l�J� �F f�€EQ �� � CT�ONS: The unders�gned �nderstands that this permit may be subject to "deed" restrictrc�ns"
<br /> vvfi�+�n rt�ary be n�o� �e �an County regulations. The undersigned assumes responsibility for compliance with any
<br /> i�ed .
<br /> uo+t� �'�t7!'t3 � CONTRACTOR RESPON3iBfLIT1ES: !f the owner has hired a contractor or
<br /> cona�r�, � er�ta�r� rr�, �hepy �y be ree�+red tfl be lieensed in accordance with state and local regulations. if the
<br /> „ ���s reot as ��red by 4aw, both the awner and contractor may be cited for a misdemeanor violation
<br /> ,;��� '#ai�v. '# �e awr� ar intan�ed r�ac�or are uncertaiq as t� what licensing requirernents may apply for the
<br /> �st .� ar�e a�ives�sd t; c:sntact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> �;.�v9. rr�� ;i #�e �rorr�r has nired a contrac�or or contractors, he is advised to have the contractor(s) sign
<br /> "c:a�tra�tc�r 3i�" cf :h:s appiica�. � n for which tney wiH be responsible. If you, as the owner sign as the
<br /> �� r ,��€ -��� �e cn ^;;��acto� :,a: ne �s ��: properiy licensed and is not entitted to permitting privileges in Pasco
<br /> �oue�.
<br /> T ATiEyN i�P'�CTIUTILt�� �ACT AN{J RESOURCE RE�OVERY FEES: The undersigned understands
<br /> - ^a: ''�w � f��act F+e�s a�d i�ecaurse Recouery Fees may apply to the construction of new buildings, change of
<br /> �' ..se �� e' � or �acpans�n of existing buiid�r�gs, as specified in Pasco County Ord9nance number 89-07 and
<br /> ��:-��" as - Tl�e � un�rstar�ds, that such fees, as may be due, will be iden�fied at the time of
<br /> ���m,i*,n� ;t �s fuaitrer ur�rst�od that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> �°ceE�tr+� a"� €� ooce;aar�ey" or flnat power refease. If the project does not involve a certifi�cate of occupancy or
<br /> '�a ��wer r�e, t�►e i�s rr�t be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> `�s are c�ue� �Y rr�t be perc# p� Ev perrruf isswance in accordance wtth applicabie Pasco County ordinances.
<br /> CO�'�`i"lO�i t!@I�t f,�ffi 713, Ftoric�s Statutes, as amended}: If valuation of work is $2,500.00 or more, I
<br /> ee�i�Y tlx�# 1. 1� �, tra�ne beet► provided with a copy of the "Flarida Construciion Lien Law—Homeowner's
<br /> Pro�c�t G�+cie' prepaned byr the Ftor�ia De�t�nant of Agriculture and Consumer Affairs. If the applicant is someone
<br /> ot#�er thrart �e `va+�", t�rtit�r � I han�e �tained a copy of the above described document and promise in good faith to
<br /> ci�l�rer i€ � tt►e "�' pti�or �o ��cernent.
<br /> C A��I'1T: I certify that all the information in this application is accurate and that all work
<br /> �vi1l be cl�acue �n corr�ance w� �I a�ieable laws reguiating const�uction, zoning and land development. Application is
<br /> heret�y ►r�de �a o�tain a pert�t to do work and instalta�on as indicated. I certlfy that no work or installation has
<br /> cmm�tse�aed priof co is�ce of a permlt and that all work will be perFormed to meet standards of all laws regulating
<br /> c�ns�u�. Counry arui City c�des zoning regulat'sons, and land development regulations in the jurisdiction. I also
<br /> A certr�+ I understand that the reguiations of other government agencies may apply to the intended work, and that it is
<br /> my c ��i:iry �o identify what act,ons ; must taKe to be in compliance Such agencies inGude but are not limited to.
