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<br /> ��TB�E������� E���'�0����'���9�: �he undersigned undersfands that this,p.ermit may be subjecfi to"deed"restrictions"
<br /> which rnaybe r"rtor�>cestcictive.than County regulations. The�.undersign�d��assuin`�'s�responsitiility}�for�compliance virith�:�any
<br /> applicable deed restrictions. � �
<br /> �Et��.6C��9��� �0�1�'R��Td�G�� APd� ���Y'RA�'E'C�� l���PG�R1�1�6L9T��S: If the owner hasi•hired��a° contractor or
<br /> cantractors ta undertake work, they may be r.�quired to be licensed in accordance with stat� and local regulations. �If the
<br /> confieactor is not licensed as r�quired(by iaw, bofh the awner and�contractcir•may-iie�cifed��for a rriisdemeanar vio(ation
<br /> under state law. If the ovtrn�r or intend�d contractar are unce�tain as to what licensing requirements>may�apply for::the
<br /> intended wor.lc,they ar� advised to contact'the Pasco County Building Inspection Division—Licensing Sectian at 727-847-
<br /> 8009. Furthermore, if the owner has hired'a contractor or contractors, he is advised to ;have the contractor(s),sign
<br /> partions of the "contractor Block" af this app(ication for which they wi(I be responsible. If you, as`fhe awner sign as th'e
<br /> contractor, that may be an indicatian that he is,not properly licensed and is no# enfitled to permitting privileges in Pasco
<br /> County. � ``
<br /> �'�►a���C�@��'�Y'���9 9�it���"�'!69'�"��B��E�.BV�9�ld,��'�ah�&�B��r��9R�� 1����'���V lF���: The undersigned understands
<br /> that Transportation Impact Fees and R�ecourse�Recovery Fees may:apply to the construction of ne�r builclings, ehange:cif�
<br /> use in existing buildings, or expansiorn of:existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> �0-07, as amended. The undersigned aiso understands, that such fees, as may be due, will be:identified at-the time•of
<br /> pecmitting. !t is further ursderstaod that Transpartation Impact Fees and Resource=Recavery Fees must be paid prior ta
<br /> receiving a "certificate of occupancy" o�r fina! pavtrer release. !f the project cioes not involve a certi€icate af accupancy or
<br /> final power release, fihe fees must be paid prior to permit issuance. Furthermore, if Pasco County Waterl�ewer lmpact
<br /> fees are due, they musf b�paid prior ta!permit issuance in accordance with applicab(e Pasca Caunty ordinances.
<br /> ����T92��T6�6� �:Qi��9 �.�@�d�9a��x��p 7�63, iF12re�i�l�����aag�s, �s �roa�ov¢9�d�: (f valuation of work is$2,500.00 or more,..l
<br /> cerEify that 1, the applicant, have been provided with a copy of fihe "F(arida Construction Lien L.aw—Homeawner's
<br /> Pratection Guide" prepared by the Flor�da Qepartment of Agriculture and Consumer.Affairs. If the�appiican#.is someane
<br /> other than the`bwner°, ! certify that I have obtained a copy of the above described dacument and p�omise in goad fai#h to
<br /> deliver it ta the"awner" priar to cammencement.
<br /> ��RB�`���'6��'�/O�U6l���'� ���9�����': I certify that all the information in this application is accurate and that all work
<br /> wiH be done in camp(iance with al1 applicable taws reguiating canstruction, zoning and�land development. Application is
<br /> hereby mad� fo obfain a permit fa do work and installatian as indicated. I certify that na work or instaliafion has
<br /> commenced prior to issuance of a per�mit and that all wark will be performed to rr3eet standards af alf laws regulating
<br /> constructian, County and Ci#y cod�s, zoning regulations, and land development regulations in the jurisdiction, 1 also
<br /> c�rtify that I understand that the regulations of other government agencies may apply to the intended wark, and that it is
<br /> my responsibiiity to identify what actions i must take to be in compliance. Such agencies includ�but are not limited to:
<br /> - Depar#ment of �nvironmenta{ Protection-Cypress �ayiieads, Wetiand Areas and Environmentaliy Sensitive
<br /> Lands,Water/Wastewa#er Treatment.
