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t� t�F D�EED RESTRICTiQNS: The undersigned understands that this permif may be subject to "de�ed" ", s"
<br /> be rnore r�estridive than County reguiations. The undersigned assumes responsibility for complian k� any
<br /> d�ed rest�ictions.
<br /> C+OrMTRAC"f�S AND CONTRACTOR RESPOWSIBILITIES: If the owner has hired a contractor or
<br /> co tr� undertalce wo�fc, they may be required to be ticensed in accordance with state and local regulations If the
<br /> �or �s not I�cens�d as re+quired by law both the owner and contractor may be cited for a misdemeanor violation
<br /> us�� s#ate law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> in#e�€t wcxlc. they are acivised 3c contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8�9. �urthermare, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> � � of the "c�ntr Blocic" of this application for which they wilf be responsible. If you, as the owner si�n as the
<br /> , thtast rr�ay 5e an indirztion that he is not properfy licensed and is nat entitled to permitting privileg�s in Pasco
<br /> �.
<br /> TR/�I�tl►i�1'A'FKN�i IMPACTiUTItnfES IMPACT AND RESOURCE RECOVERY FEES• The undersigned , erstands
<br /> tt� 7°�tanon I[�act Fees a�d Recourse Recovery Fees may apply to the construction of new b�r+tdin ' a�e of
<br /> � use in e�eisting bu's�r�gs, or e�sion of existing buildings, as specified in Pasco County Ordinance numb '- -�� and
<br /> 9�-07, as amendeci. The unders+gned also understands, that such fees, as may be due, will be identified at the tirr�e of
<br /> permitting It is further understaad that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> •ece+vinc a"certifi�ats of occupancy" or final power release lf the project does not involve a certificate of occupancy or
<br /> finai pawer reiease, the fees must be paid prior to permit issuance Furthermore, i# Pasco County Water/Sswer Impact
<br /> tees a�e due, they rrwst be paid pri� to permit issuance in accordance with applicabte Pasco County ord�na�ces.
<br /> CtMi�S'fRttCTK3Fi LfEN LAW (Chap� 713, FEorida S#atu#es, as amended): If valuation of wark is $2,500.(f0 �� rr�re, I
<br /> certi�y that (, tF�e �pEicant, have been provided with a capy of the "Fiorida Corrstn�ction Lien Lav,+—#-! v 's
<br /> Pra�n Guide' p�epared by tl�e Fbrida Department of Agriculture and Consumer A#Fairs. If the a�ticant is° ,
<br /> other tl�an ttte `owne�', I certify that ! have obtained a copy of the above described documen# and pramise in gs�t fai#t� to
<br /> ci+�� it t€> the "owne�' prior to cornmencement.
<br /> SFO�YMI�R'S I��QVtT I certify that all the information in this a�plication is acc�rate a�d �orfc
<br /> � u�i in comp4iance with af1 appficable laws regulating construction zoning and iand de�t. A is
<br /> het�� rr to abtain a permii to do work and insta!lation as in�icated. I certify that no wor�c or insta�t�n �as
<br /> priw to issuanc� of a�ermit and that all work will be performed to rneet standaFds of aN iaws r�+g�rlatin�
<br /> , `on. Ccwnty ar�d Gty cocies, zoning regulations, and land devefoprr�n# regulations i� ihe j��i� � a�,so
<br /> � cert�#�a# 1 unders#and that the regulations of other govemmen# agenaes may appty to the interxied �rorlc, a�rd �#�a# it is.
<br /> my �2span�ili#y to ider�tify what aetions I must take to be in compliance Such agerx�es indude but are r� ��it+�ci to�
<br /> F - C1e�artnaent of Enuircu�rr[ental Protection-Cypress Bayheads, Wetland Areas and Enw��►mer►ta� ��e
<br /> La�ds. Vtfa#erNVastero�rater Treatment.
<br /> . - Southwest Florida V'Jater Management District-Wells, Cypress Bayhe�, Vw`�d A�r�,
<br /> Wa#ercourses.
<br /> - Army Corps of Enginee;rs-SeawaNs. Docks, Navigable Waterways.
<br /> � - Depa�cmen� of Health & Rehabilitative Servi;;es/Environrnental Heafth Jnit-We19s, t"Vaste+�+ater�T, .
<br /> Se��c T2�rtks.
