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<br /> t�CYli� 4� DEED RfSTRfCTIttp�S The undersigned understands that #his permit may be subject to "d�d" ' s"
<br /> y be more restrictive than County regulations. The undersigned assumes responsibility for compiianC �. itli any
<br /> droe�d restrictia�ns.
<br /> COl�ft'RACTt�tS AND CONTRACTOR RESPONSIBILITtES: If the owner has hired a contractor or
<br /> t+a undertake work, they may be required to be licensed in accordance with state and local regulations If the
<br /> � is not iicensed as required by law both the owner and contractor may be cited for a misdemeanor violation
<br /> � un�t� state 4awv If the awner ar intended cont�actor are uncertain as to what licensing requirements may apply for the
<br /> i�rtenderj woric. they are ativised tc contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8d09. Furthermcxe, i# the awner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> �rtions of the "contrac�or Bloc�c" of this application for which they wi{1 be responsible. If you, as the owner sign as the
<br /> cantractor, that may be an ind�catian that he is not properly licensed and is not entitled to permitting privileg;es in Pasco
<br /> County.
<br /> TRAd�SPOi�'TAT10N 11MPACTNTILfTFES iMPACT AND RESOURCE RECOVERY FEES: The undersigned ,, erstands
<br /> t�t Transportation tmpact Fees and Recourse Recovery Fees may apply to the construction of new bu�s9in �e of
<br /> use in e�rg b�, or expansian of existing buiidings, as specified in Pasco County Ordinance numb '. �-0�� a�d
<br /> 90-07, as arrre+�d�. The undersigned also unde�stands, that such fees, as may be due, wi(1 be identified afi the time of
<br /> �errrditing. tt is turther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiwi�g a"oert�Cate of occupancy' or final power release. If the project dces not involve a certificate of occupancy or
<br /> final powe.� releas+e, tt�e fee.s must be paid prior to permit issuance Furthermore, if Pasco County Wa#er/Sewer Impa�t
<br /> fees are due, they must be pa6d pnor to permit issuance in accordance with appiicaWe Pasco County ordinances.
<br /> COt��TfiUCTlt}N LIEN LAW (Chapter 713, Fiorida Stafiutes, as amendeci) If valuatian o# work is $2,500.Q0 c�f more, I
<br /> „ certif�+ that !, the appficant, have been provided with a copy of the "Florida Construc�on Lien Law—H 's
<br /> e Pr�an Gu�de' �repared by the �lorida Departme�t of Agriculture and Consumer A#Fairs. 1# t#�e appfican# �sF ,' rte
<br /> ��:
<br /> � ai� �n the "owner". I certify that I have obtained a copy of the above described documen# and promise in c,�d fiastfi� to
<br /> � to the `owr►e�" pri� ta c�nrnencement.
<br /> S#��DAViT. I certify that all the information in tt►is appfication is acxurate and �rorfc
<br /> i� comp#�an� with aN appticable laws regulating construction, zoning and land cievebprr�nt. is
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<br /> `macle #o obtain a permit to do work and installation as indicated. i certify ihat no wur4c ar in E�as
<br /> prior to issuance of a permit and that all work will be performed to meet s#�r►dards afi aN lav�+s re�uia��g
<br /> * 'on, County and City ccsdes, zoning. regulations, and land developr�ent regula�tiorfs in the juris�c�crn � a�so
<br /> 1;� cer�y that I understa�d t�at the rEgulations of other govemment ageneies may appty to tt�e inte�nded wc�rk, a�c that �� �s
<br /> r�ay �esponsebii�ty to identify what �cfions I must take to be in compliance Such age+n�e.s inde�de !wt are r� �irr�ted tr��
<br /> - De�rartment of Enviranrtzental Protection-Cypress Bayheads, VWetland Areas and Envi�a��t� Se�s�frv�e
<br /> Lands, WatertWastewater Treat�r�ent.
<br /> - Southwest Fiorida Water Management District-Wells, Cypress E3ayheads, Wet�+d A�
<br /> Wa�ercourses.
<br /> - Army Carps ofi EnginePrs�eawalls, Docks, Navigable Watenvays.
<br /> - Department of Heafth & Rehabilitative Servi ;eslEnvironmental Health Unit-Welfs, W�ewater}�;,
<br /> S�ptic TaNcs.
<br /> - US Errvmo�xr�e�tal Prot�ection Agency-Asbes#os abatement.