<br /> - Southwest Florida Water� Management District Wells, Gypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Wat�rways. �
<br /> - Depactment of Heaifh t� Rehabilitafiive S�rvices/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environrriental Protectia�n Agency-Asbestos abatement. �
<br /> - Federal Aviatian Authori�y-Runways. �
<br /> I understand that the following restrictions apply to the use of fill: �
<br /> - - Use af fili is naf a(lowed in �Iood Zone"V" unless express(y pe�mitted.
<br /> - If the fili material is to be used in Fioad �one "A", it is understood that a drainage plan addressing a
<br /> "campensating vaietme"wil! be submitted at �ime of permitting which is prepared by a professianai engineer
<br /> licensed.by the Sta#e af Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wa!!
<br /> construction, I certify that filllwill be used only to fill the area within the stem wall.
<br /> - if fil) materiai is ta .be usetl in any area, I certify that use of such fill will not adversely affect adjaaent
<br /> prap�rfies. 1€use af fill is found to adv�rse(y affect:adjacent proper�ies, the own�r may be cited for violating
<br /> the conditions of the buildin�,g permi# issued under the attached permit application, far lots 4ess than ane (1}
<br /> acre which are elevated by flf, an�ngineered drainage plan is reguired.
<br /> If I am the����9T����'H[� �@9QlN�R, 4 promise in good faith to inform the owner af the permitting canditions set farkh in
<br /> this affidavit prior to commencing constluction. 1 understand that a separate permit may be required for electrical worlc,
<br /> pfumbing, signs, weils, poais, air condifiioning, gas, or other installations naf specifically inc(uded in the application. A
<br /> p�rmit issued shall be canstrued to be a (icense fo praceed with fhe work and not as authority ta via(ate, caneel, alter, or
<br /> s�t aside any pravisions of the technical codes, nor shall issuance of a permi#prevent the Buildfng C3fficial from thereafter
<br /> requiring a correction of errors in plans, construction or violatians of any codes. Every permit issued�sha!! become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuanc�, or if work authorized by
<br /> the permit is suspended or abandoned for a periad af six(6}monfhs after the time#he work is commenced. An ex#ension
<br /> may be r�quested, in writing, from the Buifding Offiicial fior a periad not ta exceed ninety(90) days and vviii demonsfrate
<br /> justifiable cause for#he ex#ension. !f worlc ceases far ninety{9fl}cons�cutive days,the jab is consider�ed abandaned.
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<br /> aW�(�R OR,AGEi�T '�"°�'�" CoiVTR R f
<br /> Su cri ed and swor o is Subs ed nd swom or affu ned).bef re me �!
<br /> - -°�_t \ by n vv..csv..-- `� by .—._� �. � --
<br /> Who istare per�on�ity to me or s/have produced Who is a ersanafE awn to me or hasJ�e produced
<br /> as entification. `— as IdenfiFcation.
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<br /> ____/�� ' � ��'�-^"}__�Notary Public ���'�� / I Notary Public
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<br /> Commission No. Commisslon No. '�
<br /> ,���„ MARIE LYNCH TERRV �
<br /> Name f,r� s,�d,�j�,t�qb���#arB�EReI of Florida Name o ° c1�pr' ��,��pg��Q��Flonda ' �
<br /> ' * ` ' Commission#Ff 958064 �; '°'
<br /> =•: :�� Commission�FF 958064
<br /> 's�'r +o`�; My Comm.Expires Apr 4,2024 �N `�� My Comm.Expires Apr 9,2020 ,
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<br /> ��'%FO;,;,`•°P'� Bo�ded through Natianal Notary Assn.. "�%;FOF F4�p` . '
<br /> ��++��s»*`��, Bonded through.Natlonal Notary Assn._
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