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<br /> N�bTiCi��V�B��i�D RES�'8�t��'i�NS: The undersigned understands_that this perrnit maybe subj�ct„to"deed" resf�ctions`';,�:',
<br /> which.,may..be more�restr•ictive than County.r,egulations. Tlae=und'eesig"n'ed•�asseimes�r.'esponsibafity'"forscompii'ance witfi���any" "=`
<br /> applicable deed restrictions. .,. , . . : �
<br /> �1�lLICE�l�I�� Ct��iTR��'�"ORS A�9D ��ii�TR�CT�6� 4���PONSi�t�.1�'IES: If"tfie-owner has°kiired�a.Tcontractor or
<br /> cantractors to undertake r�roric, they may be required;to be..licensed-in accordance vuith�state and<loca! reg�alatRons:-=if�the= _
<br /> contractor is not (icensed as r�quired bp`law, botfi'the awner�and:contrac#or imay-t�e�cited�for-�a rnisdemeanor viaiation
<br /> under state law. !f fhe owner or intended contractor are uncertain as 4o what iicensing requiremenfis:=may:�,apply foc�.;.�tiie��
<br /> intendec!v�ror.k, they are•advised to coiitact`tFie'Pasco Courity Building tnspectian�"Division—�Licensing Sectian:at 727-847-
<br /> 8009. Furthermore; if the owner has liired'a'�contractor or contractors, he'is advised to ;have the contractoc{s).;sigp,, ,
<br /> portions af the "contractar Btock" of this application fior vuhich they wi!! be responsible. If you, as°`tiie avvn+e�sigri as tiie `
<br /> contractor,.that may be an indication that he is not properly licensed and is not entit(ed"#o permitting priviteges in Pasco
<br /> County. � .� .
<br /> TC�+�SPOR�'�YIO�! ifl�i�A��'lUTILIT-I�S Ii�fF?AC'6'��lD B�ESt3tdRC�6�ECOV�RY FE�S: The undersigned understands
<br /> that Transpartation Impact Fees and Recourse Recovery Fees may.:apply to the cansttuction af,new buiidings, ctiange=of�°�'=�
<br /> use in existing buiidings, or expansion.of<existing"buildings, as specified irt Fasco County Ordinance number 89,07 and
<br /> 90-07, as amended. The under'signed also understands, that such.;fees, as may.,,,b.e due, uvill ae;identified at�the=time�of"�
<br /> permitting. It is further understoad that-Transportation impact Fees and Resource'Reeovery Fees must be paid prior to
<br /> receiving a "cerkificate af occupancy" or final_power release. !f the_project does not involve a certi�cate o€accupancytorF��•
<br /> fina( power release, the fees.-must be paid priar to permit issuance. Furthermore, if Pasco County W.ateNSewer Impact
<br /> fees are due,#hey must be paid prior to permi#issuance in accordance with appiicabie Pasco Caunty ordinances.
<br /> C�?N�TRUGTl�N l�9�6d �A�!!{C�►ap��r��03, Ft�r�i��St�tu��s, as�en�radrod): If valuation of wark is$2,500.00 or moce,.J
<br /> certify that I, the applicant, have b�en prouided with a copy af the "Florida Construction Lien Law=Homeowner's
<br /> Protectian Guide" prepared by the Florida Department of Agriculture and Consumer.Affairs. tf the appficant:is someone
<br /> other than the"owner", I,certify that l have obtained a capy of the abave descri�etl'document-and promise�in gootl faifli'ta
<br /> deliver.it to the.':owr�ec"priac ta commencement: ,
<br /> C��6i'�C'�OR'�/O�Rl�43'� A�'�IDdNIT: I_certify.that all the informatian in this application is accurate and that alf work
<br /> wiil be done ln comp(iance with a!! applicable laws regulating construction, zoning and-land-devefopment. Appficafian is
<br /> hereby rnade ta obtain a perrnit.to do work-and installation as .indicated. f certify tha# no work or installation has
<br /> ' cammenced priar ta issuance of a permit and fhat all work will be performed to meet standards of al! laws regulating
<br /> construction, Counfy and City codes, zoning regulations, and land development regulations in the jurisdictian. ! alsa
<br /> certify that I understand that the regulations of oth�r governrrient agencies may apply to the interided work, and that it is
<br /> my responsibility to identify what actions I must take to be in comp(iance. Such agencies include but are not limited.to:
<br /> - Department of Environmental Protection-Cypress�Bayheads`, UVetland Areas and Environmenta!!y Sensitive
<br /> Lands,UVaterMtastewater Treatment.
<br /> - Southwest Florida Water �anagement Qistrict-Wel}s, Cypress Bayheads, We#land Areas, Aiterfng
<br /> Watercourses.
<br /> - Nrmy Corps af Engineers-Seavuatls, Dacks;Navigabie Watervuays.
