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; �COTBC@ OF DEED FtESTRICTIOPIS:- The undersigned understands that this permit may be subject to"deed° restrictions" y
<br /> which may be more rest�ictive than County regulalions. The undersigned assumes responsibility f�or compli�nce with any .
<br />_ applicable deed,restrictions. . . . � . •
<br /> U�I�.ICENS�D COPITIft�CTOR�.API� COY�T�`►�Y'O� R�SPONSI��LIYIES: If the owner has hired a cohtractor or � -
<br /> contractors to undertake work, fihey rriay be.required to be licensed in accordance writh sta#e and local regulations. If�he -
<br /> contractor.i§ not licensed as'require� by law, both the owner and contractor may be cited for a,misdemeanor violation '�
<br /> under state law., If the owner or intended contractor are uncertain as to what.licensing,requirements may apply for �he
<br /> intended work, they are.advised to.contact the Pasco County Building Gnspection Division—Licensing Section at 727-847-
<br /> - 8009. .Furthermore, if the owner h�s hired a confractor or-contractors, he is advised to have the contractor.(s) sign _ ..
<br /> , portions of the�"contractor Block" of this application for which they wil9 be responsible. If you, as the owner sign as Qhe '
<br /> contractor, that may be an indication that he is not properly licensed and is not enti4led to permitting privileges in Pasco �
<br />� County. � , , ' . �
<br /> T�PI�PORT�4YION IRflP�CTPl1TILITIE� I�fi��►C'C�FID RE§OURCE f�ECOVE�Y FEES: The undersigned understands -
<br /> tliat Transportation.lrnpact Fees and Recourse Recovery Fees may apply to the construction of nQw•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 und�rsigned also understands, that such fe�s, as may be due; will be 6dentified at the time of
<br />_ . perrriitting. 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 pow�r release. If the project does not involve a ce�:ificate of occupancy or "
<br /> final power release,.the.fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact �
<br /> ; iees are due, they must be pai� p�ior Qo permit issuance in accordance with applicable Pasco County ordinances.
<br /> C�i�ST�UCT'ION L�EN L�►Ifil(Chapt�r 7'�3, �lorida�Sta�gut�s, as arr�eroded): If valuation of work is $2,500.00 or mor�, I
<br /> �- certify that I, the applicant, have been provided with a copy of the "Florida Construction Lie�n Law—Fiomeowner's
<br /> Protection Guide",prepared by the Florida Department of-Agriculture and Consumer Affairs. If th� applicant�is someone -
<br /> " other than the"oinrner"; I certify that I.have.obtained a copy of the above described document and promise in good faith to -
<br /> deliver it to the"ovvner"prior to,commencement. - � ,
<br /> 1 D .
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<br /> �09dTfRl��TOR Sl�ii�P��R S�t1fFFIDA�9T. I certify that all the informa�tlon in this application is accurate and that all wo�k� '
<br /> -
<br /> will�be done in compliance with all applicable laws regulating construction, zoning and land development. �Application is
<br /> - hereby made Qo obtain a pePmit to do work and installation as indicated.� I certify that no work or installafio� has =
<br />' commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating ,
<br />- constructio►i; County and City"codes, zoning regulations, and land development regulations in the jurisdiction. ( �Iso
<br />` certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to'be in compliance. Such agencies include.but are not limited to: -- �
<br /> - , Department of Environmental Protection-Cypress Bajrheads, Wetland Areas and Environmentally Sensitive ,
<br /> Lands, WaterMlastewater 1'reatment: � � • �
<br /> - � Southwest Florida-_ Watec Management District-Wells, 'Cypress Bayheads, Wefland Areas, Altering. _
<br /> �• Vl/atercourses. _ - ' �
<br /> - , Army Corps of Engineers-Seawalls, Docks, Navig�ble Watervvays. , ,
<br /> ' - Department of Health � f2ehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> � Septic Tanks. - - , .
