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NpT10E Of i�€Et3 �i'#�NS: ' he unders�gned understands that this permit may be subject to "deed" restrictions"
<br /> ,�t��cr .�y �e rr�xe c�e � County r+egulations. The undersigned assumes responsibiiity for compliance with any
<br /> � � ��
<br /> �y� �TpR,g � CONTRI�CTOR RESPOT�S1BtLtTtES: If the owner has hired a contractor or
<br /> Lc�rsE� ���, �y �Y be �ed b� be l�censed in accordance with state and local regulations. if the
<br /> is ndt a� c�d by law, boih the cxwr�er and contr�tor may be cited for a misdemean,or violation
<br /> ����,. �, r# t� ��r ;� eo�rac�or are uncertai� as to uvhat licensing requ'irements may apply for the
<br /> ;�� K�ey a�e a� to cc�ntaci ths Pasco County Buitding Irrspeetian Division—Licensing Section at 727-847-
<br /> �;��� � e. ;f #he ow,r,�er h� h+red a cantsactar or contractors, he is advised to have the contractor(s) sign
<br /> �;��t� i1�e "�rttra�x Blacic° of '�cs app�+cac,�n for which they will be responsible. If you, as the owner sign as the
<br /> ���;r�a�r, ��a} ra�ay �e an ind�catrar, :��a: ne �s ��� properly licensed and is not entitied to permitting privileges in Pasco
<br /> uc�s�� .
<br /> ���A I�/�CTf1R'{!t�'�$JMPACT AND E2ESOURC� RECOVERY FEES: The undersigned understands
<br /> .��; T ���� �}� ���se Recov�ry Fees may apply to the construction of new buildings, change of
<br /> ,;� ,� e� � or e�. a# e�ds6ng buiidiags, as specified in Pasco County Ordinance number 89-07 and
<br /> ��_; � . aiso unc�erstands, that such fees, as may be dtte, wili be identlfied at the time of
<br /> �, �er � It �s �e�r that Transportatian Impact Fees and Resource Recovery Fees must be paid prior to
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<br /> � . a- c3f accu�tcy" nr final power release. if the pro}ect does not involve a certificate of occupancy or
<br /> -:ne4 �a� �, ttt� f�es rru.�st be paid prior ta permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> =Pes are c�e, tt�y rr�sst be paei�d gr�or tc� permit issuance in accordance with appkicable Pasco County ordinances.
<br /> �p� M L� !�i �#�pt�r 713, Fiorida Statutes, as amended}• If valuation of work is $2,500,00 or more, I
<br /> ' ��, it� ;, tk�e , have been providea with a capy of the "Florida Construction Lien Law—Homeowner's
<br /> pr�c�n Ge�ide° pre�d by ttre F�orida Depa+'trnent of Agriculture and Consumer Affairs. If the applicant is someone
<br /> a� � t�e cr�`, t c�ify �at f E�ave,obtained a copy of the a�ve described document and promise in good faith to
<br /> detrver i� to tfi�e "q�rtre�' Pfior ba �a�t.
<br /> C� . ; I oertify that all the inforrt�ation in this apptication is accurate and that all work
<br /> �,,��; ��e m uw�h a� a�plicab4e laws regulating construction, zoning and land development. Applicatian is
<br /> �er�sy� rna� to a�tain a p�ermit to do work and �stalla�on as indicated. I certify that no work or installation has
<br /> cornme�a�ced privr to isst�ance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> ��nst�u�n, Cc�nty ar►d City coc#es, zt�ning regula�ons, and land development regulations in the jurisdiction. I alsa
<br /> certi� I;�nri�rstand that the regufations of other govemment agencies may apply to the intended work, and that it is
<br /> my r �3ity to ic4er�tiiy what actior�s I must taKe to be in compliance. Such agencies include but are not limited to.
<br /> - ° �rtment of Envtronmental Protection-Cypress Bayheads, W�tland Areas and Environmentally Sensitive
<br /> Lands, WaterlWastewaEer Treatment.
<br /> - Southwest �iorida WatEr Management District-Wells, Cypr2ss Bayheads, Wetland Areas, Altering
<br /> Wa�ereourses.
<br /> - Army Corps o€ Engineers-Seawalis, Docks, Navigable Waterways.
<br /> _ �epartmeni of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> S�tic Tan�cs.
<br /> _ Ug Envir�tal pro�ection Agency-Asbestos abatement.
<br /> � Federa�l Av+a�orf A�orit}�°Runways.
<br /> � uncierstantf ttiat the fol#owir�g res'tricticros apply to the use of fill
<br /> Use of fifl is not a�owed in Flood Zone "V" unless expressly permitted.
<br /> If the fill rnateria! is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> °compensating volu�r►e" witl be submitted at time of permitting which is prepared by a professional engineer
<br /> �d by the Sta�e ofi Fiarida.
<br /> !f the fitf materiai is to be used in Flaod Zone "A° in connection with a permitted building using stem wall
<br /> construction, { ce�tify that fill will be used only to fill the area within the stem wal!.
<br /> - If fill material is to be u:�ed in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. ff use of fiN is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> ;he conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is reyuired.
<br /> if � am the AGENT FOR THE OWNER, ! prom�se �n good faith to inform the awner of the perrr�itting conditions set forth in
<br /> th�s aifidavit prEOr to commencing construction � understand that a separate permit may be required for electrical work,
<br /> plur� �gns, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> � per+�i ' shalt be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set y p�t�avisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> � requiri � correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless ' work au#horizeci by such �ermit is commenced within six months of permit issuance, or if work authorized by
<br /> , tne perr�is�s suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br /> may be requestsd, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> �ustifiable cause for the extension If +NOrk ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> 't PAYING,'�'i�IICE FOR IMPROVE TS TO YOUR PROPERTY. IF YOU INTEND TO TAlN FINANCING, CONSUL7
<br /> WITN Y LENDER OR AN Y BEFORE RECORDING YOUR OTI NCEMEN7.
<br /> FLORIDA T (F.S. 117.03)
<br /> �: ��VNEFZ OR AtaENT __ GdMTRACTOR
<br /> Subscribed and sworn to (or affi is Subscribed and swom to (or a e��s
<br /> � by ✓o vEt _ by o
<br /> Wh i are personally known to me or hasfiave produced Wh personallv knQwn to rtLe or ha ave produced
<br /> as identification. ` as idenbfication.
<br /> u5l Notary Public 7 Notary Public
<br /> Commissi n No. D D V�o�_�_ Commission N. JJ D� _�c��
<br /> Name of �lotary typed, printed or star�ed Name of Notary typed, printed or stamped
<br /> �` ,,���ix P. JOSEPH -
<br /> '���"'"' KRISTEN P. JOSEPN
<br /> . ;. �: Commisswn # DD 882627 *�'� � Commission # DD 882627
<br /> N�••o; Expires April 21, 20�3 ; a; Ex ires A ril 21, 2013
<br /> �°,�`� ;nndedT'� �yFaintnsmanceBU�-385d0'1 ,��P,. p p
<br /> '�a •�P� � � , Fan:lnsur2nce8(1 385-701:,
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