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h��7CE p� p� RESTRICfiOl�iS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> ��ay be m�ee � th� County reguiations. The undersigned assumes responsibiiity for compliance with any
<br /> ����� � CpNTRACTOR RESPONSlBtLiTlES: If the owner has hired a contractor or
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<br /> ����k, �ey may be r�i�ed to be ticensed in accordance with state and local regulations. I the
<br /> rxrE 1k� ,a� rec�rirec3 by taw, both the awner and contractor may be cited for a misdemeanor violation
<br /> �„�r �r. tf the o� or intended contractor are uncertaia as to what licensittg requirements may apply for the
<br /> ;� , fiey ar+e ac�v�sed to contact the Pasco County Building inspection Division—Licensing Section at 727-847-
<br /> g�pg, smore, if the c�+vr+er has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> ��e •e�atVa� Bbc�c° af mis applicat�on for which they will be responsible. If you, as the owner sign as the
<br /> ; �� ��at rr�ay be an inciic�Gon that he is n�t properly licensed and is not entitled to permitting privileges in Pasco
<br /> � ��Y• :�. ` .
<br /> ` ��,�'p'l�pp 1�qCT/LtTtLF�i�S-.I�ACT AND RESOURCE RE�OVERY FEES: The undersigned understands
<br /> ' ��� f�e�liew-M� P�es aa� R�cse Recov�uy Fees may appiy to the c,onstruction of new buildings, change of
<br /> �,� ;,� � b� or .�xp�t�o�.of existing build�ags, as specified in Pasco County Ordinance number 89-Q7 and
<br /> gp_p�. a�s aan�nded. Tt�e t�nd�ne�o uridersta�cls, that such fees, as may be due, witl be identified at the time of
<br /> per,�,;t�ng. �t is � undets�ovd that'Tr�sparta�on Impact Fees and Resource Recovery Fees must be paid prior to
<br /> ���;,ag a°�6�a e# �,panc�' or final power reiease. If the pro�ect does not involve a certifiicate of occupancy ar
<br /> f,�a� �er rei�e, �e fee.s must be paid prior to permit issuance. FurtFtermore, if Pasco County WaterlSewer Impact
<br /> f�s are d�e, �ey m�st be patdpriar to permit issuance in accordance with applicable Pasco County ordinances.
<br /> {�,T� tJeNf..�t�' 713, Flarids Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> �, t�t t, idae appipnt, ha�e bee� provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> proie�o�� Gi,ride• pre�pared by the Fbrida Depa�ment of Agriculture and Consumer Af�a�rs. If the applicant is someone
<br /> �� g�we `0�",1 c� �at I have abtained a copy of the above described document and promise in good faith to
<br /> de�ver � b '�te `0�' P� � ��t.
<br /> C A�r�'1'T: I oertity that all the info�mation in this application is accurate and that all work
<br /> �a t�e c�e in �m�ce w�h aN ap�icabfe laws regulating construction, zoning a�d land development. Application is
<br /> hereby rn�ade �o obtain a pe�mrt to do work and installation as indicated. I certify that no work or installation has
<br /> �,� �xior co isse�►ce Qf a permit and that all work will be perform�d to meet st3ndards of all laws regulating
<br /> con , County and Ciry oo�s, zoning regulat'sons, and land development regulations in the jurisdiction, I also
<br /> b ce�r ' 1 understand that the reguiations of other government agencies may apply to the intended work, and that it is
<br /> � my �lEty to identify what actions I must take to be in compliance Such agencies include but are not Iimited to:
<br /> " - �, Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> <� l.ar�ds, Water/Wastewater Treatment.
<br /> _ � Southwest Fiorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> � '-�� Wa�ercnurses.
<br /> - Arrr�y Cofps o# Ertigineers-Seawalls, Docks, Navigable Waterways.
<br /> _ Departrrent of Healtt► & Rehabilltative Services/Environmental Health Unit-Welfs, Wastewater Treatment,
<br /> Septic T�►ics.
<br /> - US Envirocxt�enha! Protection Agency-Asbestos abatement.
<br /> F� Av'r�iort A�y-Runways.
<br /> I understand that the fdio� re�ic�ions apply to the use of fill:
<br /> Use of fift is not a�awed in Flood Zone "V" unless expressly permitted.
<br /> if the fil! ma�eriai is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> °corr�ensating votucrje" will be submitted at time of permitting which is prepared by a professional engineer
<br /> ficensed by the St�e of Ftarida.
<br /> If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of, such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent prope�ties, the owner may be cited for violating
<br /> the conditions af the building permit issued under the attached aermit application, for lots less than one (1)
<br /> acre which are eievated by fill, an engineered drainage plan is required,
<br /> If I am the AGENT FOR THE OWNER, f promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to cammencing construction i understand that a separate permit may be required for electrical work,
<br /> � pturwbi S+gns, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> � pern�it ' sha4i be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set � y provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiri 'r.orr�tion of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless `. work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> � the per J .+s suspended or abandoned for a period of six (6} months after the time the work is commenced. An extension
<br /> , may be requested, in writing, from the Building C7ffieial for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned,
<br /> WARNlNG TO OWMER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCE NT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPR TS TO YOUR PROPERTY. IF YOU INTEND TO INANCING, CONSULT
<br /> WITH YOUR LENDER O NEY BEFORE RECORDING YOUR NOTI CEMENT.
<br /> FLORIDA JtJRAT (F.S. 117.0
<br /> OWNER OR ACaENT CONTRACTOR__. —
<br /> Subscribed and swom to (or a � ) befo:a ma Ghis Subscribetl and swom to �or a ) before me this
<br /> �I�by .ioNN L�vEt� "7A 1 by , o
<br /> Wh personallv known to me or haslhave produced Wh i personallv known to mQ or ha ve produced
<br /> as identification. as identlfication.
<br /> �
<br /> -`� Notary Public ' ~ _, NOtery PUbIiC
<br /> . --7..
<br /> Commission No. D D S� �a� Commission No. D � _�P l
<br /> Name of �J�tary typed, printed or stamped Name of Notary typed, pr�nted or stamped
<br /> � �.,,,��,,.
<br /> �,�rs��. KRISTEN P. JOSEPH •'�Y e�., KRISTEN P. JOSEPH
<br /> � =�,�' °:� Commission # DD 882627 r�•
<br /> :�� a; Expires April 21, 2013 '*• :*� �mmission # DD 882627
<br /> r � o�: Expires April 21, 2013
<br /> ���` BnndedP,ir, �oyFainlnsurar�ce80�-385d �,
<br /> �����i dc��� ';����ded T' � y Fau� Insur2nCe80 385-7019
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