<br /> - �� I}epartment of Environrrental Protect�on-Cypress Bayheads, Wet{and Areas and Environmentally Sensitive
<br /> ''''�� Lar�ds,'vl
<br /> - "'., Sauthv�est rioriaa Water Managernent District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> :,, ' �c'!C€3t'CALlfSLS
<br /> - Army Carps af Engineers-aeawalls, Docks, tVavigable Waterways.
<br /> - �epartrr�eni of Nealtt� � Rehabititative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Sep#ic 3'anks.
<br /> # - US Env�ocut�tal Prgtseticm Agency-Asbestos abatement,
<br /> - Fe�ra! Avia�cxr Ae�hority-Rurnvays.
<br /> understand that the €o�ia�ing �rict�ons apply to the use of fill:
<br /> - Use of fill is no# a�owed in Flood Zone "V" unless expressly permitted.
<br /> - If the ftll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensat�r� volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> I�censec! by the S�rbe � Fla
<br /> - !f the fitl material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill wili be used only to fill the area within the stem wali.
<br /> - If fifi material is to be used in any area, I certify that use of such fill will .not adversely affect adjacent
<br /> praperties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the canditions of the building permit �ssued under the attached permit application, for lots less than one (1)
<br /> acre which are etevated bu fill, an engineered drainage plan is required
<br /> if � am the AGENT FOR THE OWNEEZ ! promise ;n good faith to inform the owner of the permitting conditions set forth in
<br /> th,s a�idav�t pnor to cammencing construction .�nderstand that a separate permit may be required for electrical wark,
<br /> , plurnbi s�gns, wells, poals, air cor��itioning, gas, or other installations not specifically included in the application. A
<br /> perr�it �` shall be cortistrued to be a I�cense �o proceed with the work and not as authority to violate, cancel, alter, or
<br /> set y pr�v�s+or�s of Ehe technical codes, nor shall issuance of a perm�t prevent the Bu:iding Official from thereafter
<br /> requ�' rrecuon of errors +n plar,s, construction or violations of any codes. Every permit issued shail become invalid
<br /> unless ` r+vork authorized by such permit is commenced within six months of permit issuance, or if w�rk authorized by
<br /> the perr� �s suspended or abandcrrFCl for a period of six (6) months after the time the �vork is commenc�d An extension
<br /> may be r�uested, in writing, from the� Building C>fficial for a period not to exceed ninety (9G) days and will demonstrate
<br /> �ustifiable cause for the extension. If w�ork ceases for ninety (90} consecutive days, the job is considered �bandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF GOMMfNCEMENT MAY RESUL7 IN YOUR
<br /> PAYING TWIGE FOR IMPROV E TS TO YOUR PROPERTY. IF YOU INTEND TO TAIN FINANCING, CONSUL7
<br /> WITH YOUR LENDER OR EY BEFORE RECORDING YOUR NOT ENCEMENT.
<br /> FLORIDA JURAT (F.S 1 t7 03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscrlbed and sworn to (or affirtn is Subscribed and swom to (o� e this
<br /> by ✓or1N L�vg y by o
<br /> Wh i are personallY kno�n to me or has/have produced Wh personallv known to n e or ha ave produced
<br /> as identification. as idenBfication.
<br /> ' �--_ _Notary Publ�c Notary Public
<br /> Commiss' n No. D D C�C� � o�� Commission o. � D _ C�o��c��'
<br /> Name of �lotary typed, printed or stamped Name of Nota
<br /> ry ryped, printed or stamped
<br /> ....�....r..�..
<br /> •' ` "r ° KRISTEN P. JOSEPH �
<br /> � �. �- °„�",, KRIS7'EN P. JOSEPH
<br /> =*. = x Commission # DD 882627 '�''" °���.
<br /> " � ` �o; Expires April 21, 20 3 `� . •
<br /> ,� � *, Cornmission # DD 882627
<br /> �, '��ndedT' 4hair.lnsluance8��� 38S-iUif. %�� �xpiresApril
<br /> ��$�i���' � �"�� � ra� InsuranceA� �,85-/01;,
<br />
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