<br /> - Depacfinent af Heatfh � Rehabiiitative Serrrices/Environmental Nealth Uni#-W.e!!s, Wastewater Trea#ment,
<br /> S.ep.tic�Tanks. �
<br /> - US Environmental Protection�4gency-Asbestos abatement.
<br /> - Federal AviatiQn Authority-Runways.
<br /> t understand that�the faifowing restrictions apply fo the use of fill:
<br /> - Use af fiil is not allowed in Flood Zone"V" unless expressly perrr�itted.
<br /> - !f the fil( materia! is to be used in F{ood Zone "A", it is understoad that a rfrainage pian addressing a
<br /> "compensating valume" vuiil be submitted at time of.permitting �nrhich is prepared by a professional engineer
<br /> licensed by the S#ate of Fiarida.
<br /> - If the fill materia( is to be used in Ftood Zone "A" in cannection with a permitted bu9lding using stem wall
<br /> construction, I certify that fill will be used only to fill the area vui#hin the stem walL �
<br /> - !f filF inaterial is to be used in any area, i certify that use of such fill witt not adversely affect adjacent
<br /> properties. tf use of fill is found ta adversely affec#:adjacent properties, the owner may be cited for violating
<br /> the conditions of the=buiiding permit,issued under the attached permit application, for lots less than one (1)
<br /> acre�rhich are elevated by fill, an engineered drainage plan is requi�ed.
<br /> !f I am the�4aEft4'�' FC?R�'H�d�'!�lR��R, ! promisa in gaod faith to irrform.the awner of the permifting conditians set forth in
<br /> this affidavit prior ta commencing canstructian. i understand that a separate permit may be required for electrica! work,
<br /> plumbing, signs, vvells, paols, air candi#ioning, gas, or oth�r installations not specifically included in the application. A
<br /> permit issued shall°be construed to be a license to proceed with the v�tork and not as author'tty to violate, cancel, alter, or
<br /> set aside any provisions af the technica! codes, nor shall issuance ofi a permit prevenf the Building Officiat from thereafter
<br /> requiringa correctian�af errors_in_pians,�constr:uc#ion_ac._v�olations_of_any codes._Every..permit-issued shal(-becom� invalfd-- --
<br /> � unfess the work authorized by such permit is commenced within six months af permit issuance, or if work authorized by
<br /> the permif is suspended or abandaned.far a periad,.of six(fi�'inanths after the time the wrork is commenced. An e�ctension
<br /> may be requested, in wr.iting, frorrt the Suilding (Officia! for a period.nat to exceed ninety(90} days and will demonstrate
<br /> justifiable cause for the extension. if work ceases fpr ninety(90)consecutive days,the job is considered abandoned.
<br /> �1�a�tYVlidG T�3�Ol�N�E2: YOU1R E/AILUR(E.'D'dl RE�ORD � I�OTEG� OF GOMIl�E�dCE1V1EMT [1�AY RESULT al�! VClUR
<br /> �'�4YIi�G Y�lICE�QR!�'t7�'ROVE�ENT�Y.,�YQUR:-fPRQJPEl�TY: IF YC4�.�lNTEND�TO C►BTAIN,�I�tA[dCING,COR�SULT
<br /> �N9�'H YOl�Ft L�N�ER OR A�! �IFt?RE.62EC4RDiNG Y{D R C3TICE O�'COi�iiifllENCE➢�ENT.
<br /> FLORIDA JllRAT{F. 97.08) '
<br /> - -�Olf��l�R�OR AGEPlT - r.. �_ - C�P4T AG� R _ �_ _ - —
<br /> S b be and s t p ' re m this bs ribe rt or affi e be or e this
<br /> �, �U�� by � Oo � Co �U1 �y ��Vtrt � `��,��
<br /> Wha islare personally lcnawn to me or aslhave produced Who islare personally known to me or fias/have produced
<br /> as identificatian. as identification.
<br /> �.�,�✓Y4 �yc- �/�i� Notary PublPc ��`���" �'t_�iG2aak�_ _ �totary Pubtic
<br /> Commission lVo. �Q�$��.3 Comm►ssion No. �`� 3���� � ' ---
<br /> �n+��s- J�_ �'r�r�¢,�( �u�'�S" 1�1• "I�'ark�co
<br /> Name of Notary typed,printed or stamped Name of Natary typed,printed or stamped -
<br /> �---- -
<br /> � :�'""'�+�` JE4V41ftFEFd N TF2RMA+iEl.L
<br /> t =���`•`•"•''�; JENNlFER N TRAMMELI
<br /> ` I ' : MY COMMtSStON#FF9380T3
<br /> j MY C�MMISSiON#FP9380�3 • ��•'' �
<br /> � �'�,ario�'� EXPiRES January 15.2020
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<br /> � �'•`''?•�.,�;,,, EXPIRES January 15,2020 .su:,�,�-0ss3 P�onqallouiysarv�c�.com
<br /> .:i�,.i�lr 0+53 FlondsiNo�uYSurvwti.cwn � -
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