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�d� L}F DEE� RESTRICTi�NS� The undersigned understands that this permit may be subject to "d�ed" n � s"
<br /> be rriar�e restrictive th�n County regulations. The undersigned assumes responsibility for compfian tkt any
<br /> ' d�eed
<br /> � r�rdions.
<br /> �Ql�7'RACT+OiRS AND CONTRACTOR RESPONSIBILITfES• If the owner has hired a contractor or
<br /> �c► und�latc,e vnaFk, they may be required to be licensed in accordance with state and local regulations. If the
<br /> is rkot lic�ensed as required by law both the owner and contractor may be cited for a misdemeanor violation
<br /> � taa�� it the owner ar intended contractor are uncertain as to what licensing requirements may apply for the
<br /> work. they are acivised tc contact the Pasco County Buifding Inspection Division—Licensing Section at 727-847-
<br /> , SO(�9, Furthermore, if the c�wwner has hired a contractor or coniractors, he is advised to have the contractor(s) sign
<br /> ��� porlio�s of the 'c.ontractor Biocic' o# this application for which they will be responsibls. if you, as the owner sign as the
<br /> � con�actor, that may be an indication that fie is not properly licensed and is not entitled to permitting priviieg,�s in Pasco
<br /> Cour�y.
<br /> TRA#�ATlQN tI�APACTiUTlLlTIES tMPACT AND RESOURCE RECOVERY FEES: The undersigned erstands
<br /> that T�tion Impact Fces and RPCOUrse Re�overy Fees may apply to the construction of new bu�din "_� ��e of
<br /> use in e�g buikiings, ar e�arrsian of e�sting buildings, as specified in Pasco County Ordinance numb -@7 and
<br /> 9(?-07, as arr+�Nded. The un�'►ed also understands, that such fees, as may be due, wifl be identified at the fime of
<br /> �errr�tt'sng, It is furft�er ur►derstood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receivir�g a`c�ertficate of occupanc�' or final power release If the project does not involve a certificate of occupancy or
<br /> finai ptiwer retease, the fees must be paid prior to permit issuance. Furthermore, i# Pasco County 1Nater/Sewer Impact
<br /> fees aTe c#�e, they mwst be p�d prior to permit issuance in accordance with applicab�e Pasco County ordinances.
<br /> U�t l.AW {Chapter 713, Ftarida Statutes, as amended). If va�uatian of work is $2,500.40 t�r, mare, 1
<br /> c;ertify thsaf f, the �pGc�►t, have been provided with a copy of the "Fioricfa Cons�n Lien Law—H s
<br /> Pra#ecti�n Guade' prepareci by the �brida Department of Agriculture and Consumer Affairs. if the a�ticant is'�
<br /> o�er 1tr� the `cr�me�', I cer�fy that I have obtained a copy of the above described document and �omise in go� faith to
<br /> � to the "oavne�' pria� ta canmencement.
<br /> � SfOYN�IER'S A�It}AVfT: I certify that all the information in this appi+cation is accurate and ��tc
<br /> � �n comp�iance wi#h �II applicabfe laws regulating construction, zoning artd land devebpmectt, iioat rs
<br /> � mac�ee to obtain a perm+t to do work and installation as indicated. I cer6fy t.�tat no w�rk �ar in ��n has
<br /> prior to issuance of a permit and !hat all work will be performed ta meet standards af atl k�va+s regviat'tng
<br /> n. Counry and City cacies, zoning regulations. and land deveiopment regulations in the jurisd�ct�on a�o
<br /> t 1 understand that the reec3uVations of o#her govemment agencies may apply t� the int��ed �k, a�rc th�t ii �s
<br /> rny r�o��bitity #o iderttify what actions I must take to be in corr�pliance. Such ager►c�es indude t�ut are ��imitecf i�:
<br /> � - Depart�nent o# Environmentaf Protection-Cypress Sayheads, VVe#and Areas and Env�onm�ernt� �re
<br /> Lands, WaterlWaste+�rater Treatrrt�nt.
<br /> - Sautt�wes# Florida V'dater Management District-Wells, Cy�>ress Bayt�, Weit� Ar�,.
<br /> ' Watercourses.
<br /> - Army Corps of Engine.srs-Seawalls, Qocks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Servi�es/Environmenta# Heatth Un9t-1Afei#s, W�er�vater,��t.
<br /> Septic T�ks.
<br /> - US Errvirorur�rtai Prote�fion Agency-Asbestos abatement.