<br /> � - US Emrirorxr�en�af Pra#ecti�on Agency-Asbes#os abatement.
<br /> ' - F� Aviation A�uthority-Runways.
<br /> f�nc��d 1t� tt�e fo�owir�g resbicbons �p{y to the use of fiA:
<br /> - U� af fiil is not allowed in Flood Zone "V" uniess expres�y perrr�tted,
<br /> - 1f the fil! rnateriai is to be used in Flood Zone "A", it is understoai �ta� a ctr�inage pian �d�g a
<br /> "compensating volum�e" w�ll be submitted at time of permitting which is �regared by a pro#essiona# .
<br /> licenseci bqr the State of Ftorida.
<br /> - If the fi�l materia( is to be used in Flood Zone "A" in connection w�th a�r�ri�.t�d bu�dirrg using �+�
<br /> construction, ! certify that fill wii! be used only to fiil the area wi#hin t� stem w�i.
<br /> - If fi(I material is to be used ir, any area, I certiiy that use af sucM fiH wr� rrat �
<br /> � properties. If use of fif! is found to adversely affec# adjacent �raperti�es, the c�r�er may be ca�d
<br /> the conditions of the bui{ding permit issued under the atta�ed pern�i appii�aEion, �or �s tess �'f)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If ( ar� the AGENT FOR THE OWNER, I promise in good faith to inform the owner Qf the perrrrit�ing � set ��
<br /> this a�avit prior to commencing construction. ! understand that a separate �erm's# r�tay be r�ed �ar � a�,
<br /> pEum�rg, signs, wells, poofs, air conditioning, gas, or other ins#alla6oras no# specificaF#y e�G�1ed i� i� �, q
<br /> permit issued shail be construed to be a license to proceed with the work and not as autt�ority tt� viola#,e, c�. ��, c�r
<br /> set aside any provisions of the tecrnical codes, nor shall issuance of a permit prev�t the &�ng Qf�ipat f� �ea€�f
<br /> t requirin� a correction of errors in plans, construction or violations af any codes. Ev�;��+ {�rnit issued s� �
<br /> unless ftie work authorized by suc;t� permit is commenced within six months of permi# is�taa�ce, or if v�oric � �;
<br /> the permit is suspended or abandor�ed for a period of six (6} months after the time tlze �axtic is c�€n�d. ,4�a
<br /> may ��equested, in writing, from the Building Official for a periad not to exc�ecf nirroe�y �94} days and y,�l e
<br /> jusfifl e cause for the e�ension. €f work ceases for ninety (90} consecutive days, #he j� is cc�r�sicl�ea�ed .
<br /> ; ;;
<br /> o WARNtNG TO OWNER: YOU FAlLURE TO RECORD A NOTiCE OF CO qqY �T �i Y�JR
<br /> PAYING TWICE FOR IMPRO S TO YOUR PROPERTY. If YQU i[+iTEND i`tD AiN RM�WCM�K�, T
<br /> WITH YOUR LENDER O Y BEFORE RECORI?tNG YOUR NOT
<br /> F�ORIDA JUR,4T (F S. 117
<br /> OWNER OR AGENT CONTRACTOR �
<br /> Subscribed and swom to (or affi fore me this Subscribed ant! swam To (or a d} e�s
<br /> bY E' by ToHM �.�rr��v
<br /> V�q,�s/� personally known to me or has/have produced Who isl�e �ersar�ity kno+wn #o m� or i� pro�aed .
<br /> --�- ' ``�
<br /> as identification. � �_
<br /> �
<br /> � __ _ ~ _ otary Public — - - .�..._.,
<br /> , Commission No � � �� o�l� �-� Commission No ��1 2,(p �
<br /> � Name of'Notar t ed, rinted or stam Name of Notary typed, prirtted or stamp�
<br /> ; •''�:Ye' KRISTEN P. JOSEPt�
<br /> -s� �`�'= � �t*.*.Y e' KRISTEN P. JOSEPH
<br /> ,: ;,� �ammissa�n # DD 88�G27 ;�. ��:
<br /> �; . Pg Expires April 21, 2013 _�. .._ Commission # DD 882627
<br /> ,p;,'�° ��aear „�=a�����ur��as�. sasa��� ;��Q\m ExpiresApri121,2013
<br /> '� � "'�ed ;' ; Pau�Inaurance8l� 3d5=7U1'.r
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