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hi�CE Of DEEU RESTRICTtQNS: The undersigned understands that this permit may be subject to "de�ec�" 4 s°
<br /> be more resfr'sctive tt�an County regulations The undersigned assumes responsibility for complian ,�Fi any
<br /> ' dB�e�d res�tic�ts,
<br /> C(�1!'RACT'O� Al�D COI�TRACTOR RESPONSIBILITtES: If the owner has hired a contractor or
<br /> � iu�atce yv�}c, they may be required to be ficensed in accordance with state and local regulations. If the
<br /> i� nr� ►i�en� as req�ired by faw both the owner and contractor may be cited for a misdemeanor violation
<br /> te taw� if tlre owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> eRt �"" wor�c. they are ativised .c contact the Pasco County Building lnspection Division—Licensing Section at 727-847-
<br /> �= 80�3. Furtherrnare, if the awnes has hired a contractor or contractars, he is advised to have the contractor(s) sign
<br /> �f �or�iare� of the "ccsntractor Block'� ��f this application for which they will be responsible. If you, as the owner sign as the
<br /> +� contract�r, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> ; Crwtttyr.
<br /> 'P�2ANSP0l�TAT�tN+! iMPACTNTILiTfES IMPACT AND RESOURCE RECOVERY FEES� The undersigned arstands
<br /> ttiat Transporta#�on Impact Fees ar�d Recourse Recovery Fees may apply to the construction of new bu�din `�' ��ge of
<br /> erse �n e�ng b�ngs, or exp��sion of existing buiidings, as specifted in Pasco Caunty Ordinance numb �-f�� ar�d
<br /> 9a-47, as aur�. The nn�ed �so understands, that such fees, as may be due, will be identified at the time of
<br /> aerrt�tting. !t is f�rther urfderstood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a`c�tificate of occupanc�' ar finaf power release. If the project does not involve a certificate o# occupancy or
<br /> f�na# pcn+ver re�, the fees rnust be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer lmpact
<br /> #ees are ciue, they rrwst be p�d priar to permit issuance in accordance with applicabie Pasco County ardinances.
<br /> Lt�! tJ1W (Chapter 713, Ftorida Statutes, as amended}. If valuation of worlc is $2,500.00 c�c mare, I
<br /> r�j+ ftrat f, tEie �pi+can�, have be�s� provided with a copy of the "Florida Constn.tc�on Lien Law—H �', s
<br /> Pro�ection Guide" prepa�red by the Fbritia Departmen# o# Agriculture and Consumer A#fa�rs. If t#ie a�ticar�t �sF `
<br /> crt�er tlran the `o�', I c;ertify that I have obtained a copy of the above described ci�cumen# and promise in � fiait� to
<br /> � to tlte "ovrr►e�' pria' to cat�nencement.
<br /> � S�'S A�IflAVR: ! certify that ait the information En this a{�plication is aca+rate a�rttd ` �
<br /> w�t , in compliance with all appficable laws regulating construction, zoning and 4and deveiopment. A�o� Es
<br /> � tt ' trta�e to obtain a permi�: to do work and installation as indicated. 1 c.e�ti#y that no wrork or in ha�
<br /> prior ta issuance of a permit and that afl work will be performed to mee# startdards af a#� lairos reg�i�ti�g
<br /> ' n. County and City cocies zoning regulations and land development regu�atrorrs in the j�arisciict�o� atso
<br /> t 1 understand tha# the rt-�gulations of other governrrtent agencies may apply to the intet�ded w�rk, ar+c .hat it s
<br /> my r+espcx�sibility to identifiy what ac;tions I must take to be in compliance. Sucii agenc'ses indude but afe no# E�€�iteci tr��
<br /> - Depart�nen# of Enviranrr�ental Protection-Cypress Ba}fieads, We#tand Areas and Envir�rr►�entaM� S�five
<br /> Lands, WaterlWastewates Treatrnent.
<br /> - Southwes# Florida Water Management District-Wells, Cy�ress Bayheads, V4let�ci A�
<br /> g Wate►courses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
<br /> - De�artment of Health & Rehabilitative Servi�es/Environmental Heatth Unit-V1te�ls, Wastewade��� .
<br /> Sept�c T�ks.
<br /> - US Errvinorxr�er�tak Protection Agency-Asbestos abatement.
