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<br /> 6�OTtC.1�O�DE�D RE�'i'I�@�'�efJN�: The undersigned understands.that..this,permit may be subject to"deed"restrict�on'�`',.'„"
<br /> {.�,,_,�,..m�.�,....,.,:.;,,.,. ,�. a
<br /> vuhich;may„b.e.mor�.restrictive.than:County.regulations:�•Ther�,umdersigned�assume`s��ce`s.ponsitiility'fo�°com'pli'ance witti�'any"""°
<br /> applic�ible deed restric#ions. _,., , ...�; �
<br /> Ui�LICE�SEID �O�ITR,�CTC?R� �lC1� CO�lTRACTt?R RESPtJRISiBlLITlE�: '!f-tFte awner has�fiired��a�-contractor or
<br /> contrac.tors to undertake work, they may,�e r..equired;to be;licensed in accordance with-state and loca! regulations:.:-:if-the=�� _
<br /> contrac;tor is.not.ticensed-as�required by'la'w, botti'the owner and:contracfar�may=6e�cited?�#or•a"misdemeanor violation
<br /> under s>tate lauv. If fhe awner or intended contrac#ar are uncertain as to what licensing requirements.=may,�.apply for:�tlie> '°
<br /> intend�.d�nrork, they are advised to coiitact`tiie Fasco Courity Buiiding Inspectiori�"Division—Cicensing S�ction.at 727-847-
<br /> 8009. Furtherrnore; if the awner has hired a contractoT or contractars, he�is acivised to ;have the con#racto[(s}.,,sign,: .
<br /> portioms of the "contractor Black° of this applicatian far which they will be responsible.. !f you, as°tFie'ownef�sign as�-tfi'e
<br /> con#ractor, that may be an indication that he is not properly licensed and is not erititled�to permitting privileges in Pasco
<br /> County, , � � � -
<br /> TRAi�S�FORTAYt�N ��i�F�CT/.t1T1L1�'IES.Ii4t9PA�'��i��RE�OURC� �ECO�/ERY IFEES: The undersigned understands
<br /> that Tr�insportation tmpact Fees and Recourse Recovery Fees may;appty to th�canstruction of nevu builtlings, ciaaiige?of`�=-
<br /> use in aaxisting buildings, ar expansion.of;existirtg"tiuilclings, as specified in Pasco County 4rdinance number 89-07 and
<br /> 90-07, ��s amended. The undersigned also understands, that such..fees, as may:rbe,due, wi!!`6e=identi�ed at�tkie`�tir"rfe>of��'
<br /> permittiing. It is further understood that Transportation Impact Fees and Resource':Recavery. Fees must be paid prior to
<br /> receiving a "certificate af accupancy" or final power reiease. If the.praject daes not involve a cerkificate of occupancy;�or
<br /> final po�nrer release,.the fees rrrust be paid prior to permit issuance. Furthermare, if Pasco Caunty Water/sewer Impact.
<br /> fees are:due,thsy must be paici prior#o permit issiaance in accordance with applicable Pasco Caunty ordinances.
<br /> �O�STRUCT0�0� �IEi� �Al�f(C�aapt�r 793, Fi�ri��S��ta����,a���rn��ad�d}: ff�raluation of wor�is$2,5.00,00 ar more,.,t-.
<br /> certify that I, the applicant, have been provided with a copy. of the "Florida Gonstruction Lien Law Homeowner's
<br /> Protecti�m Guide" prepared by the Florida Department of Agriculture and Consumer AfFairs. !f the applicant:is someone
<br /> ather th��n#he"ovuner�, I:certify that I have obtained a copy of the above described`document�and promise in good'faifh�to'
<br /> deliver.ii;to#he."owner"prior to commencement.
<br /> GQ?f�T�tAC'�'OR'S/�'�@�l��'�A�iFIDAlt1Y: I.eertify.that all.#he infocma#ion in this application is accurate and�that all vuork
<br /> will be done in compliance with a!I applicable'laws regulating constructibn, zoning and�land development. Application is
<br /> hereby i�nade to obtain a,permit to do�work-and Enstallatian. as .indicated. I certify that no wark or installation-has
<br /> commer�ced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> cansfruction, County and City codes, zoning regulations, and iand development regulations in.the jurisdictian. F also �
<br /> certify that 1 understand that the regu(atians af other gavernment agencies may apply to the intended work, and that it is
<br /> my resperosibility to identify�nrhat actions 1 must take to be in compliance. Such.agencies incltade but are not timited..to:
<br /> - Department of Environmental.Protectian-Cypress�Baytieads; Wetland Areas and Environmentaliy Sensitive •
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. . '
<br /> - � Army Carps af Engineers-Seawatis, Dacks;Navigabie Watervuays.