<br /> . ,, US Environmental I�rotection Ag�ncy-Asbestos abatement., � � �
<br /> _ - . Federal.Aviation Authorit�-Runways. - �
<br /> �'I.undersfand that the following r�strictions apply to fhe use of fill:� ' � � ' `_ '
<br /> � - - ," Use of fill is not allo�cved in Flood Zone"V"unless expressly permitted. , ,
<br /> -. � - ' If the,fill material is to 6e used in Flood Zone "A", it is understood'that a drainage plan acidressing a
<br /> �"compensating volume" will be submitted at time.of permotting which is prepared by � professional engineer �
<br /> .
<br /> - licensed by the Stat�'of Florida: ' ' - �
<br /> - - . If_the fill material is 4o b� used in Flood Zone ''A" in connection with a,permitted building usirig stem wall
<br /> � - construction, I cer�if�that fill will be used only to fill the area virithin the stem'wall. . :
<br /> - - If fll material is to be used in any area, I certify that use of such fll will u�ot adversely affect adjacent ,' .
<br /> properties:. If use of fill is found to adversely affect adjacent properties, the owner may be cited for viola�ing
<br />, ' �the condiQions of,Qh� building permit issued under the attached permit application, for lofs less than one (1)
<br />' - acre which are elevated by fill, an englneered drainage plan is required.. ' ,
<br /> � If I am the AC�NT FOR 1'HE O`i1VPJE�, I promise in good faith to inforrri the owner of the perrnitting conditions set.fortE� 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 �
<br /> � perrriit issued shall 6e constrtaed to be a license to proceed writh the vdork and not as authority to=violate,.cancel, alte�,-o� ,
<br />,' seQ aside any provisions of the technical codes, nvr shall issuance of a permit prevent the �uilding�Official from thereafte� •
<br /> . requiring a correction of errors in plans, consfruction or violations of any codes. Every permit issued shall become invalid � -
<br /> unless,the work authorized by such permit is coinmenced within six rmonths of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period.of six(6) months after the time the work is commenced.. An extension
<br /> , ma�i be requested, in writing, fr�m the Building Qfficial for a period not to exceed ninety (90) da�s.and will demonstrate
<br /> justifiable cause for 4he extension. If work ceases for ninety(90)consecutive days, the job is cons'sdered ati�ndoned._ _ _ ___, _
<br /> @4i9e�RPlIN(9 TO OLfiSPI�R: 1'�U9t ��GLID�� TO IZ�CORD �+ P�lOY10E OF COflI(WiEWCEf�lEi1'IT 6�flr4Y RESLD�'i" Yil� Y�U@�._ `- '
<br /> ��YI�JG T1i�ICIE F.OPt 9flfl�ROi/fEfiAEf�YS 7'O 1fO1Jl� PROP�R7'lf. BF�OU IP1TEfi111D TO OBT�41iV �I�Vlla►1WCING, C�P�SIJ�.F
<br /> 4JilBY�V YOIB� L��D�R OR�Pd/Q►TT��fi�EY���FORE RECOR�IPIG YOIDR YVOTICE OF COflf��f1E�I��i�iEd��'. -
<br /> FLORIDA JURAT(F.S. 117.03)- ,. - --- - ' - -- - . -- -__ _ , - --
<br /> : - - -,__. . _ \
<br /> OWiUER�R AGEPIT COiVTE2ACTOFT • l l /l ✓�
<br /> � Subscrlbed and swom to(or affirmed)before me this Subscribed and sworn to(ar affirmed)before this �r� � m��� •
<br /> bY . bY - ,
<br /> Who islare personally knovun to me or has/have produced , Who Is/a personally -o me has/have produced � -
<br /> as d ' �
<br /> - I entlfication.
<br /> � ' i•'a`�"Y•°"'�••: JAC�UELINE HORRUITINER �
<br /> II . ;•?r .�:
<br /> � • _ � '� � '•: '= MYCOMMISSION#FFi4Q817 I
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<br /> Notary Public �'�'�••�•••••�� EXPIRES Ju1y�gg����
<br /> Commission No. mm sston No. (ao�)398-0153 FlorldallotaryServlee.com _
<br />� ' � ' QC Y' y�y-/ . ,
<br /> Name of Notary typed,printed or stamped Name of No typed,printed or stamped _ .
<br /> � .
<br /> II � , " . , _ ," � li
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