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<br /> Nt7TfC�C3�QEED REST4�lCT1QNS: The understgned understands fh�t this permlt may be subjea#to"d�ec3"restr(c;tions"
<br /> whioh may be more restrictive th2�n Cout�ty regu{ations. The undersigned assumes responsibility for compliance with any
<br /> i appllcable deed restcictlor�s.
<br /> UNLI�CENSED CQNTRA{:TORS MND CONTRACTOR RE$PONS181t,ITlES: ff the owner has hired a conkraator or
<br /> cantr=3cto�s ko undertake work, they may be required to be!(censed in accordance with state and tocal eegulat4nns. !f the
<br /> cantract�r is not licsnsed as required by faw, bo#h the owner artd contractor rnay b� clted for a misderneanor vit>tation
<br /> under ska#e law. If the ownet or fntend�d oontractor are uncertaln as to what ifcensing �equlrements may apply fior the
<br /> inten�3ed w4rk, #hey are a�#vtsed ta ec�ntact t�e Pasco County Suilding lnspectton D3v3sion--l.icensing Ser,#1an at 727-847- �
<br /> 8009. �urthermore, if the owner has hired a contractor or coniractors, he !s advised ta have the contraatar(s) sign ,
<br /> ; partions of the "contrac#or Block" of lhis appltcafion €ar whlch they wi!! be rsspons(ble. If you, as the owner slgn as #he
<br /> !, cantractar, that may be an indication that he is not properly licensed and is not entitied to permitEing privlleges in Pasco
<br /> County. �
<br /> TF2AP�SPQRTATEflN IMP�CTIUTlLiTlES IMPACT ANO R�St}URC�RECt}VERY FEES; Ths underslgr��d unde�stands
<br /> � th�t T'ransportation Impact Fees and Reoourse Recovery Fees may apply to tha construction of new buildings, change of
<br /> use fr� exisk4ng build�ngs, or sxpanslvn crf existi�g bu!ldings, as specitled ir� Pa�co Gounty Ordfnance numbe�89-47 and
<br /> 90-07, as amended. The undersigned ai�a understands, thaf such fees, as may be due, will be identifi�d at fhe time of
<br /> permitting. It is further unde�skood that Transportation Impact Fees and Resource F�ecovery Fees must be paid prior to
<br /> receivinc� a"certiilcate of occupancy„ or fina� pavster reiease, !#!he prQject does not irnrolve a certificafe of occupancy or
<br /> fina! ��ower release, the f�es must be paid priar to permlt issuance. Fur#hermore, ir Pasco County Water/Sawer Impact
<br /> fees�re due, they must bF�pald prior to�ecrttit lssuance 1r►accordance wlth app!lcabf�:Pasco County ordtnances.
<br /> CO(V�5TRUCTtnhf Ll�N LAW(Chapter T93, Florlda 3tatutes,as amended}; if vaivation of work is $2,500.OQ ar rnare, I
<br /> certif�� that !, th�e appllcant, have beett provided wilh a capy af fhe "�lorida Construction Lien Law—Homeowner's
<br /> ( Pro#ecfion Guidew prepared by fhe Florida Deparfinent of Ag�IculEtare and Consumer A�fa[rs. lf#he appilcanf is sorneone
<br /> other than the"awner", 1 cerkify that i have obtained a copy Qf the a�ove described dc�cumer�t and promise in c�aod fatth to I,
<br /> � del�v�.r If to the"owner"prior fo corr�msns:ement,
<br /> � C�N'TR�ACTOR'510WNER'S AF�IpAV�T; ( certffy that all fMe informatlon In this applicativn is accurate and that alf wark
<br /> wi14 be done ln comp(iance wtkh al! applioable laws regulating const�uctlan, zonEng and land clevelopmer�t. Application is
<br /> her�#sy ►nade to abtain =� permlt to do work and InstalEation as indicated. 1 certify that na work or insfal4ation has ;
<br /> cvrnr�enced prior to issu�nce of a permit and that all work will be performed to meet standards of all laws regulating �
<br /> canstruoti�n, Gou�ty and Ci#y codes, zc�ning regulatlons, and �and develo�ment r�gulaflons in tF�e �urlsdl�tion. 1 also �
<br /> '� certi#,y that I understand that the regulations of other government agencies may apply ta the intended work, rmd that iE is I
<br /> ' my responslbillty to Ident4#y what actions I must take#o be ln com�ltance. Such agencles Include but are t�ot limiked ta:
<br /> ' - Departmenf of �nvironmontai Protection-Cypcess �ayheads, V+lefland Areas and Envir�onmenta(iy Sensitive
<br /> Lands,WaterlWastewa#er Treatment.