<br /> - Fec�ra! Av�ia� Au#�oRiy-Rcenways.
<br /> I und� tir� the �oqanNing resfrictiorts apply to the use of fitl:
<br /> - Use of f�l is not allowed in Flood Zone "V" unless expressty permitted.
<br /> - 1f the fi!I material is to be used in Flood Zane "A", it is understoQd that a d� pian � a
<br /> "compensating volurr�e" will be subrr�itted at fime of permitting which is prep�ed by a pro#e�ior�a� ,
<br /> tic�nnsed by the State of Ftorida.
<br /> - If the fi{I material is to be used in Flood Zone "A° in connection with a per�d bu� us�g � ar�
<br /> constructian, ! certify that fifl will be used only to fill the area within tlze stem wail.
<br /> - ff fil( material is to be used in any area, I certify that use o# suct► fi� vv� rwt ad�r
<br /> �' proper�ies If use of till is found to adversely affect adjacent prapert'ses, th�e � r�tay b�e ta�eC#
<br /> ' the �:ondi#ions of the buifding permit issued under the attact�ed perrnit a��n. �ar �c�t� � :' �'if
<br /> acre which are e{evated by fill, an engineered drainage plan is required.
<br /> !f t A6ENT FOR THE OWNER, i promise in good faith to inform tl�e owmer of ttte p�g s�t fi� sn
<br /> fhis vit prior to c�mmencing c;onstruction. i understand that a separate permit may ►�e req�.a�ec} �ar �.,
<br /> p�u signs, wells, pools, air c:onditioning, gas, or other insta{lations no# specific�y �tcl�et9 kn #f�e A
<br /> permi� �ued shall be construed to be a license to proceed with the work and r�o# as �it}r tc� �e �. �er, or
<br /> set as�Cie any provisions of the technical codes, nor shall issuance of a permit preven# the &s�g t� #� �r�r
<br /> requirit�g a correction of errors in plans, construction or violatians of any codes. Eve�y p�r�# issueti s#►a� �e �rar�d
<br /> � unless the work authorized by such permit is commenced within six months o# perrnit rsst�ance, ��f wuark ae�horazed} �r
<br /> the permit is suspended or abandoned for a period of six (6) months after the time tl� work �s a��ed. A�a
<br /> may be requested, in writing, from the Building Official for a period not to exceed nir�r (94) �rs and ���r�+e
<br /> justifiable cause for the extension !f work ceases for ninefy (90) cansecutive c#ays, the �ob is c�r�sarl�� �d.
<br /> WARNING TO OWNER: YOUR F L RE TO RECORD A NOTtCE O� Y�F Ni Y�t
<br /> PAYING TWICE FOR IMPROVEM YOUR PROPERTY. 1� YOU IP�TEN� TO OBT F1N�IMCINIC, T
<br /> WITH YOUR LENDER OR AN Y FORf RECORDlNG YOLtR NOTICE
<br /> FLORIDA JURAT (F S. 117 03}
<br /> OWNER OR AGENT CONTRACTO#2
<br /> Subscribed and swom to (or affirmed e Subscxibed and swam to (or a me i� �
<br /> by �t�NN Li ✓E/..� by ToH � 1-
<br /> Who isl�g personally known to ms or has/have produced Who is/�e personatly kno+�m to me prc�ed
<br /> as identificatian. as �n. ��;
<br /> t
<br /> �
<br /> __Notary Pub�ic
<br /> Comm� n No. � �_ ��.�-� Commission fVo t��? _
<br /> E�.
<br /> Name C� , ptar ry ed, rintp�r�m�� Name of Notary typed, priMsd ar stam�ed
<br /> ' `` ��Y�P� WYW��
<br /> , ti y�,,, KRISTEN P. JOSEPI-� „,,,,,,,
<br /> : � � ..= Commiss�on # DD 88`1b2� : � *.*•�P�� �; KRISTEN P. JOSEPH
<br /> � a_ E7cpires April 21, 2013 =�.. .w= Comm�ssiGn # DD 882G2%
<br /> i '';�• - �ryQ` �aea r ,� a��� ��5��ea� sa5au�� : . '� ?� • a; Expires Apri121, 2013
<br /> � ��•�n� � �/y "�� , v�ded i' r F2�nlnsuranceSU 3d57111< '
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