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<br /> t�4T#CE {}f DEED R,�STRlCT10FiS: The undersigned understands that this permit may be subject to "d�Ced" F ,�s"
<br /> y be mone restrictive than County regulations. The undersigned assumes responsibility for compNan '�ki any
<br /> d�eed t�ictiorts.
<br /> CON'fRACT� AND COhiTRACTOR RESPONSIBIUTIES: If the owner has hired a contractor or
<br /> tc� Unci�rtake tnrork, t1 may be required to be licensed in accordance with state and local regulations If the
<br /> is not �ice.rassed as required by {aw both the owner and contractor may be cited for a misdemeanor violation
<br /> iaw. If the awner or intended con#ractor are uncertain as ta what iicensing requirements may appiy for the
<br /> wo�#c. they are ad+rised �c contact the Pasco County Bui{ding Inspection Division—Licensing Section at 727-847-
<br /> 8�U9. FurtF��nare, if the au�m� has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> �' porhi�s of the �cantractor Bfodc" of this application for which they will be responsible. If you, as the owner s�gn as the
<br /> cantractor, tfiac may be an ind�cation that he is not properly licensed and is not entitled to permitting privileg� in Pasco
<br /> Gounty.
<br /> TR�4h��TA3lt3i+! lIiAPACTNTlLtTtES IMPACT AND RES�URCE RECOVERY FEES• The undersigned ��ierstands
<br /> that Transportation 1►r�act Fees and Recourse ftecovery Fees may apply to the canstruction of new bu��in a��ge of
<br /> use in e�asiing buildings, or expansian af existing buildings, as specified in Pasco County Ordinance numb�'. -07 and
<br /> 9f?-07, as �. The unciersigned atso understands, that such fees, as may be due, wiN be identified at the tirr�e of
<br /> perrritting. It is fi.srft�er ur�derst�od that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> rer,eivi�g a"a�` ►cate of occupancy" or fina! power release. If the project does not invalve a certificate of occupancy or
<br /> firxai per�ver r+e4�, ihe fees must be paid prior to permit issuance. Furthermare, if Pasco County Water/Sewer Impact
<br /> fee.s �e due, they rr�# be p�d prior to permii issuance in accordance with appiicable Pasco County ordinances.
<br /> C UEN LAW (Ch�ter 743, Florida Statutes, as amended). If valuation of work is $2,500 (JU �f rnore, I
<br /> c�#y thst i, the �p�i�cant, #�ave been pravided with a copy of the "F{oricfa Ganstruction Lien Law—H s
<br /> Pratect�an Guide° p�red by the Flo+�3a Department of Agriculture and Consumer Affairs. If t#je a�ficant is ,"
<br /> ottter �n the "owne�'. I certify that I have obtained a copy of the above described dacumen# and �xomise in c,�cf faii#� ko
<br /> de#ir�r it to the "o�vne�' piior to conlmer�cement. q , ,
<br /> C iaUR'�OYI�l�R'S AFFfDAVfT 1 certify that all the information in this applicatio� is accurate and t�ortc
<br /> ain�` � in cornpt�ance with all appiicable laws regulating construction, zoning and land devetoprr►ent �s
<br /> ,�e to obtain a permit to do work and installation as ind"+cated. 1 certify that no war�c or in has
<br /> pricx to issuance of a permit and that all work will be performed to rr�ee# stancfards af ai! laws re�iati��
<br /> , C�nty and City cocfes, zoning regulations, and land deveiapment reguttaii�ons ir� ttre �,trisd�tirzn '�#so
<br /> t E understartd that the regulations of other govemmen# ag�r►cies may app#y to the intes�ed wsxfc, � thai it ,s
<br /> ��rty sibiiity to identify what actions 1 must take to be in compliance. Such agencies ind�e 3�ut are no� E'srr�ted ��:
<br /> , - Department of Environmental Protection-Cypress Bayheatis, Wetland Areas and Envirc�menta� �fam�
<br /> '{ i.ands, Water/Wastewater Treatment.
<br /> - South+,vest Fiorida Water Management District-Wel1s, Cypress Bayheads, Wet�Ci Ar� A,i�eri�g
<br /> Wa#erc�e.irses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable 1Naterways.
<br /> - Departrnent of Health & Rehabilitative Services/Enviranmental Health Uns�Welis, Wastew�ter,�" ,
<br /> Se�tic T�ks.
<br /> - US Erivi�t�d Prot�tion Ag+�cy-Asbes#os abatement.
