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<br />l'f\lilCE OF DEED RESTRICTIONS: The undersigned understatlds that this permit may be subject to "deed" restrictions"
<br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />applicable deed restrictions.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br />contractor is not licensed as required 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 the
<br />intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section 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 />portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br />contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br />County.
<br />TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new 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 undersigned also understands, that such fees, as may be due, will be identified at the time of
<br />permitting. 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 power release. If the project does not involve a certificate of occupancy or
<br />final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasc.o County Water/Sewer Impact
<br />fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinanGes.
<br />CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br />certify that I, the applicant, have been provided with a copy of the "F!orida Construction Lien Law-Homeowner's
<br />PTuteGtion Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the appiicant is someone
<br />other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br />deliver it to the "owner" prior to'commencement
<br />CONTMCTOR'S;OWNER'S AFFlOAVlT: ; Geilify that aH the infuffnatiuI' in this applicatiun i~ aGWfate al,d that a:; wufk
<br />will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br />hereby made to obtain a permit to do work and installation as indicated. ! certify that no work or installation has
<br />__o_________J __~__.l._ =___._.___ _L _ _______:... __.-1 .LL_&. _I. _.___1_ .__:11 L_ __....r_____...J.L_ ____.L _..__-.l__....J_ _~ _I' 1_..._ _____..........:_~_
<br />I;UIIII J 1l:;;f1I,;t:U fJflUJ IV '~~UClIII;t: VI CI fJt:, if III ClIIU II'ClI ClII WVI" Wilt IJt: tJt:J1VI II rt:u IV 1I1t:t:1 ~ltlllUClI U~ VI all 'aW~ r t:YUlallllY
<br />construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that i understand that the regulations of other government agencies may apply to the intended work, and that it is
<br />rfrY respunsibllity tu identify what aGtiufl5 ; iT,ust take tu be in cumpliance. SuGh agt:i-,Gies indude but are I,ut ;iiTlited tu:
<br />Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, \^Jater/\^/astewater Treatment.
<br />Southwest Fiorida Water Management District-Weiis, Cypress Bayheads, Wetiand Areas, Altering
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br />Dt1vEtft;-'-tE:nt vf Ht1~;th & Rtti-Jiluli,titi:,V~ SE:rv,(;f:f;iEftv,iYJ(,iY't1nlili nttititi-, UfJll-VJVttiJ~t VVd~i:t:WCltt?:r Tr~iltiJit;:iJtt
<br />Septic Tanks.
<br />US Environmental Protection Agency-Asbestos abatement
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<br />rt:UI:'I at I"\VlaUVl1 I"\UlI'VI IIY-"UIIWay~.
<br />I understand that the fol/owing restrictions apply to the use of fill:
<br />Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
<br />:, the fHi ;"Tiateriai is tu bE: used in Flwd ZUI,E: "A". .t is ui--.d6fStwd that a drainage pian addft:sslng a
<br />"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br />licensed by the State of Florida.
<br />:f i:-tE fin iiiatt;j'ia: is tu b~ U5BO ii"t F:ood Zun~ tfAlI iii cuiilu::ctiuii with d permitted biii:l:Hng u5ing stEm VYti::
<br />construction, I certify that fill will be used only to fill the area within the stem wall.
<br />if fiii material is to be used in any area, I certify that use of such fili will not adversely affect adjacent
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<br />tJ'VtJt:IUt:~. "u~t: VI 111I I~ IVUIIU IV aUVt:I~t:IY a"t:~1 aUJa~t:II1 tJrVtJt:rllt:~, II'''' vVYIlt:r IIlaY Ut: ~1lt:U IVI VIUlaUIIY
<br />the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br />acre which are elevated by fiji, an engineered drainage plan is required.
<br />;, ; aill the AGENT FOR THE OWNER, ; pruilli5e if I gwd faith tu illfuriii the uWIIt:r uf the pemtiti:ing .:;unditiult5 set fuilh il'
<br />this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br />plumbing, signs, wells, poois, air conditioning, gas, or other instaliations not specific-ally included in the appiic-ation. A
<br />-~-.--=.I. =__.__-1 _L~II L_ ____..._.._-'...._ L_ _ 1=______.1._ ______J ___=.l.L ...L.... ____J. __-' __... __ _.....L_~.L.._..._ ._=_1_...._ ______. _...._r- ___
<br />fJl:'l I I III 1~~Ut:U ~11C1Il 1Jt: I;V"~lf ut:u IV IJt: a 1I~t:II~t: IV tJ' V~I:'t:U W'III II II:' wv,,, al'U 'IVI a~ aUIl IVI IlY IV V'V'all:O, ~"l,;l:Ol, allt:l, VI
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
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<br />requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br />
<br />L1l1it:l:;;,; litt:l WVI i<. auiitvl iLt:lU uy ;';Ul;;' fJt!1 filii j;,; l;Vflllllt:lllt;t:ll/ wii; Jill ;,;i"" II IVIJii I;'; VI ~t:lf filii i;';;';Ualll;t:l, VI jl wur;., auiiJvr iLtN uy
<br />the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />
<br />IfJaY Ut: ft::4Ut::~i.t::u, in vviiiillY, "urll ii,~ ou;;uiIlY Oi"iil;iai IUf tI fJt::,iuJ ilul lU ~^L~J Itrttt::ty (f1uJ Ur.1y::, auu wiii u~rllutl:,i.'i':fi~
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
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<br />WARN!NG TO OWNER: YOUR FA!LURE TO RECORD A NOTiCE OF COMMENCEMENT MAY RESULT!!'! Y0LH~
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<br />-. ....,.....-. ........-- --.... ...---.... .-..-...-- -- ...,-....- -------., .- ,,_.... ........_..._ ....___ _......~-.. ..... ......... ............._ __...__ II .....
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<br />GOi'HRAGTOR
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<br />_'~' ,. . < . r.. ,.
<br />",up-~J:n:;- iu-,u .~..n:vli-, 1'J \\.}I CHlli-,.ouj
<br />J _~_by _ l.VIU-Li.
<br />".t,'uu ;~jan:~ IIQ..; ","ilVYV'11 lV IlIe VI ~
<br />
<br />Notarv Pubhc
<br />
<br />Notary Public
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<br />CGmm;33iGiI NG.
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<br />.....v.~..". GARY HICKS
<br />f~~&'f;~ MY COMMISSION # DD 168159
<br />;~::.~}~E EXPIRES: January 10, 2007
<br />":o{i:'.... .:-:s.::.~ Br'nded Thru Notary Public UnderNnters
<br />~'",qfH~~"" ~
<br />~~,,~~.....
<br />
<br />
<br />-'GARYHICKS'-
<br />MY COMMISSION # DD 168159
<br />EXPIRES: January 10, 2007
<br />Bonded Thru Notary Public Under",ite,s
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