitled to permitting privileges in Pasco
<br /> County. � � � '
<br /> �Q26�RlSPOi�T'A�IOR! i�fi�AC71l1YO�ITI�� Ii���Clf�W� �tf��Ol1�C� ��C�VE�Y�f�f��: The undersigned understands
<br /> that Transportatiori Impact Fees and F�ecour5e"F2ecovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, wrill be identified at 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 final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> COP1ST�l1G�'IO�d LV�R� L�►liN_.(Ch�p�er Y�G3, 4�9oPida����a��a���, a�,aenended): If valuation of work is $2,500.00 or more, I
<br /> certify tHaf 1, th'e applicant, have been �provicied with a�' 'c'opy of tFie "Florida Construcfion Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone I
<br /> other than the"owneP", I certify that I have obtained a copy of fhe above described document and promise in good faith to I
<br /> deliver it to the"owner" prior to commencement.
<br />' CORlY�l��1f0�'Sl�9�9R1�R'� la►�I�d�WVLY: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify fhat no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
<br />� construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of ofher governm�nt agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must 4ake to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress �ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, VVaterMlastewater Treatment.
<br /> - Southwrest Florida Water i�anagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br />� Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waferways.
<br /> - Department of Fiealth � Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental f'rotec$ion Agency-Asbestos abatement.
<br />, - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill materi�l is to,be used in Flood �one "A", if is understood that a drainage plan addressing a
<br /> "compensafing volume" will be submitted at time of permitting which is prepared�by a professional engineer
<br /> licensed by the State of Florida. �
<br /> - If tfie,,fll material is to be used in Flood Zone "A",in connection with a permitted building�using stem wall
<br /> construction, I certify that fill will be used only to fill the area withinufhe stem wall. '
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affecf adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGfE�Y I�OR�9i� Ol�ilN9�Y�, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A I
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to_violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, cons4ruction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) monfhs after the time the work is commenced. An extension I
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety (90)consecufive days, the job is considered abandoned.
<br /> li11P��2�➢OP➢� 11"O OIRPR9f��i: YOf.➢R f��9�19R� �O-9��C��D !s� ���@�� Qf� ��6�lf�ifl�P1C�R�iIf�Pl�_flflAY I��Sl9LT I�9 �Ol1R _ �
<br /> �AYI�!(°s �i4ifICE �O�d IB1��'9�OV�IViI�R9Y� YO�(0�91i� F�V�O���dl�"Y. If�YOl1 9Y�1f�iVl�TO 0�7Ei1�9 �IPI�ilIC9i�G, C�P➢�CJ�.Y
<br /> IIi11YH YOU�L�NDI��Of��►Rl/�lfY0��9�Y �����f� �t�COW�fDYFO(�Y�U@Z R10vIC�Of� COflHHNfEfNC�bUi�i�Y.
<br /> FLORIDA JURAT(F.S. 117.
<br /> O{filP1ER OR�G Vl��+- COR9Tf�ACTOR =
<br /> Subscribed and sworn to( affirmed)before me thls Subscribed and swor to(or affirmed)before me this
<br /> by by
<br /> Who islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
<br /> as Identification. as identificaGon.
<br /> Notary Public Notary Public
<br /> I Commission No. Commission No.
<br /> Name of Notary typed,printed or stamped iVame of Notary typed,printed or stamped
<br /> I
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