<br /> - Federal Avia#ion AufMority-Runways,
<br /> I�nderstand ihat ihe �owing resbicfions appty to the use of fiA:
<br /> - Use of fiti i� not aUowed in Fload Zone "V" unless expres�ty permitted, '
<br /> - !f the fi{I materiai is t�o be used in Flood Zone "A", it is understood that a d�►age ptarr a��g a
<br /> "compensating volurrte" will be submitted at time �f perrmtting which is �reparecf by a Exxo#essio►�ai r
<br /> iic�ensed by the State of Florida.
<br /> - 9f the fi0 material is to be used in Flood Zone `Afl in connectian with a perrr�tted buiiding +,�iru� s�n �
<br /> construc�ion, ! cer6fy that fill wiN be used only to fill the area within tl�e stem wail.
<br /> - If fill material is to be used in any area, I certify that use o� such fiH u� �t �y
<br /> � properties. lf use of fifl is found to adversely afFect adjacent properties, �#►e ov�r�er may be c�ed
<br /> '. ;e. ;
<br /> the ;.onditians of the buifding permit issued under the attactted perrr�t �p#cation for �c�s 6e�ss ��}
<br /> ar i �� acxe wfiich are e#evated by fifl, an engineered drainage plan is requ+red.
<br /> P# E ��&e AGENT F4R ThiE OWNEF2, I promise in good faith to infarm the ow�ter of #he p+�g s�t f� cn
<br /> this ° �it prior to c4rnmencing construction. I understand that a separate pe�mit may be r�� � ei�i�a! ��c,
<br /> ptu , signs, wet}s, pools, air conditioning, gas, or other installations not specfica�#y i�d�9 Fn i#� . F►
<br /> permit'issued shall be construed to be a ficense to proceed with the work and not � atatht�rity tcr vroia�+�, caa�, ��, as
<br /> ` set aside any provisions af the technical codes, nor shall issuance of a permit prevent ttie B�g C�i'�ial ��eaf�
<br /> requinng a correction of errors in plans, construction or violations af any codes. Every permit issued si�a� br�me i�
<br /> unless the work authorized by suct� permit is commenced within six m�onths of pe€rrrit i�ce, r� i� work �d byr
<br /> the permit is suspended or abandoned for a period of six (6) months after the tirr�e �I�e w+a#c �s �c:e�c�. A�
<br /> may be requested, in writing, from the Building Official for a period not to exceeci ni��ety {�) cfa�rs a�xi +� �
<br /> justifiable cause for the extension. if work ceases for ninety (90) cansecutive days, the �b is c�si� ab�re�.
<br /> WARNlNG TO OWNER: YOUR FAtLURE TO RECORD A NOT}G� OF ; M�4Y ��' �t `�
<br /> PAYING TWICE FOR IMPROVEM S TO YOUR PROPERTY. IF YQU tA1TEND i't� OBTAIMI FlMIMICN4IG C��
<br /> WITH YOUR LENDER OR AN Y BEFORf RECORDIWG YOUR A#OTiCE €�
<br /> FIORtDA JURAT (F S. 117 03)
<br /> OWNER 012 AGENT CONTRACTOR
<br /> Subscribed and swom to (or affirtned) befo me this Subscribed anrJ sworn to (� atfrmed re me �s
<br /> by �c�NN LtvEL�f by Toy� 1 , r'�-
<br /> Vy,�,Q is/�g personally known to me or has/have produced Who fsl�e Qersor�y krwnm �_ rnQ ar i�e produ� �—�
<br /> _as identification. � �_ ;�:
<br /> � -- -
<br /> ,
<br /> � ��,Notary Public l
<br /> Commi,,_ n No �� _�c�� � - � Commission No C.�� 2,(p �
<br /> �'� #" _ lC�� 5-{�r1 ._ �vv�=�M
<br /> Name .�I�. ta ed, rinted or sta Name of Notary typed, prirtted or stamped
<br /> ,���:"'� KRISTEN P. JOSEPH
<br /> •��• �"'� ta�:e' KRISTEN P. JOSEPH
<br /> _*, ..: Commiss�on # DD 882Ei27 ��:._
<br /> � °- Expires Apnl 21, 201� '� • Commission # DD 882627
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<br /> F, pd�°`�' i�ded? v�=air,�nsuranceB� sa5=�ot� o; ExpiresApri121
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<br /> ��Rf �F; , .: � ; i am �nsurencssn ee5-�u'r.
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