<br /> - Sout�west Flor3da Water Manage�nent �ist�3ct-Welts, tlypress 8ayheads, Silfetlanti A�e�s, A[tering
<br /> Watercourses. --
<br /> - Army Gnrps�f�ngEneers-Seawalts,QvcEcs, Nav�gable'Waterways.
<br /> � Department af Health 8� Rehabllitative Services/Environmenial Health Unit-Wei(s, Wasfewater Treatment,
<br /> Septic Tanks.
<br /> - US Environrrtental Protecfivn Agency-Asbestos abatemer�t.
<br /> - Federai Aviation Aufhority-Runways.
<br /> 1 understand fhat the following restr#ct�c�ns app{y Eo the use af f�11:�
<br /> - Use of fill Is not aQowed in Ftood Zane"V"unless expressly permitfed.
<br /> - }t the fll! materPal 4s tn be used !n Flaad Zone "A", Ik ls underskood �hat a drainage plan addressing a
<br /> "cornp$nsa#ing volu►ne" will be submitted at tfine of permifting wh[ah fs prepared by a prof�ssior�al engineer
<br /> licensed by the 5tate of Florida.
<br /> - 1� the f�1I materia} Es ta be used in F1ood Z�ne "A" In cann�cEian wltF� a pe�mitted buiiding using stem wall
<br /> constructbn, I ce�kify t#rat fill wiff be used only ta f111 the area withln#he stom wai#.
<br /> - !f fli) mater�a! Is to be used !n any area, ! csrtify tl�at use of such fil! will not adversely affect acljacent
<br /> praperties, tf use of fili is fpunc#t� adversely affect adjacent properties, the owner may�be cited fQr v�olat{ng
<br /> the conditlons of#he buifding pe�mit issued unde� the attached permft applicatian, for lots less fhan ane (1)
<br /> acre whlch are elevated by fl�l,an er�glnesred dratnage plan Is�equired.
<br /> if# am#he AG�NT FQR'�HE OWN�R, i promise in good falth to infa�m khe owner of khe permitting canditfons sef forth in
<br /> this ��#fidavit prlor to �omrnencing cvnstruatinn, ! undersEand that a separafe permit may be required for electrica! work,
<br /> plurnbing, signs, weils, pools, air conditianing, gas, ar ofher Installatians not specifically included ir� Ehe applicaf(on. A
<br /> permit issued shall be construed to be � license to prnceed wlth the work and not as authority to viola#e, cancel, alter, or
<br /> s�t aside�ny provisions c�f the te�hnical codes, nar sha11 Issuartcs of a petm�t pfevent#he E3ultdlrig U�Icla1 from thereafter
<br /> requiring a correctlon af errors in plans, c�rnstruction ar viotations of any cndes. Every permit issued shaN became invalid
<br /> unf�:�s the work authoriz€�d by such perrrtlt ls commenceci wEth4n six tnonths of permEt issuance, or Ef work authorfzed by
<br /> the permit is suspended or abandoned far a period afi slx(6) months after#he time the work ts cornmenaed. An exfension
<br /> may b� rs�uested, irt wri#(ng, from the �uitding O�tcial for a period not to exc�ed ninety (90) days and will demanstrate
<br /> justitiabi�cause far tfi�e exterrsivn. !f w�rk ceases for ninefy(�0}cansecutive d�ys,tha job is considered abandoned.
<br /> t+VAF�NING Tt? OWNER: YQItR FAtL�JRE TC} RECf1RQ A NClTlCE fJ� CC?MNIEI�CEMENT MAY R�SULT iN YG1UR
<br /> PAYING 7W{C�FOR IMI�RC}VEMENT�TO YOUR PROP�RTY. IF YOU tNT�ND T4 OBfiAtN FiNANCiNG,CflNSULT
<br /> lTOi YC?UR LENQER a�..AN A'�,'�'OR��Y BEPOR� EtECf�Rl�IN�a YD�IR NOTICE QF COMMENCEM�'WT
<br />` F�CtRiDA JURAT(F.S.-i i7.#?3) � - - - • -- -
<br /> UWN{ER OR AQ�NT CONTRACTOR
<br /> Subscribed and swom€v(or aftlrcned}trefore me thCa Subsc�bed and sworn to(or a�lmsed}before me thts
<br /> ,��Y bY
<br /> Who islare persone!!y kr�owr�ta me ar haslhava produced Who f slare personaCiy known to mo or haslheve produced
<br /> as{den#3iica�on, as ldentif€cation.
<br /> �. Notary Pubilc Notary Pubiia
<br /> CommissCon No. Comm4sslon Na. �
<br /> Nams�o#Nq#arY h+Ped,printed csr sfamped Name o#Notar}'tyPed,prfnted ar atamped
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