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understands that this permit may be subject to "deed' restnctions"
<br /> which m ay be more n'�tricttve than County regulations. DEED RESTRICTIONS: The u The undersigned assumes responsibility for compliance with any
<br /> hich may
<br /> applicable deed restrictions.
<br /> CONTRACTORS AND CONTRACTOR RE$PONSIBN -ri IES: If owner has hired a contractor or
<br /> contractors to undertake w
<br /> UNLICENSED Cork, 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 contrador may be cited for demeanor violation
<br /> or ire a a m may apply for the
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing -g e g Section at apply for t e
<br /> intended work, they are advised to contact the Pasco County Building inspection advised to have the contractor(s) sign
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is
<br /> portions of the "contractor Block' of this application for which they will be responsible. ls If the
<br /> o oh. a the owner sign in as as t he
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges
<br /> County.
<br /> TRANSPORTATION tM impact Fees It iT1E s Recovery may apply to the cons The of new undersigned , change of
<br /> that Transportation in e tang impala Fex and Fees maped in Pasco County Ordinance number 89-07 and
<br /> use in existing buildings, or expansion of existing bindings, as s
<br /> 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> impact Fees and Resource Recovery Fees must be paid prior to
<br /> permitting. ft is further understood that Transportation i�
<br /> receiving a "certificate of occupancy" or final pOWef 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 P asco County Water/Sewer Impact
<br /> WdatertSter/S ew
<br /> C 713,
<br /> must be paid prior to permit issuance in accordance with applicable Pasco County
<br /> fees are due, they Florida Statutes, as amended): if valuation of work is $2,500.00 or more, I
<br /> CONSTRUCTION LIEN LAW (Chapter have been provided vided with a copy of the `Florida Construction Lien Lave— Homeowner's
<br /> certify that I, the applicant, of a and Consumer Affairs. If the applicant is someone
<br /> other th an Guide' that �e obtained a co py of the above domed document and promise in good faith to
<br /> other than the "owner, I certify
<br /> deliver it to the "owner' prior to commencement
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: i certify that all theme � in application i devebpment Application is
<br /> will be done in compliance with a8 applicable laws
<br /> hereby made to obtain a permit to do work and installation as indicated. I to meet standards no work has
<br /> or installation hrds work
<br /> o r l laws installation h
<br /> commenced prior to issuance of a permit and that ail work will be performed ja a regulating ng
<br /> construction, County and City codes, zoning regulations, and land development regulations in and that it i
<br /> my
<br /> of other government as may apply to the intended work,
<br /> r that I understand That the le Such agencies include but are not limited to:
<br /> my responsibility to identify what actions l must take to be in compttanCe. Sensitise
<br /> - Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally
<br /> Lands, Water/Wastewater Treatment. nt District WeNs, Cypress Bayheads, Wetland Areas, Altering
<br /> - Southwest Florida Water Manageme
<br /> Watercourses. waterways.
<br /> - Army Corps of Engineers- Seawalls, Docks, Navigable entaf Health Unit Wastewater Treatment,
<br /> - Department of Health & Rehabilitative Servdces/Envir'Onm
<br /> Septic Tanks. �►sbestos abatement.
<br /> US Environmental Protection Agency
<br /> Federal Aviation Authority-Runways.
<br /> - I understand that the ffollowing restictions apply to use of fdl:
<br /> the u an addressing a
<br /> `compensating of fill is not allowed m Flood Zone "V' unless expressly i Mood that a d ainage pl s al engineer
<br /> - - if the material is be used in Flood Zone A which is prepared y professional
<br /> volume' ' will be submitted at time of permitting
<br /> licensed by the State of Florida. ited building using stem wall
<br /> - If the fill material is to be used in Flood Zone "A" in conned with a Perm
<br /> construction, I certify that fill will be used only to certify fill the area within the
<br /> of such fill will adversely affect adjacent
<br /> p flit material la to be used in any area, i affect adjacent properties, the owner may be cited for violating
<br /> properties. If use of fill is found to adversely it application, for lots less than one (1)
<br /> the conditions of the building permit issued under
<br /> drainacJe plate
<br /> acre which are elevated by fill, an engineered drainage a plan the owner of the permitting conditions set forth in
<br /> l ise in good that inform separate permit may be required for electrical set forth
<br /> in
<br /> this I am the AGENT FOR THE OWNER on. I understand included in the lectrica work, A
<br /> this affidavit prig to commencag or other inst Nations not specifically plumbing, signs, wells, po air to b eiaiocing, gas. with the woricand not as authority to. violate, cancel, after, or
<br /> permit issued shall be construed to be a license to proceed prevent the Building Official from {hereafter
<br /> ions of the technical codes, nor shall issuance of a permit pre ft Building shall become invalid
<br /> set aside any o m plans, permit is within six�mon of permit issuance, or if work authorized by
<br /> wiring is commenced. An extension
<br /> unless the work suspended by such for a per iod of six (6) months after the time the wor
<br /> the permit is ted, in o' abandoned , from Officia f or a p eriod not to exceed ninety (90) days and will demonstrate
<br /> t ad, in wr iting, from the Building- days, the job is considered abandoned.
<br /> may be requested, for ninety (90) coo
<br /> justifiable cause for the extension. If work ceases
<br /> COMMENCEMENT MAY RESULT IN YOUR
<br /> - - - - -- - -- - - - -- -- E OF COMfNEHC
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A YOU INTEND TO D��N FINANCING, CONSULT
<br /> PAYING TWICE FOR IMPROV • ii - S TO YOUR PROPERTY. 1 Y • : k+1 i_LN S.
<br /> • , . 1.__---.._._ T.
<br /> - • AN • • BEF
<br /> FLORIDA JURAT r 17.03) ,
<br /> 7.03) � / , _
<br /> OYYl�t and ri - — Via ) before me 1 s . z b r ....w _A- 3 s by VVi+o is/are persona* known to me or has/have isJare ;± b10^"^ tp me or tnasfiave produced.
<br /> Notary Public
<br /> Mary Public
<br /> . . r Commission No.
<br /> Commission No. V.-4"W — _ _ _ !� �
<br /> Ot � ' Na me of Notary 49 i11 :IC State of Florida
<br /> dts4 w• , -" rida Joseph L Massa
<br /> Name of • a + a . p My Commission DD942937
<br /> ' ' , o � My Commission DD94 2937 Flo +"'OF F∎ FFFF F "' Expires 11/29/2013
<br /> ' '�oFnd ° Exp 11/29/2013
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