<br /> - Departrnent-of HeaEth & Rehabil9tative Services/Environmental .Heal#h Unit-Weits, Wastewater Treatment,
<br /> Sepfiic Tanks. �
<br /> - US Environmental Protection Agency-Asbestos abatement. �
<br /> - Federal Aviation Authority-Runways.
<br /> I und�rst�nd that the follav�ring.�estric#ions appty ta the use of fiil:
<br /> - Use of fill is not allo�nred in Flaod Zone"V'unless expressly permitted.
<br /> - lf the fill material is�to be used in Flood Zone "A", it is understood tha# a drainage plan �addressing a
<br /> "compensating volume" wi!! be submitted at tirne of permitting which is prepared by a prafessional engineer
<br /> licensed.by the State of Florida. ;
<br /> - If the fill material is to be used in Flood Zone "A" in connection with�a permitted building using stem wall
<br /> canstruction, I certify that fili wili be used only to fill the area vuithin fhe stem wralt. ,
<br /> - If fil1� ma#eria! is to :be used in any area, I certiflr that use of such�fiil wil( not adversely affect adjacent �
<br /> prop�rties. !f use of fill is found to adversely aff.ect:adjacent propertfes, the own�r may be cited for viota�ing
<br /> the canditions of the�building pecmit,issued under•the attached permit application, for lots less than pne (1)
<br /> acre wrliich are elevated by fill, an engineered drainage plan is required. �
<br /> tf t am the.AGEE�T FOR THE OV�i�11ER, i promise in goad faith to infarm.the owner of the permitting conditions set forth in ��
<br /> this affid�rvit prior to corrrmencing constructian. i understand that a separate permit may be required for electrical wark,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other instailatians nat specifically incEuded in the applicatian. A '�
<br /> permit issued shall°be canstrued to be a license to proceed with the vuork and not as authority to violate, cancel, alter, or
<br /> set asid� any prouisions�of the technical code�, nar shall issuance of a permit prevent the Building �fficial€rorn thereaf.ter
<br /> requiring ;a correc#ion of errors in plans, construction or violatians of any codes. �very permit issued shall become invalid
<br /> unless thc:work autharized by such permit is commenced within six months of permit issuance, or ifi work authorized by
<br /> the permii:is suspended or abandoned for a period.af six(6)months after the time the r+vork is'commenced. An exfension ,
<br /> rr�ay be re.quested, in writing, from the Building Ot€icia! for a period not ta exceed ninety{90} days and will demonstrate
<br /> justifiable cause for the extension. !f vuork ceases#or ninety(90)consecutive days,the job is considered abandoned.
<br /> �9A��i1Rlt� TO O�J!lI�ER: YOUA2 �AILURE �'O REC04�D F� WOTICE OE CONiMENCIEfiIIlE1VT @I9AY RESULY li� VOUR
<br /> �1�VI�G 1`�'ECE�t3�t lt�'iPR�VEiVOENT�T.,t7 YO.UR=PRQPEFtYY: 1F YfJU.�t�1TEtdD^TO OBTAii��FIMAPICItdG, COR9SULT
<br /> ��'�H Yt317R LEND{E92 OR AN ATTC►RNEV�EFt}RE.R�CORDtNG YCtUR idOT10E��C+DNlti�ER10Ei�iENT.
<br /> FLORIDA JIPRAT{F.S. 77.03) _ � __.._
<br /> OW�3ER OR AGE ��— COE�TRACTOR -- _ I
<br /> Sub cri ed and orn to(or a '�hefore me t is Sub rlbgd a s orn to{ affi �ydj befor m this
<br /> �� _b ,ehn (., '�1 \l by 1titv�n L rvtc�-
<br /> Who istare pwrsanally kn e or haslhave pro uced � Who is/are perso o me-or hasthave produced
<br /> as identification. as identificatton.
<br /> ji`6� ?/: �� _Notary Pubtic /l� �(' � ��`� Notary Public `
<br /> Commission Na. Commission No.
<br /> N�4t11 -
<br /> Nam dryt�[���������o�Florida Name of Not ��ted -
<br /> s . , _ ,•�p ��; Notary sc-State ot Floriaa �
<br /> .•« .•: Commission #FF 95806a , : . • = Commissian #FF 95806a
<br /> �"9,f M 41op�� My Gamm Expires Apr 4 20��• ' �Nq� 'o�? My Comm Expires Apt A 2t:, �
<br /> ���,�•,�� BonAed�hrouqhNaSiar�aiY�::.t�. •,;���n�P�' ��, ,:a, a3� .
<br /> � .,. .,,.,.,_, _ �����,�. �$entletlthr� ou��.--�r—�`..
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