<br /> - Federa! Aviation ,�uthor�ty-R�ways,
<br /> � understand tt� the f�iair�g reshictiore.s apply to the use of fill:
<br /> - Use of fill is not aftowed in F}ood Zone "V" unless expressly permitted.
<br /> - If the fill materiai is to be used in Flood Zone "A", it is unclerstoal tha# a drarr�age pian � a
<br /> "compensating vatume" will be submitted at 6me of permitting which is prepared by a p�o�siorrai ,
<br /> iioensed bjr the S#ate of Florida. ,
<br /> ; - If the fiIl material is to be used in Flood Zone "A° in connection with a per� buiiding usi�+g � e�
<br /> � construction, i eerFify that filf wiH be used only to fill the area within tt�e stem +x�l.
<br /> - If fill material is to be used ir any area, I certify that use af such fiH w�# not �
<br /> «�� properties If use af fil! is found to adversely affect adjacent �operties, �h!e a��ne� n�ay b�e ca�C#
<br /> the conditions of the bu�ldin� permit issued under the attached perrrri# �p�ica� for �at� 1� `�1)
<br /> acre wh�ch are elevatec! by fll, an engineered drainage plan is reqt�ined.
<br /> � If 1 aan the AGENT FOR THE OWNER, I promise in good faith to inform tt�e owt�er of #ia�e �� sei f� €n
<br /> � this a�tdavit prior to commencing construction. I understand tha# a separate permit may be r�ecf �or � a�#c,
<br /> ? plum�3ing, signs, weiis, pools, air conditioning, gas, or other ins#allations no# specifica�y ��n ttt�e ,,q
<br /> permit issued sha11 be construed to be a license to proceed with the work and not as a+�harity to vio�e, q�, �ex, r�r
<br /> set aside any provisians of the technical codes, nor shall issuance of a perrmt prev�nt ttae 8t�dir�g t'�ffiaai ���
<br /> requiring a correction of errors in plans, construction or violations of any codes, Every p�rmi# �ssuEd s� �e �
<br /> unless the work authorized by such permit is commenced within six months of p�mi# issssa�ce, t� �# uworic ��jr
<br /> the permit is suspended or abandoned for a period of six (6) months after the tirne #t�e �r�rk �s c�c�d. A�a
<br /> may be requested, in writing, from the Building Official for a period not to exceet! o�ine#y {�) �����,�
<br /> justifiable cause for the extension. !f work ceases for ninety (90) consecutive c4ays, the job is co�ts�ier�cl aban�,
<br /> WARNtNG TO OWNER: YOUR FAlLURE TO RECORD A NOTtCE t}� pi4Y ��' i�UR
<br /> PAYlNG TWICE FOR lMPROVE S TO YOUR PROPERTY. If YOU iNTEI�iD OBTANi FlNANCN�, T
<br /> WITH YOUR LENDER OR A EY BEFORE RECORDING YOUR NO
<br /> FLORIDA JURAT (F S 197 03)
<br /> OWNER OR AGENT " CONTRACTOR �
<br /> �ubscritred antl swam to (or affirtn ore me this Subscribed anr! swam Yp ( a i0�"be�ote me �s
<br /> by �eNN 6� v���_ b} Tof-l�! �tar��.+�
<br /> '� Vybg,ts/�g personally known to me or has/h7ve produced Who isl�ie rsonaidy kn�owm�#o_� or ha�a+re prod�yed
<br /> ' as identification. "i"" � � ,
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<br /> � Notary Public —�
<br /> CommlS&�on No �D �c� �—� Commiss' No. �� 2,(a
<br /> 1
<br /> Name c�f`fVota �+ted or�� Name of iVotary typed, prirtted or stamped
<br /> """"' KRISTEN P. JOSEPh�
<br /> ,• �'�� i P��i� It111�
<br /> =_••' � �:'�:e' KRISTEN P. JOSEPH
<br /> .*. .,: Commissaon # DD 88�627 . �� �:.
<br /> ;; =a: Expires Apnl 21, 2013 :�� *: Cornm�ssian # DD a82�2A
<br /> %fip ��"�� �nded " v f-au� InsutanCe81 ',i85-701y iA o: Expires Aprif 21 � 2b�3
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<br /> `�� . ��detl i f an Insurance8i� ,}d5-�ti1'.,
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