<br /> - Fe�al A�atiarr Autlwrity-Runways.
<br /> E und� tt� t#�e �o�g resUic�iorrs �ply to the use of fiili:
<br /> - Use af f�t �s not �owed in Flooti Zans "V° un{ess e�essly perrr�tted.
<br /> - ff the fill materia! is to be used in Ffood Zone "A", it is understood tl�at a�rairrage pi�an � a
<br /> "compensating volurrte" will be submitted at 6me of perm'ttting witich is �xe�ared by a�� .
<br /> I�ensed by ttte StatB af Florida.
<br /> - If the fiiE material is to be used in Flood Zone "Afl in connection with a p� bu�#ding usi� ��
<br /> construction, I certify that fill wiH be used only to fill the area witf�in tt�e stem w�4.
<br /> - ff fill materiai is to be used ir any area, I certify that use af sudi fi� vv� r�t adv+�se#y
<br /> "' properties If use of fiil is found to adversely affect adjacent �raperties, the a�� rrray be �d
<br /> the conditions of #he building perrnit issued under the attac�ed perrr�# �►p�oc�#ian, fs� io� Iess '.�'. �fi}
<br /> ' acre snfi'r� are e{evated by fi61, an engineered drainage ptan is requ'tred.
<br /> If i� ' AGEl�tT FQR THE OWh�ER, I promise in good fai#h to inform the owner of the pefrt�#tir� con� set t� an
<br /> this vit prior to commencing c�nstructaon. i understand that a separate �mi# rr�ay be r�ed �� wc�,
<br /> p�ks , s�gns, weiis, pools, air conditioning, gas, or other insta(ta#ions na# specifica�iy �ctuded i� itie . a
<br /> shali be construed to be a license to proceed with the work and no# as aut�rity to v�e, �, �, or
<br /> �.
<br /> set as�de any provisions af the technical codes, nor shall issuance of a permit p�event tne 8t�g t)ffiaal ���
<br /> a
<br /> requiring a correction of errors in plans, construction or violations of any codes. Ev�y permit issued s� �e �d
<br /> ' un�ess the work authorized by such perr�it is commenced within six months of permit iss�nce, t�r if �k ��ci �
<br /> the permit is suspended or abandoned for a period of six (6) months afte, the tirne tl� �xi� �s c€�rn�ra�d, fi�
<br /> may be requested, in writing, from the Building Official fo� a penod not to exceed nin�ety (94} c�y^s an+d ��°a�e
<br /> justifiable cause for the extension. �f work ceases for ninety (90} consecu6ve days, tt�e jt�ta is c�sic�ex�rd a�a�f.
<br /> i
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<br /> WARNtNG TO OWNER: YOUR FAlLURE TO RECORD A NOTiCE OF W4�' R�5t11.� �"�tql�R
<br /> PAYING TWICE FOR IMPRO AAENTS TO YOUR PROPERTY. IF Y4U IWTEND OBT�kN�i FIMANCMlG, T
<br /> WITH YOUR LENDER OR EY BEFORE RECORDING YOUR NO
<br /> FLORIDA JURAT (F S 117.03
<br /> OWNER OR AGENT CCNTR.1CTfJi2
<br /> Subscribed and swom to (or affi ) before me this Subscribed and swom io (or ) be�e me �s
<br /> by .T[�NN LtYEL� by ToF1sV 1.#d��4/
<br /> �ry�s/�g personaily known to mg or has/have produced Who isl�e personaNy knowm to me or f� p�
<br /> as identification. 's°" — °�""'—�
<br /> � �.
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<br /> � - � �Notary Pubhc , �---�
<br /> Comm h No � �J� c�-� _ Commission Na �� 2,(p �
<br /> i;!". W
<br /> Name 13 'lota ed, nnt��stam Name of Notary typed, prirtted or stamped
<br /> •,�.Y:Ps;e KRISTEN P. JOSEPI�
<br /> ,,,, ,�,.,
<br /> =k�� .:= Camm�ssion � DD 887.t��r ;�;��^�&„� KRISTEN P. JOSEPI�
<br /> � i �a; Expires April 21, 2013 =*; ;.= Commissian # DD 88262 �
<br /> .�p;;��``.' ���a�a � , ra��:��su���a�� �a5-,ot� � o: EXpireS Apri121, 2013
<br /> ° , nded f' .,, Faw InsuranceSU� 3d5=701<�
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